[Federal Register Volume 62, Number 211 (Friday, October 31, 1997)]
[Rules and Regulations]
[Pages 59048-59260]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-28973]
[[Page 59047]]
_______________________________________________________________________
Part III
Department of Health and Human Services
_______________________________________________________________________
Health Care Financing Administration
_______________________________________________________________________
42 CFR Part 400, et al.
Medicare: Physician Fee Schedule for Calendar Year 1998; Payment
Policies and Relative Value Unit Adjustments and Clinical Psychologist
Fee Schedule; Final Rule
Medicare: Physician Fee Schedule Conversion Factor for Calendar Year
1998; Sustainable Growth Rate for Fiscal Year 1998; Notice
Medicare: Physician Fee Schedule for Calendar Year 1998; Payment
Policies and Relative Value Unit Adjustments; Practice Expense Relative
Value Units Adjustments; Proposed Rule
Federal Register / Vol. 62, No. 211 / Friday, October 31, 1997 /
Rules and Regulations
[[Page 59048]]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 400, 405, 410, 411, and 414
[BPD-884-FC]
RIN 0938-AH94
Medicare Program; Revisions to Payment Policies and Adjustments
to the Relative Value Units Under the Physician Fee Schedule, Other
Part B Payment Policies, and Establishment of the Clinical Psychologist
Fee Schedule for Calendar Year 1998
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Final rule with comment period.
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SUMMARY: This final rule makes several policy changes affecting
Medicare Part B payment. The changes relate to physician services,
including geographic practice cost index changes, clinical psychologist
services, physician supervision of diagnostic tests, establishment of
independent diagnostic testing facilities, the methodology used to
develop reasonable compensation equivalent limits, payment to
participating and nonparticipating suppliers, global surgical services,
caloric vestibular testing, and clinical consultations.
This rule also implements provisions in the Balanced Budget Act of
1997 relating to practice expense relative value units, screening
mammography, colorectal cancer screening, screening pelvic
examinations, and EKG transportation. In addition, we are finalizing
the 1997 interim work relative value units and are issuing interim work
relative value units for new and revised codes for 1998.
DATES: Effective Date: This rule is effective January 1, 1998. This
rule is a major rule as defined in Title 5, United States Code, section
804(2). Pursuant to 5 U.S.C. section 801(a)(1)(A), we are submitting a
report to the Congress on this rule on October 30, 1997.
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 December 30, 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-884-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.
Because of staffing and resource limitations, we cannot accept
comments by facsimile (FAX) transmission. In commenting, please refer
to file code BPD-884-FC. Comments received timely will be available for
public inspection as they are received, beginning approximately 3 weeks
after publication of the 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).
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FOR FURTHER INFORMATION CONTACT: For staff in the Center for Health
Plans and Providers, Plan and Provider Purchasing Policy Group,
Division of Practitioner and Ambulatory Care:
Jim Menas, (410) 786-4507 (for issues related to practice expense
relative value units).
Regina Walker-Wren, (410) 786-9160 (for issues related to the clinical
psychologist fee schedule).
William Morse, (410) 786-4520 (for issues related to the supervision of
diagnostic tests and independent diagnostic testing facilities).
Ward Pleines, Center for Health Plans and Providers, Chronic Care
Purchasing Policy Group, Division of Cost Reporting, (410) 786-4528,
(for issues related to the reasonable compensation equivalent limit
update factor).
Anita Heygster, Center for Health Plans and Providers, Plan and
Provider Purchasing Policy Group, Division of Integrated Delivery
Systems, (410) 786-4486 (for issues related to participating and
nonparticipating suppliers).
Bill Larson, Office of Clinical Standards and Quality, Coverage and
Analysis Group, (410) 786-4639 (for issues related to screening
mammography, screening pelvic examinations, and screening colorectal
cancer examinations).
Stanley Weintraub, Center for Health Plans and Providers, Plan and
Provider Purchasing Policy Group, Division of Practitioner and
Ambulatory Care, (410) 786-4498 (for all other issues).
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
[[Page 59049]]
cause total physician fee schedule payments to differ by more than $20
million from what they would have been had the adjustments not been
made. Thus, the statute allows a $20 million tolerance for increasing
or reducing total expenditures under the physician fee schedule. We
have determined that net increases because of changes to the physician
fee schedule would have added to projected expenditures in calendar
year 1998 by approximately $300 million. Therefore, we are making the
budget neutrality adjustment required by changes in payment policy and
Physicians' Current Procedural Terminology (CPT) through the conversion
factor (CF). A CF is a national value that converts RVUs into payment
amounts. Effective January 1, 1998, there will be one CF, as specified
by the Balanced Budget Act of 1997 (BBA 1997) (Public Law 105-33),
enacted on August 5, 1997. (Anesthesia has a separate CF but is paid
using a different formula.) The CF is updated annually.
We have made the adjustment 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.
Addenda to this rule provide the following information:
Addendum A--Explanation and Use of Addenda B Through G.
Addendum B--1998 Relative Value Units and Related Information Used in
Determining Medicare Payments for 1998.
Addendum C--Codes with Interim Relative Value Units.
Addendum D--1999 Geographic Practice Cost Indices by Medicare Carrier
and Locality.
Addendum E--1998 Geographic Practice Cost Indices by Medicare Carrier
and Locality.
Addendum F--1999 Versus 1997 Geographic Adjustment Factor (GAF) by 1998
Fee Schedule Area.
Addendum G--Counties Included in 1998 Localities (Alphabetically by
State and Locality Name Within State).
The RVUs and revisions to payment policies in this final rule apply
to physicians' services furnished on or after January 1, 1998.
To assist readers in referencing sections contained in this
preamble, we are providing the following table of contents. Some of the
issues discussed in this preamble affect the payment policies but do
not require changes to the regulations in the Code of Federal
Regulations. Information on the regulation's impact appears throughout
the preamble and not exclusively in section VIII.
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 1998
A. Resource-Based Practice Expense Relative Value Units
1. Phased-In Implementation
2. Adjustment for Practice Expense Relative Value Units for 1998
3. Additional Provisions
B. Geographic Practice Cost Index Changes
1. Work Geographic Practice Cost Indices
2. Practice Expense Geographic Practice Cost Indices
a. Employee Wage Indices
b. Rent Indices
c. Medical Equipment, Supplies, and Miscellaneous Expenses
3. Malpractice Geographic Practice Cost Indices
C. Fee Schedule for Clinical Psychologist Services
1. Background
2. Legislative Changes
3. Physician Payment Reform
4. Related Federal Register Document
5. Policy Pertaining to Clinical Psychologist Services
6. Rationale and Alternatives Considered
D. Diagnostic Tests
1. Ordering of Diagnostic Tests
2. Supervision of Diagnostic Tests
3. Independent Diagnostic Testing Facility
E. Reasonable Compensation Equivalent Limit Update Factor
1. Background
2. Change in the Methodology Used to Develop Reasonable
Compensation Equivalent Limits
F. Payment to Participating and Nonparticipating Suppliers
G. Increase in Work Relative Value Units for Global Surgical
Services to Account for the 1997 Increases for Work Relative Value
Units in Evaluation and Management Services
H. Caloric Vestibular Testing
I. Clinical Consultations
J. Actual Charges
III. Implementation of the Balanced Budget Act of 1997
A. Changes in Practice Expense Relative Value Units for 1998
B. Coverage of Screening Mammography and Related Payment Changes
C. Colorectal Cancer Screening
1. Coverage Determination in Screening Barium Enemas
2. Provisions of the Final Rule
3. Frequency Limits and Conditions of Coverage
4. Payment Limits
5. Screening Colonoscopy in an Ambulatory Surgical Center
D. Coverage of Screening Pelvic Examination (Including a
Clinical Breast Examination) and Related Payment Changes
E. Reinstatement of the Payment for Transportation of EKG
Equipment
F. Waiver of Proposed Rulemaking for Provisions in the Balanced
Budget Act of 1997
IV. Refinement of Relative Value Units for Calendar Year 1998 and
Responses to Public Comments on Interim Relative Value Units for
1997
A. Summary of Issues Discussed Related to the Adjustment of
Relative Value Units
B. Process for Establishing Work Relative Value Units for the
1998 Fee Schedule
1. Work Relative Value Unit Refinements of Interim and Related
Relative Value Units (Includes Table 1--Work Relative Value Unit
Refinements of 1997 Interim and Related Relative Value Units)
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 1998
a. Methodology (Includes Table 2--American Medical Association
Specialty Society Relative Value Update Committee and Health Care
Professionals Advisory Committee Recommendations and HCFA's
Decisions for New and Revised 1998 CPT Codes)
b. Discussion of Codes for Which the RUC Recommendations Were
Not Accepted
C. Other Changes to the 1998 Physician Fee Schedule and
Clarification of CPT Definitions
V. Provisions of the Final Rule
VI. Collection of Information Requirements
VII. Waiver of Proposed Rulemaking and Response to Comments
VIII. Regulatory Impact Analysis
A. Regulatory Flexibility Act
B. Geographic Practice Cost Index Changes
C. Fee Schedule for Clinical Psychologist Services
D. Diagnostic Tests
E. Reasonable Compensation Equivalent Limit Update Factor
F. Payment to Participating and Nonparticipating Suppliers
G. Increase in Work Relative Value Units for Global Surgical
Services to Account for the 1997 Increases for Work Relative Value
Units in Evaluation and Management Services
H. Caloric Vestibular Testing
I. Clinical Consultations
J. Changes in Practice Expense Relative Value Units for 1998
K. Coverage of Screening Mammography and Related Payment Changes
L. Colorectal Cancer Screening
M. Coverage of Screening Pelvic Examination (Including a
Clinical Breast Examination) and Related Payment Changes
N. Reinstatement of the Payment for Transportation of EKG
Equipment
[[Page 59050]]
O. Elimination of the Separate Budget-Neutrality Adjuster for
the Work Relative Value Units
P. Effect of Changes Resulting from Adjustments to the Relative
Value Units
Q. Net Impact of Relative Value Unit Changes on Medicare
Specialties
1. Impact Estimation Methodology
2. Overall Fee Schedule Impact
3. Specialty Level Effect (Includes Table 3-- Impact on Medicare
Payments by Specialty Due to Changes in Relative Value Units)
R. Five-Year Impacts of Benefit Changes (Includes Table 4--
Projected Budget Impact of New Benefits)
S. Rural Hospital Impact Statement
Addendum A--Explanation and Use of Addenda B Through G.
Addendum B--1998 Relative Value Units and Related Information Used
in Determining Medicare Payments for 1998.
Addendum C--Codes with Interim Relative Value Units.
Addendum D--1999 Geographic Practice Cost Indices by Medicare
Carrier and Locality.
Addendum E--1998 Geographic Practice Cost Indices by Medicare
Carrier and Locality.
Addendum F--1999 Versus 1997 Geographic Adjustment Factor (GAF) by
1998 Fee Schedule Area.
Addendum G--Counties Included in 1998 Localities (Alphabetically by
State and Locality Name Within State).
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.
BBA--1997 Balanced Budget Act of 1997
CF--Conversion factor.
CFR--Code of Federal Regulations.
CPI--Consumer Price Index.
CPI-U--Consumer Price Index for All Urban Consumers.
CPT--[Physicians'] Current Procedural Terminology [4th Edition,
1997, copyrighted by the American Medical Association].
CT--Computerized axial tomography.
FDA--Food and Drug Administration.
GAF--Geographic adjustment factor.
GPCI--Geographic practice cost index.
HCFA--Health Care Financing Administration.
HCPCS--HCFA Common Procedure Coding System.
HHS--[Department of] Health and Human Services.
HUD--[Department of] Housing and Urban Development.
IDTF--Independent Diagnostic Testing Facility.
IPL--Independent Physiological Laboratory.
MEI--Medicare Economic Index.
MRI--Magnetic resonance imaging.
OBRA--Omnibus Budget Reconciliation Act.
PC--Professional component.
RUC--[AMA's 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 Social Security Act (the Act), ``Payment for
Physicians' Services.'' This section contains three major elements: (1)
A fee schedule for the payment of physician services; (2) a method to
control the rates of increase in Medicare expenditures for physicians'
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. As noted above, if this tolerance is exceeded, we must make an
adjustment to the conversion factor (CF) to preserve budget neutrality.
Section 1848(e)(1)(C) of the Act requires us to review and, if
necessary, adjust the geographic practice cost indices (GPCIs) at least
every 3 years. This section also requires us to phase in the adjustment
over 2 years and implement only one-half of any adjustment if more than
1 year has elapsed since the last GPCI revision. The GPCIs were first
implemented in 1992 and were reviewed and revised in 1995. Thus, we are
required to complete the second GPCI review and implement only one-half
of any adjustment by 1998 and one-half in 1999.
The Act requires that payments vary among fee schedule areas
according to geographic indices. In general, the fee schedule areas
that existed under the prior reasonable charge system were retained
under the fee schedule. A detailed discussion of fee schedule areas can
be found in the June 5, 1991 proposed rule (56 FR 25832) and in the
November 25, 1991 final rule (56 FR 59514). We are required by section
1848(e)(1)(A) of the Act to develop separate indices to measure
relative cost differences among fee schedule areas compared to the
national average for each of the three fee schedule components. While
requiring that the practice expense GPCIs and malpractice GPCIs reflect
the full relative cost differences, the Act requires that the work
indices reflect only one-quarter of the relative cost differences
compared to the national average.
B. Published Changes to the Fee Schedule
In the June 18, 1997 proposed rule (62 FR 33159), we listed all of
the final rules published through November 22, 1996 relating to the
updates to the RVUs and revisions to payment policies under the
physician fee schedule. In the June 1997 proposed rule (62 FR 33158),
we discussed several policy options affecting Medicare payment for
physicians' services including resource-based practice expense RVUs,
geographic practice cost index changes, clinical psychologist services,
supervision of diagnostic tests, establishment of independent
diagnostic testing facilities, the methodology used to develop
reasonable compensation equivalent limits, payment to participating and
nonparticipating suppliers, global surgical services, caloric
vestibular testing, clinical consultations, and payments based on
actual charges.
This final rule affects the regulations set forth at part 400,
which consists of an introduction and definitions; part 405, which
consists of regulations on Federal health insurance for the aged and
disabled; part 410, which consists of regulations pertaining to
supplementary medical insurance benefits (Part B); part 411, which
consists of regulations pertaining to exclusions from Medicare and
limitations on Medicare payment; and part 414, which consists of
regulations pertaining to the payment for Part B medical and other
health services. It also discusses changes to work RVUs affecting
payment of physician services. The information in this final rule
updates information in the June 18, 1997 proposed rule (62 FR 33158).
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 CF for the service. The CF converts the relative values into
payment amounts.
For each physician fee schedule service, there are three relative
values: (1) An RVU for physician work; (2) an RVU for practice expense;
and (3) an RVU for malpractice expense. For each
[[Page 59051]]
of these components of the fee schedule there is a GPCI for each fee
schedule area. The GPCIs reflect the relative costs of practice
expenses, malpractice insurance, and physician work in an area compared
to the national average for each component.
The general formula for calculating the Medicare fee schedule
amount for a given service in a given fee schedule area can be
expressed as:
Payment=[(RVUwork x work adjuster x GPCIwork
)+(RVUpractice expense x GPCIpractice expense )+
(RVUmalpractice x GPCImalpractice ) x CF]
The CF for calendar year 1998 appears in Addendum A. The RVUs for
calendar year 1998 are in Addendum B. The GPCIs for calendar year 1998
are in Addendum E.
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.
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 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 December
8, 1995 final rule (60 FR 63124) addressed comments on RVUs published
as interim in the December 8, 1994 final rule. In addition, the
December 8, 1995 final rule discussed the process used to establish
RVUs for codes that were new or revised for 1996. The November 22, 1996
final rule (61 FR 59490) addressed all comments received in response to
our May 3, 1996 proposed notice (61 FR 19992) on the 5-year review of
work RVUs, finalized the 1996 interim work RVUs, and issued interim
RVUs for new and revised procedure codes for 1997.
2. Practice Expense and Malpractice Expense Relative Value Units
Section 1848(c)(2)(C) of the Act required that the practice expense
and malpractice expense RVUs equal the product of the base allowed
charges and the practice expense and malpractice percentages for the
service. Base allowed charges are defined as the national average
allowed charges for the service furnished during 1991, as estimated
using the most recent data available. For most services, we used 1989
charge data ``aged'' to reflect the 1991 payment rules, since those
were the most recent data available for the 1992 fee schedule.
Section 121 of the Social Security Act Amendments of 1994 (Pub. L.
103-432), enacted on October 31, 1994, and amended by the BBA 1997,
requires us to develop a methodology for a resource-based system for
determining practice expense RVUs for each physician service. In
developing the methodology, we considered the staff, equipment, and
supplies used in providing medical and surgical services in various
settings. The legislation required the new payment methodology to be
phased in over 4 years, effective for services furnished in 1999.
II. Specific Proposals for Calendar Year 1998
In response to the publication of the June 1997 proposed rule, we
received approximately 8,600 comments. We received comments from
individual physicians, health care workers, and professional
associations and societies. The majority of the comments addressed the
proposals related to resource-based practice expense RVUs, supervision
of diagnostic tests, and payments based on actual charges.
The proposed rule discussed policies that affect the number of RVUs
on which payment for certain services would be based. Certain changes
implemented through this final rule are subject to the $20 million
limitation on annual adjustments contained in section 1848(c)(2)(B) 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 1998. We discuss in detail the
effects of these changes in the
[[Page 59052]]
Regulatory Impact Analysis (section VIII).
For the convenience of the reader, the headings for the policy
issues in section II correspond to the headings used in the June 1997
proposed rule (62 FR 33158). More detailed background information for
each issue can be found in the June 1997 proposed rule.
A. Resource-Based Practice Expense Relative Value Units
Section 121 of the Social Security Act Amendments of 1994 (Public
Law 103-432), enacted on October 31, 1994, requires us to develop a
methodology for a resource-based system for determining practice
expense RVUs for each physician service. The June 1997 proposed rule
(62 FR 33160), contained the proposed resource-based practice expense
RVUs. We received a substantial number of comments on our proposal,
both favorable and unfavorable.
Before the close of the comment period on August 18, 1997, the
Balanced Budget Act (BBA) of 1997 (Pub. L. 105-33) was enacted on
August 5, 1997. The BBA 1997 delayed implementation of the resource-
based practice expense system until 1999. The BBA 1997 contained
additional requirements.
1. Phased-in Implementation
Instead of paying for all services entirely under a resource-based
practice expense system in 1999, the system will be implemented over a
4-year period. The practice expense RVUs for 1999 will be based on the
product of 75 percent of the previous year's practice expense RVUs
(1998) and 25 percent of the resource-based practice expense RVUs. For
the year 2000, the percentages will be 50 percent of the charge-based
practice expense RVUs and 50 percent of the resource-based practice
expense RVUs. For 2001, the percentages will be 25 percent of the
charge-based practice expense RVUs and 75 percent of the resource-based
practice expense RVUs. For subsequent years, the RVUs will be based
totally on resource-based practice expense RVUs.
2. Adjustment for Practice Expense Relative Value Units for 1998
Section 4505 of the BBA 1997 specifies the manner in which practice
expense RVUs in 1998 are adjusted.
Section 4505 of the BBA 1997 enacted a provision that would in 1998
redistribute practice expense RVUs in the direction of the resource-
based RVUs that are to be implemented in 1999. The 1998 practice
expense RVUs for certain services are reduced to 110 percent of their
work RVUs for the service, and the monies are used to raise the
practice expense RVUs for office visit procedures. (Section 4505 of the
BBA 1997 also gives us the authority to adjust this percentage if the
aggregate amount of reductions exceeds $390 million. Since the
application of the 110 percent results in reductions of approximately
$330 million, no further adjustment is necessary.) A detailed
discussion of this provisions is discussed in section III,
``Implementation of the Balanced Budget Act of 1997.''
3. Additional Provisions
Several additional provisions relating to the development of
resource-based practice expense RVUs will be published in the Federal
Register in the spring of 1998. These provisions will be discussed in a
notice of intent to regulate that is being published elsewhere in this
issue of the Federal Register.
We are not adopting the resource-based practice expense system
proposal published in the June 1997 proposed rule. However, we will
publish a new proposed rule in the spring of 1998 with a new set of
resource-based practice expense RVUs.
B. Geographic Practice Cost Index Changes
The Act requires that payments vary among fee schedule areas to the
extent that resource costs vary as measured by the GPCIs. As stated
earlier, section 1848(e)(1)(C) of the Act requires us to review and, if
necessary, adjust the GPCIs at least every 3 years. This section of the
Act also requires us to phase in the adjustment over 2 years and
implement only one-half of any adjustment in the first year if more
than 1 year has elapsed since the last GPCI revision. The GPCIs were
first implemented in 1992, and the first review and revision was
implemented in 1995. (A detailed discussion of the development of the
GPCIs and references to obtaining studies on the development of the
GPCIs can be found in the June 1997 proposed rule (62 FR 33172.)
The 1998 through 2000 GPCIs represent the second GPCI update. The
1999 GPCIs (Addendum D) are the fully revised GPCIs. The 1998 GPCIs
(Addendum E) represent the one-half transition GPCIs. Addendum F shows
the estimated effects on area payments of the fully revised 1999 GPCIs.
The payment effects in 1998 will be about one-half of these amounts.
The same data sources and methodology used for the 1995 through
1997 GPCIs were used for the 1998 through 2000 GPCIs with a few very
minor modifications. No acceptable additional data sources were found.
1. Work Geographic Practice Cost Indices
The work GPCIs are based on the decennial census. The 1992 through
1994 work GPCIs were based on 1980 census data, because 1990 census
data were not yet available. The work GPCIs were revised in 1995 with
new data from the 1990 census. New census data will not be available
again until after the 2000 census. We searched for other data that
would enable us to update the work GPCIs between the decennial census.
No acceptable data sources were found.
Therefore, we are making no changes in the work GPCIs, other than
the generally negligible changes resulting from using 1994, rather than
1992, RVUs in mapping counties to localities for this GPCI update. We
believe it is preferable to make no changes rather than making
inaccurate changes based on unacceptable data. We believe that this is
a particularly reasonable position given the generally small magnitude
of the changes in payments resulting from the changes in the work GPCIs
from the 1980 to the 1990 census data.
2. Practice Expense Geographic Practice Cost Indices
a. Employee Wage Indices. As with the work GPCIs, the employee wage
portion of the practice expense GPCIs is based on decennial census
data. Like the work GPCIs, the employee wage indices are not being
changed during this GPCI update.
b. Rent Indices. The office rental indices are again based on HUD
residential rent data. The revised rental indices are based on 1996 HUD
data as opposed to 1994 HUD data used in the 1995 through 1997 GPCIs.
c. Medical Equipment, Supplies, and Miscellaneous Expenses. As with
the 1992 through 1994 and 1995 through 1997 GPCIs, this component was
given a national value of 1.000, indicating no measurable difference
among areas in costs. (For previously published Federal Register
documents that discuss these issues, see section I.B. of this final
rule, ``Published Changes to the Fee Schedule.'')
3. Malpractice Geographic Practice Cost Indices
Again, malpractice premium data were collected for a mature
``claims made'' policy with $1 million to $3 million limits of
coverage, with adjustments made for mandatory patient compensation
funds. The proposed malpractice indices were based on 1992
[[Page 59053]]
through 1994 premium data, the latest years available when this study
was being conducted in 1995 through 1996, compared to the 1990 through
1992 data used in the current 1995 through 1997 indices.
Fee schedule areas are described by carrier and locality number
with a short geographic description such as ``Atlanta.'' We received
numerous inquiries about the geographic areas that comprise our fee
schedule areas. Addendum G lists alphabetically by State and fee
schedule area the counties included in each fee schedule area.
Comment: The majority of commenters expressed concern about the
continued use of proxy data, especially the HUD residential rent data,
rather than commercial rent data, in the GPCIs. They suggested we
collect actual data on physician earnings and expenses.
Response: In both the 1995 and this GPCI revision we conducted an
extensive search for alternative data sources as well as for more
recent data. The search led us to conclude that the current GPCI
proxies are still the best available data to measure practice cost
differences among areas. As stated in all previous proposed and final
rules on the GPCIs, the actual earnings of physicians were not used to
adjust geographical differences in fees because these fees are, in
large part, the determinants of the earnings. That is, the use of
actual physician earnings would be ``circular.'' As also discussed in
all previous proposed and final rules on the GPCIs, no acceptable
sources of commercial rent data were found.
We believe the current GPCI data sources are an accurate reflection
of area practice cost differences. We believe physician earnings will
vary among areas as do the earnings of other highly educated
professionals, and commercial rents will vary among areas as do
residential rents. The employee wage portion of the GPCIs is based on
census data on the actual earnings of the type of employees found in
physicians' offices. The malpractice index is based on actual
malpractice premiums. The current GPCI data sources reflect costs
across the country and are updated on a regular basis. Any data
collection of actual physician costs of sufficient breadth to cover all
counties and be updated on a regular basis would be massive and
extremely costly. We are unconvinced that such an effort would produce
a result so significantly at variance with the present GPCIs as to
justify the resources required to collect the data.
Comment: Commenters stated that there should be no geographic
payment differences under the physician fee schedule. They believe that
in a national program with the same Medicare Part B premium everywhere,
that equivalent services should have equivalent payment regardless of
geographic area.
Response: Section 1848(e)(1)(A) of the Act requires that payments
vary among areas as resource costs vary as reflected by the GPCIs.
Comment: One commenter stated that the GPCIs did not accurately
reflect area cost differences because uniform GPCI component cost share
weights were used. The commenter stated that use of the same cost
shares everywhere fails to recognize that component weights might vary
among areas, specialties, and services depending upon factors such as
case mix, availability of other health care resources, and individual
practice styles.
Response: We agree that different specialties and individual
practitioners utilize resources differently and may have expenses in
different proportions from the component weights used in the GPCIs as
discussed in the June 1997 proposed rule at 62 FR 33172. The physician
fee schedule was established in 1992 specifically to eliminate the
large unjustifiable payment differences that existed among services,
specialties, and geographic areas by establishing a uniform national
payment system. Payments under the physician fee schedule are based on
uniform national RVUs for a service and a national dollar conversion
factor and can vary only as area resource costs vary as demonstrated by
the GPCIs. The law prohibits any specialty payment differential. The
RVUs for a service represent the typical service. The GPCI component
weights represent the average practice expense component weights across
all physician specialties and are intended to reflect average costs
across all services and specialties in an area and not to reflect
exactly the costs of each individual practitioner. Thus, physician fee
schedule payments are designed by law to reflect the resources involved
with provision of the typical service across all specialties and
physicians in an area. It would not be in keeping with the intent of
the law nor would it be practical or desirable in a national program to
attempt to recognize individual practice patterns.
Comment: One commenter stated that contrary to the GPCIs, which
show that costs tend to be higher in urban areas, rural physicians may
actually have higher costs than urban or suburban physicians. The
commenter attributed this to such factors as higher shipping costs,
higher equipment maintenance costs, higher continuing education costs,
and less efficient use of medical equipment.
Response: While we have heard this argument since the inception of
the physician fee schedule, we have no data demonstrating that
physicians in rural areas have higher costs of practice than physicians
in urban or suburban areas. Physician work, rents, employee wages, and
malpractice insurance represent about 86 percent of physician costs as
reflected in the GPCIs. Our data show that wages, both physician wages
as reflected by wages of other highly educated professionals and the
wages of medical and clerical personnel in physicians' offices, and
rents are higher in urban and suburban areas than in rural areas. While
malpractice premiums are the same statewide in many States, in those
States where premiums do vary geographically they are higher in urban
areas. The types of expenses mentioned as higher in rural areas,
continuing education, higher shipping costs, higher equipment
maintenance costs, and less efficient use of equipment, represent only
a very small portion of physician practice costs.
Comment: One commenter recommended that changes in malpractice
GPCIs reflect actual changes in costs from year to year.
Response: We interpret this comment to mean that the malpractice
GPCIs should reflect actual changes in malpractice premiums from the
prior year. That is, the 1998 malpractice GPCIs should reflect actual
changes in malpractice premiums from 1997 to 1998, and the malpractice
GPCIs should be changed each year to reflect annual premium changes.
The law requires that we review and revise the GPCIs at least every 3
years. This revision involves substantial data collection and analysis
and must be published in a proposed rule. For example, the last GPCI
revision was in 1995, meaning that the next revision is required in
1998. This requires publication of the proposed changes in the Federal
Register in early 1997 to allow for public comment. To meet this
timeframe, data collection begins in 1995 to allow time for data
analysis and drafting of the proposed rule. Therefore, given the time
frame for the process to utilize updated data, this is the most current
data that could be used. Thus, the revised malpractice GPCIs are based
on 1992 through 1994 malpractice premium data, the most recent data
available at the time the revision process was begun in 1995. As
discussed in the proposed rule, we use a 3-year average rather than the
most recent single year of malpractice data to smooth the annual
volatility of
[[Page 59054]]
malpractice premiums and present a more accurate indication of
malpractice premium trends over time. We do not plan to revise the
GPCIs more frequently than every 3 years as required by law.
Result of evaluation of comments: The GPCIs proposed on June 18,
1997 will be effective beginning in 1998.
C. Fee Schedule for Clinical Psychologist Services
1. Background
Until 1997, the fee schedule for clinical psychologist services was
a locality-based fee schedule developed by the individual Medicare
carriers. The Medicare carriers established the locality-based fee
schedule in 1988 after section 4077(b) of the Omnibus Budget
Reconciliation Act of 1987 (OBRA 1987) (Public Law 100-203), enacted on
December 22, 1987, first provided for direct payment for clinical
psychologist services furnished in a community mental health center.
Section 4077(b)(3)(D) of OBRA 1987 amended section 1833(a)(1) of the
Act by providing that payment for clinical psychologist services be
based at 80 percent of the lower of the actual charge or a fee
schedule.
The Act provides that the Secretary determine the fee schedule. As
a result, we furnished guidance to all Medicare Part B carriers to
establish the initial, that is, baseline, clinical psychologist fee
schedule as follows:
Set the fee schedule for therapeutic services at 80
percent of the adjusted prevailing charge for participating
psychiatrists in a locality; and
Set the fee schedule for diagnostic services at 90 percent
of the adjusted prevailing charge for participating psychologists in a
locality.
We also advised the Medicare Part B carriers to update the clinical
psychologist fee schedule in subsequent years by the annual change in
the Consumer Price Index for All Urban Consumers (CPI-U). We adopted
the CPI-U to update the clinical psychologist fee schedule because it
was the economic index used for updating most other nonphysician
practitioner charges at that time.
Since that time, there have been two significant changes to the fee
schedule for clinical psychologist services. First, effective January
1, 1992, we implemented the policy to base payment for psychological
testing services furnished by clinical psychologists on the amounts in
the physician fee schedule. Second, effective January 1, 1997, we
linked the fee schedule for clinical psychologist services to the
physician fee schedule in the same manner as for most other health care
practitioner services. We describe these changes in more detail in the
sections that follow.
2. Legislative Changes
Although section 4077(b) of OBRA 1987 provided for clinical
psychologist services as separately payable under Medicare Part B under
a fee schedule, direct payment was limited to services furnished in
community mental health centers. Subsequent amendments to the law
expanded the scope of the benefit. These amendments were discussed in a
related Federal Register document described in section II.C.4. below.
3. Physician Payment Reform
As noted in section I.A., since January 1, 1992, Medicare Part B
has paid for physician services based on a fee schedule. Until 1992,
physician services had been paid on the basis of a reasonable charge
system. This system led to significant payment variations among types
of services, physician specialties, and localities. Section 6102 of
OBRA 1989 added a new section 1848 to the Act, ``Payment for
Physicians'' Services,'' which replaced the reasonable charge system
with a fee schedule that reflected the resources required to perform a
given service. Although this legislation linked the payment methodology
for most practitioner services to the physician fee schedule, it did
not address payment for clinical psychologist services. Nevertheless,
because amounts established under the physician fee schedule for
psychological testing were heavily based on combined charge data for
psychiatrists and psychologists, we wished to ensure that clinical
psychologists would receive 100 percent of the physician fee schedule
amount for those services. Therefore, effective January 1, 1992, fee
schedule amounts for psychological testing services furnished by
clinical psychologists are set at 100 percent of the physician fee
schedule. However, before 1997, no change was made to the clinical
psychologist fee schedule for therapeutic and other diagnostic
services.
4. Related Federal Register Document
We discussed several aspects of payment for clinical psychologist
services in a proposed rule published in the Federal Register on
December 29, 1993 (Medicare Coverage and Payment for Clinical
Psychologist, Other Psychologist, and Clinical Social Worker Services
(BPD-706-P)) (58 FR 68829). That document addressed issues such as
coinsurance, the outpatient mental health treatment limitation in
section 1833(c) of the Act, and assignment of claims. In the December
1993 proposed rule, we indicated that we would address the calculation
of the clinical psychologist fee schedule amounts set forth under
section 1833(a)(1)(L) of the Act in a separate proposed rule (58 FR
68837). Below, we discuss establishing the fee schedule for clinical
psychologist services as referred to in the December 1993 proposed
rule.
5. Policy Pertaining to Clinical Psychologist Services
There are two types of services billed directly to Medicare Part B
by clinical psychologists: diagnostic services and therapeutic
services. Medicare direct payment for services furnished by clinical
psychologists became effective July 1, 1988. From 1988 through 1996,
Medicare Part B payment to clinical psychologists for therapeutic
services was subject to a locality-based fee schedule calculated by
each Medicare carrier. In 1988, the Medicare carriers developed the
clinical psychologist fee schedule on the basis of a HCFA analysis of
charging practices of psychologists and psychiatrists. Because no
Medicare charge data for therapeutic services furnished by clinical
psychologists existed at that time, we compared psychologist and
psychiatrist charges from other payor sources as a gap-filling measure
for Medicare pricing purposes. The resulting clinical psychologist fee
schedule amounts for therapeutic services, as shown in section II.C.1.
above, were set at 80 percent of the adjusted prevailing charge for
similar services of Medicare-participating psychiatrists in the
locality. (The ``adjusted prevailing charge'' for physicians means the
locality prevailing charge that is calculated by applying the Medicare
Economic Index (MEI) to the base year prevailing charge. In this way,
Medicare reasonable charges for physician services are increased above
the base year rates only to the extent determined to be justified by
appropriate economic data.)
Initially, the fee schedule amounts for diagnostic services
furnished by clinical psychologists were set at 90 percent of the
Medicare prevailing charge for independently practicing psychologists
in a locality. In contrast to therapeutic services, Medicare charge
data had existed for diagnostic testing because psychological testing
furnished by independent psychologists under a physician's order had
been covered as ``other diagnostic tests'' under section 1861(s)(3) of
the Act.
[[Page 59055]]
The amounts established under the physician fee schedule for
diagnostic psychological testing were largely based on blended charge
data for both psychologists and physicians. Furthermore, because
psychologists are the predominant suppliers of psychological testing
services, the physician fee schedule amounts for those services were
based in large part on psychologist charge data. In the November 25,
1991 final rule that established the physician fee schedule, we stated
(56 FR 59507) that diagnostic tests furnished by clinical psychologists
would be paid under the physician fee schedule. Since January 1, 1992,
amounts for diagnostic psychological testing services furnished by
psychologists are equivalent to the amounts established under the
physician fee schedule authorized by section 1848 of the Act.
(Diagnostic psychological testing services are listed in the
Physicians' Current Procedural Terminology (CPT) '97 as CPT codes 96100
through 96117.)
A variety of health care practitioners under Medicare have payment
levels that are tied, by law, to the physician fee schedule. These
practitioners include nurse practitioners, nurse midwives, and
physician assistants. We believe that it is also appropriate to
establish a clinical psychologist fee schedule that is linked to the
physician fee schedule. The implementation of 24 new billing codes for
psychotherapy services effective January 1, 1997 required us to
establish relative values under the physician fee schedule for each
code. We established the clinical psychologist fee schedule value for
all services at 100 percent of the physician fee schedule amount for
the corresponding service. Consequently, this rule sets forth the fee
schedule for covered clinical psychologist services at 100 percent of
the physician fee schedule amount for the corresponding service. The
rationale for this payment level appears in section II.C.6. below.
Although this payment policy was implemented January 1, 1997, we are
including it in this final rule in order to codify in regulations the
methodology for the clinical psychologist fee schedule.
6. Rationale and Alternatives Considered
As noted in section II.C.1., we recommended in 1988 that Medicare
carriers set clinical psychologist fee schedule amounts for therapeutic
services at 80 percent of the MEI-adjusted prevailing charge for
psychiatrists. That level had been primarily based on the fee
differential found in a review of psychologist and psychiatrist fees
from 1985 through 1988.
Effective January 1, 1992, physicians' services are paid under a
resource-based fee schedule rather than a reasonable charge
methodology. The physician fee schedule establishes payment amounts for
all physician services as defined in section 1848(j)(3) of the Act. One
effect of the physician fee schedule is that payment for physician
services is now standardized. We believe that the clinical psychologist
fee schedule amounts for therapeutic services should be tied to the
physician fee schedule.
As noted earlier, effective for services furnished on or after
January 1, 1992, payment for diagnostic psychological tests furnished
by clinical psychologists is based on the physician fee schedule. The
clinical psychologist fee schedule for therapeutic services, which was
in use until January 1, 1997, was not resource-based but was derived
from the initial linkage between psychologist and psychiatrist
prevailing charges. However, with the implementation of the physician
fee schedule, prevailing charges no longer apply for physician
services. Furthermore, because the prevailing charge was based on
actual charging patterns, it frequently resulted in large differences
in charges from one area to another. With implementation of the
physician fee schedule, the GAF used to adjust the RVUs for physician
services has changed the geographic distribution of fees. The purpose
of the GAF is to recognize only justifiable differences in the cost of
operating a medical practice in different areas.
Finally, once the clinical psychologist fee schedule is linked
directly to the physician fee schedule, the annual physician update
factor used to update fees for clinical psychologist services will be
the same as the index used to update fees for physicians and other
health care practitioners. The following table illustrates that, for
the years between 1989 through 1991 (during which the prevailing charge
system applied), the CPI-U update factor exceeded the congressionally
imposed limits on the MEI that was used to adjust Medicare prevailing
charges for nonprimary care physician services:
------------------------------------------------------------------------
1989 1990 1991
Annual increase (percent) (percent) (percent)
------------------------------------------------------------------------
CPI-U.................................. 4.0 5.2 4.7
MEI (for other than primary care)...... 1.0 2.0 0.0
------------------------------------------------------------------------
Using a hypothetical prevailing charge of $100 for psychiatrists in
1988, we illustrate the relationship of the clinical psychologist fee
schedule to psychiatrist prevailing charges in 1991 in the following
table:
------------------------------------------------------------------------
1989 1990 1991
------------------------------------------------------------------------
Psychiatrists (1988 prevailing
charge = $100):
MEI update factor............ 1.01 1.02 1.00
Updated prevailing charge.... $101.01 $103.02 $103.02
Clinical Psychologists (1988 fee
= $80):
CPI-U update factor.......... 1.04 1.052 1.047
Updated fee.................. $83.20 $87.53 $91.64
Psychologist/Psychiatrist (1988 =
80%)............................ 82.4% 85.0% 89.0%
------------------------------------------------------------------------
By 1991, the combined effect of using the CPI-U to update the
clinical psychologist fee schedule and the MEI to update psychiatrist
prevailing charges resulted in a clinical psychologist fee schedule
that was equivalent to 89 percent of the psychiatrist prevailing
charge. Additionally, implementation of the physician fee schedule
resulted in slight payment decreases for psychiatrist services in 1992.
In 1993 and 1994, moreover, the physician fee schedule amounts for
nonsurgical services other than primary care services were increased by
0.8 percent and 5.3 percent, respectively. By comparison, during the
first 3 years that the physician fee schedule was in effect, clinical
psychologist fee schedule amounts increased by 4.7 percent, 3.1
percent, and 3.0 percent, respectively, for 1992, 1993, and 1994,
because clinical psychologist fee schedule amounts were adjusted by a
different economic index, the Consumer Price Index (CPI). Consequently,
through 1994, clinical psychologist fee schedule increases outpaced
those for physicians furnishing nonsurgical services other than primary
care as well as those for
[[Page 59056]]
other nonphysician practitioners whose payments are tied to the
physician fee schedule.
The combined effect of all these factors is that the clinical
psychologist fee schedule no longer reflected the original fee
differentials between psychologists and psychiatrists that had been
found in the health care marketplace and factored into the initial
clinical psychologist fee schedule. As a result, the clinical
psychologist fee schedule was marked by disparities with the physician
fee schedule for similar services as well as by wide geographic
variations that reflected historical charging patterns in different
areas.
We had previously considered setting the clinical psychologist fee
schedule at the level established under the physician fee schedule for
similar services. However, at that time, the CPT descriptors for
individual psychotherapy services (CPT codes 90841 through 90844)
included the term ``* * * [with] continuing medical diagnostic
evaluation, and drug management, when indicated.'' These are medical
aspects of a psychotherapeutic service that are outside the scope of
clinical psychologist licensure. Therefore, we were concerned that it
would be inappropriate to set the clinical psychologist fee schedule
amounts at the same level as the physician fee schedule when clinical
psychologists were unable to perform the full service described in the
codes.
During 1996, as part of the statutorily mandated 5-year refinement
of the RVUs for the physician fee schedule, the American Medical
Association's (AMA's) Specialty Society Relative Value Scale Update
Committee (RUC) recommended increases for a number of psychotherapy
codes. (The RUC, which is comprised of representatives of various
medical specialty societies, the AMA, the American Osteopathic
Association, and the CPT Editorial Panel, makes recommendations to us
concerning the assignment of RVUs to new and revised CPT codes.) As a
prelude to accepting the RUC recommendations, we examined the coding of
psychiatry services. We concluded that the CPT code descriptors for
individual psychotherapy needed to be changed to define the service
more clearly, recognize the variations in work associated with
different types of psychotherapy as well as the settings in which the
types of psychotherapy are furnished, and assign face-to-face time
values for the service. As a result, effective January 1, 1997, CPT
codes 90842, 90843, 90844, and 90855 for individual psychotherapy are
no longer recognized for Medicare purposes. These codes have been
replaced by 24 alphanumeric codes that include 12 codes for therapy
furnished in the office and other outpatient settings and 12 codes for
therapy furnished in inpatient hospital, partial hospital, or
residential care settings. These two categories were further broken
down into the types of psychotherapy services. A full listing and
discussion of these codes was included in the final rule (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 (BPD-852-FC)), published November 22,
1996. (See 61 FR 59521 through 59523.)
One of the effects of the coding system changes for psychiatric
services is that now there are codes for reporting psychotherapy both
with and without medical evaluation and management services. Under
Medicare, clinical psychologists may bill for individual psychotherapy
without medical evaluation and management services. Consequently, when
clinical psychologists bill for individual psychotherapy without
medical evaluation and management, those services are equivalent to
individual psychotherapy without medical evaluation and management
services when furnished by a physician. As a result, we believe that it
is both reasonable and equitable to pay clinical psychologists the same
amount as physicians for equivalent services.
Alternatively, we considered retaining the previous clinical
psychologist fee schedule for therapeutic services. We also considered
setting the clinical psychologist fee schedule at a level other than
100 percent of the physician fee schedule. However, we rejected these
options because the resulting fee schedule amounts would have
essentially continued to be derived from physician prevailing charges,
which are no longer relevant under the physician fee schedule and would
only serve to perpetuate geographic variations in charges that are a
residual effect of the reasonable charge payment system.
We received a few comments on the clinical psychologist fee
schedule from five separate major professional associations and
federations at the national and State level.
Comment: One commenter urged us to develop an equitable payment
methodology for clinical social workers that takes into account the
practitioner's investment in education and training, office expenses,
and malpractice costs instead of a methodology that is based on a
percentage of what is paid to another nonphysician provider. The
commenter noted that payment for clinical social worker services seems
to be the only instance under the Medicare statute when one G48
nonphysician's payment rate is tied to that of another nonphysician
provider.
Response: The Medicare statute requires that payment be made to
clinical social workers at 80 percent of the lesser of the actual
charge for the services or 75 percent of the amount determined for
payment for clinical psychologist services. Under the circumstances, it
would be inappropriate to develop an alternative payment amount for
clinical social worker services.
Comment: Several commenters stated that they are pleased that we
have addressed the problem of the clinical psychologist fee schedule
and the inequitable situation that in some areas of the country fees
for psychology services were higher than the fees for the same services
provided by a psychiatrist. Accordingly, these commenters are
supportive of our requirement that psychologists may bill only for
psychotherapy without medical evaluation and management. However, two
of the commenters suggested that we consider our policy of a fee
schedule for psychologists' services set at 100 percent of the
physician fee schedule amount to be an interim policy, pending
completion of ongoing survey work and the RUC's deliberations.
Completion of the RUC's review of the work involved in the new codes
will help inform decision makers about whether the coding changes and
RVUs have adequately captured the resource cost differences between
psychotherapy provided by psychiatrists and that provided by
psychologists.
Additionally, one of these commenters stated that it is illogical
to permit psychologists to be paid at 100 percent of the physician fee
schedule for comparable services using the same malpractice expense
RVUs assigned to physician codes. Malpractice insurance premiums for
psychologists are as low as 10 percent of the premiums charged to
leading psychiatrists. Even when psychiatrists provide psychotherapy
without evaluation and management, their professional standard of care
exceeds the standard of care applicable to psychologists. Psychologists
do not have the same responsibility as psychiatrists in terms of being
accountable for failure to furnish medications or recognize a non-
psychiatric medical condition when providing psychotherapy without
medical evaluation and management.
[[Page 59057]]
Accordingly, this commenter believes that the malpractice expense and
practice expense associated with the significantly higher standard of
care required of psychiatrists requires that we set payment for
psychologists' services at less than 100 percent of the physician fee
schedule amount.
Response: The temporary psychotherapy ``G'' HCFA Common Procedure
Coding System (HCPCS) codes (G0071 through G0094) were implemented as
interim codes, and the RUC-recommended RVUs for these services were
also considered as interim. Although these temporary ``G'' codes will
be crosswalked directly to permanent numeric HCPCS codes effective
January 1, 1998, the codes and the assigned RVUs will continue to be
considered interim.
We believe that, for the most part, we have addressed the situation
when malpractice insurance premiums for psychiatrists are higher than
the cost of malpractice insurance for psychologists by establishing an
entire set of psychotherapy codes that are exclusive to physicians that
psychologists are precluded from billing under the Medicare program. We
established this set of codes because the services that both physicians
and psychologists can furnish are probably not the services that are
contributing to the psychiatrist's higher malpractice costs. The
services that are reserved to physicians alone are those involving
medications and complexities that would contribute to the higher
malpractice costs.
Comment: One commenter expressed that it has a major concern about
our continued exclusion of psychologists from the use of CPT evaluation
and management codes as well as the ``G'' HCPCS codes that encompass an
evaluation and management component. The commenter believes that we
should remove our longstanding restriction on the use of these codes by
psychologists and, instead, incorporate into our coding system a
realistic reflection of the present day practice of psychology.
Moreover, the commenter believes that since psychologists play an
important evaluative role, we should seriously reconsider our
longstanding exclusionary policy and permit payment to psychologists
for evaluation and management codes that represent services that
psychologists are already providing under the Medicare program.
Response: We believe that the CPT diagnostic psychological testing
CPT codes 96100 through 96117 and the CPT psychotherapy codes 90801
through 90899 capture the range of mental health services, including
nonmedical evaluation services, that clinical psychologists are
expected to provide for purposes of the Medicare clinical psychologist
benefit and that clinical psychologists are authorized by law to
furnish. The evaluation and management services included in the codes
that psychologists cannot bill Medicare are services involving medical
evaluation and management. Psychologists are not licensed to perform
these types of services.
Result of evaluation of comments: We are finalizing our proposal to
maintain the clinical psychologist fee schedule at 100 percent of the
physician fee schedule amount for comparable services. The RVUs for
individual psychotherapy services remain in effect on an interim basis.
D. Diagnostic Tests
1. Ordering of Diagnostic Tests
In our November 22, 1996 final rule for the 1997 physician fee
schedule (61 FR 59490), we revised Sec. 410.32 (Diagnostic x-ray tests,
diagnostic laboratory tests, and other diagnostic tests: Conditions) to
state that, to be covered, diagnostic tests had to be ordered by the
physician who treats the patient. Section 410.32 contained exceptions
for x-rays used by chiropractors to demonstrate the subluxation of the
spine and for certain nonphysician practitioners operating within the
scope of their statutory benefit and State licenses. We are adding an
additional exception to Sec. 410.32 to indicate that a physician who
meets the qualification requirements for an interpreting physician
under section 354 of the Public Health Service Act as provided in
Sec. 410.34 (Mammography services: Conditions for and limitations on
coverage), paragraph (a)(7), may order a diagnostic mammogram based on
the findings of a screening mammogram even though the physician does
not treat the beneficiary. We believe this is appropriate because the
Food and Drug Administration, rather than HCFA, is responsible for the
conditions under which mammograms are covered. It would also facilitate
additional and necessary diagnostic testing to investigate suspicious
findings at the time the beneficiary is present at the testing site
rather than requiring the beneficiary to return at a later date for
follow-up testing.
In addition, commenters have asked about the statutory basis for
denial of claims under the ordering rule adopted in the 1996 physician
fee schedule final rule. We have determined that tests are not
demonstrably reasonable and medically necessary unless they are ordered
by the patient's physician who will employ the tests to manage the
patient's care. Thus, we are clarifying in Sec. 410.32(a) that the
denials are based on the exclusion in section 1862(a)(1)(A) of the Act,
and contained in Sec. 411.15(k)(1), that is, the services ``are not
reasonable and necessary for the diagnosis and treatment of illness or
injury or to improve the functioning of a malformed body member.''
Beneficiaries may be protected from liability for claims denied on this
basis by the limitation on liability provision of section 1879 of the
Act.
All commenters addressing the proposal to permit certain physicians
to order a diagnostic mammogram based on the findings of a screening
mammogram even though the physician does not treat the beneficiary
enthusiastically supported the proposal. We received no comments on the
proposal to clarify that denial of claims by carriers because the tests
were not ordered by a physician who uses the findings in the management
of the beneficiary's care are based on the reasonable and necessary
exclusion in section 1862(a)(1)(A) of the Act and in Sec. 411.15(k)(1).
Below is a discussion of the public comments we received on our
proposal relating to ordering of diagnostic tests and our responses:
Comment: Several commenters requested clarification of the
applicability of the diagnostic test ordering provision, adopted in the
final rule of November 22, 1996, to diagnostic procedures performed in
hospital settings: the responses to comments seemed to indicate that,
although the intent of the new policy was primarily directed at
nonhospital testing, the requirement applied in all settings.
Response: The policy was set forth in Sec. 410.32, which generally
addresses diagnostic tests covered under section 1861(s)(3) of the Act
and payable by Part B carriers rather than fiscal intermediaries.
Regulations other than Sec. 410.32 govern the coverage of diagnostic
tests furnished to hospital patients, which are payable through fiscal
intermediary payment mechanisms. Specifically, the coverage of
diagnostic tests furnished to hospital outpatients is addressed in
Sec. 410.28, and the coverage of diagnostic tests furnished to hospital
inpatients is addressed in Sec. 409.16. Therefore, the test ordering
policy adopted in the final rule of November 22, 1996, effective for
procedures furnished beginning January 1, 1997, does not apply to
diagnostic tests furnished in hospitals.
Comment: A few commenters expressed concern that manual sections
[[Page 59058]]
implementing the ordering rule have not been issued. One commenter
indicated that interpreting physicians are in the untenable position of
having to choose between performing additional tests they know the
patient needs based on the findings of the initial procedure or
postponing procedures to ensure that they do not violate HCFA rules.
Another indicated that there are times that the referring physician
cannot be reached and delaying a procedure would not be in the best
interests of the patient.
Response: In adopting the test-ordering proposal, we intended to
establish the general principle that, to be covered under Medicare, a
diagnostic test must be ordered by a physician who will use the
findings in the medical management of the patient. The policy did not
require that the order be in writing or instruct carriers to
investigate claims prior to payment to ensure the existence of such an
order. It was intended for use by carriers in situations in which a
problem has been identified, or is strongly suspected, as a basis for
recovery of payments for tests that did not meet the reasonable and
necessary criteria of section 1862(a)(1)(A) of the Act. In the
situations cited by the commenters, we do not think it would be
unreasonable to ask for the testing physician to receive authorization
from the ordering physician's office (either by phone or FAX) for the
additional tests he or she believes to be necessary. Certainly,
provision could be made for an emergency situation. We are trying to
address situations in which there is a pattern of the testing entity's
adding procedures to those ordered by the patient's personal physician.
Comment: Commenters representing the interests of entities that
furnish nuclear medicine procedures indicated a continuing problem with
the ordering requirement and stated that nuclear medicine physicians,
by State and Federal regulations, are the only physicians who can
actually order nuclear medicine tests.
Response: We see no conflict between our proposal and State and
Federal regulations. However, in order to address these concerns more
fully we would need more specific information as to the State and
Federal regulations in question.
Comment: A national organization representing psychologists
indicated that Sec. 410.32 addresses the ordering and supervision of
diagnostic tests and objected to some of the wording relating to
nonphysician practitioners, such as clinical psychologists. The
commenter pointed out that Sec. 410.32(a)(3) indicates that certain
nonphysician practitioners who furnish 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.'' The commenter
suggested that the wording be changed to ``shall be treated the same .
. .'' because, as written, the wording does not require that these
individuals always be treated as physicians for purposes of this
section.
Response: The commenter raises an interesting point that we agree
needs further clarification. The purpose of Sec. 410.32(a)(3) is to
ensure that the nonphysician practitioners in question may order tests
for the beneficiaries they are treating. (We are adding the same
wording to the section on independent diagnostic testing facilities
(IDTFs) to clarify that the nonphysician practitioners in question may
order diagnostic testing by IDTFs.) However, we did not intend to
permit these same nonphysician practitioners to supervise diagnostic
testing performed by others. Under the rule we are adopting, all
diagnostic tests payable under the physician fee schedule must be
performed under the supervision of a physician (as defined in section
1861(r) of the Act) with certain exceptions set forth in
Sec. 410.32(b). Therefore, we are modifying the wording of
Sec. 410.32(a)(3) to change the last word from ``section'' to
``paragraph.'' In other words, the nonphysician practitioners are
treated as physicians as far as the ordering of tests for the patients
they are treating is concerned but not for the other subject of
Sec. 410.32, that is, the supervision of the performance of tests.
(However, certain nonphysician practitioners may personally perform
certain diagnostic tests without physician supervision. This subject is
addressed in the discussion of the comments on both the physician
supervision and IDTF proposals.)
Result of evaluation of comments: We are adopting the proposals
(with the wording clarification indicated above) to (1) permit certain
physicians to order a diagnostic mammogram based on the findings of a
screening mammogram even though the physician does not treat the
beneficiary and (2) clarify that carrier denial of claims because the
tests were not ordered by a physician who uses the findings in the
management of the beneficiary's care are based on the reasonable and
necessary exclusion in section 1862(a)(1)(A) of the Act and in
Sec. 411.15(k)(1).
2. Supervision of Diagnostic Tests
We are clarifying in Sec. 410.32 the policy on physician
supervision of diagnostic x-ray and other diagnostic tests that are
payable under the physician fee schedule. (Diagnostic procedures may be
split into professional components (PCs) and technical components (TCs)
or be TC-only.) The clarification is applicable to the TCs of
diagnostic procedures covered under section 1861(s)(3) of the Act
(whether billed separately or as part of a ``global'' charge with the
PC) that are furnished in settings in which the Part B carrier pays for
the TCs under the physician fee schedule. The coverage of diagnostic
procedures furnished to hospital patients is addressed in other
regulations and is not affected by this clarification. In addition,
diagnostic laboratory tests as described in paragraph (d) of
Sec. 410.32 are not affected by this clarification. This final rule
represents our judgment that diagnostic procedures are safe and
effective only when they are furnished with appropriate physician
supervision. Therefore, denials of claims for failure to meet the
required level of physician supervision would be based on the exclusion
in section 1862(a)(1)(A) of the Act and in Sec. 411.15(k)(1), that is,
they ``are not reasonable and necessary for the diagnosis and treatment
of illness or injury or to improve the functioning of a malformed body
member.'' This means that the beneficiary may be protected under the
limitation on liability provisions in section 1879 of the Act.
We believe that the requirements of Sec. 410.32 should be revised
because, except for the reference to ``other diagnostic tests'' in the
heading of Sec. 410.32, x-rays are the only diagnostic tests payable
under the physician fee schedule that are discussed in the current
Sec. 410.32. We are clarifying that some degree of physician
supervision is required for every diagnostic test payable under the
physician fee schedule with a few exceptions.
Our specific revisions to the regulations are:
The definition and discussion of the term ``general
supervision'' currently appears only in Sec. 410.32(a)(2) (concerning
portable x-ray services). We are clarifying that this level of
supervision is the minimal level required for all diagnostic tests
payable under the physician fee schedule unless specific exception is
made by regulation.
The definition and discussion of the term ``direct
supervision'' is set forth in revised Sec. 410.32(b)(3)(ii), concerning
[[Page 59059]]
diagnostic x-ray and other diagnostic tests. We are clarifying that
this level of supervision is required for some types of diagnostic
procedures that are not x-rays.
We are incorporating into regulations at
Sec. 410.32(b)(3)(iii) the existing policy that there are some
diagnostic procedures that require a physician's presence with the
patient at the time of performance of the procedure for the procedure
to be covered.
We are setting forth a general rule that diagnostic tests payable
under the physician fee schedule require at least general supervision
(and in some cases either direct or personal supervision, as defined in
this final rule) by a physician (as defined in section 1861(r) of the
Act). Because of the restrictive definitions in section 1861(r), we
believe that nearly all tests will be supervised by doctors of medicine
or osteopathy, or, in the case of procedures related to the eyes and
consistent with State licensure, doctors of optometry. We do not
perceive a significant impact on doctors of dentistry and chiropractic
in this regard since Medicare covers limited services for these
specialties and we believe diagnostic test supervision will not be an
issue for these specialties.
We are excluding three types of diagnostic tests from the physician
supervision requirements:
Diagnostic mammography procedures, which are regulated by
the Food and Drug Administration.
Diagnostic tests personally furnished by a ``qualified
audiologist'' as defined in section 1861(ll)(3) of the Act. These
include ``audiology services'' as defined in section 1861(ll)(2) of the
Act that are payable by Medicare carriers under the physician fee
schedule. We are excluding these diagnostic tests from the physician
supervision requirement because the Congress has defined these services
without requiring physician supervision of their performance.
Diagnostic psychological testing services personally
performed by a qualified psychologist practicing independently of an
institution, agency, or physician's office as currently defined in
section 2070.2 of the Medicare Carriers Manual (HCFA Pub. 14-3). These
services are distinguished from services of clinical psychologists,
which are covered under section 1861(ii) of the Act, rather than
section 1861(s)(3). We are excluding these tests from the physician
supervision requirement because we do not believe that these services
require physician supervision of their performance.
We are setting forth the policy that the minimal level of physician
supervision, which is applicable to all diagnostic procedures payable
under the physician fee schedule, with the exceptions cited above, is
general supervision. ``General supervision'' means the procedure is
furnished under the physician's overall direction and control, but
physician presence is not required during the performance of the
procedure. Under general supervision, the training of the nonphysician
personnel who actually perform the diagnostic procedure and the
maintenance of the necessary equipment and supplies are the continuing
responsibility of the physician. Examples of procedures requiring only
general physician supervision include the following:
Plain films (x-rays) involving the extremities, pelvis,
vertebral column, or skull.
Plain films of the chest and abdomen that do not involve
the use of contrast media.
Electrocardiograms except when the code description
specifies physician supervision such as with a cardiovascular stress
test.
Ultrasound diagnostic procedures except when the code
description specifies a physician's service such as the placement of a
probe in the case of transesophageal echocardiography.
Electroencephalograms, polysomnography, and sleep studies.
We are setting forth the policy that the existing definition of
``direct supervision'' in Sec. 410.32 be applied to types of services
other than diagnostic x-rays. ``Direct supervision'' in the office
setting does not mean that the physician must be present in the room
when the procedure is performed; however, the physician must be present
in the office suite and immediately available to furnish assistance and
direction throughout the performance of the procedure. Examples of
diagnostic procedures requiring both general and direct supervision
include the following:
Magnetic resonance imaging, computerized axial tomography,
and nuclear medicine procedures.
Procedures in which contrast materials are used.
X-rays other than skeletal, abdominal, and chest x-rays
cited in the discussion of ``general supervision.''
We are defining ``personal supervision'' as follows: ``Personal
supervision'' means a physician must be in attendance in the room
during the performance of the procedure. Examples of procedures
requiring both general and personal supervision include the following:
Cardiovascular stress tests including those furnished with
nuclear medicine and echocardiography procedures.
Cardiac catheterization.
Radiological supervision and interpretation procedures.
Under the changes made to section 1861(s)(3) of the Act by section
145(b) of Public Law 103-432, the Congress has added diagnostic
mammography as part of the portable x-ray benefit. Therefore, we are
adding diagnostic mammograms (but not screening mammograms) to the list
of services a portable x-ray supplier may furnish in Sec. 410.32(c).
However, the supplier must meet the certification requirements of
section 354 of the Public Health Service Act, as implemented by 21 CFR
part 900, subpart B.
These supervision requirements are applicable only for diagnostic
tests under section 1861(s)(3) of the Act. Other statutory provisions
such as CLIA, the physician self-referral rules, etc., which contain
supervisory standards for physicians, are not affected by this rule,
and continue to be required, if applicable.
Several commenters who objected to various aspects of the physician
supervision proposal were obviously addressing procedures performed in
hospitals, and we would like to clarify this situation for them. As
pointed out in the first paragraph of the preamble discussion of this
proposal in the June 18, 1997 proposed rule (62 FR 33179), we proposed
to modify and clarify the policy in Sec. 410.32 on physician
supervision of diagnostic procedures that are covered under section
1861(s)(3) of the Act and payable under the physician fee schedule.
Regulations other than Sec. 410.32 govern the coverage of diagnostic
tests furnished to hospital patients. Specifically, the coverage of
diagnostic tests furnished to hospital outpatients is addressed in
Sec. 410.28, and the coverage of diagnostic tests furnished to hospital
inpatients is addressed in Sec. 409.16. Further, this proposal
addressed the coverage of the technical component (TC) (including TCs
billed with the professional component (PC) of the procedure in a
global bill) and other diagnostic procedures that are not split into PC
or TC components and that do not have RVUs reflecting physician work.
Diagnostic services that have physician work RVUs are not ``other
diagnostic tests'' covered under section 1861(s)(3) of the Act but
physician services and services incident to a physician's services
covered under sections 1861(s)(1) and 1861(s)(2)(A) of the Act. These
services are either personally
[[Page 59060]]
furnished by the physician or furnished as an ``incident to'' service.
In both cases, the policy has been established and is unaffected by
this rule. Either the physician is present because he or she is
personally furnishing the service or, in the case of ``incident to''
services, the physician is in the suite (the same standard as proposed
for direct supervision under the proposal) during the time the
diagnostic service is performed. To summarize, neither the technical
services associated with diagnostic tests furnished in hospitals nor
diagnostic service codes containing physician work RVUs (other than
global billings) are affected by this proposal.
Comment: Many physician commenters disagreed with our proposal to
place diagnostic ultrasound procedures in the category of tests
requiring general supervision. We received the following comments:
Most ultrasound diagnostic procedures should be placed in
the direct or personal supervision categories. The requirement for
general supervision is not sufficient to achieve the needed degree of
physician input in the final product of the ultrasound examination.
Good ultrasound can only be performed through a working
partnership between the technologist and the supervising physician.
Commenters pointed out that radiologists frequently will examine the
patient in real time to clarify uncertain findings or to further
characterize pathology detected during the technologist's examination.
If the physician does not go back to scan these patients himself,
critical diagnoses would be missed. The common and correct practice of
ultrasound is for a technologist to perform the examination and for a
physician to check the study before the patient leaves the examining
area.
The performance of ultrasound procedures requires more
physician supervision than magnetic resonance imaging (MRIs),
computerized axial tomography (CTs), or nuclear medicine procedures.
One commenter referred to unregulated ultrasound
procedures in the U.S. as a ``cesspool of poor medical practice.''
One commenter suggested that Medicare should prohibit
payments for self-referred sonographic procedures performed by
physicians who purchase this equipment for their offices and find
reasons to use the equipment on their patients even though they are
poorly-trained in the interpretations of the findings.
Several physicians commented that they often performed
these tests personally without a technologist present.
Response: In developing our proposal on levels of physician
supervision for out-of-hospital diagnostic testing, we placed
ultrasound procedures in the general category on the basis that it was
safe to perform these procedures without the presence, either in the
room or in the suite, of a physician. However, in determining whether
services and procedures are reasonable and necessary, we also consider
whether a service or procedure is effective. Based on the comments we
received on the proposal, primarily from physicians who utilize
ultrasound procedures in diagnosing patients, we have become convinced
that the effectiveness of ultrasound procedures is enhanced when the
performance of these tests is supervised by a physician who is not only
on-site when the procedure is performed, but who also monitors the
performance of the procedure. Therefore, we are modifying our proposal
and are placing ultrasound diagnostic procedures in the direct category
that requires the presence of the physician in the office suite when an
individual procedure is performed.
Comment: Some commenters objected to our proposal to place CTs,
MRIs, and nuclear medicine procedures in the category of procedures
requiring the direct supervision of a physician. Some commenters
indicated that CTs and MRIs required direct supervision only when
contrast media are used to perform the tests. Commenters suggested that
such a requirement would cause a dramatic reduction in the availability
of these services furnished through mobile entities in rural areas. It
was alleged that the physician supervision requirements contradict
those established by the United States Nuclear Regulatory Commission
for nuclear medicine procedures. Some commenters indicated that some
nuclear medicine procedures required direct supervision, some required
only general supervision, and some required a mid-level of supervision
in which the physician could monitor the performance of the test by
telephone.
Response: Based on the comments received, we have decided to move
the required level of supervision for computerized axial tomography
procedures (CTs) and magnetic resonance imagery procedures (MRIs)
performed without the introduction of contrast media into the category
of general supervision. We have become convinced that general
supervision by a physician has become the established standard of
practice for CTs and MRIs performed without contrast media. CT and MRI
procedures in which contrast materials are utilized will remain in the
direct category. We are adopting our proposal of direct supervision
with regard to all nuclear medicine procedures. (Also, see comment
below addressing supervision of nuclear cardiology procedures.)
Comment: Several commenters objected to the assignment of
cardiovascular stress tests, including those furnished with nuclear
medicine and echocardiography procedures, to the category of tests
requiring performance under the personal supervision of a physician.
Their comments included the following:
Cardiovascular stress tests performed by well-trained
physician extenders, such as registered nurses and physician
assistants, using established protocols and under the direct
supervision of a physician have proved to be safe and effective.
The use of exercise physiologists, B.S.N. degree nurses,
or physician assistants was the ``standard of care'' in their hospital.
In the absence of data to suggest that direct supervision
is less safe than personal supervision, only direct supervision should
be required.
The requirement is contrary to the position of the
American College of Physicians, the American College of Cardiology, and
the American Heart Association, set forth in a 1990 task force
statement that endorses the position that ``exercise testing in
selected patients can be safely performed by properly trained nurses,
exercise physiologists, physical therapists, or medical technicians
working directly under the supervision of a physician who should be in
the immediate vicinity and available for emergencies.''
The success of cardiac rehabilitation programs has
demonstrated the success of nonsupervised exercise in the cardiac
patient.
One physician commenter agreed with our placing of stress
tests in the personal supervision category and indicated that personal
physician supervision was absolutely essential for the safety of the
patient and for the test to be of maximal diagnostic utility.
Response: We do not agree with the general tone of the comments. It
is established policy under Medicare that cardiovascular stress tests
must be performed under the direct supervision of a physician to be
covered. (For example, the interim teaching physician instructions,
issued June 28, 1996,
[[Page 59061]]
placed the procedures in the category of complex and dangerous
procedures requiring the presence of a teaching physician (rather than
a resident) during their performance.) In addition, we do not believe
that the reference to ``exercise'' and cardiac rehabilitation programs
is the same thing as a cardiovascular stress test. With regard to the
1990 task force statement by the three organizations cited above, we
believe that the reference to ``selected patients'' being safely tested
by nonphysicians is a telling one. It is not at all clear to us that
the appropriate level for ``selected patients'' should be the general
standard applicable to all patients, particularly patients in the age
group of most Medicare beneficiaries.
The circumstances surrounding cardiovascular stress tests are
unusual because, although the issue at hand for Medicare coverage
purposes is the supervision of the performance of the technical
component of the test, this supervision is described by the AMA's CPT
coding system with a specific code (CPT code 93016) for use in billing
for physician supervision of cardiovascular stress tests when the
physician who supervises the performance of the test differs from the
physician who bills for the interpretation and report of the procedure.
This means that the in-person supervision by a physician of this
particular procedure has been determined to be so essential that it was
necessary to establish a separate code for it. This code should be
billed in connection with a stress test that will be interpreted and
used in the diagnosis of the patient. It may not be used to bill for
``supervision'' of exercise in connection with a cardiac rehabilitation
program.
We firmly believe that there should be a physician in attendance
during the performance of cardiovascular stress tests to provide--
Medical expertise required for the performance of the
test;
Medical treatment for complications and side effects of
the test;
Medical services required as part of the test, for
example, injections or the administration of medications; and
Medical expertise in the interpretation of the test (some
of which may have to be provided while the test is actually being
performed).
We do not believe that nonphysician personnel, even well-trained
personnel, possess the knowledge and skills to immediately address all
complications that may occur.
The reference to cardiovascular stress tests performed in hospitals
indicates a misunderstanding of the physician supervision proposal.
This proposal does not apply in hospitals; it only applies in settings
in which the TC of the procedure is payable by the carrier. However,
even in hospitals, if a physician wishes to bill the carrier for the
supervision of the procedure using CPT code 93016 (a physician's
service covered under section 1861(s)(1) of the Act rather than a
diagnostic test covered under 1861(s)(3) of the Act), the physician
must have been present for the performance of the test. It is our view
that the physician's presence to deal with emergencies, as well as the
other activities listed above, is the service that CPT code 93016
describes and the appropriate level of physician supervision for
cardiovascular stress tests.
Comment: Several commenters indicated that it was inappropriate to
require direct supervision of nuclear cardiology imaging procedures.
Commenters indicated that these procedures can be provided under the
general supervision of a nuclear cardiologist who is close at hand (but
not in the suite during the performance of the procedure) or through
supervision of the procedure through telemedicine. This latter position
was described as a mid-level of physician supervision between general
and direct. One commenter indicated that ready availability (within
minutes) was sufficient to address any procedural, clinical, or
radiation safety concerns that arise. One commenter indicated that the
proposal was not rational and that the requirement for the physician to
be in the office during a nuclear cardiology imaging procedure would
make excessive demands upon a physician's schedule flexibility. The
commenters indicated that no data exist to show that nuclear cardiology
imaging provided with direct supervision was in any way superior to
this imaging provided under general supervision. Some commenters made a
distinction between their comments on the direct level of supervision
standard applicable to nuclear cardiology procedures generally (as well
as all other nuclear medicine procedures) and the personal supervision
standard applicable to nuclear cardiology procedures involving
cardiovascular stress tests. The commenters cited the passage from the
1990 American College of Physicians/American College of Cardiology/
American Heart Association Task Force quoted in the prior discussion on
stress tests to justify their position that some level of physician
supervision between general and direct was all that was required.
Finally, some commenters suggested that the goal of improving quality
while reducing costs to the Medicare program would be better served by
tightening standards for physicians eligible to be paid for the
procedures.
Response: As stated earlier in these comments, we believe that
direct supervision is the minimum level for all diagnostic tests
involving the use of contrast materials including the radionuclides
used in nuclear medicine procedures. We are not persuaded by the
comments that there is something about nuclear cardiology procedures
that should, instead, require only general physician supervision. With
regard to the statement used to support only general and direct
physician supervision for stress testing, we would point out that the
July 1997 American College of Cardiology/American Heart Association
Guidelines for Exercise Testing in its introduction states:
For the purpose of this document, exercise testing is a
cardiovascular stress test using treadmill or bicycle exercise and
electrocardiographic and blood pressure monitoring. Pharmacological
stress and the use of imaging modalities (radionuclide imaging,
echocardiography) are beyond the scope of these guidelines.
(Emphasis added.)
This statement leads us to believe that the argument with respect to
stress testing of ``selected patients'' by nonphysicians was being
quoted out of context with respect to nuclear cardiology procedures. We
are not persuaded that our proposal was wrong, and we are adopting the
proposed standards of physician supervision for the procedures. When
the nuclear cardiology procedure in question involves a stress test and
separate nuclear medicine and cardiovascular codes are used, personal
supervision is required for the portion of the procedure involving
stress, and the direct supervision standard applies to the nuclear
portions of the overall procedure.
Comment: One commenter objected to the term ``other diagnostic
tests'' in the title of Sec. 410.32, questioned why x-rays are listed,
and suggested that the term ``ultrasound'' be specifically cited. The
commenter argued that the level of supervision cannot be appropriately
indicated unless ultrasound is specifically named and the tests
requiring supervision indicated.
Response: ``X-rays and other diagnostic tests'' is the term used in
section 1861(s)(3) of the Act. We will indicate the appropriate level
of supervision for a code in the data base, as indicated above. With
regard to ultrasound procedures, direct supervision is required.
[[Page 59062]]
Comment: Several commenters suggested that direct supervision be
defined to include the presence of a physician in a remote office suite
to accommodate teleradiology. The physician would review the
examination remotely, in real time, and arrange for a response team to
handle patient care or contrast media emergencies at the site where the
procedure is performed.
Response: Medicare currently pays for the interpretation of
diagnostic procedures using images or other data transmitted via
teleradiology. We would have to have more information about the
arrangement the commenters have in mind, but, under the policy we are
adopting, a physician cannot appropriately provide direct or personal
supervision of diagnostic tests through telemedicine.
Comment: One commenter suggested that, for uroradiology procedures,
the radiologist may not be present for the entire procedure; however,
because of the use of contrast material, the appropriate level of
supervision is direct.
Response: We have placed some uroradiology procedures in the direct
category and others in the personal category. This is consistent with
our general policy of requiring the presence of the physician during
the imaging portion of any procedure described with a supervision and
interpretation code.
Comment: One commenter suggested that the definition of ``personal
supervision'' be clarified to provide for situations in which a
radiologist must leave the procedure room for either clinical or safety
reasons. The example was given of a radiologist leaving the procedure
room during filming due to radiation exposure.
Response: If it is the customary practice for radiologists to leave
the room for a short period of time for safety reasons to avoid
radiation exposure, we would, of course, have no problem with them
continuing to do so. We would expect the supervising physician to be
present for all portions of the procedure that do not present a safety
problem.
Comment: One commenter asked for clarification of whether the
personal supervision standard applicable to cardiac stress tests should
be required for pulmonary stress tests. The example of ambulating the
patient to obtain oxygen saturation for oxygen recertification was
given.
Response: We are not exactly sure of the specific procedures about
which the commenter is inquiring. If it is CPT code 94620 (Pulmonary
stress testing, simple or complex), the level is personal. For CPT
codes 94760 through 94762 for noninvasive oximetry, the level is
general.
Comment: A national organization representing psychologists
questioned our decision not to provide an exception from the physician
supervision requirement for procedures performed by clinical
psychologists in the same way that we did for qualified independent
psychologists (who are not clinical psychologists as defined in
Medicare instructions). They requested that the rules be rewritten to
clarify that both types of psychologists may perform services without
physician supervision.
Response: Under our proposal, we explained that we were regulating
diagnostic procedures covered under section 1861(s)(3) of the Act and
payable under the physician fee schedule. We provided an exception to
the physician supervision requirement in the case of diagnostic
psychological testing services personally performed by qualified
independent psychologists because these tests are covered under section
1861(s)(3), and there had been longstanding specific national coverage
policy in the Medicare Carriers Manual regarding these billings without
any requirement for physician supervision. We pointed out in the
proposal that diagnostic tests performed by clinical psychologists (the
same range of tests as those that qualified independent psychologists
are permitted to bill) were covered under section 1861(ii) of the Act,
rather than section 1861(s)(3), and we meant to convey the point that
diagnostic tests performed by clinical psychologists were unaffected by
the proposal. That is, clinical psychologists could continue to perform
these tests without physician supervision. We were concerned about the
logical consistency of providing an exception to a requirement in the
regulations for a class of services to which that regulation did not
apply. However, to clarify the policy, we have decided to explicitly
include diagnostic psychological testing personally performed by
clinical psychologists in the exception to the physician supervision
requirement.
Comment: Several commenters indicated that physical therapists have
performed electromyography procedures consistent with State laws for
years without physician supervision. They pointed out that eliminating
the availability of physical therapist-provided electromyography
services would create a severe hardship for Medicare enrolles in rural
areas.
Response: We did not intend to limit access to care in rural areas,
and therefore, we have modified our proposal to provide two additional
exceptions to the requirement for physician supervision for diagnostic
procedures in which physical therapists are involved. These exceptions
apply to codes in the range of CPT codes 95860 through 95937. Under one
exception with a physician fee schedule data base indicator of 6, that
is, the procedure must be personally performed by a physician or a
physical therapist who is certified by the American Board of Physical
therapy Specialties as a qualified electrophysiologic clinical
specialist and is permitted to provide the service under State law.
Under the second exception with a data base indicator of 7, the
procedure must be personally performed by a physical therapist who is
certified by the American Board of Physical Therapy Specialties as a
qualified electrophysiologic clinical specialist or performed under the
direct supervision of a physician. We recognize that these categories
were not contained in the proposed rule and specifically invite further
comment on the appropriateness of these two exceptions to the CPT codes
95860 through 95937.
Comment: Several commenters expressed support for the physician
supervision proposal but pointed out that we should state by CPT code
into which category each procedure falls. One commenter pointed to the
lack of specific information about the category of physician
supervision into which pulmonary and neurology testing procedures
should be placed and suggested that the final rule address these
procedures to promote consistency among carriers.
Response: We are providing such a listing as a part of this
preamble. It will become a part of the physician fee schedule data base
and may be modified from time to time in the same way other data base
indicators are changed; therefore, there should be consistency among
carriers.
Result of evaluation of comments: We are adopting our proposal to
assign an appropriate level of physician supervision to every
diagnostic test payable under the physician fee schedule with
exceptions for certain procedures personally performed by qualified
independent psychologists, clinical psychologists, qualified
audiologists, and physical therapists who are certified as qualified
electrophysiologic clinical specialists. With respect to several
groupings of diagnostic codes, we have changed our proposed policy
based on comments from the physician specialties most involved with
particular groups of codes. In some cases, such as CTs and MRIs
performed without the use of contrast materials, we have lowered the
[[Page 59063]]
level of required physician supervision. In others, such as ultrasound
procedures, we have increased the level of required supervision. We are
publishing a listing of diagnostic codes in this preamble with the
level of physician supervision we have determined to be appropriate. In
addition, we are adding a field to the physician fee schedule data base
indicating the appropriate level of supervision. We anticipate that
there will continue to be discussions among HCFA, physician specialty
groups, and others about these levels of supervision, and we expect
that the indicators applicable to individual procedures will be changed
from time to time as is currently the case with other data base
indicators.
Physician Fee Schedule Data Base Indicator
Physician Supervision of Diagnostic Procedures
0=Vacant
1=Procedure must be performed under the general supervision of a
physician
2=Procedure must be performed under the direct supervision of a
physician
3=Procedure must be performed under the personal supervision of a
physician
4=Physician supervision policy does not apply when procedure personally
furnished by a qualified, independent psychologist or a clinical
psychologist; otherwise must be performed under the general supervision
of a physician
5=Physician supervision policy does not apply when procedure personally
furnished by a qualified audiologist; otherwise must be performed under
the general supervision of a physician
6=Procedure must be personally performed by a physician OR a physical
therapist who is certified by the American Board of Physical Therapy
Specialties as a qualified electrophysiologic clinical specialist AND
is permitted to provide the service under State law
7=Procedure must be personally performed by a physical therapist who is
certified by the American Board of Physical Therapy Specialties as a
qualified electrophysiologic clinical specialist AND is permitted to
provide the service under State law OR performed under the direct
supervision of a physician
9=Medicare physician diagnostic supervision policy does not apply
P=Decision pending
Level of Physician Supervision of Diagnostic Tests
----------------------------------------------------------------------------------------------------------------
HCPCS Level HCPCS Level HCPCS Level
----------------------------------------------------------------------------------------------------------------
DIAGNOSTIC RADIOLOGY
----------------------------------------------------------------------------------------------------------------
HEAD AND NECK
----------------------------------------------------------------------------------------------------------------
70010 & TC...................... 3 70015 & TC......... 3 70030 & TC........ 1
70100 & TC...................... 1 70110 & TC......... 1 70120 & TC........ 1
70130 & TC...................... 1 70134 & TC......... 1 70140 & TC........ 1
70150 & TC...................... 1 70160 & TC......... 1 70170 & TC........ 3
70190 & TC...................... 1 70200 & TC......... 1 70210 & TC........ 1
70220 & TC...................... 1 70240 & TC......... 1 70250 & TC........ 1
70260 & TC...................... 1 70300 & TC......... 1 70310 & TC........ 1
70320 & TC...................... 1 70328 & TC......... 1 70330 & TC........ 1
70332 & TC...................... 3 70336 & TC......... 1 70350 & TC........ 1
70355 & TC...................... 1 70360 & TC......... 1 70370 & TC........ 3
70371 & TC...................... 3 70373 & TC......... 3 70380 & TC........ 1
70390 & TC...................... 3 70450 & TC......... 1 70460 & TC........ 2
70470 & TC...................... 2 70480 & TC......... 1 70481 & TC........ 2
70482 & TC...................... 2 70486 & TC......... 1 70487 & TC........ 2
70488 & TC...................... 2 70490 & TC......... 1 70491 & TC........ 2
70492 & TC...................... 2 70540 & TC......... 1 70541 & TC........ 2
70551 & TC...................... 1 70552 & TC......... 2 70553 & TC........ 2
----------------------------------------------------------------------------------------------------------------
CHEST
----------------------------------------------------------------------------------------------------------------
71010 & TC...................... 1 71015 & TC......... 1 71020 & TC........ 1
71021 & TC...................... 1 71022 & TC......... 1 71023 & TC........ 3
71030 & TC...................... 1 71034 & TC......... 3 71035 & TC........ 1
71036 & TC...................... 3 71038 & TC......... 3 71040 & TC........ 3
71060 & TC...................... 3 71090 & TC......... 3 71100 & TC........ 1
71101 & TC...................... 1 71110 & TC......... 1 71111 & TC........ 1
71120 & TC...................... 1 71130 & TC......... 1 71250 & TC........ 1
71260 & TC...................... 2 71270 & TC......... 2 71550 & TC........ 1
71555 & TC...................... 9
----------------------------------------------------------------------------------------------------------------
SPINE AND PELVIS
----------------------------------------------------------------------------------------------------------------
72010 & TC...................... 1 72020 & TC......... 1 72040 & TC........ 1
72050 & TC...................... 1 72052 & TC......... 1 72069 & TC........ 1
72070 & TC...................... 1 72072 & TC......... 1 72074 & TC........ 1
72080 & TC...................... 1 72090 & TC......... 1 72100 & TC........ 1
72110 & TC...................... 1 72114 & TC......... 1 72120 & TC........ 1
72125 & TC...................... 1 72126 & TC......... 2 72127 & TC........ 2
72128 & TC...................... 1 72129 & TC......... 2 72130 & TC........ 2
72131 & TC...................... 1 72132 & TC......... 2 72133 & TC........ 2
72141 & TC...................... 1 72142 & TC......... 2 72146 & TC........ 1
[[Page 59064]]
72147 & TC...................... 2 72148 & TC......... 1 72149 & TC........ 2
72156 & TC...................... 2 72157 & TC......... 2 72158 & TC........ 2
72159 & TC...................... 9 72170 & TC......... 1 72190 & TC........ 1
72192 & TC...................... 1 72193 & TC......... 2 72194 & TC........ 2
72196 & TC...................... 1 72198 & TC......... 9 72200 & TC........ 1
72202 & TC...................... 1 72220 & TC......... 1 72240 & TC........ 3
72255 & TC...................... 3 72265 & TC......... 3 72270 & TC........ 3
72285 & TC...................... 3 72295 & TC......... 3
----------------------------------------------------------------------------------------------------------------
UPPER EXTREMITIES
----------------------------------------------------------------------------------------------------------------
73000 & TC...................... 1 73010 & TC......... 1 73020 & TC........ 1
73030 & TC...................... 1 73040 & TC......... 3 73050 & TC........ 1
73060 & TC...................... 1 73070 & TC......... 1 73080 & TC........ 1
73085 & TC...................... 3 73090 & TC......... 1 73092 & TC........ 1
73100 & TC...................... 1 73110 & TC......... 1 73115 & TC........ 3
73120 & TC...................... 1 73130 & TC......... 1 73140 & TC........ 1
73200 & TC...................... 1 73201 & TC......... 2 73202 & TC........ 2
73220 & TC...................... 1 73221 & TC......... 1 73225 & TC........ 9
----------------------------------------------------------------------------------------------------------------
LOWER EXTREMITIES
----------------------------------------------------------------------------------------------------------------
73500 & TC...................... 1 73510 & TC......... 1 73520 & TC........ 1
73525 & TC...................... 3 73530 & TC......... 3 73540 & TC........ 1
73550 & TC...................... 3 73560 & TC......... 1 73562 & TC........ 1
73564 & TC...................... 1 73565 & TC......... 1 73580 & TC........ 3
73590 & TC...................... 1 73592 & TC......... 1 73600 & TC........ 1
73610 & TC...................... 1 73615 & TC......... 3 73620 & TC........ 1
73630 & TC...................... 1 73650 & TC......... 1 73660 & TC........ 1
73700 & TC...................... 1 73701 & TC......... 2 73702 & TC........ 2
73720 & TC...................... 1 73721 & TC......... 1 73725 & TC........ 2
----------------------------------------------------------------------------------------------------------------
ABDOMEN
----------------------------------------------------------------------------------------------------------------
74000 & TC...................... 1 74010 & TC......... 1 74020 & TC........ 1
74022 & TC...................... 1 74150 & TC......... 1 74160 & TC........ 2
74170 & TC...................... 2 74181 & TC......... 1 74185 & TC........ 9
74190 & TC...................... 3
----------------------------------------------------------------------------------------------------------------
GASTROINTESTINAL TRACT
----------------------------------------------------------------------------------------------------------------
74210 & TC...................... 3 74220 & TC......... 3 74230 & TC........ 3
74235 & TC...................... 3 74240 & TC......... 3 74241 & TC........ 3
74245 & TC...................... 3 74246 & TC......... 3 74247 & TC........ 3
74249 & TC...................... 3 74250 & TC......... 2 74251 & TC........ 3
74260 & TC...................... 3 74270 & TC......... 3 74280 & TC........ 3
74283 & TC...................... 3 74290 & TC......... 2 74291 & TC........ 2
74300 & TC...................... 3 74301 & TC......... 3 74305 & TC........ 3
74320 & TC...................... 3 74327 & TC......... 3 74328 & TC........ 3
74329 & TC...................... 3 74330 & TC......... 3 74340 & TC........ 3
74350 & TC...................... 3 74355 & TC......... 3 74360 & TC........ 3
74363 & TC...................... 3
----------------------------------------------------------------------------------------------------------------
URINARY TRACT
----------------------------------------------------------------------------------------------------------------
74400 & TC...................... 2 74405 & TC......... 2 74410 & TC........ 2
74415 & TC...................... 2 74420 & TC......... 3 74425 & TC........ 3
74430 & TC...................... 3 74440 & TC......... 3 74445 & TC........ 3
74450 & TC...................... 3 74455 & TC......... 3 74470 & TC........ 3
74475 & TC...................... 3 74480 & TC......... 3 74485 & TC........ 3
----------------------------------------------------------------------------------------------------------------
GYNECOLOGICAL AND OBSTETRICAL
----------------------------------------------------------------------------------------------------------------
74710 & TC...................... 1 74740 & TC......... 3 74742 & TC........ 3
74775 & TC...................... 3
----------------------------------------------------------------------------------------------------------------
HEART
----------------------------------------------------------------------------------------------------------------
75552 & TC...................... 1 75553 & TC......... 2 75554 & TC........ 1
75555 & TC...................... 1 75556.............. 9
----------------------------------------------------------------------------------------------------------------
[[Page 59065]]
AORTA AND ARTERIES
----------------------------------------------------------------------------------------------------------------
75600 & TC...................... 3 75605 & TC......... 3 75625 & TC........ 3
75630 & TC...................... 3 75650 & TC......... 3 75658 & TC........ 3
75660 & TC...................... 3 75662 & TC......... 3 75665 & TC........ 3
75671 & TC...................... 3 75676 & TC......... 3 75680 & TC........ 3
75685 & TC...................... 3 75705 & TC......... 3 75710 & TC........ 3
75716 & TC...................... 3 75722 & TC......... 3 75724 & TC........ 3
75726 & TC...................... 3 75731 & TC......... 3 75733 & TC........ 3
75736 & TC...................... 3 75741 & TC......... 3 75743 & TC........ 3
75746 & TC...................... 3 75756 & TC......... 3 75774 & TC........ 3
75790 & TC...................... 3
----------------------------------------------------------------------------------------------------------------
VEINS AND LYMPHATICS
----------------------------------------------------------------------------------------------------------------
75801 & TC...................... 3 75803 & TC......... 3 75805 & TC........ 3
75807 & TC...................... 3 75809 & TC......... 3 75810 & TC........ 3
75820 & TC...................... 3 75822 & TC......... 3 75825 & TC........ 3
75827 & TC...................... 3 75831 & TC......... 3 75833 & TC........ 3
75840 & TC...................... 3 75842 & TC......... 3 75860 & TC........ 3
75870 & TC...................... 3 75872 & TC......... 3 75880 & TC........ 3
75885 & TC...................... 3 75887 & TC......... 3 75889 & TC........ 3
75891 & TC...................... 3 75893 & TC......... 3
----------------------------------------------------------------------------------------------------------------
TRANSCATHETER PROCEDURES
----------------------------------------------------------------------------------------------------------------
75894 & TC...................... 3 75896 & TC......... 3 75898 & TC........ 3
75900 & TC...................... 3 75940 & TC......... 3 75945 & TC........ 3
75946 & TC...................... 3 75960 & TC......... 3 75961 & TC........ 3
75962 & TC...................... 3 75964 & TC......... 3 75966 & TC........ 3
75968 & TC...................... 3 75970 & TC......... 3 75978 & TC........ 3
75980 & TC...................... 3 75982 & TC......... 3 75984 & TC........ 3
75989 & TC...................... 3
----------------------------------------------------------------------------------------------------------------
TRANSLUMINAL ATHERECTOMY
----------------------------------------------------------------------------------------------------------------
75992 & TC...................... 3 75993 & TC......... 3 75994 & TC........ 3
75995 & TC...................... 3 75996 & TC......... 3
----------------------------------------------------------------------------------------------------------------
OTHER PROCEDURES
----------------------------------------------------------------------------------------------------------------
76000 & TC...................... 3 76001 & TC......... 3 76003 & TC........ 3
76010 & TC...................... 1 76020 & TC......... 1 76040 & TC........ 1
76061 & TC...................... 1 76062 & TC......... 1 76065 & TC........ 1
76066 & TC...................... 1 76070 & TC......... 1
76075 & TC...................... 1 76076 & TC......... 1 76078 & TC........ 1
76080 & TC...................... 3 76086 & TC......... 3 76088 & TC........ 3
76090 & TC...................... 9 76091 & TC......... 9 76092............. 9
76093 & TC...................... 1 76094 & TC......... 1 76095 & TC........ 3
76096 & TC...................... 3 76098 & TC......... 1 76100 & TC........ 2
76101 & TC...................... 2 76102 & TC......... 2 76120 & TC........ 2
76125 & TC...................... 2 76140.............. 9 76150............. 1
76350........................... 2 76355 & TC......... 3 76360 & TC........ 3
76365 & TC...................... 3 76370 & TC......... 2 76375 & TC........ 1
76380 & TC...................... 1 76400 & TC......... 1 76499 & TC........ 9
----------------------------------------------------------------------------------------------------------------
DIAGNOSTIC ULTRASOUND
----------------------------------------------------------------------------------------------------------------
HEAD AND NECK
----------------------------------------------------------------------------------------------------------------
76506 & TC...................... 2 76511 & TC......... 2 76512 & TC........ 2
76513 & TC...................... 2 76516 & TC......... 2 76519 & TC........ 2
76529 & TC...................... 2 76536 & TC......... 2 ................
----------------------------------------------------------------------------------------------------------------
CHEST
----------------------------------------------------------------------------------------------------------------
76604 & TC...................... 2 76645 & TC......... 2
----------------------------------------------------------------------------------------------------------------
ABDOMEN AND RETROPERITONEUM
----------------------------------------------------------------------------------------------------------------
76700 & TC...................... 2 76705 & TC......... 2 76770 & TC........ 2
76775 & TC...................... 2 76778 & TC......... 2 ................
----------------------------------------------------------------------------------------------------------------
[[Page 59066]]
SPINAL CANAL
----------------------------------------------------------------------------------------------------------------
76800 & TC...................... 2
----------------------------------------------------------------------------------------------------------------
PELVIS
----------------------------------------------------------------------------------------------------------------
76805 & TC...................... 2 76810 & TC......... 2 76815 & TC........ 2
76816 & TC...................... 2 76818 & TC......... 2 76825 & TC........ 2
76826 & TC...................... 2 76827 & TC......... 2 76828 & TC........ 2
76830 & TC...................... 3 76856 & TC......... 2 76857 & TC........ 2
76870 & TC...................... 2 76872 & TC......... 3 ................
----------------------------------------------------------------------------------------------------------------
EXTREMITIES
----------------------------------------------------------------------------------------------------------------
76880 & TC...................... 2
----------------------------------------------------------------------------------------------------------------
VASCULAR STUDIES
----------------------------------------------------------------------------------------------------------------
ULTRASONIC GUIDANCE PROCEDURES
----------------------------------------------------------------------------------------------------------------
76930 & TC...................... 3 76932 & TC......... 3 76934 & TC........ 3
76936 & TC...................... 3 76938 & TC......... 3 76941 & TC........ 3
76942 & TC...................... 3 76945 & TC......... 3 76946 & TC........ 3
76948 & TC...................... 3 76950 & TC......... 2 76960 & TC........ 2
76965 & TC...................... 3 ................. ................
----------------------------------------------------------------------------------------------------------------
OTHER PROCEDURES
----------------------------------------------------------------------------------------------------------------
76970 & TC...................... 9 76975 & TC......... 3 76986 & TC........ 3
76999 & TC...................... 9 ................. ................
----------------------------------------------------------------------------------------------------------------
RADIATION ONCOLOGY
----------------------------------------------------------------------------------------------------------------
77417........................... 1
----------------------------------------------------------------------------------------------------------------
DIAGNOSTIC NUCLEAR MEDICINE
----------------------------------------------------------------------------------------------------------------
ENDOCRINE SYSTEM
----------------------------------------------------------------------------------------------------------------
78000 & TC...................... 2 78001 & TC......... 2 78003 & TC........ 2
78006 & TC...................... 2 78007 & TC......... 2 78010 & TC........ 2
78011 & TC...................... 2 78015 & TC......... 2 78016 & TC........ 2
78017 & TC...................... 2 78018 & TC......... 2 78070 & TC........ 2
78075 & TC...................... 2 78099 & TC......... 9 ................
----------------------------------------------------------------------------------------------------------------
HEMATOPOIETIC, RETICULOENDOTHELIAL, AND LYMPHATIC SYSTEM
----------------------------------------------------------------------------------------------------------------
78102 & TC...................... 2 78103 & TC......... 2 78104 & TC........ 2
78110 & TC...................... 2 78111 & TC......... 2 78120 & TC........ 2
78121 & TC...................... 2 78122 & TC......... 2 78130 & TC........ 2
78135 & TC...................... 2 78140 & TC......... 2 78160 & TC........ 2
78162 & TC...................... 2 78170 & TC......... 2 78172 & TC........ 2
78185 & TC...................... 2 78190 & TC......... 2 78191 & TC........ 2
78195 & TC...................... 2 78199 & TC......... 9 ................
----------------------------------------------------------------------------------------------------------------
GASTROINTESTINAL SYSTEM
----------------------------------------------------------------------------------------------------------------
78201 & TC...................... 2 78202 & TC......... 2 78205 & TC........ 2
78215 & TC...................... 2 78216 & TC......... 2 78220 & TC........ 2
78223 & TC...................... 2 78230 & TC......... 2 78231 & TC........ 2
78232 & TC...................... 2 78258 & TC......... 2 78261 & TC........ 2
78262 & TC...................... 2 78264 & TC......... 2 78270 & TC........ 2
78271 & TC...................... 2 78272 & TC......... 2 78278 & TC........ 2
78282 & TC...................... 2 78290 & TC......... 2 78291 & TC........ 2
78299 & TC...................... 9 ................. ................
----------------------------------------------------------------------------------------------------------------
MUSCULOSKELETAL SYSTEM
----------------------------------------------------------------------------------------------------------------
78300 & TC...................... 2 78305 & TC......... 2 78306 & TC........ 2
78315 & TC...................... 2 78320 & TC......... 2 78350 & TC........ 2
78351........................... 9 78399 & TC......... 9 ................
----------------------------------------------------------------------------------------------------------------
[[Page 59067]]
CARDIOVASCULAR SYSTEM
----------------------------------------------------------------------------------------------------------------
78414 & TC...................... 2 78428 & TC......... 2 78445 & TC........ 2
78455 & TC...................... 2 78457 & TC......... 2 78458 & TC........ 2
78459 & TC...................... 9 78460 & TC......... 2 78461 & TC........ 2
78464 & TC...................... 2 78465 & TC......... 2 78466 & TC........ 2
78468 & TC...................... 2 78469 & TC......... 2 78472 & TC........ 2
78473 & TC...................... 2 78478 & TC......... 2 78480 & TC........ 2
78481 & TC...................... 2 78483 & TC......... 2 78499 & TC........ 9
----------------------------------------------------------------------------------------------------------------
RESPIRATORY SYSTEM
----------------------------------------------------------------------------------------------------------------
78580 & TC...................... 2 78584 & TC......... 2 78585 & TC........ 2
78586 & TC...................... 2 78587 & TC......... 2 78591 & TC........ 2
78593 & TC...................... 2 78594 & TC......... 2 78596 & TC........ 2
78599 & TC...................... 9
----------------------------------------------------------------------------------------------------------------
NERVOUS SYSTEM
----------------------------------------------------------------------------------------------------------------
78600 & TC...................... 2 78601 & TC......... 2 78605 & TC........ 2
78606 & TC...................... 2 78607 & TC......... 2 78608............. 9
78609........................... 9 78610 & TC......... 2 78615 & TC........ 2
78630 & TC...................... 2 78635 & TC......... 2 78645 & TC........ 2
78647 & TC...................... 2 78650 & TC......... 2 78660 & TC........ 2
78699 & TC...................... 9
----------------------------------------------------------------------------------------------------------------
GENITOURINARY SYSTEM
----------------------------------------------------------------------------------------------------------------
78700 & TC...................... 2 78701 & TC......... 2 78704 & TC........ 2
78707 & TC...................... 2 78710 & TC......... 2 78715 & TC........ 2
78725 & TC...................... 2 78726 & TC......... 2 78727 & TC........ 2
78730 & TC...................... 2 78740 & TC......... 2 78760 & TC........ 2
78761 & TC...................... 2 78799 & TC......... 9
----------------------------------------------------------------------------------------------------------------
OTHER DIAGNOSTIC NUCLEAR MEDICINE PROCEDURES
----------------------------------------------------------------------------------------------------------------
78800 & TC...................... 2 78801 & TC......... 2 78802 & TC........ 2
78803 & TC...................... 2` 78805 & TC......... 2 78806 & TC........ 2
78807 & TC...................... 2 78810 & TC......... 9 78891 & TC........ 9
78990........................... 9 78999 & TC......... 9
----------------------------------------------------------------------------------------------------------------
PATHOLOGY AND LABORATORY
----------------------------------------------------------------------------------------------------------------
85060........................... 9 85095.............. 9 85102............. 9
86485........................... 1 86490.............. 1 86510............. 1
86580........................... 1 86585.............. 1 86586............. 9
88104 & TC...................... 9 88106 & TC......... 9 88107 & TC........ 9
88108 & TC...................... 9 88125 & TC......... 1 88160 & TC........ 9
88161 & TC...................... 9 88162 & TC......... 9 88170 & TC........ 1
88171 & TC...................... 1 88172 & TC......... 9 88173 & TC........ 9
88180 & TC...................... 9 88182 & TC......... 9 88300 & TC........ 9
88302 & TC...................... 9 88304 & TC......... 9 88305 & TC........ 9
88307 & TC...................... 9 88309 & TC......... 9 88311 & TC........ 1
88312 & TC...................... 9 88313 & TC......... 9 88314 & TC........ 9
88318 & TC...................... 9 88319 & TC......... 9 88323 & TC........ 9
88331 & TC...................... 9 88332 & TC......... 9 88342 & TC........ 9
88346 & TC...................... 9 88347 & TC......... 9 88348 & TC........ 9
88349 & TC...................... 9 88355 & TC......... 9 88356 & TC........ 9
88358 & TC...................... 9 88362 & TC......... 9 88365 & TC........ 9
89350........................... 1 89360.............. 9
----------------------------------------------------------------------------------------------------------------
MEDICINE
----------------------------------------------------------------------------------------------------------------
GASTROINTESTINAL
----------------------------------------------------------------------------------------------------------------
91000 & TC...................... 3 91010 & TC......... 3 91011 & TC........ 3
91012 & TC...................... 3 91020 & TC......... 3 91030 & TC........ 3
91032 & TC...................... 3 91033 & TC......... 3 91052 & TC........ 3
91055 & TC...................... 3 91060 & TC......... 3 91065 & TC........ 1
91100........................... 9 91105.............. 9 91122 & TC........ 3
----------------------------------------------------------------------------------------------------------------
[[Page 59068]]
SPECIAL OPHTHALMOLOGICAL SERVICES
----------------------------------------------------------------------------------------------------------------
92015........................... 9 92081 & TC......... 1 92082 & TC........ 1
92083 & TC...................... 1 92100.............. 9 92120............. 9
92130........................... 9 92140.............. 9 92230............. 9
92235 & TC...................... 2 92240 & TC......... 2 92250 & TC........ 2
92260........................... 9
----------------------------------------------------------------------------------------------------------------
OTHER SPECIALIZED SERVICES
----------------------------------------------------------------------------------------------------------------
92265 & TC...................... 3 92270 & TC......... 3 92275 & TC........ 3
92283 & TC...................... 1 92284 & TC......... 3 92285 & TC........ 2
92286 & TC...................... 3 92287.............. 9
----------------------------------------------------------------------------------------------------------------
SPECIAL OTORHINOLARYNGOLOGIC SERVICES
----------------------------------------------------------------------------------------------------------------
92506........................... 9 92507.............. 9 92508............. 9
92511........................... 9 92512.............. 9 92516............. 9
92520........................... 9 92525.............. 9 92526............. 9
----------------------------------------------------------------------------------------------------------------
VESTIBULAR FUNCTION TESTS WITH OBSERVATION
----------------------------------------------------------------------------------------------------------------
92531........................... 9 92532.............. 9 92533............. 9
92534........................... 9
----------------------------------------------------------------------------------------------------------------
VESTIBULAR FUNCTION TESTS WITH OBSERVATION
----------------------------------------------------------------------------------------------------------------
92531........................... 9 92532.............. 9 92533............. 9
92534........................... 9
----------------------------------------------------------------------------------------------------------------
VESTIBULAR FUNCTION TESTS WITH RECORDING
----------------------------------------------------------------------------------------------------------------
92541 & TC...................... 2 92542 & TC......... 2 92543 & TC........ 2
92544 & TC...................... 2 92545 & TC......... 2 92546 & TC........ 2
92547........................... 2 92548 & TC......... 2
----------------------------------------------------------------------------------------------------------------
AUDIOLOGIC FUNCTION TESTS
----------------------------------------------------------------------------------------------------------------
92551........................... 9 92552.............. 5 92553............. 5
92555........................... 5 92556.............. 5 92557............. 5
92559........................... 9 92560.............. 9 92561............. 5
92562........................... 5 92563.............. 5 92564............. 5
92565........................... 5 92567.............. 5 92568............. 5
92569........................... 5 92571.............. 5 92572............. 5
92573........................... 5 92575.............. 5 92576............. 5
92577........................... 5 92579.............. 5 92582............. 5
92583........................... 5 92584.............. 5 92585 & TC........ 5
92587 & TC...................... 5 92588 & TC......... 5 92589............. 5
92590........................... 9 92591.............. 9 92592............. 9
92593........................... 9 92594.............. 9 92595............. 9
92596........................... 5 92597.............. 9 92598............. 9
----------------------------------------------------------------------------------------------------------------
CARDIOGRAPHY
----------------------------------------------------------------------------------------------------------------
93000........................... 1 93005.............. 1 93010............. 9
93012........................... 1 93014.............. 9 93015............. 3
93016........................... 3 93017.............. 3 93018............. 9
93024 & TC...................... 3 93040.............. 1 93041............. 1
93042........................... 9 93224.............. 1 93225............. 1
93226........................... 1 93227.............. 9 93230............. 1
93231........................... 1 93232.............. 9 93233............. 9
93235........................... 1 93236.............. 1 93237............. 9
93268........................... 1 93270.............. 1 93271............. 1
93272........................... 9 93278 & TC......... 1
----------------------------------------------------------------------------------------------------------------
ECHOCARDIOGRAPHY
----------------------------------------------------------------------------------------------------------------
93303 & TC...................... 2 93304 & TC......... 2 93307............. 2
93308 & TC...................... 2 93312 & TC......... 3 93313............. 9
93314........................... 9 93315 & TC......... 3 93316............. 9
93317........................... 9 93320 & TC......... 2 93321 & TC........ 2
93325 & TC...................... 2 93350 & TC......... 3
----------------------------------------------------------------------------------------------------------------
[[Page 59069]]
CARDIAC CATHETERIZATION
----------------------------------------------------------------------------------------------------------------
93501 & TC...................... 3 93503.............. 9 93505 & TC........ 3
93510 & TC...................... 3 93511 & TC......... 3 93514 & TC........ 3
93524 & TC...................... 3 93526 & TC......... 3 93527 & TC........ 3
93528 & TC...................... 3 93529 & TC......... 3 93536............. 9
93539........................... 9 93540.............. 9 93541............. 9
93542........................... 9 93543.............. 9 93544............. 9
93545........................... 9 93555 & TC......... 3 93556 & TC........ 3
93561 & TC...................... 3 93562 & TC......... 3
----------------------------------------------------------------------------------------------------------------
INTRACARDIAC ELECTROPHYSIOLOGICAL PROCEDURES
----------------------------------------------------------------------------------------------------------------
93600 & TC...................... 3 93602 & TC......... 3 93603 & TC........ 3
93607 & TC...................... 3 93609 & TC......... 3 93610 & TC........ 3
93612 & TC...................... 3 93615 & TC......... 3 93616 & TC........ 3
93618 & TC...................... 3 93619 & TC......... 3 93620 & TC........ 3
93621 & TC...................... 3 93622 & TC......... 3 93623 & TC........ 3
93624 & TC...................... 3 93631 & TC......... 3 93640 & TC........ 3
93641 & TC...................... 3 93642 & TC......... 3 93650............. 9
93651........................... 9 93652.............. 9 93660 & TC........ 3
----------------------------------------------------------------------------------------------------------------
OTHER VASCULAR STUDIES
----------------------------------------------------------------------------------------------------------------
93720........................... 1 93721.............. 1 93722............. 9
93724 & TC...................... 3 93731.............. 2 93732............. 3
93733 & TC...................... 2 93734 & TC......... 2 93735 & TC........ 3
93736 & TC...................... 2 93737 & TC......... 3 93738 & TC........ 3
93740 & TC...................... 2 93760.............. 9 93762............. 9
93770 & TC...................... 3 93784.............. 9 93786............. 9
93788........................... 9 93790.............. 9
----------------------------------------------------------------------------------------------------------------
CEREBROVASCULAR ARTERIAL STUDIES
----------------------------------------------------------------------------------------------------------------
93875 & TC...................... 2 93880 & TC......... 2 93882 & TC........ 2
93886 & TC...................... 2 93888 & TC......... 2
----------------------------------------------------------------------------------------------------------------
EXTREMITY ARTERIAL STUDIES
----------------------------------------------------------------------------------------------------------------
93922 & TC...................... 2 93923 & TC......... 2 93924 & TC........ 2
93925 & TC...................... 2 93926 & TC......... 2 93930 & TC........ 2
93931 & TC...................... 2
----------------------------------------------------------------------------------------------------------------
EXTREMITY VENOUS STUDIES
----------------------------------------------------------------------------------------------------------------
93965 & TC...................... 2 93970 & TC......... 2 93971 & TC........ 2
----------------------------------------------------------------------------------------------------------------
VISCERAL AND PENILE VASCULAR STUDIES
----------------------------------------------------------------------------------------------------------------
93975 & TC...................... 2 93976 & TC......... 2 93978 & TC........ 2
93979 & TC...................... 2 93980 & TC......... 2 93981 & TC........ 2
----------------------------------------------------------------------------------------------------------------
PULMONARY
----------------------------------------------------------------------------------------------------------------
94010 & TC...................... 1 ................... ........... 94070 & TC........ 3
94150 & TC...................... 9 94200 & TC......... 1 94240 & TC........ 1
94250 & TC...................... 1 94260 & TC......... 1 94350 & TC........ 1
94360 & TC...................... 1 94370 & TC......... 1 94375 & TC........ 1
94400 & TC...................... 2 94450 & TC......... 2 94620 & TC........ 3
94640........................... 9 94642.............. 9 94650............. 9
94651........................... 9 94652.............. 9 94656............. 9
94657........................... 9 94660.............. 9 94662............. 9
94664........................... 2 94665.............. 2 94667............. 9
94668........................... 9 94680 & TC......... 2 94681 & TC........ 2
94690 & TC...................... 1 94720 & TC......... 1 94725 & TC........ 1
94750 & TC...................... 1 94760.............. 1 94761............. 1
94762........................... 1 94770 & TC......... 1 94772 & TC........ 1
94799 & TC...................... 9
----------------------------------------------------------------------------------------------------------------
ALLERGY
----------------------------------------------------------------------------------------------------------------
95004........................... 2 95010.............. 9 95015............. 9
[[Page 59070]]
95024........................... 2 95027.............. 2 95028............. 2
95044........................... 2 95052.............. 2 95056............. 2
95060........................... 3 95065.............. 3 95070............. 3
95071........................... 3 95075.............. 9 95078............. 3
----------------------------------------------------------------------------------------------------------------
NEUROLOGY AND NEUROMUSCULAR PROCEDURES
----------------------------------------------------------------------------------------------------------------
SLEEP TESTING
----------------------------------------------------------------------------------------------------------------
95805 & TC...................... 1 95807 & TC......... 1 95808 & TC........ 1
95810 & TC...................... 1 95812 & TC......... 1 95813 & TC........ 1
95816 & TC...................... 2 95819 & TC......... 2 95822 & TC........ 1
95824 & TC...................... 1 95827 & TC......... 1 95829 & TC........ 1
95830........................... 9 95831.............. 9 95832............. 9
95833........................... 9 95834.............. 9 95851............. 9
95852........................... 9 95857.............. 9 95858 & TC........ 3
95860 & TC...................... 6 95861 & TC......... 6 95863 & TC........ 6
95864 & TC...................... 6 95867 & TC......... 6 95868 & TC........ 6
95869 & TC...................... 6 95870 & TC......... 6 95872 & TC........ 3
95875 & TC...................... 3
95900 & TC...................... 7 95903 & TC......... 7 95904 & TC........ 7
95920 & TC...................... 2 95921 & TC......... 2 95922 & TC........ 3
95923 & TC...................... 3 95925 & TC......... 2 95926 & TC........ 2
95927 & TC...................... 2 95930 & TC......... 2 95933 & TC........ 7
95934 & TC...................... 7 95936 & TC......... 7 95937 & TC........ 7
95950 & TC...................... 1 95951 & TC......... 1 95953 & TC........ 1
95954 & TC...................... 3 95955 & TC......... 2 95956 & TC........ 1
95957 & TC...................... 1 95958 & TC......... 3 95961 & TC........ 3
95962 & TC...................... 3 95999.............. 9
----------------------------------------------------------------------------------------------------------------
CENTRAL NERVOUS SYSTEM ASSESSMENTS
----------------------------------------------------------------------------------------------------------------
96100........................... 4 96105.............. 4 96110............. 4
96111........................... 4 96115.............. 4 96117............. 4
----------------------------------------------------------------------------------------------------------------
ALPHA-NUMERICS
----------------------------------------------------------------------------------------------------------------
G0001........................... 9 G0002.............. 9 G0004............. 1
G0005........................... 1 G0006.............. 1 G0007............. 9
G0015........................... 1 G0016.............. 9 G0026............. 9
G0027........................... 9 G0030 & TC......... 2 G0031 & TC........ 2
G0032 & TC...................... 2 G0033 & TC......... 2 G0034 & TC........ 2
G0035 & TC...................... 2 G0036 & TC......... 2 G0037 & TC........ 2
G0038 & TC...................... 2 G0039 & TC......... 2 G0040 & TC........ 2
G0041 & TC...................... 2 G0042 & TC......... 2 G0043 & TC........ 2
G0044 & TC...................... 2 G0045 & TC......... 2 G0046 & TC........ 2
G0047 & TC...................... 2 G0050.............. 1 M0302............. 9
P2028........................... 9 P2029.............. 9 P2031............. 9
P2033........................... 9 P2038.............. 9 P3000............. 9
P3001........................... 9 P7001.............. 9 P9610............. 9
P9615........................... 9 Q0035 & TC......... 1 Q0091............. 1
Q0092........................... 9 Q0111.............. 9 Q0112............. 9
Q0113........................... 9 Q0114.............. 9 Q0115............. 9
R0070........................... 9 R0075.............. 9 R0076............. 9
V5008........................... 9 V5010.............. 9 V5011............. 9
V5014........................... 9 V5020.............. 9 V5362............. 9
V5363........................... 2 V5364.............. 2
----------------------------------------------------------------------------------------------------------------
3. Independent Diagnostic Testing Facility
Section 2070.5 of the Medicare Carriers Manual (HCFA Pub. 14-3) is
the current policy basis for the coverage of Independent Physiological
Laboratory (IPL) services. The section does not define the term
``physiological'' and specifically mentions only electrocardiograms and
electroencephalograms as types of services the entity that has come to
be known as an IPL may furnish. The section says little about the
nature of IPLs other than that they operate independently of a
hospital, physician's office, or rural health clinic and meet
applicable State and local licensure laws. Few States regulate
diagnostic services, other than x-rays, and the requirement for State
and local licensure has had little meaning in practice. The other
requirements for the coverage of IPL services are that the services be
ordered by a ``referring'' physician and that the services be
determined by the carrier to be reasonable and necessary. The
requirement that the diagnostic services must be ordered by a referring
physician has been addressed by the policy we adopted in the final rule
for the 1997
[[Page 59071]]
physician fee schedule published in the Federal Register November 22,
1996 (61 FR 59497 through 59498), under which the physician who orders
a diagnostic service must be a physician who is treating the patient.
We are setting aside the term ``IPL'' and are defining a new entity
independent of a hospital or physician's office in which diagnostic
tests are performed by licensed, certified nonphysician personnel under
appropriate physician supervision. We are calling this entity an
Independent Diagnostic Testing Facility (IDTF). The new entity will
replace the IPL. The regulations are intended to resolve confusion
surrounding the structure of entities Medicare previously classified as
IPLs, as well as the services they furnish and to address the potential
for abuse and the quality and safety concerns raised by the lack of
Federal and State IPL licensure and certification requirements. The
regulations will not apply to approved portable x-ray suppliers or to
procedures furnished in physicians' offices including group practices
or multispecialty clinics.
We are defining an IDTF as a fixed location, a mobile entity, or an
individual nonphysician practitioner. The following diagnostic tests,
which are payable under the physician fee schedule, are not required to
be furnished in accordance with the IDTF criteria when furnished by a
nonhospital entity:
Diagnostic mammograms, the coverage of which is required
by law to be regulated by the Food and Drug Administration rather than
by HCFA.
Diagnostic tests personally furnished by a ``qualified
audiologist'' as defined in section 1861(ll)(3) of the Act. These
include ``audiology services'' as defined in section 1861(ll)(2) of the
Act that are payable by Medicare carriers under the physician fee
schedule. We are excluding these diagnostic tests from the physician
supervision requirement because the Congress has defined these services
without requiring physician supervision of their performance.
Diagnostic psychological testing services personally
furnished by a qualified psychologist practicing independently of an
institution, agency, or physician's office as currently defined in
section 2070.2 of the Medicare Carriers Manual (HCFA Pub. 14-3). The
services are distinguished from services of clinical psychologists,
which are covered under section 1861(ii) of the Act rather than
1861(s)(3). We are excluding these tests from the physician supervision
requirement because we do not believe that these services require
physician supervision of their performance.
IDTFs must meet the following requirements:
An IDTF must have one or more supervising physicians who
are responsible for the direct and ongoing oversight of the quality of
the testing performed, the proper operation and calibration of the
equipment used to perform tests, and the qualification of nonphysician
personnel who use the equipment. This level of supervision equates to
general supervision as discussed in this section II.D. and
Sec. 410.32(b)(3)(i).
The supervising physician must evidence proficiency in the
performance and interpretation of each type of diagnostic procedure
performed by the IDTF; however, there is no requirement that the IDTF's
supervising physician actually furnish the interpretation. (For
example, a physician might purchase tests from the IDTF that he or she
will interpret.) Proficiency may be documented by certification in
specific medical specialties or subspecialties or by criteria
established by the carrier for the service area in which the IDTF is
located. In the case of a procedure which would require the direct or
personal supervision of a physician pursuant to II.D. in this section
and Sec. 410.32(b)(3)(ii) and (b)(3)(iii), respectively, the IDTF's
supervising physician must personally furnish this level of supervision
whether the procedure is performed in the IDTF or, in the case of
mobile services, at a remote location. The IDTF must maintain
documentation to demonstrate sufficient physician attendance during all
hours of operation to assure that the required physician supervision is
furnished. In the case of procedures requiring direct supervision, the
supervising physician may oversee concurrent procedures.
Any nonphysician personnel used by the IDTF to perform
tests must demonstrate the basic qualifications to perform the tests in
question and have appropriate training and proficiency as evidenced by
licensure or certification by the appropriate State health or education
department. In the absence of a State licensing board, the technician
must be certified by the appropriate national credentialing body. The
IDTF must maintain documentation available for review that these
requirements are met.
All procedures performed by the IDTF must be specifically
ordered in writing by a physician who treats the beneficiary, that is,
the physician who is 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. This
requirement would be met when a beneficiary's primary care physician
orders testing the results of which may determine whether or not the
physician refers the beneficiary to a specialist. In other words, that
physician is managing the patient's care. The order must specify the
diagnosis or other basis for the testing. The supervising physician for
the IDTF may not order tests performed by the IDTF, and the IDTF may
not add any procedures based on internal protocols without written
order from the treating physician.
An IDTF that operates across State boundaries must
maintain documentation that its supervising physicians and technicians
are licensed and certified in each of the States in which it is
furnishing services.
Below is a discussion of the public comments we received on this
proposal and our responses:
Comment: We received many favorable comments (with reservations)
from representatives of existing IPLs who indicated their preference
for national standards rather than different standards in each carrier
service area. Many expressed frustration with the current situation in
which there is no national policy on the procedures an IPL may perform,
and carriers have differing local medical review policies on these
procedures.
One commenter indicated that limiting the types of diagnostic tests
an IPL or IDTF can furnish is a better way to prevent unneeded and
medically unnecessary testing than our proposal. He stated that
adoption of the IDTF proposal will produce a rise in expenditures for
diagnostic testing without a concomitant decrease in expenditures from
other entities that currently bill Medicare for diagnostic tests.
Response: We believe that the time has come to change the current
situation under which there are different local medical review policies
on the services an IPL may perform in different carrier service areas.
If a facility meets the standards established for IDTFs, including the
appropriate level of physician supervision, it should be able to
furnish the same range of procedures as other entities in the service
area. Carriers should be denying claims for procedures that are not
reasonable and necessary for individual patients.
Comment: A supplier of mobile bone density procedures commented
that it had been erroneously classified as a portable x-ray supplier
and supported the proposal as a clarification of its
[[Page 59072]]
mobile status under Medicare as an IDTF. The commenter supported the
proposal.
Response: Under the IDTF policy, a mobile diagnostic facility may
furnish the same procedures as a stationary facility unless there is a
national policy indicating otherwise.
Comment: With regard to the credentialing criteria for IDTF
personnel, several commenters questioned the need for the IDTF proposal
and pointed out that there already were voluntary certification
organizations in existence that possessed greater expertise than we did
in these matters. Commenters cited organizations that have been granted
membership by the National Commission for Certifying Agencies, such as
The American Registry of Diagnostic Medical Sonographers for
ultrasonography physician and nonphysician personnel, the Intersocietal
Commission for the Accreditation of Vascular Laboratories, which deals
with noninvasive vascular procedures, and the Intersocietal Commission
for the Accreditation of Echocardiographic Laboratories for
echocardiographic procedures. The commenters indicated that criteria
established by these organizations are more specific than the vague
criteria we proposed.
Response: We have no desire to interfere with these private
accreditation activities. The IDTF should maintain documentation of
recognition by these organizations for verification by the carrier as
necessary. However, we do not believe that the standards for
accreditation by these agencies are equivalent to ours. For example, in
commenting on our proposal, one of the listed organizations indicated
that it required records of the source of the order for the test in the
accredited laboratories. However, this requirement is not the same as
assuring that all tests are ordered by a physician who is treating the
patient.
Comment: One commenter indicated that the proposal that the
supervising physician in an IDTF cannot order tests performed by the
IDTF is unrealistic. The commenter stated that if the IDTF is
appropriately accredited and the supervising physician's income is
fixed (rather than related to volume of testing), the supervising
physician should be able to order any necessary test for his or her
patients.
Response: We have decided to modify the prohibition in
Sec. 410.33(d) against the supervising physician's ordering of tests to
be performed by the IDTF although we continue to believe there are
potential problems in permitting such a practice. However, we
acknowledge that there could be situations in which the IDTF's
supervising physician is, in fact, the beneficiary's treating
physician. The modified wording of the requirement indicates that, in
these situations, the physician in question would have had a
relationship with the beneficiary prior to the testing and would be
treating the beneficiary for a specific medical problem.
Comment: Some commenters expressed concern that the policy requires
State-credentialed nonphysician personnel to perform tests; commenters
point out the varying State standards that may be applied. Some
believed that credentialing by a national standardized body was
preferable.
Response: We believe that credentialing of nonphysician
technologists by either a State government or a recognized national
organization should be sufficient.
Comment: Several commenters stated that the requirement that all
procedures performed by IDTFs must be specifically ordered in writing
by the treating physician would be very burdensome for the referring
physician, patient, and the examiner if it is found that the patient
needs additional tests and has to come back another day with written
orders for them. Some indicated that the generally-applicable ordering
provisions of Sec. 410.32(a) were sufficient.
One commenter indicated that the requirement for written orders was
redundant, time-consuming, and costly, and requested the rationale for
the additional requirement applicable only to IDTFs.
Response: We believe that the physician responsible for the
management of the patient's care (or some aspect of the patient's care)
should be aware of the testing being performed. For that reason, we
adopted a modification to Sec. 410.32 to that effect in the physician
fee schedule final rule of November 22, 1996. That rule did not
explicitly require written orders but served to establish the link
between test ordering and the treating physician as a matter of
national Medicare law. If the testing entity chose not to maintain a
file of written orders from physicians for the tests it performed, the
entity might not be able to demonstrate the medical necessity of the
tests to a reviewer from a Medicare carrier or another government
agency. Some commenters have requested the rationale for requiring
specific written orders for tests performed by IDTFs while not imposing
the same requirement on testing in physicians' offices.
The rationale for requiring testing by IDTFs to be ordered in
writing by the treating physician is based in our (and, more
specifically, HCFA's contractors') experience with IPLs. There have
been instances in which IPLs have offered ``free'' screening to
Medicare beneficiaries in shopping malls and senior citizen centers,
which meant that the IPL accepted the carrier payment for the procedure
and waived billing the beneficiary for the coinsurance. There have been
instances of mass testing in nursing facilities with questionable
orders for the tests performed and little regard for the medical
necessity of the tests. There have been numerous instances of IPLs
performing tests in addition to those ordered by referring physicians.
The manual (Medicare Carriers Manual section 2070.5) has always
required that the diagnostic services be ordered by a referring
physician. Therefore, we believe there is little in this requirement
that is new other than the explicit provision that the orders be in
writing. While we are certain that many IPLs did not engage in the
practices referred to above, we anticipate that the new rules will give
the carriers tools to use to address abusive situations, when they do
occur, through post-payment reviews. We believe that our experiences
with waste and abuse in IPLs justify these requirements, including
requiring the treating physician's order for a procedure.
In response to the absence of regulation of IPLs, we are creating
the IDTF designation to establish a degree of national regulation of a
diagnostic facility that is distinct from a physician's office and does
not directly use the test results to treat a beneficiary. The
facility's sole purpose is to furnish a test. We believe that any
distinctions in treatment between IDTFs and physicians' offices or
hospitals are justified by our experiences with the entities and the
different degrees of regulation to which the entities have been
subject.
We do not agree that the requirement for written orders is an
unnecessarily burdensome requirement, or that there is any necessity
for a beneficiary to return with written orders on another day. If an
IDTF determines that a patient needs further testing, the IDTF may
contact the ordering physician's office and receive a FAX order for the
additional testing.
Comment: One commenter indicated that the term ``referring
physician'' must be broadened to include appropriate ``licensed medical
practitioners,'' including podiatrists, chiropractors,
[[Page 59073]]
optometrists and other similar allied-health care professionals. The
commenter further stated that IDTF testing procedures should be ordered
only by an appropriately licensed medical professional.
Response: The term ``referring physician'' was used in the proposal
only in the description of the existing IPL policy. The current
proposals refer to ``ordering physician'' and ``supervising
physician.'' Podiatrists and optometrists (when operating within the
scope of their State licensure) are included in the Medicare definition
of a ``physician'' set forth in section 1861(r) of the Act and do not
need to be singled out as appropriate persons to order tests.
Chiropractors may not order tests for Medicare beneficiaries under any
circumstances. The changes made to Sec. 410.32 by the physician fee
schedule final rule of November 22, 1996 (61 FR 59490) provided for the
ordering of diagnostic tests by nonphysician practitioners under
certain conditions. We have modified proposed Sec. 410.33(d) in this
final rule to make it clear that nonphysician practitioners who are
working within the scope of the laws of their States may order testing
from IDTFs.
Comment: Several commenters expressed concern about the exemption
of physicians' offices, group practices, and multispecialty groups from
the rules governing IDTFs. One commenter indicated that such an
exemption would lead to the potential for abuse and quality and safety
concerns. Others said that the proposed rules would put IDTFs at a
competitive disadvantage with entities such as hospitals and
physicians' offices in the furnishing of diagnostic tests and that the
same rules should apply in all settings.
Response: In several responses immediately preceding this one, we
have given our reasoning regarding the application of specific
requirements to IDTFs that do not apply to physicians' offices. Our
reasoning is that hospitals are currently regulated, and physicians
must have State licensure to perform the services they furnish. (We
would like to reiterate here, however, that the physician supervision
requirements for specific tests discussed elsewhere in this rule apply
to all diagnostic tests payable under the physician fee schedule
whether they are performed in an IDTF, physicians' office, or other
setting.)
On the other hand, IPLs do not exist because of a specific
statutory provision but because of unique circumstances. HCFA has, for
a number of years, permitted payment for diagnostic tests to entities
that were not created by law. The implementing manual instruction for
IPLs (section 2070.5 of the Medicare Carriers Manual) clearly presumes
the existence of ``applicable State and local licensure laws'' for
these facilities although very little regulation actually exists.
Comment: A commenter objected to the requirement in
Sec. 410.33(b)(2) that the supervising physician must have demonstrated
proficiency in the performance and interpretation of each type of
diagnostic test performed by the IDTF when there is no such requirement
for hospital outpatient departments or physician groups. The commenter
indicated that, for radiology procedures, State Board Certification in
Radiology should be deemed sufficient for supervision of procedures
requiring direct or general supervision.
Response: As we have pointed out elsewhere in this discussion,
hospitals are regulated through the accreditation process. For example,
Sec. 482.26(c) of the Medicare Conditions of Participation for
Hospitals establishes standards for a qualified supervisory radiologist
in a hospital. Further, all States have licensure requirements that
apply to physicians' offices, and we are not aware of significant
problems with physicians and physician groups performing tests they are
not qualified to perform.
On the other hand, the performance of diagnostic tests in IPLs
(including the physician supervision of this testing) is generally not
regulated by State or local laws. Our regional offices and carriers
cite many problems with the way diagnostic procedures have been
furnished in IPLs, such as IPLs entering into arrangements with
physicians to serve as pro forma supervisors when these physicians had
little expertise in the area of diagnostic testing involved. Because of
systemic problems in IPLs, we believe that it is reasonable for
Medicare to require physicians who supervise the performance of tests
in IDTFs to demonstrate proficiency in the type of testing being
performed while not imposing the same requirement on physicians'
offices, which operate under the authority of the physician's State
licensure.
Comment: A commenter indicated that the nonphysician credentialing
requirements would impose significant additional costs and requirements
on IDTFs that would not be borne by medical groups or hospitals.
Response: Most commenters from existing IPLs, many of whom
indicated that their employees had already met these standards, did not
raise this issue, and, therefore, we believe that any burden on IPLs
will not be widespread. We believe it to be entirely appropriate to
require the technologists who perform tests in IDTFs to possess
appropriate credentialing while not imposing the same requirements on
hospitals that must meet accreditation standards imposed by
governmental and other bodies or on physicians' offices that operate
under the authority of the physician's State licensure.
Comment: One commenter objected to the proposed requirement for
documentation of physician supervision in IDTFs not being required of
other entities.
Response: We believe that this requirement is justified by the past
performance of IPLS. Moreover, when carriers identify a problem with
lack of supervision of diagnostic testing in physicians' offices, they
may request this information from the physician in the same way they
currently request additional information on the medical necessity of a
service or procedure.
Comment: One commenter indicated that record retention for CLIA
laboratories was determined to be 2 years and that the same requirement
should apply to IDTFs.
Response: We will review our record retention guidelines and will
provide further advice through program instructions.
Comment: One commenter indicated that an IDTF should be allowed to
bill globally for radiological procedures when it contracts with a
medical group for interpretations and the medical group reassigns
benefits to the IDTF.
Response: These billings are permitted under the policy in section
3060.5 of the Medicare Carriers Manual. In these situations, the IDTF
would bill the carrier in such a way as to identify itself as an IDTF.
Comment: One commenter objected to the proposed requirement that an
IDTF that operates across State boundaries maintain documentation that
its supervising physicians are licensed in each of the States in which
it is furnishing services. The commenter indicated that this
requirement would be unnecessarily burdensome and cost prohibitive if
the facility must engage physicians licensed in every State the
facility serves.
Response: We believe it appropriate for a physician who is
supervising the performance of tests performed in State to be licensed
in that State.
Comment: One commenter indicated that we are creating a new
regulatory scheme without Congressional authorization. The commenter
stated that if a problem exists with respect to independent diagnostic
facilities, the problem should be explored and
[[Page 59074]]
debated in public before rules are established.
Response: The commenter is correct in recognizing that IPLs are not
created in the Medicare statute. Nonetheless, we have paid for services
they furnish for a number of years. Over the years, however, a number
of problems have become manifest in the operation of these entities. We
believe that our general rulemaking authority is sufficient to permit
us to deal with these problems and that the facts require our exercise
of that authority. In addition, the publication of a proposed rule has
provided the opportunity for public comment and debate.
Comment: Several commenters indicated that the regulation should
address the competency of physicians to perform interpretations of,
rather than supervision of, diagnostic tests. Some suggested that the
responsibilities of the supervising physician in an IDTF include
interpretation of the results of the procedures. One commenter
supported the proposal that technologists in IDTFs be certified and
recommended a requirement that radiologic procedures performed in IDTFs
be interpreted by physicians who are qualified through: (1) Completing
an approved residency program, (2) postresidency training, or (3)
sufficient clinical experience.
Response: The performance of the interpretation (the physician's
service covered under section 1861(s)(1) of the Act, as opposed to the
diagnostic test covered under section 1861(s)(3) of the Act) is beyond
the scope of this proposal except for the requirement that an IDTF's
supervising physician evidence proficiency in the interpretation of
each type of diagnostic procedure performed by the facility. In
developing the IDTF proposal, we considered requiring IDTFs to furnish
the interpretation as well as the test, but we decided not to include
such a requirement because of the likelihood it would lead to
unintended problems. For example, the physician who provides the
general supervision for an IDTF may not be available to furnish an
interpretation for a period of time and that could unnecessarily delay
making a diagnosis in an urgent situation. In another situation, a
beneficiary might want his or her test interpreted by a particular
physician he or she has dealt with in the past.
Comment: One commenter pointed out that the proposal indicated that
the IDTF policy did not apply to procedures furnished in physicians'
offices and suggested that we clarify the status of procedures
performed by IDTFs in physicians' offices.
Response: The IDTF requirements would apply to any procedures
furnished by the IDTF either in its own facility or in a physician's
office, clinic, or other nonprovider setting. For example, if a
procedure requires direct supervision, it would be necessary for the
IDTF's supervising physician to be present in the suite during
performance. We have modified Sec. 410.33(a)(1) to state that the IDTF
policy applies to procedures performed by IDTFs in physicians' offices.
Comment: One commenter indicated that the IDTF proposal should
apply to any noninvasive vascular procedure performed by portable x-ray
suppliers.
Response: Noninvasive vascular procedures (or any test other than
certain x-rays, diagnostic mammography, and EKGs) are not included in
the portable x-ray benefit. If an approved portable x-ray supplier
wishes to furnish these procedures, it would have to become an IDTF. No
transportation payment would be made in connection with these types of
procedures.
Comment: A national organization representing psychologists pointed
out that, as written, the IDTF proposal would apply to individual
nonphysician practitioners, including clinical psychologists and asked
us to clarify that clinical psychologists do not have to become IDTFs
and perform diagnostic psychological testing under physician
supervision.
Response: We did not intend the IDTF proposal to apply to
diagnostic psychological testing personally performed by clinical
psychologists because these services are not covered under section
1861(s)(3) of the Act. However, in order to promote understanding of
the policy by all concerned, we are explicitly excluding diagnostic
psychological testing personally performed by clinical psychologists
from the requirement that out-of-hospital, out-of-physician-office
tests that must be performed under the supervision of a physician in an
IDTF. In other words, a clinical psychologist does not have to become
an IDTF to be paid by the carrier for the performance of diagnostic
psychological testing.
Comment: A State Department of Health cited several aspects of the
IDTF proposal that would conflict with the laws of its State. The
commenter also indicated that the proposed rule did not define the
types of diagnostic tests that could be covered by Medicare when
performed by an IDTF, whether IDTFs can furnish radiologic services, or
who will receive the Medicare payments for services performed by an
IDTF.
Response: In making the IDTF proposal, we were recognizing the
problems with the existing situation of largely unregulated entities
that performed diagnostic tests. Neither IDTFs nor IPLs were
established because of statutory mandate from the Congress. In making
this proposal, it is not our intention to preempt any State licensing
requirements; however, it is not clear to us how IPLs could have
operated in a State and IDTFs cannot. However, in order to address
these concerns, we have added an additional requirement in paragraph
(f) of Sec. 410.33 (Independent Diagnostic Testing Facility). Under
this requirement, an IDTF must comply with the applicable laws of any
State in which it operates. In IDTFs, Medicare would cover all tests
payable under the Medicare physician fee schedule, including radiologic
procedures, other than clinical laboratory tests. In many cases, the
carrier will pay the IDTF for the technical component of the
procedures. In some cases, an IDTF may purchase the interpretation of
the test from a physician and bill for both professional and technical
components, while in other cases, an interpreting physician may
purchase the test from the IDTF and bill for both professional and
technical components.
Comment: Some commenters expressed concern about the January 1,
1998 effective date of the IDTF proposal. They suggested transition
periods of up to 1 year.
Response: We are addressing these comments in the discussion below.
Result of evaluation of comments: We are adopting the proposal to
have IDTFs replace IPLs with the modifications or clarifications
discussed above. In addition, we are providing that the replacement
occur on a phased-in basis scheduled to be completed on July 1, 1998.
Entities wishing to be recognized as IDTFs must send a letter to the
Part B carrier for their service areas attesting that they meet all
IDTF criteria. As soon as a carrier accepts the entity as an IDTF, the
carrier notifies the entity of its new status and billing number. Once
an entity becomes an IDTF, it is no longer subject to local medical
review policies that currently preclude IPLs from furnishing procedures
or groups of procedures while allowing other entities to perform them.
An IDTF must comply with the applicable laws of any State in which it
operates.
[[Page 59075]]
E. Reasonable Compensation Equivalent Limit Update Factor
1. Background
Section 1887(a)(2)(B) of the Act provided for the reasonable
compensation equivalent limits used to determine the reasonableness of
costs incurred by providers for professional services furnished by
physicians for the benefit of provider patients in a hospital or
skilled nursing facility. Regulations set forth at Sec. 415.70 (Limits
on compensation for physician services in providers), paragraph (b),
concerning the methodology for establishing limits, established a
methodology for determining reasonable annual compensation equivalents,
considering average physician incomes by specialty and type of
location, to the extent possible using the best available data. The
regulations also expanded the application of the reasonable
compensation equivalent limits to include comprehensive outpatient
rehabilitation facilities. The initial and still current methodology
for establishing reasonable compensation equivalent limits is based on
an internal working paper (``A Methodology for Determination of
Reasonable FTE Compensation for Hospital-Based Physicians'' by James R.
Cantwell and William J. Sobaski (Working Paper No. OR-32, revised
December 1982)) developed by HCFA's Office of Strategic Planning,
(formerly the Office of Research and Demonstrations). Copies of this
paper are available on request from: OSP Publications, Office of
Strategic Planning, Health Care Financing Administration, Room C3-20-
11, 7500 Security Boulevard, Baltimore, MD 21244, (410) 786-6588. The
inflation factor employed in the methodology used to develop the
initial limits and, subsequently, to update those limits to reflect
increases in net physician compensation was the Consumer Price Index
for All Urban Consumers (CPI-U).
2. Change in the Methodology Used to Develop Reasonable Compensation
Equivalent Limits
The methodology currently employed to update the physician fee
schedule uses an inflation factor distinct from the CPI-U, which is
used to update the reasonable compensation equivalent limits. To
achieve a measure of consistency in the methodologies employed to
determine reasonable payments to physicians for physicians' direct
medical and surgical services furnished to individual patients and
reasonable compensation levels for physicians' services that benefit
provider patients generally, we are revising the methodology used to
update the reasonable compensation equivalent limits that would entail
the adoption of the physician fee schedule's inflation factor (the MEI)
to update the reasonable compensation equivalent limits. For cost
reporting periods beginning on or after January 1, 1998, updates to the
reasonable compensation equivalent limits would be calculated using the
MEI.
Comment: One association favored the adoption of the MEI in place
of the CPI-U as the update factor for the reasonable compensation
equivalent limits. Another medical association stated that, while it
did not object to the adoption of the MEI, it recommended that the
reasonable compensation equivalent limits methodology be replaced with
a relative value based methodology.
Response: We will consider the development of a relative value
based reasonable compensation equivalent limits methodology in the
immediate future, but we are proceeding with the adoption of the MEI as
the reasonable compensation equivalent limits update factor at the
present time.
Result of evaluation of comments: As proposed, we are revising the
reasonable compensation equivalent limits update methodology by
replacing the CPI-U with the MEI as the update factor.
F. Payment to Participating and Nonparticipating Suppliers
Section 1848(a)(1) of the Act requires that payment for physician
services (as defined in 1848(j)(3)) be based on the lesser of the
actual charge for the service or the fee schedule amount. We proposed
to revise the regulations at Sec. 414.21 (Medicare payment basis) to
ensure that they contain this statutory provision. (Our proposed
definition of ``actual charges'' was discussed separately in section
II.J. of our June 18, 1997 proposed rule (62 FR 33192).)
Section 1848(a)(3) of the Act provides incentives for participating
physicians and suppliers by setting the fee schedule amount for those
who participate at 100 percent of the amount calculated under the fee
schedule for the service as provided in the formula at section
1848(b)(1) of the Act. It also provides that the fee schedule amount
for nonparticipating physicians and suppliers be set at 95 percent of
the amount for participating physicians and suppliers. Since
regulations at Sec. 400.202 (Definitions specific to Medicare) define
the term ``supplier'' as including physicians and all other persons who
provide services for which payment may be made under Part B except for
``providers of services'' as defined in 1861(u) of the Act, we proposed
to define nonparticipating suppliers in Sec. 400.202 as being suppliers
who do not have a Part B participation agreement in effect on the date
of the service. We also proposed to define participating suppliers as
being suppliers who have an agreement to participate in Part B in
effect on the date of the service. These definitions mirror the
definitions of participating and nonparticipating physicians,
suppliers, and other persons that are in section 1842(h) of the Act.
Section 1848(g)(2)(C) of the Act states that the Medicare limiting
charge is to be set at 115 percent of the ``* * * payment amount for
nonparticipating physicians or nonparticipating suppliers or other
persons.'' Hence, we proposed to reflect this requirement in
regulations in proposed Sec. 414.48(b) (concerning specific limits on
actual charges of nonparticipating suppliers).
We received two comments related to these proposed changes.
Comment: Some physicians objected to being considered
``suppliers,'' and some physicians did not recognize that, under
current regulations, the term ``supplier'' includes physicians. These
commenters wanted us to revise the terminology in the regulations to
consider physicians not to be ``suppliers.''
Response: We did not accept this comment because the term
``supplier'' is used to include physicians for all other Medicare
regulations (except where otherwise specified), all of which would have
to be revised if we were to remove physicians from the definition of
``supplier'' for general Medicare regulations. Doing this would be
impractical and would risk removing rules that apply to physicians in
the same manner in which they apply to other persons who bill and are
paid for services covered under Part B of Medicare.
Comment: Some commenters objected to the requirement that Medicare
fee schedule payment be based on the lower of the actual charge or the
fee schedule amount. They argued that the fee schedule amount should be
the only basis for payment.
Response: We did not accept this comment because the law requires
that the payment be based on the lesser of the actual charge or the fee
schedule amount. Including it should have no practical effect on
payment since carriers are already instructed to compare the submitted
charge to the fee schedule amount and to base payment on the lesser of
the two amounts. Moreover, we believe that some of these commenters may
have confused this
[[Page 59076]]
general requirement with our proposed definition of ``actual charges''
(which is discussed in section II. J. of this preamble).
Result of evaluation of comments: We are making final the technical
change to the regulations to conform them to statutory provisions and
operating instructions (Medicare Carriers Manual).
G. Increase in Work Relative Value Units for Global Surgical Services
to Account for the 1997 Increases for Work Relative Value Units in
Evaluation and Management Services
In our November 22, 1996 final rule with comment period, as part of
the 5-year review of all physician work RVUs, we increased most of the
work RVUs for evaluation and management services for hospital and
office or other outpatient visits. We revised the work RVUs for
evaluation and management services partly in recognition of the
increase in preservice and postservice work. At that time, we made no
adjustments to the work RVUs assigned to global surgical services,
which, in addition to the surgical procedure, include the related
preservice and postservice evaluation and management visits a surgeon
provides within a defined period of time.
Upon further examination of this issue, we are increasing the work
RVUs for global surgical services to be consistent with the 1997
increases in the work RVUs for evaluation and management services.
Because the increases in the work RVUs for global surgical services
will cause an increase in payments for those services, we must reduce
all work payments by 0.7 percent to maintain budget neutrality.
We received the following public comments on this proposal:
Comment: Several commenters, ranging from individual physicians to
physician specialty societies, expressed support for our proposal
because it makes the increased work associated with the preservice and
postservice work of global surgical services consistent with the
increases that were made to evaluation and management services for the
1997 physician fee schedule.
Response: We agree that our proposal will make payment amounts for
the increased evaluation and management services present in the
preservice and postservice work of global surgical services more
consistent with the increases in work that were made to evaluation and
management services.
Comment: Several commenters expressed concerns that our proposal
did not include all global surgical services. Commenters requested that
we review our list of global surgical services to be affected by these
work RVU increases.
Response: We agree with commenters that we inadvertently omitted
certain global surgical services from our proposal. We addressed this
oversight by reviewing the list of global surgical services,
identifying those services which were omitted. After this residual list
of services was compiled, we contacted the specialty societies most
closely identified with the omitted CPT codes in order to attach the
appropriate number of office visits associated with each individual CPT
code.
Result of evaluation of comments: We are adopting our proposal to
increase the work RVUs associated with global surgical services to
reflect the increased evaluation and management present in the
preservice and postservice portions of these services. We have added
the services referred to above. This will assure that the evaluation
and management portions of global surgical services are consistent with
our 1997 increases to evaluation and management services. Those codes
that have been changed due to the increase of work RVUs of global
surgical services are identified in Addendum B.
H. Caloric Vestibular Testing
We proposed to reduce the RVUs for caloric vestibular testing, CPT
code 92543, to 25 percent of what the values would have otherwise been.
We made this proposal in order to permit physicians and suppliers to
bill four units of service instead of the one unit now permitted. The
use of four units is consistent with the AMA's interpretation of the
code.
Addendum C in the June 18, 1997 proposed rule contained an error.
The reduction to 25 percent of the RVUs otherwise applicable was
reflected for the practice expense RVUs, but we incorrectly published
unreduced RVUs for work and malpractice. On August 18, 1997, we
published a correction notice (62 FR 43962) to reflect the correct
values. The new values for work and malpractice were 25 percent of the
numbers previously published.
The reduction to the direct practice expense RVUs had been
correctly noted in the proposed rule. However, because the indirect
practice expense RVUs are partially based on the work RVUs, the
reduction to the work RVUs caused a reduction to the indirect practice
expense RVUs. The new total practice expense RVUs published in the
correction notice reflect the reduced indirect practice expense RVUs.
Because resource-based practice expense RVUs will not be
implemented effective January 1998, the practice expense RVUs published
in this final rule differ from those published in the proposed rule and
the correction notice. The final practice expense RVUs continue to be
based on charge-based data and are simply 25 percent of the charge-
based RVUs currently in effect. The final work and malpractice RVUs are
those published in the correction notice. They too are 25 percent of
the values currently in effect.
Two physician organizations expressed support for this change.
Other comments are discussed below.
Comment: One commenter suggested that Medicare should recognize
four units of service when four irrigations are performed but that we
should not make a reduction in RVU amounts.
Response: This change is not intended to reflect a decision that
our relative payment amounts are too low for caloric vestibular
testing. Medicare has not made such a decision. Instead, we are simply
reconciling our interpretation of the code with the AMA's
interpretation and, in order to do this in a budget neutral fashion, we
are reducing the RVUs to 25 percent of the amount otherwise applicable.
Comment: Another commenter did not oppose this proposal but opposed
the proposed resource-based practice expense RVUs for the service.
Response: Since we are no longer proceeding with resource-based
practice expense RVUs for 1998, the merits of these comments will not
be addressed in this final rule.
Result of evaluation of comments: Beginning in 1998, when a
physician performs and interprets four irrigations, the physician will
bill Medicare for four units of CPT code 92543 (that is, the global
service). When a physician interprets four irrigations, the physician
will bill four units of CPT code 92543-26. When a physician or supplier
performs four irrigations, the physician or supplier will bill four
units of CPT code 92543-TC.
I. Clinical Consultations
There are two CPT codes for clinical consultations, CPT codes 80500
(Clinical pathology consultation; limited, without review of patient's
history and medical records) and 80502 (Clinical pathology
consultation; comprehensive, for a complex diagnostic problem, with
review of patient's history and medical records), which were added to
the CPT in 1985.
The regulations set forth at Sec. 415.130 (Conditions for payment:
Physician pathology services), paragraph (b)
[[Page 59077]]
(Clinical consultation services), require that a clinical consultation
meet four criteria before it can be paid. One of these criteria is that
the clinical consultation must be requested by the patient's attending
physician. As we indicated in the preamble to the proposed rule, we
have allowed a standing order policy to be used as a substitute for the
individual request by the patient's attending physician since a 1984
law suit. However, we believe that this policy is no longer
appropriate. Because the policy was not embodied in the court's
judgment or otherwise required by law and because we view it as
creating opportunities for abuse and waste, effective January 1, 1998,
we are not accepting a standing order as a substitute for the
individual request by the attending physician. We are instructing the
Medicare carriers to enforce Sec. 415.130(b) as it is presently
written.
Comment: We received comments from two organizations and many
individual pathologists from Florida. These commenters argue that
standing orders are an efficient mechanism of providing interpretive
reports of specific clinical laboratory tests to attending physicians
without prolonging care or the length of a hospital stay. Therefore,
the proposed elimination of standing orders would create unnecessary
delays and could adversely affect patient care and increase the cost of
care.
Response: As we explained in the June 1997 proposed rule,
pathologists could use a standing order policy to generate unnecessary
consultations. These consultations may occur even though the attending
physician can properly interpret the test results and does not need the
assistance of the pathologist. We readily admit that standing orders
can offer efficiencies over individual requests by attending physicians
when attending physicians need interpretations from pathologists.
However, we must balance this concern with the risk that the Medicare
program may be inappropriately paying for medically unnecessary
services under a standing order policy.
Comment: Individual commenters stated that there are several tests
when prompt interpretation of tests is needed and the tests require
interpretation by pathologists. Examples of these tests include cardiac
enzymes, serum protein electrophoresis, and immunoelectrophoresis.
Response: These commenters appear to be confusing our policy on
clinical laboratory interpretation services with clinical
consultations. Before the implementation of the physician fee schedule
in 1992, we worked with the College of American Pathologists and our
carrier medical directors to identify those clinical laboratory tests
for which the attending physician would ordinarily need the
pathologist's interpretation. The clinical laboratory tests, which the
commenters mentioned, were on the original list of tests which our
carrier medical directors reviewed. Working with the carrier medical
directors, we identified a list of 15 clinical laboratory tests for
which we would recognize a clinical laboratory interpretation service.
These tests were listed in the November 1991 final rule (56 FR 59565)
and can be found at section 15020 E of the Medicare Carriers Manual.
The list includes CPT codes 86320, 86325 and 86327, which describe
immunoelectrophoresis services, and CPT code 84165, which describes
serum protein electrophoresis. Since these tests are ordinarily
interpreted by a pathologist, we allow a standing order policy to be
used in place of an individual request by an attending physician.
Result of evaluation of comments: Except for the clinical
laboratory tests mentioned above, we will not accept a standing order
as a substitute for the individual request by the attending physician.
We will instruct the Medicare carriers to enforce Sec. 415.130(b) as it
is presently written.
J. Actual Charges
In the June 18, 1997 proposed rule (62 FR 33184), we defined the
term ``actual charge'' to be the lesser of the amount the physician,
supplier, or other person charges for the service to a particular
beneficiary or the amount they have voluntarily agreed to accept as
payment in full under a private plan contract that also covers the
beneficiary when Medicare is primary and the private plan is secondary.
We proposed this policy to protect Medicare beneficiaries from
incurring greater deductible and coinsurance expenses as a result of
enrollment in Part B of Medicare if the private plan's payment amount
is less than the Medicare payment, and the Medicare coinsurance is more
than the private plan's copayment.
For example, a retiree age 64, enrolled in a managed care plan, has
a cataract removed by a physician who participates in Medicare and in
the managed care plan. The managed care plan pays $800 of the
physician's $1,500 actual charge. The retiree pays a $5 copayment. The
physician cannot bill the retiree for the remaining amount under the
terms of the contract with the managed care plan.
The retiree reaches age 65 and enrolls in Medicare Part B, which is
usually required by the employer or the plan in order for the
beneficiary to stay in the managed care plan. The beneficiary pays the
Medicare premium each month and has the second cataract removed.
Medicare is now the primary payer and the managed care plan is a
secondary payer. The physician takes assignment on the Medicare claim
and Medicare allows $1,000 of the physician's $1,500 charge. Medicare
pays $800, its share of the payment. The physician bills the managed
care plan for the $200 coinsurance but the plan may refuse to pay
because the physician has already received the $800 that the plan
considers to be payment in full. The physician may attempt to collect
the coinsurance from the beneficiary. When this occurs, the beneficiary
may have more out-of-pocket expense after age 65 than before. The
potential for higher out-of-pocket expenses occurs also with the
services of other practitioners and suppliers, especially suppliers of
durable medical equipment, prosthetics, orthotics, and supplies, who
often deeply discount the price they charge managed care organizations
in exchange for exclusivity and guaranteed business.
We received numerous comments from individual physicians and
suppliers and the organizations that represent them in opposition of
this proposal. In general, the comments have the following common
themes:
Physicians and suppliers do not know what the plans will
pay for their services, either because the plans change the payment
amounts without notice or, in the case of physicians, because of
withholds and bonuses that do not permit establishing actual payment
for the service until after the end of the year--certainly not in time
for the actual payment to be placed on the claim for Medicare payment.
The proposal would increase physicians' and suppliers'
administrative cost and burden to bill Medicare.
There is no statutory basis for interpreting the term
``actual charges'' in any manner other than the plain meaning of the
words, for example, whatever the physician or supplier chooses to
charge.
There is no standard coding and/or bundling among payers,
hence, there is no standard description of services on which to base a
comparison of Medicare and managed care payments.
The proposal constitutes a breach of faith with the
physician community that supports the physician fee schedule because of
the participatory nature of its development.
As a result of our review of the comments, we have decided that the
[[Page 59078]]
actual charge issue, including the implications for beneficiary out-of-
pocket expense, requires further study. Although we are not issuing a
final rule requiring physicians and suppliers to show the lower
negotiated payment as their submitted charge for the service, we
continue to believe that the lower negotiated rate should be the
submitted charge in this situation.
III. Implementation of the Balanced Budget Act of 1997
In addition to the physician fee schedule provisions of the
Balanced Budget Act of 1997, the new legislation expands the previously
enacted Medicare screening mammography benefit and adds several new
screening benefits to the law--the colorectal cancer screening benefit
and the screening pelvic examination benefit effective January 1, 1998.
For many years physicians have understood the value of prevention and
early detection measures in dealing with medical problems. Preventive
services for the early detection of disease have also been associated
with substantial reductions in morbidity. For example, dramatic
reductions in the incidence of invasive cervical cancer and in cervical
cancer mortality have occurred following the implementation of
screening programs using Papanicolaou testing to detect cervical
dysplasia.
Although sound clinical reasons exist for emphasizing prevention in
medicine, studies have shown that clinicians often fail to provide
recommended clinical preventive services. This is due to a variety of
factors, including inadequate reimbursement for preventive services,
fragmentation of health care delivery, and insufficient time with
patients to deliver the range of preventive services that are
recommended. It is our expectation that implementation of the recently
enacted new Medicare benefit provisions should help to overcome at
least some of the barriers to the use of preventive services, and may
lead to substantial reductions in morbidity and mortality.
A. Changes in Practice Expense Relative Value Units for 1998
Section 4505 of the Balanced Budget Act of 1997 delays the
implementation of the resource-based practice expense RVU system until
January 1, 1999 and specifies the manner in which practice expense RVUs
in 1998 are adjusted.
The 1998 practice expense RVUs for certain services are reduced to
110 percent of their work RVUs for the service. The reductions are used
to increase practice expense RVUs for office visits. (Section 4505 of
the BBA 1997 also provides the Secretary with the authority to adjust
the 110 percent figure if the aggregate amount of reductions exceeds
$390 million. Since the application of the 110 percent results in
reductions of about $330 million, we did not need to make an additional
adjustment.)
There are two categories of services that are excluded from this
limitation: (1) The service provided more than 75 percent of the time
in an office setting; and (2) the service had a proposed resource-based
practice expense RVU (that is, the practice expense RVU for the service
published in the June 18, 1997 proposed rule (62 FR 33158 et seq.))
that was an increase from its 1997 practice expense RVU.
In addition, there are services whose work RVU is zero and
therefore are not affected by this provision. These services include
technical component (TC) services (such as the TC of radiology
services, surgical pathology services, and other services that have a
corresponding PC service) and diagnostic tests, such as psychological
tests, that are not TC services (because there is no corresponding PC
service).
The exclusion for services because they have a value that increased
in the June 1997 proposed rule (62 FR 33160) is applied separately by
site-of-service with the distinction made between in-office and out-of-
office services. For most codes, the June 1997 proposed rule provided a
practice expense RVU for both the in-office and the out-of-office
setting. Thus, if the proposed 1998 resource-based practice expense RVU
for a code for the in-office setting increased in relation to its 1997
practice expense RVU even though the proposed value exceeded 110
percent of the work RVU, this code, for this service and this site, was
excluded from the practice expense RVU reduction. Similarly, if the
proposed 1998 resource-based practice expense RVU for the same code for
the out-of-office setting decreased in relation to its 1997 practice
expense RVU and the proposed value exceeded 110 percent of the work
RVU, then this code, for this service and this site, was subject to the
practice expense RVU reduction.
For 1998, the carriers will apply the same site-of-service
differential policy they applied in 1997. Under the site-of-service
differential, the practice expense RVUs for a procedure code that is
furnished outside the office are reduced by 50 percent. There are
approximately 700 codes affected by this policy. To coordinate this
policy with the site-of-service distinctions in the June 1997 proposed
rule and the interaction of the provisions of section 4505 of the BBA
1997, we are listing in Addendum B the practice expense RVUs for the
two sites for the 700 procedure codes instead of allowing the carrier
to calculate the 50 percent reduction.
The practice expense RVUs for office visit procedure codes are
increased by a uniform percentage. This uniform percentage (13 percent)
is calculated so that the aggregate increase in practice expense RVUs
for office visit procedures is equal to the decrease in Practice
expense RVUs for services whose practice expense RVUs are reduced. This
results in an increase in total payments of between 3 percent and 5
percent for the office visit codes.
B. Coverage of Screening Mammography and Related Payment Changes
Before the enactment of the BBA 1997, section 1834(c)(2) of the Act
prescribed certain limitations on the frequency of coverage of
mammography screenings for women over 39 years of age with no waiver of
the yearly Part B deductible requirement. Specifically, for a woman
over age 39 but under 50 years of age, the law provided for coverage of
screening mammography either once a year or twice a year depending upon
whether the woman was considered to be at high risk of developing
breast cancer, as determined pursuant to factors identified by the
Secretary and specified in regulations. In the case of a woman over 49
years of age but under 65 years of age, the law specified that payment
could be made for a screening mammography once a year (that is, if at
least 11 months had passed following the month in which the last
screening mammography was performed). Finally, in the case of a woman
over 64 years of age, the law provided that payment could be made for a
screening mammography once every 2 years following the month in which
the last screening mammography was performed.
Section 4101(a) of the BBA 1997 amends section 1834(c)(2)(A) of the
Act effective January 1, 1998 to simply provide that in the case of any
woman over 39 years of age, payment may be made for a screening
mammography if at least 11 months have passed following the month in
which the last screening mammography was performed. Section 4101(b) of
the BBA 1997 amends sections 1833(b) and 1834(c)(1)(C) of the Act to
waive the Part B deductible requirement.
In view of the statutory changes in the (1) limitations on the
frequency of coverage of screening mammographies for all women over 39
years of age and (2) the Part B deductible requirement as
[[Page 59079]]
it relates to all screening mammography services, we are amending
Sec. 410.34(d) (relating to limitations on coverage of screening
mammography) and are adding a new exception as paragraph (5) in
Sec. 410.160(b) (relating to exceptions to the Part B annual
deductible) to reflect these changes in the regulations.
C. Colorectal Cancer Screening
Section 4104 of the BBA 1997 provides for Medicare coverage of
colorectal cancer screening tests effective for services provided on or
after January 1, 1998. The law provides for coverage for screening
fecal-occult blood tests, screening flexible sigmoidoscopy, screening
colonoscopy, and other tests we determined to be appropriate, subject
to certain frequency and payment limits.
Present Medicare coverage policy allows payment for diagnostic
tests to diagnose colorectal cancer and related medically necessary
services that are furnished to beneficiaries. Under this policy,
diagnostic colorectal cancer tests are covered if they are medically
necessary to evaluate a specific complaint from or monitor an existing
medical condition of an individual who has had a history of colon
cancer or inflammatory bowel disease. This coverage is based, in part,
on section 1861(s)(3) of the Act, which provides general Medicare
coverage for diagnostic x-ray, clinical laboratory, and other
diagnostic tests. However, prior to the enactment of the BBA 1997,
screening colorectal cancer tests have been excluded from coverage
based on section 1862(a)(7) of the Act, which states that routine
physical checkups are excluded services. This exclusion is described in
Medicare regulations in Sec. 411.15(a).
1. Coverage Determination in Screening Barium Enemas
Section 4104(a)(2) of the BBA 1997 requires us to publish a notice
in the Federal Register related to the coverage of screening barium
enema as a colorectal cancer screening test. As provided by section
4104(a)(2) of the BBA 1997, this notice is to be published in the
Federal Register by November 3, 1997, within 90 days after the date of
enactment.
To the three colorectal cancer screening tests specifically
designated as covered under sections 1861(pp)(1)(A), (B), and (C) of
the Act, section 4104(a)(2) of the BBA 1997 added a new section
1861(pp)(1)(D) to the Act to provide that colorectal cancer screening
tests may also include coverage of other tests or procedures the
Secretary determines to be appropriate based on consultation with
appropriate organizations.
As required by section 1861(pp)(1)(D) of the Act, we, acting on
behalf of the Secretary, consulted with appropriate Federal government
organizations and other organizations regarding the efficacy of a
barium enema examination for detecting colorectal cancer. We also
inquired about how this coverage should be included under Medicare. We
contacted representatives of various Federal agencies, including the
Agency for Health Care Policy and Research, the Centers for Disease
Control and Prevention, the Food and Drug Administration, and the
National Cancer Institute, knowledgeable about using a barium enema as
a screening test to detect colorectal cancer. We also consulted with
staff from the American Cancer Society. In addition, the American
Medical Association convened a preventive medicine expert panel that
included representatives from the United States Preventive Services
Task Force and various medical specialty organizations, such as the
American Medical Association Council on Scientific Affairs, the
American Medical Association Council on Medical Services, the American
Academy of Family Physicians, the American College of Physicians, the
American College of Preventive Medicine, the American College of
Radiology, and the American Society of Colon and Rectal Surgeons.
Based on our review of this information and our evaluation of other
data, we concluded that while there is not a consensus in the medical
community regarding the specific role of a barium enema examination
under the Medicare colorectal cancer screening benefit when compared to
the use of the flexible sigmoidoscopy and colonoscopy examinations,
there is a sufficient basis for us to include the use of barium enema
as part of the new national Medicare coverage for colorectal screening.
In its Executive Summary, (AHCPR Publication Number 97-0302)
Evidence Report No. 1: Colorectal Cancer Screening, the Agency for
Health Care Policy and Research concluded that there is indirect
evidence that supports the use of double contrast barium enema in
screening for colorectal cancer. They also noted that the double
contrast barium enema can image the entire colon and detect cancers and
large polyps. (Medicare policy already allows payment for diagnostic
barium enemas that are performed to evaluate a beneficiary's specific
complaint or to monitor an existing medical condition for an individual
with a history of colon cancer.) Additionally, the role of the barium
enema examination as a colorectal cancer screening examination has
recently been studied by several multi-disciplinary expert panels and,
as a result of those studies, it appears that the usefulness of the
examination is becoming widely accepted in the United States. First,
the American Gastroenterological Association initially in conjunction
with the Agency for Health Care Policy and Research, completed their
report earlier this year. The double contrast barium enema was
recommended as a screening option for all average risk patients (those
with no predisposing factors) and selected groups of high risk patients
(those with a history of prior polyps, or those with a first degree
relative with colorectal cancer). Only in the case of the subset of
patients at high risk with a family history of familial adenomatous
polyposis, hereditary non-polyposis colorectal cancer, and inflammatory
bowel disease was a colonoscopy recommended as the only screening
modality. (This subset of patients represents a minority of the high
risk population as defined by statute.) Second, earlier this year the
American Cancer Society recently revised their guidelines to include
the double contrast barium enema as an option for patients at average
and moderate risk (nearly identical to the above described American
Gastroenterological Association guidelines).
The American Gastroenterological Association and the National
Cancer Institute studies have indicated that one of the major
advantages of the barium enema examination is that it permits the
imaging of the entire colorectum and it appears to have the ability to
detect precursor adenomas as well as colorectal cancers. Anatomic
visualization of the entire colorectum is believed to be highly
desirable and is widely considered optimum for evaluating the colon.
(It is generally acknowledged that one limitation of the flexible
sigmoidoscopy examination is that it only allows for direct examination
of the lower third to one-half of the colorectum.) There is also some
evidence that racial differences exist in the distribution of
colorectal cancers, with African-Americans having a higher proportion
of cancers in the right side of the colon than Caucasians. Thus, tests
that allow full structural coverage of the entire colorectum are needed
as a choice for certain segments of the population.
Furthermore, on the basis of the information we have reviewed, the
barium enema screening examination appears to have a superior safety
profile
[[Page 59080]]
when compared to the screening flexible sigmoidoscopy and colonoscopy
examinations, and it does not require sedation as is the case with
colonoscopy examinations. Our information indicates that patients are
typically exposed to 300 to 500 mrad of radiation during a barium enema
examination, which is about equivalent to the dose of radiation that
results from a single screening mammography examination. Considering
the age and frequency at which screening is recommended for a barium
enema examination, it is estimated by the American College of Radiology
that a screening strategy using a barium enema x-ray every 2 or 4 years
would deliver a lifetime dose of radiation that is lower than the
radiation that would result from use of the annual Medicare screening
mammography benefit.
Specifically, in view of the information summarized above, we have
determined that a barium enema is a reasonable and necessary screening
test for colorectal cancer, and have decided to cover screening barium
enema examinations in the following manner:
First, such a screening examination may be covered as an
alternative to a flexible sigmoidoscopy examination (that is, as a
substitute for, and not as an added optional benefit) for an individual
attaining age 50 and not at high risk for colorectal cancer, if the
individual's attending physician orders the test in writing after a
determination that the test is the appropriate screening test. That is,
the attending physician must determine that, in the case of a
particular individual, the estimated screening potential for the barium
enema is equal to or greater than the screening potential that has been
estimated for a flexible sigmoidoscopy for that same individual. For
example, in the case of an individual who is taking anti-coagulant
medications, the individual's attending physician may decide to order a
barium enema instead of a flexible sigmoidoscopy because it is less
likely to produce bleeding and typically allows for a total inspection
of the colon, while the flexible sigmoidoscopy does not.
Second, we are establishing a frequency limitation for the coverage
of the screening barium enema for an individual age 50 and over who is
not at high risk for colorectal cancer at the same time interval that
is specified in the statute for screening flexible sigmoidoscopy
examination (that is, once every 48 months for the same individual.)
Third, we are providing that a screening barium enema may be
covered as an alternative to a screening colonoscopy (that is, as a
substitute and not as an added optional benefit) for individuals at
high risk for colorectal cancer, if the individual's attending
physician orders the test in writing following a determination that the
screening barium enema is the appropriate test for that particular
individual. This means that the attending physician must determine, in
the case of a particular individual, that the estimated screening
potential for the barium enema examination is equal to or greater than
the screening potential that has been estimated for the colonoscopy
examination. For instance, in the case of an individual at high risk
for colorectal cancer who may not be able to receive a complete
colonoscopy due to a markedly long and twisting loop(s) of colon, the
individual's attending physician may decide to order a barium enema in
lieu of a screening colonoscopy because it is more likely to permit a
complete view of the entire colon.
Fourth, we are establishing the frequency limitation for coverage
of the screening barium enema for an individual who is at high risk for
colorectal cancer at the same time interval that is specified in the
statute for screening colorectal examinations (that is, once every 24
months for the same individual.)
Fifth, we are establishing the double contrast barium enema as the
standard type of screening barium enema that will be covered under the
Medicare program because, based on information obtained from the
American College of Radiology, we understand that it is regarded as the
most sensitive for small colonic lesions in patients who are adequately
prepared and optimally imaged. In the case of some patients who are
infirm, immobile, or debilitated, however, a technically optimal double
contrast examination may not be possible. In these patients a single
contrast barium examination may be performed with high quality results
despite the limitations of the patient's condition. In these
situations, we are covering the single contrast method if it would
satisfy the test described above for allowing coverage of the barium
enema examination as an alternative to one of the other two colorectal
cancer screening tests. That is, the individual's attending physician
would have to determine that the estimated screening potential from the
use of the single contrast barium enema is equal to or exceeds the
estimated screening potential that would result from the use of the
flexible sigmoidoscopy and the colonoscopy examinations.
In summary, effective January 1, 1998, we will pay for screening
barium enemas as an alternative to either a screening flexible
sigmoidoscopy or a screening colonoscopy, in accordance with the same
frequency parameters specified in the law for the other two colorectal
screening services identified.
2. Provisions of the Final Rule
We are specifying an exception to the list of examples of routine
physical checkups excluded from coverage in Sec. 411.15(a)(1)
(Particular services excluded from coverage). The exception is for
colorectal cancer screening tests that meet the frequency limitations
and the conditions for coverage that we are specifying under
Sec. 410.37. Coverage of colorectal cancer screening tests is provided
under Medicare Part B only.
3. Frequency Limits and Conditions of Coverage
Section 4104 of the BBA 1997 adds new subparagraph (R) to section
1861(s)(2) of the Act authorizing Medicare coverage of certain
colorectal screening services as defined in section 1861(pp) that are
furnished on or after January 1, 1998. These statutorily mandated
colorectal services include screening fecal-occult blood tests,
screening flexible sigmoidoscopy examinations, and screening
colonoscopy examinations. Section 4104(b) of the BBA 1997 also
establishes frequency of coverage limitations for all three of these
colorectal screening services. The frequency of coverage limitations
specified for fecal-occult blood tests is that payment may be made only
for an individual 50 years of age or over, if the test has not been
performed within the 11 months that have passed following the month in
which the last screening fecal-occult blood test was performed. The
frequency of coverage limitation indicated for screening flexible
sigmoidoscopy examinations is that payment may be made only for an
individual age 50 years of age or over, if the procedure has not been
performed within the 47 months that have passed following the month in
which the last screening flexible sigmoidoscopy examination was
performed. In the case of screening colonoscopy examinations, section
4104 of the BBA 1997 provides for coverage of screening colonoscopies
for individuals at high risk for developing colorectal cancer (as now
defined in section 1861(pp)(2) of the Act), if the screening
examination has not been performed within the 23 months that have
passed following the month in which the last screening colonoscopy was
performed.
[[Page 59081]]
We have added Sec. 410.37 to provide for coverage of four types of
colorectal cancer screening tests. First, we are specifying several
definitions of terms that are included to implement the statutory
provisions and to help the reader in understanding the regulation
provisions. These include definitions of the terms (1) colorectal
cancer screening tests, (2) fecal-occult blood test, (3) individual at
high risk for colorectal cancer, (4) screening barium enema, and (5)
attending physician. Second, we are establishing conditions of coverage
for all four of the colorectal cancer screening tests that we will be
paying for, effective January 1, 1998. Under our authority under the
``reasonable and necesary'' clause of the Act, section 1862(a)(1)(A),
we are establishing conditions under which we would cover colorectal
screening services. In Sec. 410.37(b) (Conditions for coverage of
screening fecal-occult blood tests) and Sec. 410.37 (h) (Conditions for
coverage of screening barium enemas) we are specifying that coverage is
available for screening fecal-occult blood tests and screening barium
enema examinations only if they are ordered in writing by the
beneficiary's attending physician. We are including these coverage
requirements to make certain that beneficiaries receive appropriate
preventive counseling about the implications and possible results of
having these examinations performed. In addition, in the case of the
screening barium enema, which we will cover as an alternative to either
the screening flexible sigmoidoscopy or the colonoscopy examination, we
want to ensure that the beneficiary's attending physician has made a
determination that the screening potential of that exam is at least
equal to or greater than the screening potential for the alternative
examination. Third, in order to ensure that the screening flexible
sigmoidoscopy and screening colonoscopy exams are performed as safely
and accurately as possible, we are requiring in Sec. 410.37(d)
(Conditions for coverage of screening flexible sigmoidoscopies) and
Sec. 410.37(f) (Conditions for coverage of screening colonoscopies)
that the examinations must be performed by a doctor of medicine or
osteopathy (as defined in section 1861(r)(1) of the Act.)
Additionally, in Secs. 410.37(c), 410.37(e), 410.37(g), and
410.37(i) (Limitations on coverage of screening fecal-occult blood
tests, Limitations on coverage of screening flexible sigmoidoscopies,
Limitations on coverage of screening colonoscopies, and limitations on
coverage of screening barium enemas, respectively), we are setting
forth the following frequency and payment restrictions for the four
types of colorectal cancer screening test covered, which are mandated
by sections 1834(d)(1)(B), 1834(d)(2)(E) and 1834(d)(3)(E) of the Act,
except for those relating to screening barium enema examinations, which
the law did not specifically address.
Limits on Fecal-Occult Blood Tests
Payment may not be made for a screening fecal-occult blood
test performed for an individual under age 50.
For an individual 50 years of age or over, payment may be
made for a screening fecal-occult blood test performed after at least
11 months have passed following the month in which the last fecal-
occult blood test was performed.
Limits on Flexible Sigmoidoscopies
Payment may not be made for a screening flexible
sigmoidoscopy performed for an individual under age 50.
For an individual 50 years of age or over, payment may be
made for a screening flexible sigmoidoscopy performed after at least 47
months have passed following the month in which the last screening
flexible sigmoidoscopy, or the last screening barium enema was
performed.
Limits on Colonoscopies
Payment may not be made for a screening colonoscopy
performed for an individual who is not at high risk for colorectal
cancer.
Payment may be made for a screening colonoscopy performed
for an individual at high risk for colorectal cancer after at least 23
months have passed following the month in which the last screening
colonoscopy or the last screening barium enema was performed.
Limits for Barium Enemas
In the case of an individual age 50 and over who is not at
high risk for colorectal cancer, payment may be made for a screening
barium enema after 47 months have passed following the month in which
the last screening barium enema, or the last screening flexible
sigmoidoscopy was performed.
In the case of an individual who is at high risk for
colorectal cancer, payment may be made for a screening barium enema
after at least 23 months have passed following the month in which the
last screening barium enema, or the last screening colonoscopy was
performed.
As indicated previously, in explaining our national coverage
determination on screening barium enemas, we have decided to pay for
this examination as an alternative to either the flexible sigmoidoscopy
or the colonoscopy coverage provisions (that is, as a substitute for,
and not as add-on coverage.) In reviewing the matter of the appropriate
frequency limits for screening barium enemas, we did consider the
possibility of providing for payment for these services as an add-on to
the other two major screening coverage provisions. However, since the
screening barium enema allows for a complete examination of the colon,
we have not adopted this alternative because we believe it would be
duplicative for us to permit coverage of both a screening barium enema
and a screening flexible sigmoidoscopy (or a screening colonoscopy for
an individual at high risk of colorectal cancer) during the same 2 or 4
year time period, respectively. In the case of a suspicious or
equivocal examination, other tests would be necessary but would be
considered diagnostic tests, not screening, and would be covered under
Medicare. It is generally unnecessary to perform duplicate screening
tests.
4. Payment Limits
Payment amounts for screening fecal-occult blood tests, screening
sigmoidoscopies, screening colonoscopies, and barium enemas as follows:
Screening fecal occult blood tests are covered at a
frequency of once every 12 months for beneficiaries who have attained
age 50. Section 1834(d)(1) of the Act provides that screening fecal
occult blood tests are paid at the same rate as diagnostic fecal-occult
blood tests (CPT code 82270) are paid under the clinical laboratory fee
schedule. We have created a new HCPCS code G0107, colorectal cancer
screening; fecal-occult blood test, one to three simultaneous
determinations, to be used for screening fecal-occult blood tests. This
code will be carrier-priced at the payment amount that the Medicare
carrier pays for CPT code 82270 under the clinical laboratory fee
schedule.
Screening flexible sigmoidoscopy is covered at a frequency
of once every 48 months for beneficiaries who have attained age 50.
Section 1861(pp)(2) of the Act provides that payment for screening
flexible sigmoidoscopies be paid at rates consistent with payment for
similar or related services under the physician fee schedule, not to
exceed the rates for a diagnostic flexible sigmoidoscopy (CPT code
45330).
[[Page 59082]]
We have created a new HCPCS code G0104, colorectal cancer
screening; flexible sigmoidoscopy, to be used for screening flexible
sigmoidoscopy. We believe that the work is the same whether the
procedure is a screening or a diagnostic sigmoidoscopy and are,
therefore, assigning the same RVUs to HCPCS code G0104 as those
assigned to CPT code 45330 in Addendum B. If during the course of the
screening flexible sigmoidoscopy a lesion or a growth is detected that
results in a biopsy or removal of the growth, section 1834(d)(2)(D) of
the Act provides that the physician should bill for a flexible
sigmoidoscopy with biopsy or removal, rather than using the screening
HCPCS code G0104.
Screening colonoscopy is covered at a frequency of once
every 24 months for beneficiaries at high risk for colorectal cancer
under section 1834(d)(3)(E) of the Act. Section 1861(pp)(2) of the Act
defines high risk as a person who, because of family history, prior
experience of cancer or precursor neoplastic polyps, a history of
chronic digestive disease condition (including inflammatory bowel
disease, Crohn's disease, or ulcerative colitis), the presence of any
appropriate recognized gene markers for colorectal cancer, or other
predisposing factors, faces a high risk for colorectal cancer. The law
provides that payment for screening colonoscopies be paid at rates
consistent with payment for similar or related services under the
physician fee schedule, not to exceed the rates for a diagnostic
colonoscopy (CPT code 45378).
We have created a new HCPCS code G0105, colorectal cancer
screening; colonoscopy for an individual at high risk, to be used for
screening colonoscopy. We believe that the work is the same whether the
procedure is a screening or a diagnostic colonoscopy, and we are,
therefore, assigning the same RVUs to HCPCS code G0105 as those
assigned to CPT code 45378 in Addendum B. If during the course of the
screening colonoscopy a lesion or growth is detected that results in a
biopsy or removal of the growth, section 1834(d)(3)(D) of the Act
provides that the physician should bill for a colonoscopy with biopsy
or removal, rather than using the screening HCPCS code G0105.
The frequency of payment limitations for the screening
barium exams will be exactly the same as the frequency of payment
limitations that would apply if the barium examination were not being
substituted for the other screening service (that is, once every 4
years for a flexible sigmoidoscopy examination for individuals age 50
or over and once every 2 years for colonoscopy screening for
individuals at high risk for colorectal cancer).
We have created the following new HCPCS codes:
------------------------------------------------------------------------
HCPCS code Descriptor
------------------------------------------------------------------------
G0106............................. Colorectal cancer screening;
alternative to G0104, screening
sigmoidoscopy, barium enema.
G0120............................. Colorectal cancer screening;
alternative to G0105, screening
colonoscopy, barium enema.
G0121............................. Colorectal cancer screening;
colonoscopy on individual not
meeting criteria for high risk (non-
covered).
G0122............................. Colorectal cancer screening; barium
enema (non-covered).
------------------------------------------------------------------------
The first two codes (G0106, and G0120) are to be used for the barium
enema when the barium enema is being substituted for either the
sigmoidoscopy or the colonoscopy, as indicated by the code
nomenclature. The RVUs for these procedures will be the same as for the
diagnostic barium enema procedure, CPT code 74280, and are shown in
Addendum B.
The second two codes are to be used when the high risk criteria are
not met, or a barium enema is performed but not a substitute for either
a sigmoidoscopy or colonoscopy. These are non-covered services.
5. Screening Colonoscopy in an Ambulatory Surgical Center
CPT code 45378, which is used to code a diagnostic colonoscopy, is
on the list of procedures approved by Medicare for payment of an
ambulatory surgical center (ASC) facility fee under section 1833(I) of
the Act. CPT code 45378 is currently assigned to ASC payment group 2.
We propose to add the new HCPCS code G0105, colorectal cancer
screening; colonoscopy on individual at high risk, to the ASC list. We
believe that the facility services are the same whether the procedure
is a screening or a diagnostic colonoscopy and are, therefore,
assigning HCPCS code G0105 to payment group 2, which is the same
payment rate assigned to CPT code 45378. If during the course of the
screening colonoscopy performed at an ASC a lesion or growth is
detected which results in a biopsy or removal of the growth, the
appropriate procedure classified as a colonoscopy with biopsy or
removal should be billed and paid rather than HCPCS code G0105.
D. Coverage of Screening Pelvic Examination (Including a Clinical
Breast Examination) and Related Payment Changes
Section 4102 of the BBA 1997 provides for coverage of screening
pelvic examinations (including a clinical breast examination) for all
female beneficiaries, effective January 1, 1998, subject to certain
frequency and other limitations. A screening pelvic examination
(including a clinical breast examination) should include at least seven
of the following eleven elements:
Inspection and palpation of breasts for masses or lumps,
tenderness, symmetry, or nipple discharge.
Digital rectal examination including sphincter tone,
presence of hemorrhoids, and rectal masses. Pelvic examination (with or
without specimen collection for smears and cultures) including:
External genitalia (for example, general appearance, hair
distribution, or lesions).
Urethral meatus (for example, size, location, lesions, or
prolapse).
Urethra (for example, masses, tenderness, or scarring).
Bladder (for example, fullness, masses, or tenderness).
Vagina (for example, general appearance, estrogen effect,
discharge, lesions, pelvic support, cystocele, or rectocele).
Cervix (for example, general appearance, lesions, or
discharge).
Uterus (for example, size, contour, position, mobility,
tenderness, consistency, descent, or support).
Adnexa/parametria (for example, masses, tenderness,
organomegaly, or nodularity).
Anus and perineum.
This description is from Documentation Guidelines for Evaluation
and Management Services, published in May 1997, and was developed by
the Health Care Financing Administration and the American Medical
Association. Section 1862(a)(1)(A) of the Act provides that Medicare
cover only services that are reasonable and necessary for the diagnosis
or treatment of illness or injury. We believe that a pelvic screening
procedure should examine
[[Page 59083]]
various anatomical structures to avoid missing detection of as many
potential disorders as practical. We will be including this description
in instructions in the Medicare Carriers Manual.
This coverage allows payment for one pelvic examination for every
female beneficiary every 3 years but includes the allowance of payment
once every year for certain women of childbearing age as well as
certain women at high risk for cervical or vaginal cancer.
Specifically, section 4102(a) of the BBA 1997 provides for the
following frequency of coverage limitations:
As reflected in the law, payment may be made for a screening pelvic
examination on an annual basis if one of the following occurs:
The woman is of childbearing age and has had an
examination indicating the presence of cervical or vaginal cancer or
other abnormality during any of the preceding 3 years.
The woman is considered by her physician or other
practitioner to be at high risk of developing cervical or vaginal
cancer as we have defined in these regulations.
We are adding Sec. 410.56 (Screening pelvic examinations) to
include this new coverage. In Sec. 410.56(a) (Conditions for screening
pelvic examinations), we are requiring that to be covered by Medicare
Part B the screening pelvic examination must be performed by a doctor
of medicine or osteopathy (as defined in section 1861(r)(1) of the
Act), or by a certified nurse midwife (as defined in section 1861(gg)
of the Act), or a physician assistant, nurse practitioner, or clinical
nurse specialist (as defined in section 1861(aa) of the Act) who is
authorized under State law to perform the examination. We have included
this requirement to ensure that the screening exam is performed as
safely and accurately as possible.
To implement the statutory mandate that requires us to identify in
regulations the high risk factors for cervical and vaginal cancer, we
are specifying in Sec. 410.56(b)(2) (More frequent screening based on
high-risk factors), the following factors that have been recommended to
us by the National Cancer Institute and the Centers for Disease
Prevention and Control. While other factors may have been identified
such as low socioeconomic status, the lack of precise and verifiable
definitions does not make them amenable to regulation at this time.
1. High Risk Factors for Cervical Cancer
Early onset of sexual activity (under 16 years of age).
Multiple sexual partners (five or more in a lifetime).
History of a sexually transmitted disease (including the
human immunodeficiency virus (HIV).
Absence of three negative Pap smears or any Pap smears
within the previous 7 years.
2. High Risk Factors for Vaginal Cancer
Prenatal exposure to diethylstilbestrol.
Based on consultation with representatives of the American College
of Gynecologists and Obstetricians and others, we have defined a woman
of childbearing age in Sec. 410.56(b)(3) (More frequent screening for
women of childbearing age) to mean a woman who is premenopausal, and
has been determined by her physician or other practitioner, as
specified in Sec. 410.56(a), to be of childbearing age, based on her
medical history or other findings.
This new section also provides for a waiver of the Part B
deductible requirement that would otherwise be applicable to these
services.
E. Reinstatement of the Payment for Transportation of EKG Equipment
As set forth in section 4559 of the BBA 1997, effective for
services furnished after December 31, 1997 and before January 1, 1999,
carriers will make separate payments for HCPCS code R0076
(Transportation of portable EKG to facility or location, per patient)
based upon payment methods in effect for these services as of December
31, 1996. EKG transportation payments are made at the carrier-priced
level that was in effect on December 31, 1996. The procedure codes
involved are CPT code 93000 (a 12-lead EKG with interpretation and
report) or CPT code 93005 (a 12-lead EKG, tracing only, without
interpretation and report). When multiple patients receive services at
the same site, the transportation payment amount must be prorated among
all patients seen. These payments may be made only under the following
circumstances:
The transportation service is furnished in connection with
standard EKG procedures furnished by approved suppliers of portable x-
ray services as set forth in section 2070.4.F. of the Medicare Carriers
Manual.
The transportation service is furnished in connection with
standard EKG procedures by an independent diagnostic testing facility
or an independent physiological laboratory under the conditions set
forth in section 2070.1.G. of the Medicare Carriers Manual.
F. Waiver of Proposed Rulemaking for Provisions in the Balanced Budget
Act of 1997
We ordinarily publish a notice of proposed rulemaking in the
Federal Register and invite prior public comment on proposed rules. We
have found good cause that a notice-and-comment procedure can be waived
for the BBA 1997 provisions discussed above. A complete explanation of
reasons is given in section VII. of this preamble.
IV. Refinement of Relative Value Units for Calendar Year 1998 and
Responses to Public Comments on Interim Relative Value Units for 1997
A. Summary of Issues Discussed Related to the Adjustment of Relative
Value Units
Section IV.B. of this final rule describes the methodology used to
review the comments received on the 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, 1998.
B. Process for Establishing Work Relative Value Units for the 1998 Fee
Schedule
Our November 22, 1996 final rule on the 1997 physician fee schedule
(61 FR 59490) 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, 1997. We announced
that we considered the RVUs for the interim codes to be subject to
public comment under the annual refinement process. In this section, we
summarize the refinements to the interim work RVUs that have occurred
since publication of the November 1996 final rule and our establishment
of the work RVUs for new and revised codes for the 1998 fee schedule.
1. Work Relative Value Unit Refinements of Interim and Related Relative
Value Units (Includes Table 1--Work Relative Value Unit Refinements of
1997 Interim and Related Relative Value Units)
Although the RVUs in the November 1996 final rule were used to
calculate 1997 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
[[Page 59084]]
approximately five specialty societies on approximately nine CPT codes
with interim RVUs. Only comments received on codes listed in Addendum C
of the November 1996 final rule were considered this year.
Due to the low volume of comments we received for 1997 CPT codes
with interim RVUs, we adjusted the refinement process we have used in
previous years. (See the November 22, 1996 final rule on the physician
fee schedule (61 FR 59536) for a detailed explanation of the refinement
of CPT codes with interim RVUs.) Instead, we invited one representative
from each of the five specialty societies from which comments were
received to attend a discussion of the codes commented on by their
respective societies. In attendance at this meeting were the following
representatives:
A clinician representing each of the specialties most
identified with the procedures in question. Each specialist was
nominated by the specialty society that submitted the comments.
Representatives from the AMA's RUC.
Carrier medical directors.
HCFA medical officers.
HCFA staff.
The group 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 group 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. Group
members were encouraged to make comparisons to reference services.
The specialty society's recommendations were accepted for all nine
of the CPT codes that were reviewed. We will continue with the regular
refinement process for future years.
Table 1--Work Relative Value Unit Refinements of 1997 Interim and
Related Relative Value Units
Table 1 lists the interim and related codes reviewed during the
1997 refinement process described in this section. 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.
1997 Work RVU. The work RVUs that appeared in the November
1996 rule are shown for each reviewed code.
Requested Work RVU. This column identifies the work RVUs
requested by commenters.
1998 Work RVU. This column contains the final RVUs for
physician work.
The new values emerged from analysis of the specialty
representative's presentation.
Table 1.--Work RVU Refinement of 1997 Interim and Related RVUs
----------------------------------------------------------------------------------------------------------------
1997 work Requested 1998 work
CPT* MOD Description RVU work RVU RVU
----------------------------------------------------------------------------------------------------------------
37250.. ......................... Intravascular us..................... 1.51 2.10 2.10
37251.. ......................... Intravascular us..................... 1.15 1.60 1.60
56300.. ......................... Pelvis laparoscopy, dx............... 3.65 5.00 5.00
56305.. ......................... Pelvic laparoscopy, biopsy........... 3.97 5.30 5.30
75945.. 26 Intravascular us..................... 0.29 0.40 0.40
75946.. 26 Intravascular us..................... 0.29 0.40 0.40
95921.. 26 Autonomic nerve function test........ 0.45 0.90 0.90
95922.. 26 Autonomic nerve function test........ 0.48 0.96 0.96
95923.. 26 Autonomic nerve function test........ 0.45 0.90 0.90
----------------------------------------------------------------------------------------------------------------
* All CPT and descriptors copyright 1997 American Medical Association
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 1998
a. Methodology (Includes Table 2--American Medical Association
Specialty Society Relative Value Update Committee and Health Care
Professionals Advisory Committee Recommendations and HCFA's Decisions
for New and Revised 1998 CPT Codes). One aspect of establishing work
RVUs for 1998 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
our November 26, 1996 final rule (61 FR 59505 through 59506), we
established a process, based on recommendations received from the AMA's
Specialty Society Relative Value Update Committee (RUC), for
establishing interim RVUs for new and revised codes.
We received work RVU recommendations for approximately 208 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 96 percent of the RUC
recommendations, proposed work RVUs were accepted or increased, and,
for approximately 4 percent, work RVUs were decreased.
We received 11 recommendations from the Health Care Professionals
Advisory Committee (HCPAC) for new or revised codes for which the RUC
did not provide a recommendation. For 7 of the HCPAC's recommendations,
the proposed work RVUs were accepted.
[[Page 59085]]
There were also 5 CPT codes for which HCFA did not receive a RUC
recommendation. HCFA established interim work RVUs for 3 of these
codes.
Table 2 is a listing of those codes that will be new or revised in
1998 as well as their associated work RVUs. This table includes the
following information:
A ``#'' identifies a new code for 1998.
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 (``agree''); we established work RVUs that
are higher than the RUC recommendation (``increase''); or we
established work RVUs that were less than the RUC recommendation
(``decrease''). Codes for which we did not accept the RUC
recommendation are discussed in greater detail following Table 2 in
section IV.B.2.b. below. An ``(a)'' indicates that no RUC
recommendation was provided. A discussion follows the table in section
IV.B.2.b.
HCFA work RVUs. This column contains the RVUs for
physician work based on our reviews of the RUC recommendations. The
RVUs shown for global surgical services have not been adjusted to
account for the 1997 increases for work RVUs in evaluation and
management services.
1998 work RVUs. This column contains the 1998 RVUs for physician
work. The RVUs shown for global surgical services have been adjusted to
account for the 1997 increases for work RVUs in evaluation and
management.
This table includes only those codes that were reviewed by the full
RUC or for which we received a recommendation from the HCPAC.
Table 2.--AMA RUC and HCPAC Recommendations and HCFA Decisions for New and Revised 1998 CPT Codes
--------------------------------------------------------------------------------------------------------------------------------------------------------
RUC HCPAC
CPT* code MOD Description recommendation recommendation HCFA decision HCFA work RVU 1998 work b RVU
--------------------------------------------------------------------------------------------------------------------------------------------------------
11055#........... ............. Paring, Cutting, and ................ 0.43 Decrease................ 0.27 0.27
Trimming of Nails.
11056#........... ............. Paring, Cutting, and ................ 0.61 Decrease................ 0.39 0.39
Trimming of Nails.
11057#........... ............. Paring, Cutting, and ................ 0.79 Decrease................ 0.50 0.50
Trimming of Nails.
11719#........... ............. Paring, Cutting, and ................ 0.17 Decrease................ 0.06 0.06
Trimming of Nails.
11200............ ............. Destruction of 0.69 ................ Decrease................ 0.67 0.77
lesions.
11201............ ............. Destruction of 0.35 ................ Decrease................ 0.29 0.29
lesions.
15756............ ............. Free muscle flap.... 33.23 ................ Agree................... 33.23 35.23
17000............ ............. Destruction of 0.55 ................ Agree................... 0.55 0.60
lesions.
17003#........... ............. Destruction of 0.15 ................ Agree................... 0.15 0.15
lesions.
17004#........... ............. Destruction of 2.65 ................ Agree................... 2.65 2.79
lesions.
17110............ ............. Destruction of 0.55 ................ Agree................... 0.55 0.65
lesions.
17111#........... ............. Destruction of 0.82 ................ Agree................... 0.82 0.92
lesions.
17250............ ............. Destruction of 0.50 ................ Agree................... 0.50 0.50
lesions.
19120............ ............. Excision of cyst.... 5.35 ................ Agree................... 5.35 5.56
20664#........... ............. Application of halo. 7.00 ................ Agree................... 7.00 8.06
22818#........... ............. Kyphectomy.......... 30.00 ................ Agree................... 30.00 31.83
22819#........... ............. Kyphectomy.......... 34.50 ................ Agree................... 34.50 36.44
29860#........... ............. Arthroscopy of hip.. 7.75 ................ Agree................... 7.75 8.05
29861#........... ............. Arthroscopy of hip.. 9.00 ................ Agree................... 9.00 9.15
29862#........... ............. Arthroscopy of hip.. 9.50 ................ Agree................... 9.50 9.90
29863#........... ............. Arthroscopy of hip.. 9.50 ................ Agree................... 9.50 9.90
29891#........... ............. Arthroscopy of ankle 8.00 ................ Agree................... 8.00 8.40
29892#........... ............. Arthroscopy of ankle 8.60 ................ Agree................... 8.60 9.00
29893#........... ............. Arthroscopy of ankle ................ 4.92 Agree................... 4.92 5.22
32200............ ............. Percutaneous abscess 13.10 ................ Agree................... 13.10 15.29
drainage.
32201#........... ............. Percutaneous abscess 4.00 ................ Agree................... 4.00 4.00
drainage.
33496#........... ............. Repair of non- 25.64 ................ Agree................... 25.64 27.25
structural valve
dysfunction.
33530............ ............. Repair of non- 5.86 ................ Agree................... 5.86 5.86
structural valve
dysfunction.
35400#........... ............. Intraoperative 3.00 ................ Agree................... 3.00 3.00
Endovascular
Angioscopy.
36215............ ............. Coronary Angiography 4.68 ................ Agree................... 4.68 4.68
37195#........... ............. Thrombolytic therapy 0.00 ................ Agree................... 0.00 0.00
for acute ischemic.
37250............ ............. Intravascular us.... 1.51 ................ Agree................... 1.51 2.10
37251............ ............. Intravascular us.... 1.15 ................ Agree................... 1.15 1.60
43116............ ............. Partial 29.67 ................ Agree................... 29.67 31.22
esophagectomy.
43496............ ............. Free jejunum carrier ................ Agree................... carrier carrier
transfer.
43635............ ............. Vagotomy............ 2.06 ................ Agree................... 2.06 2.06
44625............ ............. Closure of colostomy 12.10 ................ Agree................... 12.10 13.41
44626#........... ............. Closure of colostomy 21.29 ................ Agree................... 21.29 22.59
44700#........... ............. Intestinal sling 13.00 ................ Agree................... 13.00 14.35
procedure.
44900............ ............. Percutaneous abscess 7.86 ................ Agree................... 7.86 8.82
drainage.
44901#........... ............. Percutaneous abscess 3.38 ................ Agree................... 3.38 3.38
drainage.
45112............ ............. Proctectomy with 24.02 ................ Agree................... 24.02 25.96
coloanal
anastomosis.
45119#........... ............. Proctectomy with 23.50 ................ Increase................ 24.50 26.21
coloanal
anastomosis.
47010............ ............. Percutaneous abscess 8.75 ................ Agree................... 8.75 10.28
drainage.
47011#........... ............. Percutaneous abscess 3.70 ................ Agree................... 3.70 3.70
drainage.
48510............ ............. Percutaneous abscess 11.22 ................ Agree................... 11.22 12.96
drainage.
48511#........... ............. Percutaneous abscess 4.00 ................ Agree................... 4.00 4.00
drainage.
49040............ ............. Percutaneous abscess 8.74 ................ Agree................... 8.74 9.94
drainage.
49041#........... ............. Percutaneous abscess 4.00 ................ Agree................... 4.00 4.00
drainage.
49060............ ............. Percutaneous abscess 10.55 ................ Agree................... 10.55 11.66
drainage.
49061#........... ............. Percutaneous abscess 3.70 ................ Agree................... 3.70 3.70
drainage.
49062#........... ............. Lymphocele drainage. 10.78 ................ Agree................... 10.78 11.36
49423#........... ............. Percutaneous abscess 1.46 ................ Agree................... 1.46 1.46
drainage.
[[Page 59086]]
49424#........... ............. Percutaneous abscess 0.76 ................ Agree................... 0.76 0.76
drainage.
49560............ ............. Ventral 9.48 ................ Agree................... 9.48 9.88
herniorgraphy.
49565............ ............. Ventral 9.48 ................ Agree................... 9.48 9.88
herniorgraphy.
49568............ ............. Ventral 4.89 ................ Agree................... 4.89 4.89
herniorgraphy.
50020............ ............. Percutaneous abscess 12.41 ................ Agree................... 12.41 14.66
drainage.
50021#........... ............. Percutaneous abscess 3.38 ................ Agree................... 3.38 3.38
drainage.
51840............ ............. Burch procedure..... 9.78 ................ Agree................... 9.78 10.71
52281............ ............. Cystourethroscopy... 2.80 ................ Agree................... 2.80 2.80
52282#........... ............. Urethral 6.40 ................ Agree................... 6.40 6.40
endoprosthesis.
53850#........... ............. Transurethral 9.58 ................ Decrease................ 9.25 9.45
destruction of
prostate.
53852#........... ............. Transurethral 9.58 ................ Agree................... 9.58 9.88
destruction of
prostate.
56300............ ............. Laparoscopic surgery 5.00 ................ Agree................... 5.00 5.10
56301............ ............. Laparoscopic surgery 5.50 ................ Agree................... 5.50 5.60
56302............ ............. Laparoscopic surgery 5.50 ................ Agree................... 5.50 5.60
56303............ ............. Laparoscopic surgery 10.50 ................ Increase................ 10.95 11.79
56304............ ............. Laparoscopic surgery 10.00 ................ Increase................ 10.45 11.29
56305............ ............. Laparoscopic surgery 5.30 ................ Agree................... 5.30 5.40
56306............ ............. Laparoscopic surgery 5.60 ................ Agree................... 5.60 5.70
56309............ ............. Laparoscopic surgery 13.79 ................ Agree................... 13.79 14.21
56310#........... ............. Laparoscopic surgery 13.50 ................ Agree................... 13.50 14.44
56314#........... ............. Laparoscopic surgery 8.93 ................ Agree................... 8.93 9.48
56318#........... ............. Laparoscopic surgery 10.63 ................ Agree................... 10.63 10.96
56345#........... ............. Laparoscopic surgery ................ ................ (a)..................... carrier carrier
56346#........... ............. Laparoscopic surgery 7.18 ................ Agree................... 7.18 7.73
56347#........... ............. Laparoscopic surgery ................ ................ (a)..................... carrier carrier
56348#........... ............. Laparoscopy with 20.00 ................ Increase................ 21.00 22.04
intestinal
resection.
56349#........... ............. Laparoscopic surgery 17.75 ................ Decrease................ 16.47 17.25
56350............ ............. Hysteroscopy........ 3.33 ................ Agree................... 3.33 3.33
56351............ ............. Hysteroscopy........ 4.75 ................ Agree................... 4.75 4.75
56352............ ............. Hysteroscopy........ 6.17 ................ Agree................... 6.17 6.17
56353............ ............. Hysteroscopy........ 7.00 ................ Agree................... 7.00 7.00
56354............ ............. Hysteroscopy........ 10.00 ................ Agree................... 10.00 10.00
56355............ ............. Hysteroscopy........ 5.21 ................ Agree................... 5.21 5.21
56356............ ............. Hysteroscopy........ 9.50 ................ Decrease................ 6.17 6.17
57308............ ............. Closure of 9.31 ................ Agree................... 9.31 9.94
rectovaginal
fistula.
57531............ ............. Radical 28.00 ................ Agree................... 28.00 29.60
trachelectomy.
58152............ ............. Burch procedure..... 14.10 ................ Agree................... 14.10 15.09
58340............ ............. Hysterosonography... 0.88 ................ Agree................... 0.88 0.88
58820............ ............. Percutaneous abscess 3.96 ................ Agree................... 3.96 4.22
drainage.
58822............ ............. Percutaneous abscess 9.06 ................ Agree................... 9.06 10.13
drainage.
58823#........... ............. Percutaneous abscess 3.38 ................ Agree................... 3.38 3.38
drainage.
59050............ ............. Fetal monitoring.... 0.89 ................ Agree................... 0.89 0.89
59051............ ............. Fetal monitoring.... 0.74 ................ Agree................... 0.74 0.74
59160............ ............. Curettage, 2.66 ................ Agree................... 2.66 2.71
postpartum.
59871#........... ............. Removal of cerclage 2.13 ................ Agree................... 2.13 2.13
suture.
61793............ ............. Stereotactic 16.70 ................ Agree................... 16.70 17.24
radiosurgery.
67027#........... ............. Ganciclovir implant. 10.35 ................ Agree................... 10.35 10.85
70553............ 26 MI, brain........... 2.36 ................ Agree................... 2.36 2.36
74283............ 26 Therapeutic Enema... 2.02 ................ Agree................... 2.02 2.02
74740............ 26 Hysterosonography... 0.38 ................ Agree................... 0.38 0.38
75989............ 26 Percutaneous Abscess 1.19 ................ Agree................... 1.19 1.19
drainage.
76070............ 26 Bone density studies 0.25 ................ Agree................... 0.25 0.25
76075............ 26 Bone density studies 0.30 ................ Agree................... 0.30 0.30
76076#........... 26 Bone density studies 0.22 ................ Agree................... 0.22 0.22
76078#........... 26 Bone density studies 0.20 ................ Agree................... 0.20 0.20
76080............ 26 Percutaneous Abscess 0.54 ................ Agree................... 0.54 0.54
drainage.
76095............ 26 Stereotactic breast 1.59 ................ Agree................... 1.59 1.59
biopsy.
76375............ 26 Medical holography.. 0.16 ................ Agree................... 0.16 0.16
76390#........... 26 Magnetic resonance 1.40 ................ Agree................... 1.40 1.40
spectroscopy.
76815............ 26 Echography, pregant 0.65 ................ Agree................... 0.65 0.65
uterus.
76830............ 26 Hysterosonography... 0.69 ................ Agree................... 0.69 0.69
76831#........... 26 Hysterosonography... 0.72 ................ Agree................... 0.72 0.72
76885#........... 26 Echography of infant 0.74 ................ Agree................... 0.74 0.74
hip.
76886#........... 26 Echography of infant 0.62 ................ Agree................... 0.62 0.62
hip.
77295............ 26 Therapeutic 4.57 ................ Agree................... 4.57 4.57
radiology
simulation-aided.
78350............ 26 Bone density studies 0.22 ................ Agree................... 0.22 0.22
78351............ ............. Bone density studies 0.30 ................ Agree................... 0.30 0.30
78459............ 26 PET myocardial 1.88 ................ Agree................... 1.88 1.88
perfusion imaging.
78491#........... 26 PET myocardial 1.50 ................ Agree................... 1.50 1.50
perfusion imaging.
78492#........... 26 PET myocardial 1.87 ................ Agree................... 1.87 1.87
perfusion imaging.
78707............ 26 Renal nuclear 0.96 ................ Agree................... 0.96 0.96
medicine.
78708#........... 26 Renal nuclear 1.21 ................ Agree................... 1.21 1.21
medicine.
78709#........... 26 Renal nuclear 1.41 ................ Agree................... 1.41 1.41
medicine.
78710............ 26 Kidney imaging...... 0.66 ................ Agree................... 0.66 0.66
88108............ 26 Cervical or vaginal 0.56 ................ Agree................... 0.56 0.56
cytopathology.
88141#........... ............. Cervical or vaginal 0.42 ................ Agree................... 0.42 0.42
cytopathology.
90801............ ............. Psychotherapy....... 2.80 ................ Agree................... 2.80 2.80
90802#........... ............. Psychotherapy....... 3.01 ................ Agree................... 3.01 3.01
90804#........... ............. Psychotherapy....... 1.11 ................ Agree................... 1.11 1.11
[[Page 59087]]
90805#........... ............. Psychotherapy....... 1.47 ................ Agree................... 1.47 1.47
90806#........... ............. Psychotherapy....... 1.72 ................ Agree................... 1.72 1.72
90807#........... ............. Psychotherapy....... 2.00 ................ Agree................... 2.00 2.00
90808#........... ............. Psychotherapy....... 2.76 ................ Agree................... 2.76 2.76
90809#........... ............. Psychotherapy....... 3.15 ................ Agree................... 3.15 3.15
90810#........... ............. Psychotherapy....... 1.19 ................ Agree................... 1.19 1.19
90811#........... ............. Psychotherapy....... 1.58 ................ Agree................... 1.58 1.58
90812#........... ............. Psychotherapy....... 1.86 ................ Agree................... 1.86 1.86
90813#........... ............. Psychotherapy....... 2.15 ................ Agree................... 2.15 2.15
90814#........... ............. Psychotherapy....... 2.97 ................ Agree................... 2.97 2.97
90815#........... ............. Psychotherapy....... 3.39 ................ Agree................... 3.39 3.39
90816#........... ............. Psychotherapy....... 1.24 ................ Agree................... 1.24 1.24
90817#........... ............. Psychotherapy....... 1.65 ................ Agree................... 1.65 1.65
90818#........... ............. Psychotherapy....... 1.94 ................ Agree................... 1.94 1.94
90819#........... ............. Psychotherapy....... 2.24 ................ Agree................... 2.24 2.24
90821#........... ............. Psychotherapy....... 3.09 ................ Agree................... 3.09 3.09
90822#........... ............. Psychotherapy....... 3.53 ................ Agree................... 3.53 3.53
90823#........... ............. Psychotherapy....... 1.33 ................ Agree................... 1.33 1.33
90824#........... ............. Psychotherapy....... 1.77 ................ Agree................... 1.77 1.77
90826#........... ............. Psychotherapy....... 2.08 ................ Agree................... 2.08 2.08
90827#........... ............. Psychotherapy....... 2.41 ................ Agree................... 2.41 2.41
90828#........... ............. Psychotherapy....... 3.32 ................ Agree................... 3.32 3.32
90829#........... ............. Psychotherapy....... 3.80 ................ Agree................... 3.80 3.80
90845............ ............. Psychotherapy....... 1.79 ................ Agree................... 1.79 1.79
90846............ ............. Psychotherapy....... 1.83 ................ Agree................... 1.83 1.83
90847............ ............. Psychotherapy....... 2.21 ................ Agree................... 2.21 2.21
90849............ ............. Psychotherapy....... 0.59 ................ Agree................... 0.59 0.59
90853............ ............. Psychotherapy....... 0.59 ................ Agree................... 0.59 0.59
90857............ ............. Psychotherapy....... 0.63 ................ Agree................... 0.63 0.63
90865#........... ............. Psychotherapy....... 2.84 ................ Agree................... 2.84 2.84
90875............ ............. Psychotherapy....... ................ 1.20 Agree................... 1.20 1.20
90876............ ............. Psychotherapy....... ................ 1.90 Agree................... 1.90 1.90
90880............ ............. Psychotherapy....... 2.19 ................ Agree................... 2.19 2.19
90885#........... ............. Psychotherapy....... 0.97 ................ Agree................... 0.97 0.97
90911............ ............. Biofeedback training 0.89 ................ Agree................... 0.89 0.89
91010............ ............. Esophageal motility 1.25 ................ Agree................... 1.25 1.25
studies.
91020............ ............. Esophageal motility 1.44 ................ Agree................... 1.44 1.44
studies.
92978............ 26 Intravascular us.... 1.80 ................ Agree................... 1.80 1.80
92979............ 26 Intravascular us.... 1.44 ................ Agree................... 1.44 1.44
92992............ ............. Atrial septectomy of carrier ................ Agree................... carrier carrier
septostomy.
92997#........... ............. Pulmonary artery 12.00 ................ Agree................... 12.00 12.00
angioplasty.
92998#........... ............. Pulmonary artery 6.00 ................ Agree................... 6.00 6.00
angioplasty.
93320............ ............. Doppler echo........ 0.38 ................ Agree................... 0.38 0.38
93325............ ............. Doppler echo........ 0.07 ................ Agree................... 0.07 0.07
93508#........... 26 Coronary angiography 4.10 ................ Agree................... 4.10 4.10
93530#........... 26 Pediatric cardiac 4.23 ................ Agree................... 4.23 4.23
catheterization.
93531#........... 26 Pediatric cardiac 8.35 ................ Agree................... 8.35 8.35
catheterization.
93532#........... 26 Pediatric cardiac 10.00 ................ Agree................... 10.00 10.00
catheterization.
93533#........... 26 Pediatric cardiac 6.70 ................ Agree................... 6.70 6.70
catheterization.
94010............ 26 Spirometry.......... 0.17 ................ Agree................... 0.17 0.17
94070............ 26 Pulmonary procedures 0.60 ................ Agree................... 0.60 0.60
95805............ 26 Sleep studies....... 1.88 ................ Agree................... 1.88 1.88
95806............ 26 Sleep studies....... 1.85 ................ Decrease................ 1.66 1.66
95807............ 26 Sleep studies....... 1.66 ................ Agree................... 1.66 1.66
95811#........... 26 Sleep studies....... 3.80 ................ Agree................... 3.80 3.80
95860............ 26 Needle EMG.......... 0.96 ................ Agree................... 0.96 0.96
95861............ 26 Needle EMG.......... 1.54 ................ Agree................... 1.54 1.54
95863............ 26 Needle EMG.......... 1.87 ................ Agree................... 1.87 1.87
95864............ 26 Needle EMG.......... 1.99 ................ Agree................... 1.99 1.99
95869............ 26 Needle EMG.......... 0.37 ................ Agree................... 0.37 0.37
95870#........... 26 Needle EMG.......... ................ ................ (a)..................... 0.37 0.37
96902#........... ............. Trichogram.......... 0.41 ................ Agree................... 0.41 0.41
97001#........... ............. Occupational and ................ 1.20 Agree................... 1.20 1.20
Physical Therapy.
97002#........... ............. Occupational and ................ 0.60 Agree................... 0.60 0.60
Physical Therapy.
97003#........... ............. Occupational and ................ 1.20 Agree................... 1.20 1.20
Physical Therapy.
97004#........... ............. Occupational and ................ 0.60 Agree................... 0.60 0.60
Physical Therapy.
97780#........... ............. Acupuncture......... ................ ................ (a)..................... 0.00 0.00
97781#........... ............. Acupuncture......... ................ ................ (a)..................... 0.00 0.00
99141#........... ............. Conscious sedation.. 0.80 ................ Agree................... 0.80 0.80
99142#........... ............. Conscious sedation.. 0.60 ................ Agree................... 0.60 0.60
99217............ ............. Observation same day 1.28 ................ Agree................... 1.28 1.28
discharge.
99234#........... ............. Observation same day 2.56 ................ Agree................... 2.56 2.56
discharge.
99235#........... ............. Observation same day 3.42 ................ Agree................... 3.42 3.42
discharge.
99236#........... ............. Observation same day 4.27 ................ Agree................... 4.27 4.27
discharge.
99315#........... ............. Nursing facility 1.20 ................ Decrease................ 1.13 1.13
discharge.
99316#........... ............. Nursing facility 1.60 ................ Decrease................ 1.50 1.50
discharge.
99341............ ............. Home care visits.... 0.89 ................ Increase................ 1.01 1.01
99342............ ............. Home care visits.... 1.33 ................ Increase................ 1.52 1.52
99343............ ............. Home care visits.... 1.99 ................ Increase................ 2.27 2.27
[[Page 59088]]
99344#........... ............. Home care visits.... 2.66 ................ Increase................ 3.03 3.03
99345#........... ............. Home care visits.... 3.32 ................ Increase................ 3.79 3.79
99347............ ............. Home care visits.... 0.66 ................ Increase................ 0.76 0.76
99348............ ............. Home care visits.... 1.11 ................ Increase................ 1.26 1.26
99349............ ............. Home care visits.... 1.77 ................ Increase................ 2.02 2.02
99350#........... ............. Home care visits.... 2.66 ................ Increase................ 3.03 3.03
99374#........... ............. Care plan oversight. 1.10 ................ Agree................... 1.10 1.10
99375............ ............. Care plan oversight. 1.73 ................ Agree................... 1.73 1.73
99377#........... ............. Care plan oversight. 1.10 ................ Agree................... 1.10 1.10
99378#........... ............. Care plan oversight. 1.73 ................ Agree................... 1.73 1.73
99379#........... ............. Care plan oversight. 1.10 ................ Agree................... 1.10 1.10
99380#........... ............. Care plan oversight. 1.73 ................ Agree................... 1.73 1.73
99436#........... ............. Attendance at 1.50 ................ Agree................... 1.50 1.50
delivery.
--------------------------------------------------------------------------------------------------------------------------------------------------------
a No RUC recommendation provided
b Work RVU changes due to global surgery evaluation and management increases.
# New Codes
* All numeric HCPCS CPT Copyright 1997 American Medical Association
b. 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 codes 11055 (Paring or cutting of benign hyperkeratotic lesion
(eg, corn or callus), single lesion), 11056 (two to four lesions),
11057 (more than four lesions), and 11719 (Trimming of nails)).
CPT 1998 will include three new codes for paring or cutting of
benign hyperkeratotic lesion(s) and one new code for trimming of nails.
These new CPT codes will replace CPT codes 11050 through 11052 (Paring
or curettement of benign hyperkeratotic skin lesion(s)) and HCFA Common
Procedure Coding System (HCPCS) code M0101 (Cutting or removal of
corns, calluses and/or trimming of nails, application of skin creams
and other hygienic and preventive maintenance care).
We agreed with the work RVU relationship established by the RUC
HCPAC Review Board for these four codes. However, we have not accepted
the actual work RVUs recommended because the total number of RVUs
associated with the new codes would exceed the total number of RVUs
associated with code M0101. We believe the expectation of the RUC HCPAC
Review Board was that the RVU recommendations would achieve work
neutrality within the family of codes. However, some of the services
previously reported with M0101 will now be reported with codes used to
report the destruction of skin lesions. These codes, for example, CPT
code 17000, have higher work RVUs than M0101. Thus, the result of the
coding changes and the recommended work RVUs would be an increase in
the total number of RVUs for these services. Consequently, we revised
the work RVUs recommended by the RUC HCPC Review Board in order to
achieve work neutrality within this family of codes. That is, the work
RVUs have been adjusted so that the sum of the new work RVUs (weighted
by projected frequency of use) for this family of codes will be the
same as the sum of the current work RVUs (weighted by their current
frequency of use).
------------------------------------------------------------------------
Work
CPT code Descriptor RVUs
------------------------------------------------------------------------
11055....................... Paring or cutting of benign 0.27
hyperkeratotic lesion (single).
11056....................... Two to four lesions................ 0.39
11057....................... More than four lesions............. 0.50
11719....................... Trimming of nails.................. 0.06
------------------------------------------------------------------------
CPT codes 11200 (Removal of skin tags, multiple fibrocutaneous
tags, any area; up to and including 15 lesions) and 11201 (each
additional ten lesions).
The RUC recommended 0.69 work RVUs for CPT code 11200 and 0.35 work
RVUs for CPT code 11201. These codes encompass services that were
previously reported using CPT codes 11200, 11201, 17200, and 17201.
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 and revised codes in order to arrive at weighted average
values for the revised codes in a budget neutral fashion. We have used
this method to arrive at the work RVUs for revised CPT codes 11200 and
11201. We are establishing 0.67 work RVUs for CPT code 11200, which is
a weighted average of CPT codes 17200 and 11200. We are establishing
0.29 work RVUs for CPT code 11201, which is the weighted average of CPT
codes 17201 and 11201.
CPT code 45119 (Proctectomy, combined abdominoperineal pull
through procedure (eg, colo-anal anastomosis) with creation of colonic
reservoir (eg, J-pouch), with or without proximal diverting ostomy).
CPT 1998 will include a new code for proctectomy with colo-anal
anastomosis. The RUC recommended 23.50 work RVUs for CPT code 45119.
Upon review of these values, we concluded that CPT code 45119 was
undervalued. CPT code 45119 is nearly an identical procedure to CPT
code 45112 with the exception of the creation of the colonic reservoir
included in CPT code 45119. We agree with the current work value for
CPT code 45112 (24.02 work RVUs). CPT code 45119 is a more extensive
procedure and should be valued higher than CPT code 45112. We believe
CPT code 45119 is undervalued, and we are increasing the RUC-
recommended work RVUs from 23.50 work RVUs to 24.50 work RVUs for the
1998 physician fee schedule.
CPT code 53850 (Transurethral destruction of prostate tissue; by
microwave therapy) and 53852 (Transurethral destruction of prostate
tissue; by radiofrequency thermotherapy).
CPT 1998 will include two new codes for the transurethral
destruction of prostate tissue. We agree with the RUC value for CPT
code 53852 (the RUC recommended 9.58 work RVUs) but not with the work
value assigned to CPT code 53850. The RUC recommendations would make
the work values for these two codes identical. While both procedures
require skillful technique, we believe the actual physician work
involved for microwave therapy (CPT code 53850) is less than that of
radiofrequency thermotherapy (CPT
[[Page 59089]]
code 53852). Radiofrequency thermotherapy requires the physician to
retract and reposition an electrode numerous times in order to destroy
selected prostate tissue. Microwave therapy on the other hand does not
require the repositioning of an electrode throughout the procedure. We
are decreasing the RUC recommendation of 9.58 work RVUs to 9.25 interim
work RVUs for CPT code 53850.
CPT codes 56300 through 56349 (Laparoscopic surgery) and CPT code
56356 (Hysteroscopy).
The RUC submitted recommendations to us during the 5-year review of
the resource-based relative value scale for increases in the work RVUs
for CPT code 56300 (Laparoscopy (peritoneoscopy), diagnostic; (separate
procedure)) and CPT code 56305 (with biopsy (single or multiple)). At
that time, we did not adopt those recommendations because we believed
they would create rank order anomalies within the laparoscopy and
hysteroscopy family of codes. Subsequently, at the request of HCFA, the
entire family of codes was reviewed by the RUC. Following is a
discussion of all of the codes that were affected by this review. The
discussion is in order by CPT code. In some instances, global periods
or work RVUs were changed in order to address inconsistencies within
this family of codes. We believe additional review of the global period
may be warranted and invite comment on this issue.
CPT codes 56300 (Laparoscopy, diagnostic; (separate procedure))
and 56305 (with biopsy (single or multiple)).
The RUC recommended 5.00 work RVUs for CPT code 56300 and 5.50 work
RVUs for CPT code 56305. We agree with these work RVUs but will be
changing the global period of both of these codes to 010 days.
CPT code 56304 Laparoscopy, surgical; with fulguration of oviducts
(with or without transection), with lysis of adhesions).
The RUC recommended 10.00 work RVUs for this CPT code. We generally
agree with the rank order of this recommendation but are increasing it
to 10.45 work RVUs. We are increasing this recommendation because we
added a level 2 office visit to the RUC recommendation (0.45 RVUs) to
account for changing the global period from 010 to 090 days.
Additionally, we will be discussing a change in the descriptor
associated with CPT code 56304 with the CPT Editorial Panel. We will be
asking the CPT Editorial Panel to revised the code descriptor to
specify that it includes an extensive lysis of adhesions. A limited
lysis of adhesions is included in CPT codes 56300 and 56305 and is not
paid separately. CPT code 56304 should only be used for extensive lysis
of adhesions.
CPT code 56303 (Laparoscopy, surgical; with fulguration of
oviducts (with or without transection); with fulguration or excision of
lesions of the ovary, pelvic viscera, or peritoneal surface by any
method).
The RUC recommended 10.50 work RVUs to CPT code 56303. We changed
this CPT code from a 010 day global period to a 090 day global period.
Due to this increase in the global period, we are adding a level 2
office visit to the RUC recommendation. The resulting work RVUs for CPT
code 56303 are 10.95.
CPT code 56345 (Laparoscopy, surgical; splenectomy) and CPT code
56347 (Laparoscopy, surgical; jejunostomy (eg, for decompression or
feeding)).
We did not receive a RUC recommendation for CPT codes 56345 and
56347. We decided that we will make these as carrier-priced codes until
we receive recommended RVUs from the RUC. Therefore, no RVUs are shown
for these codes.
CPT code 56348 (Laparoscopy with intestinal resection).
The RUC recommended 20.00 work RVUs for CPT code 56348. We believe
that the work involved with this procedure is comparable to that of CPT
code 44145 (Partial removal of colon), which is valued at 21.29 work
RVUs. We decided to value CPT code 56348 at the median value extracted
from a RUC survey issued to colorectal surgeons. For the 1998 physician
fee schedule, we are assigning 21.00 work RVUs to CPT code 56348.
CPT code 56349 (Laparoscopy, surgical, esophagogastric fundoplasty
(eg, Nissen, Belsey IV, Hill, Toupet procedures)).
The RUC stated that the work represented by CPT code 56349 is more
difficult than that in its corresponding open procedure (CPT code 43324
valued at 15.18 work RVUs). We do not agree that this procedure has
more work involved than either a lobectomy (CPT code 32540 valued at
13.31 work RVUs) or colon resection (CPT code 44140 valued at 16.97
work RVUs). We are reducing the RUC recommendation of 17.75 work RVUs
to 16.47 work RVUs for the 1998 physician fee schedule.
CPT code 56356 (Hysteroscopy, ablation).
The RUC recommended 9.50 work RVUs for CPT code 56356. Upon
comparison of CPT code 56356 to other codes within this family, we
decided to reduce the work RVUs to 6.17. This decision was based upon a
comparison of CPT code 56356 to CPT code 56352 (Hysteroscopy, surgical;
with sampling (biopsy) of endometrium and/or polypectomy, with or
without D&C, with lysis of intrauterine adhesions (any method)) which
is valued at 6.17 work RVUs. These codes had identical times and
intensities identified in the survey of the clinical vignettes supplied
to the RUC. Therefore, we decided to reduce the work RVU of CPT code
56356 to 6.17 work RVUs for the 1998 physician fee schedule.
CPT codes 59150 (Laparoscopic treatment of ectopic pregnancy;
without salpingectomy and/or oophorectomy) and 59151 (Laparoscopic
treatment of ectopic pregnancy; with salpingectomy and/or
oophorectomy).
The RUC stated that the survey respondents substantially
underestimated the number of post-procedure office visits associated
with these procedures. We agree with the RUC and are increasing the
work RVUs for both of these codes. We are assigning 11.20 work RVUs to
CPT code 59150, and 11.10 work RVUs to CPT code 59151 for the 1998
physician fee schedule.
CPT code 95806 (Sleep study, simultaneous recording of
ventilation, respiratory effort, ECG or heart rate, and oxygen
saturation, unattended by a technologist).
CPT 1998 will include a new code for an unattended sleep study.
Currently, CPT code 95807 (1.66 work RVUs) is used for a sleep study
that is attended by a technologist. The RUC recommended 1.85 work RVUs
for CPT code 95806. We do not agree that there is more work involved in
an unattended sleep study as opposed to an attended sleep study. We are
assigning 1.66 interim work RVUs to CPT code 95806, which will make the
work RVUs identical to those of CPT code 95807.
CPT codes 99315 (Nursing facility discharge day management; 30
minutes or less) and 99316 (Nursing facility discharge day management;
more than 30 minutes).
CPT 1998 will include two new codes for nursing facility discharge
day management. The RUC recommended 1.20 work RVUs for CPT code 99315
and 1.60 work RVUs for CPT code 99316. Upon review of these values, we
found that the projected utilization of these new nursing facility
discharge codes causes a significant work neutrality problem within the
family of nursing facility CPT codes. While the codes are new, the work
is already reflected within the current codes. In order to maintain the
same total pool of work RVUs within this family, we are
[[Page 59090]]
reducing the two new CPT codes (that is, CPT codes 99315 and 99316), as
well as six existing codes within the nursing facility family of codes
(CPT codes 99301, 99302, 99303, 99311, 99312, and 99313), by 6.0
percent.
------------------------------------------------------------------------
Work
CPT code Descriptor RVUs
------------------------------------------------------------------------
99301....................... Comprehensive nursing facility 1.20
assessment.
99302....................... Comprehensive nursing facility 1.61
assessment.
99303....................... Comprehensive nursing facility 2.01
assessment.
99311....................... Subsequent nursing facility care... 0.60
99312....................... Subsequent nursing facility care... 1.00
99313....................... Subsequent nursing facility care... 1.42
99315....................... Nursing facility discharge day 1.13
management; 30 minutes or less.
99316....................... Nursing facility discharge day 1.50
management; more than 30 minutes.
------------------------------------------------------------------------
CPT codes 99341 through 99345 (Home care visits; new patient) and
99347 through 99350 (Home care visits; established patient).
The RUC-recommended RVUs for the home care visit codes were
established through comparisons to CPT's current office visit codes.
Although we agree with the use of the office visit codes as key
reference services, we believe that the RUC underestimated the pre-,
intra-, and post-service intensities associated with the home visit
codes. We note that the intensity values of the survey respondents were
higher for the home visit codes than the reference codes for office
visits. We increased the RUC recommendations by applying a uniform
intensity factor increase of 10 percent to the pre-, intra-, and post-
service times of the office visits codes. These increased intensities
were then multiplied by the typical times specified in the new and
revised CPT codes for the home visits.
------------------------------------------------------------------------
Work
CPT code Descriptor RVUs
------------------------------------------------------------------------
99341....................... Home services; new patient......... 1.01
99342....................... Home services; new patient......... 1.52
99343....................... Home services; new patient......... 2.27
99344....................... Home services; new patient......... 3.03
99345....................... Home services; new patient......... 3.79
99347....................... Home services; established patient. .76
99348....................... Home services; established patient. 1.26
99349....................... Home services; established patient. 2.02
99350....................... Home services; established patient. 3.03
------------------------------------------------------------------------
C. Other Changes to the 1998 Physician Fee Schedule and Clarification
of CPT Definitions
For the 1998 physician fee schedule, we are establishing or
revising several alpha-numeric HCPCS codes for the reporting of certain
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.
Additionally, included in this section are some clarifications of
proper usages of some new or revised codes.
HCPCS codes G0062 (peripheral bone mineral density) and G0063
(central bone density).
Effective January 1, 1998, HCPCS codes G0062, G0062-26, G0062-TC,
G0063, G0063-26, and G0063-TC have been deleted. Use the appropriate
code from the 70000 section of the CPT to bill for bone mineral density
studies.
CPT code 35400 (Intraoperative endovascular angioscopy non-
coronary vessels or grafts).
Although we agree with the recommended RUC work RVUs for this CPT
code, some clarification of proper usage is needed. When billing CPT
code 35400, units can only equal 1.00 because the code descriptor
specifies vessels or grafts. The RVUs assigned are based on an
assumption that angioscopy may be performed on multiple vessels.
CPT codes 44625 and 44626 (Closure of colostomy).
CPT codes 44625 and 44626 should not be billed with CPT code 44139,
which is used to report the immobilization (take down) of the splenic
flexure. By CPT definition, code 44139 can be used only in conjunction
with the partial colectomy codes 44140 through 44147. We will be
establishing a national claims edit to ensure that neither of these two
codes are billed with CPT code 44139.
CPT codes 99217 and 99234 through 99236 (Observation same day
discharge).
We will be consulting with the CPT Editorial Panel to clarify that
the use of these codes should be restricted to observation care
services of at least 12 hours duration.
CPT code 49021 (Percutaneous abscess drainage).
Based on the recommendation of the RUC, we are changing the global
period of CPT code 49021 from 010 days to 000 days. Post-operative care
during the 90 day period following the procedure is not typically
provided for this procedure.
CPT codes 95860 through 95870 (Needle EMGs).
Although we have accepted the RUC recommendations for this family
of codes, we believe some clarification on the proper use of these
codes would be beneficial.
CPT codes 95860, 95861, 95863, and 95864 (Needle electromyogram of
1, 2, 3, or 4 limbs with or without paraspinals (cannot bill
paraspinals separately--unless studying paraspinals between T3-T11)).
To bill these codes, extremity muscles innervated by three nerves
(for example, radial, ulnar, median, tibial, peroneal, femoral, not sub
branches) or four spinal levels must be evaluated, with a minimum of
five muscles studied.
CPT code 95869 (Needle electromyography, thoracic paraspinals).
This CPT code should be used when exclusively studying thoracic
paraspinals. One unit can be billed, despite the number of levels
studied or whether unilateral or bilateral. This cannot be billed with
CPT codes 95860, 95861, 95863, or 95864 if only T1 and/or T2 are
studied when an upper extremity was also studied.
CPT code 95870 (Needle electromyography, limited study).
This CPT code can be billed at one unit per extremity. Muscles on
the thorax or abdomen (unilateral or bilateral). One unit may be billed
for studying cervical or lumbar paraspinal muscles (unilateral or
bilateral), regardless of the number of level tested. This code should
not be billed when the paraspinal muscles corresponding to an extremity
are tested and when the extremity codes 95860, 95861, 95863, or 95864
are also billed.
PET Myocardial Perfusion Imaging (HCPCS Codes G0030 Through G0047)
When the PET myocardial perfusion imaging tests were originally
valued, they were considered analogous to the SPECT codes. In
consultation with the RUC, we have decided to raise the values of the
PET procedures. Unlike the large field of view of SPECT scanners, PET
scanners have a much smaller field. In addition, due to the short half-
life of the Rb-82 tracer, physician involvement in patient positioning
is critical when using the PET scanner. For these reasons, we are
raising the single PET myocardial perfusion image to 1.50 work RVUs and
the multiple PET myocardial perfusion image to 1.87 work RVUs.
Cervical or Vaginal Cancer Screening; Pelvic and Clinical Breast
Examination (HCPCS Code G0101)
The law provides for coverage and payment of screening pelvic and
clinical
[[Page 59091]]
breast examinations effective January 1, 1998. We decided that this
service is comparable to a level 2 evaluation and management new
patient office visit.
------------------------------------------------------------------------
Practice Malpractice
HCPCS code Work Expense Expense
RVUs RVUs RVUs
------------------------------------------------------------------------
G0101................................. 0.45 0.28 0.02
------------------------------------------------------------------------
Colorectal Cancer Screening (HCPCS Codes G0104 Through G0107)
Section 4104 of the BBA 1997 provides for Medicare coverage of
colorectal cancer screening tests effective for services provided on or
after January 1, 1998. The law provides for coverage and payment for
screening fecal-occult blood tests, screening flexible sigmoidoscopy,
screening colonoscopy, and other such tests determined to be
appropriate by the Secretary. We are setting payment amounts for
screening sigmoidoscopy, screening colonoscopy, barium enema, and
screening fecal-occult blood tests, as follows:
Flexible Sigmoidoscopy (HCPCS Code G0104)
The law provides that payment for screening flexible
sigmoidoscopies be made at rates consistent with payment for similar or
related services under the physician fee schedule, not to exceed the
rates for a diagnostic flexible sigmoidoscopy (CPT 45330). We have
created a new code-- HCPCS code G0104 (Colorectal cancer screening;
flexible sigmoidoscopy)--to be used for screening flexible
sigmoidoscopy. We believe that the work is the same whether the
procedure is a screening or a diagnostic sigmoidoscopy and are
therefore assigning the same RVUs to HCPCS code G0104 as those assigned
to CPT code 45330 in Addendum B.
Screening Colonoscopy (HCPCS Code G0105)
The law provides that payment for screening colonoscopies be paid
at rates consistent with payment for similar or related services under
the physician fee schedule, not to exceed the rates for a diagnostic
colonoscopy (CPT 45378). We have created a new code-- HCPCS code G0105
(Colorectal cancer screening; colonoscopy on individual at high risk)--
to be used for screening colonoscopy. We believe that the work is the
same whether the procedure is a screening or a diagnostic colonoscopy,
and we are therefore assigning the same RVUs to HCPCS code G0105 as
those assigned to CPT code 45378 in Addendum B.
Barium Enema (HCPCS Code G0106)
The law provides that payment for colorectal cancer screening-
barium enema be paid at rates consistent with payment for similar or
related services under the physician fee schedule. We believe that the
work is analogous to CPT code 74280 (Contrast x-ray exam of the colon),
and we are therefore assigning the same RVUs to HCPCS code G0106 as
those assigned to CPT code 74280 in Addendum B.
Fecal-Occult Blood Tests (HCPCS Code G0107)
The law provides that screening fecal-occult blood tests be paid at
the same rate as diagnostic fecal-occult blood tests (CPT code 82270)
paid under the clinical laboratory fee schedule. We have created a new
code-- HCPCS code G0107 (Colorectal cancer screening; fecal-occult
blood test, 1-3 simultaneous determinations)--to be used for screening
fecal-occult blood tests. This code will be carrier-priced at the
payment amount that the carrier pays for CPT code 82270 under the
clinical laboratory fee schedule.
------------------------------------------------------------------------
Practice Malpractice
HCPCS code Work expense expense
RVUs RVUs RVUs
------------------------------------------------------------------------
G0104................................. 0.96 1.23 0.12
G0105................................. 3.70 4.13 0.39
G0106................................. 0.99 2.58 0.21
G0107.................................
(2) Lab Fee Schedule
------------------------------------------------------------------------
National Emphysema Treatment Trials (NETT) (CPT Codes G0110 Through
G0116)
The following codes have been added to the physician fee schedule
for the use of physicians participating in the NETT study. The National
Emphysema Treatment Trials (NETT) are co-sponsored by HCFA and the
National Heart, Lung, and Blood Institute with the Johns Hopkins
University as the coordinating center for the study. The study is to
last 7 years starting August 1, 1997. Since the use of these codes will
be limited to some 18 clinical centers and physicians associated with
these centers, either directly, as in furnishing services in the
centers' outpatient departments or in rural areas where some of the
participating beneficiaries live, these codes will be listed as
restricted and can only be billed by those participating in the NETT
study.
------------------------------------------------------------------------
Practice
HCPCS code Descriptor Work RVUs expense Malpractice
RVUs expense RVUs
------------------------------------------------------------------------
G0110............ NETT Pulm 0.90 0.26 0.04
Rehab;
education/
skills
training,
individual.
G0111............ NETT Pulm 0.27 0.20 0.02
Rehab;
education/
skills
training,
group.
G0112............ NETT Pulm 1.72 0.97 0.10
Rehab;
nutritional
guidance--init
ial.
G0113............ NETT Pulm 1.29 0.77 0.09
Rehab;
nutritional
guidance--subs
equent.
G0114............ NETT Pulm 1.20 0.35 0.11
Rehab;
psychosocial
consultation.
G0115............ NETT Pulm 1.20 0.35 0.11
Rehab;
psychological
testing.
G0116............ NETT Pulm 1.11 0.35 0.05
Rehab; Psycho-
social
counseling--in
dividual.
------------------------------------------------------------------------
V. Provisions of the Final Rule
The provisions of this final rule restate the provisions of the
June 18, 1997, proposed rule except as noted elsewhere in this
preamble. Following is a highlight of the exceptions:
For our proposal relating to physician supervision, we are adopting
our proposal to assign an appropriate level of physician supervision to
every diagnostic test payable under the physician fee schedule with
exceptions for certain procedures personally performed by qualified
independent psychologists, clinical psychologists, qualified
audiologists, and physical therapists who are certified as qualified
electrophysiologic clinical specialists. With respect to several
groupings of diagnostic codes, we have changed our proposed policy
based on comments from the physician specialities most involved with
particular groups of codes. In some cases, such as CTs and MRIs
performed without the use of contrast materials, we have lowered the
level of required physician supervision. In others, such as ultrasound
procedures, we have increased the level of required supervision. We are
publishing a listing of diagnostic codes in the preamble of this
document with the level of physician supervision we
[[Page 59092]]
have determined to be appropriate. In addition, we are adding a field
to the physician fee schedule data base indicating the appropriate
level of supervision. We anticipate that there will continue to be
discussions among HCFA, physician specialty groups, and others about
these levels of supervision, and we expect that the indicators
applicable to individual procedures will be changed from time to time
as is currently the case with other data base indicators.
As a result of our review of the comments, we have decided that the
actual charge issue, including the implications for beneficiary out-of-
pocket expense, requires further study. We received numerous comments
from individual physicians and suppliers and the organizations that
represent them in opposition to this proposal.
Based on provisions in the BBA 1997, we are not implementing the
system of resource-based practice expense RVUs contained in the
proposed rule for 1998. Rather, we are implementing the provision of
the BBA 1997 that reduces practice expense RVUs for certain services
and uses the monies to increase practice expense RVUs for office
visits. Specifically, we are making the following changes from the
regulations proposed in our June 18, 1997 proposed rule:
In Sec. 414.22 (Relative value units (RVUs)), we are
stating that the practice expense RVUs for certain services are reduced
to 110 percent of the work RVUs for those services. We are also stating
that the following two categories of services are excluded from this
limitation:
The service is provided more than 75 percent of the time
in an office setting; or
The 1998 proposed resource-based practice expense RVUs (as
specified in the June 18, 1997 physician fee schedule proposed rule)
for the specific site, either in-office or out-of-office, increased
from its 1997 practice expense RVUs.
In Sec. 414.32 (Determining payments for certain physician services
furnished in facility settings), we are revising paragraph (b) to state
that if physician services of the type routinely furnished in a
physician's office are furnished in facility settings, the fee schedule
amount for those services is determined by reducing the applicable
practice expense RVUs for the service by 50 percent.
We are not revising Sec. 414.34 (Payment for services and supplies
incident to a physician's service) because our resource-based practice
expense system is not being implemented as proposed in the June 18,
1997 proposed rule.
We are adding the following changes to regulations required by the
BBA 1997:
In Sec. 410.34 (Mammography services: Conditions for and
limitations on coverage), we are expanding coverage of screening
mammography services, effective January 1, 1998, to provide for payment
for annual screening for all women beneficiaries age 40 and over.
We are adding a new Sec. 410.37 (Colorectal cancer
screening tests: Conditions for and limitations on coverage) to provide
for Medicare coverage of colorectal cancer screening tests effective
for services provided on or after January 1, 1998.
We are adding a new Sec. 410.56 (Screening pelvic
examinations) to provide for new coverage of screening pelvic exams
(including a clinical breast exam) for all women beneficiaries subject
to certain frequency and payment limitations.
VI. Collection of Information Requirements
Under the Paperwork Reduction Act of 1995 (PRA), agencies are
required to provide a 60-day notice in the Federal Register and solicit
public comment before a collection of information requirement is
submitted to the Office of Management and Budget (OMB) for review and
approval. In order to fairly evaluate whether an information collection
should be approved by OMB, section 3506(c)(2)(A) of the PRA requires
that we solicit comment on the following issues:
Whether the information collection is necessary and useful
to carry out the proper functions of the agency;
The accuracy of the agency's estimate of the information
collection burden;
The quality, utility, and clarity of the information to be
collected; and
Recommendations to minimize the information collection
burden on the affected public, including automated collection
techniques.
Therefore, we are soliciting public comment on each of these issues
for the information collection requirements discussed below.
Under 5 CFR 1320.3(b)(2), the burden associated with the time,
effort and financial resources necessary to comply with a collection of
information that would be incurred by persons in the normal course of
business is excluded from an information collection. The burden in
connection with such types of collection activities can be disregarded
if it can be demonstrated that such collection activities are usual and
customary. Each of the collection requirements referenced below are of
the type that are usual and customary in the conduct of commercial
business. Thus, we believe they fall under this exception.
Under 5 CFR 1320.3(b)(3), a collection of information conducted or
sponsored by a Federal agency that is also conducted or sponsored by a
unit of State, local or tribal government is presumed to impose a
Federal burden except to the extent that the agency shows that such
State, local, or tribal requirement would be imposed even in the
absence of a Federal requirement.
The following sections contain information collection requirements
that we believe meet these requirements listed above; therefore, the
burden is exempt from the Act.
Section 410.33(b)(2) (Supervising physicians) must maintain
documentation of sufficient physician resources during all hours of
operation to assure that the required physician supervision is
furnished.
Section 410.33(c) (Non-physician personnel) must maintain
documentation available for review certifying that non-physician
personnel have the training and proficiency as evidenced by licensure
or certification by the appropriate State health or education
department or, in the absence of a State licensing board, a national
credentialing body.
Section 410.33(e) (Multi-State entities) that operate across State
boundaries must maintain documentation that its supervising physicians
and technicians are licensed and certified in each of the States in
which it is furnishing services.
The information collection requirement and associated burden as
summarized below is subject to the PRA:
Section 410.33(b)(2) (Supervising physicians) must evidence
proficiency in the performance and interpretation of each type of
diagnostic procedure performed by the IDTF. The proficiency may be
documented by certification in specific medical specialties or
subspecialties or by criteria established by the carrier for the
service area in which the IDTF is located.
The public reporting burden for this record keeping requirement is
minimal. There are about 500 IPLs, which we assume will wish to become
IDTFs, each requiring five minutes to document proficiency by
certification in specific medical specialties or subspecialties or by
criteria established by the carrier for the service area in which the
IDTF is
[[Page 59093]]
located. The total public burden is 42 hours.
We have submitted a copy of this final rule with comment to OMB for
its review of the information collection requirements in
Sec. 410.33(b)(2). This requirement is not effective until it has been
approved by OMB.
If you comment on any of these information collection and
recordkeeping requirements, please mail copies directly to the
following:
Health Care Financing Administration, Office of Information Services,
Information Technology Investment Management Group, Division of HCFA
Enterprise Standards, Room C2-26-17, 7500 Security Boulevard,
Baltimore, MD 21244-1850, Attn: Louis Blank BPD-884
Office of Information and Regulatory Affairs, Office of Management and
Budget, Room 10235, New Executive Office Building, Washington, DC
20503, Attn.: Allison Herron Eydt, HCFA Desk Officer
VII. Waiver of Proposed Rulemaking and Response to Comments
We ordinarily publish a notice of proposed rulemaking in the
Federal Register and invite prior public comment on proposed rules. The
notice of proposed rulemaking can be waived, however, if an agency
finds good cause that a notice-and-comment procedure is impracticable,
unnecessary, or contrary to the public interest and it incorporates a
statement of the finding and its reasons in the rule issued. We find
good cause to waive the notice-and-comment procedure with respect to a
number of provisions included in this final rule, as explained below.
With respect to the BBA 1997 provisions in this final rule
affecting payment under the RVU system, we noted that the BBA 1997 was
enacted shortly after the proposed rule was published. It delayed the
implementation of the resource-based practice expense RVU system until
January 1, 1999 and specifies the manner in which practice expense RVUs
in 1998 are adjusted. As explained in section III. A. of this preamble,
we are conforming the rules to be in compliance with these provisions
of the statute. Our change is technical in nature and does not
interpret the law. To submit such a technical, conforming change to
notice-and-comment rulemaking would be both impracticable and
unnecessary. Since the Congress intended that these provisions be
effective on January 1, 1998 and intended to forestall significant
adjustments in payment that would have occurred under the pre-amendment
practice expense provision, it is in the public interest to issue this
rule in final form.
With respect to the BBA 1997 provisions relating to coverage of
screening mammography, coverage of screening pelvic examinations and
colorectal cancer screening, and the related payment changes, our
reasoning is somewhat similar. This rule conforms the regulations to
the revisions contained in sections 4104 and 4102 of the BBA 1997. In
addition, insofar as these regulations relate to coverage conditions
under authority granted by section 1862(a)(1)(A) of the Act, they are
exempted from public comment requirements pursuant to section
1869(b)(3)(B) of the Act. If we were to delay issuing a final rule
beyond January, 1998, the statutory effective date of the benefit, our
rules would be in conflict with the statute, which could cause
confusion and would not be in the public interest.
We also note that, under express authority contained in section
1871(b)(2)(B) of the Act (42 U.S.C. 1395hh(b)(2)(B)) issuing a proposed
rule is unnecessary if a statute establishes a specific deadline for
the implementation of a provision and the deadline is less than 150
days after the enactment of the statute in which the deadline is
contained. The BBA 1997 was enacted on August 5, 1997, less than 150
days from the statute's effective date of January 1, 1998.
The BBA 1997 provision related to colorectal cancer screening, as
described in section III. C. of this preamble, requires us to publish a
statement of coverage or noncoverage of screening barium enemas in the
Federal Register by November 3, 1997. As noted in our preamble
discussion, there was extensive consultation before we reached our
decision. According to the National Cancer Institute, colorectal cancer
is the second leading cause of death from cancer in the United States.
It is clearly in the public interest to make this benefit available
without delay and to bring our regulations into line with the expanded
coverage.
In part IV. B. 2. of this preamble, we identify a number of interim
1997 codes. Since medical practice is dynamic, changes occur in coding
or procedures and it is always possible that some changes occur after
we have submitted our proposal for public comment. To address these
changes, we identify ``interim'' RVUs for new and revised codes. To the
extent possible, we subject these interim RVUs to all the procedures
and considerations applicable to all RVUs, except publishing them in
the Federal Register for public comment. It has been our practice to
implement these interim RVUs, along with the ``final'' RVUs so that
payment can be consistently made during the upcoming fee schedule year,
and to solicit comments on the interim codes. We evaluate and respond
to the comments in the next annual final rule. The public has
recognized over the years that this approach has been in the public
interest by allowing public participation yet permitting immediate,
consistent payment to be made.
For the above reasons, we find good cause to waive notice-and-
comment rulemaking. We invite written comments on the BBA 1997
provisions and the interim RVUs for selected procedures identified in
Addendum C.
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.
VIII. Regulatory Impact Analysis
We have examined the impacts of this final rule under Executive
Order (E.O.) 12866, the Unfunded Mandates Act of 1995, and the
Regulatory Flexibility Act. E.O. 12866 directs agencies to assess all
costs and benefits of available regulatory alternatives and, when
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety effects; distributive impacts and equity). A
regulatory impact analysis (RIA) must be prepared for major rules with
economically significant effects ($100 million or more annually). The
benefit changes in this final rule due to the BBA 1997 will result in
additional expenditures for calendar year 1998 in excess of $100
million.
Because the expenditures resulting from this final rule are
expected to exceed $100 million, it is considered a major rule, and, as
required by law, this final rule is subject to congressional review.
Therefore, this final rule is being forwarded to the Congress for a 60-
day review period.
The Unfunded Mandates Reform Act of 1995 also requires (in section
202) that agencies prepare an assessment of anticipated costs and
benefits for any rule that may result in an annual expenditure by
State, local, or tribal governments, in the aggregate, or by the
private sector, of $100 million. The final
[[Page 59094]]
rule has no consequential effect on State, local, or tribal
governments. We believe the private sector costs of this rule fall
below these thresholds, as well.
A. Regulatory Flexibility Act
Consistent with the provisions of the Regulatory Flexibility Act we
analyze options for regulatory relief for small businesses and other
small entities. We prepare a Regulatory Flexibility Analysis (RFA)
unless we certify that a rule will not have a significant economic
impact on a substantial number of small entities. The RFA is to include
a justification of why action is being taken, the kinds and number of
small entities the final rule will affect, and an explanation of any
considered meaningful options that achieve the objectives and will
lessen any significant adverse economic impact on the small entities.
For purposes of the Act, all physicians are considered to be small
entities. Thus, we have prepared the following analysis, which,
together with the rest of this preamble, meets all three assessment
requirements. It explains the rationale for and purposes of the rule,
details the costs and benefits of the rule, analyzes alternatives, and
presents the measures to minimize the burden on small entities.
B. Geographic Practice Cost Index Changes
Changes in GPCIs do not affect total payments under the physician
fee schedule but rather redistribute payments among payment localities.
An estimate of the overall redistributive effects can be seen by
examining the changes in locality geographic adjustment factors or
GAFs. The GAFs are a weighted composite of the locality GPCIs. Addendum
F is a comparison of 1997 and 1999 locality GAFs. As this comparison
shows, 58 of the 89 localities will experience changes in payments of
less than 0.5 percent; 76 of the 89 localities will experience changes
in payments of less than 1 percent; and only 3 of the 89 localities
will experience changes in payment of 2 percent. The effects will be
even less in 1998 as the GPCI revisions are phased in equally over a 2-
year period. The effects of the GPCI revisions are thus negligible in
most cases, and very minimal in all others.
C. Fee Schedule for Clinical Psychologist Services
Before January 1, 1997, the clinical psychologist fee schedule was
derived from the reasonable charge payment system and was updated by an
economic index different from that used for the physician fee schedule.
As a result, relative to physicians' services, Medicare allowances for
certain clinical psychologist services in many localities were
artificially high or low. Moreover, there were wide geographic
variations in Medicare rates for clinical psychologists as well as for
clinical social workers, whose rates are set, by statute, at 75 percent
of clinical psychologists' rates.
Effective January 1, 1997, the fee schedule for clinical
psychologist services is linked to the physician fee schedule. The fee
schedule for clinical psychologist services is set at 100 percent of
the physician fee schedule amount for the corresponding service. This
payment policy was prompted by the creation of new psychotherapy codes
that make a distinction between services that include or exclude
medical evaluation and management.
Both previous and current clinical psychologist fee schedules were
implemented through carrier instruction. Because this final rule will
codify current payment policy, there will be no impact on Medicare
program or beneficiary expenditures.
D. Diagnostic Tests
Our policy specifies the level of physician supervision required
for diagnostic tests furnished in settings in which such services are
payable under the physician fee schedule. All of these tests will
require at least a general level of physician supervision (that is,
responsibility for the equipment and nonphysician personnel). The
following services will be excepted from this provision:
Diagnostic mammography procedures regulated by the FDA.
Certain tests personally performed by qualified
audiologists as discussed earlier.
Certain testing services personally performed by qualified
independent psychologists and clinical psychologists as discussed
earlier.
This policy may result in some program savings due to the denial of
payments for tests that are not reasonable and necessary because the
required level of physician supervision was not furnished. However, we
do not have data on which to base an estimate of savings. We expect
that most testing entities that did not previously furnish testing with
the level of physician supervision required under the proposal in our
June 18, 1997 proposed rule (62 FR 33179 through 33181) will modify the
way they furnish testing services to conform to the new policy.
We will also create a new type of entity known as an independent
diagnostic testing facility (IDTF) with specific national standards. It
will replace the existing IPL. Since the current IPL national policy is
based on State law and local Medicare carrier policy, it is likely that
some IPLs in certain areas will be more affected by this proposal than
others. We do not have any data upon which to base any estimates of
savings at this time. There are wide-spread allegations of unnecessary
testing furnished by IPLs under the current policy. Our new policy is
designed to assist Medicare carriers in addressing these allegations.
E. Reasonable Compensation Equivalent Limit Update Factor
The methodology currently employed to update the physician fee
schedule uses an inflation factor distinct from the CPI-U used to
update the reasonable compensation equivalent limits. To achieve a
measure of consistency in the methodologies employed to determine
reasonable payments to physicians for physicians' direct medical and
surgical services furnished to individual patients and reasonable
compensation levels for physicians' services that benefit provider
patients generally, we are revising the methodology used to update the
reasonable compensation equivalent limits by adopting the physician fee
schedule's inflation factor (the MEI) to update the reasonable
compensation equivalent limits. For cost reporting periods beginning on
or after January 1, 1998, updates to the reasonable compensation
equivalent limits will be calculated using the MEI.
Because we are not making an actual update to the reasonable
compensation equivalent limits at this time that is based on the MEI
for cost reporting periods beginning on or after January 1, 1998, this
change in policy will not have an impact on Medicare program or
beneficiary expenditures at this time.
F. Payment to Participating and Nonparticipating Suppliers
We are revising the definitions at Sec. 414.2 (Definitions) to
define a ``participating supplier'' as being a supplier as defined in
Sec. 400.202, which includes physicians as suppliers, when they have an
agreement with HCFA to participate in Part B of Medicare in effect on
the date of the service. Similarly, we are defining ``nonparticipating
supplier'' as a supplier that does not have an agreement with HCFA to
participate in Part B of Medicare in effect on the date of the service.
We are also revising Sec. 414.20 (Formula for computing payment
amounts) to clarify that the formula in
[[Page 59095]]
the section computes the fee schedule amount, which may differ from the
payment basis, and to clarify that the fee schedule amount for a
nonparticipating supplier is 95 percent of the fee schedule amount for
a participating supplier. We are also revising the heading of
Sec. 414.20 to read ``Formula for computing fee schedule amounts'' to
reflect more accurately the content of the section.
We are revising Sec. 414.48 (Limits on actual charges of
nonparticipating suppliers), which describes the Medicare limiting
charge for nonparticipating suppliers to clarify that the limiting
charge is 115 percent of the fee schedule amount for nonparticipating
physicians as calculated in Sec. 414.20(b).
The changes to Secs. 414.2, 414.20, and 414.48 will have no impact
on Medicare payment, beneficiaries, physicians, other suppliers of
physician services, Medicare carriers, or other insurers. We believe
that Medicare carriers are currently properly calculating the fee
schedule amounts for participating and nonparticipating suppliers and
are paying based on those properly calculated amounts. These changes
are intended to conform our regulations to the law and current
practice.
G. Increase in Work Relative Value Units for Global Surgical Services
to Account for the 1997 Increases for Work Relative Value Units in
Evaluation and Management Services
In our November 22, 1996 final rule with comment period, as part of
the 5-year review of all physician work RVUs, we increased most of the
work RVUs for evaluation and management services for hospital and
office or other outpatient visits. We revised the work RVUs for
evaluation and management services partly in recognition of the
increase in preservice and postservice work. At that time, we made no
adjustments to the work RVUs assigned to global surgical services,
which, in addition to the surgical procedure, include the related
preservice and postservice evaluation and management visits a surgeon
provides within a defined period of time.
Upon further examination of this issue, we are increasing the work
RVUs for global surgical services to be consistent with the 1997
increases in the work RVUs for evaluation and management services.
Because the increases in the work RVUs for global surgical services
will cause an increase in payments for those services, we must reduce
all payments by 0.7 percent to maintain budget neutrality.
H. Caloric Vestibular Testing
We are reducing the work and malpractice RVUs for CPT code 92543
global service and CPT code 92543-26, and the malpractice RVUs for CPT
code 92543-TC to 25 percent of what they would otherwise be. Therefore,
beginning in 1998, when a physician performs and interprets four
irrigations, the physician will bill Medicare for four units of CPT
code 92543 (that is, the global service). When a physician interprets
four irrigations, the physician will bill four units of CPT code 92543-
26. When a physician or supplier performs four irrigations, the
physician or supplier will bill four units of CPT code 92543-TC.
As part of the overall policy of resource-based practice expense
RVUs for all codes, we are establishing practice expense RVUs for CPT
code 92543 global service, -26, and -TC based on the assumption that
one unit of the service equals one irrigation or the interpretation of
one irrigation.
We expect the changes to the RVUs for caloric vestibular testing to
have no impact on Medicare program or beneficiary expenditures because
this is actually a change in coding interpretation rather than a change
in value. Medicare has interpreted one unit of CPT code 92543 to mean
up to four irrigations and has established its RVUs based on that
interpretation. The AMA interprets one unit to mean one irrigation.
Therefore, when the usual service is furnished (that is, a total of
four irrigations--two to each ear), Medicare instructed physicians to
bill for that as one unit of service, while the AMA's instructions
considered it four. We are now, in a budget-neutral fashion, adopting
the AMA interpretation to reduce billing confusion regarding this code.
The change is being made by having what used to be one service--for
Medicare purposes--now equal four services, while at the same time
establishing the RVU levels at 25 percent of what they would have
otherwise been.
I. Clinical Consultations
The regulations set forth at Sec. 415.130 (Conditions for payment:
Physician pathology services), paragraph (b) (Clinical consultation
services), require that a clinical consultation meet four criteria
before it can be paid. One of these criteria is that the clinical
consultation must be requested by the patient's attending physician. We
have allowed a standing order policy to be used as a substitute for the
individual request by the patient's attending physician. However,
effective January 1, 1998, we will not accept a standing order as a
substitute for the individual request by the attending physician. We
will instruct the Medicare carriers to enforce Sec. 415.130(b) as it is
presently written.
The national allowed charges for CPT code 80500 (Clinical pathology
consultation; limited, without review of patient's history and medical
records) for 1996 are $5.6 million. Of this amount, 70 percent of total
allowed charges are from seven States. These are: Florida, Texas,
Oklahoma, Illinois, Kentucky, California, and Missouri. Florida
accounts for $2.5 million or 45 percent of the total.
We believe that the use of standing orders has clearly contributed
to increased payments for clinical consultations in Florida relative to
other States. We do not know the prevalence of standing orders in other
States but, generally, the data do not seem to indicate a widespread
problem.
J. Changes in Practice Expense Relative Value Units for 1998
As discussed earlier, section 4505 of the BBA 1997 specifies the
manner in which practice expense RVUs in 1998 are adjusted. The 1998
practice expense RVUs for certain services are reduced to 110 percent
of their work RVUs for the service. The reductions are used to increase
practice expense RVUs for office visits. We estimate that the aggregate
reduction in the practice expense RVUs for services subject to this 110
percent is about $330 million. (See section III. A. above for a
detailed explanation of the calculation of this provision of the BBA
1997.) Because these funds are used to increase the practice expense
RVUs for office visits, there is no change in total spending as a
result of this provision.
K. Coverage of Screening Mammography and Related Payment Changes
Section 4101 of the BBA 1997 provides for expanded coverage and
waiver of the Part B deductible for screening mammography services
furnished on or after January 1, 1998. Specifically, the revised
benefit will allow for annual coverage of screening mammographies for
all women age 40 and over, including women age 65 and over. Before
enactment of the BBA 1997, biennial coverage of screening mammograms
was available for (1) women at least age 40 but not yet age 50 who were
not at high risk for breast cancer, and (2) women age 65 and over.
Annual coverage of screening mammograms was only available for (1)
women at least age 40 but not yet age 50 who were at high risk for
breast
[[Page 59096]]
cancer, and (2) women at least age 50 but not yet age 65. We estimate
that these changes in the frequency limitations and in the Part B
deductible will result in an increase in Medicare payments. These
payments will be made to many screening mammography suppliers,
including the physicians who interpret the results of these
examinations, as well as to other physicians who may be involved in
providing any medically necessary follow-up tests or treatment that may
be required as a result of the screening tests.
L. Colorectal Cancer Screening
Section 4104 of the BBA 1997 authorizes coverage of certain
colorectal screening tests, effective January 1, 1998, subject to
certain frequency and payment limits. The new tests include (1)
screening fecal-occult blood tests, (2) screening flexible
sigmoidoscopy exams, (3) screening colonoscopy exams, and (4) screening
barium enema exams. Based on the projected utilization of these various
screening services and related medically necessary follow-up tests and
treatment that may be required for the beneficiaries screened, we
estimate that this new benefit will result in an increase in Medicare
payments. These payments will be made to many primary care physicians
for the screening fecal-occult blood tests, and mostly to physician
specialists such as gastroenterologists (in the case of screening
flexible sigmoidoscopies and screening colonoscopies) and radiologists
(in the case of screening barium enema procedures).
M. Coverage of Screening Pelvic Examination (Including a Clinical
Breast Examination) and Related Payment Changes
Effective for services furnished beginning January 1, 1998, section
4102 of the BBA 1997 provides for coverage and waiver of the Part B
deductible for screening pelvic examinations (including a clinical
breast examination) subject to certain frequency and payment
limitations. We estimate that this new coverage provision will increase
program expenditures. These payments will be made to a large number of
physicians and other practitioners who provide these tests or any
medically necessary follow-up tests or treatment that may be required
as a result of the screening tests throughout the United States.
N. Reinstatement of the Payment for Transportation of EKG Equipment
As set forth in section 4559 of the BBA 1997, effective for
services furnished after December 31, 1997 and before January 1, 1999,
carriers will make separate payments for HCPCS code R0076
(Transportation of portable EKG to facility or location, per patient)
based upon payment methods in effect for these services as of December
31, 1996. EKG transportation payments should be made at the carrier-
priced level that was in effect on December 31, 1996. The procedure
codes involved are CPT code 93000 (a 12-lead EKG with interpretation
and report) or CPT code 93005 (a 12-lead EKG, tracing only, without
interpretation and report). When multiple patients receive services at
the same site, the transportation payment amount must be prorated among
all patients seen. These payments may be made only under the following
circumstances:
The transportation service is furnished in connection with
standard EKG procedures furnished by approved suppliers of portable x-
ray services as set forth in section 2070.4.F. of the Medicare Carriers
Manual.
The transportation service is furnished in connection with
standard EKG procedures by an independent diagnostic testing facility
or an independent physiological laboratory under the condition set
forth in section 2070.1.G. of the Medicare Carriers Manual. We estimate
that this provision will result in some increase in program
expenditures.
O. Elimination of the Separate Budget-Neutrality Adjuster for the Work
Relative Value Units
As discussed in the November 22, 1996 final rule (61 FR 59532) for
the 1997 physician fee schedule, we intend to eliminate the separate
8.3 percent budget-neutrality adjustment to the work RVUs that resulted
from changes made during the 5-year review of work RVUs. We will
accomplish this by increasing the practice and malpractice expense RVUs
by 8.3 percent and reducing the CF by 8.3 percent. This allows us to
eliminate the separate adjuster while not changing the payment for any
service. However, due to the affects of the BBA 1997, we are postponing
the elimination of the separate budget neutrality adjustment until
1999.
P. Effect of Changes Resulting From Adjustments to Relative Value Units
Because the new RVUs cause an increase in total estimated payments
under the physician fee schedule, we must reduce payments by 0.8
percent in order to maintain budget neutrality as required by section
1848(c)(2)(B)(ii)(II) of the Act. This reduction in payments is being
implemented through a 0.8 percent reduction to the conversion factor.
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 0.1 percent, requiring an
offsetting 0.1 percent reduction in the CF to maintain budget
neutrality. This 0.1 percent reduction is included in the 0.8 percent
reduction described above.
We increased the Sustainable Growth Rate target for physician
spending by the anticipated 0.1 volume and intensity response. Because
we increased the target, if the anticipated volume and intensity
response does not occur, the Sustainable Growth Rate system will return
the 0.1 percent reduction to the CF in the form of higher future
updates.
Q. Net Impact of Relative Value Unit 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
to the estimated payments under the new RVUs.
2. Overall Fee Schedule Impact
As described above, we are making the budget neutrality adjustment
required for changes in relative value units through an adjustment to
the CF. In the discussion below of differential impacts by specialty,
we have incorporated the separate 0.8 percent downward adjustment on
the CF. The table below does not contain the impacts of the single CF.
3. Specialty Level Effect (Includes Table 3--Impact on Medicare
Payments by Specialty Due to Changes in Relative Value Units)
Table 3, ``Impact on Medicare Payments by Specialty Due to Changes
in Relative Value Units,'' shows the estimated percentage change in
Medicare physician fees from the current RVUs to the new RVUs and 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
[[Page 59097]]
than impact displayed in Table 3 since physicians provide services to
Medicare and non-Medicare patients.
Table 3.--Impact on Medicare Payments by Speciality Due to Changes in
Relative Value Units
[In percent]
------------------------------------------------------------------------
Impact on
Impact on Impact on practice
Specialty total work expense
payments payments payments
------------------------------------------------------------------------
M.D./D.O. Physicians:
Obstetrics/Gynecology........ 3.0 2.8 3.9
General Surgery.............. 1.8 3.8 -0.4
Plastic Surgery.............. 1.7 3.9 -0.6
Vascular Surgery............. 1.5 4.3 0.7
Rheumatology................. 1.4 -0.9 5.0
Family Practice.............. 1.3 -1.0 5.3
General Practice............. 1.2 -0.4 4.1
Anesthesiology............... 0.9 1.0 0.7
Hematology/Oncology.......... 0.8 -0.6 2.5
Orthopedic Surgery........... 0.8 4.0 -2.0
Internal Medicine............ 0.6 -0.9 3.0
Otolaryngology............... 0.6 0.3 1.1
Urology...................... 0.4 0.6 0.3
Dermatology.................. 0.2 -0.6 1.7
Neurology.................... 0.0 0.7 1.2
Clinics...................... -0.1 -0.3 0.2
Neurosurgery................. -0.2 3.2 -3.6
Thoracic Surgery............. -0.2 5.0 -4.7
All Other Physicians......... -0.2 -0.6 0.5
Pulmonary.................... -0.4 -0.8 0.4
Emergency Medicine........... -0.6 -0.7 -0.5
Psychiatry................... -0.7 -0.9 -0.4
Radiology.................... -0.7 -0.9 0.6
Cardiac Surgery.............. -0.7 5.4 -5.9
Radiation Oncology........... -0.7 -0.7 -0.7
Pathology.................... -1.1 -0.8 -1.5
Nephrology................... -1.2 -0.8 -1.9
Gastroenterology............. -1.3 -0.8 -2.0
Cardiology................... -1.4 -0.6 -2.3
Ophthalmology................ -2.6 1.6 -6.8
Others:
Podiatry..................... 0.8 0.5 1.4
Optometry.................... 0.1 -0.9 1.8
Nonphysician Practitioner.... -0.6 0.3 -2.2
Chiropractic................. -0.8 -0.8 -0.8
Suppliers.................... -1.0 -0.8 -1.1
------------------------------------------------------------------------
R. Five-Year Impacts of Benefit Changes (Includes Table 4--Projected
Budget Impact of New Benefits)
We estimate that the benefit changes enacted in the BBA 1997
described in this final rule will result in the following Medicare
expenditures over the next 5 fiscal years:
Table 4.--Projected Budget Impact of New Benefits
[In millions]
----------------------------------------------------------------------------------------------------------------
FY 1998 FY 1999 FY 2000 FY 2001 FY 2002
----------------------------------------------------------------------------------------------------------------
Total budget impact....................... $160 $385 $510 $685 $780
----------------------------------------------------------------------------------------------------------------
S. 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 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
[[Page 59098]]
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
regulation was reviewed by the Office of Management and Budget.
List of Subjects
42 CFR Part 400
Grant programs-health, Health facilities, Health maintenance
organizations (HMO), Medicaid, Medicare, Reporting and recordkeeping
requirements.
42 CFR Part 405
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medicare, Reporting and recordkeeping
requirements, Rural areas, X-rays.
42 CFR Part 410
Health facilities, Health professions, Kidney diseases,
Laboratories, Medicare, Rural areas, X-rays.
42 CFR Part 411
Kidney diseases, Medicare, Reporting and recordkeeping
requirements.
42 CFR Part 414
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medicare, Reporting and recordkeeping
requirements, Rural areas, X-rays.
42 CFR chapter IV is amended as set forth below:
PART 400--INTRODUCTION; DEFINITIONS
A. Part 400 is amended as set forth below:
1. The authority citation for part 400 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh), and 44 U.S.C. Chapter 35.
2. In Sec. 400.202, the introductory text is republished, and the
following definitions are added in alphabetical order:
Sec. 400.202 Definitions specific to Medicare.
As used in connection with the Medicare program, unless the context
indicates otherwise--
* * * * *
Nonparticipating supplier means a supplier that does not have an
agreement with HCFA to participate in Part B of Medicare in effect on
the date of the service.
Participating supplier means a supplier that has an agreement with
HCFA to participate in Part B of Medicare in effect on the date of the
service.
* * * * *
B. Part 405 is amended as set forth below:
PART 405--FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
Subpart E--Criteria for Determination of Reasonable Charges
1. The authority citation for part 405, subpart E, continues to
read as follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
Sec. 405.535 [Amended]
2. In Sec. 405.535(b), ``Sec. 414.48(b)(3)'' is removed and
``Sec. 414.48(b)'' is added in its place.
PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
C. Part 410 is amended as set forth below:
1. The authority citation for part 410 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh), unless otherwise indicated.
2. Section 410.32 is revised 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 is treating the beneficiary, that is, the
physician who furnishes a consultation or treats a beneficiary for a
specific medical problem and who uses the results in the management of
the beneficiary's specific medical problem. Tests not ordered by the
physician who is treating the beneficiary are not reasonable and
necessary (see Sec. 411.15(k)(1) of this chapter).
(1) Chiropractic 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.
(2) Mammography exception. A physician who meets the qualification
requirements for an interpreting physician under section 354 of the
Public Health Service Act as provided in Sec. 410.34(a)(7) may order a
diagnostic mammogram based on the findings of a screening mammogram
even though the physician does not treat the beneficiary.
(3) Application to nonphysician practitioners. Nonphysician
practitioners (that is, clinical nurse specialists, clinical
psychologists, clinical social workers, nurse-midwives, nurse
practitioners, and physician assistants) who furnish 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.
(b) Diagnostic x-ray and other diagnostic tests. (1) Basic rule.
Except as indicated in paragraph (b)(2) of this section, all diagnostic
x-ray and other diagnostic tests covered under section 1861(s)(3) of
the Act and payable under the physician fee schedule must be furnished
under the appropriate level of supervision by a physician as defined in
section 1861(r) of the Act. Services furnished without the required
level of supervision are not reasonable and necessary (see
Sec. 411.15(k)(1) of this chapter).
(2) Exceptions. The following diagnostic tests payable under the
physician fee schedule are excluded from the basic rule set forth in
paragraph (b)(1) of this section:
(i) Diagnostic mammography procedures, which are regulated by the
Food and Drug Administration.
(ii) Diagnostic tests personally furnished by a qualified
audiologist as defined in section 1861(ll)(3) of the Act.
(iii) Diagnostic psychological testing services personally
furnished by a clinical psychologist or a qualified independent
psychologist as defined in program instructions.
(iv) Diagnostic tests (as established through program instructions)
personally performed by a physical therapist who is certified by the
American Board of Physical Therapy Specialties as a qualified
electrophysiologic clinical specialist and permitted to provide the
service under State law.
(3) Levels of supervision. Except where otherwise indicated, all
diagnostic x-ray and other diagnostic tests subject to this provision
and payable under the physician fee schedule must be furnished under at
[[Page 59099]]
least a general level of physician supervision as defined in paragraph
(b)(3)(i) of this section. In addition, some of these tests also
require either direct or personal supervision as defined in paragraphs
(b)(3)(ii) or (b)(3)(iii) of this section, respectively. When direct or
personal supervision is required, physician supervision at the
specified level is required throughout the performance of the test.
(i) General supervision means the procedure is furnished under the
physician's overall direction and control, but the physician's presence
is not required during the performance of the procedure. Under general
supervision, the training of the nonphysician personnel who actually
perform the diagnostic procedure and the maintenance of the necessary
equipment and supplies are the continuing responsibility of the
physician.
(ii) Direct supervision in the office setting means the physician
must be present in the office suite and immediately available to
furnish assistance and direction throughout the performance of the
procedure. It does not mean that the physician must be present in the
room when the procedure is performed.
(iii) Personal supervision means a physician must be in attendance
in the room during the performance of the procedure.
(c) Portable x-ray services. Portable x-ray services furnished in a
place of residence used as the patient's home are covered if the
following conditions are met:
(1) These services are furnished under the general supervision of a
physician, as defined in paragraph (b)(3)(i) of this section.
(2) The supplier of these services meets the requirements set forth
in part 486, subpart C of this chapter, concerning conditions for
coverage for portable x-ray services.
(3) The procedures are limited to--
(i) Skeletal films involving the extremities, pelvis, vertebral
column, or skull;
(ii) Chest or abdominal films that do not involve the use of
contrast media; and
(iii) Diagnostic mammograms if the approved portable x-ray
supplier, as defined in subpart C of part 486 of this chapter, meets
the certification requirements of section 354 of the Public Health
Service Act, as implemented by 21 CFR part 900, subpart B.
(d) Diagnostic laboratory tests. Medicare Part B pays for covered
diagnostic laboratory tests that are furnished by any of the following:
(1) A participating hospital or participating RPCH.
(2) A nonparticipating hospital that meets the requirements for
emergency outpatient services specified in subpart G of part 424 of
this chapter and the laboratory requirements specified in part 493 of
this chapter.
(3) The office of the patient's attending or consulting physician
if that physician is a doctor of medicine, osteopathy, podiatric
medicine, dental surgery, or dental medicine.
(4) An RHC.
(5) A laboratory, if it meets the applicable requirements for
laboratories of part 493 of this chapter, including the laboratory of a
nonparticipating hospital that does not meet the requirements for
emergency outpatient services in subpart G of part 424 of this chapter.
(6) An FQHC.
3. New Sec. 410.33 is added to read as follows:
Sec. 410.33 Independent diagnostic testing facility.
(a) General rule. (1) Effective for diagnostic procedures performed
on or after July 1, 1998, carriers will pay for diagnostic procedures
under the physician fee schedule only when performed by a physician, a
group practice of physicians, an approved supplier of portable x-ray
services, or an independent diagnostic testing facility (IDTF). An IDTF
may be a fixed location, a mobile entity, or an individual nonphysician
practitioner. It is independent of a physician's office or hospital;
however, these rules apply when an IDTF furnishes diagnostic procedures
in a physician's office.
(2) Exceptions. The following diagnostic tests that are payable
under the physician fee schedule and furnished by a nonhospital testing
entity are not required to be furnished in accordance with the criteria
set forth in paragraphs (b) through (e) of this section:
(i) Diagnostic mammography procedures, which are regulated by the
Food and Drug Administration.
(ii) Diagnostic tests personally furnished by a qualified
audiologist as defined in section 1861(ll)(3) of the Act.
(iii) Diagnostic psychological testing services personally
furnished by a clinical psychologist or a qualified independent
psychologist as defined in program instructions.
(iv) Diagnostic tests (as established through program instructions)
personally performed by a physical therapist who is certified by the
American Board of Physical Therapy Specialties as a qualified
electrophysiologic clinical specialist and permitted to provide the
service under State law.
(b) Supervising physician. (1) An IDTF must have one or more
supervising physicians who are responsible for the direct and ongoing
oversight of the quality of the testing performed, the proper operation
and calibration of the equipment used to perform tests, and the
qualification of nonphysician personnel who use the equipment. This
level of supervision is that required for general supervision set forth
in Sec. 410.32(b)(3)(i).
(2) The supervising physician must evidence proficiency in the
performance and interpretation of each type of diagnostic procedure
performed by the IDTF. The proficiency may be documented by
certification in specific medical specialties or subspecialties or by
criteria established by the carrier for the service area in which the
IDTF is located. In the case of a procedure requiring the direct or
personal supervision of a physician as set forth in
Sec. 410.32(b)(3)(ii) or (b)(3)(iii), the IDTF's supervising physician
must personally furnish this level of supervision whether the procedure
is performed in the IDTF or, in the case of mobile services, at the
remote location. The IDTF must maintain documentation of sufficient
physician resources during all hours of operations to assure that the
required physician supervision is furnished. In the case of procedures
requiring direct supervision, the supervising physician may oversee
concurrent procedures.
(c) Nonphysician personnel. Any nonphysician personnel used by the
IDTF to perform tests must demonstrate the basic qualifications to
perform the tests in question and have training and proficiency as
evidenced by licensure or certification by the appropriate State health
or education department. In the absence of a State licensing board, the
technician must be certified by an appropriate national credentialing
body. The IDTF must maintain documentation available for review that
these requirements are met.
(d) Ordering of tests. All procedures performed by the IDTF must be
specifically ordered in writing by the physician who is treating the
beneficiary, that is, the physician who is 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. (Nonphysician practitioners may order tests as set forth in
Sec. 410.32(a)(3).) The order must specify the diagnosis or other basis
for
[[Page 59100]]
the testing. The supervising physician for the IDTF may not order tests
to be performed by the IDTF, unless the IDTF's supervising physician is
in fact the beneficiary's treating physician. That is, the physician in
question had a relationship with the beneficiary prior to the
performance of the testing and is treating the beneficiary for a
specific medical problem. The IDTF may not add any procedures based on
internal protocols without a written order from the treating physician.
(e) Multi-State entities. An IDTF that operates across State
boundaries must maintain documentation that its supervising physicians
and technicians are licensed and certified in each of the States in
which it is furnishing services.
(f) Applicability of State law. An IDTF must comply with the
applicable laws of any State in which it operates.
4. In Sec. 410.34, the introductory text to paragraph (d) and
paragraph (d)(4) are revised to read as follows:
Sec. 410.34 Mammography services: Conditions for and limitations on
coverage.
* * * * *
(d) Limitations on coverage of screening mammography services. The
following limitations apply to coverage of screening mammography
services as described in paragraphs (c) and (d) of this section:
* * * * *
(4) For an asymptomatic woman over 39 years of age, payment may be
made for a screening mammography performed after at least 11 months
have passed following the month in which the last screening mammography
was performed.
* * * * *
5. A new Sec. 410.37 is added to read as follows:
Sec. 410.37 Colorectal cancer screening tests: Conditions for and
limitations on coverage.
(a) Definitions. As used in this section, the following definitions
apply:
(1) Colorectal cancer screening tests means any of the following
procedures furnished to an individual for the purpose of early
detection of colorectal cancer:
(i) Screening fecal-occult blood tests.
(ii) Screening flexible sigmoidoscopies.
(iii) In the case of an individual at high risk for colorectal
cancer, screening colonoscopies.
(iv) Screening barium enemas.
(v) Other tests or procedures, and modifications to tests under
this paragraph, with such frequency and payment limits as HCFA
determines appropriate, in consultation with appropriate organizations.
(2) Screening fecal-occult blood test means a guaiac-based test for
peroxidase activity, testing two samples from each of three consecutive
stools.
(3) An individual at high risk for colorectal cancer means an
individual with--
(i) A close relative (sibling, parent, or child) who has had
colorectal cancer or an adenomatous polyp;
(ii) A family history of familial adenomatous polyposis;
(iii) A family history of hereditary nonpolyposis colorectal
cancer;
(iv) A personal history of adenomatous polyps; or
(v) A personal history of colorectal cancer; or
(vi) Inflammatory bowel disease, including Crohn's Disease, and
ulcerative colitis.
(4) Screening barium enema means--
(i) A screening double contrast barium enema of the entire
colorectum (including a physician's interpretation of the results of
the procedure); or
(ii) In the case of an individual whose attending physician decides
that he or she cannot tolerate a screening double contrast barium
enema, a screening single contrast barium enema of the entire
colorectum (including a physician's interpretation of the results of
the procedure).
(5) An attending physician for purposes of this provision is a
doctor of medicine or osteopathy (as defined in section 1861(r)(1) of
the Act) who is fully knowledgeable about the beneficiary's medical
condition, and who would be responsible using the results of any
examination performed in the overall management of the beneficiary's
specific medical problem.
(b) Condition for coverage of screening fecal-occult blood tests.
Medicare Part B pays for a screening fecal-occult blood test if it is
ordered in writing by the beneficiary's attending physician.
(c) Limitations on coverage of screening fecal-occult blood tests.
(1) Payment may not be made for a screening fecal-occult blood test
performed for an individual under age 50.
(2) For an individual 50 years of age or over, payment may be made
for a screening fecal-occult blood test performed after at least 11
months have passed following the month in which the last screening
fecal-occult blood test was performed.
(d) Condition for coverage of screening flexible sigmoidoscopies.
Medicare Part B pays for a screening flexible sigmoidoscopy service if
it is performed by a doctor of medicine or osteopathy (as defined in
section 1861(r)(1) of the Act).
(e) Limitations on coverage of screening flexible sigmoidoscopies.
(1) Payment may not be made for a screening flexible sigmoidoscopy
performed for an individual under age 50.
(2) For an individual 50 years of age or over, payment may be made
for a screening flexible sigmoidoscopy after at least 47 months have
passed following the month in which the last screening flexible
sigmoidoscopy or, as provided in paragraphs (h) and (i) of this
section, the last screening barium enema was performed.
(f) Condition for coverage of screening colonoscopies. Medicare
Part B pays for a screening colonoscopy if it is performed by a doctor
of medicine or osteopathy (as defined in section 1861(r)(1) of the
Act).
(g) Limitations on coverage of screening colonoscopies. (1) Payment
may not be made for a screening colonoscopy for an individual who is
not at high risk for colorectal cancer as described in paragraph (a)(3)
of this section.
(2) Payment may be made for a screening colonoscopy performed for
an individual who is at high risk for colorectal cancer as described in
paragraph (a)(3) of this section, after at least 23 months have passed
following the month in which the last screening colonoscopy was
performed, or as provided in paragraphs (h) and (i) of this section,
the last screening barium enema was performed.
(h) Conditions for coverage of screening barium enemas. Medicare
Part B pays for a screening barium enema if it is ordered in writing by
the beneficiary's attending physician.
(i) Limitations on coverage of screening barium enemas.
(1) In the case of an individual age 50 or over who is not at high
risk of colorectal cancer, payment may be made for a screening barium
enema examination performed after at least 47 months have passed
following the month in which the last screening barium enema or
screening flexible sigmoidoscopy was performed.
(2) In the case of an individual who is at high risk for colorectal
cancer, payment may be made for a screening barium enema examination
performed after at least 23 months have passed following the month in
which the last screening barium enema or the last screening colonoscopy
was performed.
6. A new Sec. 410.56 is added to read as follows:
[[Page 59101]]
Sec. 410.56 Screening pelvic examinations.
(a) Conditions for screening pelvic examinations. Medicare Part B
pays for a screening pelvic examination (including a clinical breast
examination) if it is performed by a doctor of medicine or osteopathy
(as defined in section 1861(r)(1) of the Act), or by a certified nurse
midwife (as defined in section 1861(gg) of the Act), or a physician
assistant, nurse practitioner, or clinic nurse specialist (as defined
in section 1861(aa) of the Act) who is authorized under State law to
perform the examination.
(b) Limits on coverage of screening pelvic examinations. The
following limitations apply to coverage of screening pelvic examination
services:
(1) General rule. Except as specified in paragraphs (b)(2) and
(b)(3) of this section, payment may be made for a pelvic examination
performed on an asymptomatic woman only if the individual has not had a
pelvic examination paid for by Medicare during the preceding 35 months
following the month in which her last Medicare-covered screening pelvic
examination was performed and found to be normal.
(2) More frequent screening based on high-risk factors. Subject to
the limitation as specified in paragraph (b)(4) of this section,
payment may be made for a screening pelvic examination performed more
frequently than once every 36 months if the test is performed by a
physician or other practitioner specified in paragraph (a) of this
section, and there is evidence that the woman is at high risk (on the
basis of her medical history or other findings) of developing cervical
cancer, or vaginal cancer, as determined in accordance with the
following risk factors:
(i) High risk factors for cervical cancer:
(A) Early onset of sexual activity (under 16 years of age).
(B) Multiple sexual partners (five or more in a lifetime).
(C) History of a sexually transmitted disease (including HIV
infection).
(D) Absence of three negative or any Pap smears within the previous
7 years.
(ii) High risk factor for vaginal cancer: DES (diethylstilbestrol)-
exposed daughters of women who took DES during pregnancy.
(3) More frequent screening for women of childbearing age. Subject
to the limitation as specified in paragraph (b)(4) of this section,
payment may be made for a screening pelvic examination performed more
frequently than once every 36 months if the test is performed by a
physician or other practitioner as specified in paragraph (a) of this
section for a woman of childbearing age who has had such an examination
that indicated the presence of cervical or vaginal cancer or other
abnormality during any of the preceding 3 years. The term ``woman of
childbearing age'' means a woman who is premenopausal, and has been
determined by a physician, or qualified practitioner as specified in
paragraph (a) of this section, to be of childbearing age, based on her
medical history or other findings.
(4) Limitation applicable to women at high risk and those of
childbearing age. Payment is not made for a screening pelvic
examination for women considered to be at high risk (under any of the
criteria described in paragraph (b)(2) of this section), or who qualify
for coverage under the childbearing provision (under the criteria
described in paragraph (b)(3) of this section) more frequently than
once every 11 months after the month that the last screening pelvic
examination covered by Medicare was performed and found to be normal.
7. In Sec. 410.160, the introductory text to paragraph (b) is
republished, and new paragraphs (b)(5) and (b)(6) are added to read as
follows:
Sec. 410.160 Part B annual deductible.
* * * * *
(b) Exceptions. Expenses incurred for the following services are
not subject to the Part B annual deductible and do not count toward
meeting that deductible:
* * * * *
(5) Screening mammography services as described in Sec. 410.34 (c)
and (d).
(6) Screening pelvic examinations as described in Sec. 410.56.
* * * * *
PART 411--EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE
PAYMENT
D. Part 411 is amended as set forth below:
1. The authority citation for part 411 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. In Sec. 411.15 the introductory text to the section and to
paragraph (a) is republished, paragraph (a)(1) is revised, the
introductory text to paragraph (k) is republished, and new paragraphs
(k)(6), (k)(7), and (k)(8) are added to read as follows:
Sec. 411.15 Particular services excluded from coverage.
The following services are excluded from coverage.
(a) Routine physical checkups such as--
(1) Examinations performed for a purpose other than treatment or
diagnosis of a specific illness, symptom, complaint, or injury, except
for screening mammography, colorectal cancer screening tests, or
screening pelvic examinations that meet the criteria specified in
paragraphs (k)(6), (k)(7), and (k)(8) of this section.
* * * * *
(k) Any services that are not reasonable and necessary for one of
the following purposes:
* * * * *
(6) In the case of screening mammography, for the purpose of early
detection of breast cancer subject to the conditions and limitations
specified in Sec. 410.34 of this chapter.
(7) In the case of colorectal cancer screening tests, for the
purpose of early detection of colorectal cancer subject to the
conditions and limitations specified in Sec. 410.37 of this chapter.
(8) In the case of screening pelvic examinations, for the purpose
of early detection of cervical or vaginal cancer subject to the
conditions and limitations specified in Sec. 410.56 of this chapter.
* * * * *
PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
E. Part 414 is amended as set forth below:
1. The authority citation for part 414 continues to read as
follows:
Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social
Security Act (42 U.S.C. 1302, 1395hh, and 1395rr(b)(1)).
2. Section 414.20 is revised to read as follows:
Sec. 414.20 Formula for computing fee schedule amounts.
(a) Participating supplier. The fee schedule amount for a
participating supplier for a physician service as defined in Sec. 414.2
is computed as the product of the following amounts:
(1) The RVUs for the service.
(2) The GAF for the fee schedule area.
(3) The CF.
(b) Nonparticipating supplier. The fee schedule amount for a
nonparticipating supplier for a physician service as defined in
Sec. 414.2 is 95 percent of the fee schedule amount as calculated in
paragraph (a) of this section.
3. A new Sec. 414.21 is added to read as follows:
Sec. 414.21 Medicare payment basis.
Medicare payment is based on the lesser of the actual charge or the
applicable fee schedule amount.
[[Page 59102]]
4. In Sec. 414.22, the introductory text to the section and to
paragraph (b) is republished, and new paragraph (b)(4) is added to read
as follows:
Sec. 414.22 Relative value units (RVUs).
HCFA establishes RVUs for physician work, physician practice
expense, and malpractice insurance.
* * * * *
(b) Practice expense RVUs. * * *
(4) For services furnished beginning January 1, 1998, practice
expense RVUs for certain services are reduced to 110 percent of the
work RVUs for those services. The following two categories of services
are excluded from this limitation:
(i) The service is provided more than 75 percent of the time in an
office setting; or
(ii) The service is one described in section 1848(c)(2)(G)(v) of
the Act, codified at 42 U.S.C. 1395w-4(c)(2)(G). Section
1848(c)(2)(G)(v) of the Act refers to the 1998 proposed resource-based
practice expense RVUs (as specified in the June 18, 1997 physician fee
schedule proposed rule (62 FR 33158)) for the specific site, either in-
office or out-of-office, increased from its 1997 practice expense
RVUs.)
* * * * *
5. In Sec. 414.32, paragraph (b) is revised to read as follows:
Sec. 414.32 Determining payments for certain physician services
furnished in facility settings.
* * * * *
(b) General rule. If physician services of the type routinely
furnished in a physician's office are furnished in facility settings,
the fee schedule amount for those services is determined by reducing
the applicable practice expense RVUs for the service by 50 percent.
* * * * *
6. In Sec. 414.48, paragraph (b) is revised to read as follows:
Sec. 414.48 Limits on actual charges of nonparticipating suppliers.
* * * * *
(b) Specific limits. For items or services paid under the physician
fee schedule, the limiting charge is 115 percent of the fee schedule
amount for nonparticipating suppliers. For items or services HCFA
excludes from payment under the physician fee schedule (in accordance
with section 1848 (j)(3) of the Act), the limiting charge is 115
percent of 95 percent of the payment basis applicable to participating
suppliers as calculated in Sec. 414.20(b).
7. Section 414.62 is added to read as follows:
Sec. 414.62 Fee schedule for clinical psychologist services.
The fee schedule for clinical psychologist services is set at 100
percent of the amount determined for corresponding services under the
physician fee schedule.
(Catalog of Federal Domestic Assistance Program No. 93.774,
Medicare--Supplementary Medical Insurance Program)
Dated: October 23, 1997.
Nancy-Ann Min DeParle,
Deputy Administrator, Health Care Financing Administration.
Dated: October 27, 1997.
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 G
The addenda on the following pages provide various data pertaining
to the Medicare fee schedule for physician services furnished in 1998.
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.
Addendum D contains the 1999 GPCIs by Medicare carrier and
locality. Addendum E contains the 1998 GPCIs by Medicare carrier and
locality. Addendum F contains the 1999 versus 1997 geographic
adjustment factor by 1998 fee schedule area. Addendum G contains
counties included in 1998 localities (listed alphabetically by State
and locality name within the State).
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
1998 listed in Addendum E of this final rule. In applying the formula,
use the CF of $36.6873. The work adjuster for 1998 is 0.917.
Addendum B--1998 Relative Value Units and Related Information Used in
Determining Medicare Payments for 1998
This addendum contains the following information for each CPT code
and alphanumeric HCPCS code, except for alphanumeric codes beginning
with B (enteral and parenteral therapy), E (durable medical equipment),
K (temporary codes for nonphysician services or items), or L
(orthotics), and codes for anesthesiology.
1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for
the service. Alphanumeric HCPCS codes are included at the end of this
addendum.
2. Modifier. A modifier is shown if there is a technical component
(modifier TC) and a professional component (PC) (modifier -26) for the
service. If there is a PC and a TC for the service, Addendum B contains
three entries for the code: One for the global values (both
professional and technical); one for modifier -26 (PC); and one for
modifier TC. The global service is not designated by a modifier, and
physicians must bill using the code without a modifier if the physician
furnishes both the PC and the TC of the service.
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.
[[Page 59103]]
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 1998. 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 1998.
7. Malpractice expense RVUs. These are the RVUs for the malpractice
expense for the service for 1998.
8. Total RVUs. This is the sum of the work, practice expense, and
malpractice expense RVUs for 1998.
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 1998
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.
\4\ * Work RVUs increased in global surgical
package.
\5\ # Indicates reduction of Practice Expense RVUs as result of 110% PE
reduction.
[[Page 59103]]
Addendum B.--Relative Value Units (RVUs) and Related Information
--------------------------------------------------------------------------------------------------------------------------------------------------------
Non-
Physician facility Facility Mal- Non-
CPT \1\/ MOD Status Description work RVUs practice practice practice facility Facility Global
HCPCS \3\ \4\ expense expense RVUs total total
\2\ RVUs \5\ RVUs \5\
--------------------------------------------------------------------------------------------------------------------------------------------------------
10040... .................. A Acne surgery of skin *1.18 0.32 0.32 0.03 1.53 1.53 010
abscess.
10060... .................. A Drainage of skin abscess *1.17 0.44 0.44 0.04 1.65 1.65 010
10061... .................. A Drainage of skin abscess *2.40 0.64 0.64 0.06 3.10 3.10 010
10080... .................. A Drainage of pilonidal *1.17 0.50 0.50 0.05 1.72 1.72 010
cyst.
10081... .................. A Drainage of pilonidal *2.45 1.11 1.11 0.16 3.72 3.72 010
cyst.
10120... .................. A Remove foreign body..... *1.22 0.46 0.46 0.05 1.73 1.73 010
10121... .................. A Remove foreign body..... *2.69 1.00 1.00 0.12 3.81 3.81 010
10140... .................. A Drainage of hematoma/ *1.53 0.48 0.48 0.05 2.06 2.06 010
fluid.
10160... .................. A Puncture drainage of *1.20 0.38 0.38 0.05 1.63 1.63 010
lesion.
10180... .................. A Complex drainage, wound. *2.25 1.05 1.05 0.18 3.48 3.48 010
11000... .................. A Debride infected skin... 0.60 0.40 0.40 0.04 1.04 1.04 000
11001... .................. A Debride infect skin add. 0.30 0.26 0.26 0.02 0.58 0.58 ZZZ
11010... .................. A Debride skin, fx........ *4.20 3.96 3.96 0.65 8.81 8.81 010
11011... .................. A Debride skin/muscle, fx. 4.95 4.72 4.72 0.77 10.44 10.44 000
11012... .................. A Debride skin/muscle/ 6.88 6.56 6.56 1.07 14.51 14.51 000
bone, fx.
11040... .................. A Debride skin partial.... 0.50 0.40 0.40 0.04 0.94 0.94 000
11041... .................. A Debride skin full....... 0.82 0.56 0.56 0.06 1.44 1.44 000
11042... .................. A Debride skin/tissue..... 1.12 0.65 0.65 0.08 1.85 1.85 000
11043... .................. A Debride tissue/muscle... *2.38 1.81 1.81 0.34 4.53 4.53 010
11044... .................. A Debride tissue/muscle/ *3.06 2.82 2.82 0.49 6.37 6.37 010
bone.
11050... .................. D Trim skin lesion........ 0.00 0.00 0.00 0.00 0.00 0.00 000
11051... .................. D Trim 2 to 4 skin lesions 0.00 0.00 0.00 0.00 0.00 0.00 000
11052... .................. D Trim over 4 skin lesions 0.00 0.00 0.00 0.00 0.00 0.00 000
11055... .................. R Trim skin lesion........ 0.27 0.19 0.19 0.01 0.47 0.47 000
11056... .................. R Trim 2 to 4 skin lesions 0.39 0.26 0.26 0.02 0.67 0.67 000
11057... .................. R Trim over 4 skin lesions 0.50 0.21 0.21 0.02 0.73 0.73 000
11100... .................. A Biopsy of skin lesion... 0.81 0.51 0.51 0.04 1.36 1.36 000
11101... .................. A Biopsy, each added 0.41 0.29 0.29 0.02 0.72 0.72 ZZZ
lesion.
11200... .................. A Removal of skin tags.... *0.77 0.43 0.43 0.04 1.24 1.24 010
11201... .................. A Removal of added skin 0.29 0.17 0.17 0.02 0.48 0.48 ZZZ
tags.
11300... .................. A Shave skin lesion....... 0.51 0.53 0.53 0.05 1.09 1.09 000
11301... .................. A Shave skin lesion....... 0.85 0.67 0.67 0.06 1.58 1.58 000
11302... .................. A Shave skin lesion....... 1.05 0.89 0.89 0.09 2.03 2.03 000
11303... .................. A Shave skin lesion....... 1.24 1.36 1.36 0.17 2.77 2.77 000
11305... .................. A Shave skin lesion....... 0.67 0.52 0.52 0.05 1.24 1.24 000
[[Page 59104]]
11306... .................. A Shave skin lesion....... 0.99 0.71 0.71 0.07 1.77 1.77 000
11307... .................. A Shave skin lesion....... 1.14 0.94 0.94 0.10 2.18 2.18 000
11308... .................. A Shave skin lesion....... 1.41 1.40 1.40 0.17 2.98 2.98 000
11310... .................. A Shave skin lesion....... 0.73 0.69 0.69 0.06 1.48 1.48 000
11311... .................. A Shave skin lesion....... 1.05 0.85 0.85 0.08 1.98 1.98 000
11312... .................. A Shave skin lesion....... 1.20 1.12 1.12 0.11 2.43 2.43 000
11313... .................. A Shave skin lesion....... 1.62 1.49 1.49 0.15 3.26 3.26 000
11400... .................. A Removal of skin lesion.. *0.91 0.53 0.53 0.05 1.49 1.49 010
11401... .................. A Removal of skin lesion.. *1.32 0.67 0.67 0.06 2.05 2.05 010
11402... .................. A Removal of skin lesion.. *1.61 0.89 0.89 0.09 2.59 2.59 010
11403... .................. A Removal of skin lesion.. *1.92 1.17 1.17 0.13 3.22 3.22 010
11404... .................. A Removal of skin lesion.. *2.20 1.38 1.38 0.17 3.75 3.75 010
11406... .................. A Removal of skin lesion.. *2.76 1.88 1.88 0.33 4.97 4.97 010
11420... .................. A Removal of skin lesion.. *1.06 0.52 0.52 0.05 1.63 1.63 010
11421... .................. A Removal of skin lesion.. *1.53 0.71 0.71 0.07 2.31 2.31 010
11422... .................. A Removal of skin lesion.. *1.76 0.94 0.94 0.10 2.80 2.80 010
11423... .................. A Removal of skin lesion.. *2.17 1.31 1.31 0.15 3.63 3.63 010
11424... .................. A Removal of skin lesion.. *2.62 1.39 1.39 0.16 4.17 4.17 010
11426... .................. A Removal of skin lesion.. *3.78 1.83 1.83 0.29 5.90 5.90 010
11440... .................. A Removal of skin lesion.. *1.15 0.69 0.69 0.06 1.90 1.90 010
11441... .................. A Removal of skin lesion.. *1.61 0.85 0.85 0.08 2.54 2.54 010
11442... .................. A Removal of skin lesion.. *1.87 1.12 1.12 0.11 3.10 3.10 010
11443... .................. A Removal of skin lesion.. *2.49 1.45 1.45 0.15 4.09 4.09 010
11444... .................. A Removal of skin lesion.. *3.42 1.47 1.47 0.14 5.03 5.03 010
11446... .................. A Removal of skin lesion.. *4.49 1.78 1.78 0.18 6.45 6.45 010
11450... .................. A Removal, sweat gland *2.73 2.68 2.68 0.44 5.85 5.85 090
lesion.
11451... .................. A Removal, sweat gland *3.95 2.90 2.90 0.46 7.31 7.31 090
lesion.
11462... .................. A Removal, sweat gland *2.51 2.41 2.41 0.36 5.28 5.28 090
lesion.
11463... .................. A Removal, sweat gland *3.95 2.00 2.00 0.34 6.29 6.29 090
lesion.
11470... .................. A Removal, sweat gland *3.25 2.78 2.78 0.45 6.48 6.48 090
lesion.
11471... .................. A Removal, sweat gland *4.41 2.46 2.46 0.48 7.35 7.35 090
lesion.
11600... .................. A Removal of skin lesion.. *1.41 1.13 1.13 0.10 2.64 2.64 010
11601... .................. A Removal of skin lesion.. *1.93 1.39 1.39 0.12 3.44 3.44 010
11602... .................. A Removal of skin lesion.. *2.09 1.82 1.82 0.16 4.07 4.07 010
11603... .................. A Removal of skin lesion.. *2.35 2.25 2.25 0.21 4.81 4.81 010
11604... .................. A Removal of skin lesion.. *2.58 2.59 2.59 0.26 5.43 5.43 010
11606... .................. A Removal of skin lesion.. *3.43 3.11 3.11 0.49 7.03 7.03 010
11620... .................. A Removal of skin lesion.. *1.34 1.34 1.34 0.12 2.80 2.80 010
11621... .................. A Removal of skin lesion.. *1.97 1.75 1.75 0.16 3.88 3.88 010
11622... .................. A Removal of skin lesion.. *2.34 2.20 2.20 0.19 4.73 4.73 010
11623... .................. A Removal of skin lesion.. *2.93 2.58 2.58 0.25 5.76 5.76 010
11624... .................. A Removal of skin lesion.. *3.43 3.21 3.21 0.32 6.96 6.96 010
11626... .................. A Removal of skin lesion.. *4.30 3.41 3.41 0.51 8.22 8.22 010
11640... .................. A Removal of skin lesion.. *1.53 1.65 1.65 0.15 3.33 3.33 010
11641... .................. A Removal of skin lesion.. *2.44 2.09 2.09 0.18 4.71 4.71 010
11642... .................. A Removal of skin lesion.. *2.93 2.57 2.57 0.23 5.73 5.73 010
11643... .................. A Removal of skin lesion.. *3.50 3.01 3.01 0.28 6.79 6.79 010
11644... .................. A Removal of skin lesion.. *4.55 3.51 3.51 0.33 8.39 8.39 010
11646... .................. A Removal of skin lesion.. *5.95 4.32 4.32 0.60 10.87 10.87 010
11719... .................. R Trim nail(s)............ 0.06 0.18 #0.07 0.01 0.25 0.14 000
11720... .................. A Debride nail, 1-5....... 0.32 0.32 0.32 0.03 0.67 0.67 000
11721... .................. A Debride nail, 6 or more. 0.54 0.54 0.54 0.05 1.13 1.13 000
11730... .................. A Removal of nail plate... 1.13 0.45 0.45 0.04 1.62 1.62 000
11731... .................. A Removal of second nail 0.57 0.51 0.51 0.05 1.13 1.13 ZZZ
plate.
11732... .................. A Remove additional nail 0.57 0.25 0.25 0.02 0.84 0.84 ZZZ
plate.
11740... .................. A Drain blood from under 0.37 0.39 0.39 0.04 0.80 0.80 000
nail.
11750... .................. A Removal of nail bed..... *1.86 2.10 2.10 0.19 4.15 4.15 010
11752... .................. A Remove nail bed/finger *2.67 2.82 2.82 0.36 5.85 5.85 010
tip.
11755... .................. A Biopsy, nail unit....... 1.31 0.99 0.99 0.12 2.42 2.42 000
11760... .................. A Reconstruction of nail *1.58 0.93 0.93 0.09 2.60 2.60 010
bed.
11762... .................. A Reconstruction of nail *2.89 2.57 2.57 0.24 5.70 5.70 010
bed.
11765... .................. A Excision of nail fold, *0.69 0.51 0.51 0.05 1.25 1.25 010
toe.
11770... .................. A Removal of pilonidal *2.61 2.67 2.67 0.44 5.72 5.72 010
lesion.
11771... .................. A Removal of pilonidal *5.74 4.52 4.52 0.92 11.18 11.18 090
lesion.
11772... .................. A Removal of pilonidal *6.98 4.82 4.82 1.01 12.81 12.81 090
lesion.
11900... .................. A Injection into skin 0.52 0.25 0.25 0.02 0.79 0.79 000
lesions.
11901... .................. A Added skin lesions 0.80 0.41 0.41 0.03 1.24 1.24 000
injection.
11920... .................. R Correct skin color 1.61 1.18 1.18 0.23 3.02 3.02 000
defects.
11921... .................. R Correct skin color 1.93 1.40 1.40 0.28 3.61 3.61 000
defects.
11922... .................. R Correct skin color 0.49 0.36 0.36 0.07 0.92 0.92 ZZZ
defects.
11950... .................. R Therapy for contour 0.84 1.19 1.19 0.11 2.14 2.14 000
defects.
11951... .................. R Therapy for contour 1.19 1.19 1.19 0.11 2.49 2.49 000
defects.
11952... .................. R Therapy for contour 1.69 1.19 1.19 0.11 2.99 2.99 000
defects.
11954... .................. R Therapy for contour 1.85 1.19 1.19 0.11 3.15 3.15 000
defects.
[[Page 59105]]
11960... .................. A Insert tissue *9.08 7.73 7.73 1.48 18.29 18.29 090
expander(s).
11970... .................. A Replace tissue expander. *7.06 #7.77 #7.77 1.61 16.44 16.44 090
11971... .................. A Remove tissue *2.13 2.30 2.30 0.82 5.25 5.25 090
expander(s).
11975... .................. N Insert contraceptive cap +1.48 1.06 1.06 0.25 2.79 2.79 XXX
11976... .................. R Removal of contraceptive 1.78 1.28 1.28 0.30 3.36 3.36 XXX
cap.
11977... .................. N Removal/reinsert contra +3.30 2.36 2.36 0.55 6.21 6.21 XXX
cap.
12001... .................. A Repair superficial *1.70 0.57 0.57 0.05 2.32 2.32 010
wound(s).
12002... .................. A Repair superficial *1.86 0.79 0.79 0.07 2.72 2.72 010
wound(s).
12004... .................. A Repair superficial *2.24 1.14 1.14 0.10 3.48 3.48 010
wound(s).
12005... .................. A Repair superficial *2.86 1.47 1.47 0.14 4.47 4.47 010
wound(s).
12006... .................. A Repair superficial *3.67 1.78 1.78 0.19 5.64 5.64 010
wound(s).
12007... .................. A Repair superficial *4.12 1.80 1.80 0.19 6.11 6.11 010
wound(s).
12011... .................. A Repair superficial *1.76 0.74 0.74 0.06 2.56 2.56 010
wound(s).
12013... .................. A Repair superficial *1.99 1.03 1.03 0.08 3.10 3.10 010
wound(s).
12014... .................. A Repair superficial *2.46 1.19 1.19 0.10 3.75 3.75 010
wound(s).
12015... .................. A Repair superficial *3.19 1.62 1.62 0.14 4.95 4.95 010
wound(s).
12016... .................. A Repair superficial *3.93 2.26 2.26 0.19 6.38 6.38 010
wound(s).
12017... .................. A Repair superficial *4.71 3.36 3.36 0.31 8.38 8.38 010
wound(s).
12018... .................. A Repair superficial *5.53 5.15 5.15 0.48 11.16 11.16 010
wound(s).
12020... .................. A Closure of split wound.. *2.62 1.19 1.19 0.18 3.99 3.99 010
12021... .................. A Closure of split wound.. *1.84 0.62 0.62 0.11 2.57 2.57 010
12031... .................. A Layer closure of *2.15 0.72 0.72 0.07 2.94 2.94 010
wound(s).
12032... .................. A Layer closure of *2.47 1.05 1.05 0.10 3.62 3.62 010
wound(s).
12034... .................. A Layer closure of *2.92 1.47 1.47 0.15 4.54 4.54 010
wound(s).
12035... .................. A Layer closure of *3.43 1.92 1.92 0.23 5.58 5.58 010
wound(s).
12036... .................. A Layer closure of *4.05 2.32 2.32 0.37 6.74 6.74 010
wound(s).
12037... .................. A Layer closure of *4.67 3.09 3.09 0.48 8.24 8.24 010
wound(s).
12041... .................. A Layer closure of *2.37 0.84 0.84 0.08 3.29 3.29 010
wound(s).
12042... .................. A Layer closure of *2.74 1.17 1.17 0.12 4.03 4.03 010
wound(s).
12044... .................. A Layer closure of *3.14 1.62 1.62 0.17 4.93 4.93 010
wound(s).
12045... .................. A Layer closure of *3.64 2.13 2.13 0.23 6.00 6.00 010
wound(s).
12046... .................. A Layer closure of *4.25 2.82 2.82 0.37 7.44 7.44 010
wound(s).
12047... .................. A Layer closure of *4.65 4.02 4.02 0.56 9.23 9.23 010
wound(s).
12051... .................. A Layer closure of *2.47 1.01 1.01 0.10 3.58 3.58 010
wound(s).
12052... .................. A Layer closure of *2.77 1.47 1.47 0.14 4.38 4.38 010
wound(s).
12053... .................. A Layer closure of *3.12 1.76 1.76 0.17 5.05 5.05 010
wound(s).
12054... .................. A Layer closure of *3.46 2.60 2.60 0.25 6.31 6.31 010
wound(s).
12055... .................. A Layer closure of *4.43 3.24 3.24 0.37 8.04 8.04 010
wound(s).
12056... .................. A Layer closure of *5.24 4.74 4.74 0.52 10.50 10.50 010
wound(s).
12057... .................. A Layer closure of *5.96 5.57 5.57 0.48 12.01 12.01 010
wound(s).
13100... .................. A Repair of wound or *3.12 1.14 1.14 0.13 4.39 4.39 010
lesion.
13101... .................. A Repair of wound or *3.92 2.08 2.08 0.21 6.21 6.21 010
lesion.
13120... .................. A Repair of wound or *3.30 1.35 1.35 0.17 4.82 4.82 010
lesion.
13121... .................. A Repair of wound or *4.33 2.65 2.65 0.33 7.31 7.31 010
lesion.
13131... .................. A Repair of wound or *3.79 1.98 1.98 0.23 6.00 6.00 010
lesion.
13132... .................. A Repair of wound or *5.95 4.57 4.57 0.44 10.96 10.96 010
lesion.
13150... .................. A Repair of wound or *3.81 1.76 1.76 0.23 5.80 5.80 010
lesion.
13151... .................. A Repair of wound or *4.45 2.45 2.45 0.35 7.25 7.25 010
lesion.
13152... .................. A Repair of wound or *6.33 5.13 5.13 0.68 12.14 12.14 010
lesion.
13160... .................. A Late closure of wound... *10.48 3.33 3.33 0.58 14.39 14.39 090
13300... .................. A Repair of wound or *5.27 5.71 5.71 0.86 11.84 11.84 010
lesion.
14000... .................. A Skin tissue *5.89 3.41 3.41 0.38 9.68 9.68 090
rearrangement.
14001... .................. A Skin tissue *8.47 4.75 4.75 0.76 13.98 13.98 090
rearrangement.
14020... .................. A Skin tissue *6.59 4.90 4.90 0.49 11.98 11.98 090
rearrangement.
14021... .................. A Skin tissue *10.06 6.21 6.21 0.94 17.21 17.21 090
rearrangement.
14040... .................. A Skin tissue *7.87 6.77 6.77 0.65 15.29 15.29 090
rearrangement.
14041... .................. A Skin tissue *11.49 7.88 7.88 1.02 20.39 20.39 090
rearrangement.
14060... .................. A Skin tissue *8.50 7.75 7.75 1.04 17.29 17.29 090
rearrangement.
14061... .................. A Skin tissue *12.29 10.49 10.49 1.27 24.05 24.05 090
rearrangement.
14300... .................. A Skin tissue *11.76 11.31 11.31 1.84 24.91 24.91 090
rearrangement.
14350... .................. A Skin tissue *9.61 6.07 6.07 1.05 16.73 16.73 090
rearrangement.
15000... .................. A Skin graft procedure.... 1.95 #2.15 #2.15 0.53 4.63 4.63 ZZZ
15050... .................. A Skin pinch graft *4.30 1.79 1.79 0.30 6.39 6.39 090
procedure.
15100... .................. A Skin split graft *9.05 4.54 4.54 0.89 14.48 14.48 090
procedure.
15101... .................. A Skin split graft 1.72 1.59 1.59 0.33 3.64 3.64 ZZZ
procedure.
15120... .................. A Skin split graft *9.83 6.05 6.05 0.94 16.82 16.82 090
procedure.
15121... .................. A Skin split graft 2.67 2.91 2.91 0.53 6.11 6.11 ZZZ
procedure.
15200... .................. A Skin full graft *8.03 4.13 4.13 0.69 12.85 12.85 090
procedure.
15201... .................. A Skin full graft 1.32 1.68 #1.45 0.50 3.50 3.27 ZZZ
procedure.
15220... .................. A Skin full graft *7.87 4.84 4.84 0.85 13.56 13.56 090
procedure.
15221... .................. A Skin full graft 1.19 1.59 #1.31 0.50 3.28 3.00 ZZZ
procedure.
15240... .................. A Skin full graft *9.04 6.10 6.10 1.03 16.17 16.17 090
procedure.
15241... .................. A Skin full graft 1.86 2.38 #2.05 0.58 4.82 4.49 ZZZ
procedure.
15260... .................. A Skin full graft *10.06 7.46 7.46 0.99 18.51 18.51 090
procedure.
[[Page 59106]]
15261... .................. A Skin full graft 2.23 2.85 #2.45 0.60 5.68 5.28 ZZZ
procedure.
15350... .................. A Skin homograft procedure *4.36 2.15 2.15 0.42 6.93 6.93 090
15400... .................. A Skin heterograft *5.78 1.06 1.06 0.17 7.01 7.01 090
procedure.
15570... .................. A Form skin pedicle flap.. *9.21 5.50 5.50 2.08 16.79 16.79 090
15572... .................. A Form skin pedicle flap.. *9.27 5.38 5.38 1.86 16.51 16.51 090
15574... .................. A Form skin pedicle flap.. *9.88 5.40 5.40 1.66 16.94 16.94 090
15576... .................. A Form skin pedicle flap.. *8.69 3.12 3.12 0.60 12.41 12.41 090
15580... .................. A Attach skin pedicle *9.46 4.31 4.31 1.30 15.07 15.07 090
graft.
15600... .................. A Skin graft procedure.... *1.91 2.51 #2.10 0.88 5.30 4.89 090
15610... .................. A Skin graft procedure.... *2.42 2.82 #2.66 0.80 6.04 5.88 090
15620... .................. A Skin graft procedure.... *2.94 3.44 #3.23 0.86 7.24 7.03 090
15625... .................. A Skin graft procedure.... *1.91 #2.10 #2.10 0.78 4.79 4.79 090
15630... .................. A Skin graft procedure.... *3.27 #3.60 #3.60 0.90 7.77 7.77 090
15650... .................. A Transfer skin pedicle *3.97 #4.37 #4.37 0.93 9.27 9.27 090
flap.
15732... .................. A Muscle-skin graft, head/ *17.84 15.48 15.48 3.46 36.78 36.78 090
neck.
15734... .................. A Muscle-skin graft, trunk *17.79 19.01 19.01 3.24 40.04 40.04 090
15736... .................. A Muscle-skin graft, arm.. *16.27 16.21 16.21 3.02 35.50 35.50 090
15738... .................. A Muscle-skin graft, leg.. *17.92 12.89 12.89 3.29 34.10 34.10 090
15740... .................. A Island pedicle flap *10.25 10.39 10.39 1.62 22.26 22.26 090
graft.
15750... .................. A Neurovascular pedicle *11.41 11.96 11.96 2.03 25.40 25.40 090
graft.
15756... .................. A Free muscle flap, *35.23 30.09 30.09 5.33 70.65 70.65 090
microvasc.
15757... .................. A Free skin flap, *35.23 30.09 30.09 5.33 70.65 70.65 090
microvasc.
15758... .................. A Free fascial flap, *35.10 30.09 30.09 5.33 70.52 70.52 090
microvasc.
15760... .................. A Composite skin graft.... *8.74 7.29 7.29 1.11 17.14 17.14 090
15770... .................. A Derma-fat-fascia graft.. *7.52 7.46 7.46 0.95 15.93 15.93 090
15775... .................. R Hair transplant punch 3.96 2.88 2.88 0.56 7.40 7.40 000
grafts.
15776... .................. R Hair transplant punch 5.54 4.03 4.03 0.79 10.36 10.36 000
grafts.
15780... .................. A Abrasion treatment of *7.29 1.53 1.53 0.13 8.95 8.95 090
skin.
15781... .................. A Abrasion treatment of *4.85 3.77 3.77 0.39 9.01 9.01 090
skin.
15782... .................. A Abrasion treatment of *4.32 1.19 1.19 0.13 5.64 5.64 090
skin.
15783... .................. A Abrasion treatment of *4.29 1.85 1.85 0.19 6.33 6.33 090
skin.
15786... .................. A Abrasion treatment of *2.03 0.62 0.62 0.06 2.71 2.71 010
lesion.
15787... .................. A Abrasion, added skin 0.33 0.23 0.23 0.03 0.59 0.59 ZZZ
lesions.
15788... .................. R Chemical peel, face, *2.09 1.48 1.48 0.12 3.69 3.69 090
epiderm.
15789... .................. R Chemical peel, face, *4.92 1.48 1.48 0.12 6.52 6.52 090
dermal.
15792... .................. R Chemical peel, nonfacial *1.86 0.50 0.50 0.05 2.41 2.41 090
15793... .................. A Chemical peel, nonfacial *3.74 0.50 0.50 0.05 4.29 4.29 090
15810... .................. A Salabrasion............. *4.74 3.80 3.80 0.29 8.83 8.83 090
15811... .................. A Salabrasion............. *5.39 3.74 3.74 0.73 9.86 9.86 090
15819... .................. A Plastic surgery, neck... *9.38 8.01 8.01 0.87 18.26 18.26 090
15820... .................. A Revision of lower eyelid *5.15 #5.67 #5.67 0.64 11.46 11.46 090
15821... .................. A Revision of lower eyelid *5.72 #6.29 #6.29 0.68 12.69 12.69 090
15822... .................. A Revision of upper eyelid *4.45 #4.90 #4.90 0.56 9.91 9.91 090
15823... .................. A Revision of upper eyelid *7.05 7.71 7.71 0.61 15.37 15.37 090
15824... .................. R Removal of forehead 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15825... .................. R Removal of neck wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 XXX
15826... .................. R Removal of brow wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 XXX
15828... .................. R Removal of face wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 XXX
15829... .................. R Removal of skin wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 XXX
15831... .................. A Excise excessive skin *12.40 9.84 9.84 2.01 24.25 24.25 090
tissue.
15832... .................. A Excise excessive skin *11.59 8.29 8.29 1.33 21.21 21.21 090
tissue.
15833... .................. A Excise excessive skin *10.64 6.22 6.22 1.12 17.98 17.98 090
tissue.
15834... .................. A Excise excessive skin *10.85 7.18 7.18 1.22 19.25 19.25 090
tissue.
15835... .................. A Excise excessive skin *11.67 7.00 7.00 1.22 19.89 19.89 090
tissue.
15836... .................. A Excise excessive skin *9.34 5.80 5.80 1.10 16.24 16.24 090
tissue.
15837... .................. A Excise excessive skin *8.43 5.97 5.97 0.85 15.25 15.25 090
tissue.
15838... .................. A Excise excessive skin *7.13 5.88 5.88 0.73 13.74 13.74 090
tissue.
15839... .................. A Excise excessive skin *9.38 2.44 2.44 0.46 12.28 12.28 090
tissue.
15840... .................. A Graft for face nerve *13.26 #14.59 #14.59 2.28 30.13 30.13 090
palsy.
15841... .................. A Graft for face nerve *23.26 16.87 16.87 2.76 42.89 42.89 090
palsy.
15842... .................. A Graft for face nerve *37.96 29.00 29.00 2.68 69.64 69.64 090
palsy.
15845... .................. A Skin and muscle repair, *12.57 #13.83 #13.83 2.54 28.94 28.94 090
face.
15850... .................. B Removal of sutures...... +0.78 0.36 0.36 0.04 1.18 1.18 XXX
15851... .................. A Removal of sutures...... 0.86 0.30 0.30 0.03 1.19 1.19 000
15852... .................. A Dressing change, not for 0.86 0.44 0.44 0.07 1.37 1.37 000
burn.
15860... .................. A Test for blood flow in 1.95 1.35 1.35 0.25 3.55 3.55 000
graft.
15876... .................. R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15877... .................. R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15878... .................. R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15879... .................. R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15920... .................. A Removal of tail bone *7.95 2.95 2.95 0.63 11.53 11.53 090
ulcer.
15922... .................. A Removal of tail bone *9.90 5.98 5.98 1.19 17.07 17.07 090
ulcer.
15931... .................. A Remove sacrum pressure *9.24 2.93 2.93 0.55 12.72 12.72 090
sore.
15933... .................. A Remove sacrum pressure *10.85 6.92 6.92 1.43 19.20 19.20 090
sore.
[[Page 59107]]
15934... .................. A Remove sacrum pressure *12.69 7.46 7.46 1.50 21.65 21.65 090
sore.
15935... .................. A Remove sacrum pressure *14.57 11.24 11.24 2.27 28.08 28.08 090
sore.
15936... .................. A Remove sacrum pressure *12.38 10.27 10.27 2.05 24.70 24.70 090
sore.
15937... .................. A Remove sacrum pressure *14.21 13.47 13.47 2.67 30.35 30.35 090
sore.
15940... .................. A Removal of pressure sore *9.34 3.55 3.55 0.73 13.62 13.62 090
15941... .................. A Removal of pressure sore *11.43 7.05 7.05 1.39 19.87 19.87 090
15944... .................. A Removal of pressure sore *11.46 9.26 9.26 1.82 22.54 22.54 090
15945... .................. A Removal of pressure sore *12.69 11.14 11.14 2.09 25.92 25.92 090
15946... .................. A Removal of pressure sore *21.57 16.61 16.61 3.24 41.42 41.42 090
15950... .................. A Remove thigh pressure *7.54 3.01 3.01 0.58 11.13 11.13 090
sore.
15951... .................. A Remove thigh pressure *10.72 7.65 7.65 1.58 19.95 19.95 090
sore.
15952... .................. A Remove thigh pressure *11.39 7.13 7.13 1.37 19.89 19.89 090
sore.
15953... .................. A Remove thigh pressure *12.63 9.08 9.08 1.87 23.58 23.58 090
sore.
15956... .................. A Remove thigh pressure *15.52 #17.07 #17.07 3.39 35.98 35.98 090
sore.
15958... .................. A Remove thigh pressure *15.48 #17.03 #17.03 3.76 36.27 36.27 090
sore.
15999... .................. C Removal of pressure sore 0.00 0.00 0.00 0.00 0.00 0.00 YYY
16000... .................. A Initial treatment of 0.89 0.35 0.35 0.03 1.27 1.27 000
burn(s).
16010... .................. A Treatment of burn(s).... 0.87 0.32 0.32 0.03 1.22 1.22 000
16015... .................. A Treatment of burn(s).... 2.35 2.04 2.04 0.38 4.77 4.77 000
16020... .................. A Treatment of burn(s).... 0.80 0.34 0.34 0.03 1.17 1.17 000
16025... .................. A Treatment of burn(s).... 1.85 0.45 0.45 0.05 2.35 2.35 000
16030... .................. A Treatment of burn(s).... 2.08 0.52 0.52 0.08 2.68 2.68 000
16035... .................. A Incision of burn scab... *4.82 1.88 1.88 0.34 7.04 7.04 090
16040... .................. A Burn wound excision..... 1.02 1.56 #1.12 0.53 3.11 2.67 000
16041... .................. A Burn wound excision..... 2.70 #2.97 #2.97 0.53 6.20 6.20 000
16042... .................. A Burn wound excision..... 2.35 #2.59 #2.59 0.53 5.47 5.47 000
17000... .................. A Destroy benign/premal *0.60 0.42 0.42 0.03 1.05 1.05 010
lesion.
17001... .................. D Destruction of added 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
lesions.
17002... .................. D Destruction of added 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
lesions.
17003... .................. A Destroy 2-14 lesions.... 0.15 0.13 0.13 0.01 0.29 0.29 ZZZ
17004... .................. A Destroy 15 & more *2.79 2.25 2.25 0.20 5.24 5.24 010
lesions.
17010... .................. D 12 Destruction skin *0.00 0.00 0.00 0.00 0.00 0.00 010
lesion(s).
17100... .................. D 12 Destruction of skin *0.00 0.00 0.00 0.00 0.00 0.00 010
lesion.
17101... .................. D Destruction of 2nd 0.00 #0.00 #0.00 0.00 0.00 0.00 ZZZ
lesion.
17102... .................. D Destruction of added 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
lesions.
17104... .................. D Destruction of skin *0.00 0.00 0.00 0.00 0.00 0.00 010
lesions.
17105... .................. D Destruction of skin *0.00 0.00 0.00 0.00 0.00 0.00 010
lesions.
17106... .................. A Destruction of skin *4.59 1.93 1.93 0.18 6.70 6.70 090
lesions.
17107... .................. A Destruction of skin *9.16 3.70 3.70 0.39 13.25 13.25 090
lesions.
17108... .................. A Destruction of skin *13.20 9.32 9.32 0.69 23.21 23.21 090
lesions.
17110... .................. A Destruct lesion, 1-14... *0.65 0.40 0.40 0.03 1.08 1.08 010
17111... .................. A Destruct lesion, 15 or *0.92 0.60 0.60 0.05 1.57 1.57 010
more.
17200... .................. D 1 Electrocautery of skin *0.00 0.00 0.00 0.00 0.00 0.00 010
tags.
17201... .................. D Electrocautery added 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
lesions.
17250... .................. A Chemical cautery, tissue 0.50 0.34 0.34 0.04 0.88 0.88 000
17260... .................. A Destruction of skin *0.91 1.13 1.13 0.10 2.14 2.14 010
lesions.
17261... .................. A Destruction of skin *1.17 1.39 1.39 0.12 2.68 2.68 010
lesions.
17262... .................. A Destruction of skin *1.58 1.82 1.82 0.16 3.56 3.56 010
lesions.
17263... .................. A Destruction of skin *1.79 2.25 2.25 0.21 4.25 4.25 010
lesions.
17264... .................. A Destruction of skin *1.94 2.59 2.59 0.26 4.79 4.79 010
lesions.
17266... .................. A Destruction of skin *2.34 3.11 3.11 0.49 5.94 5.94 010
lesions.
17270... .................. A Destruction of skin *1.32 1.34 1.34 0.12 2.78 2.78 010
lesions.
17271... .................. A Destruction of skin *1.49 1.75 1.75 0.16 3.40 3.40 010
lesions.
17272... .................. A Destruction of skin *1.77 2.20 2.20 0.19 4.16 4.16 010
lesions.
17273... .................. A Destruction of skin *2.05 2.58 2.58 0.25 4.88 4.88 010
lesions.
17274... .................. A Destruction of skin *2.59 3.21 3.21 0.32 6.12 6.12 010
lesions.
17276... .................. A Destruction of skin *3.20 3.41 3.41 0.51 7.12 7.12 010
lesions.
17280... .................. A Destruction of skin *1.17 1.65 1.65 0.15 2.97 2.97 010
lesions.
17281... .................. A Destruction of skin *1.72 2.09 2.09 0.18 3.99 3.99 010
lesions.
17282... .................. A Destruction of skin *2.04 2.57 2.57 0.23 4.84 4.84 010
lesions.
17283... .................. A Destruction of skin *2.64 3.01 3.01 0.28 5.93 5.93 010
lesions.
17284... .................. A Destruction of skin *3.21 3.51 3.51 0.33 7.05 7.05 010
lesions.
17286... .................. A Destruction of skin *4.44 4.32 4.32 0.60 9.36 9.36 010
lesions.
17304... .................. A Chemosurgery of skin 7.60 4.02 4.02 0.31 11.93 11.93 000
lesion.
17305... .................. A 2nd stage chemosurgery.. 2.85 2.26 2.26 0.17 5.28 5.28 000
17306... .................. A 3rd stage chemosurgery.. 2.85 1.40 1.40 0.11 4.36 4.36 000
17307... .................. A Followup skin lesion 2.85 1.47 1.47 0.12 4.44 4.44 000
therapy.
17310... .................. A Extensive skin 0.95 0.13 0.13 0.01 1.09 1.09 000
chemosurgery.
17340... .................. A Cryotherapy of skin..... *0.76 0.28 0.28 0.02 1.06 1.06 010
17360... .................. A Skin peel therapy....... *1.43 0.27 0.27 0.02 1.72 1.72 010
17380... .................. R Hair removal by 0.00 0.00 0.00 0.00 0.00 0.00 XXX
electrolysis.
17999... .................. C Skin tissue procedure... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
19000... .................. A Drainage of breast 0.84 0.38 0.38 0.07 1.29 1.29 000
lesion.
19001... .................. A Drain added breast 0.42 0.24 0.24 0.05 0.71 0.71 ZZZ
lesion.
[[Page 59108]]
19020... .................. A Incision of breast *3.57 1.40 1.40 0.28 5.25 5.25 090
lesion.
19030... .................. A Injection for breast x- 1.53 0.49 0.49 0.04 2.06 2.06 000
ray.
19100... .................. A Biopsy of breast........ 1.27 0.64 0.64 0.13 2.04 2.04 000
19101... .................. A Biopsy of breast........ *3.18 2.34 2.34 0.45 5.97 5.97 010
19110... .................. A Nipple exploration...... *4.30 2.46 2.46 0.51 7.27 7.27 090
19112... .................. A Excise breast duct *3.67 2.34 2.34 0.35 6.36 6.36 090
fistula.
19120... .................. A Removal of breast lesion *5.56 2.90 2.90 0.60 9.06 9.06 090
19125... .................. A Excision, breast lesion. *6.06 2.90 2.90 0.60 9.56 9.56 090
19126... .................. A Excision, added breast 2.93 1.45 1.45 0.31 4.69 4.69 ZZZ
lesion.
19140... .................. A Removal of breast tissue *5.14 4.29 4.29 0.91 10.34 10.34 090
19160... .................. A Removal of breast tissue *5.99 4.13 4.13 0.88 11.00 11.00 090
19162... .................. A Remove breast tissue, *13.53 9.38 9.38 1.96 24.87 24.87 090
nodes.
19180... .................. A Removal of breast....... *8.80 5.61 5.61 1.17 15.58 15.58 090
19182... .................. A Removal of breast....... *7.73 6.07 6.07 1.27 15.07 15.07 090
19200... .................. A Removal of breast....... *15.49 10.22 10.22 2.15 27.86 27.86 090
19220... .................. A Removal of breast....... *15.72 10.73 10.73 2.38 28.83 28.83 090
19240... .................. A Removal of breast....... *16.00 9.44 9.44 1.99 27.43 27.43 090
19260... .................. A Removal of chest wall *15.44 5.05 5.05 1.04 21.53 21.53 090
lesion.
19271... .................. A Revision of chest wall.. *18.90 13.95 13.95 2.77 35.62 35.62 090
19272... .................. A Extensive chest wall *21.55 12.60 12.60 2.56 36.71 36.71 090
surgery.
19290... .................. A Place needle wire, 1.27 0.44 0.44 0.07 1.78 1.78 000
breast.
19291... .................. A Place needle wire, 0.63 0.25 0.25 0.04 0.92 0.92 ZZZ
breast.
19316... .................. A Suspension of breast.... *10.69 #11.76 #11.76 2.43 24.88 24.88 090
19318... .................. A Reduction of large *15.62 14.18 14.18 3.23 33.03 33.03 090
breast.
19324... .................. A Enlarge breast.......... *5.85 3.29 3.29 0.67 9.81 9.81 090
19325... .................. A Enlarge breast with *8.45 5.87 5.87 1.13 15.45 15.45 090
implant.
19328... .................. A Removal of breast *5.68 3.76 3.76 0.73 10.17 10.17 090
implant.
19330... .................. A Removal of implant *7.59 3.88 3.88 0.75 12.22 12.22 090
material.
19340... .................. A Immediate breast 6.33 #6.96 #6.96 2.06 15.35 15.35 ZZZ
prosthesis.
19342... .................. A Delayed breast *11.20 10.81 10.81 2.03 24.04 24.04 090
prosthesis.
19350... .................. A Breast reconstruction... *8.92 7.08 7.08 1.38 17.38 17.38 090
19355... .................. A Correct inverted *7.57 4.93 4.93 1.00 13.50 13.50 090
nipple(s).
19357... .................. A Breast reconstruction... *18.16 12.15 12.15 2.37 32.68 32.68 090
19361... .................. A Breast reconstruction... *19.26 20.13 20.13 3.88 43.27 43.27 090
19364... .................. A Breast reconstruction... *29.04 16.68 16.68 3.58 49.30 49.30 090
19366... .................. A Breast reconstruction... *21.28 16.40 16.40 3.18 40.86 40.86 090
19367... .................. A Breast reconstruction... *25.73 20.13 20.13 3.88 49.74 49.74 090
19368... .................. A Breast reconstruction... *32.42 20.13 20.13 3.88 56.43 56.43 090
19369... .................. A Breast reconstruction... *29.82 20.13 20.13 3.88 53.83 53.83 090
19370... .................. A Surgery of breast *8.05 6.17 6.17 1.19 15.41 15.41 090
capsule.
19371... .................. A Removal of breast *9.35 7.91 7.91 1.54 18.80 18.80 090
capsule.
19380... .................. A Revise breast *9.14 8.11 8.11 1.57 18.82 18.82 090
reconstruction.
19396... .................. A Design custom breast 2.17 1.57 1.57 0.31 4.05 4.05 000
implant.
19499... .................. C Breast surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY
20000... .................. A Incision of abscess..... *2.12 0.85 0.85 0.08 3.05 3.05 010
20005... .................. A Incision of deep abscess *3.42 1.83 1.83 0.28 5.53 5.53 010
20100... .................. A Explore wound, neck..... *10.08 4.97 4.97 1.16 16.21 16.21 010
20101... .................. A Explore wound, chest.... *3.22 1.57 1.57 0.37 5.16 5.16 010
20102... .................. A Explore wound, abdomen.. *3.94 1.92 1.92 0.45 6.31 6.31 010
20103... .................. A Explore wound, extremity *5.30 2.59 2.59 0.60 8.49 8.49 010
20150... .................. A Excise epiphyseal bar... *13.69 12.40 12.40 2.03 28.12 28.12 090
20200... .................. A Muscle biopsy........... 1.46 1.12 1.12 0.18 2.76 2.76 000
20205... .................. A Deep muscle biopsy...... 2.35 1.88 1.88 0.33 4.56 4.56 000
20206... .................. A Needle biopsy, muscle... 0.99 0.96 0.96 0.14 2.09 2.09 000
20220... .................. A Bone biopsy, trocar/ 1.27 1.31 1.31 0.09 2.67 2.67 000
needle.
20225... .................. A Bone biopsy, trocar/ 1.87 2.39 #2.06 0.28 4.54 4.21 000
needle.
20240... .................. A Bone biopsy, excisional. *3.23 1.88 1.88 0.18 5.29 5.29 010
20245... .................. A Bone biopsy, excisional. *3.95 3.58 3.58 0.44 7.97 7.97 010
20250... .................. A Open bone biopsy........ *5.03 5.07 5.07 0.76 10.86 10.86 010
20251... .................. A Open bone biopsy........ *5.56 5.84 5.84 0.92 12.32 12.32 010
20500... .................. A Injection of sinus tract *1.23 0.36 0.36 0.04 1.63 1.63 010
20501... .................. A Inject sinus tract for x- 0.76 0.30 0.30 0.02 1.08 1.08 000
ray.
20520... .................. A Removal of foreign body. *1.85 0.71 0.71 0.08 2.64 2.64 010
20525... .................. A Removal of foreign body. *3.50 2.23 2.23 0.33 6.06 6.06 010
20550... .................. A Inj tendon/ligament/cyst 0.86 0.38 0.38 0.04 1.28 1.28 000
20600... .................. A Drain/inject joint/bursa 0.66 0.47 0.47 0.05 1.18 1.18 000
20605... .................. A Drain/inject joint/bursa 0.68 0.45 0.45 0.05 1.18 1.18 000
20610... .................. A Drain/inject joint/bursa 0.79 0.45 0.45 0.05 1.29 1.29 000
20615... .................. A Treatment of bone cyst.. *2.28 0.49 0.49 0.06 2.83 2.83 010
20650... .................. A Insert and remove bone *2.23 1.08 1.08 0.14 3.45 3.45 010
pin.
20660... .................. A Apply, remove fixation 2.51 1.56 1.56 0.21 4.28 4.28 000
device.
20661... .................. A Application of head *4.89 3.82 3.82 0.65 9.36 9.36 090
brace.
20662... .................. A Application of pelvis *6.07 6.54 6.54 1.03 13.64 13.64 090
brace.
20663... .................. A Application of thigh *5.43 4.64 4.64 0.76 10.83 10.83 090
brace.
[[Page 59109]]
20664... .................. A Halo brace application.. *8.06 3.82 3.82 0.65 12.53 12.53 090
20665... .................. A Removal of fixation *1.31 0.50 0.50 0.07 1.88 1.88 010
device.
20670... .................. A Removal of support *1.74 0.74 0.74 0.11 2.59 2.59 010
implant.
20680... .................. A Removal of support *3.35 3.33 3.33 0.51 7.19 7.19 090
implant.
20690... .................. A Apply bone fixation 3.52 3.66 3.66 0.58 7.76 7.76 ZZZ
device.
20692... .................. A Apply bone fixation 6.41 5.51 5.51 0.89 12.81 12.81 ZZZ
device.
20693... .................. A Adjust bone fixation *5.86 2.49 2.49 0.42 8.77 8.77 090
device.
20694... .................. A Remove bone fixation *4.16 2.60 2.60 0.41 7.17 7.17 090
device.
20802... .................. A Replantation, arm, *41.15 37.72 37.72 6.17 85.04 85.04 090
complete.
20805... .................. A Replant forearm, *50.00 46.17 46.17 7.56 103.73 103.73 090
complete.
20808... .................. A Replantation, hand, *61.65 57.40 57.40 9.40 128.45 128.45 090
complete.
20816... .................. A Replantation digit, *30.94 28.30 28.30 4.63 63.87 63.87 090
complete.
20822... .................. A Replantation digit, *25.59 23.39 23.39 3.83 52.81 52.81 090
complete.
20824... .................. A Replantation thumb, *30.94 28.30 28.30 4.63 63.87 63.87 090
complete.
20827... .................. A Replantation thumb, *26.41 24.05 24.05 3.94 54.40 54.40 090
complete.
20838... .................. A Replantation, foot, *41.41 37.72 37.72 6.17 85.30 85.30 090
complete.
20900... .................. A Removal of bone for *5.58 2.80 2.80 0.45 8.83 8.83 090
graft.
20902... .................. A Removal of bone for *7.55 4.95 4.95 0.80 13.30 13.30 090
graft.
20910... .................. A Remove cartilage for *5.34 0.79 0.79 0.09 6.22 6.22 090
graft.
20912... .................. A Remove cartilage for *6.35 4.62 4.62 0.64 11.61 11.61 090
graft.
20920... .................. A Removal of fascia for *5.31 3.93 3.93 0.50 9.74 9.74 090
graft.
20922... .................. A Removal of fascia for *6.61 4.39 4.39 0.71 11.71 11.71 090
graft.
20924... .................. A Removal of tendon for *6.48 5.45 5.45 0.85 12.78 12.78 090
graft.
20926... .................. A Removal of tissue for *5.53 2.59 2.59 0.39 8.51 8.51 090
graft.
20930... .................. B Spinal bone allograft... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20931... .................. A Spinal bone allograft... 1.81 1.73 1.73 0.28 3.82 3.82 ZZZ
20936... .................. B Spinal bone autograft... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20937... .................. A Spinal bone autograft... 2.79 2.66 2.66 0.44 5.89 5.89 ZZZ
20938... .................. A Spinal bone autograft... 3.02 2.88 2.88 0.47 6.37 6.37 ZZZ
20950... .................. A Record fluid pressure, 1.26 1.09 1.09 0.17 2.52 2.52 000
muscle.
20955... .................. A Fibula bone graft, *39.21 35.84 35.84 5.87 80.92 80.92 090
microvasc.
20956... .................. A Iliac bone graft, *39.27 26.90 26.90 5.26 71.43 71.43 090
microvasc.
20957... .................. A Mt bone graft, microvasc *40.65 27.87 27.87 5.45 73.97 73.97 090
20962... .................. A Other bone graft, *39.27 26.90 26.90 5.26 71.43 71.43 090
microvasc.
20969... .................. A Bone/skin graft, *43.92 40.13 40.13 6.57 90.62 90.62 090
microvasc.
20970... .................. A Bone/skin graft, iliac *43.06 39.31 39.31 6.44 88.81 88.81 090
crest.
20972... .................. A Bone-skin graft, *42.99 39.61 39.61 6.49 89.09 89.09 090
metatarsal.
20973... .................. A Bone-skin graft, great *45.76 42.25 42.25 6.91 94.92 94.92 090
toe.
20974... .................. A Electrical bone 0.62 3.42 3.42 0.53 4.57 4.57 000
stimulation.
20975... .................. A Electrical bone 2.60 #2.86 #2.86 0.56 6.02 6.02 ZZZ
stimulation.
20999... .................. C Musculoskeletal surgery. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
21010... .................. A Incision of jaw joint... *10.14 10.24 10.24 0.93 21.31 21.31 090
21015... .................. A Resection of facial *5.29 #5.82 #5.82 1.13 12.24 12.24 090
tumor.
21025... .................. A Excision of bone, lower *10.06 4.14 4.14 0.38 14.58 14.58 090
jaw.
21026... .................. A Excision of facial *4.85 3.14 3.14 0.28 8.27 8.27 090
bone(s).
21029... .................. A Contour of face bone *7.71 #8.48 #8.48 0.78 16.97 16.97 090
lesion.
21030... .................. A Removal of face bone *6.46 3.35 3.35 0.29 10.10 10.10 090
lesion.
21031... .................. A Remove exostosis, *3.24 3.68 3.68 0.32 7.24 7.24 090
mandible.
21032... .................. A Remove exostosis, *3.24 3.88 3.88 0.35 7.47 7.47 090
maxilla.
21034... .................. A Removal of face bone *16.17 6.98 6.98 0.89 24.04 24.04 090
lesion.
21040... .................. A Removal of jaw bone *2.11 2.76 2.76 0.24 5.11 5.11 090
lesion.
21041... .................. A Removal of jaw bone *6.71 5.76 5.76 0.50 12.97 12.97 090
lesion.
21044... .................. A Removal of jaw bone *11.86 9.55 9.55 1.11 22.52 22.52 090
lesion.
21045... .................. A Extensive jaw surgery... *16.17 13.83 13.83 1.58 31.58 31.58 090
21050... .................. A Removal of jaw joint.... *10.77 #11.85 #11.85 1.08 23.70 23.70 090
21060... .................. A Remove jaw joint *10.23 #11.25 #11.25 1.04 22.52 22.52 090
cartilage.
21070... .................. A Remove coronoid process. *8.20 6.81 6.81 0.82 15.83 15.83 090
21076... .................. A Prepare face/oral *13.42 #14.76 #14.76 1.35 29.53 29.53 010
prosthesis.
21077... .................. A Prepare face/oral *33.75 #37.13 #37.13 3.39 74.27 74.27 090
prosthesis.
21079... .................. A Prepare face/oral *22.34 27.93 27.93 2.25 52.52 52.52 090
prosthesis.
21080... .................. A Prepare face/oral *25.10 31.38 31.38 2.52 59.00 59.00 090
prosthesis.
21081... .................. A Prepare face/oral *22.88 28.59 28.59 2.30 53.77 53.77 090
prosthesis.
21082... .................. A Prepare face/oral *20.87 #22.96 #22.96 2.10 45.93 45.93 090
prosthesis.
21083... .................. A Prepare face/oral *19.30 24.13 24.13 1.94 45.37 45.37 090
prosthesis.
21084... .................. A Prepare face/oral *22.51 28.14 28.14 2.28 52.93 52.93 090
prosthesis.
21085... .................. A Prepare face/oral *9.00 #9.90 #9.90 0.90 19.80 19.80 010
prosthesis.
21086... .................. A Prepare face/oral *24.92 31.15 31.15 2.51 58.58 58.58 090
prosthesis.
21087... .................. A Prepare face/oral *24.92 #27.41 #27.41 2.51 54.84 54.84 090
prosthesis.
21088... .................. C Prepare face/oral 0.00 0.00 0.00 0.00 0.00 0.00 090
prosthesis.
21089... .................. C Prepare face/oral 0.00 0.00 0.00 0.00 0.00 0.00 090
prosthesis.
21100... .................. A Maxillofacial fixation.. *4.22 1.06 1.06 0.11 5.39 5.39 090
21110... .................. A Interdental fixation.... *5.21 5.53 5.53 0.46 11.20 11.20 090
21116... .................. A Injection, jaw joint x- 0.81 0.73 0.73 0.06 1.60 1.60 000
ray.
21120... .................. A Reconstruction of chin.. *4.93 3.59 3.59 0.42 8.94 8.94 090
[[Page 59110]]
21121... .................. A Reconstruction of chin.. *7.64 5.65 5.65 0.66 13.95 13.95 090
21122... .................. A Reconstruction of chin.. *8.52 6.23 6.23 0.73 15.48 15.48 090
21123... .................. A Reconstruction of chin.. *11.16 8.14 8.14 0.95 20.25 20.25 090
21125... .................. A Augmentation lower jaw *10.62 4.72 4.72 0.54 15.88 15.88 090
bone.
21127... .................. A Augmentation lower jaw *11.12 7.91 7.91 0.92 19.95 19.95 090
bone.
21137... .................. A Reduction of forehead... *9.82 7.11 7.11 0.83 17.76 17.76 090
21138... .................. A Reduction of forehead... *12.19 8.86 8.86 1.04 22.09 22.09 090
21139... .................. A Reduction of forehead... *14.61 10.64 10.64 1.25 26.50 26.50 090
21141... .................. A Reconstruct midface, *18.10 14.34 14.34 1.68 34.12 34.12 090
lefort.
21142... .................. A Reconstruct midface, *18.81 14.84 14.84 1.74 35.39 35.39 090
lefort.
21143... .................. A Reconstruct midface, *19.58 15.40 15.40 1.81 36.79 36.79 090
lefort.
21145... .................. A Reconstruct midface, *19.94 14.34 14.34 1.68 35.96 35.96 090
lefort.
21146... .................. A Reconstruct midface, *20.71 14.84 14.84 1.74 37.29 37.29 090
lefort.
21147... .................. A Reconstruct midface, *21.77 15.40 15.40 1.81 38.98 38.98 090
lefort.
21150... .................. A Reconstruct midface, *25.24 18.46 18.46 2.17 45.87 45.87 090
lefort.
21151... .................. A Reconstruct midface, *28.30 20.68 20.68 2.42 51.40 51.40 090
lefort.
21154... .................. A Reconstruct midface, *30.52 22.15 22.15 2.59 55.26 55.26 090
lefort.
21155... .................. A Reconstruct midface, *34.45 25.11 25.11 2.94 62.50 62.50 090
lefort.
21159... .................. A Reconstruct midface, *42.38 31.02 31.02 3.63 77.03 77.03 090
lefort.
21160... .................. A Reconstruct midface, *46.44 33.96 33.96 3.98 84.38 84.38 090
lefort.
21172... .................. A Reconstruct orbit/ *27.80 20.30 20.30 2.37 50.47 50.47 090
forehead.
21175... .................. A Reconstruct orbit/ *33.17 24.37 24.37 2.85 60.39 60.39 090
forehead.
21179... .................. A Reconstruct entire *22.25 16.24 16.24 1.90 40.39 40.39 090
forehead.
21180... .................. A Reconstruct entire *25.19 18.46 18.46 2.17 45.82 45.82 090
forehead.
21181... .................. A Contour cranial bone *9.90 7.11 7.11 0.83 17.84 17.84 090
lesion.
21182... .................. A Reconstruct cranial bone *32.19 23.63 23.63 2.77 58.59 58.59 090
21183... .................. A Reconstruct cranial bone *35.31 25.85 25.85 3.03 64.19 64.19 090
21184... .................. A Reconstruct cranial bone *38.24 28.06 28.06 3.28 69.58 69.58 090
21188... .................. A Reconstruction of *22.46 16.24 16.24 1.90 40.60 40.60 090
midface.
21193... .................. A Reconstruct lower jaw *17.15 12.31 12.31 1.44 30.90 30.90 090
bone.
21194... .................. A Reconstruct lower jaw *19.84 14.26 14.26 1.67 35.77 35.77 090
bone.
21195... .................. A Reconstruct lower jaw *17.24 12.34 12.34 1.44 31.02 31.02 090
bone.
21196... .................. A Reconstruct lower jaw *18.91 13.61 13.61 1.58 34.10 34.10 090
bone.
21198... .................. A Reconstruct lower jaw *14.16 14.82 14.82 1.74 30.72 30.72 090
bone.
21206... .................. A Reconstruct upper jaw *14.10 10.14 10.14 1.19 25.43 25.43 090
bone.
21208... .................. A Augmentation of facial *10.23 #11.25 #11.25 1.07 22.55 22.55 090
bones.
21209... .................. A Reduction of facial *6.72 4.59 4.59 0.76 12.07 12.07 090
bones.
21210... .................. A Face bone graft......... *10.23 #11.25 #11.25 1.29 22.77 22.77 090
21215... .................. A Lower jaw bone graft.... *10.77 #11.85 #11.85 1.42 24.04 24.04 090
21230... .................. A Rib cartilage graft..... *10.77 10.37 10.37 1.69 22.83 22.83 090
21235... .................. A Ear cartilage graft..... *6.72 #7.39 #7.39 1.09 15.20 15.20 090
21240... .................. A Reconstruction of jaw *14.05 #15.46 #15.46 2.09 31.60 31.60 090
joint.
21242... .................. A Reconstruction of jaw *12.95 #14.25 #14.25 2.25 29.45 29.45 090
joint.
21243... .................. A Reconstruction of jaw *20.79 14.40 14.40 1.68 36.87 36.87 090
joint.
21244... .................. A Reconstruction of lower *11.86 #13.05 #13.05 1.93 26.84 26.84 090
jaw.
21245... .................. A Reconstruction of jaw... *11.86 11.47 11.47 1.31 24.64 24.64 090
21246... .................. A Reconstruction of jaw... *12.47 8.83 8.83 1.04 22.34 22.34 090
21247... .................. A Reconstruct lower jaw *22.63 #24.89 #24.89 2.27 49.79 49.79 090
bone.
21248... .................. A Reconstruction of jaw... *11.48 #12.63 #12.63 1.75 25.86 25.86 090
21249... .................. A Reconstruction of jaw... *17.52 #19.27 #19.27 3.29 40.08 40.08 090
21255... .................. A Reconstruct lower jaw *16.72 #18.39 #18.39 1.68 36.79 36.79 090
bone.
21256... .................. A Reconstruction of orbit. *16.19 #17.81 #17.81 1.63 35.63 35.63 090
21260... .................. A Revise eye sockets...... *16.52 #18.17 #18.17 1.66 36.35 36.35 090
21261... .................. A Revise eye sockets...... *31.49 17.78 17.78 1.65 50.92 50.92 090
21263... .................. A Revise eye sockets...... *28.42 #31.26 #31.26 2.86 62.54 62.54 090
21267... .................. A Revise eye sockets...... *18.90 14.61 14.61 2.13 35.64 35.64 090
21268... .................. A Revise eye sockets...... *24.48 15.35 15.35 3.13 42.96 42.96 090
21270... .................. A Augmentation cheek bone. *10.23 9.60 9.60 1.41 21.24 21.24 090
21275... .................. A Revision orbitofacial *11.24 8.95 8.95 1.26 21.45 21.45 090
bones.
21280... .................. A Revision of eyelid...... *6.03 #6.63 #6.63 0.61 13.27 13.27 090
21282... .................. A Revision of eyelid...... *3.49 #3.84 #3.84 0.79 8.12 8.12 090
21295... .................. A Revision of jaw muscle/ *1.53 0.96 0.96 0.13 2.62 2.62 090
bone.
21296... .................. A Revision of jaw muscle/ *4.25 3.62 3.62 0.22 8.09 8.09 090
bone.
21299... .................. C Cranio/maxillofacial 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
21300... .................. A Treatment of skull 0.72 0.92 #0.79 0.11 1.75 1.62 000
fracture.
21310... .................. A Treatment of nose 0.58 0.75 #0.64 0.09 1.42 1.31 000
fracture.
21315... .................. A Treatment of nose *1.51 1.81 #1.66 0.21 3.53 3.38 010
fracture.
21320... .................. A Treatment of nose *1.85 2.33 #2.04 0.34 4.52 4.23 010
fracture.
21325... .................. A Repair of nose fracture. *3.77 4.09 4.09 0.52 8.38 8.38 090
21330... .................. A Repair of nose fracture. *5.38 #5.92 #5.92 0.86 12.16 12.16 090
21335... .................. A Repair of nose fracture. *8.61 #9.47 #9.47 1.56 19.64 19.64 090
21336... .................. A Repair nasal septal *5.72 4.09 4.09 0.52 10.33 10.33 090
fracture.
21337... .................. A Repair nasal septal *2.70 2.82 2.82 0.38 5.90 5.90 090
fracture.
21338... .................. A Repair nasoethmoid *6.46 5.01 5.01 0.66 12.13 12.13 090
fracture.
[[Page 59111]]
21339... .................. A Repair nasoethmoid *8.09 7.09 7.09 0.70 15.88 15.88 090
fracture.
21340... .................. A Repair of nose fracture. *10.77 8.91 8.91 1.04 20.72 20.72 090
21343... .................. A Repair of sinus fracture *12.95 9.17 9.17 1.08 23.20 23.20 090
21344... .................. A Repair of sinus fracture *19.72 9.17 9.17 1.08 29.97 29.97 090
21345... .................. A Repair of nose/jaw *8.16 7.90 7.90 0.81 16.87 16.87 090
fracture.
21346... .................. A Repair of nose/jaw *10.61 9.40 9.40 1.04 21.05 21.05 090
fracture.
21347... .................. A Repair of nose/jaw *12.69 10.36 10.36 1.36 24.41 24.41 090
fracture.
21348... .................. A Repair of nose/jaw *16.69 11.34 11.34 2.22 30.25 30.25 090
fracture.
21355... .................. A Repair cheek bone *3.77 1.56 1.56 0.17 5.50 5.50 010
fracture.
21356... .................. A Repair cheek bone *4.15 #4.57 #4.57 0.89 9.61 9.61 010
fracture.
21360... .................. A Repair cheek bone *6.46 #7.11 #7.11 0.89 14.46 14.46 090
fracture.
21365... .................. A Repair cheek bone *14.95 12.35 12.35 1.63 28.93 28.93 090
fracture.
21366... .................. A Repair cheek bone *17.77 12.08 12.08 2.36 32.21 32.21 090
fracture.
21385... .................. A Repair eye socket *9.16 9.59 9.59 1.13 19.88 19.88 090
fracture.
21386... .................. A Repair eye socket *9.16 9.07 9.07 1.25 19.48 19.48 090
fracture.
21387... .................. A Repair eye socket *9.70 7.45 7.45 0.96 18.11 18.11 090
fracture.
21390... .................. A Repair eye socket *10.13 #11.14 #11.14 1.37 22.64 22.64 090
fracture.
21395... .................. A Repair eye socket *12.68 9.63 9.63 1.37 23.68 23.68 090
fracture.
21400... .................. A Treat eye socket *1.40 1.67 #1.54 0.17 3.24 3.11 090
fracture.
21401... .................. A Repair eye socket *3.26 2.58 2.58 0.32 6.16 6.16 090
fracture.
21406... .................. A Repair eye socket *7.01 5.21 5.21 0.74 12.96 12.96 090
fracture.
21407... .................. A Repair eye socket *8.61 7.09 7.09 0.78 16.48 16.48 090
fracture.
21408... .................. A Repair eye socket *12.38 8.49 8.49 0.99 21.86 21.86 090
fracture.
21421... .................. A Treat mouth roof *5.14 6.14 #5.65 0.62 11.90 11.41 090
fracture.
21422... .................. A Repair mouth roof *8.32 #9.15 #9.15 1.19 18.66 18.66 090
fracture.
21423... .................. A Repair mouth roof *10.40 9.80 9.80 1.19 21.39 21.39 090
fracture.
21431... .................. A Treat craniofacial *7.05 6.02 6.02 0.71 13.78 13.78 090
fracture.
21432... .................. A Repair craniofacial *8.61 6.76 6.76 0.84 16.21 16.21 090
fracture.
21433... .................. A Repair craniofacial *25.35 17.96 17.96 2.10 45.41 45.41 090
fracture.
21435... .................. A Repair craniofacial *17.25 13.25 13.25 1.88 32.38 32.38 090
fracture.
21436... .................. A Repair craniofacial *28.04 14.65 14.65 2.08 44.77 44.77 090
fracture.
21440... .................. A Repair dental ridge *2.70 3.07 #2.97 0.28 6.05 5.95 090
fracture.
21445... .................. A Repair dental ridge *5.38 6.11 #5.92 0.56 12.05 11.86 090
fracture.
21450... .................. A Treat lower jaw fracture *2.97 2.84 2.84 0.26 6.07 6.07 090
21451... .................. A Treat lower jaw fracture *4.87 5.83 #5.36 0.74 11.44 10.97 090
21452... .................. A Treat lower jaw fracture *1.98 1.39 1.39 0.17 3.54 3.54 090
21453... .................. A Treat lower jaw fracture *5.54 6.64 #6.09 0.55 12.73 12.18 090
21454... .................. A Treat lower jaw fracture *6.46 #7.11 #7.11 1.42 14.99 14.99 090
21461... .................. A Repair lower jaw *8.09 #8.90 #8.90 1.30 18.29 18.29 090
fracture.
21462... .................. A Repair lower jaw *9.79 #10.77 #10.77 1.34 21.90 21.90 090
fracture.
21465... .................. A Repair lower jaw *11.91 8.44 8.44 0.99 21.34 21.34 090
fracture.
21470... .................. A Repair lower jaw *15.34 #16.87 #16.87 1.74 33.95 33.95 090
fracture.
21480... .................. A Reset dislocated jaw.... 0.61 0.78 #0.67 0.09 1.48 1.37 000
21485... .................. A Reset dislocated jaw.... *3.99 2.19 2.19 0.20 6.38 6.38 090
21490... .................. A Repair dislocated jaw... *11.86 6.31 6.31 0.52 18.69 18.69 090
21493... .................. A Treat hyoid bone *1.27 1.52 #1.40 0.13 2.92 2.80 090
fracture.
21494... .................. A Repair hyoid bone *6.28 7.52 7.52 0.63 14.43 14.43 090
fracture.
21495... .................. A Repair hyoid bone *5.69 4.82 4.82 0.51 11.02 11.02 090
fracture.
21497... .................. A Interdental wiring...... *3.86 3.97 3.97 0.38 8.21 8.21 090
21499... .................. C Head surgery procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
21501... .................. A Drain neck/chest lesion. *3.81 1.82 1.82 0.26 5.89 5.89 090
21502... .................. A Drain chest lesion...... *7.12 4.22 4.22 0.75 12.09 12.09 090
21510... .................. A Drainage of bone lesion. *5.74 3.82 3.82 0.50 10.06 10.06 090
21550... .................. A Biopsy of neck/chest.... *2.06 0.85 0.85 0.12 3.03 3.03 010
21555... .................. A Remove lesion neck/chest *4.35 1.60 1.60 0.25 6.20 6.20 090
21556... .................. A Remove lesion neck/chest *5.57 3.80 3.80 0.64 10.01 10.01 090
21557... .................. A Remove tumor, neck or *8.88 8.50 8.50 1.41 18.79 18.79 090
chest.
21600... .................. A Partial removal of rib.. *6.89 4.50 4.50 0.88 12.27 12.27 090
21610... .................. A Partial removal of rib.. *14.61 5.17 5.17 0.76 20.54 20.54 090
21615... .................. A Removal of rib.......... *9.87 10.13 10.13 1.96 21.96 21.96 090
21616... .................. A Removal of rib and *12.04 7.26 7.26 1.50 20.80 20.80 090
nerves.
21620... .................. A Partial removal of *6.79 6.85 6.85 1.23 14.87 14.87 090
sternum.
21627... .................. A Sternal debridement..... *6.81 5.03 5.03 0.90 12.74 12.74 090
21630... .................. A Extensive sternum *17.38 12.89 12.89 2.40 32.67 32.67 090
surgery.
21632... .................. A Extensive sternum *18.14 11.54 11.54 2.22 31.90 31.90 090
surgery.
21700... .................. A Revision of neck muscle. *6.19 4.16 4.16 0.50 10.85 10.85 090
21705... .................. A Revision of neck muscle/ *9.60 4.85 4.85 0.96 15.41 15.41 090
rib.
21720... .................. A Revision of neck muscle. *5.68 3.84 3.84 0.52 10.04 10.04 090
21725... .................. A Revision of neck muscle. *6.99 4.84 4.84 0.74 12.57 12.57 090
21740... .................. A Reconstruction of *16.50 8.99 8.99 1.64 27.13 27.13 090
sternum.
21750... .................. A Repair of sternum *10.77 7.33 7.33 1.43 19.53 19.53 090
separation.
21800... .................. A Treatment of rib *0.96 0.77 0.77 0.07 1.80 1.80 090
fracture.
21805... .................. A Treatment of rib *2.75 1.35 1.35 0.17 4.27 4.27 090
fracture.
21810... .................. A Treatment of rib *6.86 7.33 7.33 0.61 14.80 14.80 090
fracture(s).
[[Page 59112]]
21820... .................. A Treat sternum fracture.. *1.28 1.36 1.36 0.17 2.81 2.81 090
21825... .................. A Repair sternum fracture. *7.41 6.90 6.90 1.12 15.43 15.43 090
21899... .................. C Neck/chest surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
21920... .................. A Biopsy soft tissue of *2.06 0.79 0.79 0.11 2.96 2.96 010
back.
21925... .................. A Biopsy soft tissue of *4.49 1.95 1.95 0.32 6.76 6.76 090
back.
21930... .................. A Remove lesion, back or *5.00 2.72 2.72 0.49 8.21 8.21 090
flank.
21935... .................. A Remove tumor of back.... *17.96 6.59 6.59 1.30 25.85 25.85 090
22100... .................. A Remove part of neck *9.73 7.64 7.64 1.09 18.46 18.46 090
vertebra.
22101... .................. A Remove part, thorax *9.81 8.01 8.01 1.38 19.20 19.20 090
vertebra.
22102... .................. A Remove part, lumbar *9.81 4.50 4.50 0.67 14.98 14.98 090
vertebra.
22103... .................. A Remove extra spine 2.34 2.23 2.23 0.37 4.94 4.94 ZZZ
segment.
22110... .................. A Remove part of neck *12.74 9.72 9.72 1.64 24.10 24.10 090
vertebra.
22112... .................. A Remove part, thorax *12.81 9.90 9.90 1.63 24.34 24.34 090
vertebra.
22114... .................. A Remove part, lumbar *12.81 7.25 7.25 1.17 21.23 21.23 090
vertebra.
22116... .................. A Remove extra spine 2.32 2.21 2.21 0.36 4.89 4.89 ZZZ
segment.
22210... .................. A Revision of neck spine.. *23.82 13.83 13.83 2.43 40.08 40.08 090
22212... .................. A Revision of thorax spine *19.42 17.29 17.29 2.83 39.54 39.54 090
22214... .................. A Revision of lumbar spine *19.45 15.11 15.11 2.68 37.24 37.24 090
22216... .................. A Revise, extra spine 6.04 5.07 5.07 0.89 12.00 12.00 ZZZ
segment.
22220... .................. A Revision of neck spine.. *21.37 16.64 16.64 2.63 40.64 40.64 090
22222... .................. A Revision of thorax spine *21.52 13.61 13.61 1.58 36.71 36.71 090
22224... .................. A Revision of lumbar spine *21.52 14.68 14.68 2.66 38.86 38.86 090
22226... .................. A Revise, extra spine 6.04 5.07 5.07 0.89 12.00 12.00 ZZZ
segment.
22305... .................. A Treat spine process *2.05 #2.26 #2.26 0.37 4.68 4.68 090
fracture.
22310... .................. A Treat spine fracture.... *2.61 2.52 2.52 0.69 5.82 5.82 090
22315... .................. A Treat spine fracture.... *8.84 5.51 5.51 0.86 15.21 15.21 090
22325... .................. A Repair of spine fracture *18.30 8.32 8.32 1.34 27.96 27.96 090
22326... .................. A Repair neck spine *19.59 15.93 15.93 2.74 38.26 38.26 090
fracture.
22327... .................. A Repair thorax spine *19.20 15.95 15.95 2.35 37.50 37.50 090
fracture.
22328... .................. A Repair each add spine fx 4.61 4.40 4.40 0.72 9.73 9.73 ZZZ
22505... .................. A Manipulation of spine... *1.87 1.31 1.31 0.17 3.35 3.35 010
22548... .................. A Neck spine fusion....... *25.82 22.74 22.74 3.82 52.38 52.38 090
22554... .................. A Neck spine fusion....... *18.62 19.81 19.81 3.52 41.95 41.95 090
22556... .................. A Thorax spine fusion..... *23.46 21.68 21.68 3.58 48.72 48.72 090
22558... .................. A Lumbar spine fusion..... *22.28 20.17 20.17 3.38 45.83 45.83 090
22585... .................. A Additional spinal fusion 5.53 5.40 5.40 0.93 11.86 11.86 ZZZ
22590... .................. A Spine & skull spinal *20.51 21.57 21.57 3.44 45.52 45.52 090
fusion.
22595... .................. A Neck spinal fusion...... *19.39 #21.33 #21.33 3.87 44.59 44.59 090
22600... .................. A Neck spine fusion....... *16.14 #17.75 #17.75 3.32 37.21 37.21 090
22610... .................. A Thorax spine fusion..... *16.02 #17.62 #17.62 2.75 36.39 36.39 090
22612... .................. A Lumbar spine fusion..... *21.00 20.60 20.60 3.33 44.93 44.93 090
22614... .................. A Spine fusion, extra 6.44 5.65 5.65 0.92 13.01 13.01 ZZZ
segment.
22630... .................. A Lumbar spine fusion..... *20.84 18.44 18.44 3.15 42.43 42.43 090
22632... .................. A Spine fusion, extra 5.23 4.99 4.99 0.82 11.04 11.04 ZZZ
segment.
22800... .................. A Fusion of spine......... *18.25 #20.08 #20.08 3.58 41.91 41.91 090
22802... .................. A Fusion of spine......... *30.88 28.32 28.32 4.61 63.81 63.81 090
22804... .................. A Fusion of spine......... *36.27 28.32 28.32 4.61 69.20 69.20 090
22808... .................. A Fusion of spine......... *26.27 18.41 18.41 3.15 47.83 47.83 090
22810... .................. A Fusion of spine......... *30.27 18.41 18.41 3.15 51.83 51.83 090
22812... .................. A Fusion of spine......... *32.70 25.93 25.93 4.24 62.87 62.87 090
22818... .................. A Kyphectomy, 1-2 segments *31.83 28.25 28.25 4.85 64.93 64.93 090
22819... .................. A Kyphectomy, 3 & more *36.44 28.25 28.25 4.85 69.54 69.54 090
segment.
22830... .................. A Exploration of spinal *10.85 #11.94 #11.94 2.18 24.97 24.97 090
fusion.
22840... .................. A Insert spine fixation 12.54 5.98 5.98 0.98 19.50 19.50 ZZZ
device.
22841... .................. B Insert spine fixation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
device.
22842... .................. A Insert spine fixation 12.58 6.86 6.86 1.12 20.56 20.56 ZZZ
device.
22843... .................. A Insert spine fixation 13.46 8.55 8.55 1.40 23.41 23.41 ZZZ
device.
22844... .................. A Insert spine fixation 16.44 10.45 10.45 1.71 28.60 28.60 ZZZ
device.
22845... .................. A Insert spine fixation 11.96 5.70 5.70 0.93 18.59 18.59 ZZZ
device.
22846... .................. A Insert spine fixation 12.42 7.90 7.90 1.29 21.61 21.61 ZZZ
device.
22847... .................. A Insert spine fixation 13.80 8.77 8.77 1.44 24.01 24.01 ZZZ
device.
22848... .................. A Insert pelvic 6.00 5.72 5.72 0.94 12.66 12.66 ZZZ
fixationdevice.
22849... .................. A Reinsert spinal fixation *18.51 11.76 11.76 1.97 32.24 32.24 090
22850... .................. A Remove spine fixation *9.52 9.17 9.17 1.50 20.19 20.19 090
device.
22851... .................. A Apply spine prosth 6.71 6.40 6.40 1.05 14.16 14.16 ZZZ
device.
22852... .................. A Remove spine fixation *9.01 9.80 9.80 1.57 20.38 20.38 090
device.
22855... .................. A Remove spine fixation *15.13 7.46 7.46 1.25 23.84 23.84 090
device.
22899... .................. C Spine surgery procedure. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
22900... .................. A Remove abdominal wall *5.80 3.03 3.03 0.60 9.43 9.43 090
lesion.
22999... .................. C Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23000... .................. A Removal of calcium *4.36 3.24 3.24 0.47 8.07 8.07 090
deposits.
23020... .................. A Release shoulder joint.. *8.93 7.27 7.27 1.09 17.29 17.29 090
23030... .................. A Drain shoulder lesion... *3.43 2.16 2.16 0.35 5.94 5.94 010
23031... .................. A Drain shoulder bursa.... *2.74 0.50 0.50 0.05 3.29 3.29 010
[[Page 59113]]
23035... .................. A Drain shoulder bone *8.61 6.22 6.22 1.04 15.87 15.87 090
lesion.
23040... .................. A Exploratory shoulder *9.20 9.27 9.27 1.47 19.94 19.94 090
surgery.
23044... .................. A Exploratory shoulder *7.12 6.91 6.91 1.18 15.21 15.21 090
surgery.
23065... .................. A Biopsy shoulder tissues. *2.27 0.66 0.66 0.09 3.02 3.02 010
23066... .................. A Biopsy shoulder tissues. *4.16 1.18 1.18 0.10 5.44 5.44 090
23075... .................. A Removal of shoulder *2.39 1.68 1.68 0.29 4.36 4.36 010
lesion.
23076... .................. A Removal of shoulder *7.63 3.54 3.54 0.65 11.82 11.82 090
lesion.
23077... .................. A Remove tumor of shoulder *16.09 7.38 7.38 1.38 24.85 24.85 090
23100... .................. A Biopsy of shoulder joint *6.03 #6.63 #6.63 1.24 13.90 13.90 090
23101... .................. A Shoulder joint surgery.. *5.58 #6.14 #6.14 1.21 12.93 12.93 090
23105... .................. A Remove shoulder joint *8.23 #9.05 #9.05 1.73 19.01 19.01 090
lining.
23106... .................. A Incision of collarbone *5.96 4.75 4.75 0.80 11.51 11.51 090
joint.
23107... .................. A Explore,treat shoulder *8.62 #9.48 #9.48 1.60 19.70 19.70 090
joint.
23120... .................. A Partial removal, collar *7.11 4.61 4.61 0.74 12.46 12.46 090
bone.
23125... .................. A Removal of collarbone... *9.39 8.49 8.49 1.27 19.15 19.15 090
23130... .................. A Partial *7.55 7.05 7.05 1.14 15.74 15.74 090
removal,shoulderbone.
23140... .................. A Removal of bone lesion.. *6.89 4.16 4.16 0.73 11.78 11.78 090
23145... .................. A Removal of bone lesion.. *9.09 8.13 8.13 1.33 18.55 18.55 090
23146... .................. A Removal of bone lesion.. *7.83 5.23 5.23 1.01 14.07 14.07 090
23150... .................. A Removal of humerus *8.48 6.64 6.64 1.01 16.13 16.13 090
lesion.
23155... .................. A Removal of humerus *10.35 8.80 8.80 1.37 20.52 20.52 090
lesion.
23156... .................. A Removal of humerus *8.68 7.64 7.64 1.25 17.57 17.57 090
lesion.
23170... .................. A Remove collarbone lesion *6.86 4.81 4.81 0.78 12.45 12.45 090
23172... .................. A Remove shoulder blade *6.90 5.16 5.16 0.73 12.79 12.79 090
lesion.
23174... .................. A Remove humerus lesion... *9.51 8.55 8.55 1.21 19.27 19.27 090
23180... .................. A Remove collar bone *8.53 4.30 4.30 0.67 13.50 13.50 090
lesion.
23182... .................. A Remove shoulder blade *8.15 6.57 6.57 1.13 15.85 15.85 090
lesion.
23184... .................. A Remove humerus lesion... *9.38 8.83 8.83 1.48 19.69 19.69 090
23190... .................. A Partial removal of *7.24 6.07 6.07 0.98 14.29 14.29 090
scapula.
23195... .................. A Removal of head of *9.81 8.91 8.91 1.45 20.17 20.17 090
humerus.
23200... .................. A Removal of collar bone.. *12.08 9.17 9.17 1.26 22.51 22.51 090
23210... .................. A Removal of shoulderblade *12.49 9.01 9.01 1.41 22.91 22.91 090
23220... .................. A Partial removal of *14.56 12.05 12.05 2.03 28.64 28.64 090
humerus.
23221... .................. A Partial removal of *17.74 18.13 18.13 1.19 37.06 37.06 090
humerus.
23222... .................. A Partial removal of *23.92 15.02 15.02 2.30 41.24 41.24 090
humerus.
23330... .................. A Remove shoulder foreign *1.85 0.55 0.55 0.07 2.47 2.47 010
body.
23331... .................. A Remove shoulder foreign *7.38 2.26 2.26 0.38 10.02 10.02 090
body.
23332... .................. A Remove shoulder foreign *11.62 9.72 9.72 1.57 22.91 22.91 090
body.
23350... .................. A Injection for shoulder x- 1.00 0.52 0.52 0.05 1.57 1.57 000
ray.
23395... .................. A Muscle transfer, *16.85 11.13 11.13 1.84 29.82 29.82 090
shoulder/arm.
23397... .................. A Muscle transfers........ *16.13 13.97 13.97 2.34 32.44 32.44 090
23400... .................. A Fixation of shoulder *13.54 9.84 9.84 1.68 25.06 25.06 090
blade.
23405... .................. A Incision of tendon & *8.37 7.49 7.49 0.99 16.85 16.85 090
muscle.
23406... .................. A Incise tendon(s) & *10.79 9.41 9.41 1.58 21.78 21.78 090
muscle(s).
23410... .................. A Repair of tendon(s)..... *12.45 10.94 10.94 1.75 25.14 25.14 090
23412... .................. A Repair of tendon(s)..... *13.31 13.37 13.37 2.16 28.84 28.84 090
23415... .................. A Release of shoulder *9.97 5.18 5.18 0.83 15.98 15.98 090
ligament.
23420... .................. A Repair of shoulder...... *13.30 #14.63 #14.63 2.34 30.27 30.27 090
23430... .................. A Repair biceps tendon.... *9.98 7.34 7.34 1.19 18.51 18.51 090
23440... .................. A Removal/transplant *10.48 7.17 7.17 1.17 18.82 18.82 090
tendon.
23450... .................. A Repair shoulder capsule. *13.40 12.75 12.75 2.04 28.19 28.19 090
23455... .................. A Repair shoulder capsule. *14.37 15.56 15.56 2.50 32.43 32.43 090
23460... .................. A Repair shoulder capsule. *15.37 14.07 14.07 2.24 31.68 31.68 090
23462... .................. A Repair shoulder capsule. *15.30 15.13 15.13 2.48 32.91 32.91 090
23465... .................. A Repair shoulder capsule. *15.85 14.15 14.15 2.27 32.27 32.27 090
23466... .................. A Repair shoulder capsule. *14.22 #15.64 #15.64 2.67 32.53 32.53 090
23470... .................. A Reconstruct shoulder *17.15 16.76 16.76 2.65 36.56 36.56 090
joint.
23472... .................. A Reconstruct shoulder *16.92 #18.61 #18.61 4.89 40.42 40.42 090
joint.
23480... .................. A Revision of collarbone.. *11.18 6.59 6.59 1.02 18.79 18.79 090
23485... .................. A Revision of collar bone. *13.43 11.35 11.35 1.87 26.65 26.65 090
23490... .................. A Reinforce clavicle...... *11.86 9.98 9.98 0.80 22.64 22.64 090
23491... .................. A Reinforce shoulder bones *14.21 12.70 12.70 2.11 29.02 29.02 090
23500... .................. A Treat clavicle fracture. *2.08 1.65 1.65 0.21 3.94 3.94 090
23505... .................. A Treat clavicle fracture. *3.69 2.57 2.57 0.38 6.64 6.64 090
23515... .................. A Repair clavicle fracture *7.41 6.93 6.93 1.12 15.46 15.46 090
23520... .................. A Treat clavicle *2.16 1.38 1.38 0.19 3.73 3.73 090
dislocation.
23525... .................. A Treat clavicle *3.60 1.98 1.98 0.27 5.85 5.85 090
dislocation.
23530... .................. A Repair clavicle *7.31 6.58 6.58 0.91 14.80 14.80 090
dislocation.
23532... .................. A Repair clavicle *8.01 7.23 7.23 1.19 16.43 16.43 090
dislocation.
23540... .................. A Treat clavicle *2.23 1.55 1.55 0.19 3.97 3.97 090
dislocation.
23545... .................. A Treat clavicle *3.25 1.98 1.98 0.29 5.52 5.52 090
dislocation.
23550... .................. A Repair clavicle *7.24 #7.96 #7.96 1.46 16.66 16.66 090
dislocation.
23552... .................. A Repair clavicle *8.45 7.29 7.29 1.17 16.91 16.91 090
dislocation.
23570... .................. A Treat shoulderblade *2.23 1.70 1.70 0.25 4.18 4.18 090
fracture.
[[Page 59114]]
23575... .................. A Treat shoulderblade *4.06 2.75 2.75 0.43 7.24 7.24 090
fracture.
23585... .................. A Repair scapula fracture. *8.96 7.70 7.70 1.29 17.95 17.95 090
23600... .................. A Treat humerus fracture.. *2.93 2.90 2.90 0.43 6.26 6.26 090
23605... .................. A Treat humerus fracture.. *4.87 4.76 4.76 0.76 10.39 10.39 090
23615... .................. A Repair humerus fracture. *9.35 #10.29 #10.29 1.78 21.42 21.42 090
23616... .................. A Repair humerus fracture. *21.27 22.32 22.32 3.54 47.13 47.13 090
23620... .................. A Treat humerus fracture.. *2.40 2.88 #2.64 0.46 5.74 5.50 090
23625... .................. A Treat humerus fracture.. *3.93 3.82 3.82 0.60 8.35 8.35 090
23630... .................. A Repair humerus fracture. *7.35 #8.09 #8.09 1.40 16.84 16.84 090
23650... .................. A Treat shoulder *3.39 2.10 2.10 0.24 5.73 5.73 090
dislocation.
23655... .................. A Treat shoulder *4.57 2.93 2.93 0.44 7.94 7.94 090
dislocation.
23660... .................. A Repair shoulder *7.49 #8.24 #8.24 1.40 17.13 17.13 090
dislocation.
23665... .................. A Treat dislocation/ *4.47 3.35 3.35 0.51 8.33 8.33 090
fracture.
23670... .................. A Repair dislocation/ *7.90 #8.69 #8.69 1.85 18.44 18.44 090
fracture.
23675... .................. A Treat dislocation/ *6.05 3.93 3.93 0.61 10.59 10.59 090
fracture.
23680... .................. A Repair dislocation/ *10.06 #11.07 #11.07 2.13 23.26 23.26 090
fracture.
23700... .................. A Fixation of shoulder.... *2.52 2.09 2.09 0.34 4.95 4.95 010
23800... .................. A Fusion of shoulder joint *14.16 #15.58 #15.58 2.63 32.37 32.37 090
23802... .................. A Fusion of shoulder joint *16.60 14.07 14.07 2.24 32.91 32.91 090
23900... .................. A Amputation of arm & *19.72 12.57 12.57 2.40 34.69 34.69 090
girdle.
23920... .................. A Amputation at shoulder *14.61 13.85 13.85 2.54 31.00 31.00 090
joint.
23921... .................. A Amputation follow-up *5.49 4.27 4.27 0.74 10.50 10.50 090
surgery.
23929... .................. C Shoulder surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23930... .................. A Drainage of arm lesion.. *2.94 1.61 1.61 0.24 4.79 4.79 010
23931... .................. A Drainage of arm bursa... *1.79 0.75 0.75 0.11 2.65 2.65 010
23935... .................. A Drain arm/elbow bone *6.09 4.69 4.69 0.78 11.56 11.56 090
lesion.
24000... .................. A Exploratory elbow *5.82 #6.40 #6.40 1.44 13.66 13.66 090
surgery.
24006... .................. A Release elbow joint..... *9.31 7.14 7.14 1.17 17.62 17.62 090
24065... .................. A Biopsy arm/elbow soft *2.08 0.79 0.79 0.10 2.97 2.97 010
tissue.
24066... .................. A Biopsy arm/elbow soft *5.21 2.71 2.71 0.41 8.33 8.33 090
tissue.
24075... .................. A Remove arm/elbow lesion. *3.92 1.98 1.98 0.35 6.25 6.25 090
24076... .................. A Remove arm/elbow lesion. *6.30 3.68 3.68 0.67 10.65 10.65 090
24077... .................. A Remove tumor of arm/ *11.76 9.79 9.79 1.87 23.42 23.42 090
elbow.
24100... .................. A Biopsy elbow joint *4.93 4.23 4.23 0.69 9.85 9.85 090
lining.
24101... .................. A Explore/treat elbow *6.13 #6.74 #6.74 1.41 14.28 14.28 090
joint.
24102... .................. A Remove elbow joint *8.03 #8.83 #8.83 1.81 18.67 18.67 090
lining.
24105... .................. A Removal of elbow bursa.. *3.61 3.77 3.77 0.63 8.01 8.01 090
24110... .................. A Remove humerus lesion... *7.39 7.69 7.69 1.22 16.30 16.30 090
24115... .................. A Remove/graft bone lesion *9.63 7.68 7.68 1.33 18.64 18.64 090
24116... .................. A Remove/graft bone lesion *11.81 9.72 9.72 1.47 23.00 23.00 090
24120... .................. A Remove elbow lesion..... *6.65 6.02 6.02 0.98 13.65 13.65 090
24125... .................. A Remove/graft bone lesion *7.89 5.79 5.79 0.61 14.29 14.29 090
24126... .................. A Remove/graft bone lesion *8.31 7.40 7.40 1.21 16.92 16.92 090
24130... .................. A Removal of head of *6.25 6.72 6.72 1.08 14.05 14.05 090
radius.
24134... .................. A Removal of arm bone *9.73 8.69 8.69 1.24 19.66 19.66 090
lesion.
24136... .................. A Remove radius bone *7.99 8.78 8.78 0.92 17.69 17.69 090
lesion.
24138... .................. A Remove elbow bone lesion *8.05 6.39 6.39 1.06 15.50 15.50 090
24140... .................. A Partial removal of arm *9.18 8.77 8.77 1.45 19.40 19.40 090
bone.
24145... .................. A Partial removal of *7.58 6.38 6.38 1.03 14.99 14.99 090
radius.
24147... .................. A Partial removal of elbow *7.54 6.61 6.61 1.08 15.23 15.23 090
24149... .................. A Radical resection of *14.20 12.64 12.64 2.07 28.91 28.91 090
elbow.
24150... .................. A Extensive humerus *13.27 14.08 14.08 2.24 29.59 29.59 090
surgery.
24151... .................. A Extensive humerus *15.58 13.83 13.83 2.11 31.52 31.52 090
surgery.
24152... .................. A Extensive radius surgery *10.06 6.80 6.80 1.16 18.02 18.02 090
24153... .................. A Extensive radius surgery *11.54 10.44 10.44 1.71 23.69 23.69 090
24155... .................. A Removal of elbow joint.. *11.73 10.75 10.75 1.72 24.20 24.20 090
24160... .................. A Remove elbow joint *7.83 4.84 4.84 0.80 13.47 13.47 090
implant.
24164... .................. A Remove radius head *6.23 5.53 5.53 0.90 12.66 12.66 090
implant.
24200... .................. A Removal of arm foreign *1.76 0.56 0.56 0.06 2.38 2.38 010
body.
24201... .................. A Removal of arm foreign *4.56 3.06 3.06 0.49 8.11 8.11 090
body.
24220... .................. A Injection for elbow x- 1.31 0.51 0.51 0.05 1.87 1.87 000
ray.
24301... .................. A Muscle/tendon transfer.. *10.20 7.90 7.90 1.23 19.33 19.33 090
24305... .................. A Arm tendon lengthening.. *7.45 3.08 3.08 0.29 10.82 10.82 090
24310... .................. A Revision of arm tendon.. *5.98 2.95 2.95 0.48 9.41 9.41 090
24320... .................. A Repair of arm tendon.... *10.56 9.20 9.20 1.29 21.05 21.05 090
24330... .................. A Revision of arm muscles. *9.60 8.74 8.74 1.43 19.77 19.77 090
24331... .................. A Revision of arm muscles. *10.65 9.62 9.62 1.57 21.84 21.84 090
24340... .................. A Repair of biceps tendon. *7.89 7.00 7.00 1.13 16.02 16.02 090
24341... .................. A Repair tendon/muscle arm *7.90 6.99 6.99 1.14 16.03 16.03 090
24342... .................. A Repair of ruptured *10.62 10.38 10.38 1.76 22.76 22.76 090
tendon.
24350... .................. A Repair of tennis elbow.. *5.25 4.23 4.23 0.69 10.17 10.17 090
24351... .................. A Repair of tennis elbow.. *5.91 4.57 4.57 0.73 11.21 11.21 090
24352... .................. A Repair of tennis elbow.. *6.43 5.69 5.69 0.93 13.05 13.05 090
24354... .................. A Repair of tennis elbow.. *6.48 5.61 5.61 0.94 13.03 13.03 090
[[Page 59115]]
24356... .................. A Revision of tennis elbow *6.68 7.28 7.28 1.18 15.14 15.14 090
24360... .................. A Reconstruct elbow joint. *12.34 #13.57 #13.57 2.47 28.38 28.38 090
24361... .................. A Reconstruct elbow joint. *14.08 13.13 13.13 2.00 29.21 29.21 090
24362... .................. A Reconstruct elbow joint. *14.99 13.14 13.14 0.80 28.93 28.93 090
24363... .................. A Replace elbow joint..... *18.49 #20.34 #20.34 4.13 42.96 42.96 090
24365... .................. A Reconstruct head of *8.39 7.52 7.52 1.19 17.10 17.10 090
radius.
24366... .................. A Reconstruct head of *9.13 #10.04 #10.04 1.80 20.97 20.97 090
radius.
24400... .................. A Revision of humerus..... *11.06 8.43 8.43 1.37 20.86 20.86 090
24410... .................. A Revision of humerus..... *14.82 14.04 14.04 2.06 30.92 30.92 090
24420... .................. A Revision of humerus..... *13.44 12.30 12.30 2.01 27.75 27.75 090
24430... .................. A Repair of humerus....... *12.81 #14.09 #14.09 2.34 29.24 29.24 090
24435... .................. A Repair humerus with *13.17 #14.49 #14.49 2.84 30.50 30.50 090
graft.
24470... .................. A Revision of elbow joint. *8.74 7.92 7.92 1.30 17.96 17.96 090
24495... .................. A Decompression of forearm *8.12 5.75 5.75 1.10 14.97 14.97 090
24498... .................. A Reinforce humerus....... *11.92 10.37 10.37 1.62 23.91 23.91 090
24500... .................. A Treat humerus fracture.. *3.21 2.54 2.54 0.36 6.11 6.11 090
24505... .................. A Treat humerus fracture.. *5.17 4.50 4.50 0.71 10.38 10.38 090
24515... .................. A Repair humerus fracture. *11.65 9.65 9.65 1.54 22.84 22.84 090
24516... .................. A Repair humerus fracture. *11.65 9.65 9.65 1.54 22.84 22.84 090
24530... .................. A Treat humerus fracture.. *3.50 2.73 2.73 0.42 6.65 6.65 090
24535... .................. A Treat humerus fracture.. *6.87 4.85 4.85 0.78 12.50 12.50 090
24538... .................. A Treat humerus fracture.. *9.43 7.98 7.98 1.26 18.67 18.67 090
24545... .................. A Repair humerus fracture. *10.46 9.97 9.97 1.59 22.02 22.02 090
24546... .................. A Repair humerus fracture. *15.69 9.97 9.97 1.59 27.25 27.25 090
24560... .................. A Treat humerus fracture.. *2.80 2.16 2.16 0.30 5.26 5.26 090
24565... .................. A Treat humerus fracture.. *5.56 3.45 3.45 0.54 9.55 9.55 090
24566... .................. A Treat humerus fracture.. *7.79 6.06 6.06 0.96 14.81 14.81 090
24575... .................. A Repair humerus fracture. *10.66 7.79 7.79 1.24 19.69 19.69 090
24576... .................. A Treat humerus fracture.. *2.86 2.16 2.16 0.33 5.35 5.35 090
24577... .................. A Treat humerus fracture.. *5.79 4.00 4.00 0.61 10.40 10.40 090
24579... .................. A Repair humerus fracture. *11.60 8.37 8.37 1.35 21.32 21.32 090
24582... .................. A Treat humerus fracture.. *8.55 6.62 6.62 1.06 16.23 16.23 090
24586... .................. A Repair elbow fracture... *15.21 14.72 14.72 2.36 32.29 32.29 090
24587... .................. A Repair elbow fracture... *15.16 13.72 13.72 2.17 31.05 31.05 090
24600... .................. A Treat elbow dislocation. *4.23 1.95 1.95 0.26 6.44 6.44 090
24605... .................. A Treat elbow dislocation. *5.42 2.29 2.29 0.37 8.08 8.08 090
24615... .................. A Repair elbow dislocation *9.42 9.29 9.29 1.48 20.19 20.19 090
24620... .................. A Treat elbow fracture.... *6.98 3.78 3.78 0.57 11.33 11.33 090
24635... .................. A Repair elbow fracture... *13.19 11.06 11.06 1.78 26.03 26.03 090
24640... .................. A Treat elbow dislocation. *1.20 1.01 1.01 0.08 2.29 2.29 010
24650... .................. A Treat radius fracture... *2.16 2.25 2.25 0.33 4.74 4.74 090
24655... .................. A Treat radius fracture... *4.40 3.01 3.01 0.45 7.86 7.86 090
24665... .................. A Repair radius fracture.. *8.14 7.13 7.13 1.14 16.41 16.41 090
24666... .................. A Repair radius fracture.. *9.49 10.27 10.27 1.60 21.36 21.36 090
24670... .................. A Treatment of ulna *2.54 1.95 1.95 0.27 4.76 4.76 090
fracture.
24675... .................. A Treatment of ulna *4.72 3.51 3.51 0.54 8.77 8.77 090
fracture.
24685... .................. A Repair ulna fracture.... *8.80 8.40 8.40 1.34 18.54 18.54 090
24800... .................. A Fusion of elbow joint... *11.20 10.59 10.59 1.55 23.34 23.34 090
24802... .................. A Fusion/graft of elbow *13.69 12.18 12.18 1.99 27.86 27.86 090
joint.
24900... .................. A Amputation of upper arm. *9.60 7.68 7.68 1.39 18.67 18.67 090
24920... .................. A Amputation of upper arm. *9.54 6.78 6.78 1.19 17.51 17.51 090
24925... .................. A Amputation follow-up *7.07 6.27 6.27 0.75 14.09 14.09 090
surgery.
24930... .................. A Amputation follow-up *10.25 8.16 8.16 1.17 19.58 19.58 090
surgery.
24931... .................. A Amputate upper arm & *12.72 11.17 11.17 1.84 25.73 25.73 090
implant.
24935... .................. A Revision of amputation.. *15.56 13.70 13.70 2.24 31.50 31.50 090
24940... .................. C Revision of upper arm... 0.00 0.00 0.00 0.00 0.00 0.00 090
24999... .................. C Upper arm/elbow surgery. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
25000... .................. A Incision of tendon *3.38 #3.72 #3.72 0.62 7.72 7.72 090
sheath.
25020... .................. A Decompression of forearm *5.92 4.35 4.35 0.77 11.04 11.04 090
25023... .................. A Decompression of forearm *12.96 5.44 5.44 0.94 19.34 19.34 090
25028... .................. A Drainage of forearm *5.25 2.06 2.06 0.36 7.67 7.67 090
lesion.
25031... .................. A Drainage of forearm *4.14 0.66 0.66 0.09 4.89 4.89 090
bursa.
25035... .................. A Treat forearm bone *7.36 6.30 6.30 1.01 14.67 14.67 090
lesion.
25040... .................. A Explore/treat wrist *7.18 5.69 5.69 0.90 13.77 13.77 090
joint.
25065... .................. A Biopsy forearm soft *1.99 0.75 0.75 0.09 2.83 2.83 010
tissues.
25066... .................. A Biopsy forearm soft *4.13 1.54 1.54 0.22 5.89 5.89 090
tissues.
25075... .................. A Removal of forearm *3.74 2.19 2.19 0.37 6.30 6.30 090
lesion.
25076... .................. A Removal of forearm *4.92 3.77 3.77 0.67 9.36 9.36 090
lesion.
25077... .................. A Remove tumor, forearm/ *9.76 8.48 8.48 1.67 19.91 19.91 090
wrist.
25085... .................. A Incision of wrist *5.50 4.62 4.62 0.71 10.83 10.83 090
capsule.
25100... .................. A Biopsy of wrist joint... *3.90 #4.29 #4.29 0.79 8.98 8.98 090
25101... .................. A Explore/treat wrist *4.69 #5.16 #5.16 0.98 10.83 10.83 090
joint.
25105... .................. A Remove wrist joint *5.85 #6.44 #6.44 1.19 13.48 13.48 090
lining.
25107... .................. A Remove wrist joint *6.43 5.28 5.28 0.89 12.60 12.60 090
cartilage.
[[Page 59116]]
25110... .................. A Remove wrist tendon *3.92 2.80 2.80 0.46 7.18 7.18 090
lesion.
25111... .................. A Remove wrist tendon *3.39 3.22 3.22 0.55 7.16 7.16 090
lesion.
25112... .................. A Reremove wrist tendon *4.53 3.72 3.72 0.66 8.91 8.91 090
lesion.
25115... .................. A Remove wrist/forearm *8.82 7.14 7.14 1.23 17.19 17.19 090
lesion.
25116... .................. A Remove wrist/forearm *7.11 #7.82 #7.82 1.38 16.31 16.31 090
lesion.
25118... .................. A Excise wrist tendon *4.37 #4.81 #4.81 1.02 10.20 10.20 090
sheath.
25119... .................. A Partial removal of ulna. *6.04 #6.64 #6.64 1.32 14.00 14.00 090
25120... .................. A Removal of forearm *6.10 6.53 6.53 1.14 13.77 13.77 090
lesion.
25125... .................. A Remove/graft forearm *7.48 6.84 6.84 1.04 15.36 15.36 090
lesion.
25126... .................. A Remove/graft forearm *7.55 6.80 6.80 1.12 15.47 15.47 090
lesion.
25130... .................. A Removal of wrist lesion. *5.26 4.21 4.21 0.67 10.14 10.14 090
25135... .................. A Remove & graft wrist *6.89 5.46 5.46 0.97 13.32 13.32 090
lesion.
25136... .................. A Remove & graft wrist *5.97 4.74 4.74 0.85 11.56 11.56 090
lesion.
25145... .................. A Remove forearm bone *6.37 5.95 5.95 0.75 13.07 13.07 090
lesion.
25150... .................. A Partial removal of ulna. *7.09 6.67 6.67 1.12 14.88 14.88 090
25151... .................. A Partial removal of *7.39 5.75 5.75 1.02 14.16 14.16 090
radius.
25170... .................. A Extensive forearm *11.09 9.79 9.79 1.51 22.39 22.39 090
surgery.
25210... .................. A Removal of wrist bone... *5.95 4.88 4.88 0.80 11.63 11.63 090
25215... .................. A Removal of wrist bones.. *7.89 8.68 8.68 1.42 17.99 17.99 090
25230... .................. A Partial removal of *5.23 5.57 5.57 0.85 11.65 11.65 090
radius.
25240... .................. A Partial removal of ulna. *5.17 5.30 5.30 0.86 11.33 11.33 090
25246... .................. A Injection for wrist x- 1.45 0.50 0.50 0.05 2.00 2.00 000
ray.
25248... .................. A Remove forearm foreign *5.14 2.18 2.18 0.37 7.69 7.69 090
body.
25250... .................. A Removal of wrist *6.60 5.63 5.63 0.91 13.14 13.14 090
prosthesis.
25251... .................. A Removal of wrist *9.57 8.25 8.25 1.39 19.21 19.21 090
prosthesis.
25260... .................. A Repair forearm tendon/ *7.80 4.61 4.61 0.78 13.19 13.19 090
muscle.
25263... .................. A Repair forearm tendon/ *7.82 5.77 5.77 1.03 14.62 14.62 090
muscle.
25265... .................. A Repair forearm tendon/ *9.88 7.93 7.93 1.41 19.22 19.22 090
muscle.
25270... .................. A Repair forearm tendon/ *6.00 3.36 3.36 0.55 9.91 9.91 090
muscle.
25272... .................. A Repair forearm tendon/ *7.04 3.44 3.44 0.54 11.02 11.02 090
muscle.
25274... .................. A Repair forearm tendon/ *8.75 6.62 6.62 1.13 16.50 16.50 090
muscle.
25280... .................. A Revise wrist/forearm *7.22 4.22 4.22 0.69 12.13 12.13 090
tendon.
25290... .................. A Incise wrist/forearm *5.29 2.47 2.47 0.41 8.17 8.17 090
tendon.
25295... .................. A Release wrist/forearm *6.55 3.05 3.05 0.52 10.12 10.12 090
tendon.
25300... .................. A Fusion of tendons at *8.80 7.36 7.36 1.19 17.35 17.35 090
wrist.
25301... .................. A Fusion of tendons at *8.40 6.77 6.77 1.18 16.35 16.35 090
wrist.
25310... .................. A Transplant forearm *8.14 7.14 7.14 1.17 16.45 16.45 090
tendon.
25312... .................. A Transplant forearm *9.57 7.63 7.63 1.31 18.51 18.51 090
tendon.
25315... .................. A Revise palsy hand *10.20 8.06 8.06 1.34 19.60 19.60 090
tendon(s).
25316... .................. A Revise palsy hand *12.33 10.58 10.58 1.78 24.69 24.69 090
tendon(s).
25320... .................. A Repair/revise wrist *10.77 8.60 8.60 1.45 20.82 20.82 090
joint.
25332... .................. A Revise wrist joint...... *11.41 9.98 9.98 1.61 23.00 23.00 090
25335... .................. A Realignment of hand..... *12.88 11.41 11.41 1.56 25.85 25.85 090
25337... .................. A Reconstruct ulna/ *10.17 8.60 8.60 1.45 20.22 20.22 090
radioulnar.
25350... .................. A Revision of radius...... *8.78 7.61 7.61 1.26 17.65 17.65 090
25355... .................. A Revision of radius...... *10.17 9.12 9.12 1.49 20.78 20.78 090
25360... .................. A Revision of ulna........ *8.43 6.41 6.41 0.99 15.83 15.83 090
25365... .................. A Revise radius & ulna.... *12.40 10.31 10.31 1.57 24.28 24.28 090
25370... .................. A Revise radius or ulna... *13.36 11.76 11.76 1.92 27.04 27.04 090
25375... .................. A Revise radius & ulna.... *13.04 13.38 13.38 0.87 27.29 27.29 090
25390... .................. A Shorten radius/ulna..... *10.40 8.82 8.82 1.50 20.72 20.72 090
25391... .................. A Lengthen radius/ulna.... *13.65 11.25 11.25 1.93 26.83 26.83 090
25392... .................. A Shorten radius & ulna... *13.95 12.44 12.44 2.04 28.43 28.43 090
25393... .................. A Lengthen radius & ulna.. *15.87 14.21 14.21 2.32 32.40 32.40 090
25400... .................. A Repair radius or ulna... *10.92 10.78 10.78 1.75 23.45 23.45 090
25405... .................. A Repair/graft radius or *14.38 12.42 12.42 2.02 28.82 28.82 090
ulna.
25415... .................. A Repair radius & ulna.... *13.35 11.42 11.42 1.92 26.69 26.69 090
25420... .................. A Repair/graft radius & *16.33 14.70 14.70 2.28 33.31 33.31 090
ulna.
25425... .................. A Repair/graft radius or *13.21 12.02 12.02 1.87 27.10 27.10 090
ulna.
25426... .................. A Repair/graft radius & *15.82 11.72 11.72 2.13 29.67 29.67 090
ulna.
25440... .................. A Repair/graft wrist bone. *10.44 9.05 9.05 1.50 20.99 20.99 090
25441... .................. A Reconstruct wrist joint. *12.90 11.36 11.36 1.89 26.15 26.15 090
25442... .................. A Reconstruct wrist joint. *10.85 7.06 7.06 1.22 19.13 19.13 090
25443... .................. A Reconstruct wrist joint. *10.39 9.38 9.38 1.52 21.29 21.29 090
25444... .................. A Reconstruct wrist joint. *11.15 10.14 10.14 1.66 22.95 22.95 090
25445... .................. A Reconstruct wrist joint. *9.69 10.36 10.36 1.72 21.77 21.77 090
25446... .................. A Wrist replacement....... *16.55 #18.21 #18.21 3.49 38.25 38.25 090
25447... .................. A Repair wrist joint(s)... *10.37 9.65 9.65 1.56 21.58 21.58 090
25449... .................. A Remove wrist joint *14.49 7.84 7.84 1.16 23.49 23.49 090
implant.
25450... .................. A Revision of wrist joint. *7.87 7.31 7.31 1.19 16.37 16.37 090
25455... .................. A Revision of wrist joint. *9.49 8.71 8.71 1.42 19.62 19.62 090
25490... .................. A Reinforce radius........ *9.54 8.69 8.69 1.42 19.65 19.65 090
25491... .................. A Reinforce ulna.......... *9.96 9.10 9.10 1.49 20.55 20.55 090
25492... .................. A Reinforce radius and *12.33 11.20 11.20 1.84 25.37 25.37 090
ulna.
[[Page 59117]]
25500... .................. A Treat fracture of radius *2.45 2.33 2.33 0.29 5.07 5.07 090
25505... .................. A Treat fracture of radius *5.21 3.57 3.57 0.51 9.29 9.29 090
25515... .................. A Repair fracture of *9.18 7.63 7.63 1.22 18.03 18.03 090
radius.
25520... .................. A Repair fracture of *6.26 5.74 5.74 0.94 12.94 12.94 090
radius.
25525... .................. A Repair fracture of *12.24 11.15 11.15 1.83 25.22 25.22 090
radius.
25526... .................. A Repair fracture of *12.98 11.85 11.85 1.94 26.77 26.77 090
radius.
25530... .................. A Treat fracture of ulna.. *2.09 2.44 #2.30 0.35 4.88 4.74 090
25535... .................. A Treat fracture of ulna.. *5.14 3.57 3.57 0.54 9.25 9.25 090
25545... .................. A Repair fracture of ulna. *8.90 7.58 7.58 1.20 17.68 17.68 090
25560... .................. A Treat fracture radius & *2.44 2.27 2.27 0.27 4.98 4.98 090
ulna.
25565... .................. A Treat fracture radius & *5.63 4.66 4.66 0.70 10.99 10.99 090
ulna.
25574... .................. A Treat fracture radius & *7.01 #7.71 #7.71 1.73 16.45 16.45 090
ulna.
25575... .................. A Repair fracture radius/ *10.45 10.70 10.70 1.73 22.88 22.88 090
ulna.
25600... .................. A Treat fracture radius/ *2.63 2.84 2.84 0.42 5.89 5.89 090
ulna.
25605... .................. A Treat fracture radius/ *5.81 3.95 3.95 0.61 10.37 10.37 090
ulna.
25611... .................. A Repair fracture radius/ *7.77 6.01 6.01 0.97 14.75 14.75 090
ulna.
25620... .................. A Repair fracture radius/ *8.55 7.13 7.13 1.14 16.82 16.82 090
ulna.
25622... .................. A Treat wrist bone *2.61 2.28 2.28 0.33 5.22 5.22 090
fracture.
25624... .................. A Treat wrist bone *4.53 3.67 3.67 0.57 8.77 8.77 090
fracture.
25628... .................. A Repair wrist bone *8.43 7.13 7.13 1.16 16.72 16.72 090
fracture.
25630... .................. A Treat wrist bone *2.88 2.19 2.19 0.30 5.37 5.37 090
fracture.
25635... .................. A Treat wrist bone *4.39 3.36 3.36 0.50 8.25 8.25 090
fracture.
25645... .................. A Repair wrist bone *7.25 6.68 6.68 0.95 14.88 14.88 090
fracture.
25650... .................. A Repair wrist bone *3.05 2.66 2.66 0.36 6.07 6.07 090
fracture.
25660... .................. A Treat wrist dislocation. *4.76 1.82 1.82 0.26 6.84 6.84 090
25670... .................. A Repair wrist dislocation *7.92 7.08 7.08 1.12 16.12 16.12 090
25675... .................. A Treat wrist dislocation. *4.67 2.28 2.28 0.34 7.29 7.29 090
25676... .................. A Repair wrist dislocation *8.04 7.32 7.32 1.11 16.47 16.47 090
25680... .................. A Treat wrist fracture.... *5.99 2.44 2.44 0.36 8.79 8.79 090
25685... .................. A Repair wrist fracture... *9.78 8.79 8.79 1.44 20.01 20.01 090
25690... .................. A Treat wrist dislocation. *5.50 4.89 4.89 0.73 11.12 11.12 090
25695... .................. A Repair wrist dislocation *8.34 7.04 7.04 1.17 16.55 16.55 090
25800... .................. A Fusion of wrist joint... *9.76 #10.74 #10.74 1.80 22.30 22.30 090
25805... .................. A Fusion/graft of wrist *11.28 #12.41 #12.41 2.09 25.78 25.78 090
joint.
25810... .................. A Fusion/graft of wrist *10.57 #11.63 #11.63 2.06 24.26 24.26 090
joint.
25820... .................. A Fusion of hand bones.... *7.45 #8.20 #8.20 1.48 17.13 17.13 090
25825... .................. A Fusion hand bones with *9.27 #10.20 #10.20 1.99 21.46 21.46 090
graft.
25830... .................. A Fusion radioulnar jnt/ *10.06 8.60 8.60 1.45 20.11 20.11 090
ulna.
25900... .................. A Amputation of forearm... *9.01 7.08 7.08 1.31 17.40 17.40 090
25905... .................. A Amputation of forearm... *9.12 7.11 7.11 1.15 17.38 17.38 090
25907... .................. A Amputation follow-up *7.80 5.74 5.74 1.00 14.54 14.54 090
surgery.
25909... .................. A Amputation follow-up *8.96 5.55 5.55 1.06 15.57 15.57 090
surgery.
25915... .................. A Amputation of forearm... *17.08 15.83 15.83 2.59 35.50 35.50 090
25920... .................. A Amputate hand at wrist.. *8.68 7.00 7.00 1.20 16.88 16.88 090
25922... .................. A Amputate hand at wrist.. *7.42 5.55 5.55 1.02 13.99 13.99 090
25924... .................. A Amputation follow-up *8.46 7.50 7.50 1.22 17.18 17.18 090
surgery.
25927... .................. A Amputation of hand...... *8.80 6.29 6.29 1.22 16.31 16.31 090
25929... .................. A Amputation follow-up *7.59 4.74 4.74 0.96 13.29 13.29 090
surgery.
25931... .................. A Amputation follow-up *7.81 4.54 4.54 0.90 13.25 13.25 090
surgery.
25999... .................. C Forearm or wrist surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
26010... .................. A Drainage of finger *1.54 0.48 0.48 0.05 2.07 2.07 010
abscess.
26011... .................. A Drainage of finger *2.19 1.54 1.54 0.24 3.97 3.97 010
abscess.
26020... .................. A Drain hand tendon sheath *4.67 3.72 3.72 0.63 9.02 9.02 090
26025... .................. A Drainage of palm bursa.. *4.82 4.51 4.51 0.76 10.09 10.09 090
26030... .................. A Drainage of palm *5.93 5.73 5.73 0.98 12.64 12.64 090
bursa(s).
26034... .................. A Treat hand bone lesion.. *6.23 4.23 4.23 0.71 11.17 11.17 090
26035... .................. A Decompress fingers/hand. *9.51 5.17 5.17 0.86 15.54 15.54 090
26037... .................. A Decompress fingers/hand. *7.25 6.37 6.37 1.05 14.67 14.67 090
26040... .................. A Release palm contracture *3.33 2.86 2.86 0.49 6.68 6.68 090
26045... .................. A Release palm contracture *5.56 4.83 4.83 0.81 11.20 11.20 090
26055... .................. A Incise finger tendon *2.69 3.28 3.28 0.56 6.53 6.53 090
sheath.
26060... .................. A Incision of finger *2.81 1.13 1.13 0.17 4.11 4.11 090
tendon.
26070... .................. A Explore/treat hand joint *3.69 2.76 2.76 0.42 6.87 6.87 090
26075... .................. A Explore/treat finger *3.79 3.78 3.78 0.62 8.19 8.19 090
joint.
26080... .................. A Explore/treat finger *4.24 3.14 3.14 0.51 7.89 7.89 090
joint.
26100... .................. A Biopsy hand joint lining *3.67 2.99 2.99 0.45 7.11 7.11 090
26105... .................. A Biopsy finger joint *3.71 4.17 4.17 0.67 8.55 8.55 090
lining.
26110... .................. A Biopsy finger joint *3.53 2.93 2.93 0.50 6.96 6.96 090
lining.
26115... .................. A Removal of hand lesion.. *3.86 2.01 2.01 0.34 6.21 6.21 090
26116... .................. A Removal of hand lesion.. *5.53 3.71 3.71 0.62 9.86 9.86 090
26117... .................. A Remove tumor, hand/ *8.55 5.07 5.07 0.91 14.53 14.53 090
finger.
26121... .................. A Release palm contracture *7.54 #8.29 #8.29 1.61 17.44 17.44 090
26123... .................. A Release palm contracture *9.29 9.10 9.10 1.53 19.92 19.92 090
26125... .................. A Release palm contracture 4.61 2.62 2.62 0.45 7.68 7.68 ZZZ
[[Page 59118]]
26130... .................. A Remove wrist joint *5.42 5.01 5.01 0.86 11.29 11.29 090
lining.
26135... .................. A Revise finger joint, *6.96 4.86 4.86 0.82 12.64 12.64 090
each.
26140... .................. A Revise finger joint, *6.17 4.40 4.40 0.75 11.32 11.32 090
each.
26145... .................. A Tendon excision, palm/ *6.32 4.71 4.71 0.80 11.83 11.83 090
finger.
26160... .................. A Remove tendon sheath *3.15 2.32 2.32 0.40 5.87 5.87 090
lesion.
26170... .................. A Removal of palm tendon, *4.77 2.83 2.83 0.45 8.05 8.05 090
each.
26180... .................. A Removal of finger tendon *5.18 4.01 4.01 0.71 9.90 9.90 090
26185... .................. A Remove finger bone...... *5.25 4.24 4.24 0.41 9.90 9.90 090
26200... .................. A Remove hand bone lesion. *5.51 4.48 4.48 0.72 10.71 10.71 090
26205... .................. A Remove/graft bone lesion *7.70 6.40 6.40 1.03 15.13 15.13 090
26210... .................. A Removal of finger lesion *5.15 3.90 3.90 0.64 9.69 9.69 090
26215... .................. A Remove/graft finger *7.10 5.55 5.55 0.94 13.59 13.59 090
lesion.
26230... .................. A Partial removal of hand *6.33 4.26 4.26 0.69 11.28 11.28 090
bone.
26235... .................. A Partial removal, finger *6.19 4.17 4.17 0.71 11.07 11.07 090
bone.
26236... .................. A Partial removal, finger *5.32 3.86 3.86 0.66 9.84 9.84 090
bone.
26250... .................. A Extensive hand surgery.. *7.55 6.00 6.00 1.07 14.62 14.62 090
26255... .................. A Extensive hand surgery.. *12.43 8.94 8.94 1.54 22.91 22.91 090
26260... .................. A Extensive finger surgery *7.03 5.73 5.73 0.97 13.73 13.73 090
26261... .................. A Extensive finger surgery *9.09 7.70 7.70 1.31 18.10 18.10 090
26262... .................. A Partial removal of *5.67 4.75 4.75 0.76 11.18 11.18 090
finger.
26320... .................. A Removal of implant from *3.98 3.54 3.54 0.57 8.09 8.09 090
hand.
26350... .................. A Repair finger/hand *5.99 5.74 5.74 0.99 12.72 12.72 090
tendon.
26352... .................. A Repair/graft hand tendon *7.68 6.60 6.60 1.10 15.38 15.38 090
26356... .................. A Repair finger/hand *8.07 7.21 7.21 1.24 16.52 16.52 090
tendon.
26357... .................. A Repair finger/hand *8.58 6.58 6.58 1.19 16.35 16.35 090
tendon.
26358... .................. A Repair/graft hand tendon *9.14 7.40 7.40 1.27 17.81 17.81 090
26370... .................. A Repair finger/hand *7.11 6.71 6.71 1.13 14.95 14.95 090
tendon.
26372... .................. A Repair/graft hand tendon *8.76 6.39 6.39 1.15 16.30 16.30 090
26373... .................. A Repair finger/hand *8.16 6.85 6.85 1.11 16.12 16.12 090
tendon.
26390... .................. A Revise hand/finger *9.19 7.95 7.95 1.23 18.37 18.37 090
tendon.
26392... .................. A Repair/graft hand tendon *10.26 8.61 8.61 1.26 20.13 20.13 090
26410... .................. A Repair hand tendon...... *4.63 3.29 3.29 0.51 8.43 8.43 090
26412... .................. A Repair/graft hand tendon *6.31 6.01 6.01 0.97 13.29 13.29 090
26415... .................. A Excision, hand/finger *8.34 6.75 6.75 0.90 15.99 15.99 090
tendon.
26416... .................. A Graft hand or finger *9.37 8.64 8.64 1.41 19.42 19.42 090
tendon.
26418... .................. A Repair finger tendon.... *4.25 3.58 3.58 0.59 8.42 8.42 090
26420... .................. A Repair/graft finger *6.77 5.68 5.68 0.96 13.41 13.41 090
tendon.
26426... .................. A Repair finger/hand *6.15 6.31 6.31 1.07 13.53 13.53 090
tendon.
26428... .................. A Repair/graft finger *7.21 5.50 5.50 1.00 13.71 13.71 090
tendon.
26432... .................. A Repair finger tendon.... *4.02 3.15 3.15 0.51 7.68 7.68 090
26433... .................. A Repair finger tendon.... *4.56 3.94 3.94 0.66 9.16 9.16 090
26434... .................. A Repair/graft finger *6.09 4.95 4.95 0.84 11.88 11.88 090
tendon.
26437... .................. A Realignment of tendons.. *5.82 4.05 4.05 0.68 10.55 10.55 090
26440... .................. A Release palm/finger *5.02 3.57 3.57 0.59 9.18 9.18 090
tendon.
26442... .................. A Release palm & finger *8.16 3.37 3.37 0.59 12.12 12.12 090
tendon.
26445... .................. A Release hand/finger *4.31 3.25 3.25 0.54 8.10 8.10 090
tendon.
26449... .................. A Release forearm/hand *7.00 5.57 5.57 0.96 13.53 13.53 090
tendon.
26450... .................. A Incision of palm tendon. *3.67 2.28 2.28 0.36 6.31 6.31 090
26455... .................. A Incision of finger *3.64 1.89 1.89 0.33 5.86 5.86 090
tendon.
26460... .................. A Incise hand/finger *3.46 1.72 1.72 0.30 5.48 5.48 090
tendon.
26471... .................. A Fusion of finger tendons *5.73 4.15 4.15 0.67 10.55 10.55 090
26474... .................. A Fusion of finger tendons *5.32 4.61 4.61 0.75 10.68 10.68 090
26476... .................. A Tendon lengthening...... *5.18 2.89 2.89 0.27 8.34 8.34 090
26477... .................. A Tendon shortening....... *5.15 3.99 3.99 0.73 9.87 9.87 090
26478... .................. A Lengthening of hand *5.80 4.30 4.30 0.72 10.82 10.82 090
tendon.
26479... .................. A Shortening of hand *5.74 5.29 5.29 0.86 11.89 11.89 090
tendon.
26480... .................. A Transplant hand tendon.. *6.69 6.53 6.53 1.11 14.33 14.33 090
26483... .................. A Transplant/graft hand *8.29 8.50 8.50 1.40 18.19 18.19 090
tendon.
26485... .................. A Transplant palm tendon.. *7.70 6.50 6.50 1.08 15.28 15.28 090
26489... .................. A Transplant/graft palm *9.55 3.40 3.40 0.51 13.46 13.46 090
tendon.
26490... .................. A Revise thumb tendon..... *8.41 7.80 7.80 1.28 17.49 17.49 090
26492... .................. A Tendon transfer with *9.62 8.75 8.75 1.21 19.58 19.58 090
graft.
26494... .................. A Hand tendon/muscle *8.47 7.28 7.28 1.23 16.98 16.98 090
transfer.
26496... .................. A Revise thumb tendon..... *9.59 8.73 8.73 1.53 19.85 19.85 090
26497... .................. A Finger tendon transfer.. *9.57 8.02 8.02 1.38 18.97 18.97 090
26498... .................. A Finger tendon transfer.. *14.00 11.78 11.78 2.04 27.82 27.82 090
26499... .................. A Revision of finger...... *8.98 7.75 7.75 1.25 17.98 17.98 090
26500... .................. A Hand tendon *5.96 3.49 3.49 0.60 10.05 10.05 090
reconstruction.
26502... .................. A Hand tendon *7.14 5.27 5.27 0.95 13.36 13.36 090
reconstruction.
26504... .................. A Hand tendon *7.47 6.72 6.72 1.11 15.30 15.30 090
reconstruction.
26508... .................. A Release thumb *6.01 4.15 4.15 0.72 10.88 10.88 090
contracture.
26510... .................. A Thumb tendon transfer... *5.43 4.15 4.15 0.68 10.26 10.26 090
26516... .................. A Fusion of knuckle joint. *7.15 4.16 4.16 0.67 11.98 11.98 090
26517... .................. A Fusion of knuckle joints *8.83 7.07 7.07 1.23 17.13 17.13 090
[[Page 59119]]
26518... .................. A Fusion of knuckle joints *9.02 6.51 6.51 1.22 16.75 16.75 090
26520... .................. A Release knuckle *5.30 4.48 4.48 0.71 10.49 10.49 090
contracture.
26525... .................. A Release finger *5.33 3.64 3.64 0.62 9.59 9.59 090
contracture.
26530... .................. A Revise knuckle joint.... *6.69 5.16 5.16 0.85 12.70 12.70 090
26531... .................. A Revise knuckle with *7.91 6.65 6.65 1.11 15.67 15.67 090
implant.
26535... .................. A Revise finger joint..... *5.24 4.84 4.84 0.58 10.66 10.66 090
26536... .................. A Revise/implant finger *6.37 #7.01 #7.01 1.19 14.57 14.57 090
joint.
26540... .................. A Repair hand joint....... *6.43 6.64 6.64 1.12 14.19 14.19 090
26541... .................. A Repair hand joint with *8.62 8.94 8.94 1.47 19.03 19.03 090
graft.
26542... .................. A Repair hand joint with *6.78 5.67 5.67 0.97 13.42 13.42 090
graft.
26545... .................. A Reconstruct finger joint *6.92 5.27 5.27 0.94 13.13 13.13 090
26546... .................. A Repair non-union hand... *8.92 8.11 8.11 1.33 18.36 18.36 090
26548... .................. A Reconstruct finger joint *8.03 5.79 5.79 1.00 14.82 14.82 090
26550... .................. A Construct thumb *21.24 19.81 19.81 3.24 44.29 44.29 090
replacement.
26551... .................. A Great toe-hand transfer. *46.58 42.25 42.25 6.92 95.75 95.75 090
26553... .................. A Single toe-hand transfer *46.27 41.96 41.96 6.87 95.10 95.10 090
26554... .................. A Double toe-hand transfer *54.95 50.06 50.06 8.20 113.21 113.21 090
26555... .................. A Positional change of *16.63 15.41 15.41 2.52 34.56 34.56 090
finger.
26556... .................. A Toe joint transfer...... *47.26 42.67 42.67 6.99 96.92 96.92 090
26560... .................. A Repair of web finger.... *5.38 4.65 4.65 0.66 10.69 10.69 090
26561... .................. A Repair of web finger.... *10.92 8.89 8.89 1.56 21.37 21.37 090
26562... .................. A Repair of web finger.... *9.68 #10.65 #10.65 0.82 21.15 21.15 090
26565... .................. A Correct metacarpal flaw. *6.74 5.82 5.82 0.85 13.41 13.41 090
26567... .................. A Correct finger deformity *6.82 4.28 4.28 0.67 11.77 11.77 090
26568... .................. A Lengthen metacarpal/ *9.08 8.45 8.45 1.06 18.59 18.59 090
finger.
26580... .................. A Repair hand deformity... *18.18 16.89 16.89 2.76 37.83 37.83 090
26585... .................. A Repair finger deformity. *14.05 12.95 12.95 2.12 29.12 29.12 090
26587... .................. C Reconstruct extra finger 0.00 0.00 0.00 0.00 0.00 0.00 090
26590... .................. A Repair finger deformity. *17.96 16.63 16.63 2.72 37.31 37.31 090
26591... .................. A Repair muscles of hand.. *3.25 2.29 2.29 0.39 5.93 5.93 090
26593... .................. A Release muscles of hand. *5.31 4.12 4.12 0.70 10.13 10.13 090
26596... .................. A Excision constricting *8.95 8.24 8.24 1.35 18.54 18.54 090
tissue.
26597... .................. A Release of scar *9.82 8.02 8.02 1.37 19.21 19.21 090
contracture.
26600... .................. A Treat metacarpal *1.96 1.54 1.54 0.22 3.72 3.72 090
fracture.
26605... .................. A Treat metacarpal *2.85 2.29 2.29 0.36 5.50 5.50 090
fracture.
26607... .................. A Treat metacarpal *5.36 3.55 3.55 0.57 9.48 9.48 090
fracture.
26608... .................. A Treat metacarpal *5.36 3.55 3.55 0.57 9.48 9.48 090
fracture.
26615... .................. A Repair metacarpal *5.33 4.87 4.87 0.80 11.00 11.00 090
fracture.
26641... .................. A Treat thumb dislocation. *3.94 1.11 1.11 0.14 5.19 5.19 090
26645... .................. A Treat thumb fracture.... *4.41 2.20 2.20 0.33 6.94 6.94 090
26650... .................. A Repair thumb fracture... *5.72 4.01 4.01 0.64 10.37 10.37 090
26665... .................. A Repair thumb fracture... *7.60 6.39 6.39 1.09 15.08 15.08 090
26670... .................. A Treat hand dislocation.. *3.69 0.96 0.96 0.10 4.75 4.75 090
26675... .................. A Treat hand dislocation.. *4.64 4.34 4.34 0.60 9.58 9.58 090
26676... .................. A Pin hand dislocation.... *5.52 4.86 4.86 0.67 11.05 11.05 090
26685... .................. A Repair hand dislocation. *6.98 5.76 5.76 0.91 13.65 13.65 090
26686... .................. A Repair hand dislocation. *7.94 6.31 6.31 1.04 15.29 15.29 090
26700... .................. A Treat knuckle *3.69 0.88 0.88 0.10 4.67 4.67 090
dislocation.
26705... .................. A Treat knuckle *4.19 1.78 1.78 0.27 6.24 6.24 090
dislocation.
26706... .................. A Pin knuckle dislocation. *5.12 4.68 4.68 0.75 10.55 10.55 090
26715... .................. A Repair knuckle *5.74 4.13 4.13 0.66 10.53 10.53 090
dislocation.
26720... .................. A Treat finger fracture, *1.66 1.10 1.10 0.15 2.91 2.91 090
each.
26725... .................. A Treat finger fracture, *3.33 1.54 1.54 0.23 5.10 5.10 090
each.
26727... .................. A Treat finger fracture, *5.23 2.45 2.45 0.38 8.06 8.06 090
each.
26735... .................. A Repair finger fracture, *5.98 3.73 3.73 0.61 10.32 10.32 090
each.
26740... .................. A Treat finger fracture, *1.94 1.16 1.16 0.16 3.26 3.26 090
each.
26742... .................. A Treat finger fracture, *3.85 1.98 1.98 0.32 6.15 6.15 090
each.
26746... .................. A Repair finger fracture, *5.81 4.75 4.75 0.80 11.36 11.36 090
each.
26750... .................. A Treat finger fracture, *1.70 0.83 0.83 0.10 2.63 2.63 090
each.
26755... .................. A Treat finger fracture, *3.10 1.08 1.08 0.15 4.33 4.33 090
each.
26756... .................. A Pin finger fracture, *4.39 1.90 1.90 0.33 6.62 6.62 090
each.
26765... .................. A Repair finger fracture, *4.17 2.66 2.66 0.45 7.28 7.28 090
each.
26770... .................. A Treat finger dislocation *3.02 0.76 0.76 0.08 3.86 3.86 090
26775... .................. A Treat finger dislocation *3.71 1.13 1.13 0.17 5.01 5.01 090
26776... .................. A Pin finger dislocation.. *4.80 2.08 2.08 0.35 7.23 7.23 090
26785... .................. A Repair finger *4.21 2.97 2.97 0.48 7.66 7.66 090
dislocation.
26820... .................. A Thumb fusion with graft. *8.26 6.65 6.65 1.05 15.96 15.96 090
26841... .................. A Fusion of thumb......... *7.13 6.17 6.17 1.00 14.30 14.30 090
26842... .................. A Thumb fusion with graft. *8.24 8.58 8.58 1.37 18.19 18.19 090
26843... .................. A Fusion of hand joint.... *7.61 6.37 6.37 1.10 15.08 15.08 090
26844... .................. A Fusion/graft of hand *8.73 7.35 7.35 1.19 17.27 17.27 090
joint.
26850... .................. A Fusion of knuckle....... *6.97 4.63 4.63 0.76 12.36 12.36 090
26852... .................. A Fusion of knuckle with *8.46 5.72 5.72 1.00 15.18 15.18 090
graft.
26860... .................. A Fusion of finger joint.. *4.69 4.30 4.30 0.68 9.67 9.67 090
[[Page 59120]]
26861... .................. A Fusion of finger joint, 1.74 #1.91 #1.91 0.43 4.08 4.08 ZZZ
added.
26862... .................. A Fusion/graft of finger *7.37 5.16 5.16 0.85 13.38 13.38 090
joint.
26863... .................. A Fuse/graft added joint.. 3.90 3.37 3.37 0.57 7.84 7.84 ZZZ
26910... .................. A Amputate metacarpal bone *7.60 5.16 5.16 0.93 13.69 13.69 090
26951... .................. A Amputation of finger/ *4.59 2.87 2.87 0.49 7.95 7.95 090
thumb.
26952... .................. A Amputation of finger/ *6.31 4.00 4.00 0.69 11.00 11.00 090
thumb.
26989... .................. C Hand/finger surgery..... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
26990... .................. A Drainage of pelvis *7.48 3.10 3.10 0.51 11.09 11.09 090
lesion.
26991... .................. A Drainage of pelvis bursa *6.68 1.81 1.81 0.29 8.78 8.78 090
26992... .................. A Drainage of bone lesion. *13.02 6.38 6.38 1.05 20.45 20.45 090
27000... .................. A Incision of hip tendon.. *5.62 1.85 1.85 0.24 7.71 7.71 090
27001... .................. A Incision of hip tendon.. *6.94 2.34 2.34 0.38 9.66 9.66 090
27003... .................. A Incision of hip tendon.. *7.34 6.77 6.77 1.08 15.19 15.19 090
27005... .................. A Incision of hip tendon.. *9.66 3.37 3.37 0.54 13.57 13.57 090
27006... .................. A Incision of hip tendons. *9.68 4.64 4.64 0.77 15.09 15.09 090
27025... .................. A Incision of hip/thigh *11.16 6.12 6.12 1.02 18.30 18.30 090
fascia.
27030... .................. A Drainage of hip joint... *13.01 11.42 11.42 1.86 26.29 26.29 090
27033... .................. A Exploration of hip joint *13.39 11.52 11.52 1.85 26.76 26.76 090
27035... .................. A Denervation of hip joint *16.69 11.86 11.86 2.21 30.76 30.76 090
27036... .................. A Excision of hip joint/ *12.88 11.44 11.44 1.87 26.19 26.19 090
muscle.
27040... .................. A Biopsy of soft tissues.. *2.87 0.72 0.72 0.11 3.70 3.70 010
27041... .................. A Biopsy of soft tissues.. *9.89 2.67 2.67 0.44 13.00 13.00 090
27047... .................. A Remove hip/pelvis lesion *7.45 1.89 1.89 0.32 9.66 9.66 090
27048... .................. A Remove hip/pelvis lesion *6.25 4.33 4.33 0.82 11.40 11.40 090
27049... .................. A Remove tumor, hip/pelvis *13.66 10.14 10.14 1.87 25.67 25.67 090
27050... .................. A Biopsy of sacroiliac *4.36 4.78 4.78 0.90 10.04 10.04 090
joint.
27052... .................. A Biopsy of hip joint..... *6.23 #6.85 #6.85 1.59 14.67 14.67 090
27054... .................. A Removal of hip joint *8.54 #9.39 #9.39 2.26 20.19 20.19 090
lining.
27060... .................. A Removal of ischial bursa *5.43 3.93 3.93 0.68 10.04 10.04 090
27062... .................. A Remove femur lesion/ *5.37 4.23 4.23 0.70 10.30 10.30 090
bursa.
27065... .................. A Removal of hip bone *5.90 5.59 5.59 0.90 12.39 12.39 090
lesion.
27066... .................. A Removal of hip bone *10.33 7.90 7.90 1.30 19.53 19.53 090
lesion.
27067... .................. A Remove/graft hip bone *13.83 11.63 11.63 1.93 27.39 27.39 090
lesion.
27070... .................. A Partial removal of hip *10.72 7.41 7.41 1.21 19.34 19.34 090
bone.
27071... .................. A Partial removal of hip *11.46 8.50 8.50 1.45 21.41 21.41 090
bone.
27075... .................. A Extensive hip surgery... *17.23 13.54 13.54 2.32 33.09 33.09 090
27076... .................. A Extensive hip surgery... *22.12 16.37 16.37 2.61 41.10 41.10 090
27077... .................. A Extensive hip surgery... *23.13 18.98 18.98 3.24 45.35 45.35 090
27078... .................. A Extensive hip surgery... *13.44 9.20 9.20 1.67 24.31 24.31 090
27079... .................. A Extensive hip surgery... *13.75 8.64 8.64 1.66 24.05 24.05 090
27080... .................. A Removal of tail bone.... *6.39 4.78 4.78 0.87 12.04 12.04 090
27086... .................. A Remove hip foreign body. *1.87 0.58 0.58 0.07 2.52 2.52 010
27087... .................. A Remove hip foreign body. *8.54 3.62 3.62 0.60 12.76 12.76 090
27090... .................. A Removal of hip *11.15 9.09 9.09 1.46 21.70 21.70 090
prosthesis.
27091... .................. A Removal of hip *22.14 19.81 19.81 3.16 45.11 45.11 090
prosthesis.
27093... .................. A Injection for hip x-ray. 1.30 0.82 0.82 0.11 2.23 2.23 000
27095... .................. A Injection for hip x-ray. 1.50 0.93 0.93 0.13 2.56 2.56 000
27097... .................. A Revision of hip tendon.. *8.80 7.71 7.71 1.26 17.77 17.77 090
27098... .................. A Transfer tendon to *8.83 7.71 7.71 1.26 17.80 17.80 090
pelvis.
27100... .................. A Transfer of abdominal *11.08 7.68 7.68 1.42 20.18 20.18 090
muscle.
27105... .................. A Transfer of spinal *11.77 5.89 5.89 1.36 19.02 19.02 090
muscle.
27110... .................. A Transfer of iliopsoas *13.26 10.61 10.61 1.86 25.73 25.73 090
muscle.
27111... .................. A Transfer of iliopsoas *12.15 11.63 11.63 1.65 25.43 25.43 090
muscle.
27120... .................. A Reconstruction of hip *18.01 18.10 18.10 2.95 39.06 39.06 090
socket.
27122... .................. A Reconstruction of hip *14.98 #16.48 #16.48 2.94 34.40 34.40 090
socket.
27125... .................. A Partial hip replacement. *14.69 #16.16 #16.16 3.01 33.86 33.86 090
27130... .................. A Total hip replacement... *20.12 #22.13 #22.13 4.58 46.83 46.83 090
27132... .................. A Total hip replacement... *23.30 #25.63 #25.63 5.09 54.02 54.02 090
27134... .................. A Revise hip joint *28.52 #31.37 #31.37 5.96 65.85 65.85 090
replacement.
27137... .................. A Revise hip joint *21.17 #23.29 #23.29 4.82 49.28 49.28 090
replacement.
27138... .................. A Revise hip joint *22.17 24.23 24.23 4.58 50.98 50.98 090
replacement.
27140... .................. A Transplant of femur *12.24 11.05 11.05 1.71 25.00 25.00 090
ridge.
27146... .................. A Incision of hip bone.... *17.43 10.88 10.88 1.35 29.66 29.66 090
27147... .................. A Revision of hip bone.... *20.58 16.97 16.97 2.76 40.31 40.31 090
27151... .................. A Incision of hip bones... *22.51 17.71 17.71 2.90 43.12 43.12 090
27156... .................. A Revision of hip bones... *24.63 18.32 18.32 3.08 46.03 46.03 090
27158... .................. A Revision of pelvis...... *19.74 14.42 14.42 2.64 36.80 36.80 090
27161... .................. A Incision of neck of *16.71 14.31 14.31 2.31 33.33 33.33 090
femur.
27165... .................. A Incision/fixation of *17.91 16.76 16.76 2.63 37.30 37.30 090
femur.
27170... .................. A Repair/graft femur head/ *16.07 16.41 16.41 2.65 35.13 35.13 090
neck.
27175... .................. A Treat slipped epiphysis. *8.46 1.18 1.18 0.18 9.82 9.82 090
27176... .................. A Treat slipped epiphysis. *12.05 10.39 10.39 1.70 24.14 24.14 090
27177... .................. A Repair slipped epiphysis *15.08 12.39 12.39 2.05 29.52 29.52 090
27178... .................. A Repair slipped epiphysis *11.99 10.46 10.46 1.55 24.00 24.00 090
[[Page 59121]]
27179... .................. A Revise head/neck of *12.98 11.15 11.15 1.83 25.96 25.96 090
femur.
27181... .................. A Repair slipped epiphysis *14.68 13.14 13.14 2.16 29.98 29.98 090
27185... .................. A Revision of femur *9.18 2.77 2.77 0.87 12.82 12.82 090
epiphysis.
27187... .................. A Reinforce hip bones..... *13.54 #14.89 #14.89 2.76 31.19 31.19 090
27193... .................. A Treat pelvic ring *5.56 2.41 2.41 0.39 8.36 8.36 090
fracture.
27194... .................. A Treat pelvic ring *9.65 3.90 3.90 0.50 14.05 14.05 090
fracture.
27200... .................. A Treat tail bone fracture *1.84 1.49 1.49 0.17 3.50 3.50 090
27202... .................. A Repair tail bone *7.04 6.15 6.15 0.89 14.08 14.08 090
fracture.
27215... .................. A Pelvic fracture(s) *10.05 #11.06 #11.06 2.33 23.44 23.44 090
treatment.
27216... .................. A Treat pelvic ring *15.19 4.30 4.30 0.66 20.15 20.15 090
fracture.
27217... .................. A Treat pelvic ring *14.11 14.55 14.55 2.33 30.99 30.99 090
fracture.
27218... .................. A Treat pelvic ring *20.15 14.55 14.55 2.33 37.03 37.03 090
fracture.
27220... .................. A Treat hip socket *6.18 4.26 4.26 0.64 11.08 11.08 090
fracture.
27222... .................. A Treat hip socket *12.70 6.37 6.37 1.03 20.10 20.10 090
fracture.
27226... .................. A Treat hip wall fracture. *14.91 15.78 15.78 2.52 33.21 33.21 090
27227... .................. A Treat hip fracture(s)... *23.45 19.70 19.70 3.20 46.35 46.35 090
27228... .................. A Treat hip fracture(s)... *27.16 19.95 19.95 3.20 50.31 50.31 090
27230... .................. A Treat fracture of thigh. *5.50 3.30 3.30 0.41 9.21 9.21 090
27232... .................. A Treat fracture of thigh. *10.68 8.98 8.98 1.46 21.12 21.12 090
27235... .................. A Repair of thigh fracture *12.16 #13.38 #13.38 2.60 28.14 28.14 090
27236... .................. A Repair of thigh fracture *15.60 16.91 16.91 2.71 35.22 35.22 090
27238... .................. A Treatment of thigh *5.52 4.91 4.91 0.71 11.14 11.14 090
fracture.
27240... .................. A Treatment of thigh *12.50 9.70 9.70 1.53 23.73 23.73 090
fracture.
27244... .................. A Repair of thigh fracture *15.94 16.30 16.30 2.62 34.86 34.86 090
27245... .................. A Repair of thigh fracture *20.31 16.30 16.30 2.62 39.23 39.23 090
27246... .................. A Treatment of thigh *4.71 3.87 3.87 0.60 9.18 9.18 090
fracture.
27248... .................. A Repair of thigh fracture *10.45 #11.50 #11.50 2.11 24.06 24.06 090
27250... .................. A Treat hip dislocation... *6.95 3.19 3.19 0.45 10.59 10.59 090
27252... .................. A Treat hip dislocation... *10.39 4.34 4.34 0.68 15.41 15.41 090
27253... .................. A Repair of hip *12.92 13.14 13.14 2.11 28.17 28.17 090
dislocation.
27254... .................. A Repair of hip *18.26 13.47 13.47 2.27 34.00 34.00 090
dislocation.
27256... .................. A Treatment of hip *4.12 1.88 1.88 0.31 6.31 6.31 010
dislocation.
27257... .................. A Treatment of hip *5.22 4.62 4.62 0.73 10.57 10.57 010
dislocation.
27258... .................. A Repair of hip *15.43 13.73 13.73 2.25 31.41 31.41 090
dislocation.
27259... .................. A Repair of hip *21.55 17.20 17.20 2.82 41.57 41.57 090
dislocation.
27265... .................. A Treatment of hip *5.05 3.46 3.46 0.54 9.05 9.05 090
dislocation.
27266... .................. A Treatment of hip *7.49 4.45 4.45 0.71 12.65 12.65 090
dislocation.
27275... .................. A Manipulation of hip *2.27 1.88 1.88 0.30 4.45 4.45 010
joint.
27280... .................. A Fusion of sacroiliac *13.39 10.06 10.06 1.77 25.22 25.22 090
joint.
27282... .................. A Fusion of pubic bones... *11.34 9.01 9.01 1.69 22.04 22.04 090
27284... .................. A Fusion of hip joint..... *16.76 14.50 14.50 2.40 33.66 33.66 090
27286... .................. A Fusion of hip joint..... *16.79 15.20 15.20 2.26 34.25 34.25 090
27290... .................. A Amputation of leg at hip *23.28 25.40 25.40 4.70 53.38 53.38 090
27295... .................. A Amputation of leg at hip *18.65 16.54 16.54 2.95 38.14 38.14 090
27299... .................. C Pelvis/hip joint surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
27301... .................. A Drain thigh/knee lesion. *6.49 2.46 2.46 0.40 9.35 9.35 090
27303... .................. A Drainage of bone lesion. *8.28 5.86 5.86 0.96 15.10 15.10 090
27305... .................. A Incise thigh tendon & *5.92 3.80 3.80 0.68 10.40 10.40 090
fascia.
27306... .................. A Incision of thigh tendon *4.62 1.99 1.99 0.32 6.93 6.93 090
27307... .................. A Incision of thigh *5.80 3.01 3.01 0.48 9.29 9.29 090
tendons.
27310... .................. A Exploration of knee *9.27 9.60 9.60 1.51 20.38 20.38 090
joint.
27315... .................. A Partial removal, thigh *6.97 5.38 5.38 0.96 13.31 13.31 090
nerve.
27320... .................. A Partial removal, thigh *6.30 5.18 5.18 0.73 12.21 12.21 090
nerve.
27323... .................. A Biopsy thigh soft *2.28 0.91 0.91 0.13 3.32 3.32 010
tissues.
27324... .................. A Biopsy thigh soft *4.90 2.63 2.63 0.45 7.98 7.98 090
tissues.
27327... .................. A Removal of thigh lesion. *4.47 2.29 2.29 0.40 7.16 7.16 090
27328... .................. A Removal of thigh lesion. *5.57 4.07 4.07 0.73 10.37 10.37 090
27329... .................. A Remove tumor, thigh/knee *14.14 11.69 11.69 2.14 27.97 27.97 090
27330... .................. A Biopsy knee joint lining *4.97 #5.47 #5.47 1.19 11.63 11.63 090
27331... .................. A Explore/treat knee joint *5.88 #6.47 #6.47 1.49 13.84 13.84 090
27332... .................. A Removal of knee *8.27 #9.10 #9.10 1.73 19.10 19.10 090
cartilage.
27333... .................. A Removal of knee *7.30 #8.03 #8.03 2.52 17.85 17.85 090
cartilage.
27334... .................. A Remove knee joint lining *8.70 #9.57 #9.57 1.77 20.04 20.04 090
27335... .................. A Remove knee joint lining *10.00 #11.00 #11.00 2.05 23.05 23.05 090
27340... .................. A Removal of kneecap bursa *4.18 3.85 3.85 0.62 8.65 8.65 090
27345... .................. A Removal of knee cyst.... *5.92 5.63 5.63 0.95 12.50 12.50 090
27350... .................. A Removal of kneecap...... *8.17 #8.99 #8.99 1.54 18.70 18.70 090
27355... .................. A Remove femur lesion..... *7.65 7.58 7.58 1.23 16.46 16.46 090
27356... .................. A Remove femur lesion/ *9.48 8.20 8.20 1.34 19.02 19.02 090
graft.
27357... .................. A Remove femur lesion/ *10.53 8.80 8.80 1.43 20.76 20.76 090
graft.
27358... .................. A Remove femur lesion/ 4.74 4.55 4.55 0.72 10.01 10.01 ZZZ
fixation.
27360... .................. A Partial removal leg *10.50 8.56 8.56 1.40 20.46 20.46 090
bone(s).
27365... .................. A Extensive leg surgery... *16.27 13.94 13.94 2.43 32.64 32.64 090
27370... .................. A Injection for knee x-ray 0.96 0.60 0.60 0.05 1.61 1.61 000
[[Page 59122]]
27372... .................. A Removal of foreign body. *5.07 3.42 3.42 0.54 9.03 9.03 090
27380... .................. A Repair of kneecap tendon *7.16 #7.88 #7.88 1.29 16.33 16.33 090
27381... .................. A Repair/graft kneecap *10.34 11.27 11.27 1.82 23.43 23.43 090
tendon.
27385... .................. A Repair of thigh muscle.. *7.76 #8.54 #8.54 1.42 17.72 17.72 090
27386... .................. A Repair/graft of thigh *10.56 #11.62 #11.62 2.02 24.20 24.20 090
muscle.
27390... .................. A Incision of thigh tendon *5.33 4.36 4.36 0.71 10.40 10.40 090
27391... .................. A Incision of thigh *7.20 5.42 5.42 0.90 13.52 13.52 090
tendons.
27392... .................. A Incision of thigh *9.20 7.67 7.67 1.28 18.15 18.15 090
tendons.
27393... .................. A Lengthening of thigh *6.39 5.67 5.67 0.93 12.99 12.99 090
tendon.
27394... .................. A Lengthening of thigh *8.50 5.73 5.73 0.94 15.17 15.17 090
tendons.
27395... .................. A Lengthening of thigh *11.73 10.48 10.48 1.65 23.86 23.86 090
tendons.
27396... .................. A Transplant of thigh *7.86 7.06 7.06 1.11 16.03 16.03 090
tendon.
27397... .................. A Transplants of thigh *11.28 8.88 8.88 1.45 21.61 21.61 090
tendons.
27400... .................. A Revise thigh muscles/ *9.02 7.89 7.89 1.24 18.15 18.15 090
tendons.
27403... .................. A Repair of knee cartilage *8.33 8.79 8.79 1.44 18.56 18.56 090
27405... .................. A Repair of knee ligament. *8.65 #9.52 #9.52 1.67 19.84 19.84 090
27407... .................. A Repair of knee ligament. *10.28 8.87 8.87 1.42 20.57 20.57 090
27409... .................. A Repair of knee ligaments *12.90 #14.19 #14.19 2.48 29.57 29.57 090
27418... .................. A Repair degenerated *10.85 #11.94 #11.94 1.85 24.64 24.64 090
kneecap.
27420... .................. A Revision of unstable *9.83 #10.81 #10.81 1.74 22.38 22.38 090
kneecap.
27422... .................. A Revision of unstable *9.78 #10.76 #10.76 1.83 22.37 22.37 090
kneecap.
27424... .................. A Revision/removal of *9.81 #10.79 #10.79 1.89 22.49 22.49 090
kneecap.
27425... .................. A Lateral retinacular *5.22 #5.74 #5.74 1.08 12.04 12.04 090
release.
27427... .................. A Reconstruction, knee.... *9.36 #10.30 #10.30 2.25 21.91 21.91 090
27428... .................. A Reconstruction, knee.... *14.00 13.67 13.67 2.71 30.38 30.38 090
27429... .................. A Reconstruction, knee.... *15.52 11.27 11.27 1.83 28.62 28.62 090
27430... .................. A Revision of thigh *9.67 9.36 9.36 1.50 20.53 20.53 090
muscles.
27435... .................. A Incision of knee joint.. *9.49 7.03 7.03 1.13 17.65 17.65 090
27437... .................. A Revise kneecap.......... *8.46 #9.31 #9.31 1.55 19.32 19.32 090
27438... .................. A Revise kneecap with *11.23 #12.35 #12.35 2.14 25.72 25.72 090
implant.
27440... .................. A Revision of knee joint.. *10.43 #11.47 #11.47 2.10 24.00 24.00 090
27441... .................. A Revision of knee joint.. *10.82 9.14 9.14 1.51 21.47 21.47 090
27442... .................. A Revision of knee joint.. *11.89 #13.08 #13.08 3.05 28.02 28.02 090
27443... .................. A Revision of knee joint.. *10.93 #12.02 #12.02 3.34 26.29 26.29 090
27445... .................. A Revision of knee joint.. *17.68 #19.45 #19.45 4.21 41.34 41.34 090
27446... .................. A Revision of knee joint.. *15.84 #17.42 #17.42 3.87 37.13 37.13 090
27447... .................. A Total knee replacement.. *21.48 #23.63 #23.63 4.95 50.06 50.06 090
27448... .................. A Incision of thigh....... *11.06 #12.17 #12.17 2.09 25.32 25.32 090
27450... .................. A Incision of thigh....... *13.98 14.84 14.84 2.36 31.18 31.18 090
27454... .................. A Realignment of thigh *17.56 15.70 15.70 2.82 36.08 36.08 090
bone.
27455... .................. A Realignment of knee..... *12.82 12.01 12.01 1.95 26.78 26.78 090
27457... .................. A Realignment of knee..... *13.45 13.30 13.30 2.14 28.89 28.89 090
27465... .................. A Shortening of thigh bone *13.87 12.24 12.24 2.00 28.11 28.11 090
27466... .................. A Lengthening of thigh *16.33 13.43 13.43 2.27 32.03 32.03 090
bone.
27468... .................. A Shorten/lengthen thighs. *18.97 16.84 16.84 2.75 38.56 38.56 090
27470... .................. A Repair of thigh......... *16.07 16.67 16.67 2.60 35.34 35.34 090
27472... .................. A Repair/graft of thigh... *17.72 #19.49 #19.49 3.16 40.37 40.37 090
27475... .................. A Surgery to stop leg *8.64 7.74 7.74 1.27 17.65 17.65 090
growth.
27477... .................. A Surgery to stop leg *9.85 #10.84 #10.84 2.57 23.26 23.26 090
growth.
27479... .................. A Surgery to stop leg *12.80 11.63 11.63 1.89 26.32 26.32 090
growth.
27485... .................. A Surgery to stop leg *8.84 7.91 7.91 1.30 18.05 18.05 090
growth.
27486... .................. A Revise knee joint *19.27 #21.20 #21.20 4.26 44.73 44.73 090
replace.
27487... .................. A Revise knee joint *25.27 27.76 27.76 5.97 59.00 59.00 090
replace.
27488... .................. A Removal of knee *15.74 16.16 16.16 2.58 34.48 34.48 090
prosthesis.
27495... .................. A Reinforce thigh......... *15.55 #17.11 #17.11 2.82 35.48 35.48 090
27496... .................. A Decompression of thigh/ *6.11 4.53 4.53 0.74 11.38 11.38 090
knee.
27497... .................. A Decompression of thigh/ *7.17 5.55 5.55 0.91 13.63 13.63 090
knee.
27498... .................. A Decompression of thigh/ *7.99 6.32 6.32 1.04 15.35 15.35 090
knee.
27499... .................. A Decompression of thigh/ *9.00 7.28 7.28 1.19 17.47 17.47 090
knee.
27500... .................. A Treatment of thigh *5.92 5.41 5.41 0.82 12.15 12.15 090
fracture.
27501... .................. A Treatment of thigh *5.92 5.41 5.41 0.82 12.15 12.15 090
fracture.
27502... .................. A Treatment of thigh *10.58 7.67 7.67 1.21 19.46 19.46 090
fracture.
27503... .................. A Treatment of thigh *10.58 7.67 7.67 1.21 19.46 19.46 090
fracture.
27506... .................. A Repair of thigh fracture *17.45 16.02 16.02 2.56 36.03 36.03 090
27507... .................. A Treatment of thigh *13.99 #15.39 #15.39 2.56 31.94 31.94 090
fracture.
27508... .................. A Treatment of thigh *5.83 4.22 4.22 0.65 10.70 10.70 090
fracture.
27509... .................. A Treatment of thigh *7.71 4.22 4.22 0.65 12.58 12.58 090
fracture.
27510... .................. A Treatment of thigh *9.13 6.82 6.82 1.09 17.04 17.04 090
fracture.
27511... .................. A Treatment of thigh *13.64 #15.00 #15.00 2.56 31.20 31.20 090
fracture.
27513... .................. A Treatment of thigh *17.92 16.02 16.02 2.56 36.50 36.50 090
fracture.
27514... .................. A Repair of thigh fracture *17.30 15.76 15.76 2.53 35.59 35.59 090
27516... .................. A Repair of thigh growth *5.37 4.82 4.82 0.71 10.90 10.90 090
plate.
27517... .................. A Repair of thigh growth *8.78 7.82 7.82 1.28 17.88 17.88 090
plate.
27519... .................. A Repair of thigh growth *15.02 12.68 12.68 2.05 29.75 29.75 090
plate.
[[Page 59123]]
27520... .................. A Treat kneecap fracture.. *2.86 3.04 3.04 0.45 6.35 6.35 090
27524... .................. A Repair of kneecap *10.00 10.34 10.34 1.65 21.99 21.99 090
fracture.
27530... .................. A Treatment of knee *3.78 3.40 3.40 0.51 7.69 7.69 090
fracture.
27532... .................. A Treatment of knee *7.30 5.68 5.68 0.91 13.89 13.89 090
fracture.
27535... .................. A Treatment of knee *11.50 11.69 11.69 1.88 25.07 25.07 090
fracture.
27536... .................. A Repair of knee fracture. *15.65 11.69 11.69 1.88 29.22 29.22 090
27538... .................. A Treat knee fracture(s).. *4.87 3.37 3.37 0.51 8.75 8.75 090
27540... .................. A Repair of knee fracture. *13.10 10.95 10.95 1.74 25.79 25.79 090
27550... .................. A Treat knee dislocation.. *5.76 2.57 2.57 0.36 8.69 8.69 090
27552... .................. A Treat knee dislocation.. *7.90 3.43 3.43 0.53 11.86 11.86 090
27556... .................. A Repair of knee *14.41 12.48 12.48 1.95 28.84 28.84 090
dislocation.
27557... .................. A Repair of knee *16.77 14.60 14.60 2.43 33.80 33.80 090
dislocation.
27558... .................. A Repair of knee *17.72 14.60 14.60 2.43 34.75 34.75 090
dislocation.
27560... .................. A Treat kneecap *3.82 1.43 1.43 0.16 5.41 5.41 090
dislocation.
27562... .................. A Treat kneecap *5.79 5.18 5.18 0.76 11.73 11.73 090
dislocation.
27566... .................. A Repair kneecap *12.23 10.58 10.58 1.67 24.48 24.48 090
dislocation.
27570... .................. A Fixation of knee joint.. *1.74 1.72 1.72 0.28 3.74 3.74 010
27580... .................. A Fusion of knee.......... *19.37 15.70 15.70 2.56 37.63 37.63 090
27590... .................. A Amputate leg at thigh... *12.03 9.11 9.11 1.80 22.94 22.94 090
27591... .................. A Amputate leg at thigh... *12.68 11.77 11.77 2.11 26.56 26.56 090
27592... .................. A Amputate leg at thigh... *10.02 8.11 8.11 1.61 19.74 19.74 090
27594... .................. A Amputation follow-up *6.92 3.65 3.65 0.68 11.25 11.25 090
surgery.
27596... .................. A Amputation follow-up *10.60 7.37 7.37 1.42 19.39 19.39 090
surgery.
27598... .................. A Amputate lower leg at *10.53 10.04 10.04 1.78 22.35 22.35 090
knee.
27599... .................. C Leg surgery procedure... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
27600... .................. A Decompression of lower *5.65 3.39 3.39 0.64 9.68 9.68 090
leg.
27601... .................. A Decompression of lower *5.64 3.38 3.38 0.67 9.69 9.69 090
leg.
27602... .................. A Decompression of lower *7.35 4.05 4.05 0.77 12.17 12.17 090
leg.
27603... .................. A Drain lower leg lesion.. *4.94 2.38 2.38 0.41 7.73 7.73 090
27604... .................. A Drain lower leg bursa... *4.47 1.02 1.02 0.14 5.63 5.63 090
27605... .................. A Incision of achilles *2.87 1.18 1.18 0.14 4.19 4.19 010
tendon.
27606... .................. A Incision of achilles *4.14 2.12 2.12 0.35 6.61 6.61 010
tendon.
27607... .................. A Treat lower leg bone *7.97 6.01 6.01 0.98 14.96 14.96 090
lesion.
27610... .................. A Explore/treat ankle *8.34 7.43 7.43 1.13 16.90 16.90 090
joint.
27612... .................. A Exploration of ankle *7.33 7.97 7.97 1.30 16.60 16.60 090
joint.
27613... .................. A Biopsy lower leg soft *2.17 0.67 0.67 0.10 2.94 2.94 010
tissue.
27614... .................. A Biopsy lower leg soft *5.66 2.26 2.26 0.38 8.30 8.30 090
tissue.
27615... .................. A Remove tumor, lower leg. *12.56 8.23 8.23 1.42 22.21 22.21 090
27618... .................. A Remove lower leg lesion. *5.09 2.10 2.10 0.32 7.51 7.51 090
27619... .................. A Remove lower leg lesion. *8.40 4.13 4.13 0.67 13.20 13.20 090
27620... .................. A Explore, treat ankle *5.98 6.03 6.03 0.96 12.97 12.97 090
joint.
27625... .................. A Remove ankle joint *8.30 8.71 8.71 1.27 18.28 18.28 090
lining.
27626... .................. A Remove ankle joint *8.91 #9.80 #9.80 1.25 19.96 19.96 090
lining.
27630... .................. A Removal of tendon lesion *4.80 3.10 3.10 0.46 8.36 8.36 090
27635... .................. A Remove lower leg bone *7.78 8.04 8.04 1.27 17.09 17.09 090
lesion.
27637... .................. A Remove/graft leg bone *9.85 8.47 8.47 1.40 19.72 19.72 090
lesion.
27638... .................. A Remove/graft leg bone *10.57 9.15 9.15 1.52 21.24 21.24 090
lesion.
27640... .................. A Partial removal of tibia *11.37 9.81 9.81 1.57 22.75 22.75 090
27641... .................. A Partial removal of *9.24 7.13 7.13 1.18 17.55 17.55 090
fibula.
27645... .................. A Extensive lower leg *14.17 11.64 11.64 1.98 27.79 27.79 090
surgery.
27646... .................. A Extensive lower leg *12.66 10.75 10.75 1.71 25.12 25.12 090
surgery.
27647... .................. A Extensive ankle/heel *12.24 9.95 9.95 1.35 23.54 23.54 090
surgery.
27648... .................. A Injection for ankle x- 0.96 0.52 0.52 0.05 1.53 1.53 000
ray.
27650... .................. A Repair achilles tendon.. *9.69 8.98 8.98 1.41 20.08 20.08 090
27652... .................. A Repair/graft achilles *10.33 10.41 10.41 1.56 22.30 22.30 090
tendon.
27654... .................. A Repair of achilles *10.02 10.93 10.93 1.65 22.60 22.60 090
tendon.
27656... .................. A Repair leg fascia defect *4.57 3.18 3.18 0.54 8.29 8.29 090
27658... .................. A Repair of leg tendon, *4.98 4.02 4.02 0.60 9.60 9.60 090
each.
27659... .................. A Repair of leg tendon, *6.81 5.87 5.87 0.86 13.54 13.54 090
each.
27664... .................. A Repair of leg tendon, *4.59 3.41 3.41 0.52 8.52 8.52 090
each.
27665... .................. A Repair of leg tendon, *5.40 4.95 4.95 0.76 11.11 11.11 090
each.
27675... .................. A Repair lower leg tendons *7.18 6.40 6.40 0.94 14.52 14.52 090
27676... .................. A Repair lower leg tendons *8.42 7.56 7.56 1.14 17.12 17.12 090
27680... .................. A Release of lower leg *5.74 4.12 4.12 0.61 10.47 10.47 090
tendon.
27681... .................. A Release of lower leg *6.82 5.97 5.97 0.86 13.65 13.65 090
tendons.
27685... .................. A Revision of lower leg *6.50 3.83 3.83 0.41 10.74 10.74 090
tendon.
27686... .................. A Revise lower leg tendons *7.46 6.56 6.56 0.90 14.92 14.92 090
27687... .................. A Revision of calf tendon. *6.24 5.45 5.45 0.76 12.45 12.45 090
27690... .................. A Revise lower leg tendon. *8.71 6.74 6.74 0.88 16.33 16.33 090
27691... .................. A Revise lower leg tendon. *9.96 7.89 7.89 1.23 19.08 19.08 090
27692... .................. A Revise additional leg 1.87 2.03 2.03 0.29 4.19 4.19 ZZZ
tendon.
27695... .................. A Repair of ankle ligament *6.51 #7.16 #7.16 1.32 14.99 14.99 090
27696... .................. A Repair of ankle *8.27 7.06 7.06 1.16 16.49 16.49 090
ligaments.
27698... .................. A Repair of ankle ligament *9.36 #10.30 #10.30 1.86 21.52 21.52 090
[[Page 59124]]
27700... .................. A Revision of ankle joint. *9.29 #10.22 #10.22 1.51 21.02 21.02 090
27702... .................. A Reconstruct ankle joint. *13.67 #15.04 #15.04 3.99 32.70 32.70 090
27703... .................. A Reconstruction, ankle *15.87 13.82 13.82 2.25 31.94 31.94 090
joint.
27704... .................. A Removal of ankle implant *7.62 5.84 5.84 0.98 14.44 14.44 090
27705... .................. A Incision of tibia....... *10.38 10.74 10.74 1.76 22.88 22.88 090
27707... .................. A Incision of fibula...... *4.37 4.75 4.75 0.79 9.91 9.91 090
27709... .................. A Incision of tibia & *9.95 #10.95 #10.95 2.14 23.04 23.04 090
fibula.
27712... .................. A Realignment of lower leg *14.25 10.99 10.99 1.63 26.87 26.87 090
27715... .................. A Revision of lower leg... *14.39 12.61 12.61 1.88 28.88 28.88 090
27720... .................. A Repair of tibia......... *11.79 #12.97 #12.97 2.25 27.01 27.01 090
27722... .................. A Repair/graft of tibia... *11.82 10.50 10.50 1.64 23.96 23.96 090
27724... .................. A Repair/graft of tibia... *14.99 15.50 15.50 2.87 33.36 33.36 090
27725... .................. A Repair of lower leg..... *15.59 10.43 10.43 1.53 27.55 27.55 090
27727... .................. A Repair of lower leg..... *14.01 9.38 9.38 1.84 25.23 25.23 090
27730... .................. A Repair of tibia *7.41 3.59 3.59 0.84 11.84 11.84 090
epiphysis.
27732... .................. A Repair of fibula *5.32 4.84 4.84 0.79 10.95 10.95 090
epiphysis.
27734... .................. A Repair lower leg *8.48 7.54 7.54 1.23 17.25 17.25 090
epiphyses.
27740... .................. A Repair of leg epiphyses. *9.30 8.36 8.36 1.36 19.02 19.02 090
27742... .................. A Repair of leg epiphyses. *10.30 9.29 9.29 1.52 21.11 21.11 090
27745... .................. A Reinforce tibia......... *10.07 8.97 8.97 1.39 20.43 20.43 090
27750... .................. A Treatment of tibia *3.19 3.45 3.45 0.50 7.14 7.14 090
fracture.
27752... .................. A Treatment of tibia *5.84 5.09 5.09 0.81 11.74 11.74 090
fracture.
27756... .................. A Repair of tibia fracture *6.78 #7.46 #7.46 1.70 15.94 15.94 090
27758... .................. A Repair of tibia fracture *11.67 #12.84 #12.84 2.22 26.73 26.73 090
27759... .................. A Repair of tibia fracture *13.76 13.74 13.74 2.22 29.72 29.72 090
27760... .................. A Treatment of ankle *3.01 2.58 2.58 0.37 5.96 5.96 090
fracture.
27762... .................. A Treatment of ankle *5.25 3.36 3.36 0.50 9.11 9.11 090
fracture.
27766... .................. A Repair of ankle fracture *8.36 7.87 7.87 1.26 17.49 17.49 090
27780... .................. A Treatment of fibula *2.65 1.97 1.97 0.26 4.88 4.88 090
fracture.
27781... .................. A Treatment of fibula *4.40 3.29 3.29 0.49 8.18 8.18 090
fracture.
27784... .................. A Repair of fibula *7.11 5.59 5.59 0.87 13.57 13.57 090
fracture.
27786... .................. A Treatment of ankle *2.84 2.52 2.52 0.38 5.74 5.74 090
fracture.
27788... .................. A Treatment of ankle *4.45 3.27 3.27 0.50 8.22 8.22 090
fracture.
27792... .................. A Repair of ankle fracture *7.66 7.38 7.38 1.17 16.21 16.21 090
27808... .................. A Treatment of ankle *2.83 2.79 2.79 0.39 6.01 6.01 090
fracture.
27810... .................. A Treatment of ankle *5.13 5.05 5.05 0.80 10.98 10.98 090
fracture.
27814... .................. A Repair of ankle fracture *10.68 10.00 10.00 1.60 22.28 22.28 090
27816... .................. A Treatment of ankle *2.89 3.47 #3.18 0.55 6.91 6.62 090
fracture.
27818... .................. A Treatment of ankle *5.50 #6.05 #6.05 1.06 12.61 12.61 090
fracture.
27822... .................. A Repair of ankle fracture *9.20 #10.12 #10.12 1.88 21.20 21.20 090
27823... .................. A Repair of ankle fracture *11.80 12.79 12.79 2.05 26.64 26.64 090
27824... .................. A Treat lower leg fracture *2.89 3.47 #3.18 0.55 6.91 6.62 090
27825... .................. A Treat lower leg fracture *6.19 6.51 6.51 1.06 13.76 13.76 090
27826... .................. A Treat lower leg fracture *8.54 #9.39 #9.39 1.88 19.81 19.81 090
27827... .................. A Treat lower leg fracture *14.06 11.71 11.71 1.88 27.65 27.65 090
27828... .................. A Treat lower leg fracture *16.23 12.79 12.79 2.05 31.07 31.07 090
27829... .................. A Treat lower leg joint... *5.49 #6.04 #6.04 1.37 12.90 12.90 090
27830... .................. A Treat lower leg *3.79 3.25 3.25 0.46 7.50 7.50 090
dislocation.
27831... .................. A Treat lower leg *4.56 3.98 3.98 0.59 9.13 9.13 090
dislocation.
27832... .................. A Repair lower leg *6.49 5.70 5.70 0.89 13.08 13.08 090
dislocation.
27840... .................. A Treat ankle dislocation. *4.58 1.87 1.87 0.21 6.66 6.66 090
27842... .................. A Treat ankle dislocation. *6.21 2.22 2.22 0.34 8.77 8.77 090
27846... .................. A Repair ankle dislocation *9.79 8.59 8.59 1.37 19.75 19.75 090
27848... .................. A Repair ankle dislocation *11.20 8.36 8.36 1.32 20.88 20.88 090
27860... .................. A Fixation of ankle joint. *2.34 1.39 1.39 0.23 3.96 3.96 010
27870... .................. A Fusion of ankle joint... *13.91 13.34 13.34 2.22 29.47 29.47 090
27871... .................. A Fusion of tibiofibular *9.17 7.79 7.79 1.21 18.17 18.17 090
joint.
27880... .................. A Amputation of lower leg. *11.85 8.36 8.36 1.60 21.81 21.81 090
27881... .................. A Amputation of lower leg. *12.34 10.82 10.82 1.87 25.03 25.03 090
27882... .................. A Amputation of lower leg. *8.94 7.36 7.36 1.42 17.72 17.72 090
27884... .................. A Amputation follow-up *8.21 3.37 3.37 0.61 12.19 12.19 090
surgery.
27886... .................. A Amputation follow-up *9.32 7.17 7.17 1.34 17.83 17.83 090
surgery.
27888... .................. A Amputation of foot at *9.67 9.49 9.49 1.65 20.81 20.81 090
ankle.
27889... .................. A Amputation of foot at *9.98 8.43 8.43 1.55 19.96 19.96 090
ankle.
27892... .................. A Decompression of leg.... *7.39 3.39 3.39 0.64 11.42 11.42 090
27893... .................. A Decompression of leg.... *7.35 3.38 3.38 0.67 11.40 11.40 090
27894... .................. A Decompression of leg.... *10.49 4.05 4.05 0.77 15.31 15.31 090
27899... .................. C Leg/ankle surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
28001... .................. A Drainage of bursa of *2.73 0.52 0.52 0.05 3.30 3.30 010
foot.
28002... .................. A Treatment of foot *4.62 2.25 2.25 0.33 7.20 7.20 010
infection.
28003... .................. A Treatment of foot *8.41 3.50 3.50 0.59 12.50 12.50 090
infection.
28005... .................. A Treat foot bone lesion.. *8.68 4.08 4.08 0.61 13.37 13.37 090
28008... .................. A Incision of foot fascia. *4.45 2.68 2.68 0.29 7.42 7.42 090
28010... .................. A Incision of toe tendon.. *2.84 3.62 3.62 0.33 6.79 6.79 090
[[Page 59125]]
28011... .................. A Incision of toe tendons. *4.14 1.77 1.77 0.19 6.10 6.10 090
28020... .................. A Exploration of a foot *5.01 4.40 4.40 0.56 9.97 9.97 090
joint.
28022... .................. A Exploration of a foot *4.67 2.74 2.74 0.31 7.72 7.72 090
joint.
28024... .................. A Exploration of a toe *4.38 2.39 2.39 0.24 7.01 7.01 090
joint.
28030... .................. A Removal of foot nerve... *6.15 3.93 3.93 0.42 10.50 10.50 090
28035... .................. A Decompression of tibia *5.09 6.18 #5.60 0.90 12.17 11.59 090
nerve.
28043... .................. A Excision of foot lesion. *3.54 1.73 1.73 0.20 5.47 5.47 090
28045... .................. A Excision of foot lesion. *4.72 3.99 3.99 0.46 9.17 9.17 090
28046... .................. A Resection of tumor, foot *10.18 5.35 5.35 0.79 16.32 16.32 090
28050... .................. A Biopsy of foot joint *4.25 3.84 3.84 0.53 8.62 8.62 090
lining.
28052... .................. A Biopsy of foot joint *3.94 3.82 3.82 0.43 8.19 8.19 090
lining.
28054... .................. A Biopsy of toe joint *3.45 2.24 2.24 0.28 5.97 5.97 090
lining.
28060... .................. A Partial removal foot *5.23 4.22 4.22 0.53 9.98 9.98 090
fascia.
28062... .................. A Removal of foot fascia.. *6.52 7.06 7.06 0.86 14.44 14.44 090
28070... .................. A Removal of foot joint *5.10 4.48 4.48 0.48 10.06 10.06 090
lining.
28072... .................. A Removal of foot joint *4.58 3.21 3.21 0.42 8.21 8.21 090
lining.
28080... .................. A Removal of foot lesion.. *3.58 4.07 4.07 0.45 8.10 8.10 090
28086... .................. A Excise foot tendon *4.78 3.12 3.12 0.46 8.36 8.36 090
sheath.
28088... .................. A Excise foot tendon *3.86 3.62 3.62 0.40 7.88 7.88 090
sheath.
28090... .................. A Removal of foot lesion.. *4.41 3.02 3.02 0.29 7.72 7.72 090
28092... .................. A Removal of toe lesions.. *3.64 2.03 2.03 0.25 5.92 5.92 090
28100... .................. A Removal of ankle/heel *5.66 4.58 4.58 0.56 10.80 10.80 090
lesion.
28102... .................. A Remove/graft foot lesion *7.73 6.84 6.84 0.85 15.42 15.42 090
28103... .................. A Remove/graft foot lesion *6.50 5.61 5.61 0.69 12.80 12.80 090
28104... .................. A Removal of foot lesion.. *5.12 4.33 4.33 0.49 9.94 9.94 090
28106... .................. A Remove/graft foot lesion *7.16 6.42 6.42 0.79 14.37 14.37 090
28107... .................. A Remove/graft foot lesion *5.56 4.86 4.86 0.48 10.90 10.90 090
28108... .................. A Removal of toe lesions.. *4.16 4.20 4.20 0.38 8.74 8.74 090
28110... .................. A Part removal of *4.08 3.48 3.48 0.39 7.95 7.95 090
metatarsal.
28111... .................. A Part removal of *5.01 5.04 5.04 0.65 10.70 10.70 090
metatarsal.
28112... .................. A Part removal of *4.49 3.96 3.96 0.45 8.90 8.90 090
metatarsal.
28113... .................. A Part removal of *4.79 4.44 4.44 0.48 9.71 9.71 090
metatarsal.
28114... .................. A Removal of metatarsal *9.79 9.17 9.17 1.42 20.38 20.38 090
heads.
28116... .................. A Revision of foot........ *7.75 5.48 5.48 0.57 13.80 13.80 090
28118... .................. A Removal of heel bone.... *5.96 5.71 5.71 0.66 12.33 12.33 090
28119... .................. A Removal of heel spur.... *5.39 5.44 5.44 0.57 11.40 11.40 090
28120... .................. A Part removal of ankle/ *5.40 5.04 5.04 0.67 11.11 11.11 090
heel.
28122... .................. A Partial removal of foot *7.29 4.48 4.48 0.54 12.31 12.31 090
bone.
28124... .................. A Partial removal of toe.. *4.81 4.11 4.11 0.37 9.29 9.29 090
28126... .................. A Partial removal of toe.. *3.52 3.98 3.98 0.36 7.86 7.86 090
28130... .................. A Removal of ankle bone... *8.11 7.03 7.03 0.88 16.02 16.02 090
28140... .................. A Removal of metatarsal... *6.91 4.93 4.93 0.62 12.46 12.46 090
28150... .................. A Removal of toe.......... *4.09 3.29 3.29 0.38 7.76 7.76 090
28153... .................. A Partial removal of toe.. *3.66 3.99 3.99 0.36 8.01 8.01 090
28160... .................. A Partial removal of toe.. *3.74 4.12 4.12 0.38 8.24 8.24 090
28171... .................. A Extensive foot surgery.. *9.60 7.99 7.99 0.88 18.47 18.47 090
28173... .................. A Extensive foot surgery.. *8.80 5.74 5.74 0.74 15.28 15.28 090
28175... .................. A Extensive foot surgery.. *6.05 5.38 5.38 0.58 12.01 12.01 090
28190... .................. A Removal of foot foreign *1.96 0.52 0.52 0.05 2.53 2.53 010
body.
28192... .................. A Removal of foot foreign *4.64 1.95 1.95 0.24 6.83 6.83 090
body.
28193... .................. A Removal of foot foreign *5.73 2.38 2.38 0.30 8.41 8.41 090
body.
28200... .................. A Repair of foot tendon... *4.60 5.06 5.06 0.50 10.16 10.16 090
28202... .................. A Repair/graft of foot *6.84 5.82 5.82 0.77 13.43 13.43 090
tendon.
28208... .................. A Repair of foot tendon... *4.37 2.81 2.81 0.28 7.46 7.46 090
28210... .................. A Repair/graft of foot *6.35 5.60 5.60 0.60 12.55 12.55 090
tendon.
28220... .................. A Release of foot tendon.. *4.53 3.87 3.87 0.43 8.83 8.83 090
28222... .................. A Release of foot tendons. *5.62 6.40 6.40 0.63 12.65 12.65 090
28225... .................. A Release of foot tendon.. *3.66 2.37 2.37 0.25 6.28 6.28 090
28226... .................. A Release of foot tendons. *4.53 3.38 3.38 0.40 8.31 8.31 090
28230... .................. A Incision of foot *4.24 2.43 2.43 0.22 6.89 6.89 090
tendon(s).
28232... .................. A Incision of toe tendon.. *3.39 1.60 1.60 0.15 5.14 5.14 090
28234... .................. A Incision of foot tendon. *3.37 1.53 1.53 0.14 5.04 5.04 090
28238... .................. A Revision of foot tendon. *7.73 7.23 7.23 0.85 15.81 15.81 090
28240... .................. A Release of big toe...... *4.36 2.13 2.13 0.23 6.72 6.72 090
28250... .................. A Revision of foot fascia. *5.92 4.46 4.46 0.50 10.88 10.88 090
28260... .................. A Release of midfoot joint *7.96 4.43 4.43 0.48 12.87 12.87 090
28261... .................. A Revision of foot tendon. *11.73 5.91 5.91 0.58 18.22 18.22 090
28262... .................. A Revision of foot and *15.83 11.91 11.91 1.44 29.18 29.18 090
ankle.
28264... .................. A Release of midfoot joint *10.35 9.56 9.56 1.17 21.08 21.08 090
28270... .................. A Release of foot *4.76 2.63 2.63 0.23 7.62 7.62 090
contracture.
28272... .................. A Release of toe joint, *3.80 2.04 2.04 0.18 6.02 6.02 090
each.
28280... .................. A Fusion of toes.......... *5.19 2.22 2.22 0.30 7.71 7.71 090
28285... .................. A Repair of hammertoe..... *4.59 4.37 4.37 0.39 9.35 9.35 090
28286... .................. A Repair of hammertoe..... *4.56 3.58 3.58 0.38 8.52 8.52 090
[[Page 59126]]
28288... .................. A Partial removal of foot *4.74 3.75 3.75 0.43 8.92 8.92 090
bone.
28290... .................. A Correction of bunion.... *5.66 5.36 5.36 0.63 11.65 11.65 090
28292... .................. A Correction of bunion.... *7.04 7.05 7.05 0.74 14.83 14.83 090
28293... .................. A Correction of bunion.... *9.15 9.55 9.55 0.98 19.68 19.68 090
28294... .................. A Correction of bunion.... *8.56 9.16 9.16 0.86 18.58 18.58 090
28296... .................. A Correction of bunion.... *9.18 8.81 8.81 0.98 18.97 18.97 090
28297... .................. A Correction of bunion.... *9.18 9.02 9.02 1.05 19.25 19.25 090
28298... .................. A Correction of bunion.... *7.94 #8.73 #8.73 0.79 17.46 17.46 090
28299... .................. A Correction of bunion.... *8.88 #9.77 #9.77 1.08 19.73 19.73 090
28300... .................. A Incision of heel bone... *9.54 6.52 6.52 0.79 16.85 16.85 090
28302... .................. A Incision of ankle bone.. *9.55 8.89 8.89 1.12 19.56 19.56 090
28304... .................. A Incision of midfoot *9.16 6.44 6.44 0.70 16.30 16.30 090
bones.
28305... .................. A Incise/graft midfoot *10.50 9.85 9.85 1.03 21.38 21.38 090
bones.
28306... .................. A Incision of metatarsal.. *5.86 4.57 4.57 0.47 10.90 10.90 090
28307... .................. A Incision of metatarsal.. *6.33 5.87 5.87 0.76 12.96 12.96 090
28308... .................. A Incision of metatarsal.. *5.29 5.71 5.71 0.50 11.50 11.50 090
28309... .................. A Incision of metatarsals. *12.78 6.87 6.87 1.00 20.65 20.65 090
28310... .................. A Revision of big toe..... *5.43 4.17 4.17 0.42 10.02 10.02 090
28312... .................. A Revision of toe......... *4.55 4.56 4.56 0.45 9.56 9.56 090
28313... .................. A Repair deformity of toe. *5.01 2.57 2.57 0.31 7.89 7.89 090
28315... .................. A Removal of sesamoid bone *4.86 4.24 4.24 0.41 9.51 9.51 090
28320... .................. A Repair of foot bones.... *9.18 8.69 8.69 1.03 18.90 18.90 090
28322... .................. A Repair of metatarsals... *8.34 4.67 4.67 0.52 13.53 13.53 090
28340... .................. A Resect enlarged toe *6.98 6.34 6.34 0.91 14.23 14.23 090
tissue.
28341... .................. A Resect enlarged toe..... *8.41 7.66 7.66 0.96 17.03 17.03 090
28344... .................. A Repair extra toe(s)..... *4.26 3.70 3.70 0.60 8.56 8.56 090
28345... .................. A Repair webbed toe(s).... *5.92 5.34 5.34 0.73 11.99 11.99 090
28360... .................. A Reconstruct cleft foot.. *13.34 11.91 11.91 1.95 27.20 27.20 090
28400... .................. A Treatment of heel *2.16 2.57 2.57 0.40 5.13 5.13 090
fracture.
28405... .................. A Treatment of heel *4.57 3.90 3.90 0.58 9.05 9.05 090
fracture.
28406... .................. A Treatment of heel *6.31 6.09 6.09 0.93 13.33 13.33 090
fracture.
28415... .................. A Repair of heel fracture. *15.97 9.02 9.02 1.39 26.38 26.38 090
28420... .................. A Repair/graft heel *16.64 10.89 10.89 1.63 29.16 29.16 090
fracture.
28430... .................. A Treatment of ankle *2.09 2.45 2.45 0.35 4.89 4.89 090
fracture.
28435... .................. A Treatment of ankle *3.40 3.36 3.36 0.50 7.26 7.26 090
fracture.
28436... .................. A Treatment of ankle *4.71 4.19 4.19 0.68 9.58 9.58 090
fracture.
28445... .................. A Repair of ankle fracture *9.33 8.80 8.80 1.40 19.53 19.53 090
28450... .................. A Treat midfoot fracture, *1.90 1.87 1.87 0.25 4.02 4.02 090
each.
28455... .................. A Treat midfoot fracture, *3.09 2.54 2.54 0.34 5.97 5.97 090
each.
28456... .................. A Repair midfoot fracture. *2.68 2.27 2.27 0.38 5.33 5.33 090
28465... .................. A Repair midfoot fracture, *7.01 5.54 5.54 0.81 13.36 13.36 090
each.
28470... .................. A Treat metatarsal *1.99 1.80 1.80 0.23 4.02 4.02 090
fracture.
28475... .................. A Treat metatarsal *2.97 2.34 2.34 0.30 5.61 5.61 090
fracture.
28476... .................. A Repair metatarsal *3.38 3.37 3.37 0.45 7.20 7.20 090
fracture.
28485... .................. A Repair metatarsal *5.71 4.68 4.68 0.60 10.99 10.99 090
fracture.
28490... .................. A Treat big toe fracture.. *1.09 0.90 0.90 0.10 2.09 2.09 090
28495... .................. A Treat big toe fracture.. *1.58 1.12 1.12 0.13 2.83 2.83 090
28496... .................. A Repair big toe fracture. *2.33 2.07 2.07 0.31 4.71 4.71 090
28505... .................. A Repair big toe fracture. *3.81 2.99 2.99 0.43 7.23 7.23 090
28510... .................. A Treatment of toe *1.09 0.89 0.89 0.09 2.07 2.07 090
fracture.
28515... .................. A Treatment of toe *1.46 1.12 1.12 0.11 2.69 2.69 090
fracture.
28525... .................. A Repair of toe fracture.. *3.32 2.06 2.06 0.29 5.67 5.67 090
28530... .................. A Treat sesamoid bone *1.06 1.00 1.00 0.10 2.16 2.16 090
fracture.
28531... .................. A Treat sesamoid bone *2.35 1.91 1.91 0.32 4.58 4.58 090
fracture.
28540... .................. A Treat foot dislocation.. *2.04 0.60 0.60 0.06 2.70 2.70 090
28545... .................. A Treat foot dislocation.. *2.45 1.31 1.31 0.14 3.90 3.90 090
28546... .................. A Treat foot dislocation.. *3.20 2.74 2.74 0.45 6.39 6.39 090
28555... .................. A Repair foot dislocation. *6.30 5.58 5.58 0.73 12.61 12.61 090
28570... .................. A Treat foot dislocation.. *1.66 1.59 1.59 0.17 3.42 3.42 090
28575... .................. A Treat foot dislocation.. *3.31 2.77 2.77 0.42 6.50 6.50 090
28576... .................. A Treat foot dislocation.. *4.17 2.77 2.77 0.42 7.36 7.36 090
28585... .................. A Repair foot dislocation. *7.99 4.96 4.96 0.55 13.50 13.50 090
28600... .................. A Treat foot dislocation.. *1.89 0.68 0.68 0.08 2.65 2.65 090
28605... .................. A Treat foot dislocation.. *2.71 2.26 2.26 0.34 5.31 5.31 090
28606... .................. A Treat foot dislocation.. *4.90 3.49 3.49 0.55 8.94 8.94 090
28615... .................. A Repair foot dislocation. *7.77 4.96 4.96 0.78 13.51 13.51 090
28630... .................. A Treat toe dislocation... *1.70 1.03 1.03 0.11 2.84 2.84 010
28635... .................. A Treat toe dislocation... *1.91 1.45 1.45 0.18 3.54 3.54 010
28636... .................. A Treat toe dislocation... *2.77 2.56 2.56 0.42 5.75 5.75 010
28645... .................. A Repair toe dislocation.. *4.22 3.24 3.24 0.38 7.84 7.84 090
28660... .................. A Treat toe dislocation... *1.23 0.63 0.63 0.06 1.92 1.92 010
28665... .................. A Treat toe dislocation... *1.92 0.98 0.98 0.11 3.01 3.01 010
28666... .................. A Treat toe dislocation... *2.66 2.44 2.44 0.40 5.50 5.50 010
28675... .................. A Repair of toe *2.92 3.00 3.00 0.41 6.33 6.33 090
dislocation.
[[Page 59127]]
28705... .................. A Fusion of foot bones.... *15.21 15.11 15.11 2.35 32.67 32.67 090
28715... .................. A Fusion of foot bones.... *13.10 12.33 12.33 1.89 27.32 27.32 090
28725... .................. A Fusion of foot bones.... *11.61 9.44 9.44 1.44 22.49 22.49 090
28730... .................. A Fusion of foot bones.... *10.76 9.00 9.00 1.33 21.09 21.09 090
28735... .................. A Fusion of foot bones.... *10.85 9.76 9.76 1.37 21.98 21.98 090
28737... .................. A Revision of foot bones.. *9.64 8.87 8.87 1.13 19.64 19.64 090
28740... .................. A Fusion of foot bones.... *8.02 5.14 5.14 0.72 13.88 13.88 090
28750... .................. A Fusion of big toe joint. *7.30 5.32 5.32 0.82 13.44 13.44 090
28755... .................. A Fusion of big toe joint. *4.74 3.69 3.69 0.45 8.88 8.88 090
28760... .................. A Fusion of big toe joint. *7.75 5.40 5.40 0.65 13.80 13.80 090
28800... .................. A Amputation of midfoot... *8.21 6.65 6.65 1.19 16.05 16.05 090
28805... .................. A Amputation thru *8.39 6.32 6.32 1.21 15.92 15.92 090
metatarsal.
28810... .................. A Amputation toe & *6.21 3.91 3.91 0.75 10.87 10.87 090
metatarsal.
28820... .................. A Amputation of toe....... *4.41 2.58 2.58 0.46 7.45 7.45 090
28825... .................. A Partial amputation of *3.59 2.40 2.40 0.41 6.40 6.40 090
toe.
28899... .................. C Foot/toes surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
29000... .................. A Application of body cast 2.25 1.85 1.85 0.21 4.31 4.31 000
29010... .................. A Application of body cast 2.06 2.33 #2.27 0.34 4.73 4.67 000
29015... .................. A Application of body cast 2.41 2.33 2.33 0.33 5.07 5.07 000
29020... .................. A Application of body cast 2.11 1.82 1.82 0.23 4.16 4.16 000
29025... .................. A Application of body cast 2.40 0.75 0.75 0.14 3.29 3.29 000
29035... .................. A Application of body cast 1.77 1.95 1.95 0.32 4.04 4.04 000
29040... .................. A Application of body cast 2.22 2.02 2.02 0.30 4.54 4.54 000
29044... .................. A Application of body cast 2.12 2.09 2.09 0.34 4.55 4.55 000
29046... .................. A Application of body cast 2.41 2.23 2.23 0.36 5.00 5.00 000
29049... .................. A Application of figure 0.89 0.42 0.42 0.06 1.37 1.37 000
eight.
29055... .................. A Application of shoulder 1.78 1.20 1.20 0.17 3.15 3.15 000
cast.
29058... .................. A Application of shoulder 1.31 0.65 0.65 0.09 2.05 2.05 000
cast.
29065... .................. A Application of long arm 0.87 0.80 0.80 0.13 1.80 1.80 000
cast.
29075... .................. A Application of forearm 0.77 0.61 0.61 0.10 1.48 1.48 000
cast.
29085... .................. A Apply hand/wrist cast... 0.87 0.50 0.50 0.08 1.45 1.45 000
29105... .................. A Apply long arm splint... 0.87 0.50 0.50 0.08 1.45 1.45 000
29125... .................. A Apply forearm splint.... 0.59 0.37 0.37 0.05 1.01 1.01 000
29126... .................. A Apply forearm splint.... 0.77 0.40 0.40 0.06 1.23 1.23 000
29130... .................. A Application of finger 0.50 0.17 0.17 0.02 0.69 0.69 000
splint.
29131... .................. A Application of finger 0.55 0.39 0.39 0.06 1.00 1.00 000
splint.
29200... .................. A Strapping of chest...... 0.65 0.27 0.27 0.03 0.95 0.95 000
29220... .................. A Strapping of low back... 0.64 0.38 0.38 0.05 1.07 1.07 000
29240... .................. A Strapping of shoulder... 0.71 0.27 0.27 0.03 1.01 1.01 000
29260... .................. A Strapping of elbow or 0.55 0.23 0.23 0.03 0.81 0.81 000
wrist.
29280... .................. A Strapping of hand or 0.51 0.21 0.21 0.02 0.74 0.74 000
finger.
29305... .................. A Application of hip cast. 2.03 1.88 1.88 0.31 4.22 4.22 000
29325... .................. A Application of hip casts 2.32 1.94 1.94 0.28 4.54 4.54 000
29345... .................. A Application of long leg 1.40 1.02 1.02 0.16 2.58 2.58 000
cast.
29355... .................. A Application of long leg 1.53 1.10 1.10 0.17 2.80 2.80 000
cast.
29358... .................. A Apply long leg cast 1.43 #1.57 #1.57 0.33 3.33 3.33 000
brace.
29365... .................. A Application of long leg 1.18 0.86 0.86 0.14 2.18 2.18 000
cast.
29405... .................. A Apply short leg cast.... 0.86 0.79 0.79 0.12 1.77 1.77 000
29425... .................. A Apply short leg cast.... 1.01 0.97 0.97 0.14 2.12 2.12 000
29435... .................. A Apply short leg cast.... 1.18 1.18 1.18 0.18 2.54 2.54 000
29440... .................. A Addition of walker to 0.57 0.23 0.23 0.03 0.83 0.83 000
cast.
29445... .................. A Apply rigid leg cast.... 1.78 1.70 1.70 0.28 3.76 3.76 000
29450... .................. A Application of leg cast. 1.02 0.39 0.39 0.04 1.45 1.45 000
29505... .................. A Application long leg 0.69 0.57 0.57 0.07 1.33 1.33 000
splint.
29515... .................. A Application lower leg 0.73 0.47 0.47 0.06 1.26 1.26 000
splint.
29520... .................. A Strapping of hip........ 0.54 0.36 0.36 0.03 0.93 0.93 000
29530... .................. A Strapping of knee....... 0.57 0.35 0.35 0.05 0.97 0.97 000
29540... .................. A Strapping of ankle...... 0.51 0.30 0.30 0.03 0.84 0.84 000
29550... .................. A Strapping of toes....... 0.47 0.28 0.28 0.03 0.78 0.78 000
29580... .................. A Application of paste 0.57 0.79 0.79 0.04 1.40 1.40 000
boot.
29590... .................. A Application of foot 0.76 0.28 0.28 0.03 1.07 1.07 000
splint.
29700... .................. A Removal/revision of cast 0.57 0.32 0.32 0.05 0.94 0.94 000
29705... .................. A Removal/revision of cast 0.76 0.35 0.35 0.05 1.16 1.16 000
29710... .................. A Removal/revision of cast 1.34 0.45 0.45 0.07 1.86 1.86 000
29715... .................. A Removal/revision of cast 0.94 0.86 0.86 0.12 1.92 1.92 000
29720... .................. A Repair of body cast..... 0.68 0.23 0.23 0.04 0.95 0.95 000
29730... .................. A Windowing of cast....... 0.75 0.26 0.26 0.04 1.05 1.05 000
29740... .................. A Wedging of cast......... 1.12 0.38 0.38 0.06 1.56 1.56 000
29750... .................. A Wedging of clubfoot cast 1.26 0.50 0.50 0.07 1.83 1.83 000
29799... .................. C Casting/strapping 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
29800... .................. A Jaw arthroscopy/surgery. *6.43 4.01 4.01 0.46 10.90 10.90 090
29804... .................. A Jaw arthroscopy/surgery. *8.14 #8.95 #8.95 1.46 18.55 18.55 090
29815... .................. A Shoulder arthroscopy.... *5.89 4.84 4.84 0.76 11.49 11.49 090
29819... .................. A Shoulder arthroscopy/ *7.62 #8.38 #8.38 1.73 17.73 17.73 090
surgery.
[[Page 59128]]
29820... .................. A Shoulder arthroscopy/ *7.07 #7.78 #7.78 1.73 16.58 16.58 090
surgery.
29821... .................. A Shoulder arthroscopy/ *7.72 #8.49 #8.49 2.13 18.34 18.34 090
surgery.
29822... .................. A Shoulder arthroscopy/ *7.43 #8.17 #8.17 1.74 17.34 17.34 090
surgery.
29823... .................. A Shoulder arthroscopy/ *8.17 #8.99 #8.99 2.32 19.48 19.48 090
surgery.
29825... .................. A Shoulder arthroscopy/ *7.62 #8.38 #8.38 2.05 18.05 18.05 090
surgery.
29826... .................. A Shoulder arthroscopy/ *8.99 #9.89 #9.89 2.31 21.19 21.19 090
surgery.
29830... .................. A Elbow arthroscopy....... *5.76 5.32 5.32 0.83 11.91 11.91 090
29834... .................. A Elbow arthroscopy/ *6.28 5.84 5.84 0.96 13.08 13.08 090
surgery.
29835... .................. A Elbow arthroscopy/ *6.48 6.03 6.03 0.99 13.50 13.50 090
surgery.
29836... .................. A Elbow arthroscopy/ *7.55 7.03 7.03 1.15 15.73 15.73 090
surgery.
29837... .................. A Elbow arthroscopy/ *6.87 6.40 6.40 1.06 14.33 14.33 090
surgery.
29838... .................. A Elbow arthroscopy/ *7.71 7.05 7.05 1.14 15.90 15.90 090
surgery.
29840... .................. A Wrist arthroscopy....... *5.54 3.29 3.29 0.54 9.37 9.37 090
29843... .................. A Wrist arthroscopy/ *6.01 5.60 5.60 0.91 12.52 12.52 090
surgery.
29844... .................. A Wrist arthroscopy/ *6.37 5.59 5.59 0.95 12.91 12.91 090
surgery.
29845... .................. A Wrist arthroscopy/ *7.52 7.00 7.00 1.15 15.67 15.67 090
surgery.
29846... .................. A Wrist arthroscopy/ *6.75 #7.43 #7.43 2.20 16.38 16.38 090
surgery.
29847... .................. A Wrist arthroscopy/ *7.08 6.78 6.78 0.97 14.83 14.83 090
surgery.
29848... .................. A Wrist arthroscopy/ *5.44 3.85 3.85 0.62 9.91 9.91 090
surgery.
29850... .................. A Knee arthroscopy/surgery *8.19 #9.01 #9.01 1.74 18.94 18.94 090
29851... .................. A Knee arthroscopy/surgery *13.10 10.95 10.95 1.74 25.79 25.79 090
29855... .................. A Tibial arthroscopy/ *10.62 #11.68 #11.68 1.88 24.18 24.18 090
surgery.
29856... .................. A Tibial arthroscopy/ *14.14 11.69 11.69 1.88 27.71 27.71 090
surgery.
29860... .................. A Hip arthroscopy, dx..... *8.05 4.84 4.84 0.76 13.65 13.65 090
29861... .................. A Hip arthroscopy/surgery. *9.15 9.38 9.38 1.73 20.26 20.26 090
29862... .................. A Hip arthroscopy/surgery. *9.90 10.07 10.07 2.32 22.29 22.29 090
29863... .................. A Hip arthroscopy/surgery. *9.90 8.72 8.72 1.73 20.35 20.35 090
29870... .................. A Knee arthroscopy, *5.07 4.02 4.02 0.64 9.73 9.73 090
diagnostic.
29871... .................. A Knee arthroscopy/ *6.55 6.77 6.77 0.96 14.28 14.28 090
drainage.
29874... .................. A Knee arthroscopy/surgery *7.05 #7.76 #7.76 1.52 16.33 16.33 090
29875... .................. A Knee arthroscopy/surgery *6.31 #6.94 #6.94 1.61 14.86 14.86 090
29876... .................. A Knee arthroscopy/surgery *7.92 #8.71 #8.71 1.95 18.58 18.58 090
29877... .................. A Knee arthroscopy/surgery *7.35 #8.09 #8.09 1.81 17.25 17.25 090
29879... .................. A Knee arthroscopy/surgery *8.04 #8.84 #8.84 2.19 19.07 19.07 090
29880... .................. A Knee arthroscopy/surgery *8.50 #9.35 #9.35 2.22 20.07 20.07 090
29881... .................. A Knee arthroscopy/surgery *7.76 #8.54 #8.54 1.82 18.12 18.12 090
29882... .................. A Knee arthroscopy/surgery *8.65 #9.52 #9.52 1.90 20.07 20.07 090
29883... .................. A Knee arthroscopy/surgery *9.46 #10.41 #10.41 2.80 22.67 22.67 090
29884... .................. A Knee arthroscopy/surgery *7.33 #8.06 #8.06 1.56 16.95 16.95 090
29885... .................. A Knee arthroscopy/surgery *9.09 8.23 8.23 1.35 18.67 18.67 090
29886... .................. A Knee arthroscopy/surgery *7.54 6.80 6.80 1.12 15.46 15.46 090
29887... .................. A Knee arthroscopy/surgery *9.04 #9.94 #9.94 1.71 20.69 20.69 090
29888... .................. A Knee arthroscopy/surgery *13.90 #15.29 #15.29 3.18 32.37 32.37 090
29889... .................. A Knee arthroscopy/surgery *15.13 10.26 10.26 1.68 27.07 27.07 090
29891... .................. A Ankle arthroscopy/ *8.40 8.86 8.86 1.77 19.03 19.03 090
surgery.
29892... .................. A Ankle arthroscopy/ *9.00 8.86 8.86 1.77 19.63 19.63 090
surgery.
29893... .................. A Scope, plantar *5.22 5.20 5.20 0.46 10.88 10.88 090
fasciotomy.
29894... .................. A Ankle arthroscopy/ *7.21 #7.93 #7.93 1.47 16.61 16.61 090
surgery.
29895... .................. A Ankle arthroscopy/ *6.99 #7.69 #7.69 1.51 16.19 16.19 090
surgery.
29897... .................. A Ankle arthroscopy/ *7.18 #7.90 #7.90 1.77 16.85 16.85 090
surgery.
29898... .................. A Ankle arthroscopy/ *8.32 #9.15 #9.15 1.91 19.38 19.38 090
surgery.
29909... .................. C Arthroscopy of joint.... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
30000... .................. A Drainage of nose lesion. *1.43 0.58 0.58 0.05 2.06 2.06 010
30020... .................. A Drainage of nose lesion. *1.43 0.60 0.60 0.06 2.09 2.09 010
30100... .................. A Intranasal biopsy....... 0.94 0.69 0.69 0.08 1.71 1.71 000
30110... .................. A Removal of nose polyp(s) *1.63 1.29 1.29 0.14 3.06 3.06 010
30115... .................. A Removal of nose polyp(s) *4.35 2.81 2.81 0.30 7.46 7.46 090
30117... .................. A Removal of intranasal *3.16 2.84 2.84 0.31 6.31 6.31 090
lesion.
30118... .................. A Removal of intranasal *9.69 8.01 8.01 0.92 18.62 18.62 090
lesion.
30120... .................. A Revision of nose........ *5.27 #5.80 #5.80 1.00 12.07 12.07 090
30124... .................. A Removal of nose lesion.. *3.10 1.34 1.34 0.16 4.60 4.60 090
30125... .................. A Removal of nose lesion.. *7.16 5.55 5.55 0.73 13.44 13.44 090
30130... .................. A Removal of turbinate *3.38 1.67 1.67 0.17 5.22 5.22 090
bones.
30140... .................. A Removal of turbinate *3.43 3.04 3.04 0.34 6.81 6.81 090
bones.
30150... .................. A Partial removal of nose. *9.14 7.92 7.92 1.07 18.13 18.13 090
30160... .................. A Removal of nose......... *9.58 #10.54 #10.54 1.73 21.85 21.85 090
30200... .................. A Injection treatment of 0.78 0.37 0.37 0.04 1.19 1.19 000
nose.
30210... .................. A Nasal sinus therapy..... *1.08 0.26 0.26 0.03 1.37 1.37 010
30220... .................. A Insert nasal septal *1.54 1.51 1.51 0.16 3.21 3.21 010
button.
30300... .................. A Remove nasal foreign *1.04 0.46 0.46 0.05 1.55 1.55 010
body.
30310... .................. A Remove nasal foreign *1.96 1.62 1.62 0.18 3.76 3.76 010
body.
30320... .................. A Remove nasal foreign *4.52 4.29 4.29 0.43 9.24 9.24 090
body.
30400... .................. R Reconstruction of nose.. *9.83 9.97 9.97 1.36 21.16 21.16 090
30410... .................. R Reconstruction of nose.. *12.98 #14.28 #14.28 2.01 29.27 29.27 090
[[Page 59129]]
30420... .................. R Reconstruction of nose.. *15.88 #17.47 #17.47 2.22 35.57 35.57 090
30430... .................. R Revision of nose........ *7.21 6.09 6.09 0.66 13.96 13.96 090
30435... .................. R Revision of nose........ *11.71 10.17 10.17 1.10 22.98 22.98 090
30450... .................. R Revision of nose........ *18.65 11.24 11.24 0.91 30.80 30.80 090
30460... .................. A Revision of nose........ *9.96 8.58 8.58 0.93 19.47 19.47 090
30462... .................. A Revision of nose........ *19.57 17.16 17.16 1.87 38.60 38.60 090
30520... .................. A Repair of nasal septum.. *5.70 #6.27 #6.27 0.96 12.93 12.93 090
30540... .................. A Repair nasal defect..... *7.75 6.63 6.63 0.70 15.08 15.08 090
30545... .................. A Repair nasal defect..... *11.38 10.83 10.83 0.93 23.14 23.14 090
30560... .................. A Release of nasal *1.26 0.55 0.55 0.06 1.87 1.87 010
adhesions.
30580... .................. A Repair upper jaw fistula *6.69 6.24 6.24 0.57 13.50 13.50 090
30600... .................. A Repair mouth/nose *6.02 3.77 3.77 0.36 10.15 10.15 090
fistula.
30620... .................. A Intranasal *5.97 #6.57 #6.57 1.10 13.64 13.64 090
reconstruction.
30630... .................. A Repair nasal septum *7.12 6.24 6.24 0.71 14.07 14.07 090
defect.
30801... .................. A Cauterization inner nose *1.09 0.47 0.47 0.05 1.61 1.61 010
30802... .................. A Cauterization inner nose *2.03 0.94 0.94 0.11 3.08 3.08 010
30901... .................. A Control of nosebleed.... 1.21 0.56 0.56 0.06 1.83 1.83 000
30903... .................. A Control of nosebleed.... 1.54 0.85 0.85 0.08 2.47 2.47 000
30905... .................. A Control of nosebleed.... 1.97 1.79 1.79 0.17 3.93 3.93 000
30906... .................. A Repeat control of 2.45 1.08 1.08 0.11 3.64 3.64 000
nosebleed.
30915... .................. A Ligation nasal sinus *7.20 4.95 4.95 0.52 12.67 12.67 090
artery.
30920... .................. A Ligation upper jaw *9.83 9.54 9.54 1.32 20.69 20.69 090
artery.
30930... .................. A Therapy fracture of nose *1.26 0.71 0.71 0.08 2.05 2.05 010
30999... .................. C Nasal surgery procedure. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
31000... .................. A Irrigation maxillary *1.15 0.43 0.43 0.05 1.63 1.63 010
sinus.
31002... .................. A Irrigation sphenoid *1.91 0.46 0.46 0.05 2.42 2.42 010
sinus.
31020... .................. A Exploration maxillary *2.94 2.66 2.66 0.29 5.89 5.89 090
sinus.
31030... .................. A Exploration maxillary *5.92 #6.51 #6.51 0.86 13.29 13.29 090
sinus.
31032... .................. A Explore sinus, remove *6.57 #7.23 #7.23 0.99 14.79 14.79 090
polyps.
31040... .................. A Exploration behind upper *9.42 7.98 7.98 0.86 18.26 18.26 090
jaw.
31050... .................. A Exploration sphenoid *5.28 #5.81 #5.81 0.64 11.73 11.73 090
sinus.
31051... .................. A Sphenoid sinus surgery.. *7.11 #7.82 #7.82 0.85 15.78 15.78 090
31070... .................. A Exploration of frontal *4.28 4.69 4.69 0.50 9.47 9.47 090
sinus.
31075... .................. A Exploration of frontal *9.16 #10.08 #10.08 1.10 20.34 20.34 090
sinus.
31080... .................. A Removal of frontal sinus *11.42 9.21 9.21 1.12 21.75 21.75 090
31081... .................. A Removal of frontal sinus *12.75 10.32 10.32 1.30 24.37 24.37 090
31084... .................. A Removal of frontal sinus *13.51 14.79 14.79 1.62 29.92 29.92 090
31085... .................. A Removal of frontal sinus *14.20 #15.62 #15.62 1.76 31.58 31.58 090
31086... .................. A Removal of frontal sinus *12.86 10.87 10.87 1.15 24.88 24.88 090
31087... .................. A Removal of frontal sinus *13.10 10.39 10.39 1.33 24.82 24.82 090
31090... .................. A Exploration of sinuses.. *9.53 #10.48 #10.48 2.12 22.13 22.13 090
31200... .................. A Removal of ethmoid sinus *4.97 4.62 4.62 0.48 10.07 10.07 090
31201... .................. A Removal of ethmoid sinus *8.37 7.01 7.01 0.75 16.13 16.13 090
31205... .................. A Removal of ethmoid sinus *10.24 8.03 8.03 0.81 19.08 19.08 090
31225... .................. A Removal of upper jaw.... *19.23 19.44 19.44 2.37 41.04 41.04 090
31230... .................. A Removal of upper jaw.... *21.94 21.74 21.74 2.48 46.16 46.16 090
31231... .................. A Nasal endoscopy, dx..... 1.10 1.37 1.37 0.15 2.62 2.62 000
31233... .................. A Nasal/sinus endoscopy, 2.18 2.79 2.79 0.31 5.28 5.28 000
dx.
31235... .................. A Nasal/sinus endoscopy, 2.64 2.39 2.39 0.26 5.29 5.29 000
dx.
31237... .................. A Nasal/sinus endoscopy, 2.98 #3.28 #3.28 0.37 6.63 6.63 000
surg.
31238... .................. A Nasal/sinus endoscopy, 3.26 #3.59 #3.59 0.45 7.30 7.30 000
surg.
31239... .................. A Nasal/sinus endoscopy, *8.70 #9.57 #9.57 1.18 19.45 19.45 010
surg.
31240... .................. A Nasal/sinus endoscopy, 2.61 #2.87 #2.87 0.37 5.85 5.85 000
surg.
31254... .................. A Revision of ethmoid 4.65 #5.12 #5.12 0.69 10.46 10.46 000
sinus.
31255... .................. A Removal of ethmoid sinus 6.96 #7.66 #7.66 1.14 15.76 15.76 000
31256... .................. A Exploration maxillary 3.29 #3.62 #3.62 0.41 7.32 7.32 000
sinus.
31267... .................. A Endoscopy, maxillary 5.46 5.23 5.23 0.81 11.50 11.50 000
sinus.
31276... .................. A Sinus surgical endoscopy 8.85 6.72 6.72 0.73 16.30 16.30 000
31287... .................. A Nasal/sinus endoscopy, 3.92 #4.31 #4.31 0.65 8.88 8.88 000
surg.
31288... .................. A Nasal/sinus endoscopy, 4.58 #5.04 #5.04 0.78 10.40 10.40 000
surg.
31290... .................. A Nasal/sinus endoscopy, *17.24 16.47 16.47 1.80 35.51 35.51 010
surg.
31291... .................. A Nasal/sinus endoscopy, *18.19 17.31 17.31 1.88 37.38 37.38 010
surg.
31292... .................. A Nasal/sinus endoscopy, *14.76 13.38 13.38 1.45 29.59 29.59 010
surg.
31293... .................. A Nasal/sinus endoscopy, *16.21 14.64 14.64 1.59 32.44 32.44 010
surg.
31294... .................. A Nasal/sinus endoscopy, *19.06 16.72 16.72 1.83 37.61 37.61 010
surg.
31299... .................. C Sinus surgery procedure. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
31300... .................. A Removal of larynx lesion *14.29 11.58 11.58 1.28 27.15 27.15 090
31320... .................. A Diagnostic incision *5.26 3.87 3.87 0.48 9.61 9.61 090
larynx.
31360... .................. A Removal of larynx....... *17.08 #18.79 #18.79 2.19 38.06 38.06 090
31365... .................. A Removal of larynx....... *24.16 #26.58 #26.58 3.10 53.84 53.84 090
31367... .................. A Partial removal of *21.86 17.22 17.22 1.88 40.96 40.96 090
larynx.
31368... .................. A Partial removal of *27.09 26.76 26.76 3.06 56.91 56.91 090
larynx.
31370... .................. A Partial removal of *21.38 17.18 17.18 1.88 40.44 40.44 090
larynx.
31375... .................. A Partial removal of *20.21 14.84 14.84 1.56 36.61 36.61 090
larynx.
[[Page 59130]]
31380... .................. A Partial removal of *20.21 17.27 17.27 1.88 39.36 39.36 090
larynx.
31382... .................. A Partial removal of *20.52 16.06 16.06 1.78 38.36 38.36 090
larynx.
31390... .................. A Removal of larynx & *27.53 27.08 27.08 4.05 58.66 58.66 090
pharynx.
31395... .................. A Reconstruct larynx & *31.09 33.52 33.52 4.42 69.03 69.03 090
pharynx.
31400... .................. A Revision of larynx...... *10.31 7.81 7.81 0.91 19.03 19.03 090
31420... .................. A Removal of epiglottis... *10.22 8.08 8.08 0.84 19.14 19.14 090
31500... .................. A Insert emergency airway. 2.33 1.14 1.14 0.14 3.61 3.61 000
31502... .................. A Change of windpipe 0.65 0.58 0.58 0.07 1.30 1.30 000
airway.
31505... .................. A Diagnostic laryngoscopy. 0.61 0.43 0.43 0.05 1.09 1.09 000
31510... .................. A Laryngoscopy with biopsy 1.92 0.55 0.55 0.07 2.54 2.54 000
31511... .................. A Remove foreign body, 2.16 0.96 0.96 0.10 3.22 3.22 000
larynx.
31512... .................. A Removal of larynx lesion 2.07 1.79 1.79 0.20 4.06 4.06 000
31513... .................. A Injection into vocal 2.10 #2.31 #2.31 0.38 4.79 4.79 000
cord.
31515... .................. A Laryngoscopy for 1.80 1.13 1.13 0.14 3.07 3.07 000
aspiration.
31520... .................. A Diagnostic laryngoscopy. 2.56 1.64 1.64 0.18 4.38 4.38 000
31525... .................. A Diagnostic laryngoscopy. 2.63 2.20 2.20 0.23 5.06 5.06 000
31526... .................. A Diagnostic laryngoscopy. 2.57 #2.83 #2.83 0.38 5.78 5.78 000
31527... .................. A Laryngoscopy for 3.27 2.99 2.99 0.30 6.56 6.56 000
treatment.
31528... .................. A Laryngoscopy and 2.37 #2.61 #2.61 0.30 5.28 5.28 000
dilatation.
31529... .................. A Laryngoscopy and 2.68 2.46 2.46 0.25 5.39 5.39 000
dilatation.
31530... .................. A Operative laryngoscopy.. 3.39 3.63 3.63 0.39 7.41 7.41 000
31531... .................. A Operative laryngoscopy.. 3.59 #3.95 #3.95 0.60 8.14 8.14 000
31535... .................. A Operative laryngoscopy.. 3.16 #3.48 #3.48 0.45 7.09 7.09 000
31536... .................. A Operative laryngoscopy.. 3.56 #3.92 #3.92 0.59 8.07 8.07 000
31540... .................. A Operative laryngoscopy.. 4.13 #4.54 #4.54 0.61 9.28 9.28 000
31541... .................. A Operative laryngoscopy.. 4.53 4.56 4.56 0.75 9.84 9.84 000
31560... .................. A Operative laryngoscopy.. 5.46 4.99 4.99 0.51 10.96 10.96 000
31561... .................. A Operative laryngoscopy.. 6.00 6.27 6.27 1.08 13.35 13.35 000
31570... .................. A Laryngoscopy with 3.87 #4.26 #4.26 0.60 8.73 8.73 000
injection.
31571... .................. A Laryngoscopy with 4.27 4.51 4.51 0.69 9.47 9.47 000
injection.
31575... .................. A Diagnostic laryngoscopy. 1.10 1.56 1.56 0.17 2.83 2.83 000
31576... .................. A Laryngoscopy with biopsy 1.97 #2.17 #2.17 0.33 4.47 4.47 000
31577... .................. A Remove foreign body, 2.47 #2.72 #2.72 0.37 5.56 5.56 000
larynx.
31578... .................. A Removal of larynx lesion 2.84 #3.12 #3.12 0.48 6.44 6.44 000
31579... .................. A Diagnostic laryngoscopy. 2.26 2.33 2.33 0.26 4.85 4.85 000
31580... .................. A Revision of larynx...... *12.38 #13.62 #13.62 1.63 27.63 27.63 090
31582... .................. A Revision of larynx...... *21.62 17.87 17.87 1.94 41.43 41.43 090
31584... .................. A Repair of larynx *19.64 12.72 12.72 1.34 33.70 33.70 090
fracture.
31585... .................. A Repair of larynx *4.64 3.77 3.77 0.40 8.81 8.81 090
fracture.
31586... .................. A Repair of larynx *8.03 6.55 6.55 0.71 15.29 15.29 090
fracture.
31587... .................. A Revision of larynx...... *11.99 7.21 7.21 0.79 19.99 19.99 090
31588... .................. A Revision of larynx...... *13.11 10.70 10.70 1.16 24.97 24.97 090
31590... .................. A Reinnervate larynx...... *6.97 5.76 5.76 0.62 13.35 13.35 090
31595... .................. A Larynx nerve surgery.... *8.34 6.84 6.84 0.74 15.92 15.92 090
31599... .................. C Larynx surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY
31600... .................. A Incision of windpipe.... 3.62 #3.98 #3.98 0.65 8.25 8.25 000
31601... .................. A Incision of windpipe.... 4.45 #4.90 #4.90 0.66 10.01 10.01 000
31603... .................. A Incision of windpipe.... 4.15 4.23 4.23 0.66 9.04 9.04 000
31605... .................. A Incision of windpipe.... 3.58 #3.94 #3.94 0.50 8.02 8.02 000
31610... .................. A Incision of windpipe.... *8.76 6.67 6.67 0.92 16.35 16.35 090
31611... .................. A Surgery/speech *5.64 6.45 6.45 1.04 13.13 13.13 090
prosthesis.
31612... .................. A Puncture/clear windpipe. 0.91 1.17 #1.00 0.12 2.20 2.03 000
31613... .................. A Repair windpipe opening. *4.59 2.21 2.21 0.28 7.08 7.08 090
31614... .................. A Repair windpipe opening. *7.12 6.74 6.74 0.73 14.59 14.59 090
31615... .................. A Visualization of 2.09 1.95 1.95 0.22 4.26 4.26 000
windpipe.
31622... .................. A Diagnostic bronchoscopy. 2.80 #3.08 #3.08 0.34 6.22 6.22 000
31625... .................. A Bronchoscopy with biopsy 3.37 #3.71 #3.71 0.35 7.43 7.43 000
31628... .................. A Bronchoscopy with biopsy 3.81 #4.19 #4.19 0.38 8.38 8.38 000
31629... .................. A Bronchoscopy with biopsy 3.37 #3.71 #3.71 0.34 7.42 7.42 000
31630... .................. A Bronchoscopy with repair 3.82 3.72 3.72 0.50 8.04 8.04 000
31631... .................. A Bronchoscopy with 4.37 3.94 3.94 0.48 8.79 8.79 000
dilation.
31635... .................. A Remove foreign body, 3.68 #4.05 #4.05 0.53 8.26 8.26 000
airway.
31640... .................. A Bronchoscopy & remove 4.94 5.02 5.02 0.67 10.63 10.63 000
lesion.
31641... .................. A Bronchoscopy, treat 5.03 #5.53 #5.53 0.85 11.41 11.41 000
blockage.
31645... .................. A Bronchoscopy, clear 3.16 #3.48 #3.48 0.30 6.94 6.94 000
airways.
31646... .................. A Bronchoscopy, reclear 2.72 #2.99 #2.99 0.27 5.98 5.98 000
airways.
31656... .................. A Bronchoscopy, inject for 2.17 #2.39 #2.39 0.31 4.87 4.87 000
x-ray.
31700... .................. A Insertion of airway 1.34 1.38 1.38 0.17 2.89 2.89 000
catheter.
31708... .................. A Instill airway contrast 1.41 0.77 0.77 0.09 2.27 2.27 000
dye.
31710... .................. A Insertion of airway 1.30 0.90 0.90 0.12 2.32 2.32 000
catheter.
31715... .................. A Injection for bronchus x- 1.11 0.48 0.48 0.04 1.63 1.63 000
ray.
31717... .................. A Bronchial brush biopsy.. 2.12 0.73 0.73 0.06 2.91 2.91 000
31720... .................. A Clearance of airways.... 1.06 0.74 0.74 0.09 1.89 1.89 000
31725... .................. A Clearance of airways.... 1.96 1.41 1.41 0.15 3.52 3.52 000
[[Page 59131]]
31730... .................. A Intro windpipe wire/tube 2.85 2.47 2.47 0.23 5.55 5.55 000
31750... .................. A Repair of windpipe...... *13.02 8.88 8.88 1.09 22.99 22.99 090
31755... .................. A Repair of windpipe...... *15.93 13.30 13.30 1.44 30.67 30.67 090
31760... .................. A Repair of windpipe...... *22.35 10.92 10.92 2.55 35.82 35.82 090
31766... .................. A Reconstruction of *30.43 18.40 18.40 1.12 49.95 49.95 090
windpipe.
31770... .................. A Repair/graft of bronchus *22.51 15.07 15.07 2.08 39.66 39.66 090
31775... .................. A Reconstruct bronchus.... *23.54 16.37 16.37 1.92 41.83 41.83 090
31780... .................. A Reconstruct windpipe.... *17.72 17.33 17.33 2.08 37.13 37.13 090
31781... .................. A Reconstruct windpipe.... *23.53 16.86 16.86 1.96 42.35 42.35 090
31785... .................. A Remove windpipe lesion.. *17.23 8.92 8.92 1.17 27.32 27.32 090
31786... .................. A Remove windpipe lesion.. *23.98 13.30 13.30 2.24 39.52 39.52 090
31800... .................. A Repair of windpipe *7.43 4.90 4.90 0.76 13.09 13.09 090
injury.
31805... .................. A Repair of windpipe *13.13 9.82 9.82 1.41 24.36 24.36 090
injury.
31820... .................. A Closure of windpipe *4.49 3.58 3.58 0.46 8.53 8.53 090
lesion.
31825... .................. A Repair of windpipe *6.81 5.00 5.00 0.58 12.39 12.39 090
defect.
31830... .................. A Revise windpipe scar.... *4.50 3.66 3.66 0.42 8.58 8.58 090
31899... .................. C Airways surgical 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
32000... .................. A Drainage of chest....... 1.54 0.90 0.90 0.08 2.52 2.52 000
32002... .................. A Treatment of collapsed 2.19 1.34 1.34 0.22 3.75 3.75 000
lung.
32005... .................. A Treat lung lining 2.19 1.09 1.09 0.15 3.43 3.43 000
chemically.
32020... .................. A Insertion of chest tube. 3.98 2.63 2.63 0.43 7.04 7.04 000
32035... .................. A Exploration of chest.... *8.67 6.76 6.76 1.25 16.68 16.68 090
32036... .................. A Exploration of chest.... *9.68 7.13 7.13 1.32 18.13 18.13 090
32095... .................. A Biopsy through chest *8.36 8.25 8.25 1.45 18.06 18.06 090
wall.
32100... .................. A Exploration/biopsy of *11.84 11.24 11.24 2.10 25.18 25.18 090
chest.
32110... .................. A Explore/repair chest.... *13.62 11.51 11.51 2.01 27.14 27.14 090
32120... .................. A Re-exploration of chest. *11.54 9.45 9.45 1.72 22.71 22.71 090
32124... .................. A Explore chest, free *12.72 10.94 10.94 2.21 25.87 25.87 090
adhesions.
32140... .................. A Removal of lung *13.93 12.37 12.37 2.42 28.72 28.72 090
lesion(s).
32141... .................. A Remove/treat lung *14.00 13.42 13.42 2.53 29.95 29.95 090
lesions.
32150... .................. A Removal of lung *14.15 10.34 10.34 2.01 26.50 26.50 090
lesion(s).
32151... .................. A Remove lung foreign body *14.21 9.15 9.15 1.37 24.73 24.73 090
32160... .................. A Open chest heart massage *9.30 9.13 9.13 1.52 19.95 19.95 090
32200... .................. A Open drainage, lung *15.29 6.89 6.89 0.93 23.11 23.11 090
lesion.
32201... .................. A Percut drainage, lung 4.00 3.03 3.03 0.35 7.38 7.38 000
lesion.
32215... .................. A Treat chest lining...... *11.33 7.62 7.62 1.28 20.23 20.23 090
32220... .................. A Release of lung......... *19.27 15.81 15.81 3.01 38.09 38.09 090
32225... .................. A Partial release of lung. *13.96 11.84 11.84 2.28 28.08 28.08 090
32310... .................. A Removal of chest lining. *13.44 11.64 11.64 2.10 27.18 27.18 090
32320... .................. A Free/remove chest lining *20.54 18.10 18.10 3.40 42.04 42.04 090
32400... .................. A Needle biopsy chest 1.76 1.48 1.48 0.12 3.36 3.36 000
lining.
32402... .................. A Open biopsy chest lining *7.56 7.58 7.58 1.34 16.48 16.48 090
32405... .................. A Biopsy, lung or 1.93 2.12 2.12 0.18 4.23 4.23 000
mediastinum.
32420... .................. A Puncture/clear lung..... 2.18 1.50 1.50 0.13 3.81 3.81 000
32440... .................. A Removal of lung......... *21.02 18.56 18.56 3.55 43.13 43.13 090
32442... .................. A Sleeve pneumonectomy.... *26.24 17.94 17.94 3.50 47.68 47.68 090
32445... .................. A Removal of lung......... *25.09 20.46 20.46 3.88 49.43 49.43 090
32480... .................. A Partial removal of lung. *18.32 17.15 17.15 3.23 38.70 38.70 090
32482... .................. A Bilobectomy............. *19.71 17.15 17.15 3.23 40.09 40.09 090
32484... .................. A Segmentectomy........... *20.69 17.15 17.15 3.23 41.07 41.07 090
32486... .................. A Sleeve lobectomy........ *23.92 16.54 16.54 3.23 43.69 43.69 090
32488... .................. A Completion pneumonectomy *25.71 17.74 17.74 3.46 46.91 46.91 090
32491... .................. R Lung volume reduction... 21.25 15.45 15.45 3.02 39.72 39.72 090
32500... .................. A Partial removal of lung. *14.30 13.47 13.47 2.56 30.33 30.33 090
32501... .................. A Repair bronchus (add-on) 4.69 4.31 4.31 0.70 9.70 9.70 ZZZ
32520... .................. A Remove lung & revise *21.68 20.67 20.67 3.93 46.28 46.28 090
chest.
32522... .................. A Remove lung & revise *24.20 21.90 21.90 4.19 50.29 50.29 090
chest.
32525... .................. A Remove lung & revise *26.50 23.50 23.50 4.61 54.61 54.61 090
chest.
32540... .................. A Removal of lung lesion.. *14.64 11.67 11.67 2.05 28.36 28.36 090
32601... .................. A Thoracoscopy, diagnostic 5.46 3.47 3.47 0.57 9.50 9.50 000
32602... .................. A Thoracoscopy, diagnostic 5.96 3.87 3.87 0.64 10.47 10.47 000
32603... .................. A Thoracoscopy, diagnostic 7.81 3.47 3.47 0.57 11.85 11.85 000
32604... .................. A Thoracoscopy, diagnostic 8.78 3.87 3.87 0.64 13.29 13.29 000
32605... .................. A Thoracoscopy, diagnostic 6.93 3.47 3.47 0.57 10.97 10.97 000
32606... .................. A Thoracoscopy, diagnostic 8.40 3.87 3.87 0.64 12.91 12.91 000
32650... .................. A Thoracoscopy, surgical.. *10.75 7.62 7.62 1.28 19.65 19.65 090
32651... .................. A Thoracoscopy, surgical.. *12.91 11.84 11.84 2.28 27.03 27.03 090
32652... .................. A Thoracoscopy, surgical.. *18.66 15.81 15.81 3.01 37.48 37.48 090
32653... .................. A Thoracoscopy, surgical.. *12.87 10.34 10.34 2.01 25.22 25.22 090
32654... .................. A Thoracoscopy, surgical.. *12.44 11.51 11.51 2.01 25.96 25.96 090
32655... .................. A Thoracoscopy, surgical.. *13.10 13.42 13.42 2.53 29.05 29.05 090
32656... .................. A Thoracoscopy, surgical.. *12.91 13.36 13.36 2.36 28.63 28.63 090
32657... .................. A Thoracoscopy, surgical.. *13.65 13.47 13.47 2.56 29.68 29.68 090
32658... .................. A Thoracoscopy, surgical.. *11.63 #12.79 #12.79 2.52 26.94 26.94 090
[[Page 59132]]
32659... .................. A Thoracoscopy, surgical.. *11.59 #12.75 #12.75 2.61 26.95 26.95 090
32660... .................. A Thoracoscopy, surgical.. *17.43 #19.17 #19.17 3.56 40.16 40.16 090
32661... .................. A Thoracoscopy, surgical.. *13.25 9.25 9.25 1.47 23.97 23.97 090
32662... .................. A Thoracoscopy, surgical.. *16.44 14.55 14.55 2.74 33.73 33.73 090
32663... .................. A Thoracoscopy, surgical.. *18.47 17.15 17.15 3.23 38.85 38.85 090
32664... .................. A Thoracoscopy, surgical.. *14.20 10.55 10.55 2.04 26.79 26.79 090
32665... .................. A Thoracoscopy, surgical.. *15.54 14.33 14.33 2.64 32.51 32.51 090
32800... .................. A Repair lung hernia...... *13.69 8.28 8.28 1.58 23.55 23.55 090
32810... .................. A Close chest after *13.05 6.50 6.50 1.19 20.74 20.74 090
drainage.
32815... .................. A Close bronchial fistula. *23.15 15.22 15.22 2.62 40.99 40.99 090
32820... .................. A Reconstruct injured *21.48 19.01 19.01 3.24 43.73 43.73 090
chest.
32850... .................. X Donor pneumonectomy..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
32851... .................. A Lung transplant, single. *38.63 25.55 25.55 4.99 69.17 69.17 090
32852... .................. A Lung transplant w/bypass *41.80 27.71 27.71 5.41 74.92 74.92 090
32853... .................. A Lung transplant, double. *47.81 31.94 31.94 6.24 85.99 85.99 090
32854... .................. A Lung transplant w/bypass *50.98 34.10 34.10 6.67 91.75 91.75 090
32900... .................. A Removal of rib(s)....... *20.27 8.47 8.47 1.63 30.37 30.37 090
32905... .................. A Revise & repair chest *20.75 12.74 12.74 2.60 36.09 36.09 090
wall.
32906... .................. A Revise & repair chest *26.77 15.42 15.42 2.92 45.11 45.11 090
wall.
32940... .................. A Revision of lung........ *19.43 11.37 11.37 1.75 32.55 32.55 090
32960... .................. A Therapeutic pneumothorax 1.84 0.93 0.93 0.13 2.90 2.90 000
32999... .................. C Chest surgery procedure. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
33010... .................. A Drainage of heart sac... 2.24 1.54 1.54 0.14 3.92 3.92 000
33011... .................. A Repeat drainage of heart 2.24 1.11 1.11 0.12 3.47 3.47 000
sac.
33015... .................. A Incision of heart sac... *6.80 4.26 4.26 0.62 11.68 11.68 090
33020... .................. A Incision of heart sac... *12.61 13.26 13.26 2.52 28.39 28.39 090
33025... .................. A Incision of heart sac... *12.09 #13.30 #13.30 2.61 28.00 28.00 090
33030... .................. A Partial removal of heart *18.71 #20.58 #20.58 3.92 43.21 43.21 090
sac.
33031... .................. A Partial removal of heart *21.79 13.25 13.25 2.50 37.54 37.54 090
sac.
33050... .................. A Removal of heart sac *14.36 9.25 9.25 1.47 25.08 25.08 090
lesion.
33120... .................. A Removal of heart lesion. *24.56 #27.02 #27.02 5.17 56.75 56.75 090
33130... .................. A Removal of heart lesion. *21.39 13.50 13.50 2.22 37.11 37.11 090
33200... .................. A Insertion of heart *12.48 12.27 12.27 1.90 26.65 26.65 090
pacemaker.
33201... .................. A Insertion of heart *10.18 11.19 11.19 1.67 23.04 23.04 090
pacemaker.
33206... .................. A Insertion of heart *6.67 #7.34 #7.34 1.34 15.35 15.35 090
pacemaker.
33207... .................. A Insertion of heart *8.04 #8.84 #8.84 1.33 18.21 18.21 090
pacemaker.
33208... .................. A Insertion of heart *8.13 #8.94 #8.94 1.54 18.61 18.61 090
pacemaker.
33210... .................. A Insertion of heart 3.30 3.30 3.30 0.27 6.87 6.87 000
electrode.
33211... .................. A Insertion of heart 3.40 3.30 3.30 0.27 6.97 6.97 000
electrode.
33212... .................. A Insertion of pulse *5.52 5.38 5.38 0.88 11.78 11.78 090
generator.
33213... .................. A Insertion of pulse *6.37 5.38 5.38 0.88 12.63 12.63 090
generator.
33214... .................. A Upgrade of pacemaker *7.75 5.40 5.40 1.06 14.21 14.21 090
system.
33216... .................. A Revision implanted *5.39 5.02 5.02 0.55 10.96 10.96 090
electrode.
33217... .................. A Insert/revise electrode. *5.75 5.02 5.02 0.55 11.32 11.32 090
33218... .................. A Repair pacemaker *5.44 4.59 4.59 0.62 10.65 10.65 090
electrodes.
33220... .................. A Repair pacemaker *5.52 4.59 4.59 0.62 10.73 10.73 090
electrode.
33222... .................. A Pacemaker aicd pocket... *4.96 #5.46 #5.46 1.01 11.43 11.43 090
33223... .................. A Pacemaker aicd pocket... *6.46 5.70 5.70 1.01 13.17 13.17 090
33233... .................. A Removal of pacemaker *3.29 2.64 2.64 0.05 5.98 5.98 090
system.
33234... .................. A Removal of pacemaker *7.82 2.84 2.84 0.23 10.89 10.89 090
system.
33235... .................. A Removal pacemaker *9.40 3.14 3.14 0.33 12.87 12.87 090
electrode.
33236... .................. A Remove electrode/ *12.60 3.98 3.98 0.62 17.20 17.20 090
thoracotomy.
33237... .................. A Remove electrode/ *13.71 9.60 9.60 1.13 24.44 24.44 090
thoracotomy.
33238... .................. A Remove electrode/ *15.22 10.29 10.29 2.01 27.52 27.52 090
thoracotomy.
33240... .................. A Insert/replace pulse *7.60 5.38 5.38 0.88 13.86 13.86 090
gener.
33241... .................. A Remove pulse generator *3.24 2.16 2.16 0.43 5.83 5.83 090
only.
33242... .................. A Repair pulse generator/ *6.17 #6.79 #6.79 1.54 14.50 14.50 090
leads.
33243... .................. A Remove generator/ *22.64 9.02 9.02 1.54 33.20 33.20 090
thoracotomy.
33244... .................. A Remove generator........ *8.97 9.02 9.02 1.54 19.53 19.53 090
33245... .................. A Implant heart *14.30 #15.73 #15.73 2.36 32.39 32.39 090
defibrillator.
33246... .................. A Implant heart *20.71 20.79 20.79 3.19 44.69 44.69 090
defibrillator.
33247... .................. A Insert/replace leads.... *10.21 #11.23 #11.23 2.36 23.80 23.80 090
33249... .................. A Insert/replace leads/ *13.28 #14.61 #14.61 3.19 31.08 31.08 090
gener.
33250... .................. A Ablate heart dysrhythm *21.85 11.56 11.56 0.86 34.27 34.27 090
focus.
33251... .................. A Ablate heart dysrhythm *24.88 16.41 16.41 3.21 44.50 44.50 090
focus.
33253... .................. A Reconstruct atria....... *31.06 21.81 21.81 4.26 57.13 57.13 090
33261... .................. A Ablate heart dysrhythm *24.88 13.96 13.96 2.73 41.57 41.57 090
focus.
33300... .................. A Repair of heart wound... *17.92 14.36 14.36 2.60 34.88 34.88 090
33305... .................. A Repair of heart wound... *21.44 17.40 17.40 3.07 41.91 41.91 090
33310... .................. A Exploratory heart *18.51 11.28 11.28 1.93 31.72 31.72 090
surgery.
33315... .................. A Exploratory heart *22.37 14.48 14.48 2.57 39.42 39.42 090
surgery.
33320... .................. A Repair major blood *16.79 14.14 14.14 2.51 33.44 33.44 090
vessel(s).
33321... .................. A Repair major vessel..... *20.20 21.75 21.75 3.61 45.56 45.56 090
33322... .................. A Repair major blood *20.62 21.75 21.75 3.61 45.98 45.98 090
vessel(s).
[[Page 59133]]
33330... .................. A Insert major vessel *21.43 12.67 12.67 1.93 36.03 36.03 090
graft.
33332... .................. A Insert major vessel *23.96 15.07 15.07 2.39 41.42 41.42 090
graft.
33335... .................. A Insert major vessel *30.01 15.07 15.07 2.39 47.47 47.47 090
graft.
33400... .................. A Repair of aortic valve.. *25.34 26.21 26.21 2.83 54.38 54.38 090
33401... .................. A Valvuloplasty, open..... *23.91 26.21 26.21 2.83 52.95 52.95 090
33403... .................. A Valvuloplasty, w/cp *24.89 26.21 26.21 2.83 53.93 53.93 090
bypass.
33404... .................. A Prepare heart-aorta *28.54 31.25 31.25 5.59 65.38 65.38 090
conduit.
33405... .................. A Replacement of aortic *30.61 30.48 30.48 5.33 66.42 66.42 090
valve.
33406... .................. A Replacement, aortic *32.30 #35.53 #35.53 7.45 75.28 75.28 090
valve.
33411... .................. A Replacement of aortic *32.47 #35.72 #35.72 7.45 75.64 75.64 090
valve.
33412... .................. A Replacement of aortic *34.79 #38.27 #38.27 7.45 80.51 80.51 090
valve.
33413... .................. A Replacement, aortic *35.24 #38.76 #38.76 7.23 81.23 81.23 090
valve.
33414... .................. A Repair, aortic valve.... *30.35 #33.39 #33.39 7.45 71.19 71.19 090
33415... .................. A Revision, subvalvular *27.15 #29.87 #29.87 5.33 62.35 62.35 090
tissue.
33416... .................. A Revise ventricle muscle. *30.35 28.14 28.14 4.99 63.48 63.48 090
33417... .................. A Repair of aortic valve.. *28.53 #31.38 #31.38 6.18 66.09 66.09 090
33420... .................. A Revision of mitral valve *22.70 19.82 19.82 2.45 44.97 44.97 090
33422... .................. A Revision of mitral valve *25.94 #28.53 #28.53 6.45 60.92 60.92 090
33425... .................. A Repair of mitral valve.. *27.00 #29.70 #29.70 5.42 62.12 62.12 090
33426... .................. A Repair of mitral valve.. *31.03 31.96 31.96 5.80 68.79 68.79 090
33427... .................. A Repair of mitral valve.. *33.72 34.71 34.71 6.30 74.73 74.73 090
33430... .................. A Replacement of mitral *31.43 #34.57 #34.57 6.11 72.11 72.11 090
valve.
33460... .................. A Revision of tricuspid *23.60 #25.96 #25.96 4.73 54.29 54.29 090
valve.
33463... .................. A Valvuloplasty, tricuspid *25.62 #28.18 #28.18 5.95 59.75 59.75 090
33464... .................. A Valvuloplasty, tricuspid *27.33 #30.06 #30.06 5.95 63.34 63.34 090
33465... .................. A Replace tricuspid valve. *28.79 #31.67 #31.67 5.95 66.41 66.41 090
33468... .................. A Revision of tricuspid *30.12 #33.13 #33.13 6.30 69.55 69.55 090
valve.
33470... .................. A Revision of pulmonary *20.81 19.82 19.82 2.45 43.08 43.08 090
valve.
33471... .................. A Valvotomy, pulmonary *22.25 #24.48 #24.48 2.83 49.56 49.56 090
valve.
33472... .................. A Revision of pulmonary *22.25 #24.48 #24.48 2.83 49.56 49.56 090
valve.
33474... .................. A Revision of pulmonary *23.04 #25.34 #25.34 2.83 51.21 51.21 090
valve.
33475... .................. A Replacement, pulmonary *28.41 #31.25 #31.25 6.11 65.77 65.77 090
valve.
33476... .................. A Revision of heart *25.77 28.14 28.14 4.99 58.90 58.90 090
chamber.
33478... .................. A Revision of heart *26.74 #29.41 #29.41 5.42 61.57 61.57 090
chamber.
33496... .................. A Repair, prosth valve *27.25 #29.98 #29.98 5.33 62.56 62.56 090
clot.
33500... .................. A Repair heart vessel *25.55 #28.11 #28.11 5.20 58.86 58.86 090
fistula.
33501... .................. A Repair heart vessel *17.78 14.14 14.14 2.51 34.43 34.43 090
fistula.
33502... .................. A Coronary artery *21.04 14.14 14.14 2.51 37.69 37.69 090
correction.
33503... .................. A Coronary artery graft... *21.78 #23.96 #23.96 5.20 50.94 50.94 090
33504... .................. A Coronary artery graft... *24.66 #27.13 #27.13 5.20 56.99 56.99 090
33505... .................. A Repair artery w/tunnel.. *26.84 #29.52 #29.52 6.03 62.39 62.39 090
33506... .................. A Repair artery, *26.71 #29.38 #29.38 6.03 62.12 62.12 090
translocation.
33510... .................. A CABG, vein, single...... *25.12 #27.63 #27.63 5.20 57.95 57.95 090
33511... .................. A CABG, vein, two......... *27.40 #30.14 #30.14 5.71 63.25 63.25 090
33512... .................. A CABG, vein, three....... *29.67 #32.64 #32.64 6.22 68.53 68.53 090
33513... .................. A CABG, vein, four........ *31.95 #35.15 #35.15 6.73 73.83 73.83 090
33514... .................. A CABG, vein, five........ *35.00 #38.50 #38.50 7.23 80.73 80.73 090
33516... .................. A CABG, vein, six+........ *37.40 #41.14 #41.14 7.74 86.28 86.28 090
33517... .................. A CABG, artery-vein, *2.57 #2.83 #2.83 0.50 5.90 5.90 090
single.
33518... .................. A CABG, artery-vein, two.. *4.85 #5.34 #5.34 1.02 11.21 11.21 090
33519... .................. A CABG, artery-vein, three *7.12 #7.83 #7.83 1.52 16.47 16.47 090
33521... .................. A CABG, artery-vein, four. *9.40 #10.34 #10.34 2.03 21.77 21.77 090
33522... .................. A CABG, artery-vein, five. *11.67 #12.84 #12.84 2.54 27.05 27.05 090
33523... .................. A CABG, artery-vein, six+. *13.95 #15.35 #15.35 3.05 32.35 32.35 090
33530... .................. A Coronary artery, bypass/ 5.86 #6.45 #6.45 2.18 14.49 14.49 ZZZ
reop.
33533... .................. A CABG, arterial, single.. *25.83 #28.41 #28.41 5.36 59.60 59.60 090
33534... .................. A CABG, arterial, two..... *28.82 #31.70 #31.70 6.03 66.55 66.55 090
33535... .................. A CABG, arterial, three... *31.81 #34.99 #34.99 6.70 73.50 73.50 090
33536... .................. A CABG, arterial, four+... *34.79 #38.27 #38.27 7.37 80.43 80.43 090
33542... .................. A Removal of heart lesion. *28.85 30.73 30.73 5.53 65.11 65.11 090
33545... .................. A Repair of heart damage.. *36.78 34.92 34.92 6.28 77.98 77.98 090
33572... .................. A Open coronary 4.45 3.23 3.23 0.63 8.31 8.31 ZZZ
endarterectomy.
33600... .................. A Closure of valve........ *29.51 #32.46 #32.46 6.11 68.08 68.08 090
33602... .................. A Closure of valve........ *28.54 30.48 30.48 5.33 64.35 64.35 090
33606... .................. A Anastomosis/artery-aorta *30.74 #33.81 #33.81 7.45 72.00 72.00 090
33608... .................. A Repair anomaly w/conduit *31.09 #34.20 #34.20 7.45 72.74 72.74 090
33610... .................. A Repair by enlargement... *30.61 #33.67 #33.67 7.45 71.73 71.73 090
33611... .................. A Repair double ventricle. *32.30 #35.53 #35.53 7.45 75.28 75.28 090
33612... .................. A Repair double ventricle. *33.26 #36.59 #36.59 7.45 77.30 77.30 090
33615... .................. A Repair (simple fontan).. *32.06 #35.27 #35.27 7.45 74.78 74.78 090
33617... .................. A Repair by modified *34.03 #37.43 #37.43 7.45 78.91 78.91 090
fontan.
33619... .................. A Repair single ventricle. *37.57 #41.33 #41.33 8.04 86.94 86.94 090
33641... .................. A Repair heart septum *21.39 #23.53 #23.53 4.87 49.79 49.79 090
defect.
33645... .................. A Revision of heart veins. *24.82 #27.30 #27.30 4.87 56.99 56.99 090
[[Page 59134]]
33647... .................. A Repair heart septum *28.73 #31.60 #31.60 6.28 66.61 66.61 090
defects.
33660... .................. A Repair of heart defects. *25.54 #28.09 #28.09 5.42 59.05 59.05 090
33665... .................. A Repair of heart defects. *28.60 31.27 31.27 5.42 65.29 65.29 090
33670... .................. A Repair of heart chambers *32.73 #36.00 #36.00 7.45 76.18 76.18 090
33681... .................. A Repair heart septum *27.67 #30.44 #30.44 6.28 64.39 64.39 090
defect.
33684... .................. A Repair heart septum *29.65 #32.62 #32.62 6.28 68.55 68.55 090
defect.
33688... .................. A Repair heart septum *30.62 #33.68 #33.68 6.28 70.58 70.58 090
defect.
33690... .................. A Reinforce pulmonary *19.55 #21.51 #21.51 4.29 45.35 45.35 090
artery.
33692... .................. A Repair of heart defects. *30.75 #33.83 #33.83 7.45 72.03 72.03 090
33694... .................. A Repair of heart defects. *31.73 #34.90 #34.90 7.45 74.08 74.08 090
33697... .................. A Repair of heart defects. *33.71 #37.08 #37.08 7.45 78.24 78.24 090
33702... .................. A Repair of heart defects. *26.54 #29.19 #29.19 5.33 61.06 61.06 090
33710... .................. A Repair of heart defects. *29.71 #32.68 #32.68 6.28 68.67 68.67 090
33720... .................. A Repair of heart defect.. *26.56 #29.22 #29.22 5.33 61.11 61.11 090
33722... .................. A Repair of heart defect.. *28.41 30.48 30.48 5.33 64.22 64.22 090
33730... .................. A Repair heart-vein *31.67 #34.84 #34.84 7.45 73.96 73.96 090
defect(s).
33732... .................. A Repair heart-vein defect *28.16 #30.98 #30.98 5.42 64.56 64.56 090
33735... .................. A Revision of heart *21.39 25.69 25.69 4.87 51.95 51.95 090
chamber.
33736... .................. A Revision of heart *23.52 25.69 25.69 4.87 54.08 54.08 090
chamber.
33737... .................. A Revision of heart *21.76 #23.94 #23.94 4.87 50.57 50.57 090
chamber.
33750... .................. A Major vessel shunt...... *21.41 22.10 22.10 4.29 47.80 47.80 090
33755... .................. A Major vessel shunt...... *21.79 22.10 22.10 4.29 48.18 48.18 090
33762... .................. A Major vessel shunt...... *21.79 22.10 22.10 4.29 48.18 48.18 090
33764... .................. A Major vessel shunt & *21.79 22.10 22.10 4.29 48.18 48.18 090
graft.
33766... .................. A Major vessel shunt...... *22.76 22.10 22.10 4.29 49.15 49.15 090
33767... .................. A Atrial septectomy/ *24.50 25.69 25.69 4.87 55.06 55.06 090
septostomy.
33770... .................. A Repair great vessels *33.29 #36.62 #36.62 7.45 77.36 77.36 090
defect.
33771... .................. A Repair great vessels *34.65 #38.12 #38.12 7.45 80.22 80.22 090
defect.
33774... .................. A Repair great vessels *30.98 31.27 31.27 5.42 67.67 67.67 090
defect.
33775... .................. A Repair great vessels *32.20 31.27 31.27 5.42 68.89 68.89 090
defect.
33776... .................. A Repair great vessels *34.04 34.92 34.92 6.28 75.24 75.24 090
defect.
33777... .................. A Repair great vessels *33.46 31.27 31.27 5.42 70.15 70.15 090
defect.
33778... .................. A Repair great vessels *35.82 #39.40 #39.40 7.37 82.59 82.59 090
defect.
33779... .................. A Repair great vessels *36.21 #39.83 #39.83 7.37 83.41 83.41 090
defect.
33780... .................. A Repair great vessels *36.94 #40.63 #40.63 7.37 84.94 84.94 090
defect.
33781... .................. A Repair great vessels *36.45 #40.10 #40.10 7.37 83.92 83.92 090
defect.
33786... .................. A Repair arterial trunk... *34.84 #38.32 #38.32 7.45 80.61 80.61 090
33788... .................. A Revision of pulmonary *26.62 #29.28 #29.28 5.20 61.10 61.10 090
artery.
33800... .................. A Aortic suspension....... *16.24 14.14 14.14 2.51 32.89 32.89 090
33802... .................. A Repair vessel defect.... *17.66 #19.43 #19.43 4.29 41.38 41.38 090
33803... .................. A Repair vessel defect.... *19.60 #21.56 #21.56 4.29 45.45 45.45 090
33813... .................. A Repair septal defect.... *20.65 22.10 22.10 4.29 47.04 47.04 090
33814... .................. A Repair septal defect.... *25.77 #28.35 #28.35 5.33 59.45 59.45 090
33820... .................. A Revise major vessel..... *16.29 #17.92 #17.92 4.29 38.50 38.50 090
33822... .................. A Revise major vessel..... *17.32 #19.05 #19.05 4.29 40.66 40.66 090
33824... .................. A Revise major vessel..... *19.52 #21.47 #21.47 4.29 45.28 45.28 090
33840... .................. A Remove aorta *20.63 #22.69 #22.69 5.59 48.91 48.91 090
constriction.
33845... .................. A Remove aorta *22.12 #24.33 #24.33 5.59 52.04 52.04 090
constriction.
33851... .................. A Remove aorta *21.27 #23.40 #23.40 5.59 50.26 50.26 090
constriction.
33852... .................. A Repair septal defect.... *23.71 #26.08 #26.08 5.59 55.38 55.38 090
33853... .................. A Repair septal defect.... *31.72 #34.89 #34.89 7.45 74.06 74.06 090
33860... .................. A Ascending aorta graft... *33.96 34.71 34.71 6.18 74.85 74.85 090
33861... .................. A Ascending aorta graft... *34.52 34.71 34.71 6.18 75.41 75.41 090
33863... .................. A Ascending aorta graft... *36.47 34.71 34.71 6.18 77.36 77.36 090
33870... .................. A Transverse aortic arch *40.31 44.30 44.30 8.04 92.65 92.65 090
graft.
33875... .................. A Thoracic aorta graft.... *33.06 31.25 31.25 5.59 69.90 69.90 090
33877... .................. A Thoracoabdominal graft.. *42.60 44.11 44.11 8.38 95.09 95.09 090
33910... .................. A Remove lung artery *24.59 14.65 14.65 2.77 42.01 42.01 090
emboli.
33915... .................. A Remove lung artery *21.02 12.02 12.02 2.22 35.26 35.26 090
emboli.
33916... .................. A Surgery of great vessel. *25.83 17.57 17.57 3.43 46.83 46.83 090
33917... .................. A Repair pulmonary artery. *24.50 #26.95 #26.95 6.30 57.75 57.75 090
33918... .................. A Repair pulmonary atresia *26.45 #29.10 #29.10 5.20 60.75 60.75 090
33919... .................. A Repair pulmonary atresia *32.67 #35.94 #35.94 7.45 76.06 76.06 090
33920... .................. A Repair pulmonary atresia *31.95 #35.15 #35.15 7.45 74.55 74.55 090
33922... .................. A Transect pulmonary *23.52 #25.87 #25.87 2.83 52.22 52.22 090
artery.
33924... .................. A Remove pulmonary shunt.. 5.50 4.00 4.00 0.78 10.28 10.28 ZZZ
33930... .................. X Removal of donor heart/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lung.
33935... .................. R Transplantation, heart/ *60.96 #67.06 #67.06 13.54 141.56 141.56 090
lung.
33940... .................. X Removal of donor heart.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
33945... .................. R Transplantation of heart *42.10 #46.31 #46.31 11.05 99.46 99.46 090
33960... .................. A External circulation 19.36 7.01 7.01 0.94 27.31 27.31 XXX
assist.
33961... .................. A External circulation 10.93 7.01 7.01 0.94 18.88 18.88 XXX
assist.
33970... .................. A Aortic circulation 6.75 #7.43 #7.43 1.00 15.18 15.18 000
assist.
33971... .................. A Aortic circulation *9.69 5.16 5.16 0.91 15.76 15.76 090
assist.
[[Page 59135]]
33973... .................. A Insert balloon device... 9.76 7.54 7.54 1.00 18.30 18.30 000
33974... .................. A Remove intra-aortic *14.41 5.56 5.56 0.91 20.88 20.88 090
balloon.
33975... .................. A Implant ventricular *21.60 14.19 14.19 2.77 38.56 38.56 090
device.
33976... .................. A Implant ventricular *29.10 19.33 19.33 3.78 52.21 52.21 090
device.
33977... .................. A Remove ventricular *19.29 12.41 12.41 2.43 34.13 34.13 090
device.
33978... .................. A Remove ventricular *21.73 14.19 14.19 2.77 38.69 38.69 090
device.
33999... .................. C Cardiac surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
34001... .................. A Removal of artery clot.. *12.91 9.58 9.58 1.87 24.36 24.36 090
34051... .................. A Removal of artery clot.. *15.21 8.81 8.81 1.59 25.61 25.61 090
34101... .................. A Removal of artery clot.. *9.97 8.34 8.34 1.71 20.02 20.02 090
34111... .................. A Removal of arm artery *8.07 7.59 7.59 1.59 17.25 17.25 090
clot.
34151... .................. A Removal of artery clot.. *16.86 11.96 11.96 2.39 31.21 31.21 090
34201... .................. A Removal of artery clot.. *9.13 8.90 8.90 1.78 19.81 19.81 090
34203... .................. A Removal of leg artery *12.21 8.63 8.63 1.72 22.56 22.56 090
clot.
34401... .................. A Removal of vein clot.... *12.86 8.07 8.07 1.39 22.32 22.32 090
34421... .................. A Removal of vein clot.... *9.93 7.45 7.45 1.51 18.89 18.89 090
34451... .................. A Removal of vein clot.... *14.44 10.69 10.69 2.14 27.27 27.27 090
34471... .................. A Removal of vein clot.... *10.18 3.51 3.51 0.55 14.24 14.24 090
34490... .................. A Removal of vein clot.... *7.60 7.27 7.27 1.54 16.41 16.41 090
34501... .................. A Repair valve, femoral *10.93 7.35 7.35 0.86 19.14 19.14 090
vein.
34502... .................. A Reconstruct, vena cava.. *26.95 18.65 18.65 3.64 49.24 49.24 090
34510... .................. A Transposition of vein *13.25 8.89 8.89 1.04 23.18 23.18 090
valve.
34520... .................. A Cross-over vein graft... *13.74 9.33 9.33 1.09 24.16 24.16 090
34530... .................. A Leg vein fusion......... *17.61 12.35 12.35 1.44 31.40 31.40 090
35001... .................. A Repair defect of artery. *19.64 15.90 15.90 3.18 38.72 38.72 090
35002... .................. A Repair artery rupture, *21.00 12.64 12.64 2.41 36.05 36.05 090
neck.
35005... .................. A Repair defect of artery. *18.12 10.28 10.28 2.19 30.59 30.59 090
35011... .................. A Repair defect of artery. *11.65 #12.82 #12.82 2.76 27.23 27.23 090
35013... .................. A Repair artery rupture, *17.40 14.70 14.70 3.03 35.13 35.13 090
arm.
35021... .................. A Repair defect of artery. *19.65 18.13 18.13 3.06 40.84 40.84 090
35022... .................. A Repair artery rupture, *23.18 14.78 14.78 2.80 40.76 40.76 090
chest.
35045... .................. A Repair defect of arm *11.26 12.35 12.35 2.50 26.11 26.11 090
artery.
35081... .................. A Repair defect of artery. *28.01 21.45 21.45 4.18 53.64 53.64 090
35082... .................. A Repair artery rupture, *36.35 22.91 22.91 4.59 63.85 63.85 090
aorta.
35091... .................. A Repair defect of artery. *35.40 22.67 22.67 4.25 62.32 62.32 090
35092... .................. A Repair artery rupture, *38.39 26.27 26.27 5.21 69.87 69.87 090
aorta.
35102... .................. A Repair defect of artery. *30.76 22.15 22.15 4.32 57.23 57.23 090
35103... .................. A Repair artery rupture, *33.57 26.16 26.16 5.21 64.94 64.94 090
groin.
35111... .................. A Repair defect of artery. *16.43 17.60 17.60 3.70 37.73 37.73 090
35112... .................. A Repair artery rupture, *18.69 10.45 10.45 2.22 31.36 31.36 090
spleen.
35121... .................. A Repair defect of artery. *25.99 19.12 19.12 3.66 48.77 48.77 090
35122... .................. A Repair artery rupture, *33.45 17.92 17.92 3.96 55.33 55.33 090
belly.
35131... .................. A Repair defect of artery. *18.55 15.88 15.88 3.15 37.58 37.58 090
35132... .................. A Repair artery rupture, *21.95 18.68 18.68 3.58 44.21 44.21 090
groin.
35141... .................. A Repair defect of artery. *14.46 14.70 14.70 2.88 32.04 32.04 090
35142... .................. A Repair artery rupture, *15.86 16.10 16.10 3.24 35.20 35.20 090
thigh.
35151... .................. A Repair defect of artery. *17.00 15.36 15.36 2.94 35.30 35.30 090
35152... .................. A Repair artery rupture, *16.70 9.27 9.27 1.95 27.92 27.92 090
knee.
35161... .................. A Repair defect of artery. *18.76 15.88 15.88 3.15 37.79 37.79 090
35162... .................. A Repair artery rupture... *19.78 18.68 18.68 3.58 42.04 42.04 090
35180... .................. A Repair blood vessel *13.62 7.37 7.37 1.48 22.47 22.47 090
lesion.
35182... .................. A Repair blood vessel *17.74 10.65 10.65 1.61 30.00 30.00 090
lesion.
35184... .................. A Repair blood vessel *12.25 9.73 9.73 1.96 23.94 23.94 090
lesion.
35188... .................. A Repair blood vessel *14.28 8.11 8.11 1.59 23.98 23.98 090
lesion.
35189... .................. A Repair blood vessel *18.43 11.33 11.33 2.21 31.97 31.97 090
lesion.
35190... .................. A Repair blood vessel *12.75 10.34 10.34 2.14 25.23 25.23 090
lesion.
35201... .................. A Repair blood vessel *9.99 10.07 10.07 1.94 22.00 22.00 090
lesion.
35206... .................. A Repair blood vessel *9.25 10.15 10.15 2.03 21.43 21.43 090
lesion.
35207... .................. A Repair blood vessel *10.15 10.80 10.80 1.93 22.88 22.88 090
lesion.
35211... .................. A Repair blood vessel *22.12 13.38 13.38 2.59 38.09 38.09 090
lesion.
35216... .................. A Repair blood vessel *18.75 10.68 10.68 2.08 31.51 31.51 090
lesion.
35221... .................. A Repair blood vessel *16.42 11.09 11.09 2.20 29.71 29.71 090
lesion.
35226... .................. A Repair blood vessel *9.06 #9.97 #9.97 1.95 20.98 20.98 090
lesion.
35231... .................. A Repair blood vessel *12.00 #13.20 #13.20 2.91 28.11 28.11 090
lesion.
35236... .................. A Repair blood vessel *10.54 #11.59 #11.59 2.56 24.69 24.69 090
lesion.
35241... .................. A Repair blood vessel *23.12 13.49 13.49 2.60 39.21 39.21 090
lesion.
35246... .................. A Repair blood vessel *19.84 16.95 16.95 2.15 38.94 38.94 090
lesion.
35251... .................. A Repair blood vessel *17.49 9.59 9.59 1.88 28.96 28.96 090
lesion.
35256... .................. A Repair blood vessel *11.38 12.40 12.40 2.39 26.17 26.17 090
lesion.
35261... .................. A Repair blood vessel *11.63 #12.79 #12.79 2.66 27.08 27.08 090
lesion.
35266... .................. A Repair blood vessel *10.30 #11.33 #11.33 2.41 24.04 24.04 090
lesion.
35271... .................. A Repair blood vessel *22.12 12.53 12.53 2.56 37.21 37.21 090
lesion.
35276... .................. A Repair blood vessel *18.75 10.85 10.85 2.26 31.86 31.86 090
lesion.
35281... .................. A Repair blood vessel *16.48 17.28 17.28 3.37 37.13 37.13 090
lesion.
[[Page 59136]]
35286... .................. A Repair blood vessel *11.87 11.71 11.71 2.33 25.91 25.91 090
lesion.
35301... .................. A Rechanneling of artery.. *18.70 14.46 14.46 2.81 35.97 35.97 090
35311... .................. A Rechanneling of artery.. *23.85 22.06 22.06 4.61 50.52 50.52 090
35321... .................. A Rechanneling of artery.. *11.97 12.96 12.96 2.69 27.62 27.62 090
35331... .................. A Rechanneling of artery.. *23.52 13.34 13.34 2.66 39.52 39.52 090
35341... .................. A Rechanneling of artery.. *25.11 17.37 17.37 3.53 46.01 46.01 090
35351... .................. A Rechanneling of artery.. *20.11 14.95 14.95 2.97 38.03 38.03 090
35355... .................. A Rechanneling of artery.. *16.09 15.42 15.42 2.99 34.50 34.50 090
35361... .................. A Rechanneling of artery.. *23.59 19.37 19.37 3.88 46.84 46.84 090
35363... .................. A Rechanneling of artery.. *24.66 22.77 22.77 4.40 51.83 51.83 090
35371... .................. A Rechanneling of artery.. *11.64 12.51 12.51 2.50 26.65 26.65 090
35372... .................. A Rechanneling of artery.. *13.56 11.20 11.20 2.28 27.04 27.04 090
35381... .................. A Rechanneling of artery.. *15.81 13.67 13.67 2.71 32.19 32.19 090
35390... .................. A Reoperation, carotid.... 3.19 1.67 1.67 0.39 5.25 5.25 ZZZ
35400... .................. A Angioscopy.............. 3.00 2.27 2.27 0.27 5.54 5.54 ZZZ
35450... .................. A Repair arterial blockage 10.07 #11.08 #11.08 1.38 22.53 22.53 000
35452... .................. A Repair arterial blockage 6.91 4.35 4.35 0.61 11.87 11.87 000
35454... .................. A Repair arterial blockage 6.04 #6.64 #6.64 1.53 14.21 14.21 000
35456... .................. A Repair arterial blockage 7.35 #8.09 #8.09 1.69 17.13 17.13 000
35458... .................. A Repair arterial blockage 9.49 10.13 10.13 1.83 21.45 21.45 000
35459... .................. A Repair arterial blockage 8.63 #9.49 #9.49 1.69 19.81 19.81 000
35460... .................. A Repair venous blockage.. 6.04 3.16 3.16 0.74 9.94 9.94 000
35470... .................. A Repair arterial blockage 8.63 #9.49 #9.49 1.69 19.81 19.81 000
35471... .................. A Repair arterial blockage 10.07 #11.08 #11.08 1.38 22.53 22.53 000
35472... .................. A Repair arterial blockage 6.91 3.61 3.61 0.85 11.37 11.37 000
35473... .................. A Repair arterial blockage 6.04 #6.64 #6.64 1.53 14.21 14.21 000
35474... .................. A Repair arterial blockage 7.36 #8.10 #8.10 1.69 17.15 17.15 000
35475... .................. R Repair arterial blockage 9.49 10.13 10.13 1.83 21.45 21.45 000
35476... .................. A Repair venous blockage.. 6.04 3.16 3.16 0.74 9.94 9.94 000
35480... .................. A Atherectomy, open....... 11.08 #12.19 #12.19 1.38 24.65 24.65 000
35481... .................. A Atherectomy, open....... 7.61 4.35 4.35 0.61 12.57 12.57 000
35482... .................. A Atherectomy, open....... 6.65 #7.32 #7.32 1.53 15.50 15.50 000
35483... .................. A Atherectomy, open....... 8.10 #8.91 #8.91 1.69 18.70 18.70 000
35484... .................. A Atherectomy, open....... 10.44 10.13 10.13 1.83 22.40 22.40 000
35485... .................. A Atherectomy, open....... 9.49 4.52 4.52 1.06 15.07 15.07 000
35490... .................. A Atherectomy, 11.08 #12.19 #12.19 1.38 24.65 24.65 000
percutaneous.
35491... .................. A Atherectomy, 7.61 4.35 4.35 0.61 12.57 12.57 000
percutaneous.
35492... .................. A Atherectomy, 6.65 #7.32 #7.32 1.53 15.50 15.50 000
percutaneous.
35493... .................. A Atherectomy, 8.10 #8.91 #8.91 1.69 18.70 18.70 000
percutaneous.
35494... .................. A Atherectomy, 10.44 10.13 10.13 1.83 22.40 22.40 000
percutaneous.
35495... .................. A Atherectomy, 9.49 4.52 4.52 1.06 15.07 15.07 000
percutaneous.
35501... .................. A Artery bypass graft..... *19.19 19.35 19.35 3.49 42.03 42.03 090
35506... .................. A Artery bypass graft..... *19.67 19.17 19.17 3.64 42.48 42.48 090
35507... .................. A Artery bypass graft..... *19.67 17.92 17.92 3.61 41.20 41.20 090
35508... .................. A Artery bypass graft..... *18.65 18.11 18.11 3.43 40.19 40.19 090
35509... .................. A Artery bypass graft..... *18.07 18.90 18.90 3.92 40.89 40.89 090
35511... .................. A Artery bypass graft..... *16.83 10.40 10.40 1.92 29.15 29.15 090
35515... .................. A Artery bypass graft..... *18.65 11.25 11.25 2.01 31.91 31.91 090
35516... .................. A Artery bypass graft..... *16.32 17.37 17.37 3.54 37.23 37.23 090
35518... .................. A Artery bypass graft..... *15.42 #16.96 #16.96 3.38 35.76 35.76 090
35521... .................. A Artery bypass graft..... *16.17 17.53 17.53 3.34 37.04 37.04 090
35526... .................. A Artery bypass graft..... *20.00 12.95 12.95 2.44 35.39 35.39 090
35531... .................. A Artery bypass graft..... *25.61 20.25 20.25 3.90 49.76 49.76 090
35533... .................. A Artery bypass graft..... *20.52 21.04 21.04 4.43 45.99 45.99 090
35536... .................. A Artery bypass graft..... *23.11 21.37 21.37 4.17 48.65 48.65 090
35541... .................. A Artery bypass graft..... *25.80 19.55 19.55 3.65 49.00 49.00 090
35546... .................. A Artery bypass graft..... *25.54 21.39 21.39 4.26 51.19 51.19 090
35548... .................. A Artery bypass graft..... *21.57 19.55 19.55 3.65 44.77 44.77 090
35549... .................. A Artery bypass graft..... *23.35 21.39 21.39 4.26 49.00 49.00 090
35551... .................. A Artery bypass graft..... *26.67 19.25 19.25 3.87 49.79 49.79 090
35556... .................. A Artery bypass graft..... *21.76 18.71 18.71 3.71 44.18 44.18 090
35558... .................. A Artery bypass graft..... *14.04 #15.44 #15.44 3.23 32.71 32.71 090
35560... .................. A Artery bypass graft..... *23.56 20.22 20.22 3.93 47.71 47.71 090
35563... .................. A Artery bypass graft..... *15.14 8.32 8.32 1.70 25.16 25.16 090
35565... .................. A Artery bypass graft..... *15.14 #16.65 #16.65 3.51 35.30 35.30 090
35566... .................. A Artery bypass graft..... *26.92 20.62 20.62 4.08 51.62 51.62 090
35571... .................. A Artery bypass graft..... *18.58 19.36 19.36 3.87 41.81 41.81 090
35582... .................. A Vein bypass graft....... *27.13 23.74 23.74 4.89 55.76 55.76 090
35583... .................. A Vein bypass graft....... *22.37 20.44 20.44 4.13 46.94 46.94 090
35585... .................. A Vein bypass graft....... *28.39 22.95 22.95 4.63 55.97 55.97 090
35587... .................. A Vein bypass graft....... *19.05 #20.96 #20.96 4.13 44.14 44.14 090
35601... .................. A Artery bypass graft..... *17.50 18.83 18.83 3.33 39.66 39.66 090
35606... .................. A Artery bypass graft..... *18.71 17.55 17.55 3.51 39.77 39.77 090
35612... .................. A Artery bypass graft..... *15.76 16.75 16.75 3.30 35.81 35.81 090
[[Page 59137]]
35616... .................. A Artery bypass graft..... *15.70 16.79 16.79 3.42 35.91 35.91 090
35621... .................. A Artery bypass graft..... *14.54 #15.99 #15.99 3.80 34.33 34.33 090
35623... .................. A Bypass graft, not vein.. *16.62 8.06 8.06 1.88 26.56 26.56 090
35626... .................. A Artery bypass graft..... *23.63 20.51 20.51 4.08 48.22 48.22 090
35631... .................. A Artery bypass graft..... *24.60 17.87 17.87 3.57 46.04 46.04 090
35636... .................. A Artery bypass graft..... *22.46 13.50 13.50 2.45 38.41 38.41 090
35641... .................. A Artery bypass graft..... *24.57 20.56 20.56 4.08 49.21 49.21 090
35642... .................. A Artery bypass graft..... *17.98 10.33 10.33 2.20 30.51 30.51 090
35645... .................. A Artery bypass graft..... *17.47 11.15 11.15 2.05 30.67 30.67 090
35646... .................. A Artery bypass graft..... *25.81 23.78 23.78 4.73 54.32 54.32 090
35650... .................. A Artery bypass graft..... *14.36 #15.80 #15.80 3.56 33.72 33.72 090
35651... .................. A Artery bypass graft..... *25.04 24.09 24.09 4.69 53.82 53.82 090
35654... .................. A Artery bypass graft..... *18.61 #20.47 #20.47 4.42 43.50 43.50 090
35656... .................. A Artery bypass graft..... *19.53 17.73 17.73 3.60 40.86 40.86 090
35661... .................. A Artery bypass graft..... *13.18 #14.50 #14.50 3.30 30.98 30.98 090
35663... .................. A Artery bypass graft..... *14.17 #15.59 #15.59 3.80 33.56 33.56 090
35665... .................. A Artery bypass graft..... *15.40 #16.94 #16.94 3.57 35.91 35.91 090
35666... .................. A Artery bypass graft..... *19.19 20.06 20.06 4.00 43.25 43.25 090
35671... .................. A Artery bypass graft..... *14.80 15.60 15.60 4.08 34.48 34.48 090
35681... .................. A Artery bypass graft..... 8.05 #8.86 #8.86 3.52 20.43 20.43 ZZZ
35691... .................. A Arterial transposition.. *18.05 19.62 19.62 3.81 41.48 41.48 090
35693... .................. A Arterial transposition.. *15.36 9.40 9.40 1.91 26.67 26.67 090
35694... .................. A Arterial transposition.. *19.16 9.33 9.33 2.17 30.66 30.66 090
35695... .................. A Arterial transposition.. *19.16 9.33 9.33 2.17 30.66 30.66 090
35700... .................. A Reoperation, bypass 3.08 1.61 1.61 0.38 5.07 5.07 ZZZ
graft.
35701... .................. A Exploration, carotid *5.55 5.82 5.82 1.25 12.62 12.62 090
artery.
35721... .................. A Exploration, femoral *5.28 5.56 5.56 1.11 11.95 11.95 090
artery.
35741... .................. A Exploration popliteal *5.37 5.73 5.73 1.15 12.25 12.25 090
artery.
35761... .................. A Exploration of artery/ *5.37 5.81 5.81 1.14 12.32 12.32 090
vein.
35800... .................. A Explore neck vessels.... *7.02 5.28 5.28 0.97 13.27 13.27 090
35820... .................. A Explore chest vessels... *12.88 7.92 7.92 1.43 22.23 22.23 090
35840... .................. A Explore abdominal *9.77 7.23 7.23 1.44 18.44 18.44 090
vessels.
35860... .................. A Explore limb vessels.... *5.55 5.81 5.81 1.15 12.51 12.51 090
35870... .................. A Repair vessel graft *22.17 10.64 10.64 2.47 35.28 35.28 090
defect.
35875... .................. A Removal of clot in graft *10.01 8.21 8.21 1.65 19.87 19.87 090
35876... .................. A Removal of clot in graft *13.67 8.21 8.21 1.65 23.53 23.53 090
35901... .................. A Excision, graft, neck... *8.19 7.18 7.18 1.46 16.83 16.83 090
35903... .................. A Excision, graft, *9.39 7.18 7.18 1.46 18.03 18.03 090
extremity.
35905... .................. A Excision, graft, thorax. *18.19 7.18 7.18 1.46 26.83 26.83 090
35907... .................. A Excision, graft, abdomen *19.24 7.18 7.18 1.46 27.88 27.88 090
36000... .................. A Place needle in vein.... 0.18 0.24 #0.20 0.04 0.46 0.42 XXX
36005... .................. A Injection, venography... 0.95 0.47 0.47 0.04 1.46 1.46 000
36010... .................. A Place catheter in vein.. 2.43 2.11 2.11 0.31 4.85 4.85 XXX
36011... .................. A Place catheter in vein.. 3.14 1.90 1.90 0.22 5.26 5.26 XXX
36012... .................. A Place catheter in vein.. 3.52 2.67 2.67 0.32 6.51 6.51 XXX
36013... .................. A Place catheter in artery 2.52 2.11 2.11 0.31 4.94 4.94 XXX
36014... .................. A Place catheter in artery 3.02 2.28 2.28 0.27 5.57 5.57 XXX
36015... .................. A Place catheter in artery 3.52 2.67 2.67 0.32 6.51 6.51 XXX
36100... .................. A Establish access to 3.02 2.59 2.59 0.32 5.93 5.93 XXX
artery.
36120... .................. A Establish access to 2.01 #2.21 #2.21 0.30 4.52 4.52 XXX
artery.
36140... .................. A Establish access to 2.01 1.41 1.41 0.24 3.66 3.66 XXX
artery.
36145... .................. A Artery to vein shunt.... 2.01 #2.21 #2.21 0.49 4.71 4.71 XXX
36160... .................. A Establish access to 2.52 2.32 2.32 0.35 5.19 5.19 XXX
aorta.
36200... .................. A Place catheter in aorta. 3.02 2.73 2.73 0.28 6.03 6.03 XXX
36215... .................. A Place catheter in artery 4.68 2.78 2.78 0.23 7.69 7.69 XXX
36216... .................. A Place catheter in artery 5.28 3.29 3.29 0.27 8.84 8.84 XXX
36217... .................. A Place catheter in artery 6.30 3.92 3.92 0.32 10.54 10.54 XXX
36218... .................. A Place catheter in artery 1.01 0.62 0.62 0.05 1.68 1.68 XXX
36245... .................. A Place catheter in artery 4.68 3.15 3.15 0.26 8.09 8.09 XXX
36246... .................. A Place catheter in artery 5.28 3.29 3.29 0.27 8.84 8.84 XXX
36247... .................. A Place catheter in artery 6.30 3.92 3.92 0.32 10.54 10.54 XXX
36248... .................. A Place catheter in artery 1.01 0.62 0.62 0.05 1.68 1.68 XXX
36260... .................. A Insertion of infusion *9.71 6.74 6.74 1.41 17.86 17.86 090
pump.
36261... .................. A Revision of infusion *5.45 2.23 2.23 0.42 8.10 8.10 090
pump.
36262... .................. A Removal of infusion pump *4.02 1.93 1.93 0.40 6.35 6.35 090
36299... .................. C Vessel injection 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
36400... .................. A Drawing blood........... 0.18 0.09 0.09 0.01 0.28 0.28 XXX
36405... .................. A Drawing blood........... 0.18 0.45 0.45 0.03 0.66 0.66 XXX
36406... .................. A Drawing blood........... 0.18 0.16 0.16 0.01 0.35 0.35 XXX
36410... .................. A Drawing blood........... 0.18 0.22 #0.20 0.02 0.42 0.40 XXX
36415... .................. I Drawing blood........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
36420... .................. A Establish access to vein 1.01 0.51 0.51 0.05 1.57 1.57 XXX
36425... .................. A Establish access to vein 0.76 0.08 0.08 0.01 0.85 0.85 XXX
36430... .................. A Blood transfusion 0.00 0.96 0.96 0.07 1.03 1.03 XXX
service.
[[Page 59138]]
36440... .................. A Blood transfusion 1.03 0.94 0.94 0.07 2.04 2.04 XXX
service.
36450... .................. A Exchange transfusion 2.23 1.88 1.88 0.18 4.29 4.29 XXX
service.
36455... .................. A Exchange transfusion 2.43 2.27 2.27 0.22 4.92 4.92 XXX
service.
36460... .................. A Transfusion service, 6.59 4.71 4.71 1.09 12.39 12.39 XXX
fetal.
36468... .................. R Injection(s); spider 0.00 0.00 0.00 0.00 0.00 0.00 XXX
veins.
36469... .................. R Injection(s); spider 0.00 0.00 0.00 0.00 0.00 0.00 XXX
veins.
36470... .................. A Injection therapy of *1.09 0.27 0.27 0.04 1.40 1.40 010
vein.
36471... .................. A Injection therapy of *1.57 0.39 0.39 0.05 2.01 2.01 010
veins.
36481... .................. A Insertion of catheter, 6.99 5.30 5.30 0.61 12.90 12.90 000
vein.
36488... .................. A Insertion of catheter, 1.35 0.97 0.97 0.14 2.46 2.46 000
vein.
36489... .................. A Insertion of catheter, 1.22 1.12 1.12 0.17 2.51 2.51 000
vein.
36490... .................. A Insertion of catheter, 1.67 1.38 1.38 0.20 3.25 3.25 000
vein.
36491... .................. A Insertion of catheter, 1.43 #1.57 #1.57 0.32 3.32 3.32 000
vein.
36493... .................. A Repositioning of cvc.... 1.21 0.63 0.63 0.16 2.00 2.00 000
36500... .................. A Insertion of catheter, 3.52 0.08 0.08 0.01 3.61 3.61 000
vein.
36510... .................. A Insertion of catheter, 1.09 0.34 0.34 0.02 1.45 1.45 000
vein.
36520... .................. A Plasma and/or cell 1.74 #1.91 #1.91 0.12 3.77 3.77 000
exchange.
36522... .................. A Photopheresis........... 1.67 2.48 #1.84 0.37 4.52 3.88 000
36530... .................. R Insertion of infusion *6.20 4.82 4.82 1.02 12.04 12.04 010
pump.
36531... .................. R Revision of infusion *4.87 4.37 4.37 0.27 9.51 9.51 010
pump.
36532... .................. R Removal of infusion pump *3.30 1.77 1.77 0.37 5.44 5.44 010
36533... .................. A Insertion of access port *5.32 4.29 4.29 0.85 10.46 10.46 010
36534... .................. A Revision of access port. *2.80 #3.08 #3.08 0.21 6.09 6.09 010
36535... .................. A Removal of access port.. *2.27 1.81 1.81 0.38 4.46 4.46 010
36600... .................. A Withdrawal of arterial 0.32 0.28 0.28 0.02 0.62 0.62 XXX
blood.
36620... .................. A Insertion catheter, 1.15 0.66 0.66 0.14 1.95 1.95 000
artery.
36625... .................. A Insertion catheter, 2.11 0.86 0.86 0.18 3.15 3.15 000
artery.
36640... .................. A Insertion catheter, 2.10 #2.31 #2.31 0.40 4.81 4.81 000
artery.
36660... .................. A Insertion catheter, 1.40 0.49 0.49 0.04 1.93 1.93 000
artery.
36680... .................. A Insert needle, bone 1.20 1.24 1.24 0.10 2.54 2.54 000
cavity.
36800... .................. A Insertion of cannula.... 2.43 2.22 2.22 0.28 4.93 4.93 000
36810... .................. A Insertion of cannula.... 3.97 #4.37 #4.37 0.74 9.08 9.08 000
36815... .................. A Insertion of cannula.... 2.62 #2.88 #2.88 0.70 6.20 6.20 000
36821... .................. A Artery-vein fusion...... *8.93 7.24 7.24 1.46 17.63 17.63 090
36822... .................. A Insertion of cannula(s). *5.42 5.60 5.60 0.77 11.79 11.79 090
36825... .................. A Artery-vein graft....... *9.84 #10.82 #10.82 2.21 22.87 22.87 090
36830... .................. A Artery-vein graft....... *12.00 9.96 9.96 2.36 24.32 24.32 090
36832... .................. A Revise artery-vein *6.45 #7.10 #7.10 2.38 15.93 15.93 090
fistula.
36834... .................. A Repair A-V aneurysm..... *9.93 7.80 7.80 1.66 19.39 19.39 090
36835... .................. A Artery to vein shunt.... *7.15 3.42 3.42 0.79 11.36 11.36 090
36860... .................. A Cannula declotting...... 2.01 2.57 #2.21 0.43 5.01 4.65 000
36861... .................. A Cannula declotting...... 2.52 #2.77 #2.77 1.01 6.30 6.30 000
37140... .................. A Revision of circulation. *23.60 16.29 16.29 3.34 43.23 43.23 090
37145... .................. A Revision of circulation. *24.61 17.13 17.13 1.72 43.46 43.46 090
37160... .................. A Revision of circulation. *21.60 17.74 17.74 3.79 43.13 43.13 090
37180... .................. A Revision of circulation. *24.61 14.19 14.19 2.76 41.56 41.56 090
37181... .................. A Splice spleen/kidney *26.68 16.41 16.41 3.52 46.61 46.61 090
veins.
37195... .................. A Thrombolytic therapy, 0.00 7.68 7.68 0.54 8.22 8.22 XXX
stroke.
37200... .................. A Transcatheter biopsy.... 4.56 1.59 1.59 0.13 6.28 6.28 000
37201... .................. A Transcatheter therapy 5.00 5.50 5.50 0.64 11.14 11.14 000
infuse.
37202... .................. A Transcatheter therapy 5.68 4.30 4.30 0.50 10.48 10.48 000
infuse.
37203... .................. A Transcatheter retrieval. 5.03 3.82 3.82 0.45 9.30 9.30 000
37204... .................. A Transcatheter occlusion. 18.14 13.76 13.76 1.60 33.50 33.50 000
37205... .................. A Transcatheter stent..... 8.28 5.16 5.16 0.42 13.86 13.86 000
37206... .................. A Transcatheter stent..... 4.13 2.58 2.58 0.21 6.92 6.92 ZZZ
37207... .................. A Transcatheter stent..... 8.28 5.16 5.16 0.42 13.86 13.86 000
37208... .................. A Transcatheter stent..... 4.13 2.58 2.58 0.21 6.92 6.92 ZZZ
37209... .................. A Exchange arterial 2.27 1.41 1.41 0.11 3.79 3.79 000
catheter.
37250... .................. A Intravascular us........ 2.10 1.14 1.14 0.13 3.37 3.37 ZZZ
37251... .................. A Intravascular us........ 1.60 0.87 0.87 0.10 2.57 2.57 ZZZ
37565... .................. A Ligation of neck vein... *4.44 3.79 3.79 0.74 8.97 8.97 090
37600... .................. A Ligation of neck artery. *4.57 4.98 4.98 0.80 10.35 10.35 090
37605... .................. A Ligation of neck artery. *6.19 5.56 5.56 1.04 12.79 12.79 090
37606... .................. A Ligation of neck artery. *6.28 5.92 5.92 0.72 12.92 12.92 090
37607... .................. A Ligation of fistula..... *6.16 3.06 3.06 0.71 9.93 9.93 090
37609... .................. A Temporal artery *2.30 2.22 2.22 0.38 4.90 4.90 010
procedure.
37615... .................. A Ligation of neck artery. *5.73 5.62 5.62 1.11 12.46 12.46 090
37616... .................. A Ligation of chest artery *16.49 4.21 4.21 0.83 21.53 21.53 090
37617... .................. A Ligation of abdomen *15.95 8.00 8.00 1.54 25.49 25.49 090
artery.
37618... .................. A Ligation of extremity *4.84 4.98 4.98 1.06 10.88 10.88 090
artery.
37620... .................. A Revision of major vein.. *10.56 8.81 8.81 1.48 20.85 20.85 090
37650... .................. A Revision of major vein.. *5.13 4.02 4.02 0.52 9.67 9.67 090
37660... .................. A Revision of major vein.. *10.61 5.75 5.75 1.07 17.43 17.43 090
37700... .................. A Revise leg vein......... *3.73 3.64 3.64 0.73 8.10 8.10 090
[[Page 59139]]
37720... .................. A Removal of leg vein..... *5.66 5.11 5.11 1.04 11.81 11.81 090
37730... .................. A Removal of leg veins.... *7.33 6.95 6.95 1.40 15.68 15.68 090
37735... .................. A Removal of leg veins/ *10.53 8.34 8.34 1.68 20.55 20.55 090
lesion.
37760... .................. A Revision of leg veins... *10.47 7.48 7.48 1.52 19.47 19.47 090
37780... .................. A Revision of leg vein.... *3.84 1.89 1.89 0.35 6.08 6.08 090
37785... .................. A Revise secondary *3.88 0.98 0.98 0.18 5.04 5.04 090
varicosity.
37788... .................. A Revascularization, penis *22.01 15.14 15.14 1.48 38.63 38.63 090
37790... .................. A Penile venous occlusion. *8.34 5.70 5.70 0.55 14.59 14.59 090
37799... .................. C Vascular surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
38100... .................. A Removal of spleen, total *13.01 8.55 8.55 1.81 23.37 23.37 090
38101... .................. A Removal of spleen, *13.74 6.99 6.99 1.51 22.24 22.24 090
partial.
38102... .................. A Removal of spleen, total 4.80 2.51 2.51 0.58 7.89 7.89 ZZZ
38115... .................. A Repair of ruptured *14.19 7.64 7.64 1.49 23.32 23.32 090
spleen.
38200... .................. A Injection for spleen x- 2.64 1.71 1.71 0.15 4.50 4.50 000
ray.
38230... .................. R Bone marrow collection.. *4.54 2.78 2.78 0.21 7.53 7.53 010
38231... .................. R Stem cell collection.... 1.50 1.37 1.37 0.08 2.95 2.95 000
38240... .................. R Bone marrow/stem 2.24 2.08 2.08 0.14 4.46 4.46 XXX
transplant.
38241... .................. R Bone marrow/stem 2.24 2.04 2.04 0.13 4.41 4.41 XXX
transplant.
38300... .................. A Drainage lymph node *1.53 0.58 0.58 0.10 2.21 2.21 010
lesion.
38305... .................. A Drainage lymph node *4.61 1.96 1.96 0.36 6.93 6.93 090
lesion.
38308... .................. A Incision of lymph *4.95 3.37 3.37 0.45 8.77 8.77 090
channels.
38380... .................. A Thoracic duct procedure. *7.46 4.44 4.44 0.76 12.66 12.66 090
38381... .................. A Thoracic duct procedure. *12.88 7.56 7.56 1.50 21.94 21.94 090
38382... .................. A Thoracic duct procedure. *10.08 4.84 4.84 1.13 16.05 16.05 090
38500... .................. A Biopsy/removal, lymph *2.88 1.59 1.59 0.31 4.78 4.78 010
node(s).
38505... .................. A Needle biopsy, lymph 1.14 1.12 1.12 0.17 2.43 2.43 000
node(s).
38510... .................. A Biopsy/removal, lymph *4.14 2.54 2.54 0.45 7.13 7.13 090
node(s).
38520... .................. A Biopsy/removal, lymph *5.12 2.99 2.99 0.56 8.67 8.67 090
node(s).
38525... .................. A Biopsy/removal, lymph *4.66 2.59 2.59 0.53 7.78 7.78 090
node(s).
38530... .................. A Biopsy/removal, lymph *6.13 3.17 3.17 0.65 9.95 9.95 090
node(s).
38542... .................. A Explore deep node(s), *5.91 4.26 4.26 0.59 10.76 10.76 090
neck.
38550... .................. A Removal neck/armpit *6.73 3.23 3.23 0.63 10.59 10.59 090
lesion.
38555... .................. A Removal neck/armpit *14.27 7.27 7.27 1.38 22.92 22.92 090
lesion.
38562... .................. A Removal, pelvic lymph *10.49 6.88 6.88 1.20 18.57 18.57 090
nodes.
38564... .................. A Removal, abdomen lymph *10.83 7.39 7.39 1.51 19.73 19.73 090
nodes.
38700... .................. A Removal of lymph nodes, *8.24 #9.06 #9.06 1.31 18.61 18.61 090
neck.
38720... .................. A Removal of lymph nodes, *13.61 #14.97 #14.97 2.04 30.62 30.62 090
neck.
38724... .................. A Removal of lymph nodes, *14.54 14.36 14.36 2.00 30.90 30.90 090
neck.
38740... .................. A Remove armpit lymph *6.77 4.72 4.72 1.00 12.49 12.49 090
nodes.
38745... .................. A Remove armpits lymph *8.84 8.28 8.28 1.76 18.88 18.88 090
nodes.
38746... .................. A Remove thoracic lymph 4.39 2.29 2.29 0.53 7.21 7.21 ZZZ
nodes.
38747... .................. A Remove abdominal lymph 4.89 2.56 2.56 0.59 8.04 8.04 ZZZ
nodes.
38760... .................. A Remove groin lymph nodes *8.74 6.63 6.63 1.35 16.72 16.72 090
38765... .................. A Remove groin lymph nodes *16.06 12.67 12.67 2.42 31.15 31.15 090
38770... .................. A Remove pelvis lymph *13.23 #14.55 #14.55 1.73 29.51 29.51 090
nodes.
38780... .................. A Remove abdomen lymph *16.59 16.06 16.06 3.13 35.78 35.78 090
nodes.
38790... .................. A Injection for lymphatic 1.29 1.64 #1.42 0.19 3.12 2.90 000
x-ray.
38794... .................. A Access thoracic lymph *4.45 2.84 2.84 0.38 7.67 7.67 090
duct.
38999... .................. C Blood/lymph system 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
39000... .................. A Exploration of chest.... *6.10 6.05 6.05 1.08 13.23 13.23 090
39010... .................. A Exploration of chest.... *11.79 11.46 11.46 2.08 25.33 25.33 090
39200... .................. A Removal chest lesion.... *13.62 11.58 11.58 2.14 27.34 27.34 090
39220... .................. A Removal chest lesion.... *17.42 14.94 14.94 2.83 35.19 35.19 090
39400... .................. A Visualization of chest.. *5.61 5.12 5.12 0.95 11.68 11.68 010
39499... .................. C Chest procedure......... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
39501... .................. A Repair diaphragm *13.19 10.66 10.66 2.10 25.95 25.95 090
laceration.
39502... .................. A Repair paraesophageal *16.33 11.93 11.93 2.45 30.71 30.71 090
hernia.
39503... .................. A Repair of diaphragm *34.85 25.18 25.18 2.94 62.97 62.97 090
hernia.
39520... .................. A Repair of diaphragm *16.10 12.53 12.53 2.46 31.09 31.09 090
hernia.
39530... .................. A Repair of diaphragm *15.41 14.06 14.06 2.71 32.18 32.18 090
hernia.
39531... .................. A Repair of diaphragm *16.42 10.00 10.00 1.80 28.22 28.22 090
hernia.
39540... .................. A Repair of diaphragm *13.32 11.98 11.98 2.51 27.81 27.81 090
hernia.
39541... .................. A Repair of diaphragm *14.41 12.16 12.16 2.37 28.94 28.94 090
hernia.
39545... .................. A Revision of diaphragm... *13.37 7.90 7.90 1.31 22.58 22.58 090
39599... .................. C Diaphragm surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
40490... .................. A Biopsy of lip........... 1.22 0.74 0.74 0.07 2.03 2.03 000
40500... .................. A Partial excision of lip. *4.28 #4.71 #4.71 0.94 9.93 9.93 090
40510... .................. A Partial excision of lip. *4.70 #5.17 #5.17 0.83 10.70 10.70 090
40520... .................. A Partial excision of lip. *4.67 4.50 4.50 0.68 9.85 9.85 090
40525... .................. A Reconstruct lip with *7.55 #8.31 #8.31 1.43 17.29 17.29 090
flap.
40527... .................. A Reconstruct lip with *9.13 #10.04 #10.04 1.65 20.82 20.82 090
flap.
40530... .................. A Partial removal of lip.. *5.40 5.10 5.10 0.74 11.24 11.24 090
40650... .................. A Repair lip.............. *3.64 #4.00 #4.00 0.65 8.29 8.29 090
40652... .................. A Repair lip.............. *4.26 #4.69 #4.69 0.79 9.74 9.74 090
[[Page 59140]]
40654... .................. A Repair lip.............. *5.31 #5.84 #5.84 1.00 12.15 12.15 090
40700... .................. A Repair cleft lip/nasal.. *12.79 8.46 8.46 1.28 22.53 22.53 090
40701... .................. A Repair cleft lip/nasal.. *15.85 19.33 19.33 1.62 36.80 36.80 090
40702... .................. A Repair cleft lip/nasal.. *13.04 9.37 9.37 1.10 23.51 23.51 090
40720... .................. A Repair cleft lip/nasal.. *13.55 9.59 9.59 1.79 24.93 24.93 090
40761... .................. A Repair cleft lip/nasal.. *14.72 10.84 10.84 1.74 27.30 27.30 090
40799... .................. C Lip surgery procedure... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
40800... .................. A Drainage of mouth lesion *1.17 0.74 0.74 0.07 1.98 1.98 010
40801... .................. A Drainage of mouth lesion *2.53 1.70 1.70 0.16 4.39 4.39 010
40804... .................. A Removal foreign body, *1.24 0.58 0.58 0.06 1.88 1.88 010
mouth.
40805... .................. A Removal foreign body, *2.69 2.50 2.50 0.30 5.49 5.49 010
mouth.
40806... .................. A Incision of lip fold.... 0.31 0.36 0.36 0.03 0.70 0.70 000
40808... .................. A Biopsy of mouth lesion.. *0.96 0.76 0.76 0.08 1.80 1.80 010
40810... .................. A Excision of mouth lesion *1.31 1.18 1.18 0.11 2.60 2.60 010
40812... .................. A Excise/repair mouth *2.31 1.50 1.50 0.14 3.95 3.95 010
lesion.
40814... .................. A Excise/repair mouth *3.42 3.23 3.23 0.32 6.97 6.97 090
lesion.
40816... .................. A Excision of mouth lesion *3.67 3.22 3.22 0.33 7.22 7.22 090
40818... .................. A Excise oral mucosa for *2.41 2.25 2.25 0.20 4.86 4.86 090
graft.
40819... .................. A Excise lip or cheek fold *2.41 1.23 1.23 0.14 3.78 3.78 090
40820... .................. A Treatment of mouth *1.28 0.53 0.53 0.06 1.87 1.87 010
lesion.
40830... .................. A Repair mouth laceration. *1.76 0.67 0.67 0.07 2.50 2.50 010
40831... .................. A Repair mouth laceration. *2.46 1.94 1.94 0.21 4.61 4.61 010
40840... .................. R Reconstruction of mouth. *8.73 6.28 6.28 0.73 15.74 15.74 090
40842... .................. R Reconstruction of mouth. *8.73 6.28 6.28 0.73 15.74 15.74 090
40843... .................. R Reconstruction of mouth. *12.10 8.80 8.80 1.03 21.93 21.93 090
40844... .................. R Reconstruction of mouth. *16.01 11.63 11.63 1.36 29.00 29.00 090
40845... .................. R Reconstruction of mouth. *18.58 #20.44 #20.44 1.93 40.95 40.95 090
40899... .................. C Mouth surgery procedure. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
41000... .................. A Drainage of mouth lesion *1.30 0.76 0.76 0.08 2.14 2.14 010
41005... .................. A Drainage of mouth lesion *1.26 0.62 0.62 0.07 1.95 1.95 010
41006... .................. A Drainage of mouth lesion *3.24 1.01 1.01 0.11 4.36 4.36 090
41007... .................. A Drainage of mouth lesion *3.10 2.90 2.90 0.30 6.30 6.30 090
41008... .................. A Drainage of mouth lesion *3.37 1.06 1.06 0.11 4.54 4.54 090
41009... .................. A Drainage of mouth lesion *3.59 3.31 3.31 0.34 7.24 7.24 090
41010... .................. A Incision of tongue fold. *1.06 0.37 0.37 0.04 1.47 1.47 010
41015... .................. A Drainage of mouth lesion *3.96 0.87 0.87 0.10 4.93 4.93 090
41016... .................. A Drainage of mouth lesion *4.07 3.69 3.69 0.38 8.14 8.14 090
41017... .................. A Drainage of mouth lesion *4.07 1.40 1.40 0.14 5.61 5.61 090
41018... .................. A Drainage of mouth lesion *5.10 3.93 3.93 0.38 9.41 9.41 090
41100... .................. A Biopsy of tongue........ *1.63 0.80 0.80 0.08 2.51 2.51 010
41105... .................. A Biopsy of tongue........ *1.42 1.03 1.03 0.12 2.57 2.57 010
41108... .................. A Biopsy of floor of mouth *1.05 0.85 0.85 0.09 1.99 1.99 010
41110... .................. A Excision of tongue *1.51 1.30 1.30 0.15 2.96 2.96 010
lesion.
41112... .................. A Excision of tongue *2.73 2.39 2.39 0.23 5.35 5.35 090
lesion.
41113... .................. A Excision of tongue *3.19 3.41 3.41 0.37 6.97 6.97 090
lesion.
41114... .................. A Excision of tongue *8.47 6.39 6.39 0.73 15.59 15.59 090
lesion.
41115... .................. A Excision of tongue fold. *1.74 1.78 1.78 0.17 3.69 3.69 010
41116... .................. A Excision of mouth lesion *2.44 2.49 2.49 0.27 5.20 5.20 090
41120... .................. A Partial removal of *9.77 7.28 7.28 0.88 17.93 17.93 090
tongue.
41130... .................. A Partial removal of *11.15 9.06 9.06 1.14 21.35 21.35 090
tongue.
41135... .................. A Tongue and neck surgery. *23.09 18.30 18.30 2.64 44.03 44.03 090
41140... .................. A Removal of tongue....... *25.50 18.89 18.89 2.45 46.84 46.84 090
41145... .................. A Tongue removal; neck *30.06 22.79 22.79 2.95 55.80 55.80 090
surgery.
41150... .................. A Tongue, mouth, jaw *23.04 18.96 18.96 2.46 44.46 44.46 090
surgery.
41153... .................. A Tongue, mouth, neck *23.77 25.00 25.00 3.03 51.80 51.80 090
surgery.
41155... .................. A Tongue, jaw, & neck *27.72 29.95 29.95 3.75 61.42 61.42 090
surgery.
41250... .................. A Repair tongue laceration *1.91 1.07 1.07 0.11 3.09 3.09 010
41251... .................. A Repair tongue laceration *2.27 2.07 2.07 0.21 4.55 4.55 010
41252... .................. A Repair tongue laceration *2.97 2.35 2.35 0.26 5.58 5.58 010
41500... .................. A Fixation of tongue...... *3.71 3.29 3.29 0.26 7.26 7.26 090
41510... .................. A Tongue to lip surgery... *3.42 2.53 2.53 0.45 6.40 6.40 090
41520... .................. A Reconstruction, tongue *2.73 2.88 2.88 0.28 5.89 5.89 090
fold.
41599... .................. C Tongue and mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
41800... .................. A Drainage of gum lesion.. *1.17 0.69 0.69 0.07 1.93 1.93 010
41805... .................. A Removal foreign body, *1.24 0.84 0.84 0.08 2.16 2.16 010
gum.
41806... .................. A Removal foreign body, *2.69 1.64 1.64 0.15 4.48 4.48 010
jawbone.
41820... .................. R Excision, gum, each 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quadrant.
41821... .................. R Excision of gum flap.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
41822... .................. R Excision of gum lesion.. *2.31 3.03 3.03 0.25 5.59 5.59 010
41823... .................. R Excision of gum lesion.. *3.30 #3.63 #3.63 0.34 7.27 7.27 090
41825... .................. A Excision of gum lesion.. *1.31 1.49 1.49 0.14 2.94 2.94 010
41826... .................. A Excision of gum lesion.. *2.31 2.07 2.07 0.18 4.56 4.56 010
41827... .................. A Excision of gum lesion.. *3.42 #3.76 #3.76 0.38 7.56 7.56 090
41828... .................. R Excision of gum lesion.. *3.09 4.07 4.07 0.33 7.49 7.49 010
[[Page 59141]]
41830... .................. R Removal of gum tissue... *3.35 #3.69 #3.69 0.36 7.40 7.40 010
41850... .................. R Treatment of gum lesion. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
41870... .................. R Gum graft............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
41872... .................. R Repair gum.............. *2.59 #2.85 #2.85 0.27 5.71 5.71 090
41874... .................. R Repair tooth socket..... *3.09 #3.40 #3.40 0.32 6.81 6.81 090
41899... .................. C Dental surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY
42000... .................. A Drainage mouth roof *1.23 0.62 0.62 0.06 1.91 1.91 010
lesion.
42100... .................. A Biopsy roof of mouth.... *1.31 0.79 0.79 0.08 2.18 2.18 010
42104... .................. A Excision lesion, mouth *1.64 1.62 1.62 0.17 3.43 3.43 010
roof.
42106... .................. A Excision lesion, mouth *2.10 2.22 2.22 0.21 4.53 4.53 010
roof.
42107... .................. A Excision lesion, mouth *4.44 #4.88 #4.88 0.50 9.82 9.82 090
roof.
42120... .................. A Remove palate/lesion.... *6.17 #6.79 #6.79 1.01 13.97 13.97 090
42140... .................. A Excision of uvula....... *1.62 1.35 1.35 0.15 3.12 3.12 090
42145... .................. A Repair, palate, pharynx/ *8.05 #8.86 #8.86 1.45 18.36 18.36 090
uvula.
42160... .................. A Treatment mouth roof *1.80 1.53 1.53 0.16 3.49 3.49 010
lesion.
42180... .................. A Repair palate........... *2.50 2.24 2.24 0.26 5.00 5.00 010
42182... .................. A Repair palate........... *3.83 3.47 3.47 0.38 7.68 7.68 010
42200... .................. A Reconstruct cleft palate *12.00 7.19 7.19 0.85 20.04 20.04 090
42205... .................. A Reconstruct cleft palate *9.59 #10.55 #10.55 0.79 20.93 20.93 090
42210... .................. A Reconstruct cleft palate *14.50 12.51 12.51 0.95 27.96 27.96 090
42215... .................. A Reconstruct cleft palate *8.82 7.68 7.68 0.86 17.36 17.36 090
42220... .................. A Reconstruct cleft palate *7.02 5.40 5.40 0.81 13.23 13.23 090
42225... .................. A Reconstruct cleft palate *9.54 6.90 6.90 1.08 17.52 17.52 090
42226... .................. A Lengthening of palate... *10.01 7.89 7.89 0.86 18.76 18.76 090
42227... .................. A Lengthening of palate... *9.52 7.41 7.41 0.38 17.31 17.31 090
42235... .................. A Repair palate........... *7.87 5.55 5.55 0.49 13.91 13.91 090
42260... .................. A Repair nose to lip *9.80 3.98 3.98 0.44 14.22 14.22 090
fistula.
42280... .................. A Preparation, palate mold *1.54 1.99 1.99 0.17 3.70 3.70 010
42281... .................. A Insertion, palate *1.93 1.47 1.47 0.15 3.55 3.55 010
prosthesis.
42299... .................. C Palate/uvula surgery.... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
42300... .................. A Drainage of salivary *1.93 0.96 0.96 0.12 3.01 3.01 010
gland.
42305... .................. A Drainage of salivary *6.07 2.18 2.18 0.27 8.52 8.52 090
gland.
42310... .................. A Drainage of salivary *1.56 1.03 1.03 0.12 2.71 2.71 010
gland.
42320... .................. A Drainage of salivary *2.35 1.83 1.83 0.22 4.40 4.40 010
gland.
42325... .................. A Create salivary cyst *2.75 2.12 2.12 0.20 5.07 5.07 090
drain.
42326... .................. A Create salivary cyst *3.78 #4.16 #4.16 0.33 8.27 8.27 090
drain.
42330... .................. A Removal of salivary *2.21 1.10 1.10 0.12 3.43 3.43 010
stone.
42335... .................. A Removal of salivary *3.31 2.47 2.47 0.27 6.05 6.05 090
stone.
42340... .................. A Removal of salivary *4.60 4.25 4.25 0.45 9.30 9.30 090
stone.
42400... .................. A Biopsy of salivary gland 0.78 0.79 0.79 0.10 1.67 1.67 000
42405... .................. A Biopsy of salivary gland *3.29 1.54 1.54 0.19 5.02 5.02 010
42408... .................. A Excision of salivary *4.54 3.24 3.24 0.38 8.16 8.16 090
cyst.
42409... .................. A Drainage of salivary *2.81 2.81 2.81 0.30 5.92 5.92 090
cyst.
42410... .................. A Excise parotid gland/ *9.34 5.94 5.94 0.92 16.20 16.20 090
lesion.
42415... .................. A Excise parotid gland/ *16.89 12.68 12.68 1.68 31.25 31.25 090
lesion.
42420... .................. A Excise parotid gland/ *19.59 14.82 14.82 1.87 36.28 36.28 090
lesion.
42425... .................. A Excise parotid gland/ *13.02 11.10 11.10 1.43 25.55 25.55 090
lesion.
42426... .................. A Excise parotid gland/ *21.26 #23.39 #23.39 3.21 47.86 47.86 090
lesion.
42440... .................. A Excision submaxillary *6.97 #7.67 #7.67 0.99 15.63 15.63 090
gland.
42450... .................. A Excision sublingual *4.62 3.42 3.42 0.35 8.39 8.39 090
gland.
42500... .................. A Repair salivary duct.... *4.30 4.61 4.61 0.50 9.41 9.41 090
42505... .................. A Repair salivary duct.... *6.18 #6.80 #6.80 0.86 13.84 13.84 090
42507... .................. A Parotid duct diversion.. *6.11 4.65 4.65 0.67 11.43 11.43 090
42508... .................. A Parotid duct diversion.. *9.10 7.61 7.61 0.94 17.65 17.65 090
42509... .................. A Parotid duct diversion.. *11.54 7.31 7.31 1.23 20.08 20.08 090
42510... .................. A Parotid duct diversion.. *8.15 7.65 7.65 0.84 16.64 16.64 090
42550... .................. A Injection for salivary x- 1.25 0.44 0.44 0.04 1.73 1.73 000
ray.
42600... .................. A Closure of salivary *4.82 3.89 3.89 0.46 9.17 9.17 090
fistula.
42650... .................. A Dilation of salivary 0.77 0.39 0.39 0.04 1.20 1.20 000
duct.
42660... .................. A Dilation of salivary 1.13 0.50 0.50 0.06 1.69 1.69 000
duct.
42665... .................. A Ligation of salivary *2.53 2.04 2.04 0.25 4.82 4.82 090
duct.
42699... .................. C Salivary surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
42700... .................. A Drainage of tonsil *1.62 0.85 0.85 0.10 2.57 2.57 010
abscess.
42720... .................. A Drainage of throat *5.42 1.89 1.89 0.22 7.53 7.53 010
abscess.
42725... .................. A Drainage of throat *10.72 4.45 4.45 0.53 15.70 15.70 090
abscess.
42800... .................. A Biopsy of throat........ *1.39 0.74 0.74 0.08 2.21 2.21 010
42802... .................. A Biopsy of throat........ *1.54 1.02 1.02 0.12 2.68 2.68 010
42804... .................. A Biopsy of upper nose/ *1.24 1.09 1.09 0.13 2.46 2.46 010
throat.
42806... .................. A Biopsy of upper nose/ *1.58 1.40 1.40 0.16 3.14 3.14 010
throat.
42808... .................. A Excise pharynx lesion... *2.30 2.52 2.52 0.29 5.11 5.11 010
42809... .................. A Remove pharynx foreign *1.81 0.82 0.82 0.08 2.71 2.71 010
body.
42810... .................. A Excision of neck cyst... *3.33 3.14 3.14 0.47 6.94 6.94 090
42815... .................. A Excision of neck cyst... *7.23 #7.95 #7.95 1.12 16.30 16.30 090
42820... .................. A Remove tonsils and *3.91 3.15 3.15 0.32 7.38 7.38 090
adenoids.
[[Page 59142]]
42821... .................. A Remove tonsils and *4.29 3.93 3.93 0.46 8.68 8.68 090
adenoids.
42825... .................. A Removal of tonsils...... *3.42 2.64 2.64 0.33 6.39 6.39 090
42826... .................. A Removal of tonsils...... *3.38 #3.72 #3.72 0.43 7.53 7.53 090
42830... .................. A Removal of adenoids..... *2.57 1.86 1.86 0.27 4.70 4.70 090
42831... .................. A Removal of adenoids..... *2.71 2.36 2.36 0.25 5.32 5.32 090
42835... .................. A Removal of adenoids..... *2.30 1.86 1.86 0.10 4.26 4.26 090
42836... .................. A Removal of adenoids..... *3.18 2.79 2.79 0.31 6.28 6.28 090
42842... .................. A Extensive surgery of *8.76 6.69 6.69 0.73 16.18 16.18 090
throat.
42844... .................. A Extensive surgery of *14.31 10.85 10.85 1.27 26.43 26.43 090
throat.
42845... .................. A Extensive surgery of *24.29 18.62 18.62 2.22 45.13 45.13 090
throat.
42860... .................. A Excision of tonsil tags. *2.22 1.89 1.89 0.21 4.32 4.32 090
42870... .................. A Excision of lingual *5.40 2.32 2.32 0.26 7.98 7.98 090
tonsil.
42890... .................. A Partial removal of *12.94 8.99 8.99 1.03 22.96 22.96 090
pharynx.
42892... .................. A Revision of pharyngeal *15.83 10.92 10.92 1.27 28.02 28.02 090
walls.
42894... .................. A Revision of pharyngeal *22.88 16.06 16.06 1.83 40.77 40.77 090
walls.
42900... .................. A Repair throat wound..... *5.25 4.26 4.26 0.48 9.99 9.99 010
42950... .................. A Reconstruction of throat *8.10 #8.91 #8.91 1.10 18.11 18.11 090
42953... .................. A Repair throat, esophagus *8.96 6.34 6.34 0.93 16.23 16.23 090
42955... .................. A Surgical opening of *7.39 3.32 3.32 0.43 11.14 11.14 090
throat.
42960... .................. A Control throat bleeding. *2.33 1.08 1.08 0.12 3.53 3.53 010
42961... .................. A Control throat bleeding. *5.59 1.75 1.75 0.19 7.53 7.53 090
42962... .................. A Control throat bleeding. *7.14 5.98 5.98 0.68 13.80 13.80 090
42970... .................. A Control nose/throat *5.43 1.03 1.03 0.10 6.56 6.56 090
bleeding.
42971... .................. A Control nose/throat *6.21 2.90 2.90 0.34 9.45 9.45 090
bleeding.
42972... .................. A Control nose/throat *7.20 4.55 4.55 0.73 12.48 12.48 090
bleeding.
42999... .................. C Throat surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY
43020... .................. A Incision of esophagus... *8.09 6.58 6.58 0.71 15.38 15.38 090
43030... .................. A Throat muscle surgery... *7.69 #8.46 #8.46 1.21 17.36 17.36 090
43045... .................. A Incision of esophagus... *20.12 12.45 12.45 2.36 34.93 34.93 090
43100... .................. A Excision of esophagus *9.19 6.19 6.19 0.95 16.33 16.33 090
lesion.
43101... .................. A Excision of esophagus *16.24 9.48 9.48 1.88 27.60 27.60 090
lesion.
43107... .................. A Removal of esophagus.... *28.79 22.50 22.50 4.42 55.71 55.71 090
43108... .................. A Removal of esophagus.... *34.19 25.27 25.27 4.77 64.23 64.23 090
43112... .................. A Removal of esophagus.... *31.22 21.65 21.65 4.22 57.09 57.09 090
43113... .................. A Removal of esophagus.... *35.27 25.27 25.27 4.77 65.31 65.31 090
43116... .................. A Partial removal of *31.22 25.27 25.27 4.77 61.26 61.26 090
esophagus.
43117... .................. A Partial removal of *30.02 25.27 25.27 4.77 60.06 60.06 090
esophagus.
43118... .................. A Partial removal of *33.20 25.27 25.27 4.77 63.24 63.24 090
esophagus.
43121... .................. A Partial removal of *29.19 21.36 21.36 4.19 54.74 54.74 090
esophagus.
43122... .................. A Parital removal of *29.11 21.36 21.36 4.19 54.66 54.66 090
esophagus.
43123... .................. A Partial removal of *33.20 25.27 25.27 4.77 63.24 63.24 090
esophagus.
43124... .................. A Removal of esophagus.... *27.32 22.50 22.50 4.42 54.24 54.24 090
43130... .................. A Removal of esophagus *11.75 10.51 10.51 1.60 23.86 23.86 090
pouch.
43135... .................. A Removal of esophagus *16.10 11.72 11.72 2.17 29.99 29.99 090
pouch.
43200... .................. A Esophagus endoscopy..... 1.59 2.04 #1.75 0.26 3.89 3.60 000
43202... .................. A Esophagus endoscopy, 1.89 2.41 #2.08 0.31 4.61 4.28 000
biopsy.
43204... .................. A Esophagus endoscopy & 3.77 #4.15 #4.15 0.36 8.28 8.28 000
inject.
43205... .................. A Esophagus endoscopy/ 3.79 2.70 2.70 0.18 6.67 6.67 000
ligation.
43215... .................. A Esophagus endoscopy..... 2.60 #2.86 #2.86 0.46 5.92 5.92 000
43216... .................. A Esophagus endoscopy/ 2.40 #2.64 #2.64 0.37 5.41 5.41 000
lesion.
43217... .................. A Esophagus endoscopy..... 2.90 #3.19 #3.19 0.37 6.46 6.46 000
43219... .................. A Esophagus endoscopy..... 2.80 #3.08 #3.08 0.34 6.22 6.22 000
43220... .................. A Esophagus endoscopy, 2.10 #2.31 #2.31 0.27 4.68 4.68 000
dilation.
43226... .................. A Esophagus endoscopy, 2.34 #2.57 #2.57 0.26 5.17 5.17 000
dilation.
43227... .................. A Esophagus endoscopy, 3.60 #3.96 #3.96 0.34 7.90 7.90 000
repair.
43228... .................. A Esophagus endoscopy, 3.77 #4.15 #4.15 0.38 8.30 8.30 000
ablation.
43234... .................. A Upper GI endoscopy, exam 2.01 2.57 #2.21 0.30 4.88 4.52 000
43235... .................. A Upper gi endoscopy, 2.39 3.07 #2.63 0.29 5.75 5.31 000
diagnosis.
43239... .................. A Upper GI endoscopy, 2.69 3.44 #2.96 0.33 6.46 5.98 000
biopsy.
43241... .................. A Upper GI endoscopy with 2.59 #2.85 #2.85 0.38 5.82 5.82 000
tube.
43243... .................. A Upper GI endoscopy & 4.57 #5.03 #5.03 0.39 9.99 9.99 000
inject..
43244... .................. A Upper GI endoscopy/ 4.59 3.47 3.47 0.41 8.47 8.47 000
ligation.
43245... .................. A Operative upper GI 3.39 #3.73 #3.73 0.40 7.52 7.52 000
endoscopy.
43246... .................. A Place gastrostomy tube.. 4.33 #4.76 #4.76 0.51 9.60 9.60 000
43247... .................. A Operative upper GI 3.39 #3.73 #3.73 0.38 7.50 7.50 000
endoscopy.
43248... .................. A Upper GI endoscopy/ 3.15 #3.47 #3.47 0.35 6.97 6.97 000
guidewire.
43249... .................. A Esophagus endoscopy, 2.90 #3.19 #3.19 0.30 6.39 6.39 000
dilation.
43250... .................. A Upper GI endoscopy/tumor 3.20 #3.52 #3.52 0.43 7.15 7.15 000
43251... .................. A Operative upper GI 3.70 #4.07 #4.07 0.43 8.20 8.20 000
endoscopy.
43255... .................. A Operative upper GI 4.40 #4.84 #4.84 0.38 9.62 9.62 000
endoscopy.
43258... .................. A Operative upper GI 4.55 #5.01 #5.01 0.38 9.94 9.94 000
endoscopy.
43259... .................. A Endoscopic ultrasound 4.89 4.02 4.02 0.35 9.26 9.26 000
exam.
43260... .................. A Endoscopy, bile duct/ 5.96 5.98 5.98 0.39 12.33 12.33 000
pancreas.
43261... .................. A Endoscopy, bile duct/ 6.27 5.98 5.98 0.39 12.64 12.64 000
pancreas.
[[Page 59143]]
43262... .................. A Endoscopy, bile duct/ 7.39 #8.13 #8.13 0.58 16.10 16.10 000
pancreas.
43263... .................. A Endoscopy, bile duct/ 6.19 5.83 5.83 0.38 12.40 12.40 000
pancreas.
43264... .................. A Endoscopy, bile duct/ 8.90 8.92 8.92 0.61 18.43 18.43 000
pancreas.
43265... .................. A Endoscopy, bile duct/ 8.90 6.82 6.82 0.49 16.21 16.21 000
pancreas.
43267... .................. A Endoscopy, bile duct/ 7.39 7.41 7.41 0.48 15.28 15.28 000
pancreas.
43268... .................. A Endoscopy, bile duct/ 7.39 #8.13 #8.13 0.56 16.08 16.08 000
pancreas.
43269... .................. A Endoscopy, bile duct/ 6.04 #6.64 #6.64 0.51 13.19 13.19 000
pancreas.
43271... .................. A Endoscopy, bile duct/ 7.39 7.63 7.63 0.50 15.52 15.52 000
pancreas.
43272... .................. A Endoscopy, bile duct/ 7.39 5.60 5.60 0.42 13.41 13.41 000
pancreas.
43300... .................. A Repair of esophagus..... *9.14 #10.05 #10.05 1.70 20.89 20.89 090
43305... .................. A Repair esophagus and *17.15 13.71 13.71 1.78 32.64 32.64 090
fistula.
43310... .................. A Repair of esophagus..... *25.39 16.99 16.99 3.23 45.61 45.61 090
43312... .................. A Repair esophagus and *28.42 13.72 13.72 2.30 44.44 44.44 090
fistula.
43320... .................. A Fuse esophagus & stomach *16.07 11.68 11.68 2.05 29.80 29.80 090
43324... .................. A Revise esophagus & *16.58 11.88 11.88 2.53 30.99 30.99 090
stomach.
43325... .................. A Revise esophagus & *16.17 11.61 11.61 2.29 30.07 30.07 090
stomach.
43326... .................. A Revise esophagus & *15.91 7.52 7.52 1.75 25.18 25.18 090
stomach.
43330... .................. A Repair of esophagus..... *15.94 11.36 11.36 2.39 29.69 29.69 090
43331... .................. A Repair of esophagus..... *16.23 14.33 14.33 2.64 33.20 33.20 090
43340... .................. A Fuse esophagus & *15.81 12.44 12.44 2.52 30.77 30.77 090
intestine.
43341... .................. A Fuse esophagus & *16.81 9.90 9.90 1.56 28.27 28.27 090
intestine.
43350... .................. A Surgical opening, *12.72 7.88 7.88 1.15 21.75 21.75 090
esophagus.
43351... .................. A Surgical opening, *14.79 8.77 8.77 1.53 25.09 25.09 090
esophagus.
43352... .................. A Surgical opening, *12.30 8.86 8.86 1.47 22.63 22.63 090
esophagus.
43360... .................. A Gastrointestinal repair. *28.78 21.36 21.36 4.19 54.33 54.33 090
43361... .................. A Gastrointestinal repair. *32.65 25.27 25.27 4.77 62.69 62.69 090
43400... .................. A Ligate esophagus veins.. *17.09 10.82 10.82 1.63 29.54 29.54 090
43401... .................. A Esophagus surgery for *17.81 9.59 9.59 1.93 29.33 29.33 090
veins.
43405... .................. A Ligate/staple esophagus. *16.13 14.33 14.33 2.64 33.10 33.10 090
43410... .................. A Repair esophagus wound.. *10.86 8.90 8.90 1.54 21.30 21.30 090
43415... .................. A Repair esophagus wound.. *17.06 12.74 12.74 2.52 32.32 32.32 090
43420... .................. A Repair esophagus opening *11.57 5.88 5.88 0.78 18.23 18.23 090
43425... .................. A Repair esophagus opening *16.95 9.94 9.94 1.71 28.60 28.60 090
43450... .................. A Dilate esophagus........ 1.38 0.68 0.68 0.05 2.11 2.11 000
43453... .................. A Dilate esophagus........ 1.51 1.51 1.51 0.11 3.13 3.13 000
43456... .................. A Dilate esophagus........ 2.57 2.47 2.47 0.24 5.28 5.28 000
43458... .................. A Dilation of esophagus... 3.06 1.52 1.52 0.27 4.85 4.85 000
43460... .................. A Pressure treatment 3.80 1.67 1.67 0.15 5.62 5.62 000
esophagus.
43496... .................. C Free jejunum flap, 0.00 0.00 0.00 0.00 0.00 0.00 090
microvasc.
43499... .................. C Esophagus surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
43500... .................. A Surgical opening of *8.44 6.13 6.13 1.20 15.77 15.77 090
stomach.
43501... .................. A Surgical repair of *15.31 8.58 8.58 1.83 25.72 25.72 090
stomach.
43502... .................. A Surgical repair of *17.67 8.58 8.58 1.83 28.08 28.08 090
stomach.
43510... .................. A Surgical opening of *9.99 8.29 8.29 0.94 19.22 19.22 090
stomach.
43520... .................. A Incision of pyloric *7.63 4.48 4.48 0.87 12.98 12.98 090
muscle.
43600... .................. A Biopsy of stomach....... 1.91 0.50 0.50 0.05 2.46 2.46 000
43605... .................. A Biopsy of stomach....... *9.15 5.91 5.91 1.29 16.35 16.35 090
43610... .................. A Excision of stomach *11.15 8.17 8.17 1.71 21.03 21.03 090
lesion.
43611... .................. A Excision of stomach *13.63 8.17 8.17 1.71 23.51 23.51 090
lesion.
43620... .................. A Removal of stomach...... *22.54 15.38 15.38 3.19 41.11 41.11 090
43621... .................. A Removal of stomach...... *23.06 15.38 15.38 3.19 41.63 41.63 090
43622... .................. A Removal of stomach...... *24.41 15.38 15.38 3.19 42.98 42.98 090
43631... .................. A Removal of stomach, *19.66 12.42 12.42 2.66 34.74 34.74 090
partial.
43632... .................. A Removal stomach, partial *19.66 12.42 12.42 2.66 34.74 34.74 090
43633... .................. A Removal stomach, partial *20.10 12.42 12.42 2.66 35.18 35.18 090
43634... .................. A Removal stomach, partial *21.86 20.83 20.83 4.57 47.26 47.26 090
43635... .................. A Partial removal of 2.06 1.08 1.08 0.26 3.40 3.40 ZZZ
stomach.
43638... .................. A Partial removal of *21.76 12.75 12.75 2.73 37.24 37.24 090
stomach.
43639... .................. A Removal stomach, partial *22.25 12.75 12.75 2.73 37.73 37.73 090
43640... .................. A Vagotomy & pylorus *14.81 10.34 10.34 2.19 27.34 27.34 090
repair.
43641... .................. A Vagotomy & pylorus *15.03 10.34 10.34 2.18 27.55 27.55 090
repair.
43750... .................. A Place gastrostomy tube.. *4.49 4.35 4.35 0.56 9.40 9.40 010
43760... .................. A Change gastrostomy tube. 1.10 0.69 0.69 0.09 1.88 1.88 000
43761... .................. A Reposition gastrostomy 2.01 1.06 1.06 0.25 3.32 3.32 000
tube.
43800... .................. A Reconstruction of *10.46 6.85 6.85 1.47 18.78 18.78 090
pylorus.
43810... .................. A Fusion of stomach and *11.19 7.64 7.64 1.53 20.36 20.36 090
bowel.
43820... .................. A Fusion of stomach and *11.74 8.29 8.29 1.75 21.78 21.78 090
bowel.
43825... .................. A Fusion of stomach and *14.68 11.08 11.08 2.30 28.06 28.06 090
bowel.
43830... .................. A Place gastrostomy tube.. *7.28 6.19 6.19 1.19 14.66 14.66 090
43831... .................. A Place gastrostomy tube.. *7.33 5.20 5.20 0.93 13.46 13.46 090
43832... .................. A Place gastrostomy tube.. *11.92 7.95 7.95 1.36 21.23 21.23 090
43840... .................. A Repair of stomach lesion *11.89 7.84 7.84 1.66 21.39 21.39 090
43842... .................. A Gastroplasty for obesity *14.71 13.72 13.72 2.93 31.36 31.36 090
43843... .................. A Gastroplasty for obesity *14.85 13.72 13.72 2.93 31.50 31.50 090
[[Page 59144]]
43846... .................. A Gastric bypass for *19.15 14.80 14.80 3.30 37.25 37.25 090
obesity.
43847... .................. A Gastric bypass for *21.44 14.80 14.80 3.30 39.54 39.54 090
obesity.
43848... .................. A Revision gastroplasty... *23.41 14.80 14.80 3.30 41.51 41.51 090
43850... .................. A Revise stomach-bowel *19.69 11.64 11.64 2.25 33.58 33.58 090
fusion.
43855... .................. A Revise stomach-bowel *20.83 10.44 10.44 2.28 33.55 33.55 090
fusion.
43860... .................. A Revise stomach-bowel *19.91 11.46 11.46 2.51 33.88 33.88 090
fusion.
43865... .................. A Revise stomach-bowel *21.12 13.39 13.39 2.98 37.49 37.49 090
fusion.
43870... .................. A Repair stomach opening.. *7.40 5.77 5.77 1.14 14.31 14.31 090
43880... .................. A Repair stomach-bowel *19.63 8.25 8.25 1.76 29.64 29.64 090
fistula.
43999... .................. C Stomach surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44005... .................. A Freeing of bowel *13.84 8.28 8.28 1.75 23.87 23.87 090
adhesion.
44010... .................. A Incision of small bowel. *10.68 6.91 6.91 1.42 19.01 19.01 090
44015... .................. A Insert needle catheter, 2.62 #2.88 #2.88 0.45 5.95 5.95 ZZZ
bowel.
44020... .................. A Exploration of small *11.93 7.81 7.81 1.65 21.39 21.39 090
bowel.
44021... .................. A Decompress small bowel.. *12.01 7.00 7.00 1.48 20.49 20.49 090
44025... .................. A Incision of large bowel. *12.18 7.74 7.74 1.61 21.53 21.53 090
44050... .................. A Reduce bowel obstruction *11.40 7.77 7.77 1.64 20.81 20.81 090
44055... .................. A Correct malrotation of *13.14 7.66 7.66 1.60 22.40 22.40 090
bowel.
44100... .................. A Biopsy of bowel......... 2.01 1.38 1.38 0.13 3.52 3.52 000
44110... .................. A Excision of bowel *10.07 7.67 7.67 1.58 19.32 19.32 090
lesion(s).
44111... .................. A Excision of bowel *12.19 9.67 9.67 2.14 24.00 24.00 090
lesion(s).
44120... .................. A Removal of small *14.50 9.46 9.46 2.02 25.98 25.98 090
intestine.
44121... .................. A Removal of small 4.45 2.32 2.32 0.54 7.31 7.31 ZZZ
intestine.
44125... .................. A Removal of small *14.96 10.75 10.75 2.28 27.99 27.99 090
intestine.
44130... .................. A Bowel to bowel fusion... *12.36 8.67 8.67 1.86 22.89 22.89 090
44139... .................. A Mobilization of colon... 2.23 1.17 1.17 0.27 3.67 3.67 ZZZ
44140... .................. A Partial removal of colon *18.35 11.37 11.37 2.40 32.12 32.12 090
44141... .................. A Partial removal of colon *19.51 11.86 11.86 2.55 33.92 33.92 090
44143... .................. A Partial removal of colon *20.17 12.26 12.26 2.62 35.05 35.05 090
44144... .................. A Partial removal of colon *18.89 12.06 12.06 2.53 33.48 33.48 090
44145... .................. A Partial removal of colon *23.18 13.25 13.25 2.78 39.21 39.21 090
44146... .................. A Partial removal of colon *24.16 14.98 14.98 3.14 42.28 42.28 090
44147... .................. A Partial removal of colon *18.17 15.34 15.34 3.30 36.81 36.81 090
44150... .................. A Removal of colon........ *21.01 14.84 14.84 3.17 39.02 39.02 090
44151... .................. A Removal of colon/ *20.04 10.21 10.21 2.22 32.47 32.47 090
ileostomy.
44152... .................. A Removal of colon/ *24.41 15.44 15.44 3.36 43.21 43.21 090
ileostomy.
44153... .................. A Removal of colon/ *26.83 19.35 19.35 3.63 49.81 49.81 090
ileostomy.
44155... .................. A Removal of colon........ *24.44 16.65 16.65 3.50 44.59 44.59 090
44156... .................. A Removal of colon/ *23.01 11.40 11.40 2.52 36.93 36.93 090
ileostomy.
44160... .................. A Removal of colon........ *15.88 12.44 12.44 2.68 31.00 31.00 090
44300... .................. A Open bowel to skin...... *8.88 6.03 6.03 1.29 16.20 16.20 090
44310... .................. A Ileostomy/jejunostomy... *11.70 7.88 7.88 1.66 21.24 21.24 090
44312... .................. A Revision of ileostomy... *5.88 3.08 3.08 0.45 9.41 9.41 090
44314... .................. A Revision of ileostomy... *11.04 6.68 6.68 1.21 18.93 18.93 090
44316... .................. A Devise bowel pouch...... *15.47 9.64 9.64 1.43 26.54 26.54 090
44320... .................. A Colostomy............... *12.94 7.46 7.46 1.57 21.97 21.97 090
44322... .................. A Colostomy with biopsies. *11.98 9.07 9.07 1.88 22.93 22.93 090
44340... .................. A Revision of colostomy... *5.66 1.68 1.68 0.35 7.69 7.69 090
44345... .................. A Revision of colostomy... *11.32 4.84 4.84 1.03 17.19 17.19 090
44346... .................. A Revision of colostomy... *12.46 6.65 6.65 1.38 20.49 20.49 090
44360... .................. A Small bowel endoscopy... 2.92 #3.21 #3.21 0.32 6.45 6.45 000
44361... .................. A Small bowel endoscopy, 3.23 #3.55 #3.55 0.34 7.12 7.12 000
biopsy.
44363... .................. A Small bowel endoscopy... 3.94 2.99 2.99 0.36 7.29 7.29 000
44364... .................. A Small bowel endoscopy... 4.22 #4.64 #4.64 0.72 9.58 9.58 000
44365... .................. A Small bowel endoscopy... 3.73 #4.10 #4.10 0.72 8.55 8.55 000
44366... .................. A Small bowel endoscopy... 4.97 #5.47 #5.47 0.45 10.89 10.89 000
44369... .................. A Small bowel endoscopy... 5.09 #5.60 #5.60 0.50 11.19 11.19 000
44372... .................. A Small bowel endoscopy... 4.97 #5.47 #5.47 0.67 11.11 11.11 000
44373... .................. A Small bowel endoscopy... 3.94 #4.33 #4.33 0.50 8.77 8.77 000
44376... .................. A Small bowel endoscopy... 5.69 4.05 4.05 0.26 10.00 10.00 000
44377... .................. A Small bowel endoscopy... 5.98 4.26 4.26 0.28 10.52 10.52 000
44378... .................. A Small bowel endoscopy... 7.71 5.27 5.27 0.35 13.33 13.33 000
44380... .................. A Small bowel endoscopy... 1.51 #1.66 #1.66 0.22 3.39 3.39 000
44382... .................. A Small bowel endoscopy... 1.82 #2.00 #2.00 0.29 4.11 4.11 000
44385... .................. A Endoscopy of bowel pouch 1.82 2.33 #2.00 0.34 4.49 4.16 000
44386... .................. A Endoscopy, bowel pouch, 2.12 1.54 1.54 0.15 3.81 3.81 000
biopsy.
44388... .................. A Colon endoscopy......... 2.82 3.61 #3.10 0.50 6.93 6.42 000
44389... .................. A Colonoscopy with biopsy. 3.13 4.00 #3.44 0.45 7.58 7.02 000
44390... .................. A Colonoscopy for foreign 3.83 2.63 2.63 0.28 6.74 6.74 000
body.
44391... .................. A Colonoscopy for bleeding 4.32 5.26 #4.75 0.53 10.11 9.60 000
44392... .................. A Colonoscopy & 3.82 5.16 #4.20 0.70 9.68 8.72 000
polypectomy.
44393... .................. A Colonoscopy, lesion 4.84 5.41 #5.32 0.70 10.95 10.86 000
removal.
44394... .................. A Colonoscopy w/snare..... 4.43 5.16 #4.87 0.70 10.29 10.00 000
44500... .................. A Intro, gastrointestinal 0.49 0.36 0.36 0.02 0.87 0.87 000
tube.
[[Page 59145]]
44602... .................. A Suture, small intestine. *10.61 7.65 7.65 1.62 19.88 19.88 090
44603... .................. A Suture, small intestine. *14.00 9.09 9.09 1.96 25.05 25.05 090
44604... .................. A Suture, large intestine. *14.28 7.87 7.87 1.67 23.82 23.82 090
44605... .................. A Repair of bowel lesion.. *15.37 9.37 9.37 2.02 26.76 26.76 090
44615... .................. A Intestinal *14.19 6.74 6.74 1.57 22.50 22.50 090
stricturoplasty.
44620... .................. A Repair bowel opening.... *10.87 5.97 5.97 1.26 18.10 18.10 090
44625... .................. A Repair bowel opening.... *13.41 9.58 9.58 2.03 25.02 25.02 090
44626... .................. A Repair bowel opening.... *22.59 11.37 11.37 2.40 36.36 36.36 090
44640... .................. A Repair bowel-skin *14.83 6.54 6.54 1.35 22.72 22.72 090
fistula.
44650... .................. A Repair bowel fistula.... *15.25 7.33 7.33 1.46 24.04 24.04 090
44660... .................. A Repair bowel-bladder *14.63 8.34 8.34 1.21 24.18 24.18 090
fistula.
44661... .................. A Repair bowel-bladder *16.99 13.94 13.94 2.52 33.45 33.45 090
fistula.
44680... .................. A Surgical revision, *13.72 9.71 9.71 2.14 25.57 25.57 090
intestine.
44700... .................. A Suspend bowel w/ *14.35 11.37 11.37 2.40 28.12 28.12 090
prosthesis.
44799... .................. C Intestine surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44800... .................. A Excision of bowel pouch. *11.23 5.24 5.24 1.08 17.55 17.55 090
44820... .................. A Excision of mesentery *10.31 5.80 5.80 1.21 17.32 17.32 090
lesion.
44850... .................. A Repair of mesentery..... *9.57 5.60 5.60 1.18 16.35 16.35 090
44899... .................. C Bowel surgery procedure. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
44900... .................. A Drain, app abscess, open *8.82 4.28 4.28 0.88 13.98 13.98 090
44901... .................. A Drain, app abscess, perc 3.38 2.56 2.56 0.30 6.24 6.24 000
44950... .................. A Appendectomy............ *8.70 4.89 4.89 1.01 14.60 14.60 090
44955... .................. A Appendectomy............ 1.53 #1.68 #1.68 0.60 3.81 3.81 ZZZ
44960... .................. A Appendectomy............ *10.74 5.89 5.89 1.24 17.87 17.87 090
45000... .................. A Drainage of pelvic *4.52 1.59 1.59 0.24 6.35 6.35 090
abscess.
45005... .................. A Drainage of rectal *1.99 1.29 1.29 0.21 3.49 3.49 010
abscess.
45020... .................. A Drainage of rectal *4.72 2.61 2.61 0.51 7.84 7.84 090
abscess.
45100... .................. A Biopsy of rectum........ *3.68 1.88 1.88 0.35 5.91 5.91 090
45108... .................. A Removal of anorectal *4.76 2.66 2.66 0.53 7.95 7.95 090
lesion.
45110... .................. A Removal of rectum....... *23.80 16.32 16.32 3.43 43.55 43.55 090
45111... .................. A Partial removal of *16.48 11.77 11.77 2.49 30.74 30.74 090
rectum.
45112... .................. A Removal of rectum....... *25.96 16.06 16.06 3.36 45.38 45.38 090
45113... .................. A Partial proctectomy..... *25.99 16.06 16.06 3.36 45.41 45.41 090
45114... .................. A Partial removal of *23.22 15.39 15.39 3.24 41.85 41.85 090
rectum.
45116... .................. A Partial removal of *20.89 10.77 10.77 2.34 34.00 34.00 090
rectum.
45119... .................. A Remove, rectum w/ *26.21 16.06 16.06 3.36 45.63 45.63 090
reservoir.
45120... .................. A Removal of rectum....... *24.60 16.39 16.39 3.54 44.53 44.53 090
45121... .................. A Removal of rectum and *27.04 10.79 10.79 2.01 39.84 39.84 090
colon.
45123... .................. A Partial proctectomy..... *14.20 11.77 11.77 2.49 28.46 28.46 090
45130... .................. A Excision of rectal *13.97 8.92 8.92 1.79 24.68 24.68 090
prolapse.
45135... .................. A Excision of rectal *16.39 15.95 15.95 3.50 35.84 35.84 090
prolapse.
45150... .................. A Excision of rectal *5.67 3.38 3.38 0.63 9.68 9.68 090
stricture.
45160... .................. A Excision of rectal *13.02 7.46 7.46 1.56 22.04 22.04 090
lesion.
45170... .................. A Excision of rectal *9.77 4.62 4.62 0.96 15.35 15.35 090
lesion.
45190... .................. A Destruction, rectal *8.28 5.09 5.09 1.06 14.43 14.43 090
tumor.
45300... .................. A Proctosigmoidoscopy..... 0.70 0.55 0.55 0.07 1.32 1.32 000
45303... .................. A Proctosigmoidoscopy..... 0.80 0.64 0.64 0.12 1.56 1.56 000
45305... .................. A Proctosigmoidoscopy; 1.01 0.84 0.84 0.14 1.99 1.99 000
biopsy.
45307... .................. A Proctosigmoidoscopy..... 1.71 1.27 1.27 0.18 3.16 3.16 000
45308... .................. A Proctosigmoidoscopy..... 1.51 1.13 1.13 0.20 2.84 2.84 000
45309... .................. A Proctosigmoidoscopy..... 2.01 1.13 1.13 0.20 3.34 3.34 000
45315... .................. A Proctosigmoidoscopy..... 2.54 1.19 1.19 0.18 3.91 3.91 000
45317... .................. A Proctosigmoidoscopy..... 2.73 1.26 1.26 0.19 4.18 4.18 000
45320... .................. A Proctosigmoidoscopy..... 2.88 1.87 1.87 0.34 5.09 5.09 000
45321... .................. A Proctosigmoidoscopy..... 2.12 1.47 1.47 0.27 3.86 3.86 000
45330... .................. A Sigmoidoscopy, 0.96 1.23 #1.06 0.12 2.31 2.14 000
diagnostic.
45331... .................. A Sigmoidoscopy and biopsy 1.26 1.61 #1.39 0.15 3.02 2.80 000
45332... .................. A Sigmoidoscopy........... 1.96 1.76 1.76 0.16 3.88 3.88 000
45333... .................. A Sigmoidoscopy & 1.96 2.24 #2.16 0.26 4.46 4.38 000
polypectomy.
45334... .................. A Sigmoidoscopy for 2.99 2.71 2.71 0.23 5.93 5.93 000
bleeding.
45337... .................. A Sigmoidoscopy, 2.36 #2.60 #2.60 0.38 5.34 5.34 000
decompression.
45338... .................. A Sigmoidoscopy........... 2.57 2.24 2.24 0.26 5.07 5.07 000
45339... .................. A Sigmoidoscopy........... 3.14 3.24 3.24 0.31 6.69 6.69 000
45355... .................. A Surgical colonoscopy.... 3.52 1.17 1.17 0.10 4.79 4.79 000
45378... .................. A Diagnostic colonoscopy.. 3.70 4.13 #4.07 0.39 8.22 8.16 000
45378... 53 A Diagnostic colonoscopy.. 0.96 1.23 #1.06 0.12 2.31 2.14 000
45379... .................. A Colonoscopy............. 4.72 5.33 #5.19 0.45 10.50 10.36 000
45380... .................. A Colonoscopy and biopsy.. 4.01 4.79 #4.41 0.40 9.20 8.82 000
45382... .................. A Colonoscopy, control 5.73 5.87 5.87 0.41 12.01 12.01 000
bleeding.
45383... .................. A Colonoscopy, lesion 5.87 5.92 5.92 0.50 12.29 12.29 000
removal.
45384... .................. A Colonoscopy............. 4.70 #5.17 #5.17 0.58 10.45 10.45 000
45385... .................. A Colonoscopy, lesion 5.31 6.65 #5.84 0.58 12.54 11.73 000
removal.
45500... .................. A Repair of rectum........ *7.29 5.95 5.95 1.21 14.45 14.45 090
45505... .................. A Repair of rectum........ *6.02 6.29 6.29 1.23 13.54 13.54 090
[[Page 59146]]
45520... .................. A Treatment of rectal 0.55 0.61 0.61 0.10 1.26 1.26 000
prolapse.
45540... .................. A Correct rectal prolapse. *12.92 9.89 9.89 2.10 24.91 24.91 090
45541... .................. A Correct rectal prolapse. *10.64 10.17 10.17 2.04 22.85 22.85 090
45550... .................. A Repair rectum; remove *18.26 11.49 11.49 2.38 32.13 32.13 090
sigmoid.
45560... .................. A Repair of rectocele..... *8.40 4.79 4.79 0.98 14.17 14.17 090
45562... .................. A Exploration/repair of *12.21 8.09 8.09 1.58 21.88 21.88 090
rectum.
45563... .................. A Exploration/repair of *18.63 12.77 12.77 2.49 33.89 33.89 090
rectum.
45800... .................. A Repair rectumbladder *14.11 9.82 9.82 1.45 25.38 25.38 090
fistula.
45805... .................. A Repair fistula; *16.50 12.32 12.32 2.39 31.21 31.21 090
colostomy.
45820... .................. A Repair rectourethral *14.67 8.98 8.98 1.23 24.88 24.88 090
fistula.
45825... .................. A Repair fistula; *16.87 9.87 9.87 1.66 28.40 28.40 090
colostomy.
45900... .................. A Reduction of rectal *1.83 0.58 0.58 0.11 2.52 2.52 010
prolapse.
45905... .................. A Dilation of anal *1.61 0.71 0.71 0.12 2.44 2.44 010
sphincter.
45910... .................. A Dilation of rectal *1.96 0.87 0.87 0.13 2.96 2.96 010
narrowing.
45915... .................. A Remove rectal *2.20 0.78 0.78 0.09 3.07 3.07 010
obstruction.
45999... .................. C Rectum surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY
46030... .................. A Removal of rectal marker *1.23 0.40 0.40 0.07 1.70 1.70 010
46040... .................. A Incision of rectal *4.96 1.69 1.69 0.34 6.99 6.99 090
abscess.
46045... .................. A Incision of rectal *4.32 1.85 1.85 0.38 6.55 6.55 090
abscess.
46050... .................. A Incision of anal abscess *1.19 0.60 0.60 0.11 1.90 1.90 010
46060... .................. A Incision of rectal *5.69 5.35 5.35 1.12 12.16 12.16 090
abscess.
46070... .................. A Incision of anal septum. *2.71 1.37 1.37 0.33 4.41 4.41 090
46080... .................. A Incision of anal *2.49 2.13 2.13 0.43 5.05 5.05 010
sphincter.
46083... .................. A Incise external *1.40 0.63 0.63 0.08 2.11 2.11 010
hemorrhoid.
46200... .................. A Removal of anal fissure. *3.42 3.29 3.29 0.66 7.37 7.37 090
46210... .................. A Removal of anal crypt... *2.67 0.77 0.77 0.14 3.58 3.58 090
46211... .................. A Removal of anal crypts.. *4.25 1.90 1.90 0.38 6.53 6.53 090
46220... .................. A Removal of anal tab..... *1.56 0.63 0.63 0.12 2.31 2.31 010
46221... .................. A Ligation of *1.43 0.66 0.66 0.14 2.23 2.23 010
hemorrhoid(s).
46230... .................. A Removal of anal tabs.... *2.57 0.83 0.83 0.12 3.52 3.52 010
46250... .................. A Hemorrhoidectomy........ *4.53 2.84 2.84 0.52 7.89 7.89 090
46255... .................. A Hemorrhoidectomy........ *5.36 4.72 4.72 0.85 10.93 10.93 090
46257... .................. A Remove hemorrhoids & *6.28 5.23 5.23 1.08 12.59 12.59 090
fissure.
46258... .................. A Remove hemorrhoids & *6.67 5.87 5.87 1.22 13.76 13.76 090
fistula.
46260... .................. A Hemorrhoidectomy........ *7.42 6.07 6.07 1.25 14.74 14.74 090
46261... .................. A Remove hemorrhoids & *8.24 6.62 6.62 1.34 16.20 16.20 090
fissure.
46262... .................. A Remove hemorrhoids & *8.73 6.72 6.72 1.39 16.84 16.84 090
fistula.
46270... .................. A Removal of anal fistula. *3.72 1.87 1.87 0.37 5.96 5.96 090
46275... .................. A Removal of anal fistula. *4.56 #5.02 #5.02 1.13 10.71 10.71 090
46280... .................. A Removal of anal fistula. *5.98 6.08 6.08 1.24 13.30 13.30 090
46285... .................. A Removal of anal fistula. *4.09 2.28 2.28 0.43 6.80 6.80 090
46288... .................. A Repair anal fistula..... *7.13 3.57 3.57 0.83 11.53 11.53 090
46320... .................. A Removal of hemorrhoid *1.61 0.70 0.70 0.11 2.42 2.42 010
clot.
46500... .................. A Injection into *1.61 0.32 0.32 0.06 1.99 1.99 010
hemorrhoids.
46600... .................. A Diagnostic anoscopy..... 0.50 0.28 0.28 0.03 0.81 0.81 000
46604... .................. A Anoscopy and dilation... 1.31 0.38 0.38 0.06 1.75 1.75 000
46606... .................. A Anoscopy and biopsy..... 0.81 0.36 0.36 0.06 1.23 1.23 000
46608... .................. A Anoscopy; remove foreign 1.51 1.07 1.07 0.12 2.70 2.70 000
body.
46610... .................. A Anoscopy; remove lesion. 1.32 0.85 0.85 0.15 2.32 2.32 000
46611... .................. A Anoscopy................ 1.81 0.85 0.85 0.15 2.81 2.81 000
46612... .................. A Anoscopy; remove lesions 2.34 1.39 1.39 0.20 3.93 3.93 000
46614... .................. A Anoscopy; control 2.01 1.55 1.55 0.25 3.81 3.81 000
bleeding.
46615... .................. A Anoscopy................ 2.68 1.55 1.55 0.25 4.48 4.48 000
46700... .................. A Repair of anal stricture *7.25 6.14 6.14 1.24 14.63 14.63 090
46705... .................. A Repair of anal stricture *7.17 3.60 3.60 0.77 11.54 11.54 090
46715... .................. A Repair of anovaginal *7.46 3.51 3.51 0.82 11.79 11.79 090
fistula.
46716... .................. A Repair of anovaginal *12.15 6.05 6.05 1.40 19.60 19.60 090
fistula.
46730... .................. A Construction of absent *21.57 10.74 10.74 2.50 34.81 34.81 090
anus.
46735... .................. A Construction of absent *25.94 13.04 13.04 3.04 42.02 42.02 090
anus.
46740... .................. A Construction of absent *23.11 11.55 11.55 2.68 37.34 37.34 090
anus.
46742... .................. A Repair, imperforated *29.67 19.75 19.75 1.93 51.35 51.35 090
anus.
46744... .................. A Repair, cloacal anomaly. *33.21 22.17 22.17 2.17 57.55 57.55 090
46746... .................. A Repair, cloacal anomaly. *36.74 24.26 24.26 2.37 63.37 63.37 090
46748... .................. A Repair, cloacal anomaly. *40.52 27.03 27.03 2.64 70.19 70.19 090
46750... .................. A Repair of anal sphincter *8.14 6.00 6.00 1.22 15.36 15.36 090
46751... .................. A Repair of anal sphincter *8.56 4.07 4.07 0.95 13.58 13.58 090
46753... .................. A Reconstruction of anus.. *6.58 4.89 4.89 1.02 12.49 12.49 090
46754... .................. A Removal of suture from *1.54 1.48 1.48 0.30 3.32 3.32 010
anus.
46760... .................. A Repair of anal sphincter *11.46 6.80 6.80 1.41 19.67 19.67 090
46761... .................. A Repair of anal sphincter *10.99 6.83 6.83 1.35 19.17 19.17 090
46762... .................. A Implant artificial *10.09 5.72 5.72 1.21 17.02 17.02 090
sphincter.
46900... .................. A Destruction, anal *1.91 0.39 0.39 0.06 2.36 2.36 010
lesion(s).
46910... .................. A Destruction, anal *1.86 0.64 0.64 0.08 2.58 2.58 010
lesion(s).
46916... .................. A Cryosurgery, anal *1.86 0.67 0.67 0.06 2.59 2.59 010
lesion(s).
[[Page 59147]]
46917... .................. A Laser surgery, anal *1.86 1.94 1.94 0.31 4.11 4.11 010
lesion(s).
46922... .................. A Excision of anal *1.86 1.28 1.28 0.23 3.37 3.37 010
lesion(s).
46924... .................. A Destruction, anal *2.76 2.56 2.56 0.46 5.78 5.78 010
lesion(s).
46934... .................. A Destruction of *4.08 1.19 1.19 0.17 5.44 5.44 090
hemorrhoids.
46935... .................. A Destruction of *2.43 1.62 1.62 0.22 4.27 4.27 010
hemorrhoids.
46936... .................. A Destruction of *4.30 2.29 2.29 0.24 6.83 6.83 090
hemorrhoids.
46937... .................. A Cryotherapy of rectal *2.69 2.35 2.35 0.45 5.49 5.49 010
lesion.
46938... .................. A Cryotherapy of rectal *4.66 2.50 2.50 0.52 7.68 7.68 090
lesion.
46940... .................. A Treatment of anal *2.32 0.51 0.51 0.09 2.92 2.92 010
fissure.
46942... .................. A Treatment of anal *2.04 0.46 0.46 0.08 2.58 2.58 010
fissure.
46945... .................. A Ligation of hemorrhoids. *2.14 0.63 0.63 0.12 2.89 2.89 090
46946... .................. A Ligation of hemorrhoids. *3.00 0.94 0.94 0.17 4.11 4.11 090
46999... .................. C Anus surgery procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
47000... .................. A Needle biopsy of liver.. 1.90 1.40 1.40 0.13 3.43 3.43 000
47001... .................. A Needle biopsy, liver.... 1.90 1.40 1.40 0.13 3.43 3.43 ZZZ
47010... .................. A Open drainage, liver *10.28 6.75 6.75 1.13 18.16 18.16 090
lesion.
47011... .................. A Percut drain, liver 3.70 2.80 2.80 0.33 6.83 6.83 000
lesion.
47015... .................. A Inject/aspirate liver *9.70 6.75 6.75 1.13 17.58 17.58 090
cyst.
47100... .................. A Wedge biopsy of liver... *7.49 3.29 3.29 0.67 11.45 11.45 090
47120... .................. A Partial removal of liver *22.79 12.00 12.00 2.48 37.27 37.27 090
47122... .................. A Extensive removal of *35.39 17.58 17.58 3.59 56.56 56.56 090
liver.
47125... .................. A Partial removal of liver *31.58 17.43 17.43 3.61 52.62 52.62 090
47130... .................. A Partial removal of liver *34.25 19.19 19.19 3.89 57.33 57.33 090
47133... .................. X Removal of donor liver.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
47134... .................. R Partial removal, donor 39.15 20.48 20.48 4.77 64.40 64.40 XXX
liver.
47135... .................. R Transplantation of liver *81.52 54.48 54.48 8.49 144.49 144.49 090
47136... .................. R Transplantation of liver *68.60 33.50 33.50 7.79 109.89 109.89 090
47300... .................. A Surgery for liver lesion *9.68 7.67 7.67 1.59 18.94 18.94 090
47350... .................. A Repair liver wound...... *12.56 7.46 7.46 1.49 21.51 21.51 090
47360... .................. A Repair liver wound...... *17.28 10.93 10.93 2.18 30.39 30.39 090
47361... .................. A Repair liver wound...... *30.25 14.64 14.64 3.41 48.30 48.30 090
47362... .................. A Repair liver wound...... *11.88 5.23 5.23 1.22 18.33 18.33 090
47399... .................. C Liver surgery procedure. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
47400... .................. A Incision of liver duct.. *20.86 8.53 8.53 1.36 30.75 30.75 090
47420... .................. A Incision of bile duct... *16.72 9.48 9.48 1.99 28.19 28.19 090
47425... .................. A Incision of bile duct... *16.68 11.71 11.71 2.45 30.84 30.84 090
47460... .................. A Incise bile duct *15.17 15.54 15.54 1.82 32.53 32.53 090
sphincter.
47480... .................. A Incision of gallbladder. *9.10 7.60 7.60 1.59 18.29 18.29 090
47490... .................. A Incision of gallbladder. *7.23 3.57 3.57 0.38 11.18 11.18 090
47500... .................. A Injection for liver x- 1.96 1.51 1.51 0.14 3.61 3.61 000
rays.
47505... .................. A Injection for liver x- 0.76 0.98 #0.84 0.14 1.88 1.74 000
rays.
47510... .................. A Insert catheter, bile *7.83 2.87 2.87 0.25 10.95 10.95 090
duct.
47511... .................. A Insert bile duct drain.. *10.50 2.87 2.87 0.25 13.62 13.62 090
47525... .................. A Change bile duct *5.55 1.59 1.59 0.16 7.30 7.30 010
catheter.
47530... .................. A Revise, reinsert bile *5.85 1.51 1.51 0.19 7.55 7.55 090
tube.
47550... .................. A Bile duct endoscopy..... 3.02 1.56 1.56 0.35 4.93 4.93 000
47552... .................. A Biliary endoscopy, thru 6.04 1.36 1.36 0.21 7.61 7.61 000
skin.
47553... .................. A Biliary endoscopy, thru 6.35 3.80 3.80 0.62 10.77 10.77 000
skin.
47554... .................. A Biliary endoscopy, thru 9.06 3.93 3.93 0.67 13.66 13.66 000
skin.
47555... .................. A Biliary endoscopy, thru 7.56 2.63 2.63 0.30 10.49 10.49 000
skin.
47556... .................. A Biliary endoscopy, thru 8.56 2.63 2.63 0.30 11.49 11.49 000
skin.
47600... .................. A Removal of gallbladder.. *11.42 7.53 7.53 1.58 20.53 20.53 090
47605... .................. A Removal of gallbladder.. *12.36 8.14 8.14 1.75 22.25 22.25 090
47610... .................. A Removal of gallbladder.. *15.83 9.37 9.37 2.00 27.20 27.20 090
47612... .................. A Removal of gallbladder.. *15.80 14.23 14.23 3.05 33.08 33.08 090
47620... .................. A Removal of gallbladder.. *17.36 11.23 11.23 2.36 30.95 30.95 090
47630... .................. A Remove bile duct stone.. *9.11 3.75 3.75 0.40 13.26 13.26 090
47700... .................. A Exploration of bile *14.93 7.63 7.63 1.58 24.14 24.14 090
ducts.
47701... .................. A Bile duct revision...... *27.81 8.21 8.21 1.90 37.92 37.92 090
47711... .................. A Excision of bile duct *19.37 12.06 12.06 2.46 33.89 33.89 090
tumor.
47712... .................. A Excision of bile duct *25.44 12.06 12.06 2.46 39.96 39.96 090
tumor.
47715... .................. A Excision of bile duct *15.81 8.22 8.22 1.71 25.74 25.74 090
cyst.
47716... .................. A Fusion of bile duct cyst *13.83 6.56 6.56 1.53 21.92 21.92 090
47720... .................. A Fuse gallbladder & bowel *13.38 9.16 9.16 1.93 24.47 24.47 090
47721... .................. A Fuse upper gi structures *16.08 11.42 11.42 2.47 29.97 29.97 090
47740... .................. A Fuse gallbladder & bowel *15.54 10.21 10.21 2.14 27.89 27.89 090
47741... .................. A Fuse gallbladder & bowel *17.95 14.35 14.35 3.02 35.32 35.32 090
47760... .................. A Fuse bile ducts and *21.74 11.61 11.61 2.53 35.88 35.88 090
bowel.
47765... .................. A Fuse liver ducts & bowel *20.93 14.61 14.61 2.97 38.51 38.51 090
47780... .................. A Fuse bile ducts and *22.29 13.07 13.07 2.73 38.09 38.09 090
bowel.
47785... .................. A Fuse bile ducts and *26.23 13.07 13.07 2.73 42.03 42.03 090
bowel.
47800... .................. A Reconstruction of bile *19.60 13.22 13.22 2.43 35.25 35.25 090
ducts.
47801... .................. A Placement, bile duct *12.76 5.48 5.48 0.81 19.05 19.05 090
support.
47802... .................. A Fuse liver duct & *18.13 10.27 10.27 1.75 30.15 30.15 090
intestine.
[[Page 59148]]
47900... .................. A Suture bile duct injury. *16.74 13.22 13.22 2.43 32.39 32.39 090
47999... .................. C Bile tract surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
48000... .................. A Drainage of abdomen..... *14.91 7.05 7.05 1.40 23.36 23.36 090
48001... .................. A Placement of drain, *18.83 8.13 8.13 1.89 28.85 28.85 090
pancreas.
48005... .................. A Resect/debride pancreas. *22.40 9.19 9.19 2.14 33.73 33.73 090
48020... .................. A Removal of pancreatic *14.22 6.78 6.78 1.57 22.57 22.57 090
stone.
48100... .................. A Biopsy of pancreas...... *11.08 4.21 4.21 0.79 16.08 16.08 090
48102... .................. A Needle biopsy, pancreas. *4.68 2.41 2.41 0.25 7.34 7.34 010
48120... .................. A Removal of pancreas *14.36 9.72 9.72 2.07 26.15 26.15 090
lesion.
48140... .................. A Partial removal of *20.78 13.29 13.29 2.83 36.90 36.90 090
pancreas.
48145... .................. A Partial removal of *21.76 15.71 15.71 3.16 40.63 40.63 090
pancreas.
48146... .................. A Pancreatectomy.......... *23.91 16.49 16.49 1.92 42.32 42.32 090
48148... .................. A Removal of pancreatic *15.71 8.23 8.23 1.68 25.62 25.62 090
duct.
48150... .................. A Partial removal of *43.48 22.54 22.54 4.75 70.77 70.77 090
pancreas.
48152... .................. A Pancreatectomy.......... *39.63 22.54 22.54 4.75 66.92 66.92 090
48153... .................. A Pancreatectomy.......... *43.38 22.54 22.54 4.75 70.67 70.67 090
48154... .................. A Pancreatectomy.......... *39.95 22.54 22.54 4.75 67.24 67.24 090
48155... .................. A Removal of pancreas..... *22.32 20.40 20.40 4.26 46.98 46.98 090
48160... .................. N Pancreas removal, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
48180... .................. A Fuse pancreas and bowel. *22.39 12.60 12.60 2.63 37.62 37.62 090
48400... .................. A Injection, 1.95 1.03 1.03 0.24 3.22 3.22 ZZZ
intraoperative.
48500... .................. A Surgery of pancreas cyst *13.84 8.53 8.53 1.66 24.03 24.03 090
48510... .................. A Drain pancreatic *12.96 7.54 7.54 1.44 21.94 21.94 090
pseudocyst.
48511... .................. A Drain pancreatic 4.00 3.03 3.03 0.35 7.38 7.38 000
pseudocyst.
48520... .................. A Fuse pancreas cyst and *14.12 11.30 11.30 2.43 27.85 27.85 090
bowel.
48540... .................. A Fuse pancreas cyst and *17.86 12.66 12.66 2.65 33.17 33.17 090
bowel.
48545... .................. A Pancreatorrhaphy........ *16.47 7.66 7.66 1.79 25.92 25.92 090
48547... .................. A Duodenal exclusion...... *23.40 11.08 11.08 2.58 37.06 37.06 090
48550... .................. N Donor pancreatectomy.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
48554... .................. N Transplantallograft +34.17 17.87 17.87 4.16 56.20 56.20 XXX
pancreas.
48556... .................. A Removal, allograft *15.71 7.26 7.26 1.69 24.66 24.66 090
pancreas.
48999... .................. C Pancreas surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
49000... .................. A Exploration of abdomen.. *11.68 6.79 6.79 1.40 19.87 19.87 090
49002... .................. A Reopening of abdomen.... *10.49 6.05 6.05 1.21 17.75 17.75 090
49010... .................. A Exploration behind *12.28 6.95 6.95 1.31 20.54 20.54 090
abdomen.
49020... .................. A Drain abdominal abscess. *16.79 4.82 4.82 0.91 22.52 22.52 090
49021... .................. A Drain abdominal abscess. *3.38 #3.72 #3.72 0.91 8.01 8.01 000
49040... .................. A Open drainage abdom *9.94 6.54 6.54 1.27 17.75 17.75 090
abscess.
49041... .................. A Percut drain abdom 4.00 3.03 3.03 0.35 7.38 7.38 000
abscess.
49060... .................. A Open drain retroper *11.66 5.54 5.54 1.01 18.21 18.21 090
abscess.
49061... .................. A Percutdrain retroper 3.70 2.80 2.80 0.33 6.83 6.83 000
abscess.
49062... .................. A Drain to peritoneal *11.36 8.07 8.07 0.79 20.22 20.22 090
cavity.
49080... .................. A Puncture, peritoneal 1.35 0.87 0.87 0.08 2.30 2.30 000
cavity.
49081... .................. A Removal of abdominal 1.26 0.75 0.75 0.07 2.08 2.08 000
fluid.
49085... .................. A Remove abdomen foreign *8.93 3.46 3.46 0.67 13.06 13.06 090
body.
49180... .................. A Biopsy, abdominal mass.. 1.73 1.82 1.82 0.20 3.75 3.75 000
49200... .................. A Removal of abdominal *10.25 8.38 8.38 1.70 20.33 20.33 090
lesion.
49201... .................. A Removal of abdominal *14.84 12.10 12.10 2.50 29.44 29.44 090
lesion.
49215... .................. A Excise sacral spine *22.36 8.50 8.50 1.59 32.45 32.45 090
tumor.
49220... .................. A Multiple surgery, *14.88 12.30 12.30 2.53 29.71 29.71 090
abdomen.
49250... .................. A Excision of umbilicus... *8.35 4.52 4.52 0.96 13.83 13.83 090
49255... .................. A Removal of omentum...... *11.14 5.16 5.16 1.15 17.45 17.45 090
49400... .................. A Air injection into 1.88 1.12 1.12 0.17 3.17 3.17 000
abdomen.
49420... .................. A Insert abdominal drain.. 2.22 1.58 1.58 0.20 4.00 4.00 000
49421... .................. A Insert abdominal drain.. *5.54 4.14 4.14 0.81 10.49 10.49 090
49422... .................. A Remove perm cannula/ *6.25 4.14 4.14 0.81 11.20 11.20 010
catheter.
49423... .................. A Exchange drainage cath.. 1.46 1.10 1.10 0.13 2.69 2.69 000
49424... .................. A Assess cyst, contrast 0.76 0.57 0.57 0.07 1.40 1.40 000
inj.
49425... .................. A Insert abdomen-venous *11.37 8.48 8.48 1.78 21.63 21.63 090
drain.
49426... .................. A Revise abdomen-venous *9.63 5.39 5.39 1.07 16.09 16.09 090
shunt.
49427... .................. A Injection, abdominal 0.89 0.49 0.49 0.03 1.41 1.41 000
shunt.
49428... .................. A Ligation of shunt....... *2.38 1.04 1.04 0.24 3.66 3.66 010
49429... .................. A Removal of shunt........ *7.40 3.32 3.32 0.77 11.49 11.49 010
49495... .................. A Repair inguinal hernia, *5.89 4.98 4.98 0.95 11.82 11.82 090
init.
49496... .................. A Repair inguinal hernia, *8.79 5.04 5.04 1.08 14.91 14.91 090
init.
49500... .................. A Repair inguinal hernia.. *4.68 4.98 4.98 0.95 10.61 10.61 090
49501... .................. A Repair inguinal hernia, *7.58 5.04 5.04 1.08 13.70 13.70 090
init.
49505... .................. A Repair inguinal hernia.. *6.49 4.51 4.51 0.94 11.94 11.94 090
49507... .................. A Repair, inguinal hernia. *8.17 5.04 5.04 1.08 14.29 14.29 090
49520... .................. A Rerepair inguinal hernia *8.22 5.22 5.22 1.11 14.55 14.55 090
49521... .................. A Repair inguinal hernia, *10.22 5.04 5.04 1.08 16.34 16.34 090
rec.
49525... .................. A Repair inguinal hernia.. *7.32 5.55 5.55 1.16 14.03 14.03 090
49540... .................. A Repair lumbar hernia.... *8.87 5.20 5.20 1.12 15.19 15.19 090
49550... .................. A Repair femoral hernia... *7.37 4.61 4.61 0.97 12.95 12.95 090
[[Page 59149]]
49553... .................. A Repair femoral hernia, *8.06 4.61 4.61 0.97 13.64 13.64 090
init.
49555... .................. A Repair femoral hernia... *7.71 6.07 6.07 1.26 15.04 15.04 090
49557... .................. A Repair femoral hernia, *9.52 6.07 6.07 1.26 16.85 16.85 090
recur.
49560... .................. A Repair abdominal hernia. *9.88 5.65 5.65 1.19 16.72 16.72 090
49561... .................. A Repair incisional hernia *12.17 5.65 5.65 1.19 19.01 19.01 090
49565... .................. A Rerepair abdominal *9.88 6.41 6.41 1.35 17.64 17.64 090
hernia.
49566... .................. A Repair incisional hernia *12.30 6.41 6.41 1.35 20.06 20.06 090
49568... .................. A Hernia repair w/mesh.... 4.89 2.56 2.56 0.59 8.04 8.04 ZZZ
49570... .................. A Repair epigastric hernia *4.86 4.38 4.38 0.91 10.15 10.15 090
49572... .................. A Repair, epigastric *5.75 5.60 5.60 1.18 12.53 12.53 090
hernia.
49580... .................. A Repair umbilical hernia. *3.51 #3.86 #3.86 0.94 8.31 8.31 090
49582... .................. A Repair umbilical hernia. *5.68 4.61 4.61 0.94 11.23 11.23 090
49585... .................. A Repair umbilical hernia. *5.32 4.41 4.41 0.91 10.64 10.64 090
49587... .................. A Repair umbilical hernia. *6.46 4.41 4.41 0.91 11.78 11.78 090
49590... .................. A Repair abdominal hernia. *7.29 5.63 5.63 1.22 14.14 14.14 090
49600... .................. A Repair umbilical lesion. *10.35 5.26 5.26 0.77 16.38 16.38 090
49605... .................. A Repair umbilical lesion. *22.66 8.57 8.57 1.77 33.00 33.00 090
49606... .................. A Repair umbilical lesion. *18.60 8.31 8.31 0.96 27.87 27.87 090
49610... .................. A Repair umbilical lesion. *10.50 5.48 5.48 1.27 17.25 17.25 090
49611... .................. A Repair umbilical lesion. *8.92 9.00 9.00 0.58 18.50 18.50 090
49900... .................. A Repair of abdominal wall *12.28 3.66 3.66 0.75 16.69 16.69 090
49905... .................. A Omental flap............ 6.55 3.42 3.42 0.80 10.77 10.77 ZZZ
49906... .................. C Free omental flap, 0.00 0.00 0.00 0.00 0.00 0.00 090
microvasc.
49999... .................. C Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
50010... .................. A Exploration of kidney... *10.98 9.55 9.55 1.13 21.66 21.66 090
50020... .................. A Open drain renal abscess *14.66 6.80 6.80 0.85 22.31 22.31 090
50021... .................. A Percut drain renal 3.38 2.56 2.56 0.30 6.24 6.24 000
abscess.
50040... .................. A Drainage of kidney...... *14.94 7.18 7.18 0.62 22.74 22.74 090
50045... .................. A Exploration of kidney... *15.46 9.81 9.81 0.89 26.16 26.16 090
50060... .................. A Removal of kidney stone. *19.30 12.25 12.25 1.21 32.76 32.76 090
50065... .................. A Incision of kidney...... *20.79 13.93 13.93 1.35 36.07 36.07 090
50070... .................. A Incision of kidney...... *20.32 12.87 12.87 1.35 34.54 34.54 090
50075... .................. A Removal of kidney stone. *25.34 16.87 16.87 1.62 43.83 43.83 090
50080... .................. A Removal of kidney stone. *14.71 12.20 12.20 1.15 28.06 28.06 090
50081... .................. A Removal of kidney stone. *21.80 14.96 14.96 1.44 38.20 38.20 090
50100... .................. A Revise kidney blood *16.09 10.34 10.34 1.35 27.78 27.78 090
vessels.
50120... .................. A Exploration of kidney... *15.91 10.91 10.91 1.24 28.06 28.06 090
50125... .................. A Explore and drain kidney *16.52 10.95 10.95 1.06 28.53 28.53 090
50130... .................. A Removal of kidney stone. *17.29 12.80 12.80 1.26 31.35 31.35 090
50135... .................. A Exploration of kidney... *19.18 17.05 17.05 1.63 37.86 37.86 090
50200... .................. A Biopsy of kidney........ 2.63 2.61 2.61 0.22 5.46 5.46 000
50205... .................. A Biopsy of kidney........ *11.31 5.64 5.64 0.69 17.64 17.64 090
50220... .................. A Removal of kidney....... *17.15 13.31 13.31 1.43 31.89 31.89 090
50225... .................. A Removal of kidney....... *20.23 16.52 16.52 1.70 38.45 38.45 090
50230... .................. A Removal of kidney....... *22.07 18.40 18.40 1.84 42.31 42.31 090
50234... .................. A Removal of kidney & *22.40 16.65 16.65 1.65 40.70 40.70 090
ureter.
50236... .................. A Removal of kidney & *24.86 17.74 17.74 1.74 44.34 44.34 090
ureter.
50240... .................. A Partial removal of *22.00 16.00 16.00 1.70 39.70 39.70 090
kidney.
50280... .................. A Removal of kidney lesion *15.67 10.86 10.86 1.16 27.69 27.69 090
50290... .................. A Removal of kidney lesion *14.73 8.87 8.87 1.19 24.79 24.79 090
50300... .................. X Removal of donor kidney. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
50320... .................. A Removal of donor kidney. *22.21 16.49 16.49 2.40 41.10 41.10 090
50340... .................. A Removal of kidney....... *12.15 12.49 12.49 2.24 26.88 26.88 090
50360... .................. A Transplantation of *31.53 24.45 24.45 4.24 60.22 60.22 090
kidney.
50365... .................. A Transplantation of *36.81 30.71 30.71 3.89 71.41 71.41 090
kidney.
50370... .................. A Remove transplanted *13.72 11.08 11.08 1.92 26.72 26.72 090
kidney.
50380... .................. A Reimplantation of kidney *20.76 10.12 10.12 1.71 32.59 32.59 090
50390... .................. A Drainage of kidney 1.96 1.69 1.69 0.15 3.80 3.80 000
lesion.
50392... .................. A Insert kidney drain..... 3.38 2.36 2.36 0.20 5.94 5.94 000
50393... .................. A Insert ureteral tube.... 4.16 3.01 3.01 0.26 7.43 7.43 000
50394... .................. A Injection for kidney x- 0.76 0.55 0.55 0.05 1.36 1.36 000
ray.
50395... .................. A Create passage to kidney 3.38 3.33 3.33 0.29 7.00 7.00 000
50396... .................. A Measure kidney pressure. 2.09 0.50 0.50 0.05 2.64 2.64 000
50398... .................. A Change kidney tube...... 1.46 0.53 0.53 0.05 2.04 2.04 000
50400... .................. A Revision of kidney/ *19.50 13.66 13.66 1.36 34.52 34.52 090
ureter.
50405... .................. A Revision of kidney/ *23.93 17.29 17.29 1.74 42.96 42.96 090
ureter.
50500... .................. A Repair of kidney wound.. *19.57 12.46 12.46 1.64 33.67 33.67 090
50520... .................. A Close kidney-skin *17.23 10.34 10.34 1.50 29.07 29.07 090
fistula.
50525... .................. A Repair renal-abdomen *22.27 12.61 12.61 1.99 36.87 36.87 090
fistula.
50526... .................. A Repair renal-abdomen *24.02 7.39 7.39 2.32 33.73 33.73 090
fistula.
50540... .................. A Revision of horseshoe *19.93 13.41 13.41 1.54 34.88 34.88 090
kidney.
50551... .................. A Kidney endoscopy........ 5.60 2.19 2.19 0.21 8.00 8.00 000
50553... .................. A Kidney endoscopy........ 5.99 1.66 1.66 0.17 7.82 7.82 000
50555... .................. A Kidney endoscopy & 6.53 4.70 4.70 0.45 11.68 11.68 000
biopsy.
[[Page 59150]]
50557... .................. A Kidney endoscopy & 6.62 4.71 4.71 0.49 11.82 11.82 000
treatment.
50559... .................. A Renal endoscopy; 6.78 1.34 1.34 0.14 8.26 8.26 000
radiotracer.
50561... .................. A Kidney endoscopy & 7.59 5.12 5.12 0.49 13.20 13.20 000
treatment.
50570... .................. A Kidney endoscopy........ 9.54 1.45 1.45 0.14 11.13 11.13 000
50572... .................. A Kidney endoscopy........ 10.35 7.25 7.25 0.75 18.35 18.35 000
50574... .................. A Kidney endoscopy & 11.02 7.08 7.08 0.64 18.74 18.74 000
biopsy.
50575... .................. A Kidney endoscopy........ 13.98 9.93 9.93 0.97 24.88 24.88 000
50576... .................. A Kidney endoscopy & 10.99 8.69 8.69 0.77 20.45 20.45 000
treatment.
50578... .................. A Renal endoscopy; 11.35 3.79 3.79 1.19 16.33 16.33 000
radiotracer.
50580... .................. A Kidney endoscopy & 11.86 3.58 3.58 0.35 15.79 15.79 000
treatment.
50590... .................. A Fragmenting of kidney *9.09 #10.00 #10.00 0.97 20.06 20.06 090
stone.
50600... .................. A Exploration of ureter... *15.84 9.69 9.69 1.01 26.54 26.54 090
50605... .................. A Insert ureteral support. *15.46 6.11 6.11 0.60 22.17 22.17 090
50610... .................. A Removal of ureter stone. *15.92 11.77 11.77 1.17 28.86 28.86 090
50620... .................. A Removal of ureter stone. *15.16 11.49 11.49 1.16 27.81 27.81 090
50630... .................. A Removal of ureter stone. *14.94 12.71 12.71 1.25 28.90 28.90 090
50650... .................. A Removal of ureter....... *17.41 12.07 12.07 1.21 30.69 30.69 090
50660... .................. A Removal of ureter....... *19.55 12.49 12.49 1.53 33.57 33.57 090
50684... .................. A Injection for ureter x- 0.76 0.49 0.49 0.05 1.30 1.30 000
ray.
50686... .................. A Measure ureter pressure. 1.51 0.37 0.37 0.04 1.92 1.92 000
50688... .................. A Change of ureter tube... *1.17 0.39 0.39 0.04 1.60 1.60 010
50690... .................. A Injection for ureter x- 1.16 0.32 0.32 0.03 1.51 1.51 000
ray.
50700... .................. A Revision of ureter...... *15.21 12.57 12.57 1.29 29.07 29.07 090
50715... .................. A Release of ureter....... *18.90 11.24 11.24 1.49 31.63 31.63 090
50722... .................. A Release of ureter....... *16.35 10.32 10.32 1.97 28.64 28.64 090
50725... .................. A Release/revise ureter... *18.49 12.05 12.05 1.75 32.29 32.29 090
50727... .................. A Revise ureter........... *8.18 5.37 5.37 0.51 14.06 14.06 090
50728... .................. A Revise ureter........... *12.02 7.90 7.90 0.77 20.69 20.69 090
50740... .................. A Fusion of ureter & *18.42 13.03 13.03 1.88 33.33 33.33 090
kidney.
50750... .................. A Fusion of ureter & *19.51 14.04 14.04 1.26 34.81 34.81 090
kidney.
50760... .................. A Fusion of ureters....... *18.42 13.47 13.47 1.48 33.37 33.37 090
50770... .................. A Splicing of ureters..... *19.51 15.23 15.23 1.53 36.27 36.27 090
50780... .................. A Reimplant ureter in *18.36 13.78 13.78 1.46 33.60 33.60 090
bladder.
50782... .................. A Reimplant ureter in *19.54 13.78 13.78 1.46 34.78 34.78 090
bladder.
50783... .................. A Reimplant ureter in *20.55 13.78 13.78 1.46 35.79 35.79 090
bladder.
50785... .................. A Reimplant ureter in *20.52 15.42 15.42 1.80 37.74 37.74 090
bladder.
50800... .................. A Implant ureter in bowel. *14.52 14.67 14.67 1.51 30.70 30.70 090
50810... .................. A Fusion of ureter & bowel *20.05 12.57 12.57 1.75 34.37 34.37 090
50815... .................. A Urine shunt to bowel.... *19.93 19.76 19.76 2.75 42.44 42.44 090
50820... .................. A Construct bowel bladder. *21.89 18.97 18.97 2.50 43.36 43.36 090
50825... .................. A Construct bowel bladder. *28.18 30.54 30.54 3.33 62.05 62.05 090
50830... .................. A Revise urine flow....... *31.28 20.93 20.93 2.27 54.48 54.48 090
50840... .................. A Replace ureter by bowel. *20.00 13.32 13.32 1.35 34.67 34.67 090
50845... .................. A Appendico-vesicostomy... *20.89 13.87 13.87 1.35 36.11 36.11 090
50860... .................. A Transplant ureter to *15.36 10.92 10.92 1.16 27.44 27.44 090
skin.
50900... .................. A Repair of ureter........ *13.62 9.98 9.98 1.15 24.75 24.75 090
50920... .................. A Closure ureter/skin *14.33 9.52 9.52 0.99 24.84 24.84 090
fistula.
50930... .................. A Closure ureter/bowel *18.72 12.50 12.50 1.22 32.44 32.44 090
fistula.
50940... .................. A Release of ureter....... *14.51 9.90 9.90 0.95 25.36 25.36 090
50951... .................. A Endoscopy of ureter..... 5.84 1.67 1.67 0.17 7.68 7.68 000
50953... .................. A Endoscopy of ureter..... 6.24 1.66 1.66 0.16 8.06 8.06 000
50955... .................. A Ureter endoscopy & 6.75 2.55 2.55 0.25 9.55 9.55 000
biopsy.
50957... .................. A Ureter endoscopy & 6.79 2.50 2.50 0.25 9.54 9.54 000
treatment.
50959... .................. A Ureter endoscopy & 4.40 3.38 3.38 0.29 8.07 8.07 000
tracer.
50961... .................. A Ureter endoscopy & 6.05 2.62 2.62 0.26 8.93 8.93 000
treatment.
50970... .................. A Ureter endoscopy........ 7.14 5.17 5.17 0.52 12.83 12.83 000
50972... .................. A Ureter endoscopy & 6.89 1.54 1.54 0.16 8.59 8.59 000
catheter.
50974... .................. A Ureter endoscopy & 9.17 7.01 7.01 0.65 16.83 16.83 000
biopsy.
50976... .................. A Ureter endoscopy & 9.04 6.41 6.41 0.62 16.07 16.07 000
treatment.
50978... .................. A Ureter endoscopy & 5.10 4.05 4.05 0.48 9.63 9.63 000
tracer.
50980... .................. A Ureter endoscopy & 6.85 3.13 3.13 0.30 10.28 10.28 000
treatment.
51000... .................. A Drainage of bladder..... 0.78 0.48 0.48 0.05 1.31 1.31 000
51005... .................. A Drainage of bladder..... 1.02 0.46 0.46 0.04 1.52 1.52 000
51010... .................. A Drainage of bladder..... *3.53 0.97 0.97 0.11 4.61 4.61 010
51020... .................. A Incise & treat bladder.. *6.71 6.85 6.85 0.71 14.27 14.27 090
51030... .................. A Incise & treat bladder.. *6.77 4.53 4.53 0.43 11.73 11.73 090
51040... .................. A Incise & drain bladder.. *4.40 #4.84 #4.84 0.75 9.99 9.99 090
51045... .................. A Incise bladder, drain *6.77 4.96 4.96 0.50 12.23 12.23 090
ureter.
51050... .................. A Removal of bladder stone *6.92 7.12 7.12 0.70 14.74 14.74 090
51060... .................. A Removal of ureter stone. *8.85 #9.74 #9.74 1.19 19.78 19.78 090
51065... .................. A Removal of ureter stone. *8.85 7.08 7.08 0.71 16.64 16.64 090
51080... .................. A Drainage of bladder *5.96 5.18 5.18 0.57 11.71 11.71 090
abscess.
51500... .................. A Removal of bladder cyst. *10.14 6.86 6.86 1.21 18.21 18.21 090
51520... .................. A Removal of bladder *9.29 8.53 8.53 0.87 18.69 18.69 090
lesion.
[[Page 59151]]
51525... .................. A Removal of bladder *13.97 10.67 10.67 1.06 25.70 25.70 090
lesion.
51530... .................. A Removal of bladder *12.38 9.25 9.25 1.02 22.65 22.65 090
lesion.
51535... .................. A Repair of ureter lesion. *12.57 7.68 7.68 1.14 21.39 21.39 090
51550... .................. A Partial removal of *15.66 10.71 10.71 1.17 27.54 27.54 090
bladder.
51555... .................. A Partial removal of *21.23 12.26 12.26 1.31 34.80 34.80 090
bladder.
51565... .................. A Revise bladder & *21.62 15.84 15.84 1.67 39.13 39.13 090
ureter(s).
51570... .................. A Removal of bladder...... *24.24 15.66 15.66 1.62 41.52 41.52 090
51575... .................. A Removal of bladder & *30.45 22.87 22.87 2.25 55.57 55.57 090
nodes.
51580... .................. A Remove bladder; revise *31.08 19.95 19.95 2.04 53.07 53.07 090
tract.
51585... .................. A Removal of bladder & *35.23 25.12 25.12 2.42 62.77 62.77 090
nodes.
51590... .................. A Remove bladder; revise *32.66 24.52 24.52 2.56 59.74 59.74 090
tract.
51595... .................. A Remove bladder; revise *37.14 33.80 33.80 3.34 74.28 74.28 090
tract.
51596... .................. A Remove bladder, create *39.52 34.89 34.89 3.45 77.86 77.86 090
pouch.
51597... .................. A Removal of pelvic *38.35 30.63 30.63 4.31 73.29 73.29 090
structures.
51600... .................. A Injection for bladder x- 0.88 0.28 0.28 0.03 1.19 1.19 000
ray.
51605... .................. A Preparation for bladder 0.64 0.30 0.30 0.03 0.97 0.97 000
x-ray.
51610... .................. A Injection for bladder x- 1.05 0.27 0.27 0.02 1.34 1.34 000
ray.
51700... .................. A Irrigation of bladder... 0.88 0.22 0.22 0.02 1.12 1.12 000
51705... .................. A Change of bladder tube.. *1.02 0.38 0.38 0.04 1.44 1.44 010
51710... .................. A Change of bladder tube.. *1.49 0.57 0.57 0.06 2.12 2.12 010
51715... .................. A Endoscopic injection/ 3.74 2.65 2.65 0.27 6.66 6.66 000
implant.
51720... .................. A Treatment of bladder 1.96 0.45 0.45 0.05 2.46 2.46 000
lesion.
51725... .................. A Simple cystometrogram... 1.51 1.01 1.01 0.11 2.63 2.63 000
51725... TC A Simple cystometrogram... 0.00 0.38 0.38 0.04 0.42 0.42 000
51725... 26 A Simple cystometrogram... 1.51 0.63 0.63 0.07 2.21 2.21 000
51726... .................. A Complex cystometrogram.. 1.71 1.29 1.29 0.13 3.13 3.13 000
51726... TC A Complex cystometrogram.. 0.00 0.48 0.48 0.05 0.53 0.53 000
51726... 26 A Complex cystometrogram.. 1.71 0.81 0.81 0.08 2.60 2.60 000
51736... .................. A Urine flow measurement.. 0.61 0.41 0.41 0.04 1.06 1.06 000
51736... TC A Urine flow measurement.. 0.00 0.15 0.15 0.01 0.16 0.16 000
51736... 26 A Urine flow measurement.. 0.61 0.26 0.26 0.03 0.90 0.90 000
51741... .................. A Electro-uroflowmetry, 1.14 0.56 0.56 0.06 1.76 1.76 000
first.
51741... TC A Electro-uroflowmetry, 0.00 0.21 0.21 0.02 0.23 0.23 000
first.
51741... 26 A Electro-uroflowmetry, 1.14 0.35 0.35 0.04 1.53 1.53 000
first.
51772... .................. A Urethra pressure profile 1.61 0.94 0.94 0.11 2.66 2.66 000
51772... TC A Urethra pressure profile 0.00 0.42 0.42 0.05 0.47 0.47 000
51772... 26 A Urethra pressure profile 1.61 0.52 0.52 0.06 2.19 2.19 000
51784... .................. A Anal/urinary muscle 1.53 1.04 1.04 0.11 2.68 2.68 000
study.
51784... TC A Anal/urinary muscle 0.00 0.39 0.39 0.04 0.43 0.43 000
study.
51784... 26 A Anal/urinary muscle 1.53 0.65 0.65 0.07 2.25 2.25 000
study.
51785... .................. A Anal/urinary muscle 1.53 1.04 1.04 0.11 2.68 2.68 000
study.
51785... TC A Anal/urinary muscle 0.00 0.39 0.39 0.04 0.43 0.43 000
study.
51785... 26 A Anal/urinary muscle 1.53 0.65 0.65 0.07 2.25 2.25 000
study.
51792... .................. A Urinary reflex study.... 1.10 1.93 1.93 0.20 3.23 3.23 000
51792... TC A Urinary reflex study.... 0.00 1.34 1.34 0.14 1.48 1.48 000
51792... 26 A Urinary reflex study.... 1.10 0.59 0.59 0.06 1.75 1.75 000
51795... .................. A Urine voiding pressure 1.53 1.44 1.44 0.16 3.13 3.13 000
study.
51795... TC A Urine voiding pressure 0.00 0.87 0.87 0.10 0.97 0.97 000
study.
51795... 26 A Urine voiding pressure 1.53 0.57 0.57 0.06 2.16 2.16 000
study.
51797... .................. A Intraabdominal pressure 1.60 0.96 0.96 0.10 2.66 2.66 000
test.
51797... TC A Intraabdominal pressure 0.00 0.45 0.45 0.05 0.50 0.50 000
test.
51797... 26 A Intraabdominal pressure 1.60 0.51 0.51 0.05 2.16 2.16 000
test.
51800... .................. A Revision of bladder/ *17.42 12.02 12.02 1.47 30.91 30.91 090
urethra.
51820... .................. A Revision of urinary *17.89 7.39 7.39 1.32 26.60 26.60 090
tract.
51840... .................. A Attach bladder/urethra.. *10.71 9.22 9.22 1.26 21.19 21.19 090
51841... .................. A Attach bladder/urethra.. *13.03 11.01 11.01 1.48 25.52 25.52 090
51845... .................. A Repair bladder neck..... *9.73 #10.70 #10.70 1.09 21.52 21.52 090
51860... .................. A Repair of bladder wound. *12.02 7.62 7.62 0.91 20.55 20.55 090
51865... .................. A Repair of bladder wound. *15.04 10.96 10.96 1.27 27.27 27.27 090
51880... .................. A Repair of bladder *7.66 4.96 4.96 0.52 13.14 13.14 090
opening.
51900... .................. A Repair bladder/vagina *12.97 11.65 11.65 1.41 26.03 26.03 090
lesion.
51920... .................. A Close bladder-uterus *11.81 7.51 7.51 0.73 20.05 20.05 090
fistula.
51925... .................. A Hysterectomy/bladder *15.58 10.07 10.07 2.33 27.98 27.98 090
repair.
51940... .................. A Correction of bladder *26.81 18.95 18.95 2.22 47.98 47.98 090
defect.
51960... .................. A Revision of bladder & *23.01 21.40 21.40 2.27 46.68 46.68 090
bowel.
51980... .................. A Construct bladder *11.36 7.46 7.46 0.75 19.57 19.57 090
opening.
52000... .................. A Cystoscopy.............. 2.01 1.33 1.33 0.14 3.48 3.48 000
52005... .................. A Cystoscopy & ureter 2.37 2.20 2.20 0.22 4.79 4.79 000
catheter.
52007... .................. A Cystoscopy and biopsy... 3.02 2.82 2.82 0.28 6.12 6.12 000
52010... .................. A Cystoscopy & duct 3.02 1.90 1.90 0.20 5.12 5.12 000
catheter.
52204... .................. A Cystoscopy.............. 2.37 2.38 2.38 0.24 4.99 4.99 000
52214... .................. A Cystoscopy and treatment 3.71 2.80 2.80 0.28 6.79 6.79 000
52224... .................. A Cystoscopy and treatment 3.14 2.90 2.90 0.29 6.33 6.33 000
52234... .................. A Cystoscopy and treatment 4.63 4.71 4.71 0.45 9.79 9.79 000
[[Page 59152]]
52235... .................. A Cystoscopy and treatment 5.45 #6.00 #6.00 0.81 12.26 12.26 000
52240... .................. A Cystoscopy and treatment 9.72 10.65 10.65 1.04 21.41 21.41 000
52250... .................. A Cystoscopy & radiotracer 4.50 2.86 2.86 0.29 7.65 7.65 000
52260... .................. A Cystoscopy & treatment.. 3.92 2.11 2.11 0.22 6.25 6.25 000
52265... .................. A Cystoscopy & treatment.. 2.94 1.35 1.35 0.14 4.43 4.43 000
52270... .................. A Cystoscopy & revise 3.37 3.47 3.47 0.35 7.19 7.19 000
urethra.
52275... .................. A Cystoscopy & revise 4.70 3.42 3.42 0.34 8.46 8.46 000
urethra.
52276... .................. A Cystoscopy and treatment 5.00 4.58 4.58 0.45 10.03 10.03 000
52277... .................. A Cystoscopy and treatment 6.17 4.82 4.82 0.47 11.46 11.46 000
52281... .................. A Cystoscopy and treatment 2.80 2.31 2.31 0.23 5.34 5.34 000
52282... .................. A Cystoscopy, implant 6.40 4.58 4.58 0.45 11.43 11.43 000
stent.
52283... .................. A Cystoscopy and treatment 3.74 1.51 1.51 0.15 5.40 5.40 000
52285... .................. A Cystoscopy and treatment 3.61 2.94 2.94 0.30 6.85 6.85 000
52290... .................. A Cystoscopy and treatment 4.59 2.34 2.34 0.24 7.17 7.17 000
52300... .................. A Cystoscopy and treatment 5.31 3.47 3.47 0.36 9.14 9.14 000
52301... .................. A Cystoscopy and treatment 5.51 3.47 3.47 0.36 9.34 9.34 000
52305... .................. A Cystoscopy and treatment 5.31 3.50 3.50 0.35 9.16 9.16 000
52310... .................. A Cystoscopy and treatment 2.81 2.99 2.99 0.30 6.10 6.10 000
52315... .................. A Cystoscopy and treatment 5.21 4.07 4.07 0.40 9.68 9.68 000
52317... .................. A Remove bladder stone.... 6.72 6.19 6.19 0.59 13.50 13.50 000
52318... .................. A Remove bladder stone.... 9.19 7.88 7.88 0.77 17.84 17.84 000
52320... .................. A Cystoscopy and treatment 4.70 4.86 4.86 0.47 10.03 10.03 000
52325... .................. A Cystoscopy, stone 6.16 #6.78 #6.78 0.68 13.62 13.62 000
removal.
52327... .................. A Cystoscopy, inject 5.19 3.69 3.69 0.36 9.24 9.24 000
material.
52330... .................. A Cystoscopy and treatment 5.04 3.47 3.47 0.35 8.86 8.86 000
52332... .................. A Cystoscopy and treatment 2.83 3.21 #3.11 0.32 6.36 6.26 000
52334... .................. A Create passage to kidney 4.83 3.33 3.33 0.34 8.50 8.50 000
52335... .................. A Endoscopy of urinary 5.86 4.69 4.69 0.45 11.00 11.00 000
tract.
52336... .................. A Cystoscopy, stone 6.88 #7.57 #7.57 0.99 15.44 15.44 000
removal.
52337... .................. A Cystoscopy, stone 7.97 #8.77 #8.77 1.08 17.82 17.82 000
removal.
52338... .................. A Cystoscopy and treatment 7.34 5.92 5.92 0.57 13.83 13.83 000
52339... .................. A Cystoscopy and treatment 8.82 5.92 5.92 0.57 15.31 15.31 000
52340... .................. A Cystoscopy and treatment *9.68 5.15 5.15 0.50 15.33 15.33 090
52450... .................. A Incision of prostate.... *7.64 4.99 4.99 0.49 13.12 13.12 090
52500... .................. A Revision of bladder neck *8.47 7.44 7.44 0.72 16.63 16.63 090
52510... .................. A Dilation prostatic *6.72 #7.39 #7.39 0.74 14.85 14.85 090
urethra.
52601... .................. A Prostatectomy (TURP).... *12.37 11.87 11.87 1.16 25.40 25.40 090
52606... .................. A Control postop bleeding. *8.13 3.32 3.32 0.33 11.78 11.78 090
52612... .................. A Prostatectomy, first *7.98 #8.78 #8.78 0.99 17.75 17.75 090
stage.
52614... .................. A Prostatectomy, second *6.84 7.09 7.09 0.68 14.61 14.61 090
stage.
52620... .................. A Remove residual prostate *6.61 5.33 5.33 0.51 12.45 12.45 090
52630... .................. A Remove prostate regrowth *7.26 #7.99 #7.99 1.13 16.38 16.38 090
52640... .................. A Relieve bladder *6.62 6.43 6.43 0.62 13.67 13.67 090
contracture.
52647... .................. A Laser surgery of *10.36 #11.40 #11.40 1.16 22.92 22.92 090
prostate.
52648... .................. A Laser surgery of *11.21 11.87 11.87 1.16 24.24 24.24 090
prostate.
52700... .................. A Drainage of prostate *6.80 3.30 3.30 0.34 10.44 10.44 090
abscess.
53000... .................. A Incision of urethra..... *2.28 1.76 1.76 0.17 4.21 4.21 010
53010... .................. A Incision of urethra..... *3.64 3.52 3.52 0.37 7.53 7.53 090
53020... .................. A Incision of urethra..... 1.77 0.82 0.82 0.09 2.68 2.68 000
53025... .................. A Incision of urethra..... 1.13 0.80 0.80 0.08 2.01 2.01 000
53040... .................. A Drainage of urethra *6.40 1.85 1.85 0.19 8.44 8.44 090
abscess.
53060... .................. A Drainage of urethra *2.63 0.51 0.51 0.07 3.21 3.21 010
abscess.
53080... .................. A Drainage of urinary *6.29 3.98 3.98 0.45 10.72 10.72 090
leakage.
53085... .................. A Drainage of urinary *10.27 6.75 6.75 0.70 17.72 17.72 090
leakage.
53200... .................. A Biopsy of urethra....... 2.59 1.10 1.10 0.12 3.81 3.81 000
53210... .................. A Removal of urethra...... *12.57 6.64 6.64 0.67 19.88 19.88 090
53215... .................. A Removal of urethra...... *15.58 10.00 10.00 0.96 26.54 26.54 090
53220... .................. A Treatment of urethra *7.00 4.77 4.77 0.49 12.26 12.26 090
lesion.
53230... .................. A Removal of urethra *9.58 7.93 7.93 0.79 18.30 18.30 090
lesion.
53235... .................. A Removal of urethra *10.14 5.02 5.02 0.49 15.65 15.65 090
lesion.
53240... .................. A Surgery for urethra *6.45 4.33 4.33 0.45 11.23 11.23 090
pouch.
53250... .................. A Removal of urethra gland *5.89 4.05 4.05 0.40 10.34 10.34 090
53260... .................. A Treatment of urethra *2.98 1.12 1.12 0.16 4.26 4.26 010
lesion.
53265... .................. A Treatment of urethra *3.12 1.88 1.88 0.22 5.22 5.22 010
lesion.
53270... .................. A Removal of urethra gland *3.09 0.84 0.84 0.18 4.11 4.11 010
53275... .................. A Repair of urethra defect *4.53 2.37 2.37 0.25 7.15 7.15 010
53400... .................. A Revise urethra, 1st *12.77 7.47 7.47 0.76 21.00 21.00 090
stage.
53405... .................. A Revise urethra, 2nd *14.48 10.38 10.38 1.21 26.07 26.07 090
stage.
53410... .................. A Reconstruction of *16.44 8.56 8.56 0.84 25.84 25.84 090
urethra.
53415... .................. A Reconstruction of *19.41 11.87 11.87 1.15 32.43 32.43 090
urethra.
53420... .................. A Reconstruct urethra, *14.08 10.88 10.88 1.05 26.01 26.01 090
stage 1.
53425... .................. A Reconstruct urethra, *15.98 9.25 9.25 0.88 26.11 26.11 090
stage 2.
53430... .................. A Reconstruction of *16.34 7.16 7.16 0.76 24.26 24.26 090
urethra.
53440... .................. A Correct bladder function *12.34 13.14 13.14 1.39 26.87 26.87 090
[[Page 59153]]
53442... .................. A Remove perineal *8.27 5.84 5.84 0.67 14.78 14.78 090
prosthesis.
53443... .................. A Reconstruction of *19.89 10.03 10.03 1.07 30.99 30.99 090
urethra.
53445... .................. A Correct urine flow *14.06 #15.47 #15.47 2.03 31.56 31.56 090
control.
53447... .................. A Remove artificial *13.17 9.16 9.16 0.89 23.22 23.22 090
sphincter.
53449... .................. A Correct artificial *9.70 8.41 8.41 0.82 18.93 18.93 090
sphincter.
53450... .................. A Revision of urethra..... *6.14 2.74 2.74 0.27 9.15 9.15 090
53460... .................. A Revision of urethra..... *7.12 2.44 2.44 0.25 9.81 9.81 090
53502... .................. A Repair of urethra injury *7.63 4.97 4.97 0.56 13.16 13.16 090
53505... .................. A Repair of urethra injury *7.63 5.18 5.18 0.51 13.32 13.32 090
53510... .................. A Repair of urethra injury *10.11 6.98 6.98 0.66 17.75 17.75 090
53515... .................. A Repair of urethra injury *13.31 9.03 9.03 0.88 23.22 23.22 090
53520... .................. A Repair of urethra defect *8.68 5.89 5.89 0.56 15.13 15.13 090
53600... .................. A Dilate urethra stricture 1.21 0.33 0.33 0.03 1.57 1.57 000
53601... .................. A Dilate urethra stricture 0.98 0.29 0.29 0.03 1.30 1.30 000
53605... .................. A Dilate urethra stricture 1.28 0.46 0.46 0.05 1.79 1.79 000
53620... .................. A Dilate urethra stricture 1.62 0.47 0.47 0.05 2.14 2.14 000
53621... .................. A Dilate urethra stricture 1.35 0.38 0.38 0.04 1.77 1.77 000
53660... .................. A Dilation of urethra..... 0.71 0.28 0.28 0.03 1.02 1.02 000
53661... .................. A Dilation of urethra..... 0.72 0.25 0.25 0.03 1.00 1.00 000
53665... .................. A Dilation of urethra..... 0.76 0.36 0.36 0.04 1.16 1.16 000
53670... .................. A Insert urinary catheter. 0.50 0.22 0.22 0.02 0.74 0.74 000
53675... .................. A Insert urinary catheter. 1.47 0.47 0.47 0.05 1.99 1.99 000
53850... .................. A Prostatic microwave *9.45 6.71 6.71 0.66 16.82 16.82 090
thermotx.
53852... .................. A Prostatic rf thermotx... *9.88 7.01 7.01 0.69 17.58 17.58 090
53899... .................. C Urology surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
54000... .................. A Slitting of prepuce..... *1.54 0.63 0.63 0.07 2.24 2.24 010
54001... .................. A Slitting of prepuce..... *2.19 0.84 0.84 0.09 3.12 3.12 010
54015... .................. A Drain penis lesion...... *5.32 0.83 0.83 0.09 6.24 6.24 010
54050... .................. A Destruction, penis *1.24 0.38 0.38 0.03 1.65 1.65 010
lesion(s).
54055... .................. A Destruction, penis *1.22 0.61 0.61 0.06 1.89 1.89 010
lesion(s).
54056... .................. A Cryosurgery, penis *1.24 0.53 0.53 0.04 1.81 1.81 010
lesion(s).
54057... .................. A Laser surg, penis *1.24 1.52 #1.36 0.21 2.97 2.81 010
lesion(s).
54060... .................. A Excision of penis *1.93 1.17 1.17 0.12 3.22 3.22 010
lesion(s).
54065... .................. A Destruction, penis *2.42 2.47 2.47 0.25 5.14 5.14 010
lesion(s).
54100... .................. A Biopsy of penis......... 1.90 0.65 0.65 0.07 2.62 2.62 000
54105... .................. A Biopsy of penis......... *3.50 1.01 1.01 0.11 4.62 4.62 010
54110... .................. A Treatment of penis *10.13 6.03 6.03 0.61 16.77 16.77 090
lesion.
54111... .................. A Treat penis lesion, *13.57 9.18 9.18 0.97 23.72 23.72 090
graft.
54112... .................. A Treat penis lesion, *15.86 10.84 10.84 1.14 27.84 27.84 090
graft.
54115... .................. A Treatment of penis *6.15 4.18 4.18 0.44 10.77 10.77 090
lesion.
54120... .................. A Partial removal of penis *9.97 6.47 6.47 0.62 17.06 17.06 090
54125... .................. A Removal of penis........ *13.53 11.56 11.56 1.17 26.26 26.26 090
54130... .................. A Remove penis & nodes.... *20.14 14.66 14.66 1.32 36.12 36.12 090
54135... .................. A Remove penis & nodes.... *26.36 17.75 17.75 1.74 45.85 45.85 090
54150... .................. A Circumcision............ *1.81 0.54 0.54 0.05 2.40 2.40 010
54152... .................. A Circumcision............ *2.31 1.82 1.82 0.20 4.33 4.33 010
54160... .................. A Circumcision............ *2.48 1.66 1.66 0.21 4.35 4.35 010
54161... .................. A Circumcision............ *3.27 2.17 2.17 0.23 5.67 5.67 010
54200... .................. A Treatment of penis *1.06 0.32 0.32 0.03 1.41 1.41 010
lesion.
54205... .................. A Treatment of penis *7.93 5.11 5.11 0.50 13.54 13.54 090
lesion.
54220... .................. A Treatment of penis 2.42 1.58 1.58 0.17 4.17 4.17 000
lesion.
54230... .................. A Prepare penis study..... 1.34 1.34 1.34 0.13 2.81 2.81 000
54231... .................. A Dynamic cavernosometry.. 2.04 1.44 1.44 0.14 3.62 3.62 000
54235... .................. A Penile injection........ 1.19 0.43 0.43 0.04 1.66 1.66 000
54240... .................. A Penis study............. 1.31 0.99 0.99 0.12 2.42 2.42 000
54240... TC A Penis study............. 0.00 0.48 0.48 0.06 0.54 0.54 000
54240... 26 A Penis study............. 1.31 0.51 0.51 0.06 1.88 1.88 000
54250... .................. A Penis study............. 2.22 0.80 0.80 0.08 3.10 3.10 000
54250... TC A Penis study............. 0.00 0.30 0.30 0.03 0.33 0.33 000
54250... 26 A Penis study............. 2.22 0.50 0.50 0.05 2.77 2.77 000
54300... .................. A Revision of penis....... *10.41 6.88 6.88 0.87 18.16 18.16 090
54304... .................. A Revision of penis....... *12.49 8.66 8.66 0.90 22.05 22.05 090
54308... .................. A Reconstruction of *11.83 5.84 5.84 0.74 18.41 18.41 090
urethra.
54312... .................. A Reconstruction of *13.57 9.37 9.37 0.91 23.85 23.85 090
urethra.
54316... .................. A Reconstruction of *16.82 11.34 11.34 1.12 29.28 29.28 090
urethra.
54318... .................. A Reconstruction of *11.25 7.53 7.53 1.11 19.89 19.89 090
urethra.
54322... .................. A Reconstruction of *13.01 7.61 7.61 0.74 21.36 21.36 090
urethra.
54324... .................. A Reconstruction of *16.31 10.98 10.98 1.08 28.37 28.37 090
urethra.
54326... .................. A Reconstruction of *15.72 10.51 10.51 1.03 27.26 27.26 090
urethra.
54328... .................. A Revise penis, urethra... *15.65 10.72 10.72 1.24 27.61 27.61 090
54332... .................. A Revise penis, urethra... *17.08 12.52 12.52 1.13 30.73 30.73 090
54336... .................. A Revise penis, urethra... *20.04 18.79 18.79 1.40 40.23 40.23 090
54340... .................. A Secondary urethral *8.91 6.07 6.07 0.59 15.57 15.57 090
surgery.
54344... .................. A Secondary urethral *15.94 16.61 16.61 1.10 33.65 33.65 090
surgery.
[[Page 59154]]
54348... .................. A Secondary urethral *17.15 11.62 11.62 1.14 29.91 29.91 090
surgery.
54352... .................. A Reconstruct urethra, *24.74 16.18 16.18 1.49 42.41 42.41 090
penis.
54360... .................. A Penis plastic surgery... *11.93 7.02 7.02 0.73 19.68 19.68 090
54380... .................. A Repair penis............ *13.18 9.42 9.42 0.75 23.35 23.35 090
54385... .................. A Repair penis............ *15.39 10.46 10.46 0.89 26.74 26.74 090
54390... .................. A Repair penis and bladder *21.61 13.57 13.57 1.58 36.76 36.76 090
54400... .................. A Insert semi-rigid *8.99 #9.89 #9.89 1.27 20.15 20.15 090
prosthesis.
54401... .................. A Insert self-contd *10.28 #11.31 #11.31 1.73 23.32 23.32 090
prosthesis.
54402... .................. A Remove penis prosthesis. *9.21 6.00 6.00 0.58 15.79 15.79 090
54405... .................. A Insert multi-comp *13.43 #14.77 #14.77 2.10 30.30 30.30 090
prosthesis.
54407... .................. A Remove multi-comp *13.34 11.22 11.22 1.10 25.66 25.66 090
prosthesis.
54409... .................. A Revise penis prosthesis. *12.20 8.97 8.97 0.87 22.04 22.04 090
54420... .................. A Revision of penis....... *11.42 7.74 7.74 0.87 20.03 20.03 090
54430... .................. A Revision of penis....... *10.15 6.99 6.99 0.69 17.83 17.83 090
54435... .................. A Revision of penis....... *6.12 4.15 4.15 0.39 10.66 10.66 090
54440... .................. C Repair of penis......... 0.00 0.00 0.00 0.00 0.00 0.00 090
54450... .................. A Preputial stretching.... 1.12 0.68 0.68 0.07 1.87 1.87 000
54500... .................. A Biopsy of testis........ 1.31 0.44 0.44 0.05 1.80 1.80 000
54505... .................. A Biopsy of testis........ *3.46 1.86 1.86 0.22 5.54 5.54 010
54510... .................. A Removal of testis lesion *5.45 3.03 3.03 0.38 8.86 8.86 090
54520... .................. A Removal of testis....... *5.23 5.31 5.31 0.52 11.06 11.06 090
54530... .................. A Removal of testis....... *8.58 7.32 7.32 0.77 16.67 16.67 090
54535... .................. A Extensive testis surgery *12.16 8.54 8.54 1.02 21.72 21.72 090
54550... .................. A Exploration for testis.. *7.78 5.25 5.25 0.61 13.64 13.64 090
54560... .................. A Exploration for testis.. *11.13 7.23 7.23 0.81 19.17 19.17 090
54600... .................. A Reduce testis torsion... *7.01 4.62 4.62 0.48 12.11 12.11 090
54620... .................. A Suspension of testis.... *4.90 3.32 3.32 0.33 8.55 8.55 010
54640... .................. A Suspension of testis.... *6.90 #7.59 #7.59 0.91 15.40 15.40 090
54650... .................. A Orchiopexy (Fowler- *11.45 7.82 7.82 0.91 20.18 20.18 090
Stephens).
54660... .................. A Revision of testis...... *5.11 3.40 3.40 0.34 8.85 8.85 090
54670... .................. A Repair testis injury.... *6.41 4.30 4.30 0.43 11.14 11.14 090
54680... .................. A Relocation of testis(es) *12.65 8.19 8.19 0.80 21.64 21.64 090
54700... .................. A Drainage of scrotum..... *3.43 0.90 0.90 0.11 4.44 4.44 010
54800... .................. A Biopsy of epididymis.... 2.33 1.97 1.97 0.19 4.49 4.49 000
54820... .................. A Exploration of *5.14 2.62 2.62 0.29 8.05 8.05 090
epididymis.
54830... .................. A Remove epididymis lesion *5.38 3.51 3.51 0.39 9.28 9.28 090
54840... .................. A Remove epididymis lesion *5.20 4.84 4.84 0.48 10.52 10.52 090
54860... .................. A Removal of epididymis... *6.32 5.17 5.17 0.50 11.99 11.99 090
54861... .................. A Removal of epididymis... *8.90 7.30 7.30 0.72 16.92 16.92 090
54900... .................. A Fusion of spermatic *13.20 8.95 8.95 0.87 23.02 23.02 090
ducts.
54901... .................. A Fusion of spermatic *17.94 12.29 12.29 1.20 31.43 31.43 090
ducts.
55000... .................. A Drainage of hydrocele... 1.43 0.40 0.40 0.04 1.87 1.87 000
55040... .................. A Removal of hydrocele.... *5.36 4.88 4.88 0.55 10.79 10.79 090
55041... .................. A Removal of hydroceles... *7.74 7.47 7.47 0.81 16.02 16.02 090
55060... .................. A Repair of hydrocele..... *5.52 4.13 4.13 0.50 10.15 10.15 090
55100... .................. A Drainage of scrotum *2.13 0.63 0.63 0.07 2.83 2.83 010
abscess.
55110... .................. A Explore scrotum......... *5.70 3.48 3.48 0.37 9.55 9.55 090
55120... .................. A Removal of scrotum *5.09 1.79 1.79 0.21 7.09 7.09 090
lesion.
55150... .................. A Removal of scrotum...... *7.22 5.45 5.45 0.57 13.24 13.24 090
55175... .................. A Revision of scrotum..... *5.24 4.49 4.49 0.48 10.21 10.21 090
55180... .................. A Revision of scrotum..... *10.72 6.83 6.83 0.82 18.37 18.37 090
55200... .................. A Incision of sperm duct.. *4.24 1.97 1.97 0.20 6.41 6.41 090
55250... .................. A Removal of sperm duct(s) *3.29 2.63 2.63 0.28 6.20 6.20 090
55300... .................. A Preparation, sperm duct 3.51 2.71 2.71 0.27 6.49 6.49 000
x-ray.
55400... .................. A Repair of sperm duct.... *8.49 6.56 6.56 0.62 15.67 15.67 090
55450... .................. A Ligation of sperm duct.. *4.12 2.61 2.61 0.32 7.05 7.05 010
55500... .................. A Removal of hydrocele.... *5.59 4.32 4.32 0.50 10.41 10.41 090
55520... .................. A Removal of sperm cord *6.03 3.12 3.12 0.51 9.66 9.66 090
lesion.
55530... .................. A Revise spermatic cord *5.66 5.20 5.20 0.60 11.46 11.46 090
veins.
55535... .................. A Revise spermatic cord *6.56 4.40 4.40 0.45 11.41 11.41 090
veins.
55540... .................. A Revise hernia & sperm *7.67 4.54 4.54 0.91 13.12 13.12 090
veins.
55600... .................. A Incise sperm duct pouch. *6.38 4.31 4.31 0.55 11.24 11.24 090
55605... .................. A Incise sperm duct pouch. *7.96 5.60 5.60 0.59 14.15 14.15 090
55650... .................. A Remove sperm duct pouch. *11.80 7.22 7.22 0.76 19.78 19.78 090
55680... .................. A Remove sperm pouch *5.19 4.43 4.43 0.38 10.00 10.00 090
lesion.
55700... .................. A Biopsy of prostate...... 1.57 1.50 1.50 0.15 3.22 3.22 000
55705... .................. A Biopsy of prostate...... *4.57 3.37 3.37 0.34 8.28 8.28 010
55720... .................. A Drainage of prostate *7.64 3.51 3.51 0.37 11.52 11.52 090
abscess.
55725... .................. A Drainage of prostate *8.68 5.62 5.62 0.54 14.84 14.84 090
abscess.
55801... .................. A Removal of prostate..... *17.80 12.76 12.76 1.44 32.00 32.00 090
55810... .................. A Extensive prostate *22.58 17.88 17.88 1.77 42.23 42.23 090
surgery.
55812... .................. A Extensive prostate *27.51 17.68 17.68 1.94 47.13 47.13 090
surgery.
55815... .................. A Extensive prostate *30.46 25.20 25.20 2.42 58.08 58.08 090
surgery.
55821... .................. A Removal of prostate..... *14.25 13.59 13.59 1.35 29.19 29.19 090
[[Page 59155]]
55831... .................. A Removal of prostate..... *15.62 14.56 14.56 1.44 31.62 31.62 090
55840... .................. A Extensive prostate *22.69 16.60 16.60 1.61 40.90 40.90 090
surgery.
55842... .................. A Extensive prostate *24.38 19.16 19.16 1.88 45.42 45.42 090
surgery.
55845... .................. A Extensive prostate *28.55 25.10 25.10 2.44 56.09 56.09 090
surgery.
55859... .................. A Percut/needle insert, *12.52 5.89 5.89 0.58 18.99 18.99 090
pros.
55860... .................. A Surgical exposure, *14.45 7.13 7.13 0.70 22.28 22.28 090
prostate.
55862... .................. A Extensive prostate *18.39 11.69 11.69 1.20 31.28 31.28 090
surgery.
55865... .................. A Extensive prostate *22.87 24.52 24.52 2.39 49.78 49.78 090
surgery.
55870... .................. A Electroejaculation...... 2.58 1.83 1.83 0.18 4.59 4.59 000
55899... .................. C Genital surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
55970... .................. N Sex transformation, M to 0.00 0.00 0.00 0.00 0.00 0.00 XXX
F.
55980... .................. N Sex transformation, F to 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M.
56300... .................. A Laparoscopy; diagnostic. *5.10 4.45 4.45 0.93 10.48 10.48 010
56301... .................. A Laparoscopy; tubal *5.60 4.71 4.71 1.28 11.59 11.59 010
cautery.
56302... .................. A Laparoscopy; tubal block *5.60 5.26 5.26 1.32 12.18 12.18 010
56303... .................. A Laparoscopy; excise *11.79 5.53 5.53 1.16 18.48 18.48 090
lesions.
56304... .................. A Laparoscopy; lysis...... *11.29 5.60 5.60 1.20 18.09 18.09 090
56305... .................. A Laparoscopy; biopsy..... *5.40 4.90 4.90 0.79 11.09 11.09 010
56306... .................. A Laparoscopy; aspiration. *5.70 4.87 4.87 1.18 11.75 11.75 010
56307... .................. A Laparoscopy; remove *11.05 7.16 7.16 1.60 19.81 19.81 010
adnexa.
56308... .................. A Laparoscopy; *14.19 9.39 9.39 2.07 25.65 25.65 010
hysterectomy.
56309... .................. A Laparoscopy; remove *14.21 4.76 4.76 1.03 20.00 20.00 010
myoma.
56310... .................. A Laparoscopic enterolysis *14.44 8.28 8.28 1.75 24.47 24.47 090
56311... .................. A Laparoscopic lymph node *9.25 6.38 6.38 1.47 17.10 17.10 010
biop.
56312... .................. A Laparoscopic *12.38 8.56 8.56 0.84 21.78 21.78 010
lymphadenectomy.
56313... .................. A Laparoscopic *14.32 10.01 10.01 2.31 26.64 26.64 010
lymphadenectomy.
56314... .................. A Lapar; drain lymphocele. *9.48 6.73 6.73 0.66 16.87 16.87 090
56315... .................. A Laparoscopic *8.70 4.89 4.89 1.01 14.60 14.60 090
appendectomy.
56316... .................. A Laparoscopic hernia *6.27 4.51 4.51 0.94 11.72 11.72 090
repair.
56317... .................. A Laparoscopic hernia *8.24 5.22 5.22 1.11 14.57 14.57 090
repair.
56318... .................. A Laparoscopic orchiectomy *10.96 7.23 7.23 0.81 19.00 19.00 090
56320... .................. A Laparoscopy, spermatic *6.57 4.40 4.40 0.45 11.42 11.42 090
veins.
56322... .................. A Laparoscopy, vagus *10.15 5.07 5.07 1.18 16.40 16.40 090
nerves.
56323... .................. A Laparoscopy, vagus *12.15 6.09 6.09 1.41 19.65 19.65 090
nerves.
56324... .................. A Laparoscopy, *12.58 9.16 9.16 1.93 23.67 23.67 090
cholecystoenter.
56340... .................. A Laparoscopic *11.09 7.99 7.99 1.74 20.82 20.82 090
cholecystectomy.
56341... .................. A Laparoscopic *11.94 8.43 8.43 1.84 22.21 22.21 090
cholecystectomy.
56342... .................. A Laparoscopic *14.23 9.37 9.37 2.00 25.60 25.60 090
cholecystectomy.
56343... .................. A Laparoscopic *13.74 5.28 5.28 1.11 20.13 20.13 090
salpingostomy.
56344... .................. A Laparoscopic *12.88 5.11 5.11 1.19 19.18 19.18 090
fimbrioplasty.
56345... .................. C Laparoscopic splenectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
56346... .................. A Laparoscopic gastrostomy *7.73 6.19 6.19 1.19 15.11 15.11 090
56347... .................. C Laparoscopic jejunostomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
56348... .................. A Laparo; resect intestine *22.04 13.25 13.25 2.78 38.07 38.07 090
56349... .................. A Laparoscopy; fundoplasty *17.25 11.88 11.88 2.53 31.66 31.66 090
56350... .................. A Hysteroscopy; diagnostic 3.33 1.99 1.99 0.44 5.76 5.76 000
56351... .................. A Hysteroscopy; biopsy.... 4.75 1.99 1.99 0.44 7.18 7.18 000
56352... .................. A Hysteroscopy; lysis..... 6.17 3.77 3.77 0.85 10.79 10.79 000
56353... .................. A Hysteroscopy; resect 7.00 3.77 3.77 0.85 11.62 11.62 000
septum.
56354... .................. A Hysteroscopy; remove 10.00 4.93 4.93 1.30 16.23 16.23 000
myoma.
56355... .................. A Hysteroscopy; remove 5.21 1.99 1.99 0.44 7.64 7.64 000
impact.
56356... .................. A Hysteroscopy; ablation.. 6.17 4.39 4.39 1.49 12.05 12.05 000
56362... .................. A Laparoscopy w/cholangio. 4.89 2.77 2.77 0.19 7.85 7.85 000
56363... .................. A Laparoscopy w/biopsy.... 5.18 3.93 3.93 0.45 9.56 9.56 000
56399... .................. C Laparoscopy procedure... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
56405... .................. A I & D of vulva/perineum. *1.44 0.76 0.76 0.15 2.35 2.35 010
56420... .................. A Drainage of gland *1.39 0.80 0.80 0.13 2.32 2.32 010
abscess.
56440... .................. A Surgery for vulva lesion *2.84 2.63 2.63 0.52 5.99 5.99 010
56441... .................. A Lysis of labial *1.97 1.65 1.65 0.30 3.92 3.92 010
lesion(s).
56501... .................. A Destruction, vulva *1.53 0.54 0.54 0.11 2.18 2.18 010
lesion(s).
56515... .................. A Destruction, vulva *1.88 2.36 #2.07 0.66 4.90 4.61 010
lesion(s).
56605... .................. A Biopsy of vulva/perineum 1.10 0.68 0.68 0.15 1.93 1.93 000
56606... .................. A Biopsy of vulva/perineum 0.55 0.35 0.35 0.08 0.98 0.98 000
56620... .................. A Partial removal of vulva *7.47 6.47 6.47 1.40 15.34 15.34 090
56625... .................. A Complete removal of *8.40 #9.24 #9.24 2.13 19.77 19.77 090
vulva.
56630... .................. A Extensive vulva surgery. *12.36 13.46 13.46 3.28 29.10 29.10 090
56631... .................. A Extensive vulva surgery. *16.20 #17.82 #17.82 4.51 38.53 38.53 090
56632... .................. A Extensive vulva surgery. *20.29 21.32 21.32 4.51 46.12 46.12 090
56633... .................. A Extensive vulva surgery. *16.47 15.97 15.97 3.28 35.72 35.72 090
56634... .................. A Extensive vulva surgery. *17.88 #19.67 #19.67 4.51 42.06 42.06 090
56637... .................. A Extensive vulva surgery. *21.97 21.42 21.42 4.51 47.90 47.90 090
56640... .................. A Extensive vulva surgery. *22.17 19.95 19.95 4.36 46.48 46.48 090
56700... .................. A Partial removal of hymen *2.52 1.82 1.82 0.35 4.69 4.69 010
56720... .................. A Incision of hymen....... 0.68 0.48 0.48 0.11 1.27 1.27 000
[[Page 59156]]
56740... .................. A Remove vagina gland *3.76 2.87 2.87 0.55 7.18 7.18 010
lesion.
56800... .................. A Repair of vagina........ *3.89 2.92 2.92 0.57 7.38 7.38 010
56805... .................. A Repair clitoris......... *18.86 11.75 11.75 1.37 31.98 31.98 090
56810... .................. A Repair of perineum...... *4.13 2.62 2.62 0.51 7.26 7.26 010
57000... .................. A Exploration of vagina... *2.97 2.03 2.03 0.35 5.35 5.35 010
57010... .................. A Drainage of pelvic *6.03 2.65 2.65 0.51 9.19 9.19 090
abscess.
57020... .................. A Drainage of pelvic fluid 1.50 0.65 0.65 0.14 2.29 2.29 000
57061... .................. A Destruction vagina *1.25 0.82 0.82 0.17 2.24 2.24 010
lesion(s).
57065... .................. A Destruction vagina *2.61 #2.87 #2.87 0.74 6.22 6.22 010
lesion(s).
57100... .................. A Biopsy of vagina........ 0.97 0.62 0.62 0.13 1.72 1.72 000
57105... .................. A Biopsy of vagina........ *1.69 1.57 1.57 0.33 3.59 3.59 010
57108... .................. A Partial removal of *6.36 5.28 5.28 1.10 12.74 12.74 090
vagina.
57110... .................. A Removal of vagina....... *14.29 7.88 7.88 1.76 23.93 23.93 090
57120... .................. A Closure of vagina....... *7.41 6.99 6.99 1.51 15.91 15.91 090
57130... .................. A Remove vagina lesion.... *2.43 2.62 2.62 0.55 5.60 5.60 010
57135... .................. A Remove vagina lesion.... *2.67 1.93 1.93 0.38 4.98 4.98 010
57150... .................. A Treat vagina infection.. 0.55 0.19 0.19 0.04 0.78 0.78 000
57160... .................. A Insertion of pessary/ 0.89 0.25 0.25 0.05 1.19 1.19 000
device.
57170... .................. A Fitting of diaphragm/cap 0.91 0.32 0.32 0.06 1.29 1.29 000
57180... .................. A Treat vaginal bleeding.. *1.58 0.55 0.55 0.11 2.24 2.24 010
57200... .................. A Repair of vagina........ *3.94 2.71 2.71 0.60 7.25 7.25 090
57210... .................. A Repair vagina/perineum.. *5.17 3.27 3.27 0.65 9.09 9.09 090
57220... .................. A Revision of urethra..... *4.31 4.44 4.44 0.80 9.55 9.55 090
57230... .................. A Repair of urethral *5.64 3.84 3.84 0.64 10.12 10.12 090
lesion.
57240... .................. A Repair bladder & vagina. *6.07 #6.68 #6.68 1.60 14.35 14.35 090
57250... .................. A Repair rectum & vagina.. *5.53 #6.08 #6.08 1.69 13.30 13.30 090
57260... .................. A Repair of vagina........ *8.27 8.65 8.65 1.88 18.80 18.80 090
57265... .................. A Extensive repair of *11.34 9.42 9.42 2.11 22.87 22.87 090
vagina.
57268... .................. A Repair of bowel bulge... *6.76 7.02 7.02 1.50 15.28 15.28 090
57270... .................. A Repair of bowel pouch... *12.11 6.83 6.83 1.44 20.38 20.38 090
57280... .................. A Suspension of vagina.... *15.04 8.53 8.53 1.85 25.42 25.42 090
57282... .................. A Repair of vaginal *8.86 8.72 8.72 1.89 19.47 19.47 090
prolapse.
57284... .................. A Repair paravaginal *12.70 8.59 8.59 0.84 22.13 22.13 090
defect.
57288... .................. A Repair bladder defect... *13.02 10.72 10.72 1.36 25.10 25.10 090
57289... .................. A Repair bladder & vagina. *11.58 8.19 8.19 1.13 20.90 20.90 090
57291... .................. A Construction of vagina.. *7.95 5.35 5.35 1.19 14.49 14.49 090
57292... .................. A Construct vagina with *13.09 6.55 6.55 1.38 21.02 21.02 090
graft.
57300... .................. A Repair rectum-vagina *7.61 7.91 7.91 1.66 17.18 17.18 090
fistula.
57305... .................. A Repair rectum-vagina *13.77 7.55 7.55 1.56 22.88 22.88 090
fistula.
57307... .................. A Fistula repair & *15.93 6.11 6.11 1.28 23.32 23.32 090
colostomy.
57308... .................. A Fistula repair, *9.94 7.23 7.23 1.41 18.58 18.58 090
transperine.
57310... .................. A Repair urethrovaginal *6.78 4.32 4.32 0.48 11.58 11.58 090
lesion.
57311... .................. A Repair urethrovaginal *7.98 5.58 5.58 0.41 13.97 13.97 090
lesion.
57320... .................. A Repair bladder-vagina *8.01 #8.81 #8.81 1.35 18.17 18.17 090
lesion.
57330... .................. A Repair bladder-vagina *12.35 8.29 8.29 0.81 21.45 21.45 090
lesion.
57335... .................. A Repair vagina........... *18.73 6.91 6.91 0.81 26.45 26.45 090
57400... .................. A Dilation of vagina...... 2.27 0.33 0.33 0.06 2.66 2.66 000
57410... .................. A Pelvic examination...... 1.75 0.36 0.36 0.05 2.16 2.16 000
57415... .................. A Removal vaginal foreign *2.17 0.36 0.36 0.05 2.58 2.58 010
body.
57452... .................. A Examination of vagina... 0.99 0.65 0.65 0.14 1.78 1.78 000
57454... .................. A Vagina examination & 1.27 1.21 1.21 0.26 2.74 2.74 000
biopsy.
57460... .................. A Cervix excision......... 2.83 2.02 2.02 0.46 5.31 5.31 000
57500... .................. A Biopsy of cervix........ 0.97 0.57 0.57 0.12 1.66 1.66 000
57505... .................. A Endocervical curettage.. *1.14 0.63 0.63 0.13 1.90 1.90 010
57510... .................. A Cauterization of cervix. *1.90 0.52 0.52 0.09 2.51 2.51 010
57511... .................. A Cryocautery of cervix... *1.90 0.85 0.85 0.17 2.92 2.92 010
57513... .................. A Laser surgery of cervix. *1.90 #2.09 #2.09 0.67 4.66 4.66 010
57520... .................. A Conization of cervix.... *4.04 3.45 3.45 0.73 8.22 8.22 090
57522... .................. A Conization of cervix.... *3.36 3.45 3.45 0.73 7.54 7.54 090
57530... .................. A Removal of cervix....... *4.79 3.61 3.61 0.78 9.18 9.18 090
57531... .................. A Removal of cervix, *22.04 17.77 17.77 3.87 43.68 43.68 090
radical.
57540... .................. A Removal of residual *12.22 6.74 6.74 1.51 20.47 20.47 090
cervix.
57545... .................. A Remove cervix, repair *13.03 4.58 4.58 1.03 18.64 18.64 090
pelvis.
57550... .................. A Removal of residual *5.53 #6.08 #6.08 1.54 13.15 13.15 090
cervix.
57555... .................. A Remove cervix, repair *8.95 #9.85 #9.85 2.17 20.97 20.97 090
vagina.
57556... .................. A Remove cervix, repair *8.37 #9.21 #9.21 1.92 19.50 19.50 090
bowel.
57700... .................. A Revision of cervix...... *3.55 2.39 2.39 0.34 6.28 6.28 090
57720... .................. A Revision of cervix...... *4.13 2.76 2.76 0.50 7.39 7.39 090
57800... .................. A Dilation of cervical 0.77 0.48 0.48 0.10 1.35 1.35 000
canal.
57820... .................. A D&c of residual cervix.. *1.67 2.08 2.08 0.46 4.21 4.21 010
58100... .................. A Biopsy of uterus lining. 0.71 0.66 0.66 0.14 1.51 1.51 000
58120... .................. A Dilation and curettage *3.27 2.70 2.70 0.56 6.53 6.53 010
(D&C).
58140... .................. A Removal of uterus lesion *14.60 8.33 8.33 1.71 24.64 24.64 090
58145... .................. A Removal of uterus lesion *8.04 8.24 8.24 1.54 17.82 17.82 090
[[Page 59157]]
58150... .................. A Total hysterectomy...... *15.24 9.57 9.57 2.08 26.89 26.89 090
58152... .................. A Total hysterectomy...... *15.09 11.99 11.99 2.59 29.67 29.67 090
58180... .................. A Partial hysterectomy.... *15.29 9.76 9.76 2.11 27.16 27.16 090
58200... .................. A Extensive hysterectomy.. *21.59 12.98 12.98 2.80 37.37 37.37 090
58210... .................. A Extensive hysterectomy.. *28.85 17.77 17.77 3.87 50.49 50.49 090
58240... .................. A Removal of pelvis *38.39 28.73 28.73 6.15 73.27 73.27 090
contents.
58260... .................. A Vaginal hysterectomy.... *12.20 9.39 9.39 2.07 23.66 23.66 090
58262... .................. A Vaginal hysterectomy.... *13.99 9.39 9.39 2.07 25.45 25.45 090
58263... .................. A Vaginal hysterectomy.... *15.28 10.32 10.32 2.22 27.82 27.82 090
58267... .................. A Hysterectomy & vagina *15.00 11.53 11.53 2.46 28.99 28.99 090
repair.
58270... .................. A Hysterectomy & vagina *13.48 10.32 10.32 2.22 26.02 26.02 090
repair.
58275... .................. A Hysterectomy, revise *14.98 11.02 11.02 2.32 28.32 28.32 090
vagina.
58280... .................. A Hysterectomy, revise *15.41 10.50 10.50 2.30 28.21 28.21 090
vagina.
58285... .................. A Extensive hysterectomy.. *18.57 11.60 11.60 2.70 32.87 32.87 090
58300... .................. N Insert intrauterine +1.01 0.77 0.77 0.13 1.91 1.91 XXX
device.
58301... .................. A Remove intrauterine 1.27 0.45 0.45 0.08 1.80 1.80 000
device.
58321... .................. A Artificial insemination. 0.92 0.71 0.71 0.15 1.78 1.78 000
58322... .................. A Artificial insemination. 1.10 0.71 0.71 0.15 1.96 1.96 000
58323... .................. A Sperm washing........... 0.23 0.16 0.16 0.04 0.43 0.43 000
58340... .................. A Catheter for 0.88 0.57 0.57 0.08 1.53 1.53 000
hysterography.
58345... .................. A Reopen fallopian tube... *4.66 3.49 3.49 0.41 8.56 8.56 010
58350... .................. A Reopen fallopian tube... *1.01 0.69 0.69 0.16 1.86 1.86 010
58400... .................. A Suspension of uterus.... *6.36 5.64 5.64 1.16 13.16 13.16 090
58410... .................. A Suspension of uterus.... *12.73 5.53 5.53 0.84 19.10 19.10 090
58520... .................. A Repair of ruptured *11.92 4.24 4.24 0.99 17.15 17.15 090
uterus.
58540... .................. A Revision of uterus...... *14.64 6.13 6.13 1.42 22.19 22.19 090
58600... .................. A Division of fallopian *3.84 #4.22 #4.22 1.38 9.44 9.44 090
tube.
58605... .................. A Division of fallopian *3.34 #3.67 #3.67 1.01 8.02 8.02 090
tube.
58611... .................. A Ligate oviduct(s)....... 0.63 0.47 0.47 0.10 1.20 1.20 ZZZ
58615... .................. A Occlude fallopian *3.90 2.91 2.91 0.35 7.16 7.16 010
tube(s).
58700... .................. A Removal of fallopian *6.49 6.33 6.33 1.31 14.13 14.13 090
tube.
58720... .................. A Removal of ovary/tube(s) *11.36 7.50 7.50 1.63 20.49 20.49 090
58740... .................. A Revise fallopian tube(s) *5.83 #6.41 #6.41 1.88 14.12 14.12 090
58750... .................. A Repair oviduct.......... *14.84 6.31 6.31 1.46 22.61 22.61 090
58752... .................. A Revise ovarian tube(s).. *14.84 6.74 6.74 0.93 22.51 22.51 090
58760... .................. A Remove tubal obstruction *13.13 5.11 5.11 1.19 19.43 19.43 090
58770... .................. A Create new tubal opening *13.97 5.28 5.28 1.11 20.36 20.36 090
58800... .................. A Drainage of ovarian *4.14 2.68 2.68 0.53 7.35 7.35 090
cyst(s).
58805... .................. A Drainage of ovarian *5.88 6.38 6.38 1.36 13.62 13.62 090
cyst(s).
58820... .................. A Open drain ovary abscess *4.22 2.76 2.76 0.49 7.47 7.47 090
58822... .................. A Percut drain ovary *10.13 3.55 3.55 0.81 14.49 14.49 090
abscess.
58823... .................. A Percut drain pelvic 3.38 2.56 2.56 0.30 6.24 6.24 000
abscess.
58825... .................. A Transposition, ovary(s). *6.13 4.03 4.03 0.93 11.09 11.09 090
58900... .................. A Biopsy of ovary(s)...... *5.99 5.19 5.19 1.07 12.25 12.25 090
58920... .................. A Partial removal of *6.78 6.78 6.78 1.41 14.97 14.97 090
ovary(s).
58925... .................. A Removal of ovarian *11.36 6.56 6.56 1.38 19.30 19.30 090
cyst(s).
58940... .................. A Removal of ovary(s)..... *7.29 6.49 6.49 1.33 15.11 15.11 090
58943... .................. A Removal of ovary(s)..... *18.43 12.11 12.11 2.63 33.17 33.17 090
58950... .................. A Resect ovarian *15.27 11.24 11.24 2.38 28.89 28.89 090
malignancy.
58951... .................. A Resect ovarian *21.81 18.34 18.34 3.93 44.08 44.08 090
malignancy.
58952... .................. A Resect ovarian *25.01 18.11 18.11 3.92 47.04 47.04 090
malignancy.
58960... .................. A Exploration of abdomen.. *14.65 12.98 12.98 2.95 30.58 30.58 090
58970... .................. A Retrieval of oocyte..... 3.53 2.52 2.52 0.58 6.63 6.63 000
58974... .................. C Transfer of embryo...... 0.00 0.00 0.00 0.00 0.00 0.00 000
58976... .................. A Transfer of embryo...... 3.83 2.73 2.73 0.63 7.19 7.19 000
58999... .................. C Genital surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
59000... .................. A Amniocentesis........... 1.30 0.97 0.97 0.18 2.45 2.45 000
59012... .................. A Fetal cord puncture, 3.45 2.62 2.62 0.31 6.38 6.38 000
prenatal.
59015... .................. A Chorion biopsy.......... 2.20 1.20 1.20 0.10 3.50 3.50 000
59020... .................. A Fetal contract stress 0.66 1.23 1.23 0.29 2.18 2.18 000
test.
59020... TC A Fetal contract stress 0.00 0.50 0.50 0.10 0.60 0.60 000
test.
59020... 26 A Fetal contract stress 0.66 #0.73 #0.73 0.19 1.58 1.58 000
test.
59025... .................. A Fetal non-stress test... 0.53 0.61 0.61 0.12 1.26 1.26 000
59025... TC A Fetal non-stress test... 0.00 0.22 0.22 0.04 0.26 0.26 000
59025... 26 A Fetal non-stress test... 0.53 0.39 0.39 0.08 1.00 1.00 000
59030... .................. A Fetal scalp blood sample 1.99 1.58 1.58 0.21 3.78 3.78 000
59050... .................. A Fetal monitor w/report.. 0.89 0.81 0.81 0.15 1.85 1.85 XXX
59051... .................. A Fetal monitor/interpret 0.74 0.81 0.81 0.15 1.70 1.70 XXX
only.
59100... .................. A Remove uterus lesion.... *12.35 4.14 4.14 0.96 17.45 17.45 090
59120... .................. A Treat ectopic pregnancy. *11.49 7.86 7.86 1.50 20.85 20.85 090
59121... .................. A Treat ectopic pregnancy. *11.67 5.38 5.38 1.07 18.12 18.12 090
59130... .................. A Treat ectopic pregnancy. *14.22 5.96 5.96 0.70 20.88 20.88 090
59135... .................. A Treat ectopic pregnancy. *13.88 9.85 9.85 1.15 24.88 24.88 090
59136... .................. A Treat ectopic pregnancy. *13.18 6.22 6.22 1.44 20.84 20.84 090
[[Page 59158]]
59140... .................. A Treat ectopic pregnancy. *5.46 4.66 4.66 0.29 10.41 10.41 090
59150... .................. A Treat ectopic pregnancy. *6.89 4.53 4.53 1.05 12.47 12.47 090
59151... .................. A Treat ectopic pregnancy. *7.86 8.61 8.61 0.64 17.11 17.11 090
59160... .................. A D&C after delivery...... *2.71 2.93 2.93 0.52 6.16 6.16 010
59200... .................. A Insert cervical dilator. 0.79 0.54 0.54 0.11 1.44 1.44 000
59300... .................. A Episiotomy or vaginal 2.41 0.99 0.99 0.10 3.50 3.50 000
repair.
59320... .................. A Revision of cervix...... 2.48 1.78 1.78 0.41 4.67 4.67 000
59325... .................. A Revision of cervix...... 4.07 2.89 2.89 0.29 7.25 7.25 000
59350... .................. A Repair of uterus........ 4.95 3.54 3.54 0.82 9.31 9.31 000
59400... .................. A Obstetrical care........ 23.06 14.99 14.99 3.47 41.52 41.52 MMM
59409... .................. A Obstetrical care........ 13.50 9.48 9.48 2.20 25.18 25.18 MMM
59410... .................. A Obstetrical care........ 14.78 10.31 10.31 2.39 27.48 27.48 MMM
59412... .................. A Antepartum manipulation. 1.71 1.22 1.22 0.29 3.22 3.22 MMM
59414... .................. A Deliver placenta........ 1.61 1.15 1.15 0.27 3.03 3.03 MMM
59425... .................. A Antepartum care only.... 4.81 2.88 2.88 0.66 8.35 8.35 MMM
59426... .................. A Antepartum care only.... 8.28 4.94 4.94 1.14 14.36 14.36 MMM
59430... .................. A Care after delivery..... 2.13 0.38 0.38 0.07 2.58 2.58 MMM
59510... .................. A Cesarean delivery....... 26.22 16.90 16.90 3.92 47.04 47.04 MMM
59514... .................. A Cesarean delivery only.. 15.97 10.99 10.99 2.55 29.51 29.51 MMM
59515... .................. A Cesarean delivery....... 17.37 11.82 11.82 2.73 31.92 31.92 MMM
59525... .................. A Remove uterus after 8.54 3.81 3.81 0.88 13.23 13.23 MMM
cesarean.
59610... .................. A Vbac delivery........... 24.62 14.99 14.99 3.47 43.08 43.08 MMM
59612... .................. A Vbac delivery only...... 15.06 9.48 9.48 2.20 26.74 26.74 MMM
59614... .................. A Vbac care after delivery 16.34 10.31 10.31 2.39 29.04 29.04 MMM
59618... .................. A Attempted vbac delivery. 27.78 16.90 16.90 3.92 48.60 48.60 MMM
59620... .................. A Attempted vbac delivery 17.53 10.99 10.99 2.55 31.07 31.07 MMM
only.
59622... .................. A Attempted vbac after 18.93 11.82 11.82 2.73 33.48 33.48 MMM
care.
59812... .................. A Treatment of miscarriage *3.25 3.61 #3.58 0.77 7.63 7.60 090
59820... .................. A Care of miscarriage..... *4.01 3.75 3.75 0.77 8.53 8.53 090
59821... .................. A Treatment of miscarriage *4.47 2.72 2.72 0.62 7.81 7.81 090
59830... .................. A Treat uterus infection.. *6.11 4.53 4.53 0.52 11.16 11.16 090
59840... .................. A Abortion................ *3.01 3.22 3.22 0.69 6.92 6.92 010
59841... .................. A Abortion................ *5.24 3.75 3.75 0.76 9.75 9.75 010
59850... .................. A Abortion................ *5.91 4.00 4.00 0.85 10.76 10.76 090
59851... .................. A Abortion................ *5.93 4.28 4.28 0.88 11.09 11.09 090
59852... .................. A Abortion................ *8.24 5.51 5.51 1.27 15.02 15.02 090
59855... .................. A Abortion................ *6.12 4.14 4.14 0.96 11.22 11.22 090
59856... .................. A Abortion................ *7.48 5.11 5.11 1.19 13.78 13.78 090
59857... .................. A Abortion................ *9.29 6.22 6.22 1.44 16.95 16.95 090
59866... .................. A Abortion................ 4.00 2.86 2.86 0.66 7.52 7.52 000
59870... .................. A Evacuate mole of uterus. *4.28 2.91 2.91 0.67 7.86 7.86 090
59871... .................. A Remove cerclage suture.. 2.13 1.78 1.78 0.41 4.32 4.32 000
59899... .................. C Maternity care procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY
60000... .................. A Drain thyroid/tongue *1.76 0.60 0.60 0.09 2.45 2.45 010
cyst.
60001... .................. A Aspirate/inject thyriod 0.97 1.05 1.05 0.12 2.14 2.14 000
cyst.
60100... .................. A Biopsy of thyroid....... 0.97 1.05 1.05 0.12 2.14 2.14 000
60200... .................. A Remove thyroid lesion... *9.55 6.02 6.02 1.04 16.61 16.61 090
60210... .................. A Partial excision thyroid *10.88 8.68 8.68 1.65 21.21 21.21 090
60212... .................. A Parital thyroid excision *16.03 9.04 9.04 1.74 26.81 26.81 090
60220... .................. A Partial removal of *10.53 8.54 8.54 1.61 20.68 20.68 090
thyroid.
60225... .................. A Partial removal of *14.19 10.49 10.49 1.92 26.60 26.60 090
thyroid.
60240... .................. A Removal of thyroid...... *16.06 10.58 10.58 1.96 28.60 28.60 090
60252... .................. A Removal of thyroid...... *18.20 13.65 13.65 2.55 34.40 34.40 090
60254... .................. A Extensive thyroid *23.88 19.21 19.21 3.08 46.17 46.17 090
surgery.
60260... .................. A Repeat thyroid surgery.. *15.46 3.14 3.14 0.34 18.94 18.94 090
60270... .................. A Removal of thyroid...... *17.94 13.97 13.97 2.54 34.45 34.45 090
60271... .................. A Removal of thyroid...... *14.89 12.14 12.14 2.25 29.28 29.28 090
60280... .................. A Remove thyroid duct *6.08 #6.69 #6.69 1.11 13.88 13.88 090
lesion.
60281... .................. A Remove thyroid duct *8.53 5.04 5.04 0.95 14.52 14.52 090
lesion.
60500... .................. A Explore parathyroid *16.23 11.36 11.36 2.31 29.90 29.90 090
glands.
60502... .................. A Re-explore parathyroids. *20.35 11.39 11.39 2.33 34.07 34.07 090
60505... .................. A Explore parathyroid *21.49 13.14 13.14 2.56 37.19 37.19 090
glands.
60512... .................. A Autotransplant, 4.45 2.32 2.32 0.54 7.31 7.31 ZZZ
parathyroid.
60520... .................. A Removal of thymus gland. *16.81 13.54 13.54 2.46 32.81 32.81 090
60521... .................. A Removal thymus gland.... *18.87 13.54 13.54 2.46 34.87 34.87 090
60522... .................. A Removal of thymus gland. *23.09 13.54 13.54 2.46 39.09 39.09 090
60540... .................. A Explore adrenal gland... *17.03 12.05 12.05 2.08 31.16 31.16 090
60545... .................. A Explore adrenal gland... *19.88 14.27 14.27 2.34 36.49 36.49 090
60600... .................. A Remove carotid body *17.93 11.46 11.46 1.88 31.27 31.27 090
lesion.
60605... .................. A Remove carotid body *20.24 10.71 10.71 2.21 33.16 33.16 090
lesion.
60699... .................. C Endocrine surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
61000... .................. A Remove cranial cavity 1.58 1.07 1.07 0.17 2.82 2.82 000
fluid.
61001... .................. A Remove cranial cavity 1.49 0.88 0.88 0.17 2.54 2.54 000
fluid.
61020... .................. A Remove brain cavity 1.51 1.26 1.26 0.20 2.97 2.97 000
fluid.
[[Page 59159]]
61026... .................. A Injection into brain 1.69 #1.86 #1.86 0.22 3.77 3.77 000
canal.
61050... .................. A Remove brain canal fluid 1.51 1.23 1.23 0.15 2.89 2.89 000
61055... .................. A Injection into brain 2.10 1.88 1.88 0.19 4.17 4.17 000
canal.
61070... .................. A Brain canal shunt 0.89 0.49 0.49 0.03 1.41 1.41 000
procedure.
61105... .................. A Drill skull for *5.14 #5.65 #5.65 1.24 12.03 12.03 090
examination.
61106... .................. A Drill skull for exam/ 4.62 #5.08 #5.08 1.15 10.85 10.85 ZZZ
surgery.
61107... .................. A Drill skull for 5.00 #5.50 #5.50 1.26 11.76 11.76 000
implantation.
61108... .................. A Drill skull for drainage *10.19 #11.21 #11.21 2.22 23.62 23.62 090
61120... .................. A Pierce skull for *8.76 5.95 5.95 1.08 15.79 15.79 090
examination.
61130... .................. A Pierce skull, exam/ 6.37 4.95 4.95 0.96 12.28 12.28 ZZZ
surgery.
61140... .................. A Pierce skull for biopsy. *15.90 14.13 14.13 2.56 32.59 32.59 090
61150... .................. A Pierce skull for *17.57 14.65 14.65 2.63 34.85 34.85 090
drainage.
61151... .................. A Pierce skull for *12.42 2.13 2.13 0.37 14.92 14.92 090
drainage.
61154... .................. A Pierce skull, remove *14.99 #16.49 #16.49 3.27 34.75 34.75 090
clot.
61156... .................. A Pierce skull for *16.32 16.19 16.19 3.05 35.56 35.56 090
drainage.
61210... .................. A Pierce skull; implant 5.84 6.04 6.04 1.53 13.41 13.41 000
device.
61215... .................. A Insert brain-fluid *4.89 #5.38 #5.38 1.63 11.90 11.90 090
device.
61250... .................. A Pierce skull & explore.. *10.42 8.03 8.03 1.44 19.89 19.89 090
61253... .................. A Pierce skull & explore.. *12.36 9.62 9.62 1.69 23.67 23.67 090
61304... .................. A Open skull for *21.96 #24.16 #24.16 4.78 50.90 50.90 090
exploration.
61305... .................. A Open skull for *26.61 29.11 29.11 5.05 60.77 60.77 090
exploration.
61312... .................. A Open skull for drainage. *24.57 24.13 24.13 4.46 53.16 53.16 090
61313... .................. A Open skull for drainage. *24.93 24.04 24.04 4.38 53.35 53.35 090
61314... .................. A Open skull for drainage. *24.23 25.62 25.62 4.68 54.53 54.53 090
61315... .................. A Open skull for drainage. *27.68 24.41 24.41 4.47 56.56 56.56 090
61320... .................. A Open skull for drainage. *25.62 18.70 18.70 3.41 47.73 47.73 090
61321... .................. A Open skull for drainage. *28.50 19.83 19.83 3.54 51.87 51.87 090
61330... .................. A Decompress eye socket... *23.32 12.97 12.97 1.22 37.51 37.51 090
61332... .................. A Explore/biopsy eye *27.28 20.72 20.72 2.76 50.76 50.76 090
socket.
61333... .................. A Explore orbit; remove *27.95 20.46 20.46 3.26 51.67 51.67 090
lesion.
61334... .................. A Explore orbit; remove *18.27 14.65 14.65 1.82 34.74 34.74 090
object.
61340... .................. A Relieve cranial pressure *18.66 14.80 14.80 2.54 36.00 36.00 090
61343... .................. A Incise skull, pressure *29.77 30.05 30.05 5.28 65.10 65.10 090
relief.
61345... .................. A Relieve cranial pressure *27.20 19.18 19.18 3.45 49.83 49.83 090
61440... .................. A Incise skull for surgery *26.63 20.75 20.75 3.00 50.38 50.38 090
61450... .................. A Incise skull for surgery *25.95 20.43 20.43 3.43 49.81 49.81 090
61458... .................. A Incise skull for brain *27.29 27.28 27.28 4.87 59.44 59.44 090
wound.
61460... .................. A Incise skull for surgery *28.39 25.05 25.05 3.98 57.42 57.42 090
61470... .................. A Incise skull for surgery *26.06 13.86 13.86 2.53 42.45 42.45 090
61480... .................. A Incise skull for surgery *26.49 15.07 15.07 1.78 43.34 43.34 090
61490... .................. A Incise skull for surgery *25.66 11.72 11.72 2.16 39.54 39.54 090
61500... .................. A Removal of skull lesion. *17.92 #19.71 #19.71 3.58 41.21 41.21 090
61501... .................. A Remove infected skull *14.84 #16.32 #16.32 3.33 34.49 34.49 090
bone.
61510... .................. A Removal of brain lesion. *28.45 27.04 27.04 4.90 60.39 60.39 090
61512... .................. A Remove brain lining *35.09 29.02 29.02 5.28 69.39 69.39 090
lesion.
61514... .................. A Removal of brain abscess *25.26 25.52 25.52 4.74 55.52 55.52 090
61516... .................. A Removal of brain lesion. *24.61 26.48 26.48 4.57 55.66 55.66 090
61518... .................. A Removal of brain lesion. *37.32 30.02 30.02 5.46 72.80 72.80 090
61519... .................. A Remove brain lining *41.39 31.22 31.22 5.77 78.38 78.38 090
lesion.
61520... .................. A Removal of brain lesion. *54.84 33.85 33.85 5.89 94.58 94.58 090
61521... .................. A Removal of brain lesion. *44.48 32.97 32.97 5.85 83.30 83.30 090
61522... .................. A Removal of brain abscess *29.45 19.96 19.96 3.79 53.20 53.20 090
61524... .................. A Removal of brain lesion. *27.86 27.45 27.45 5.15 60.46 60.46 090
61526... .................. A Removal of brain lesion. *52.17 34.01 34.01 4.79 90.97 90.97 090
61530... .................. A Removal of brain lesion. *43.86 34.01 34.01 4.79 82.66 82.66 090
61531... .................. A Implant brain electrodes *14.63 14.98 14.98 1.75 31.36 31.36 090
61533... .................. A Implant brain electrodes *19.71 17.02 17.02 3.33 40.06 40.06 090
61534... .................. A Removal of brain lesion. *20.97 6.38 6.38 2.01 29.36 29.36 090
61535... .................. A Remove brain electrodes. *11.63 7.66 7.66 1.25 20.54 20.54 090
61536... .................. A Removal of brain lesion. *35.52 21.96 21.96 3.99 61.47 61.47 090
61538... .................. A Removal of brain tissue. *26.81 29.08 29.08 4.97 60.86 60.86 090
61539... .................. A Removal of brain tissue. *32.08 22.96 22.96 4.07 59.11 59.11 090
61541... .................. A Incision of brain tissue *28.85 19.80 19.80 3.78 52.43 52.43 090
61542... .................. A Removal of brain tissue. *31.02 19.91 19.91 3.90 54.83 54.83 090
61543... .................. A Removal of brain tissue. *29.22 17.24 17.24 2.49 48.95 48.95 090
61544... .................. A Remove & treat brain *25.50 #28.05 #28.05 2.11 55.66 55.66 090
lesion.
61545... .................. A Excision of brain tumor. *43.80 25.66 25.66 4.80 74.26 74.26 090
61546... .................. A Removal of pituitary *31.30 27.01 27.01 4.78 63.09 63.09 090
gland.
61548... .................. A Removal of pituitary *21.53 #23.68 #23.68 4.03 49.24 49.24 090
gland.
61550... .................. A Release of skull seams.. *14.65 11.81 11.81 1.11 27.57 27.57 090
61552... .................. A Release of skull seams.. *19.56 13.83 13.83 2.70 36.09 36.09 090
61556... .................. A Incise skull/sutures.... *22.26 15.53 15.53 3.04 40.83 40.83 090
61557... .................. A Incise skull/sutures.... *22.38 15.62 15.62 3.05 41.05 41.05 090
61558... .................. A Excision of skull/ *25.58 17.74 17.74 3.47 46.79 46.79 090
sutures.
[[Page 59160]]
61559... .................. A Excision of skull/ *32.79 23.01 23.01 4.50 60.30 60.30 090
sutures.
61563... .................. A Excision of skull tumor. *26.83 18.81 18.81 3.68 49.32 49.32 090
61564... .................. A Excision of skull tumor. *33.83 23.73 23.73 4.64 62.20 62.20 090
61570... .................. A Remove brain foreign *24.60 16.49 16.49 3.06 44.15 44.15 090
body.
61571... .................. A Incise skull for brain *26.39 18.32 18.32 3.21 47.92 47.92 090
wound.
61575... .................. A Skull base/brainstem *34.36 32.99 32.99 5.05 72.40 72.40 090
surgery.
61576... .................. A Skull base/brainstem *52.43 28.23 28.23 3.91 84.57 84.57 090
surgery.
61580... .................. A Craniofacial approach, *30.35 21.01 21.01 4.10 55.46 55.46 090
skull.
61581... .................. A Craniofacial approach, *34.60 23.84 23.84 4.66 63.10 63.10 090
skull.
61582... .................. A Craniofacial approach, *31.66 21.65 21.65 4.22 57.53 57.53 090
skull.
61583... .................. A Craniofacial approach, *36.21 24.70 24.70 4.83 65.74 65.74 090
skull.
61584... .................. A Orbitocranial approach/ *34.65 23.91 23.91 4.68 63.24 63.24 090
skull.
61585... .................. A Orbitocranial approach/ *38.61 26.75 26.75 5.23 70.59 70.59 090
skull.
61586... .................. A Resect nasopharynx, *25.10 21.38 21.38 2.32 48.80 48.80 090
skull.
61590... .................. A Infratemporal approach/ *41.78 29.10 29.10 5.68 76.56 76.56 090
skull.
61591... .................. A Infratemporal approach/ *43.68 30.52 30.52 5.96 80.16 80.16 090
skull.
61592... .................. A Orbitocranial approach/ *39.64 27.68 27.68 5.41 72.73 72.73 090
skull.
61595... .................. A Transtemporal approach/ *29.57 20.44 20.44 4.00 54.01 54.01 090
skull.
61596... .................. A Transcochlear approach/ *35.63 24.84 24.84 4.86 65.33 65.33 090
skull.
61597... .................. A Transcondylar approach/ *37.96 26.26 26.26 5.13 69.35 69.35 090
skull.
61598... .................. A Transpetrosal approach/ *33.41 23.13 23.13 4.52 61.06 61.06 090
skull.
61600... .................. A Resect/excise cranial *25.85 17.74 17.74 3.46 47.05 47.05 090
lesion.
61601... .................. A Resect/excise cranial *27.89 19.03 19.03 3.72 50.64 50.64 090
lesion.
61605... .................. A Resect/excise cranial *29.33 20.09 20.09 3.93 53.35 53.35 090
lesion.
61606... .................. A Resect/excise cranial *38.83 26.90 26.90 5.25 70.98 70.98 090
lesion.
61607... .................. A Resect/excise cranial *36.27 25.13 25.13 4.91 66.31 66.31 090
lesion.
61608... .................. A Resect/excise cranial *42.10 29.24 29.24 5.71 77.05 77.05 090
lesion.
61609... .................. A Transect, artery, sinus. 9.89 7.19 7.19 1.40 18.48 18.48 ZZZ
61610... .................. A Transect, artery, sinus. 29.67 21.57 21.57 4.21 55.45 55.45 ZZZ
61611... .................. A Transect, artery, sinus. 7.42 5.39 5.39 1.06 13.87 13.87 ZZZ
61612... .................. A Transect, artery, sinus. 27.88 20.27 20.27 3.96 52.11 52.11 ZZZ
61613... .................. A Remove aneurysm, sinus.. *40.86 28.67 28.67 5.61 75.14 75.14 090
61615... .................. A Resect/excise lesion, *32.07 22.07 22.07 4.31 58.45 58.45 090
skull.
61616... .................. A Resect/excise lesion, *43.33 30.03 30.03 5.86 79.22 79.22 090
skull.
61618... .................. A Repair dura............. *16.99 11.35 11.35 2.22 30.56 30.56 090
61619... .................. A Repair dura............. *20.71 14.19 14.19 2.77 37.67 37.67 090
61624... .................. A Occlusion/embolization 20.15 15.28 15.28 1.79 37.22 37.22 000
cath.
61626... .................. A Occlusion/embolization 16.62 12.60 12.60 1.47 30.69 30.69 000
cath.
61680... .................. A Intracranial vessel *30.71 31.06 31.06 5.79 67.56 67.56 090
surgery.
61682... .................. A Intracranial vessel *61.57 35.31 35.31 6.36 103.24 103.24 090
surgery.
61684... .................. A Intracranial vessel *39.81 29.76 29.76 3.47 73.04 73.04 090
surgery.
61686... .................. A Intracranial vessel *64.49 35.98 35.98 4.20 104.67 104.67 090
surgery.
61690... .................. A Intracranial vessel *29.31 27.46 27.46 4.09 60.86 60.86 090
surgery.
61692... .................. A Intracranial vessel *51.87 28.79 28.79 3.36 84.02 84.02 090
surgery.
61700... .................. A Inner skull vessel *50.52 31.69 31.69 5.67 87.88 87.88 090
surgery.
61702... .................. A Inner skull vessel *48.41 36.31 36.31 6.61 91.33 91.33 090
surgery.
61703... .................. A Clamp neck artery....... *17.47 12.21 12.21 2.24 31.92 31.92 090
61705... .................. A Revise circulation to *36.20 30.41 30.41 5.25 71.86 71.86 090
head.
61708... .................. A Revise circulation to *35.30 25.20 25.20 2.32 62.82 62.82 090
head.
61710... .................. A Revise circulation to *29.67 16.63 16.63 1.75 48.05 48.05 090
head.
61711... .................. A Fusion of skull arteries *36.33 33.04 33.04 6.20 75.57 75.57 090
61712... .................. A Skull or spine 3.49 #3.84 #3.84 0.93 8.26 8.26 ZZZ
microsurgery.
61720... .................. A Incise skull/brain *16.77 #18.45 #18.45 4.05 39.27 39.27 090
surgery.
61735... .................. A Incise skull/brain *20.43 12.96 12.96 1.51 34.90 34.90 090
surgery.
61750... .................. A Incise skull; brain *18.20 13.54 13.54 4.31 36.05 36.05 090
biopsy.
61751... .................. A Brain biopsy with cat *17.62 #19.38 #19.38 4.44 41.44 41.44 090
scan.
61760... .................. A Implant brain electrodes *22.27 14.98 14.98 1.75 39.00 39.00 090
61770... .................. A Incise skull for *21.44 19.38 19.38 3.43 44.25 44.25 090
treatment.
61790... .................. A Treat trigeminal nerve.. *10.86 #11.95 #11.95 3.03 25.84 25.84 090
61791... .................. A Treat trigeminal tract.. *14.61 9.77 9.77 3.16 27.54 27.54 090
61793... .................. A Focus radiation beam.... *17.24 #18.96 #18.96 1.96 38.16 38.16 090
61795... .................. A Brain surgery using 4.04 #4.44 #4.44 1.55 10.03 10.03 000
computer.
61850... .................. A Implant neuroelectrodes. *12.39 11.63 11.63 2.26 26.28 26.28 090
61855... .................. A Implant neuroelectrodes. *13.39 10.39 10.39 1.47 25.25 25.25 090
61860... .................. A Implant neuroelectrodes. *20.87 8.14 8.14 1.59 30.60 30.60 090
61865... .................. A Implant neuroelectrodes. *22.97 15.78 15.78 3.09 41.84 41.84 090
61870... .................. A Implant neuroelectrodes. *14.94 4.19 4.19 0.82 19.95 19.95 090
61875... .................. A Implant neuroelectrodes. *15.06 6.69 6.69 1.31 23.06 23.06 090
61880... .................. A Revise/remove *6.29 4.79 4.79 0.66 11.74 11.74 090
neuroelectrode.
61885... .................. A Implant neuroreceiver... *5.85 1.96 1.96 0.29 8.10 8.10 090
61888... .................. A Revise/remove *5.07 2.25 2.25 0.44 7.76 7.76 010
neuroreceiver.
62000... .................. A Repair of skull fracture *12.53 5.73 5.73 0.95 19.21 19.21 090
62005... .................. A Repair of skull fracture *16.17 11.08 11.08 1.97 29.22 29.22 090
62010... .................. A Treatment of head injury *19.81 19.20 19.20 3.39 42.40 42.40 090
[[Page 59161]]
62100... .................. A Repair brain fluid *22.03 21.62 21.62 3.72 47.37 47.37 090
leakage.
62115... .................. A Reduction of skull *21.66 15.51 15.51 1.82 38.99 38.99 090
defect.
62116... .................. A Reduction of skull *23.59 16.98 16.98 1.99 42.56 42.56 090
defect.
62117... .................. A Reduction of skull *26.60 19.20 19.20 2.25 48.05 48.05 090
defect.
62120... .................. A Repair skull cavity *23.35 16.90 16.90 1.98 42.23 42.23 090
lesion.
62121... .................. A Incise skull repair..... *21.58 17.51 17.51 3.41 42.50 42.50 090
62140... .................. A Repair of skull defect.. *13.51 13.43 13.43 2.39 29.33 29.33 090
62141... .................. A Repair of skull defect.. *14.91 #16.40 #16.40 3.28 34.59 34.59 090
62142... .................. A Remove skull plate/flap. *10.79 #11.87 #11.87 2.64 25.30 25.30 090
62143... .................. A Replace skull plate/flap *13.05 9.17 9.17 1.65 23.87 23.87 090
62145... .................. A Repair of skull & brain. *18.82 13.16 13.16 2.29 34.27 34.27 090
62146... .................. A Repair of skull with *16.12 10.99 10.99 2.15 29.26 29.26 090
graft.
62147... .................. A Repair of skull with *19.34 13.17 13.17 2.57 35.08 35.08 090
graft.
62180... .................. A Establish brain cavity *21.06 14.21 14.21 2.70 37.97 37.97 090
shunt.
62190... .................. A Establish brain cavity *11.07 #12.18 #12.18 3.21 26.46 26.46 090
shunt.
62192... .................. A Establish brain cavity *12.25 #13.48 #13.48 2.74 28.47 28.47 090
shunt.
62194... .................. A Replace/irrigate *5.03 1.88 1.88 0.29 7.20 7.20 010
catheter.
62200... .................. A Establish brain cavity *18.32 16.95 16.95 3.09 38.36 38.36 090
shunt.
62201... .................. A Establish brain cavity *14.86 8.78 8.78 1.72 25.36 25.36 090
shunt.
62220... .................. A Establish brain cavity *13.00 #14.30 #14.30 3.12 30.42 30.42 090
shunt.
62223... .................. A Establish brain cavity *12.87 #14.16 #14.16 3.02 30.05 30.05 090
shunt.
62225... .................. A Replace/irrigate *5.41 4.80 4.80 0.58 10.79 10.79 090
catheter.
62230... .................. A Replace/revise brain *10.54 9.83 9.83 1.82 22.19 22.19 090
shunt.
62256... .................. A Remove brain cavity *6.60 6.38 6.38 1.17 14.15 14.15 090
shunt.
62258... .................. A Replace brain cavity *14.54 14.78 14.78 2.55 31.87 31.87 090
shunt.
62268... .................. A Drain spinal cord cyst.. 4.74 2.98 2.98 0.36 8.08 8.08 000
62269... .................. A Needle biopsy spinal 5.02 1.75 1.75 0.28 7.05 7.05 000
cord.
62270... .................. A Spinal fluid tap, 1.13 0.71 0.71 0.06 1.90 1.90 000
diagnostic.
62272... .................. A Drain spinal fluid...... 1.35 1.01 1.01 0.12 2.48 2.48 000
62273... .................. A Treat lumbar spine 2.15 1.12 1.12 0.26 3.53 3.53 000
lesion.
62274... .................. A Inject spinal anesthetic 1.78 0.74 0.74 0.17 2.69 2.69 000
62275... .................. A Inject spinal anesthetic 1.79 0.59 0.59 0.19 2.57 2.57 000
62276... .................. A Inject spinal anesthetic 2.04 1.23 1.23 0.23 3.50 3.50 000
62277... .................. A Inject spinal anesthetic 2.15 0.84 0.84 0.23 3.22 3.22 000
62278... .................. A Inject spinal anesthetic 1.51 0.98 0.98 0.26 2.75 2.75 000
62279... .................. A Inject spinal anesthetic 1.58 0.82 0.82 0.24 2.64 2.64 000
62280... .................. A Treat spinal cord lesion *2.63 0.71 0.71 0.14 3.48 3.48 010
62281... .................. A Treat spinal cord lesion *2.66 0.87 0.87 0.28 3.81 3.81 010
62282... .................. A Treat spinal canal *2.33 1.70 1.70 0.40 4.43 4.43 010
lesion.
62284... .................. A Injection for myelogram. 1.54 1.98 #1.69 0.34 3.86 3.57 000
62287... .................. A Percutaneous diskectomy. *8.08 6.96 6.96 2.65 17.69 17.69 090
62288... .................. A Injection into spinal 1.74 1.12 1.12 0.24 3.10 3.10 000
canal.
62289... .................. A Injection into spinal 1.64 1.07 1.07 0.29 3.00 3.00 000
canal.
62290... .................. A Inject for spine disk x- 3.00 1.86 1.86 0.24 5.10 5.10 000
ray.
62291... .................. A Inject for spine disk x- 2.91 1.78 1.78 0.39 5.08 5.08 000
ray.
62292... .................. A Injection into disk *7.86 #8.65 #8.65 2.13 18.64 18.64 090
lesion.
62294... .................. A Injection into spinal *11.83 5.84 5.84 0.68 18.35 18.35 090
artery.
62298... .................. A Injection into spinal 2.20 1.04 1.04 0.13 3.37 3.37 000
canal.
62350... .................. A Implant spinal catheter. *6.87 3.49 3.49 1.02 11.38 11.38 090
62351... .................. A Implant spinal catheter. *10.00 5.16 5.16 1.50 16.66 16.66 090
62355... .................. A Remove spinal canal *5.45 3.49 3.49 0.68 9.62 9.62 090
catheter.
62360... .................. A Insert spine infusion *2.62 1.12 1.12 0.33 4.07 4.07 090
device.
62361... .................. A Implant spine infusion *5.42 2.68 2.68 0.78 8.88 8.88 090
pump.
62362... .................. A Implant spine infusion *7.04 3.51 3.51 1.02 11.57 11.57 090
pump.
62365... .................. A Remove spine infusion *5.42 3.47 3.47 0.68 9.57 9.57 090
device.
62367... .................. C Analyze spine infusion 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pump.
62367... TC C Analyze spine infusion 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pump.
62367... 26 A Analyze spine infusion 0.48 0.35 0.35 0.07 0.90 0.90 XXX
pump.
62368... .................. C Analyze spine infusion 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pump.
62368... TC C Analyze spine infusion 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pump.
62368... 26 A Analyze spine infusion 0.75 0.55 0.55 0.11 1.41 1.41 XXX
pump.
63001... .................. A Removal of spinal lamina *15.82 #17.40 #17.40 3.42 36.64 36.64 090
63003... .................. A Removal of spinal lamina *15.95 #17.55 #17.55 3.23 36.73 36.73 090
63005... .................. A Removal of spinal lamina *14.92 #16.41 #16.41 3.10 34.43 34.43 090
63011... .................. A Removal of spinal lamina *14.52 9.99 9.99 1.87 26.38 26.38 090
63012... .................. A Removal of spinal lamina *15.40 #16.94 #16.94 3.15 35.49 35.49 090
63015... .................. A Removal of spinal lamina *19.35 21.23 21.23 4.18 44.76 44.76 090
63016... .................. A Removal of spinal lamina *19.20 #21.12 #21.12 4.11 44.43 44.43 090
63017... .................. A Removal of spinal lamina *15.94 #17.53 #17.53 4.00 37.47 37.47 090
63020... .................. A Neck spine disk surgery. *14.81 16.04 16.04 3.38 34.23 34.23 090
63030... .................. A Low back disk surgery... *12.00 #13.20 #13.20 2.81 28.01 28.01 090
63035... .................. A Added spinal disk 3.15 #3.47 #3.47 0.76 7.38 7.38 ZZZ
surgery.
63040... .................. A Neck spine disk surgery. *18.81 #20.69 #20.69 4.30 43.80 43.80 090
63042... .................. A Low back disk surgery... *17.47 #19.22 #19.22 4.38 41.07 41.07 090
[[Page 59162]]
63045... .................. A Removal of spinal lamina *16.50 #18.15 #18.15 4.38 39.03 39.03 090
63046... .................. A Removal of spinal lamina *15.80 #17.38 #17.38 4.58 37.76 37.76 090
63047... .................. A Removal of spinal lamina *14.61 #16.07 #16.07 4.48 35.16 35.16 090
63048... .................. A Removal of spinal lamina 3.26 #3.59 #3.59 1.03 7.88 7.88 ZZZ
63055... .................. A Decompress spinal cord.. *21.99 23.73 23.73 4.18 49.90 49.90 090
63056... .................. A Decompress spinal cord.. *20.36 21.84 21.84 3.76 45.96 45.96 090
63057... .................. A Decompress spinal cord.. 5.26 3.84 3.84 0.85 9.95 9.95 ZZZ
63064... .................. A Decompress spinal cord.. *24.61 23.83 23.83 4.09 52.53 52.53 090
63066... .................. A Decompress spinal cord.. 3.26 2.48 2.48 0.45 6.19 6.19 ZZZ
63075... .................. A Neck spine disk surgery. *19.41 17.57 17.57 3.21 40.19 40.19 090
63076... .................. A Neck spine disk surgery. 4.05 #4.46 #4.46 0.97 9.48 9.48 ZZZ
63077... .................. A Spine disk surgery, *21.44 18.42 18.42 3.17 43.03 43.03 090
thorax.
63078... .................. A Spine disk surgery, 3.28 2.61 2.61 0.45 6.34 6.34 ZZZ
thorax.
63081... .................. A Removal of vertebral *23.73 #26.10 #26.10 4.50 54.33 54.33 090
body.
63082... .................. A Removal of vertebral 4.37 #4.81 #4.81 1.22 10.40 10.40 ZZZ
body.
63085... .................. A Removal of vertebral *26.92 27.39 27.39 4.69 59.00 59.00 090
body.
63086... .................. A Removal of vertebral 3.19 #3.51 #3.51 1.07 7.77 7.77 ZZZ
body.
63087... .................. A Removal of vertebral *35.57 28.25 28.25 4.85 68.67 68.67 090
body.
63088... .................. A Removal of vertebral 4.33 #4.76 #4.76 1.18 10.27 10.27 ZZZ
body.
63090... .................. A Removal of vertebral *28.16 29.22 29.22 4.92 62.30 62.30 090
body.
63091... .................. A Removal of vertebral 3.03 2.73 2.73 0.46 6.22 6.22 ZZZ
body.
63170... .................. A Incise spinal cord *19.83 18.88 18.88 3.28 41.99 41.99 090
tract(s).
63172... .................. A Drainage of spinal cyst. *17.66 #19.43 #19.43 4.26 41.35 41.35 090
63173... .................. A Drainage of spinal cyst. *21.99 15.47 15.47 1.81 39.27 39.27 090
63180... .................. A Revise spinal cord *18.27 11.61 11.61 2.05 31.93 31.93 090
ligaments.
63182... .................. A Revise spinal cord *20.50 16.44 16.44 2.21 39.15 39.15 090
ligaments.
63185... .................. A Incise spinal column/ *15.04 15.55 15.55 2.93 33.52 33.52 090
nerves.
63190... .................. A Incise spinal column/ *17.45 #19.20 #19.20 3.91 40.56 40.56 090
nerves.
63191... .................. A Incise spinal column/ *17.54 13.04 13.04 2.21 32.79 32.79 090
nerves.
63194... .................. A Incise spinal column & *19.19 13.02 13.02 2.33 34.54 34.54 090
cord.
63195... .................. A Incise spinal column & *18.84 13.86 13.86 2.11 34.81 34.81 090
cord.
63196... .................. A Incise spinal column & *22.30 15.59 15.59 1.83 39.72 39.72 090
cord.
63197... .................. A Incise spinal column & *21.11 14.36 14.36 2.62 38.09 38.09 090
cord.
63198... .................. A Incise spinal column & *25.38 16.32 16.32 3.19 44.89 44.89 090
cord.
63199... .................. A Incise spinal column & *26.89 21.40 21.40 2.61 50.90 50.90 090
cord.
63200... .................. A Release of spinal cord.. *19.18 12.49 12.49 1.83 33.50 33.50 090
63250... .................. A Revise spinal cord *40.76 27.99 27.99 5.22 73.97 73.97 090
vessels.
63251... .................. A Revise spinal cord *41.20 22.74 22.74 4.32 68.26 68.26 090
vessels.
63252... .................. A Revise spinal cord *41.19 28.25 28.25 5.52 74.96 74.96 090
vessels.
63265... .................. A Excise intraspinal *21.56 22.01 22.01 3.90 47.47 47.47 090
lesion.
63266... .................. A Excise intraspinal *22.30 #24.53 #24.53 4.43 51.26 51.26 090
lesion.
63267... .................. A Excise intraspinal *17.95 #19.75 #19.75 4.20 41.90 41.90 090
lesion.
63268... .................. A Excise intraspinal *18.52 12.56 12.56 2.46 33.54 33.54 090
lesion.
63270... .................. A Excise intraspinal *26.80 18.14 18.14 3.42 48.36 48.36 090
lesion.
63271... .................. A Excise intraspinal *26.92 26.60 26.60 4.79 58.31 58.31 090
lesion.
63272... .................. A Excise intraspinal *25.32 23.15 23.15 4.26 52.73 52.73 090
lesion.
63273... .................. A Excise intraspinal *24.29 17.56 17.56 3.12 44.97 44.97 090
lesion.
63275... .................. A Biopsy/excise spinal *23.68 #26.05 #26.05 5.09 54.82 54.82 090
tumor.
63276... .................. A Biopsy/excise spinal *23.45 25.31 25.31 4.62 53.38 53.38 090
tumor.
63277... .................. A Biopsy/excise spinal *20.83 #22.91 #22.91 4.25 47.99 47.99 090
tumor.
63278... .................. A Biopsy/excise spinal *20.56 #22.62 #22.62 4.32 47.50 47.50 090
tumor.
63280... .................. A Biopsy/excise spinal *28.35 28.08 28.08 4.99 61.42 61.42 090
tumor.
63281... .................. A Biopsy/excise spinal *28.05 27.67 27.67 4.96 60.68 60.68 090
tumor.
63282... .................. A Biopsy/excise spinal *26.39 24.11 24.11 4.44 54.94 54.94 090
tumor.
63283... .................. A Biopsy/excise spinal *25.00 18.77 18.77 3.44 47.21 47.21 090
tumor.
63285... .................. A Biopsy/excise spinal *36.00 24.49 24.49 4.49 64.98 64.98 090
tumor.
63286... .................. A Biopsy/excise spinal *35.63 28.76 28.76 4.92 69.31 69.31 090
tumor.
63287... .................. A Biopsy/excise spinal *36.70 25.72 25.72 4.53 66.95 66.95 090
tumor.
63290... .................. A Biopsy/excise spinal *37.38 27.16 27.16 4.65 69.19 69.19 090
tumor.
63300... .................. A Removal of vertebral *24.43 17.27 17.27 2.02 43.72 43.72 090
body.
63301... .................. A Removal of vertebral *27.60 18.45 18.45 3.58 49.63 49.63 090
body.
63302... .................. A Removal of vertebral *27.81 21.36 21.36 3.02 52.19 52.19 090
body.
63303... .................. A Removal of vertebral *30.50 18.50 18.50 3.39 52.39 52.39 090
body.
63304... .................. A Removal of vertebral *30.33 21.31 21.31 2.49 54.13 54.13 090
body.
63305... .................. A Removal of vertebral *32.03 22.49 22.49 3.75 58.27 58.27 090
body.
63306... .................. A Removal of vertebral *32.22 22.76 22.76 2.65 57.63 57.63 090
body.
63307... .................. A Removal of vertebral *31.63 24.42 24.42 2.98 59.03 59.03 090
body.
63308... .................. A Removal of vertebral 5.25 4.05 4.05 0.73 10.03 10.03 ZZZ
body.
63600... .................. A Remove spinal cord *14.02 10.70 10.70 2.63 27.35 27.35 090
lesion.
63610... .................. A Stimulation of spinal 8.73 6.73 6.73 2.06 17.52 17.52 000
cord.
63615... .................. A Remove lesion of spinal *16.28 11.55 11.55 2.03 29.86 29.86 090
cord.
63650... .................. A Implant neuroelectrodes. *6.74 #7.41 #7.41 2.13 16.28 16.28 090
63655... .................. A Implant neuroelectrodes. *10.29 #11.32 #11.32 3.64 25.25 25.25 090
63660... .................. A Revise/remove *6.16 #6.78 #6.78 1.56 14.50 14.50 090
neuroelectrode.
[[Page 59163]]
63685... .................. A Implant neuroreceiver... *7.04 7.40 7.40 1.46 15.90 15.90 090
63688... .................. A Revise/remove *5.39 #5.93 #5.93 1.26 12.58 12.58 090
neuroreceiver.
63690... .................. A Analysis of 0.45 0.58 #0.50 0.12 1.15 1.07 XXX
neuroreceiver.
63691... .................. A Analysis of 0.65 0.41 0.41 0.11 1.17 1.17 XXX
neuroreceiver.
63700... .................. A Repair of spinal *16.53 11.35 11.35 2.22 30.10 30.10 090
herniation.
63702... .................. A Repair of spinal *18.48 12.78 12.78 2.49 33.75 33.75 090
herniation.
63704... .................. A Repair of spinal *21.18 14.19 14.19 2.77 38.14 38.14 090
herniation.
63706... .................. A Repair of spinal *24.11 16.33 16.33 3.18 43.62 43.62 090
herniation.
63707... .................. A Repair spinal fluid *11.26 #12.39 #12.39 2.56 26.21 26.21 090
leakage.
63709... .................. A Repair spinal fluid *14.32 #15.75 #15.75 3.30 33.37 33.37 090
leakage.
63710... .................. A Graft repair of spine *14.07 9.75 9.75 1.58 25.40 25.40 090
defect.
63740... .................. A Install spinal shunt.... *11.36 #12.50 #12.50 2.99 26.85 26.85 090
63741... .................. A Install spinal shunt.... *8.25 #9.08 #9.08 2.39 19.72 19.72 090
63744... .................. A Revision of spinal shunt *8.10 8.15 8.15 1.68 17.93 17.93 090
63746... .................. A Removal of spinal shunt. *6.43 5.52 5.52 1.08 13.03 13.03 090
64400... .................. A Injection for nerve 1.11 0.48 0.48 0.05 1.64 1.64 000
block.
64402... .................. A Injection for nerve 1.25 0.62 0.62 0.09 1.96 1.96 000
block.
64405... .................. A Injection for nerve 1.32 0.64 0.64 0.07 2.03 2.03 000
block.
64408... .................. A Injection for nerve 1.41 1.04 1.04 0.11 2.56 2.56 000
block.
64410... .................. A Injection for nerve 1.43 0.71 0.71 0.15 2.29 2.29 000
block.
64412... .................. A Injection for nerve 1.18 0.62 0.62 0.08 1.88 1.88 000
block.
64413... .................. A Injection for nerve 1.40 0.74 0.74 0.08 2.22 2.22 000
block.
64415... .................. A Injection for nerve 1.48 0.26 0.26 0.07 1.81 1.81 000
block.
64417... .................. A Injection for nerve 1.44 0.63 0.63 0.15 2.22 2.22 000
block.
64418... .................. A Injection for nerve 1.32 0.85 0.85 0.10 2.27 2.27 000
block.
64420... .................. A Injection for nerve 1.18 0.64 0.64 0.07 1.89 1.89 000
block.
64421... .................. A Injection for nerve 1.68 0.83 0.83 0.17 2.68 2.68 000
block.
64425... .................. A Injection for nerve 1.75 0.57 0.57 0.10 2.42 2.42 000
block.
64430... .................. A Injection for nerve 1.46 0.70 0.70 0.12 2.28 2.28 000
block.
64435... .................. A Injection for nerve 1.45 0.47 0.47 0.09 2.01 2.01 000
block.
64440... .................. A Injection for nerve 1.34 0.79 0.79 0.09 2.22 2.22 000
block.
64441... .................. A Injection for nerve 1.79 1.01 1.01 0.12 2.92 2.92 000
block.
64442... .................. A Injection for nerve 1.41 1.19 1.19 0.16 2.76 2.76 000
block.
64443... .................. A Injection for nerve 0.98 0.63 0.63 0.12 1.73 1.73 ZZZ
block.
64445... .................. A Injection for nerve 1.48 0.49 0.49 0.06 2.03 2.03 000
block.
64450... .................. A Injection for nerve 1.27 0.53 0.53 0.05 1.85 1.85 000
block.
64505... .................. A Injection for nerve 1.36 0.62 0.62 0.06 2.04 2.04 000
block.
64508... .................. A Injection for nerve 1.12 1.04 1.04 0.08 2.24 2.24 000
block.
64510... .................. A Injection for nerve 1.22 0.71 0.71 0.18 2.11 2.11 000
block.
64520... .................. A Injection for nerve 1.35 0.72 0.72 0.17 2.24 2.24 000
block.
64530... .................. A Injection for nerve 1.58 1.17 1.17 0.28 3.03 3.03 000
block.
64550... .................. A Apply neurostimulator... 0.18 0.44 0.44 0.04 0.66 0.66 000
64553... .................. A Implant neuroelectrodes. *2.31 1.02 1.02 0.10 3.43 3.43 010
64555... .................. A Implant neuroelectrodes. *2.27 0.42 0.42 0.10 2.79 2.79 010
64560... .................. A Implant neuroelectrodes. *2.36 1.45 1.45 0.24 4.05 4.05 010
64565... .................. A Implant neuroelectrodes. *1.76 0.76 0.76 0.08 2.60 2.60 010
64573... .................. A Implant neuroelectrodes. *4.43 3.16 3.16 0.61 8.20 8.20 090
64575... .................. A Implant neuroelectrodes. *4.35 3.07 3.07 0.40 7.82 7.82 090
64577... .................. A Implant neuroelectrodes. *4.62 2.76 2.76 0.45 7.83 7.83 090
64580... .................. A Implant neuroelectrodes. *4.12 2.91 2.91 0.20 7.23 7.23 090
64585... .................. A Revise/remove *2.06 0.97 0.97 0.09 3.12 3.12 010
neuroelectrode.
64590... .................. A Implant neuroreceiver... *2.40 1.84 1.84 0.35 4.59 4.59 010
64595... .................. A Revise/remove *1.73 1.12 1.12 0.21 3.06 3.06 010
neuroreceiver.
64600... .................. A Injection treatment of *3.45 1.69 1.69 0.17 5.31 5.31 010
nerve.
64605... .................. A Injection treatment of *5.61 1.56 1.56 0.33 7.50 7.50 010
nerve.
64610... .................. A Injection treatment of *7.16 7.26 7.26 1.35 15.77 15.77 010
nerve.
64612... .................. A Destroy nerve, face *1.96 1.45 1.45 0.17 3.58 3.58 010
muscle.
64613... .................. A Destroy nerve, spine *1.96 1.45 1.45 0.17 3.58 3.58 010
muscle.
64620... .................. A Injection treatment of *2.84 1.00 1.00 0.19 4.03 4.03 010
nerve.
64622... .................. A Injection treatment of *3.00 1.82 1.82 0.35 5.17 5.17 010
nerve.
64623... .................. A Injection treatment of 0.99 0.85 0.85 0.17 2.01 2.01 ZZZ
nerve.
64630... .................. A Injection treatment of *3.00 1.74 1.74 0.38 5.12 5.12 010
nerve.
64640... .................. A Injection treatment of *2.76 0.92 0.92 0.09 3.77 3.77 010
nerve.
64680... .................. A Injection treatment of *2.62 1.55 1.55 0.41 4.58 4.58 010
nerve.
64702... .................. A Revise finger/toe nerve. *4.23 4.22 4.22 0.70 9.15 9.15 090
64704... .................. A Revise hand/foot nerve.. *4.57 #5.03 #5.03 0.74 10.34 10.34 090
64708... .................. A Revise arm/leg nerve.... *6.12 #6.73 #6.73 1.26 14.11 14.11 090
64712... .................. A Revision of sciatic *7.75 #8.53 #8.53 1.68 17.96 17.96 090
nerve.
64713... .................. A Revision of arm nerve(s) *11.00 9.40 9.40 1.72 22.12 22.12 090
64714... .................. A Revise low back nerve(s) *10.33 6.13 6.13 1.41 17.87 17.87 090
64716... .................. A Revision of cranial *6.31 4.83 4.83 0.67 11.81 11.81 090
nerve.
64718... .................. A Revise ulnar nerve at *5.99 #6.59 #6.59 1.13 13.71 13.71 090
elbow.
64719... .................. A Revise ulnar nerve at *4.85 4.95 4.95 0.85 10.65 10.65 090
wrist.
64721... .................. A Carpal tunnel surgery... *4.29 #4.72 #4.72 0.83 9.84 9.84 090
[[Page 59164]]
64722... .................. A Relieve pressure on *4.70 #5.17 #5.17 1.11 10.98 10.98 090
nerve(s).
64726... .................. A Release foot/toe nerve.. *4.18 0.72 0.72 0.07 4.97 4.97 090
64727... .................. A Internal nerve revision. 3.10 3.24 3.24 0.55 6.89 6.89 ZZZ
64732... .................. A Incision of brow nerve.. *4.41 4.31 4.31 0.72 9.44 9.44 090
64734... .................. A Incision of cheek nerve. *4.92 4.61 4.61 0.67 10.20 10.20 090
64736... .................. A Incision of chin nerve.. *4.60 4.46 4.46 0.42 9.48 9.48 090
64738... .................. A Incision of jaw nerve... *5.73 5.07 5.07 0.61 11.41 11.41 090
64740... .................. A Incision of tongue nerve *5.59 5.18 5.18 0.62 11.39 11.39 090
64742... .................. A Incision of facial nerve *6.22 5.00 5.00 0.44 11.66 11.66 090
64744... .................. A Incise nerve, back of *5.24 #5.76 #5.76 1.10 12.10 12.10 090
head.
64746... .................. A Incise diaphragm nerve.. *5.93 3.77 3.77 0.77 10.47 10.47 090
64752... .................. A Incision of vagus nerve. *7.06 3.93 3.93 0.85 11.84 11.84 090
64755... .................. A Incision of stomach *13.52 10.47 10.47 2.27 26.26 26.26 090
nerves.
64760... .................. A Incision of vagus nerve. *6.96 6.65 6.65 1.50 15.11 15.11 090
64761... .................. A Incision of pelvis nerve *6.41 4.66 4.66 0.50 11.57 11.57 090
64763... .................. A Incise hip/thigh nerve.. *6.93 4.80 4.80 0.92 12.65 12.65 090
64766... .................. A Incise hip/thigh nerve.. *8.67 6.67 6.67 1.20 16.54 16.54 090
64771... .................. A Sever cranial nerve..... *7.35 6.42 6.42 0.73 14.50 14.50 090
64772... .................. A Incision of spinal nerve *7.21 6.77 6.77 1.30 15.28 15.28 090
64774... .................. A Remove skin nerve lesion *5.17 2.74 2.74 0.45 8.36 8.36 090
64776... .................. A Remove digit nerve *5.12 2.78 2.78 0.41 8.31 8.31 090
lesion.
64778... .................. A Added digit nerve 3.11 2.73 2.73 0.43 6.27 6.27 ZZZ
surgery.
64782... .................. A Remove limb nerve lesion *6.23 4.70 4.70 0.46 11.39 11.39 090
64783... .................. A Added limb nerve surgery 3.72 3.26 3.26 0.47 7.45 7.45 ZZZ
64784... .................. A Remove nerve lesion..... *9.82 5.64 5.64 0.96 16.42 16.42 090
64786... .................. A Remove sciatic nerve *15.46 12.66 12.66 2.14 30.26 30.26 090
lesion.
64787... .................. A Implant nerve end....... 4.30 3.47 3.47 0.60 8.37 8.37 ZZZ
64788... .................. A Remove skin nerve lesion *4.61 3.63 3.63 0.50 8.74 8.74 090
64790... .................. A Removal of nerve lesion. *11.31 7.11 7.11 1.22 19.64 19.64 090
64792... .................. A Removal of nerve lesion. *14.92 8.99 8.99 1.66 25.57 25.57 090
64795... .................. A Biopsy of nerve......... 3.01 2.38 2.38 0.39 5.78 5.78 000
64802... .................. A Remove sympathetic *9.15 5.40 5.40 1.10 15.65 15.65 090
nerves.
64804... .................. A Remove sympathetic *14.64 12.77 12.77 2.44 29.85 29.85 090
nerves.
64809... .................. A Remove sympathetic *13.67 10.55 10.55 2.04 26.26 26.26 090
nerves.
64818... .................. A Remove sympathetic *10.30 8.57 8.57 1.72 20.59 20.59 090
nerves.
64820... .................. A Remove sympathetic *10.37 7.27 7.27 1.42 19.06 19.06 090
nerves.
64830... .................. A Microrepair of nerve.... 3.10 2.01 2.01 0.38 5.49 5.49 ZZZ
64831... .................. A Repair of digit nerve... *9.44 3.38 3.38 0.56 13.38 13.38 090
64832... .................. A Repair additional nerve. 5.66 1.40 1.40 0.24 7.30 7.30 ZZZ
64834... .................. A Repair of hand or foot *10.19 3.50 3.50 0.56 14.25 14.25 090
nerve.
64835... .................. A Repair of hand or foot *10.94 5.96 5.96 1.03 17.93 17.93 090
nerve.
64836... .................. A Repair of hand or foot *10.94 6.70 6.70 1.22 18.86 18.86 090
nerve.
64837... .................. A Repair additional nerve. 6.26 4.45 4.45 0.85 11.56 11.56 ZZZ
64840... .................. A Repair of leg nerve..... *13.02 10.35 10.35 0.53 23.90 23.90 090
64856... .................. A Repair/transpose nerve.. *13.80 8.21 8.21 1.46 23.47 23.47 090
64857... .................. A Repair arm/leg nerve.... *14.49 9.53 9.53 1.54 25.56 25.56 090
64858... .................. A Repair sciatic nerve.... *16.49 10.98 10.98 2.11 29.58 29.58 090
64859... .................. A Additional nerve surgery 4.26 3.50 3.50 0.58 8.34 8.34 ZZZ
64861... .................. A Repair of arm nerves.... *19.24 13.42 13.42 1.38 34.04 34.04 090
64862... .................. A Repair of low back *19.44 21.56 21.56 1.61 42.61 42.61 090
nerves.
64864... .................. A Repair of facial nerve.. *12.55 7.86 7.86 1.16 21.57 21.57 090
64865... .................. A Repair of facial nerve.. *15.24 12.34 12.34 1.50 29.08 29.08 090
64866... .................. A Fusion of facial/other *15.74 11.19 11.19 1.84 28.77 28.77 090
nerve.
64868... .................. A Fusion of facial/other *14.04 11.19 11.19 1.47 26.70 26.70 090
nerve.
64870... .................. A Fusion of facial/other *15.99 13.91 13.91 1.70 31.60 31.60 090
nerve.
64872... .................. A Subsequent repair of 1.99 1.44 1.44 0.29 3.72 3.72 ZZZ
nerve.
64874... .................. A Repair & revise nerve... 2.98 2.17 2.17 0.43 5.58 5.58 ZZZ
64876... .................. A Repair nerve; shorten 3.38 2.46 2.46 0.48 6.32 6.32 ZZZ
bone.
64885... .................. A Nerve graft, head or *17.53 12.69 12.69 1.48 31.70 31.70 090
neck.
64886... .................. A Nerve graft, head or *20.75 15.13 15.13 1.77 37.65 37.65 090
neck.
64890... .................. A Nerve graft, hand or *15.15 12.26 12.26 2.12 29.53 29.53 090
foot.
64891... .................. A Nerve graft, hand or *16.14 10.42 10.42 1.73 28.29 28.29 090
foot.
64892... .................. A Nerve graft, arm or leg. *14.65 11.04 11.04 1.69 27.38 27.38 090
64893... .................. A Nerve graft, arm or leg. *15.60 13.93 13.93 2.27 31.80 31.80 090
64895... .................. A Nerve graft, hand or *19.25 13.16 13.16 2.55 34.96 34.96 090
foot.
64896... .................. A Nerve graft, hand or *20.49 17.53 17.53 1.90 39.92 39.92 090
foot.
64897... .................. A Nerve graft, arm or leg. *18.24 12.63 12.63 2.47 33.34 33.34 090
64898... .................. A Nerve graft, arm or leg. *19.50 14.40 14.40 2.35 36.25 36.25 090
64901... .................. A Additional nerve graft.. 10.22 10.16 10.16 0.87 21.25 21.25 ZZZ
64902... .................. A Additional nerve graft.. 11.83 11.92 11.92 0.99 24.74 24.74 ZZZ
64905... .................. A Nerve pedicle transfer.. *14.02 9.40 9.40 0.70 24.12 24.12 090
64907... .................. A Nerve pedicle transfer.. *18.83 13.02 13.02 2.55 34.40 34.40 090
64999... .................. C Nervous system surgery.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
65091... .................. A Revise eye.............. *6.46 #7.11 #7.11 0.45 14.02 14.02 090
[[Page 59165]]
65093... .................. A Revise eye with implant. *6.87 #7.56 #7.56 0.52 14.95 14.95 090
65101... .................. A Removal of eye.......... *7.03 #7.73 #7.73 0.47 15.23 15.23 090
65103... .................. A Remove eye/insert *7.57 #8.33 #8.33 0.50 16.40 16.40 090
implant.
65105... .................. A Remove eye/attach *8.49 #9.34 #9.34 0.55 18.38 18.38 090
implant.
65110... .................. A Removal of eye.......... *13.95 #15.35 #15.35 1.14 30.44 30.44 090
65112... .................. A Remove eye, revise *16.38 12.16 12.16 1.09 29.63 29.63 090
socket.
65114... .................. A Remove eye, revise *17.53 13.07 13.07 1.65 32.25 32.25 090
socket.
65125... .................. A Revise ocular implant... *3.12 2.47 2.47 0.13 5.72 5.72 090
65130... .................. A Insert ocular implant... *7.15 #7.87 #7.87 0.50 15.52 15.52 090
65135... .................. A Insert ocular implant... *7.33 5.42 5.42 0.35 13.10 13.10 090
65140... .................. A Attach ocular implant... *8.02 6.22 6.22 0.33 14.57 14.57 090
65150... .................. A Revise ocular implant... *6.26 #6.89 #6.89 0.56 13.71 13.71 090
65155... .................. A Reinsert ocular implant. *8.66 #9.53 #9.53 0.90 19.09 19.09 090
65175... .................. A Removal of ocular *6.28 #6.91 #6.91 0.40 13.59 13.59 090
implant.
65205... .................. A Remove foreign body from 0.71 0.37 0.37 0.02 1.10 1.10 000
eye.
65210... .................. A Remove foreign body from 0.84 0.46 0.46 0.03 1.33 1.33 000
eye.
65220... .................. A Remove foreign body from 0.71 0.52 0.52 0.04 1.27 1.27 000
eye.
65222... .................. A Remove foreign body from 0.93 0.57 0.57 0.03 1.53 1.53 000
eye.
65235... .................. A Remove foreign body from *7.57 5.61 5.61 0.30 13.48 13.48 090
eye.
65260... .................. A Remove foreign body from *10.96 8.63 8.63 0.45 20.04 20.04 090
eye.
65265... .................. A Remove foreign body from *12.59 10.04 10.04 0.51 23.14 23.14 090
eye.
65270... .................. A Repair of eye wound..... *1.90 1.17 1.17 0.07 3.14 3.14 010
65272... .................. A Repair of eye wound..... *3.82 1.64 1.64 0.10 5.56 5.56 090
65273... .................. A Repair of eye wound..... *4.36 3.22 3.22 0.21 7.79 7.79 090
65275... .................. A Repair of eye wound..... *5.34 0.66 0.66 0.04 6.04 6.04 090
65280... .................. A Repair of eye wound..... *7.66 #8.43 #8.43 0.49 16.58 16.58 090
65285... .................. A Repair of eye wound..... *12.90 12.26 12.26 0.64 25.80 25.80 090
65286... .................. A Repair of eye wound..... *5.51 4.79 4.79 0.25 10.55 10.55 090
65290... .................. A Repair of eye socket *5.41 #5.95 #5.95 0.37 11.73 11.73 090
wound.
65400... .................. A Removal of eye lesion... *6.06 6.46 6.46 0.35 12.87 12.87 090
65410... .................. A Biopsy of cornea........ 1.47 1.59 1.59 0.11 3.17 3.17 000
65420... .................. A Removal of eye lesion... *4.17 4.28 4.28 0.23 8.68 8.68 090
65426... .................. A Removal of eye lesion... *5.25 #5.78 #5.78 0.38 11.41 11.41 090
65430... .................. A Corneal smear........... 1.47 0.54 0.54 0.03 2.04 2.04 000
65435... .................. A Curette/treat cornea.... 0.92 0.77 0.77 0.04 1.73 1.73 000
65436... .................. A Curette/treat cornea.... *4.19 1.53 1.53 0.08 5.80 5.80 090
65450... .................. A Treatment of corneal *3.27 3.28 3.28 0.17 6.72 6.72 090
lesion.
65600... .................. A Revision of cornea...... *3.40 2.62 2.62 0.14 6.16 6.16 090
65710... .................. A Corneal transplant...... *12.35 12.44 12.44 1.13 25.92 25.92 090
65730... .................. A Corneal transplant...... *14.25 15.14 15.14 1.29 30.68 30.68 090
65750... .................. A Corneal transplant...... *15.00 16.10 16.10 1.33 32.43 32.43 090
65755... .................. A Corneal transplant...... *14.89 16.10 16.10 1.39 32.38 32.38 090
65760... .................. N Revision of cornea...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65765... .................. N Revision of cornea...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65767... .................. N Corneal tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
65770... .................. A Revise cornea with *17.56 13.81 13.81 0.71 32.08 32.08 090
implant.
65771... .................. N Radial keratotomy....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65772... .................. A Correction of *4.29 #4.72 #4.72 0.31 9.32 9.32 090
astigmatism.
65775... .................. A Correction of *5.79 #6.37 #6.37 0.50 12.66 12.66 090
astigmatism.
65800... .................. A Drainage of eye......... 1.91 1.72 1.72 0.10 3.73 3.73 000
65805... .................. A Drainage of eye......... 1.91 1.81 1.81 0.10 3.82 3.82 000
65810... .................. A Drainage of eye......... *4.87 #5.36 #5.36 0.30 10.53 10.53 090
65815... .................. A Drainage of eye......... *5.05 4.49 4.49 0.24 9.78 9.78 090
65820... .................. A Relieve inner eye *8.13 9.54 9.54 0.51 18.18 18.18 090
pressure.
65850... .................. A Incision of eye......... *10.52 #11.57 #11.57 0.69 22.78 22.78 090
65855... .................. A Laser surgery of eye.... *4.30 6.01 6.01 0.52 10.83 10.83 090
65860... .................. A Incise inner eye *3.55 #3.91 #3.91 0.37 7.83 7.83 090
adhesions.
65865... .................. A Incise inner eye *5.60 #6.16 #6.16 0.41 12.17 12.17 090
adhesions.
65870... .................. A Incise inner eye *6.27 5.86 5.86 0.31 12.44 12.44 090
adhesions.
65875... .................. A Incise inner eye *6.54 6.28 6.28 0.34 13.16 13.16 090
adhesions.
65880... .................. A Incise inner eye *7.09 6.85 6.85 0.37 14.31 14.31 090
adhesions.
65900... .................. A Remove eye lesion....... *10.93 7.91 7.91 0.92 19.76 19.76 090
65920... .................. A Remove implant from eye. *8.40 8.36 8.36 0.44 17.20 17.20 090
65930... .................. A Remove blood clot from *7.44 7.68 7.68 0.41 15.53 15.53 090
eye.
66020... .................. A Injection treatment of *1.59 #1.75 #1.75 0.14 3.48 3.48 010
eye.
66030... .................. A Injection treatment of *1.25 0.54 0.54 0.03 1.82 1.82 010
eye.
66130... .................. A Remove eye lesion....... *7.69 5.28 5.28 0.28 13.25 13.25 090
66150... .................. A Glaucoma surgery........ *8.30 #9.13 #9.13 0.59 18.02 18.02 090
66155... .................. A Glaucoma surgery........ *8.29 #9.12 #9.12 0.50 17.91 17.91 090
66160... .................. A Glaucoma surgery........ *10.17 10.77 10.77 0.55 21.49 21.49 090
66165... .................. A Glaucoma surgery........ *8.01 #8.81 #8.81 0.57 17.39 17.39 090
66170... .................. A Glaucoma surgery........ *12.16 12.15 12.15 0.63 24.94 24.94 090
66172... .................. A Incision of eye......... *15.04 12.15 12.15 0.63 27.82 27.82 090
66180... .................. A Implant eye shunt....... *14.55 #16.01 #16.01 1.03 31.59 31.59 090
[[Page 59166]]
66185... .................. A Revise eye shunt........ *8.14 #8.95 #8.95 0.58 17.67 17.67 090
66220... .................. A Repair eye lesion....... *7.77 5.95 5.95 0.34 14.06 14.06 090
66225... .................. A Repair/graft eye lesion. *11.05 #12.16 #12.16 0.86 24.07 24.07 090
66250... .................. A Follow-up surgery of eye *5.98 #6.58 #6.58 0.38 12.94 12.94 090
66500... .................. A Incision of iris........ *3.71 #4.08 #4.08 0.27 8.06 8.06 090
66505... .................. A Incision of iris........ *4.08 3.27 3.27 0.17 7.52 7.52 090
66600... .................. A Remove iris and lesion.. *8.68 9.36 9.36 0.51 18.55 18.55 090
66605... .................. A Removal of iris......... *12.79 11.87 11.87 0.67 25.33 25.33 090
66625... .................. A Removal of iris......... *5.13 #5.64 #5.64 0.48 11.25 11.25 090
66630... .................. A Removal of iris......... *6.16 #6.78 #6.78 0.45 13.39 13.39 090
66635... .................. A Removal of iris......... *6.25 #6.88 #6.88 0.49 13.62 13.62 090
66680... .................. A Repair iris & ciliary *5.44 #5.98 #5.98 0.35 11.77 11.77 090
body.
66682... .................. A Repair iris and ciliary *6.21 #6.83 #6.83 0.38 13.42 13.42 090
body.
66700... .................. A Destruction, ciliary *4.78 #5.26 #5.26 0.35 10.39 10.39 090
body.
66710... .................. A Destruction, ciliary *4.78 #5.26 #5.26 0.41 10.45 10.45 090
body.
66720... .................. A Destruction, ciliary *4.78 #5.26 #5.26 0.38 10.42 10.42 090
body.
66740... .................. A Destruction, ciliary *4.78 #5.26 #5.26 0.39 10.43 10.43 090
body.
66761... .................. A Revision of iris........ *4.07 #4.48 #4.48 0.47 9.02 9.02 090
66762... .................. A Revision of iris........ *4.58 #5.04 #5.04 0.55 10.17 10.17 090
66770... .................. A Removal of inner eye *5.18 #5.70 #5.70 0.45 11.33 11.33 090
lesion.
66820... .................. A Incision, secondary *3.89 #4.28 #4.28 0.29 8.46 8.46 090
cataract.
66821... .................. A After cataract laser *2.35 #2.59 #2.59 0.37 5.31 5.31 090
surgery.
66825... .................. A Reposition intraocular *8.23 7.33 7.33 0.38 15.94 15.94 090
lens.
66830... .................. A Removal of lens lesion.. *8.20 7.67 7.67 0.40 16.27 16.27 090
66840... .................. A Removal of lens material *7.91 #8.70 #8.70 0.54 17.15 17.15 090
66850... .................. A Removal of lens material *9.11 #10.02 #10.02 0.70 19.83 19.83 090
66852... .................. A Removal of lens material *9.97 #10.97 #10.97 0.90 21.84 21.84 090
66920... .................. A Extraction of lens...... *8.86 #9.75 #9.75 0.60 19.21 19.21 090
66930... .................. A Extraction of lens...... *10.18 10.49 10.49 0.57 21.24 21.24 090
66940... .................. A Extraction of lens...... *8.93 #9.82 #9.82 0.62 19.37 19.37 090
66983... .................. A Remove cataract, insert *8.99 #9.89 #9.89 0.95 19.83 19.83 090
lens.
66984... .................. A Remove cataract, insert *10.28 #11.31 #11.31 0.94 22.53 22.53 090
lens.
66985... .................. A Insert lens prosthesis.. *8.39 #9.23 #9.23 0.63 18.25 18.25 090
66986... .................. A Exchange lens prosthesis *12.28 12.20 12.20 0.63 25.11 25.11 090
66999... .................. C Eye surgery procedure... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
67005... .................. A Partial removal of eye *5.70 #6.27 #6.27 1.13 13.10 13.10 090
fluid.
67010... .................. A Partial removal of eye *6.87 #7.56 #7.56 1.04 15.47 15.47 090
fluid.
67015... .................. A Release of eye fluid.... *6.92 6.45 6.45 0.35 13.72 13.72 090
67025... .................. A Replace eye fluid....... *6.84 6.75 6.75 0.36 13.95 13.95 090
67027... .................. A Implant eye drug system. *10.85 9.04 9.04 0.47 20.36 20.36 090
67028... .................. A Injection eye drug...... 2.52 3.22 #2.77 0.18 5.92 5.47 000
67030... .................. A Incise inner eye strands *4.84 #5.32 #5.32 0.50 10.66 10.66 090
67031... .................. A Laser surgery, eye *3.67 #4.04 #4.04 0.75 8.46 8.46 090
strands.
67036... .................. A Removal of inner eye *11.89 #13.08 #13.08 1.49 26.46 26.46 090
fluid.
67038... .................. A Strip retinal membrane.. *21.24 #23.36 #23.36 1.80 46.40 46.40 090
67039... .................. A Laser treatment of *14.52 #15.97 #15.97 1.68 32.17 32.17 090
retina.
67040... .................. A Laser treatment of *17.23 #18.95 #18.95 1.75 37.93 37.93 090
retina.
67101... .................. A Repair, detached retina. *7.53 #8.28 #8.28 0.66 16.47 16.47 090
67105... .................. A Repair, detached retina. *7.41 9.14 9.14 0.80 17.35 17.35 090
67107... .................. A Repair detached retina.. *14.84 #16.32 #16.32 1.10 32.26 32.26 090
67108... .................. A Repair detached retina.. *20.82 #22.90 #22.90 1.76 45.48 45.48 090
67110... .................. A Repair detached retina.. *8.81 #9.69 #9.69 0.97 19.47 19.47 090
67112... .................. A Re-repair detached *16.86 16.51 16.51 0.86 34.23 34.23 090
retina.
67115... .................. A Release, encircling *4.99 #5.49 #5.49 0.44 10.92 10.92 090
material.
67120... .................. A Remove eye implant *5.98 #6.58 #6.58 0.38 12.94 12.94 090
material.
67121... .................. A Remove eye implant *10.67 9.42 9.42 0.49 20.58 20.58 090
material.
67141... .................. A Treatment of retina..... *5.20 #5.72 #5.72 0.48 11.40 11.40 090
67145... .................. A Treatment of retina..... *5.37 6.50 6.50 0.49 12.36 12.36 090
67208... .................. A Treatment of retinal *6.70 #7.37 #7.37 0.52 14.59 14.59 090
lesion.
67210... .................. A Treatment of retinal *10.05 9.02 9.02 0.47 19.54 19.54 090
lesion.
67218... .................. A Treatment of retinal *13.52 13.31 13.31 0.70 27.53 27.53 090
lesion.
67227... .................. A Treatment of retinal *6.58 #7.24 #7.24 0.51 14.33 14.33 090
lesion.
67228... .................. A Treatment of retinal *12.74 9.39 9.39 0.48 22.61 22.61 090
lesion.
67250... .................. A Reinforce eye wall...... *8.66 6.99 6.99 0.40 16.05 16.05 090
67255... .................. A Reinforce/graft eye wall *8.90 #9.79 #9.79 0.87 19.56 19.56 090
67299... .................. C Eye surgery procedure... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
67311... .................. A Revise eye muscle....... *6.65 #7.32 #7.32 0.47 14.44 14.44 090
67312... .................. A Revise two eye muscles.. *8.54 #9.39 #9.39 0.53 18.46 18.46 090
67314... .................. A Revise eye muscle....... *7.52 #8.27 #8.27 0.58 16.37 16.37 090
67316... .................. A Revise two eye muscles.. *9.66 10.27 10.27 0.67 20.60 20.60 090
67318... .................. A Revise eye muscle(s).... *7.85 6.21 6.21 0.33 14.39 14.39 090
67320... .................. A Revise eye muscle(s).... *8.66 #9.53 #9.53 0.69 18.88 18.88 090
67331... .................. A Eye surgery follow-up... *8.12 #8.93 #8.93 0.54 17.59 17.59 090
67332... .................. A Rerevise eye muscles.... *8.99 #9.89 #9.89 0.58 19.46 19.46 090
[[Page 59167]]
67334... .................. A Revise eye muscle w/ *7.96 6.30 6.30 0.33 14.59 14.59 090
suture.
67335... .................. A Eye suture during 2.49 #2.74 #2.74 0.43 5.66 5.66 ZZZ
surgery.
67340... .................. A Revise eye muscle....... *9.85 7.88 7.88 0.41 18.14 18.14 090
67343... .................. A Release eye tissue...... *7.35 5.83 5.83 0.31 13.49 13.49 090
67345... .................. A Destroy nerve of eye *2.96 2.22 2.22 0.26 5.44 5.44 010
muscle.
67350... .................. A Biopsy eye muscle....... 2.87 2.39 2.39 0.13 5.39 5.39 000
67399... .................. C Eye muscle surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67400... .................. A Explore/biopsy eye *9.76 #10.74 #10.74 0.62 21.12 21.12 090
socket.
67405... .................. A Explore/drain eye socket *7.93 #8.72 #8.72 0.67 17.32 17.32 090
67412... .................. A Explore/treat eye socket *9.50 #10.45 #10.45 0.67 20.62 20.62 090
67413... .................. A Explore/treat eye socket *10.00 8.09 8.09 0.57 18.66 18.66 090
67414... .................. A Explore/decompress eye *11.13 8.39 8.39 0.44 19.96 19.96 090
socket.
67415... .................. A Aspiration orbital 1.76 #1.94 #1.94 0.12 3.82 3.82 000
contents.
67420... .................. A Explore/treat eye socket *20.06 16.78 16.78 1.11 37.95 37.95 090
67430... .................. A Explore/treat eye socket *13.39 10.65 10.65 0.54 24.58 24.58 090
67440... .................. A Explore/drain eye socket *13.09 #14.40 #14.40 0.97 28.46 28.46 090
67445... .................. A Explore/decompress eye *14.42 11.13 11.13 0.57 26.12 26.12 090
socket.
67450... .................. A Explore/biopsy eye *13.51 #14.86 #14.86 0.87 29.24 29.24 090
socket.
67500... .................. A Inject/treat eye socket. 0.79 0.73 0.73 0.06 1.58 1.58 000
67505... .................. A Inject/treat eye socket. 0.82 1.04 #0.90 0.06 1.92 1.78 000
67515... .................. A Inject/treat eye socket. 0.61 0.56 0.56 0.03 1.20 1.20 000
67550... .................. A Insert eye socket *10.19 9.62 9.62 0.70 20.51 20.51 090
implant.
67560... .................. A Revise eye socket *10.60 8.30 8.30 0.48 19.38 19.38 090
implant.
67570... .................. A Decompress optic nerve.. *13.58 7.56 7.56 0.39 21.53 21.53 090
67599... .................. C Orbit surgery procedure. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
67700... .................. A Drainage of eyelid *1.35 0.49 0.49 0.03 1.87 1.87 010
abscess.
67710... .................. A Incision of eyelid...... *1.02 1.01 1.01 0.06 2.09 2.09 010
67715... .................. A Incision of eyelid fold. *1.22 #1.34 #1.34 0.09 2.65 2.65 010
67800... .................. A Remove eyelid lesion.... *1.38 0.94 0.94 0.05 2.37 2.37 010
67801... .................. A Remove eyelid lesions... *1.88 1.39 1.39 0.08 3.35 3.35 010
67805... .................. A Remove eyelid lesions... *2.22 1.38 1.38 0.08 3.68 3.68 010
67808... .................. A Remove eyelid lesion(s). *3.80 2.13 2.13 0.13 6.06 6.06 090
67810... .................. A Biopsy of eyelid........ 1.48 0.81 0.81 0.05 2.34 2.34 000
67820... .................. A Revise eyelashes........ 0.89 0.38 0.38 0.02 1.29 1.29 000
67825... .................. A Revise eyelashes........ *1.38 0.90 0.90 0.05 2.33 2.33 010
67830... .................. A Revise eyelashes........ *1.70 2.12 #1.87 0.17 3.99 3.74 010
67835... .................. A Revise eyelashes........ *5.56 #6.12 #6.12 0.45 12.13 12.13 090
67840... .................. A Remove eyelid lesion.... *2.04 1.22 1.22 0.07 3.33 3.33 010
67850... .................. A Treat eyelid lesion..... *1.69 0.82 0.82 0.05 2.56 2.56 010
67875... .................. A Closure of eyelid by 1.35 1.72 #1.49 0.13 3.20 2.97 000
suture.
67880... .................. A Revision of eyelid...... *3.80 3.94 3.94 0.23 7.97 7.97 090
67882... .................. A Revision of eyelid...... *5.07 #5.58 #5.58 0.37 11.02 11.02 090
67900... .................. A Repair brow defect...... *6.14 3.78 3.78 0.20 10.12 10.12 090
67901... .................. A Repair eyelid defect.... *6.97 #7.67 #7.67 0.64 15.28 15.28 090
67902... .................. A Repair eyelid defect.... *7.03 #7.73 #7.73 0.72 15.48 15.48 090
67903... .................. A Repair eyelid defect.... *6.37 #7.01 #7.01 0.73 14.11 14.11 090
67904... .................. A Repair eyelid defect.... *6.26 #6.89 #6.89 0.71 13.86 13.86 090
67906... .................. A Repair eyelid defect.... *6.79 5.46 5.46 0.36 12.61 12.61 090
67908... .................. A Repair eyelid defect.... *5.13 #5.64 #5.64 0.54 11.31 11.31 090
67909... .................. A Revise eyelid defect.... *5.40 #5.94 #5.94 0.48 11.82 11.82 090
67911... .................. A Revise eyelid defect.... *5.27 #5.80 #5.80 0.79 11.86 11.86 090
67914... .................. A Repair eyelid defect.... *3.68 #4.05 #4.05 0.39 8.12 8.12 090
67915... .................. A Repair eyelid defect.... *3.18 1.25 1.25 0.07 4.50 4.50 090
67916... .................. A Repair eyelid defect.... *5.31 #5.84 #5.84 0.38 11.53 11.53 090
67917... .................. A Repair eyelid defect.... *6.02 #6.62 #6.62 0.47 13.11 13.11 090
67921... .................. A Repair eyelid defect.... *3.40 #3.74 #3.74 0.20 7.34 7.34 090
67922... .................. A Repair eyelid defect.... *3.06 1.19 1.19 0.07 4.32 4.32 090
67923... .................. A Repair eyelid defect.... *5.88 #6.47 #6.47 0.38 12.73 12.73 090
67924... .................. A Repair eyelid defect.... *5.79 #6.37 #6.37 0.43 12.59 12.59 090
67930... .................. A Repair eyelid wound..... *3.61 1.27 1.27 0.08 4.96 4.96 010
67935... .................. A Repair eyelid wound..... *6.22 3.79 3.79 0.24 10.25 10.25 090
67938... .................. A Remove eyelid foreign *1.33 0.52 0.52 0.03 1.88 1.88 010
body.
67950... .................. A Revision of eyelid...... *5.82 #6.40 #6.40 0.45 12.67 12.67 090
67961... .................. A Revision of eyelid...... *5.69 #6.26 #6.26 0.50 12.45 12.45 090
67966... .................. A Revision of eyelid...... *6.57 #7.23 #7.23 0.66 14.46 14.46 090
67971... .................. A Reconstruction of eyelid *9.79 10.68 10.68 0.64 21.11 21.11 090
67973... .................. A Reconstruction of eyelid *12.87 13.54 13.54 0.91 27.32 27.32 090
67974... .................. A Reconstruction of eyelid *12.84 14.07 14.07 0.87 27.78 27.78 090
67975... .................. A Reconstruction of eyelid *9.13 4.15 4.15 0.24 13.52 13.52 090
67999... .................. C Revision of eyelid...... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
68020... .................. A Incise/drain eyelid *1.37 0.51 0.51 0.03 1.91 1.91 010
lining.
68040... .................. A Treatment of eyelid 0.85 0.45 0.45 0.02 1.32 1.32 000
lesions.
68100... .................. A Biopsy of eyelid lining. 1.35 0.99 0.99 0.06 2.40 2.40 000
68110... .................. A Remove eyelid lining *1.77 1.24 1.24 0.07 3.08 3.08 010
lesion.
[[Page 59168]]
68115... .................. A Remove eyelid lining *2.36 1.93 1.93 0.11 4.40 4.40 010
lesion.
68130... .................. A Remove eyelid lining *4.93 4.09 4.09 0.22 9.24 9.24 090
lesion.
68135... .................. A Remove eyelid lining *1.84 0.74 0.74 0.04 2.62 2.62 010
lesion.
68200... .................. A Treat eyelid by 0.49 0.52 0.52 0.03 1.04 1.04 000
injection.
68320... .................. A Revise/graft eyelid *5.37 #5.91 #5.91 0.42 11.70 11.70 090
lining.
68325... .................. A Revise/graft eyelid *7.36 #8.10 #8.10 0.62 16.08 16.08 090
lining.
68326... .................. A Revise/graft eyelid *7.15 #7.87 #7.87 0.49 15.51 15.51 090
lining.
68328... .................. A Revise/graft eyelid *8.18 #9.00 #9.00 0.82 18.00 18.00 090
lining.
68330... .................. A Revise eyelid lining.... *4.83 #5.31 #5.31 0.35 10.49 10.49 090
68335... .................. A Revise/graft eyelid *7.19 #7.91 #7.91 0.68 15.78 15.78 090
lining.
68340... .................. A Separate eyelid *4.17 3.14 3.14 0.17 7.48 7.48 090
adhesions.
68360... .................. A Revise eyelid lining.... *4.37 #4.81 #4.81 0.33 9.51 9.51 090
68362... .................. A Revise eyelid lining.... *7.34 8.01 8.01 0.42 15.77 15.77 090
68399... .................. C Eyelid lining surgery... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
68400... .................. A Incise/drain tear gland. *1.69 1.00 1.00 0.06 2.75 2.75 010
68420... .................. A Incise/drain tear sac... *2.30 1.02 1.02 0.06 3.38 3.38 010
68440... .................. A Incise tear duct opening *0.94 0.76 0.76 0.04 1.74 1.74 010
68500... .................. A Removal of tear gland... *11.02 7.61 7.61 0.75 19.38 19.38 090
68505... .................. A Partial removal tear *10.94 8.69 8.69 0.49 20.12 20.12 090
gland.
68510... .................. A Biopsy of tear gland.... 4.61 3.69 3.69 0.28 8.58 8.58 000
68520... .................. A Removal of tear sac..... *7.51 #8.26 #8.26 0.51 16.28 16.28 090
68525... .................. A Biopsy of tear sac...... 4.43 3.68 3.68 0.23 8.34 8.34 000
68530... .................. A Clearance of tear duct.. *3.66 2.85 2.85 0.17 6.68 6.68 010
68540... .................. A Remove tear gland lesion *10.60 8.31 8.31 0.50 19.41 19.41 090
68550... .................. A Remove tear gland lesion *13.26 11.34 11.34 0.74 25.34 25.34 090
68700... .................. A Repair tear ducts....... *6.60 2.69 2.69 0.15 9.44 9.44 090
68705... .................. A Revise tear duct opening *2.06 1.02 1.02 0.05 3.13 3.13 010
68720... .................. A Create tear sac drain... *8.96 9.84 9.84 0.74 19.54 19.54 090
68745... .................. A Create tear duct drain.. *8.63 6.56 6.56 0.45 15.64 15.64 090
68750... .................. A Create tear duct drain.. *8.66 #9.53 #9.53 0.83 19.02 19.02 090
68760... .................. A Close tear duct opening. *1.73 0.92 0.92 0.04 2.69 2.69 010
68761... .................. A Close tear duct opening. *1.36 0.92 0.92 0.04 2.32 2.32 010
68770... .................. A Close tear system *7.02 4.24 4.24 0.23 11.49 11.49 090
fistula.
68801... .................. A Dilate tear duct opening *0.94 0.42 0.42 0.02 1.38 1.38 010
68810... .................. A Probe nasolacrimal duct. *1.90 0.55 0.55 0.03 2.48 2.48 010
68811... .................. A Probe nasolacrimal duct. *2.35 1.49 1.49 0.09 3.93 3.93 010
68815... .................. A Probe nasolacrimal duct. *3.20 1.93 1.93 0.10 5.23 5.23 010
68840... .................. A Explore/irrigate tear *1.25 0.49 0.49 0.03 1.77 1.77 010
ducts.
68850... .................. A Injection for tear sac x- 0.80 0.51 0.51 0.04 1.35 1.35 000
ray.
68899... .................. C Tear duct system surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
69000... .................. A Drain external ear *1.45 0.35 0.35 0.03 1.83 1.83 010
lesion.
69005... .................. A Drain external ear *2.11 1.16 1.16 0.13 3.40 3.40 010
lesion.
69020... .................. A Drain outer ear canal *1.48 0.45 0.45 0.04 1.97 1.97 010
lesion.
69090... .................. N Pierce earlobes......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
69100... .................. A Biopsy of external ear.. 0.81 0.66 0.66 0.07 1.54 1.54 000
69105... .................. A Biopsy of external ear 0.85 0.80 0.80 0.09 1.74 1.74 000
canal.
69110... .................. A Partial removal external *3.44 2.63 2.63 0.37 6.44 6.44 090
ear.
69120... .................. A Removal of external ear. *4.05 0.78 0.78 0.07 4.90 4.90 090
69140... .................. A Remove ear canal *7.97 8.00 8.00 0.88 16.85 16.85 090
lesion(s).
69145... .................. A Remove ear canal *2.62 2.51 2.51 0.28 5.41 5.41 090
lesion(s).
69150... .................. A Extensive ear canal *13.43 10.46 10.46 1.25 25.14 25.14 090
surgery.
69155... .................. A Extensive ear/neck *20.80 15.92 15.92 1.61 38.33 38.33 090
surgery.
69200... .................. A Clear outer ear canal... 0.77 0.42 0.42 0.04 1.23 1.23 000
69205... .................. A Clear outer ear canal... *1.20 1.07 1.07 0.11 2.38 2.38 010
69210... .................. A Remove impacted ear wax. 0.61 0.23 0.23 0.02 0.86 0.86 000
69220... .................. A Clean out mastoid cavity 0.83 0.50 0.50 0.05 1.38 1.38 000
69222... .................. A Clean out mastoid cavity *1.40 0.74 0.74 0.08 2.22 2.22 010
69300... .................. R Revise external ear..... 6.36 5.30 5.30 0.28 11.94 11.94 YYY
69310... .................. A Rebuild outer ear canal. *10.79 9.84 9.84 1.08 21.71 21.71 090
69320... .................. A Rebuild outer ear canal. *16.96 14.65 14.65 1.66 33.27 33.27 090
69399... .................. C Outer ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69400... .................. A Inflate middle ear canal 0.83 0.45 0.45 0.05 1.33 1.33 000
69401... .................. A Inflate middle ear canal 0.63 0.25 0.25 0.03 0.91 0.91 000
69405... .................. A Catheterize middle ear *2.63 0.48 0.48 0.04 3.15 3.15 010
canal.
69410... .................. A Inset middle ear baffle. 0.33 0.60 0.60 0.07 1.00 1.00 000
69420... .................. A Incision of eardrum..... *1.33 0.69 0.69 0.08 2.10 2.10 010
69421... .................. A Incision of eardrum..... *1.73 1.14 1.14 0.13 3.00 3.00 010
69424... .................. A Remove ventilating tube. 0.85 0.60 0.60 0.06 1.51 1.51 000
69433... .................. A Create eardrum opening.. *1.52 1.33 1.33 0.15 3.00 3.00 010
69436... .................. A Create eardrum opening.. *1.96 2.13 2.13 0.23 4.32 4.32 010
69440... .................. A Exploration of middle *7.57 #8.33 #8.33 0.93 16.83 16.83 090
ear.
69450... .................. A Eardrum revision........ *5.57 #6.13 #6.13 1.15 12.85 12.85 090
69501... .................. A Mastoidectomy........... *9.07 #9.98 #9.98 1.17 20.22 20.22 090
69502... .................. A Mastoidectomy........... *12.38 13.36 13.36 1.45 27.19 27.19 090
[[Page 59169]]
69505... .................. A Remove mastoid *12.99 #14.29 #14.29 1.79 29.07 29.07 090
structures.
69511... .................. A Extensive mastoid *13.52 #14.87 #14.87 1.84 30.23 30.23 090
surgery.
69530... .................. A Extensive mastoid *19.19 16.71 16.71 1.72 37.62 37.62 090
surgery.
69535... .................. A Remove part of temporal *36.14 25.27 25.27 2.85 64.26 64.26 090
bone.
69540... .................. A Remove ear lesion....... *1.20 1.27 1.27 0.14 2.61 2.61 010
69550... .................. A Remove ear lesion....... *10.99 #12.09 #12.09 2.00 25.08 25.08 090
69552... .................. A Remove ear lesion....... *19.46 16.73 16.73 1.86 38.05 38.05 090
69554... .................. A Remove ear lesion....... *33.16 22.87 22.87 2.63 58.66 58.66 090
69601... .................. A Mastoid surgery revision *13.24 14.02 14.02 1.55 28.81 28.81 090
69602... .................. A Mastoid surgery revision *13.58 #14.94 #14.94 1.75 30.27 30.27 090
69603... .................. A Mastoid surgery revision *14.02 #15.42 #15.42 1.88 31.32 31.32 090
69604... .................. A Mastoid surgery revision *14.02 #15.42 #15.42 2.70 32.14 32.14 090
69605... .................. A Mastoid surgery revision *18.49 14.95 14.95 1.86 35.30 35.30 090
69610... .................. A Repair of eardrum....... *4.43 0.93 0.93 0.10 5.46 5.46 010
69620... .................. A Repair of eardrum....... *5.89 #6.48 #6.48 1.16 13.53 13.53 090
69631... .................. A Repair eardrum *9.86 #10.85 #10.85 1.61 22.32 22.32 090
structures.
69632... .................. A Rebuild eardrum *12.75 #14.03 #14.03 1.73 28.51 28.51 090
structures.
69633... .................. A Rebuild eardrum *12.10 #13.31 #13.31 1.78 27.19 27.19 090
structures.
69635... .................. A Repair eardrum *13.33 #14.66 #14.66 1.91 29.90 29.90 090
structures.
69636... .................. A Rebuild eardrum *15.22 #16.74 #16.74 2.11 34.07 34.07 090
structures.
69637... .................. A Rebuild eardrum *15.11 #16.62 #16.62 2.22 33.95 33.95 090
structures.
69641... .................. A Revise middle ear & *12.71 #13.98 #13.98 1.87 28.56 28.56 090
mastoid.
69642... .................. A Revise middle ear & *16.84 #18.52 #18.52 2.21 37.57 37.57 090
mastoid.
69643... .................. A Revise middle ear & *15.32 #16.85 #16.85 2.51 34.68 34.68 090
mastoid.
69644... .................. A Revise middle ear & *16.97 #18.67 #18.67 2.70 38.34 38.34 090
mastoid.
69645... .................. A Revise middle ear & *16.38 #18.02 #18.02 2.51 36.91 36.91 090
mastoid.
69646... .................. A Revise middle ear & *17.99 #19.79 #19.79 2.40 40.18 40.18 090
mastoid.
69650... .................. A Release middle ear bone. *9.66 #10.63 #10.63 1.33 21.62 21.62 090
69660... .................. A Revise middle ear bone.. *11.90 #13.09 #13.09 1.82 26.81 26.81 090
69661... .................. A Revise middle ear bone.. *15.74 #17.31 #17.31 1.93 34.98 34.98 090
69662... .................. A Revise middle ear bone.. *15.44 #16.98 #16.98 1.94 34.36 34.36 090
69666... .................. A Repair middle ear *9.75 #10.73 #10.73 1.77 22.25 22.25 090
structures.
69667... .................. A Repair middle ear *9.76 #10.74 #10.74 1.66 22.16 22.16 090
structures.
69670... .................. A Remove mastoid air cells *11.51 10.18 10.18 1.08 22.77 22.77 090
69676... .................. A Remove middle ear nerve. *9.52 8.53 8.53 0.86 18.91 18.91 090
69700... .................. A Close mastoid fistula... *8.23 7.86 7.86 0.84 16.93 16.93 090
69710... .................. N Implant/replace hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
69711... .................. A Remove/repair hearing *10.44 8.44 8.44 0.44 19.32 19.32 090
aid.
69720... .................. A Release facial nerve.... *14.38 #15.82 #15.82 2.27 32.47 32.47 090
69725... .................. A Release facial nerve.... *25.38 14.65 14.65 1.51 41.54 41.54 090
69740... .................. A Repair facial nerve..... *15.96 11.83 11.83 1.69 29.48 29.48 090
69745... .................. A Repair facial nerve..... *16.69 15.95 15.95 1.53 34.17 34.17 090
69799... .................. C Middle ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69801... .................. A Incise inner ear........ *8.56 #9.42 #9.42 1.84 19.82 19.82 090
69802... .................. A Incise inner ear........ *13.10 11.24 11.24 1.22 25.56 25.56 090
69805... .................. A Explore inner ear....... *13.82 13.14 13.14 2.00 28.96 28.96 090
69806... .................. A Explore inner ear....... *12.35 #13.59 #13.59 2.54 28.48 28.48 090
69820... .................. A Establish inner ear *10.34 8.85 8.85 1.00 20.19 20.19 090
window.
69840... .................. A Revise inner ear window. *10.26 8.49 8.49 0.51 19.26 19.26 090
69905... .................. A Remove inner ear........ *11.10 #12.21 #12.21 2.07 25.38 25.38 090
69910... .................. A Remove inner ear & *13.63 #14.99 #14.99 2.34 30.96 30.96 090
mastoid.
69915... .................. A Incise inner ear nerve.. *21.23 17.71 17.71 2.02 40.96 40.96 090
69930... .................. A Implant cochlear device. *16.81 #18.49 #18.49 3.34 38.64 38.64 090
69949... .................. C Inner ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69950... .................. A Incise inner ear nerve.. *25.64 17.99 17.99 2.31 45.94 45.94 090
69955... .................. A Release facial nerve.... *27.04 20.28 20.28 2.25 49.57 49.57 090
69960... .................. A Release inner ear canal. *27.04 17.85 17.85 1.93 46.82 46.82 090
69970... .................. A Remove inner ear lesion. *30.04 19.69 19.69 2.26 51.99 51.99 090
69979... .................. C Temporal bone surgery... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
70010... .................. A Contrast x-ray of brain. 1.19 4.65 4.65 0.34 6.18 6.18 XXX
70010... TC A Contrast x-ray of brain. 0.00 4.13 4.13 0.26 4.39 4.39 XXX
70010... 26 A Contrast x-ray of brain. 1.19 0.52 0.52 0.08 1.79 1.79 XXX
70015... .................. A Contrast x-ray of brain. 1.19 1.81 1.81 0.17 3.17 3.17 XXX
70015... TC A Contrast x-ray of brain. 0.00 1.29 1.29 0.09 1.38 1.38 XXX
70015... 26 A Contrast x-ray of brain. 1.19 0.52 0.52 0.08 1.79 1.79 XXX
70030... .................. A X-ray eye for foreign 0.17 0.48 0.48 0.04 0.69 0.69 XXX
body.
70030... TC A X-ray eye for foreign 0.00 0.40 0.40 0.03 0.43 0.43 XXX
body.
70030... 26 A X-ray eye for foreign 0.17 0.08 0.08 0.01 0.26 0.26 XXX
body.
70100... .................. A X-ray exam of jaw....... 0.18 0.59 0.59 0.04 0.81 0.81 XXX
70100... TC A X-ray exam of jaw....... 0.00 0.50 0.50 0.03 0.53 0.53 XXX
70100... 26 A X-ray exam of jaw....... 0.18 0.09 0.09 0.01 0.28 0.28 XXX
70110... .................. A X-ray exam of jaw....... 0.25 0.71 0.71 0.06 1.02 1.02 XXX
70110... TC A X-ray exam of jaw....... 0.00 0.59 0.59 0.04 0.63 0.63 XXX
70110... 26 A X-ray exam of jaw....... 0.25 0.12 0.12 0.02 0.39 0.39 XXX
[[Page 59170]]
70120... .................. A X-ray exam of mastoids.. 0.18 0.68 0.68 0.05 0.91 0.91 XXX
70120... TC A X-ray exam of mastoids.. 0.00 0.59 0.59 0.04 0.63 0.63 XXX
70120... 26 A X-ray exam of mastoids.. 0.18 0.09 0.09 0.01 0.28 0.28 XXX
70130... .................. A X-ray exam of mastoids.. 0.34 0.91 0.91 0.07 1.32 1.32 XXX
70130... TC A X-ray exam of mastoids.. 0.00 0.75 0.75 0.05 0.80 0.80 XXX
70130... 26 A X-ray exam of mastoids.. 0.34 0.16 0.16 0.02 0.52 0.52 XXX
70134... .................. A X-ray exam of middle ear 0.34 0.86 0.86 0.07 1.27 1.27 XXX
70134... TC A X-ray exam of middle ear 0.00 0.70 0.70 0.05 0.75 0.75 XXX
70134... 26 A X-ray exam of middle ear 0.34 0.16 0.16 0.02 0.52 0.52 XXX
70140... .................. A X-ray exam of facial 0.19 0.68 0.68 0.05 0.92 0.92 XXX
bones.
70140... TC A X-ray exam of facial 0.00 0.59 0.59 0.04 0.63 0.63 XXX
bones.
70140... 26 A X-ray exam of facial 0.19 0.09 0.09 0.01 0.29 0.29 XXX
bones.
70150... .................. A X-ray exam of facial 0.26 0.87 0.87 0.07 1.20 1.20 XXX
bones.
70150... TC A X-ray exam of facial 0.00 0.75 0.75 0.05 0.80 0.80 XXX
bones.
70150... 26 A X-ray exam of facial 0.26 0.12 0.12 0.02 0.40 0.40 XXX
bones.
70160... .................. A X-ray exam of nasal 0.17 0.58 0.58 0.04 0.79 0.79 XXX
bones.
70160... TC A X-ray exam of nasal 0.00 0.50 0.50 0.03 0.53 0.53 XXX
bones.
70160... 26 A X-ray exam of nasal 0.17 0.08 0.08 0.01 0.26 0.26 XXX
bones.
70170... .................. A X-ray exam of tear duct. 0.30 1.04 1.04 0.08 1.42 1.42 XXX
70170... TC A X-ray exam of tear duct. 0.00 0.90 0.90 0.06 0.96 0.96 XXX
70170... 26 A X-ray exam of tear duct. 0.30 0.14 0.14 0.02 0.46 0.46 XXX
70190... .................. A X-ray exam of eye 0.21 0.69 0.69 0.05 0.95 0.95 XXX
sockets.
70190... TC A X-ray exam of eye 0.00 0.59 0.59 0.04 0.63 0.63 XXX
sockets.
70190... 26 A X-ray exam of eye 0.21 0.10 0.10 0.01 0.32 0.32 XXX
sockets.
70200... .................. A X-ray exam of eye 0.28 0.88 0.88 0.07 1.23 1.23 XXX
sockets.
70200... TC A X-ray exam of eye 0.00 0.75 0.75 0.05 0.80 0.80 XXX
sockets.
70200... 26 A X-ray exam of eye 0.28 0.13 0.13 0.02 0.43 0.43 XXX
sockets.
70210... .................. A X-ray exam of sinuses... 0.17 0.67 0.67 0.05 0.89 0.89 XXX
70210... TC A X-ray exam of sinuses... 0.00 0.59 0.59 0.04 0.63 0.63 XXX
70210... 26 A X-ray exam of sinuses... 0.17 0.08 0.08 0.01 0.26 0.26 XXX
70220... .................. A X-ray exam of sinuses... 0.25 0.87 0.87 0.07 1.19 1.19 XXX
70220... TC A X-ray exam of sinuses... 0.00 0.75 0.75 0.05 0.80 0.80 XXX
70220... 26 A X-ray exam of sinuses... 0.25 0.12 0.12 0.02 0.39 0.39 XXX
70240... .................. A X-ray exam pituitary 0.19 0.49 0.49 0.04 0.72 0.72 XXX
saddle.
70240... TC A X-ray exam pituitary 0.00 0.40 0.40 0.03 0.43 0.43 XXX
saddle.
70240... 26 A X-ray exam pituitary 0.19 0.09 0.09 0.01 0.29 0.29 XXX
saddle.
70250... .................. A X-ray exam of skull..... 0.24 0.70 0.70 0.06 1.00 1.00 XXX
70250... TC A X-ray exam of skull..... 0.00 0.59 0.59 0.04 0.63 0.63 XXX
70250... 26 A X-ray exam of skull..... 0.24 0.11 0.11 0.02 0.37 0.37 XXX
70260... .................. A X-ray exam of skull..... 0.34 1.01 1.01 0.08 1.43 1.43 XXX
70260... TC A X-ray exam of skull..... 0.00 0.85 0.85 0.06 0.91 0.91 XXX
70260... 26 A X-ray exam of skull..... 0.34 0.16 0.16 0.02 0.52 0.52 XXX
70300... .................. A X-ray exam of teeth..... 0.10 0.30 0.30 0.03 0.43 0.43 XXX
70300... TC A X-ray exam of teeth..... 0.00 0.25 0.25 0.02 0.27 0.27 XXX
70300... 26 A X-ray exam of teeth..... 0.10 0.05 0.05 0.01 0.16 0.16 XXX
70310... .................. A X-ray exam of teeth..... 0.16 0.47 0.47 0.04 0.67 0.67 XXX
70310... TC A X-ray exam of teeth..... 0.00 0.40 0.40 0.03 0.43 0.43 XXX
70310... 26 A X-ray exam of teeth..... 0.16 0.07 0.07 0.01 0.24 0.24 XXX
70320... .................. A Full mouth x-ray of 0.22 0.85 0.85 0.07 1.14 1.14 XXX
teeth.
70320... TC A Full mouth x-ray of 0.00 0.75 0.75 0.05 0.80 0.80 XXX
teeth.
70320... 26 A Full mouth x-ray of 0.22 0.10 0.10 0.02 0.34 0.34 XXX
teeth.
70328... .................. A X-ray exam of jaw joint. 0.18 0.56 0.56 0.04 0.78 0.78 XXX
70328... TC A X-ray exam of jaw joint. 0.00 0.47 0.47 0.03 0.50 0.50 XXX
70328... 26 A X-ray exam of jaw joint. 0.18 0.09 0.09 0.01 0.28 0.28 XXX
70330... .................. A X-ray exam of jaw joints 0.24 0.91 0.91 0.07 1.22 1.22 XXX
70330... TC A X-ray exam of jaw joints 0.00 0.80 0.80 0.05 0.85 0.85 XXX
70330... 26 A X-ray exam of jaw joints 0.24 0.11 0.11 0.02 0.37 0.37 XXX
70332... .................. A X-ray exam of jaw joint. 0.54 2.25 2.25 0.17 2.96 2.96 XXX
70332... TC A X-ray exam of jaw joint. 0.00 2.00 2.00 0.13 2.13 2.13 XXX
70332... 26 A X-ray exam of jaw joint. 0.54 0.25 0.25 0.04 0.83 0.83 XXX
70336... .................. A Magnetic image jaw joint 1.48 11.11 11.11 0.73 13.32 13.32 XXX
70336... TC A Magnetic image jaw joint 0.00 10.68 10.68 0.67 11.35 11.35 XXX
70336... 26 A Magnetic image jaw joint 1.48 0.43 0.43 0.06 1.97 1.97 XXX
70350... .................. A X-ray head for 0.17 0.44 0.44 0.03 0.64 0.64 XXX
orthodontia.
70350... TC A X-ray head for 0.00 0.36 0.36 0.02 0.38 0.38 XXX
orthodontia.
70350... 26 A X-ray head for 0.17 0.08 0.08 0.01 0.26 0.26 XXX
orthodontia.
70355... .................. A Panoramic x-ray of jaws. 0.20 0.63 0.63 0.05 0.88 0.88 XXX
70355... TC A Panoramic x-ray of jaws. 0.00 0.54 0.54 0.04 0.58 0.58 XXX
70355... 26 A Panoramic x-ray of jaws. 0.20 0.09 0.09 0.01 0.30 0.30 XXX
70360... .................. A X-ray exam of neck...... 0.17 0.48 0.48 0.04 0.69 0.69 XXX
70360... TC A X-ray exam of neck...... 0.00 0.40 0.40 0.03 0.43 0.43 XXX
70360... 26 A X-ray exam of neck...... 0.17 0.08 0.08 0.01 0.26 0.26 XXX
70370... .................. A Throat x-ray & 0.32 1.39 1.39 0.10 1.81 1.81 XXX
fluoroscopy.
70370... TC A Throat x-ray & 0.00 1.24 1.24 0.08 1.32 1.32 XXX
fluoroscopy.
[[Page 59171]]
70370... 26 A Throat x-ray & 0.32 0.15 0.15 0.02 0.49 0.49 XXX
fluoroscopy.
70371... .................. A Speech evaluation, 0.84 2.38 2.38 0.19 3.41 3.41 XXX
complex.
70371... TC A Speech evaluation, 0.00 2.00 2.00 0.13 2.13 2.13 XXX
complex.
70371... 26 A Speech evaluation, 0.84 0.38 0.38 0.06 1.28 1.28 XXX
complex.
70373... .................. A Contrast x-ray of larynx 0.44 1.90 1.90 0.14 2.48 2.48 XXX
70373... TC A Contrast x-ray of larynx 0.00 1.70 1.70 0.11 1.81 1.81 XXX
70373... 26 A Contrast x-ray of larynx 0.44 0.20 0.20 0.03 0.67 0.67 XXX
70380... .................. A X-ray exam of salivary 0.17 0.72 0.72 0.05 0.94 0.94 XXX
gland.
70380... TC A X-ray exam of salivary 0.00 0.64 0.64 0.04 0.68 0.68 XXX
gland.
70380... 26 A X-ray exam of salivary 0.17 0.08 0.08 0.01 0.26 0.26 XXX
gland.
70390... .................. A X-ray exam of salivary 0.38 1.87 1.87 0.14 2.39 2.39 XXX
duct.
70390... TC A X-ray exam of salivary 0.00 1.70 1.70 0.11 1.81 1.81 XXX
duct.
70390... 26 A X-ray exam of salivary 0.38 0.17 0.17 0.03 0.58 0.58 XXX
duct.
70450... .................. A CAT scan of head or 0.85 4.88 4.88 0.35 6.08 6.08 XXX
brain.
70450... TC A CAT scan of head or 0.00 4.50 4.50 0.29 4.79 4.79 XXX
brain.
70450... 26 A CAT scan of head or 0.85 0.38 0.38 0.06 1.29 1.29 XXX
brain.
70460... .................. A Contrast CAT scan of 1.13 5.89 5.89 0.43 7.45 7.45 XXX
head.
70460... TC A Contrast CAT scan of 0.00 5.39 5.39 0.35 5.74 5.74 XXX
head.
70460... 26 A Contrast CAT scan of 1.13 0.50 0.50 0.08 1.71 1.71 XXX
head.
70470... .................. A Contrast CAT scans of 1.27 7.30 7.30 0.52 9.09 9.09 XXX
head.
70470... TC A Contrast CAT scans of 0.00 6.74 6.74 0.43 7.17 7.17 XXX
head.
70470... 26 A Contrast CAT scans of 1.27 0.56 0.56 0.09 1.92 1.92 XXX
head.
70480... .................. A CAT scan of skull....... 1.28 5.07 5.07 0.38 6.73 6.73 XXX
70480... TC A CAT scan of skull....... 0.00 4.50 4.50 0.29 4.79 4.79 XXX
70480... 26 A CAT scan of skull....... 1.28 0.57 0.57 0.09 1.94 1.94 XXX
70481... .................. A Contrast CAT scan of 1.38 6.00 6.00 0.44 7.82 7.82 XXX
skull.
70481... TC A Contrast CAT scan of 0.00 5.39 5.39 0.35 5.74 5.74 XXX
skull.
70481... 26 A Contrast CAT scan of 1.38 0.61 0.61 0.09 2.08 2.08 XXX
skull.
70482... .................. A Contrast CAT scans of 1.45 7.38 7.38 0.53 9.36 9.36 XXX
skull.
70482... TC A Contrast CAT scans of 0.00 6.74 6.74 0.43 7.17 7.17 XXX
skull.
70482... 26 A Contrast CAT scans of 1.45 0.64 0.64 0.10 2.19 2.19 XXX
skull.
70486... .................. A CAT scan of face, jaw... 1.14 5.00 5.00 0.37 6.51 6.51 XXX
70486... TC A CAT scan of face, jaw... 0.00 4.50 4.50 0.29 4.79 4.79 XXX
70486... 26 A CAT scan of face, jaw... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
70487... .................. A Contrast CAT scan, face/ 1.30 5.96 5.96 0.44 7.70 7.70 XXX
jaw.
70487... TC A Contrast CAT scan, face/ 0.00 5.39 5.39 0.35 5.74 5.74 XXX
jaw.
70487... 26 A Contrast CAT scan, face/ 1.30 0.57 0.57 0.09 1.96 1.96 XXX
jaw.
70488... .................. A Contrast CAT scans face/ 1.42 7.37 7.37 0.53 9.32 9.32 XXX
jaw.
70488... TC A Contrast CAT scans face/ 0.00 6.74 6.74 0.43 7.17 7.17 XXX
jaw.
70488... 26 A Contrast CAT scans face/ 1.42 0.63 0.63 0.10 2.15 2.15 XXX
jaw.
70490... .................. A CAT scan of neck tissue. 1.28 5.07 5.07 0.38 6.73 6.73 XXX
70490... TC A CAT scan of neck tissue. 0.00 4.50 4.50 0.29 4.79 4.79 XXX
70490... 26 A CAT scan of neck tissue. 1.28 0.57 0.57 0.09 1.94 1.94 XXX
70491... .................. A Contrast CAT of neck 1.38 6.00 6.00 0.44 7.82 7.82 XXX
tissue.
70491... TC A Contrast CAT of neck 0.00 5.39 5.39 0.35 5.74 5.74 XXX
tissue.
70491... 26 A Contrast CAT of neck 1.38 0.61 0.61 0.09 2.08 2.08 XXX
tissue.
70492... .................. A Contrast CAT of neck 1.45 7.38 7.38 0.53 9.36 9.36 XXX
tissue.
70492... TC A Contrast CAT of neck 0.00 6.74 6.74 0.43 7.17 7.17 XXX
tissue.
70492... 26 A Contrast CAT of neck 1.45 0.64 0.64 0.10 2.19 2.19 XXX
tissue.
70540... .................. A Magnetic image, face, 1.48 11.34 11.34 0.77 13.59 13.59 XXX
neck.
70540... TC A Magnetic image, face, 0.00 10.68 10.68 0.67 11.35 11.35 XXX
neck.
70540... 26 A Magnetic image, face, 1.48 0.66 0.66 0.10 2.24 2.24 XXX
neck.
70541... .................. R Magnetic image, head 1.81 11.34 11.34 0.77 13.92 13.92 XXX
(MRA).
70541... TC R Magnetic image, head 0.00 10.68 10.68 0.67 11.35 11.35 XXX
(MRA).
70541... 26 R Magnetic image, head 1.81 0.66 0.66 0.10 2.57 2.57 XXX
(MRA).
70551... .................. A Magnetic image, brain 1.48 11.34 11.34 0.77 13.59 13.59 XXX
(MRI).
70551... TC A Magnetic image, brain 0.00 10.68 10.68 0.67 11.35 11.35 XXX
(MRI).
70551... 26 A Magnetic image, brain 1.48 0.66 0.66 0.10 2.24 2.24 XXX
(MRI).
70552... .................. A Magnetic image, brain 1.78 13.61 13.61 0.93 16.32 16.32 XXX
(MRI).
70552... TC A Magnetic image, brain 0.00 12.81 12.81 0.81 13.62 13.62 XXX
(MRI).
70552... 26 A Magnetic image, brain 1.78 0.80 0.80 0.12 2.70 2.70 XXX
(MRI).
70553... .................. A Magnetic image, brain... 2.36 24.79 24.79 1.65 28.80 28.80 XXX
70553... TC A Magnetic image, brain... 0.00 23.72 23.72 1.49 25.21 25.21 XXX
70553... 26 A Magnetic image, brain... 2.36 1.07 1.07 0.16 3.59 3.59 XXX
71010... .................. A Chest x-ray............. 0.18 0.53 0.53 0.04 0.75 0.75 XXX
71010... TC A Chest x-ray............. 0.00 0.45 0.45 0.03 0.48 0.48 XXX
71010... 26 A Chest x-ray............. 0.18 0.08 0.08 0.01 0.27 0.27 XXX
71015... .................. A X-ray exam of chest..... 0.21 0.60 0.60 0.04 0.85 0.85 XXX
71015... TC A X-ray exam of chest..... 0.00 0.50 0.50 0.03 0.53 0.53 XXX
71015... 26 A X-ray exam of chest..... 0.21 0.10 0.10 0.01 0.32 0.32 XXX
71020... .................. A Chest x-ray............. 0.22 0.69 0.69 0.05 0.96 0.96 XXX
71020... TC A Chest x-ray............. 0.00 0.59 0.59 0.04 0.63 0.63 XXX
71020... 26 A Chest x-ray............. 0.22 0.10 0.10 0.01 0.33 0.33 XXX
71021... .................. A Chest x-ray............. 0.27 0.82 0.82 0.07 1.16 1.16 XXX
[[Page 59172]]
71021... TC A Chest x-ray............. 0.00 0.70 0.70 0.05 0.75 0.75 XXX
71021... 26 A Chest x-ray............. 0.27 0.12 0.12 0.02 0.41 0.41 XXX
71022... .................. A Chest x-ray............. 0.31 0.84 0.84 0.07 1.22 1.22 XXX
71022... TC A Chest x-ray............. 0.00 0.70 0.70 0.05 0.75 0.75 XXX
71022... 26 A Chest x-ray............. 0.31 0.14 0.14 0.02 0.47 0.47 XXX
71023... .................. A Chest x-ray and 0.38 0.92 0.92 0.08 1.38 1.38 XXX
fluoroscopy.
71023... TC A Chest x-ray and 0.00 0.75 0.75 0.05 0.80 0.80 XXX
fluoroscopy.
71023... 26 A Chest x-ray and 0.38 0.17 0.17 0.03 0.58 0.58 XXX
fluoroscopy.
71030... .................. A Chest x-ray............. 0.31 0.89 0.89 0.07 1.27 1.27 XXX
71030... TC A Chest x-ray............. 0.00 0.75 0.75 0.05 0.80 0.80 XXX
71030... 26 A Chest x-ray............. 0.31 0.14 0.14 0.02 0.47 0.47 XXX
71034... .................. A Chest x-ray & 0.46 1.58 1.58 0.12 2.16 2.16 XXX
fluoroscopy.
71034... TC A Chest x-ray & 0.00 1.37 1.37 0.09 1.46 1.46 XXX
fluoroscopy.
71034... 26 A Chest x-ray & 0.46 0.21 0.21 0.03 0.70 0.70 XXX
fluoroscopy.
71035... .................. A Chest x-ray............. 0.18 0.58 0.58 0.04 0.80 0.80 XXX
71035... TC A Chest x-ray............. 0.00 0.50 0.50 0.03 0.53 0.53 XXX
71035... 26 A Chest x-ray............. 0.18 0.08 0.08 0.01 0.27 0.27 XXX
71036... .................. A X-ray guidance for 0.54 1.75 1.75 0.14 2.43 2.43 XXX
biopsy.
71036... TC A X-ray guidance for 0.00 1.50 1.50 0.10 1.60 1.60 XXX
biopsy.
71036... 26 A X-ray guidance for 0.54 0.25 0.25 0.04 0.83 0.83 XXX
biopsy.
71038... .................. A X-ray guidance for 0.54 1.85 1.85 0.15 2.54 2.54 XXX
biopsy.
71038... TC A X-ray guidance for 0.00 1.60 1.60 0.11 1.71 1.71 XXX
biopsy.
71038... 26 A X-ray guidance for 0.54 0.25 0.25 0.04 0.83 0.83 XXX
biopsy.
71040... .................. A Contrast x-ray of 0.58 1.66 1.66 0.13 2.37 2.37 XXX
bronchi.
71040... TC A Contrast x-ray of 0.00 1.39 1.39 0.09 1.48 1.48 XXX
bronchi.
71040... 26 A Contrast x-ray of 0.58 0.27 0.27 0.04 0.89 0.89 XXX
bronchi.
71060... .................. A Contrast x-ray of 0.74 2.44 2.44 0.19 3.37 3.37 XXX
bronchi.
71060... TC A Contrast x-ray of 0.00 2.10 2.10 0.14 2.24 2.24 XXX
bronchi.
71060... 26 A Contrast x-ray of 0.74 0.34 0.34 0.05 1.13 1.13 XXX
bronchi.
71090... .................. A X-ray & pacemaker 0.54 1.85 1.85 0.15 2.54 2.54 XXX
insertion.
71090... TC A X-ray & pacemaker 0.00 1.60 1.60 0.11 1.71 1.71 XXX
insertion.
71090... 26 A X-ray & pacemaker 0.54 0.25 0.25 0.04 0.83 0.83 XXX
insertion.
71100... .................. A X-ray exam of ribs...... 0.22 0.64 0.64 0.06 0.92 0.92 XXX
71100... TC A X-ray exam of ribs...... 0.00 0.54 0.54 0.04 0.58 0.58 XXX
71100... 26 A X-ray exam of ribs...... 0.22 0.10 0.10 0.02 0.34 0.34 XXX
71101... .................. A X-ray exam of ribs, 0.27 0.77 0.77 0.06 1.10 1.10 XXX
chest.
71101... TC A X-ray exam of ribs, 0.00 0.64 0.64 0.04 0.68 0.68 XXX
chest.
71101... 26 A X-ray exam of ribs, 0.27 0.13 0.13 0.02 0.42 0.42 XXX
chest.
71110... .................. A X-ray exam of ribs...... 0.27 0.88 0.88 0.07 1.22 1.22 XXX
71110... TC A X-ray exam of ribs...... 0.00 0.75 0.75 0.05 0.80 0.80 XXX
71110... 26 A X-ray exam of ribs...... 0.27 0.13 0.13 0.02 0.42 0.42 XXX
71111... .................. A X-ray exam of ribs, 0.32 1.00 1.00 0.08 1.40 1.40 XXX
chest.
71111... TC A X-ray exam of ribs, 0.00 0.85 0.85 0.06 0.91 0.91 XXX
chest.
71111... 26 A X-ray exam of ribs, 0.32 0.15 0.15 0.02 0.49 0.49 XXX
chest.
71120... .................. A X-ray exam of breastbone 0.20 0.71 0.71 0.05 0.96 0.96 XXX
71120... TC A X-ray exam of breastbone 0.00 0.62 0.62 0.04 0.66 0.66 XXX
71120... 26 A X-ray exam of breastbone 0.20 0.09 0.09 0.01 0.30 0.30 XXX
71130... .................. A X-ray exam of breastbone 0.22 0.77 0.77 0.05 1.04 1.04 XXX
71130... TC A X-ray exam of breastbone 0.00 0.67 0.67 0.04 0.71 0.71 XXX
71130... 26 A X-ray exam of breastbone 0.22 0.10 0.10 0.01 0.33 0.33 XXX
71250... .................. A Cat scan of chest....... 1.16 6.14 6.14 0.44 7.74 7.74 XXX
71250... TC A Cat scan of chest....... 0.00 5.63 5.63 0.36 5.99 5.99 XXX
71250... 26 A Cat scan of chest....... 1.16 0.51 0.51 0.08 1.75 1.75 XXX
71260... .................. A Contrast CAT scan of 1.24 7.29 7.29 0.51 9.04 9.04 XXX
chest.
71260... TC A Contrast CAT scan of 0.00 6.74 6.74 0.43 7.17 7.17 XXX
chest.
71260... 26 A Contrast CAT scan of 1.24 0.55 0.55 0.08 1.87 1.87 XXX
chest.
71270... .................. A Contrast CAT scans of 1.38 9.04 9.04 0.61 11.03 11.03 XXX
chest.
71270... TC A Contrast CAT scans of 0.00 8.43 8.43 0.52 8.95 8.95 XXX
chest.
71270... 26 A Contrast CAT scans of 1.38 0.61 0.61 0.09 2.08 2.08 XXX
chest.
71550... .................. A Magnetic image, chest... 1.60 11.40 11.40 0.78 13.78 13.78 XXX
71550... TC A Magnetic image, chest... 0.00 10.68 10.68 0.67 11.35 11.35 XXX
71550... 26 A Magnetic image, chest... 1.60 0.72 0.72 0.11 2.43 2.43 XXX
71555... .................. N Magnetic imaging/chest +1.81 11.40 11.40 0.78 13.99 13.99 XXX
(MRA).
71555... TC N Magnetic imaging/chest +0.00 10.68 10.68 0.67 11.35 11.35 XXX
(MRA).
71555... 26 N Magnetic imaging/chest +1.81 0.72 0.72 0.11 2.64 2.64 XXX
(MRA).
72010... .................. A X-ray exam of spine..... 0.45 1.18 1.18 0.09 1.72 1.72 XXX
72010... TC A X-ray exam of spine..... 0.00 0.98 0.98 0.06 1.04 1.04 XXX
72010... 26 A X-ray exam of spine..... 0.45 0.20 0.20 0.03 0.68 0.68 XXX
72020... .................. A X-ray exam of spine..... 0.15 0.47 0.47 0.04 0.66 0.66 XXX
72020... TC A X-ray exam of spine..... 0.00 0.40 0.40 0.03 0.43 0.43 XXX
72020... 26 A X-ray exam of spine..... 0.15 0.07 0.07 0.01 0.23 0.23 XXX
72040... .................. A X-ray exam of neck spine 0.22 0.67 0.67 0.05 0.94 0.94 XXX
72040... TC A X-ray exam of neck spine 0.00 0.57 0.57 0.04 0.61 0.61 XXX
72040... 26 A X-ray exam of neck spine 0.22 0.10 0.10 0.01 0.33 0.33 XXX
[[Page 59173]]
72050... .................. A X-ray exam of neck spine 0.31 0.99 0.99 0.08 1.38 1.38 XXX
72050... TC A X-ray exam of neck spine 0.00 0.85 0.85 0.06 0.91 0.91 XXX
72050... 26 A X-ray exam of neck spine 0.31 0.14 0.14 0.02 0.47 0.47 XXX
72052... .................. A X-ray exam of neck spine 0.36 1.25 1.25 0.09 1.70 1.70 XXX
72052... TC A X-ray exam of neck spine 0.00 1.08 1.08 0.07 1.15 1.15 XXX
72052... 26 A X-ray exam of neck spine 0.36 0.17 0.17 0.02 0.55 0.55 XXX
72069... .................. A X-ray exam of trunk 0.22 0.57 0.57 0.04 0.83 0.83 XXX
spine.
72069... TC A X-ray exam of trunk 0.00 0.47 0.47 0.03 0.50 0.50 XXX
spine.
72069... 26 A X-ray exam of trunk 0.22 0.10 0.10 0.01 0.33 0.33 XXX
spine.
72070... .................. A X-ray exam of thorax 0.22 0.72 0.72 0.05 0.99 0.99 XXX
spine.
72070... TC A X-ray exam of thorax 0.00 0.62 0.62 0.04 0.66 0.66 XXX
spine.
72070... 26 A X-ray exam of thorax 0.22 0.10 0.10 0.01 0.33 0.33 XXX
spine.
72072... .................. A X-ray exam of thoracic 0.22 0.80 0.80 0.06 1.08 1.08 XXX
spine.
72072... TC A X-ray exam of thoracic 0.00 0.70 0.70 0.05 0.75 0.75 XXX
spine.
72072... 26 A X-ray exam of thoracic 0.22 0.10 0.10 0.01 0.33 0.33 XXX
spine.
72074... .................. A X-ray exam of thoracic 0.22 0.97 0.97 0.07 1.26 1.26 XXX
spine.
72074... TC A X-ray exam of thoracic 0.00 0.87 0.87 0.06 0.93 0.93 XXX
spine.
72074... 26 A X-ray exam of thoracic 0.22 0.10 0.10 0.01 0.33 0.33 XXX
spine.
72080... .................. A X-ray exam of trunk 0.22 0.74 0.74 0.05 1.01 1.01 XXX
spine.
72080... TC A X-ray exam of trunk 0.00 0.64 0.64 0.04 0.68 0.68 XXX
spine.
72080... 26 A X-ray exam of trunk 0.22 0.10 0.10 0.01 0.33 0.33 XXX
spine.
72090... .................. A X-ray exam of trunk 0.28 0.77 0.77 0.06 1.11 1.11 XXX
spine.
72090... TC A X-ray exam of trunk 0.00 0.64 0.64 0.04 0.68 0.68 XXX
spine.
72090... 26 A X-ray exam of trunk 0.28 0.13 0.13 0.02 0.43 0.43 XXX
spine.
72100... .................. A X-ray exam of lower 0.22 0.74 0.74 0.05 1.01 1.01 XXX
spine.
72100... TC A X-ray exam of lower 0.00 0.64 0.64 0.04 0.68 0.68 XXX
spine.
72100... 26 A X-ray exam of lower 0.22 0.10 0.10 0.01 0.33 0.33 XXX
spine.
72110... .................. A X-ray exam of lower 0.31 1.01 1.01 0.08 1.40 1.40 XXX
spine.
72110... TC A X-ray exam of lower 0.00 0.87 0.87 0.06 0.93 0.93 XXX
spine.
72110... 26 A X-ray exam of lower 0.31 0.14 0.14 0.02 0.47 0.47 XXX
spine.
72114... .................. A X-ray exam of lower 0.36 1.30 1.30 0.09 1.75 1.75 XXX
spine.
72114... TC A X-ray exam of lower 0.00 1.13 1.13 0.07 1.20 1.20 XXX
spine.
72114... 26 A X-ray exam of lower 0.36 0.17 0.17 0.02 0.55 0.55 XXX
spine.
72120... .................. A X-ray exam of lower 0.22 0.95 0.95 0.07 1.24 1.24 XXX
spine.
72120... TC A X-ray exam of lower 0.00 0.85 0.85 0.06 0.91 0.91 XXX
spine.
72120... 26 A X-ray exam of lower 0.22 0.10 0.10 0.01 0.33 0.33 XXX
spine.
72125... .................. A CAT scan of neck spine.. 1.16 6.14 6.14 0.44 7.74 7.74 XXX
72125... TC A CAT scan of neck spine.. 0.00 5.63 5.63 0.36 5.99 5.99 XXX
72125... 26 A CAT scan of neck spine.. 1.16 0.51 0.51 0.08 1.75 1.75 XXX
72126... .................. A Contrast CAT scan of 1.22 7.27 7.27 0.51 9.00 9.00 XXX
neck.
72126... TC A Contrast CAT scan of 0.00 6.74 6.74 0.43 7.17 7.17 XXX
neck.
72126... 26 A Contrast CAT scan of 1.22 0.53 0.53 0.08 1.83 1.83 XXX
neck.
72127... .................. A Contrast CAT scans of 1.27 8.99 8.99 0.61 10.87 10.87 XXX
neck.
72127... TC A Contrast CAT scans of 0.00 8.43 8.43 0.52 8.95 8.95 XXX
neck.
72127... 26 A Contrast CAT scans of 1.27 0.56 0.56 0.09 1.92 1.92 XXX
neck.
72128... .................. A CAT scan of thorax spine 1.16 6.14 6.14 0.44 7.74 7.74 XXX
72128... TC A CAT scan of thorax spine 0.00 5.63 5.63 0.36 5.99 5.99 XXX
72128... 26 A CAT scan of thorax spine 1.16 0.51 0.51 0.08 1.75 1.75 XXX
72129... .................. A Contrast CAT scan of 1.22 7.27 7.27 0.51 9.00 9.00 XXX
thorax.
72129... TC A Contrast CAT scan of 0.00 6.74 6.74 0.43 7.17 7.17 XXX
thorax.
72129... 26 A Contrast CAT scan of 1.22 0.53 0.53 0.08 1.83 1.83 XXX
thorax.
72130... .................. A Contrast CAT scans of 1.27 8.99 8.99 0.61 10.87 10.87 XXX
thorax.
72130... TC A Contrast CAT scans of 0.00 8.43 8.43 0.52 8.95 8.95 XXX
thorax.
72130... 26 A Contrast CAT scans of 1.27 0.56 0.56 0.09 1.92 1.92 XXX
thorax.
72131... .................. A CAT scan of lower spine. 1.16 6.14 6.14 0.44 7.74 7.74 XXX
72131... TC A CAT scan of lower spine. 0.00 5.63 5.63 0.36 5.99 5.99 XXX
72131... 26 A CAT scan of lower spine. 1.16 0.51 0.51 0.08 1.75 1.75 XXX
72132... .................. A Contrast CAT of lower 1.22 7.27 7.27 0.51 9.00 9.00 XXX
spine.
72132... TC A Contrast CAT of lower 0.00 6.74 6.74 0.43 7.17 7.17 XXX
spine.
72132... 26 A Contrast CAT of lower 1.22 0.53 0.53 0.08 1.83 1.83 XXX
spine.
72133... .................. A Contrast CAT scans, low 1.27 8.99 8.99 0.61 10.87 10.87 XXX
spine.
72133... TC A Contrast CAT scans, low 0.00 8.43 8.43 0.52 8.95 8.95 XXX
spine.
72133... 26 A Contrast CAT scans, low 1.27 0.56 0.56 0.09 1.92 1.92 XXX
spine.
72141... .................. A Magnetic image, neck 1.60 11.40 11.40 0.78 13.78 13.78 XXX
spine.
72141... TC A Magnetic image, neck 0.00 10.68 10.68 0.67 11.35 11.35 XXX
spine.
72141... 26 A Magnetic image, neck 1.60 0.72 0.72 0.11 2.43 2.43 XXX
spine.
72142... .................. A Magnetic image, neck 1.92 13.67 13.67 0.94 16.53 16.53 XXX
spine.
72142... TC A Magnetic image, neck 0.00 12.81 12.81 0.81 13.62 13.62 XXX
spine.
72142... 26 A Magnetic image, neck 1.92 0.86 0.86 0.13 2.91 2.91 XXX
spine.
72146... .................. A Magnetic image, chest 1.60 12.58 12.58 0.85 15.03 15.03 XXX
spine.
72146... TC A Magnetic image, chest 0.00 11.86 11.86 0.74 12.60 12.60 XXX
spine.
72146... 26 A Magnetic image, chest 1.60 0.72 0.72 0.11 2.43 2.43 XXX
spine.
72147... .................. A Magnetic image, chest 1.92 13.67 13.67 0.94 16.53 16.53 XXX
spine.
72147... TC A Magnetic image, chest 0.00 12.81 12.81 0.81 13.62 13.62 XXX
spine.
[[Page 59174]]
72147... 26 A Magnetic image, chest 1.92 0.86 0.86 0.13 2.91 2.91 XXX
spine.
72148... .................. A Magnetic image, lumbar 1.48 12.52 12.52 0.84 14.84 14.84 XXX
spine.
72148... TC A Magnetic image, lumbar 0.00 11.86 11.86 0.74 12.60 12.60 XXX
spine.
72148... 26 A Magnetic image, lumbar 1.48 0.66 0.66 0.10 2.24 2.24 XXX
spine.
72149... .................. A Magnetic image, lumbar 1.78 13.61 13.61 0.93 16.32 16.32 XXX
spine.
72149... TC A Magnetic image, lumbar 0.00 12.81 12.81 0.81 13.62 13.62 XXX
spine.
72149... 26 A Magnetic image, lumbar 1.78 0.80 0.80 0.12 2.70 2.70 XXX
spine.
72156... .................. A Magnetic image, neck 2.57 24.87 24.87 1.66 29.10 29.10 XXX
spine.
72156... TC A Magnetic image, neck 0.00 23.72 23.72 1.49 25.21 25.21 XXX
spine.
72156... 26 A Magnetic image, neck 2.57 1.15 1.15 0.17 3.89 3.89 XXX
spine.
72157... .................. A Magnetic image, chest 2.57 24.87 24.87 1.66 29.10 29.10 XXX
spine.
72157... TC A Magnetic image, chest 0.00 23.72 23.72 1.49 25.21 25.21 XXX
spine.
72157... 26 A Magnetic image, chest 2.57 1.15 1.15 0.17 3.89 3.89 XXX
spine.
72158... .................. A Magnetic image, lumbar 2.36 24.79 24.79 1.65 28.80 28.80 XXX
spine.
72158... TC A Magnetic image, lumbar 0.00 23.72 23.72 1.49 25.21 25.21 XXX
spine.
72158... 26 A Magnetic image, lumbar 2.36 1.07 1.07 0.16 3.59 3.59 XXX
spine.
72159... .................. N Magnetic imaging/spine +1.80 12.52 12.52 0.84 15.16 15.16 XXX
(MRA).
72159... TC N Magnetic imaging/spine +0.00 11.86 11.86 0.74 12.60 12.60 XXX
(MRA).
72159... 26 N Magnetic imaging/spine +1.80 0.66 0.66 0.10 2.56 2.56 XXX
(MRA).
72170... .................. A X-ray exam of pelvis.... 0.17 0.57 0.57 0.04 0.78 0.78 XXX
72170... TC A X-ray exam of pelvis.... 0.00 0.50 0.50 0.03 0.53 0.53 XXX
72170... 26 A X-ray exam of pelvis.... 0.17 0.07 0.07 0.01 0.25 0.25 XXX
72190... .................. A X-ray exam of pelvis.... 0.21 0.74 0.74 0.05 1.00 1.00 XXX
72190... TC A X-ray exam of pelvis.... 0.00 0.64 0.64 0.04 0.68 0.68 XXX
72190... 26 A X-ray exam of pelvis.... 0.21 0.10 0.10 0.01 0.32 0.32 XXX
72192... .................. A CAT scan of pelvis...... 1.09 6.11 6.11 0.43 7.63 7.63 XXX
72192... TC A CAT scan of pelvis...... 0.00 5.63 5.63 0.36 5.99 5.99 XXX
72192... 26 A CAT scan of pelvis...... 1.09 0.48 0.48 0.07 1.64 1.64 XXX
72193... .................. A Contrast CAT scan of 1.16 7.03 7.03 0.49 8.68 8.68 XXX
pelvis.
72193... TC A Contrast CAT scan of 0.00 6.52 6.52 0.41 6.93 6.93 XXX
pelvis.
72193... 26 A Contrast CAT scan of 1.16 0.51 0.51 0.08 1.75 1.75 XXX
pelvis.
72194... .................. A Contrast CAT scans of 1.22 8.62 8.62 0.58 10.42 10.42 XXX
pelvis.
72194... TC A Contrast CAT scans of 0.00 8.09 8.09 0.50 8.59 8.59 XXX
pelvis.
72194... 26 A Contrast CAT scans of 1.22 0.53 0.53 0.08 1.83 1.83 XXX
pelvis.
72196... .................. A Magnetic image, pelvis.. 1.60 11.40 11.40 0.78 13.78 13.78 XXX
72196... TC A Magnetic image, pelvis.. 0.00 10.68 10.68 0.67 11.35 11.35 XXX
72196... 26 A Magnetic image, pelvis.. 1.60 0.72 0.72 0.11 2.43 2.43 XXX
72198... .................. N Magnetic imaging/ +1.80 11.40 11.40 0.78 13.98 13.98 XXX
pelvis(MRA).
72198... TC N Magnetic imaging/ +0.00 10.68 10.68 0.67 11.35 11.35 XXX
pelvis(MRA).
72198... 26 N Magnetic imaging/ +1.80 0.72 0.72 0.11 2.63 2.63 XXX
pelvis(MRA).
72200... .................. A X-ray exam sacroiliac 0.17 0.58 0.58 0.04 0.79 0.79 XXX
joints.
72200... TC A X-ray exam sacroiliac 0.00 0.50 0.50 0.03 0.53 0.53 XXX
joints.
72200... 26 A X-ray exam sacroiliac 0.17 0.08 0.08 0.01 0.26 0.26 XXX
joints.
72202... .................. A X-ray exam sacroiliac 0.19 0.68 0.68 0.05 0.92 0.92 XXX
joints.
72202... TC A X-ray exam sacroiliac 0.00 0.59 0.59 0.04 0.63 0.63 XXX
joints.
72202... 26 A X-ray exam sacroiliac 0.19 0.09 0.09 0.01 0.29 0.29 XXX
joints.
72220... .................. A X-ray exam of tailbone.. 0.17 0.62 0.62 0.05 0.84 0.84 XXX
72220... TC A X-ray exam of tailbone.. 0.00 0.54 0.54 0.04 0.58 0.58 XXX
72220... 26 A X-ray exam of tailbone.. 0.17 0.08 0.08 0.01 0.26 0.26 XXX
72240... .................. A Contrast x-ray of neck 0.91 4.93 4.93 0.35 6.19 6.19 XXX
spine.
72240... TC A Contrast x-ray of neck 0.00 4.52 4.52 0.29 4.81 4.81 XXX
spine.
72240... 26 A Contrast x-ray of neck 0.91 0.41 0.41 0.06 1.38 1.38 XXX
spine.
72255... .................. A Contrast x-ray thorax 0.91 4.54 4.54 0.32 5.77 5.77 XXX
spine.
72255... TC A Contrast x-ray thorax 0.00 4.13 4.13 0.26 4.39 4.39 XXX
spine.
72255... 26 A Contrast x-ray thorax 0.91 0.41 0.41 0.06 1.38 1.38 XXX
spine.
72265... .................. A Contrast x-ray lower 0.83 4.26 4.26 0.31 5.40 5.40 XXX
spine.
72265... TC A Contrast x-ray lower 0.00 3.88 3.88 0.25 4.13 4.13 XXX
spine.
72265... 26 A Contrast x-ray lower 0.83 0.38 0.38 0.06 1.27 1.27 XXX
spine.
72270... .................. A Contrast x-ray of spine. 1.33 6.40 6.40 0.46 8.19 8.19 XXX
72270... TC A Contrast x-ray of spine. 0.00 5.81 5.81 0.37 6.18 6.18 XXX
72270... 26 A Contrast x-ray of spine. 1.33 0.59 0.59 0.09 2.01 2.01 XXX
72285... .................. A X-ray of neck spine disk 0.83 8.37 8.37 0.56 9.76 9.76 XXX
72285... TC A X-ray of neck spine disk 0.00 7.99 7.99 0.50 8.49 8.49 XXX
72285... 26 A X-ray of neck spine disk 0.83 0.38 0.38 0.06 1.27 1.27 XXX
72295... .................. A X-ray of lower spine 0.83 7.87 7.87 0.52 9.22 9.22 XXX
disk.
72295... TC A X-ray of lower spine 0.00 7.49 7.49 0.46 7.95 7.95 XXX
disk.
72295... 26 A X-ray of lower spine 0.83 0.38 0.38 0.06 1.27 1.27 XXX
disk.
73000... .................. A X-ray exam of collarbone 0.16 0.57 0.57 0.04 0.77 0.77 XXX
73000... TC A X-ray exam of collarbone 0.00 0.50 0.50 0.03 0.53 0.53 XXX
73000... 26 A X-ray exam of collarbone 0.16 0.07 0.07 0.01 0.24 0.24 XXX
73010... .................. A X-ray exam of shoulder 0.17 0.58 0.58 0.04 0.79 0.79 XXX
blade.
73010... TC A X-ray exam of shoulder 0.00 0.50 0.50 0.03 0.53 0.53 XXX
blade.
73010... 26 A X-ray exam of shoulder 0.17 0.08 0.08 0.01 0.26 0.26 XXX
blade.
73020... .................. A X-ray exam of shoulder.. 0.15 0.52 0.52 0.04 0.71 0.71 XXX
[[Page 59175]]
73020... TC A X-ray exam of shoulder.. 0.00 0.45 0.45 0.03 0.48 0.48 XXX
73020... 26 A X-ray exam of shoulder.. 0.15 0.07 0.07 0.01 0.23 0.23 XXX
73030... .................. A X-ray exam of shoulder.. 0.18 0.62 0.62 0.05 0.85 0.85 XXX
73030... TC A X-ray exam of shoulder.. 0.00 0.54 0.54 0.04 0.58 0.58 XXX
73030... 26 A X-ray exam of shoulder.. 0.18 0.08 0.08 0.01 0.27 0.27 XXX
73040... .................. A Contrast x-ray of 0.54 2.25 2.25 0.17 2.96 2.96 XXX
shoulder.
73040... TC A Contrast x-ray of 0.00 2.00 2.00 0.13 2.13 2.13 XXX
shoulder.
73040... 26 A Contrast x-ray of 0.54 0.25 0.25 0.04 0.83 0.83 XXX
shoulder.
73050... .................. A X-ray exam of shoulders. 0.20 0.73 0.73 0.05 0.98 0.98 XXX
73050... TC A X-ray exam of shoulders. 0.00 0.64 0.64 0.04 0.68 0.68 XXX
73050... 26 A X-ray exam of shoulders. 0.20 0.09 0.09 0.01 0.30 0.30 XXX
73060... .................. A X-ray exam of humerus... 0.17 0.62 0.62 0.05 0.84 0.84 XXX
73060... TC A X-ray exam of humerus... 0.00 0.54 0.54 0.04 0.58 0.58 XXX
73060... 26 A X-ray exam of humerus... 0.17 0.08 0.08 0.01 0.26 0.26 XXX
73070... .................. A X-ray exam of elbow..... 0.15 0.57 0.57 0.04 0.76 0.76 XXX
73070... TC A X-ray exam of elbow..... 0.00 0.50 0.50 0.03 0.53 0.53 XXX
73070... 26 A X-ray exam of elbow..... 0.15 0.07 0.07 0.01 0.23 0.23 XXX
73080... .................. A X-ray exam of elbow..... 0.17 0.62 0.62 0.05 0.84 0.84 XXX
73080... TC A X-ray exam of elbow..... 0.00 0.54 0.54 0.04 0.58 0.58 XXX
73080... 26 A X-ray exam of elbow..... 0.17 0.08 0.08 0.01 0.26 0.26 XXX
73085... .................. A Contrast x-ray of elbow. 0.54 2.25 2.25 0.17 2.96 2.96 XXX
73085... TC A Contrast x-ray of elbow. 0.00 2.00 2.00 0.13 2.13 2.13 XXX
73085... 26 A Contrast x-ray of elbow. 0.54 0.25 0.25 0.04 0.83 0.83 XXX
73090... .................. A X-ray exam of forearm... 0.16 0.57 0.57 0.04 0.77 0.77 XXX
73090... TC A X-ray exam of forearm... 0.00 0.50 0.50 0.03 0.53 0.53 XXX
73090... 26 A X-ray exam of forearm... 0.16 0.07 0.07 0.01 0.24 0.24 XXX
73092... .................. A X-ray exam of arm, 0.16 0.54 0.54 0.04 0.74 0.74 XXX
infant.
73092... TC A X-ray exam of arm, 0.00 0.47 0.47 0.03 0.50 0.50 XXX
infant.
73092... 26 A X-ray exam of arm, 0.16 0.07 0.07 0.01 0.24 0.24 XXX
infant.
73100... .................. A X-ray exam of wrist..... 0.16 0.54 0.54 0.04 0.74 0.74 XXX
73100... TC A X-ray exam of wrist..... 0.00 0.47 0.47 0.03 0.50 0.50 XXX
73100... 26 A X-ray exam of wrist..... 0.16 0.07 0.07 0.01 0.24 0.24 XXX
73110... .................. A X-ray exam of wrist..... 0.17 0.59 0.59 0.04 0.80 0.80 XXX
73110... TC A X-ray exam of wrist..... 0.00 0.51 0.51 0.03 0.54 0.54 XXX
73110... 26 A X-ray exam of wrist..... 0.17 0.08 0.08 0.01 0.26 0.26 XXX
73115... .................. A Contrast x-ray of wrist. 0.54 1.75 1.75 0.14 2.43 2.43 XXX
73115... TC A Contrast x-ray of wrist. 0.00 1.50 1.50 0.10 1.60 1.60 XXX
73115... 26 A Contrast x-ray of wrist. 0.54 0.25 0.25 0.04 0.83 0.83 XXX
73120... .................. A X-ray exam of hand...... 0.16 0.54 0.54 0.04 0.74 0.74 XXX
73120... TC A X-ray exam of hand...... 0.00 0.47 0.47 0.03 0.50 0.50 XXX
73120... 26 A X-ray exam of hand...... 0.16 0.07 0.07 0.01 0.24 0.24 XXX
73130... .................. A X-ray exam of hand...... 0.17 0.59 0.59 0.04 0.80 0.80 XXX
73130... TC A X-ray exam of hand...... 0.00 0.51 0.51 0.03 0.54 0.54 XXX
73130... 26 A X-ray exam of hand...... 0.17 0.08 0.08 0.01 0.26 0.26 XXX
73140... .................. A X-ray exam of finger(s). 0.13 0.46 0.46 0.04 0.63 0.63 XXX
73140... TC A X-ray exam of finger(s). 0.00 0.40 0.40 0.03 0.43 0.43 XXX
73140... 26 A X-ray exam of finger(s). 0.13 0.06 0.06 0.01 0.20 0.20 XXX
73200... .................. A CAT scan of arm......... 1.09 5.21 5.21 0.37 6.67 6.67 XXX
73200... TC A CAT scan of arm......... 0.00 4.73 4.73 0.30 5.03 5.03 XXX
73200... 26 A CAT scan of arm......... 1.09 0.48 0.48 0.07 1.64 1.64 XXX
73201... .................. A Contrast CAT scan of arm 1.16 6.14 6.14 0.44 7.74 7.74 XXX
73201... TC A Contrast CAT scan of arm 0.00 5.63 5.63 0.36 5.99 5.99 XXX
73201... 26 A Contrast CAT scan of arm 1.16 0.51 0.51 0.08 1.75 1.75 XXX
73202... .................. A Contrast CAT scans of 1.22 7.61 7.61 0.53 9.36 9.36 XXX
arm.
73202... TC A Contrast CAT scans of 0.00 7.08 7.08 0.45 7.53 7.53 XXX
arm.
73202... 26 A Contrast CAT scans of 1.22 0.53 0.53 0.08 1.83 1.83 XXX
arm.
73220... .................. A Magnetic image, arm, 1.48 11.34 11.34 0.77 13.59 13.59 XXX
hand.
73220... TC A Magnetic image, arm, 0.00 10.68 10.68 0.67 11.35 11.35 XXX
hand.
73220... 26 A Magnetic image, arm, 1.48 0.66 0.66 0.10 2.24 2.24 XXX
hand.
73221... .................. A Magnetic image, joint of 1.48 11.11 11.11 0.73 13.32 13.32 XXX
arm.
73221... TC A Magnetic image, joint of 0.00 10.68 10.68 0.67 11.35 11.35 XXX
arm.
73221... 26 A Magnetic image, joint of 1.48 0.43 0.43 0.06 1.97 1.97 XXX
arm.
73225... .................. N Magnetic imaging/upper +1.73 11.34 11.34 0.77 13.84 13.84 XXX
(MRA).
73225... TC N Magnetic imaging/upper +0.00 10.68 10.68 0.67 11.35 11.35 XXX
(MRA).
73225... 26 N Magnetic imaging/upper +1.73 0.66 0.66 0.10 2.49 2.49 XXX
(MRA).
73500... .................. A X-ray exam of hip....... 0.17 0.53 0.53 0.04 0.74 0.74 XXX
73500... TC A X-ray exam of hip....... 0.00 0.45 0.45 0.03 0.48 0.48 XXX
73500... 26 A X-ray exam of hip....... 0.17 0.08 0.08 0.01 0.26 0.26 XXX
73510... .................. A X-ray exam of hip....... 0.21 0.64 0.64 0.05 0.90 0.90 XXX
73510... TC A X-ray exam of hip....... 0.00 0.54 0.54 0.04 0.58 0.58 XXX
73510... 26 A X-ray exam of hip....... 0.21 0.10 0.10 0.01 0.32 0.32 XXX
73520... .................. A X-ray exam of hips...... 0.26 0.76 0.76 0.06 1.08 1.08 XXX
73520... TC A X-ray exam of hips...... 0.00 0.64 0.64 0.04 0.68 0.68 XXX
73520... 26 A X-ray exam of hips...... 0.26 0.12 0.12 0.02 0.40 0.40 XXX
[[Page 59176]]
73525... .................. A Contrast x-ray of hip... 0.54 2.25 2.25 0.17 2.96 2.96 XXX
73525... TC A Contrast x-ray of hip... 0.00 2.00 2.00 0.13 2.13 2.13 XXX
73525... 26 A Contrast x-ray of hip... 0.54 0.25 0.25 0.04 0.83 0.83 XXX
73530... .................. A X-ray exam of hip....... 0.29 0.63 0.63 0.05 0.97 0.97 XXX
73530... TC A X-ray exam of hip....... 0.00 0.50 0.50 0.03 0.53 0.53 XXX
73530... 26 A X-ray exam of hip....... 0.29 0.13 0.13 0.02 0.44 0.44 XXX
73540... .................. A X-ray exam of pelvis & 0.20 0.64 0.64 0.05 0.89 0.89 XXX
hips.
73540... TC A X-ray exam of pelvis & 0.00 0.54 0.54 0.04 0.58 0.58 XXX
hips.
73540... 26 A X-ray exam of pelvis & 0.20 0.10 0.10 0.01 0.31 0.31 XXX
hips.
73550... .................. A X-ray exam of thigh..... 0.17 0.62 0.62 0.05 0.84 0.84 XXX
73550... TC A X-ray exam of thigh..... 0.00 0.54 0.54 0.04 0.58 0.58 XXX
73550... 26 A X-ray exam of thigh..... 0.17 0.08 0.08 0.01 0.26 0.26 XXX
73560... .................. A X-ray exam of knee...... 0.17 0.57 0.57 0.04 0.78 0.78 XXX
73560... TC A X-ray exam of knee...... 0.00 0.50 0.50 0.03 0.53 0.53 XXX
73560... 26 A X-ray exam of knee...... 0.17 0.07 0.07 0.01 0.25 0.25 XXX
73562... .................. A X-ray exam of knee...... 0.18 0.63 0.63 0.05 0.86 0.86 XXX
73562... TC A X-ray exam of knee...... 0.00 0.54 0.54 0.04 0.58 0.58 XXX
73562... 26 A X-ray exam of knee...... 0.18 0.09 0.09 0.01 0.28 0.28 XXX
73564... .................. A X-ray exam of knee...... 0.22 0.69 0.69 0.06 0.97 0.97 XXX
73564... TC A X-ray exam of knee...... 0.00 0.59 0.59 0.04 0.63 0.63 XXX
73564... 26 A X-ray exam of knee...... 0.22 0.10 0.10 0.02 0.34 0.34 XXX
73565... .................. A X-ray exam of knee...... 0.17 0.54 0.54 0.04 0.75 0.75 XXX
73565... TC A X-ray exam of knee...... 0.00 0.47 0.47 0.03 0.50 0.50 XXX
73565... 26 A X-ray exam of knee...... 0.17 0.07 0.07 0.01 0.25 0.25 XXX
73580... .................. A Contrast x-ray of knee 0.54 2.75 2.75 0.21 3.50 3.50 XXX
joint.
73580... TC A Contrast x-ray of knee 0.00 2.50 2.50 0.17 2.67 2.67 XXX
joint.
73580... 26 A Contrast x-ray of knee 0.54 0.25 0.25 0.04 0.83 0.83 XXX
joint.
73590... .................. A X-ray exam of lower leg. 0.17 0.57 0.57 0.04 0.78 0.78 XXX
73590... TC A X-ray exam of lower leg. 0.00 0.50 0.50 0.03 0.53 0.53 XXX
73590... 26 A X-ray exam of lower leg. 0.17 0.07 0.07 0.01 0.25 0.25 XXX
73592... .................. A X-ray exam of leg, 0.16 0.54 0.54 0.04 0.74 0.74 XXX
infant.
73592... TC A X-ray exam of leg, 0.00 0.47 0.47 0.03 0.50 0.50 XXX
infant.
73592... 26 A X-ray exam of leg, 0.16 0.07 0.07 0.01 0.24 0.24 XXX
infant.
73600... .................. A X-ray exam of ankle..... 0.16 0.54 0.54 0.04 0.74 0.74 XXX
73600... TC A X-ray exam of ankle..... 0.00 0.47 0.47 0.03 0.50 0.50 XXX
73600... 26 A X-ray exam of ankle..... 0.16 0.07 0.07 0.01 0.24 0.24 XXX
73610... .................. A X-ray exam of ankle..... 0.17 0.59 0.59 0.04 0.80 0.80 XXX
73610... TC A X-ray exam of ankle..... 0.00 0.51 0.51 0.03 0.54 0.54 XXX
73610... 26 A X-ray exam of ankle..... 0.17 0.08 0.08 0.01 0.26 0.26 XXX
73615... .................. A Contrast x-ray of ankle. 0.54 2.25 2.25 0.17 2.96 2.96 XXX
73615... TC A Contrast x-ray of ankle. 0.00 2.00 2.00 0.13 2.13 2.13 XXX
73615... 26 A Contrast x-ray of ankle. 0.54 0.25 0.25 0.04 0.83 0.83 XXX
73620... .................. A X-ray exam of foot...... 0.16 0.54 0.54 0.04 0.74 0.74 XXX
73620... TC A X-ray exam of foot...... 0.00 0.47 0.47 0.03 0.50 0.50 XXX
73620... 26 A X-ray exam of foot...... 0.16 0.07 0.07 0.01 0.24 0.24 XXX
73630... .................. A X-ray exam of foot...... 0.17 0.59 0.59 0.04 0.80 0.80 XXX
73630... TC A X-ray exam of foot...... 0.00 0.51 0.51 0.03 0.54 0.54 XXX
73630... 26 A X-ray exam of foot...... 0.17 0.08 0.08 0.01 0.26 0.26 XXX
73650... .................. A X-ray exam of heel...... 0.16 0.52 0.52 0.04 0.72 0.72 XXX
73650... TC A X-ray exam of heel...... 0.00 0.45 0.45 0.03 0.48 0.48 XXX
73650... 26 A X-ray exam of heel...... 0.16 0.07 0.07 0.01 0.24 0.24 XXX
73660... .................. A X-ray exam of toe(s).... 0.13 0.46 0.46 0.04 0.63 0.63 XXX
73660... TC A X-ray exam of toe(s).... 0.00 0.40 0.40 0.03 0.43 0.43 XXX
73660... 26 A X-ray exam of toe(s).... 0.13 0.06 0.06 0.01 0.20 0.20 XXX
73700... .................. A CAT scan of leg......... 1.09 5.21 5.21 0.37 6.67 6.67 XXX
73700... TC A CAT scan of leg......... 0.00 4.73 4.73 0.30 5.03 5.03 XXX
73700... 26 A CAT scan of leg......... 1.09 0.48 0.48 0.07 1.64 1.64 XXX
73701... .................. A Contrast CAT scan of leg 1.16 6.14 6.14 0.44 7.74 7.74 XXX
73701... TC A Contrast CAT scan of leg 0.00 5.63 5.63 0.36 5.99 5.99 XXX
73701... 26 A Contrast CAT scan of leg 1.16 0.51 0.51 0.08 1.75 1.75 XXX
73702... .................. A Contrast CAT scans of 1.22 7.61 7.61 0.53 9.36 9.36 XXX
leg.
73702... TC A Contrast CAT scans of 0.00 7.08 7.08 0.45 7.53 7.53 XXX
leg.
73702... 26 A Contrast CAT scans of 1.22 0.53 0.53 0.08 1.83 1.83 XXX
leg.
73720... .................. A Magnetic image, leg, 1.48 11.34 11.34 0.77 13.59 13.59 XXX
foot.
73720... TC A Magnetic image, leg, 0.00 10.68 10.68 0.67 11.35 11.35 XXX
foot.
73720... 26 A Magnetic image, leg, 1.48 0.66 0.66 0.10 2.24 2.24 XXX
foot.
73721... .................. A Magnetic image, joint of 1.48 11.11 11.11 0.73 13.32 13.32 XXX
leg.
73721... TC A Magnetic image, joint of 0.00 10.68 10.68 0.67 11.35 11.35 XXX
leg.
73721... 26 A Magnetic image, joint of 1.48 0.43 0.43 0.06 1.97 1.97 XXX
leg.
73725... .................. R Magnetic imaging/lower 1.82 11.34 11.34 0.77 13.93 13.93 XXX
(MRA).
73725... TC R Magnetic imaging/lower 0.00 10.68 10.68 0.67 11.35 11.35 XXX
(MRA).
73725... 26 R Magnetic imaging/lower 1.82 0.66 0.66 0.10 2.58 2.58 XXX
(MRA).
74000... .................. A X-ray exam of abdomen... 0.18 0.58 0.58 0.04 0.80 0.80 XXX
74000... TC A X-ray exam of abdomen... 0.00 0.50 0.50 0.03 0.53 0.53 XXX
[[Page 59177]]
74000... 26 A X-ray exam of abdomen... 0.18 0.08 0.08 0.01 0.27 0.27 XXX
74010... .................. A X-ray exam of abdomen... 0.23 0.65 0.65 0.06 0.94 0.94 XXX
74010... TC A X-ray exam of abdomen... 0.00 0.54 0.54 0.04 0.58 0.58 XXX
74010... 26 A X-ray exam of abdomen... 0.23 0.11 0.11 0.02 0.36 0.36 XXX
74020... .................. A X-ray exam of abdomen... 0.27 0.72 0.72 0.06 1.05 1.05 XXX
74020... TC A X-ray exam of abdomen... 0.00 0.59 0.59 0.04 0.63 0.63 XXX
74020... 26 A X-ray exam of abdomen... 0.27 0.13 0.13 0.02 0.42 0.42 XXX
74022... .................. A X-ray exam series, 0.32 0.85 0.85 0.07 1.24 1.24 XXX
abdomen.
74022... TC A X-ray exam series, 0.00 0.70 0.70 0.05 0.75 0.75 XXX
abdomen.
74022... 26 A X-ray exam series, 0.32 0.15 0.15 0.02 0.49 0.49 XXX
abdomen.
74150... .................. A CAT scan of abdomen..... 1.19 5.91 5.91 0.43 7.53 7.53 XXX
74150... TC A CAT scan of abdomen..... 0.00 5.39 5.39 0.35 5.74 5.74 XXX
74150... 26 A CAT scan of abdomen..... 1.19 0.52 0.52 0.08 1.79 1.79 XXX
74160... .................. A Contrast CAT scan of 1.27 7.08 7.08 0.50 8.85 8.85 XXX
abdomen.
74160... TC A Contrast CAT scan of 0.00 6.52 6.52 0.41 6.93 6.93 XXX
abdomen.
74160... 26 A Contrast CAT scan of 1.27 0.56 0.56 0.09 1.92 1.92 XXX
abdomen.
74170... .................. A Contrast CAT scans, 1.40 8.71 8.71 0.60 10.71 10.71 XXX
abdomen.
74170... TC A Contrast CAT scans, 0.00 8.09 8.09 0.50 8.59 8.59 XXX
abdomen.
74170... 26 A Contrast CAT scans, 1.40 0.62 0.62 0.10 2.12 2.12 XXX
abdomen.
74181... .................. A Magnetic image, abdomen 1.60 11.40 11.40 0.78 13.78 13.78 XXX
(MRI).
74181... TC A Magnetic image, abdomen 0.00 10.68 10.68 0.67 11.35 11.35 XXX
(MRI).
74181... 26 A Magnetic image, abdomen 1.60 0.72 0.72 0.11 2.43 2.43 XXX
(MRI).
74185... .................. N Magnetic image/abdomen +1.80 11.40 11.40 0.78 13.98 13.98 XXX
(MRA).
74185... TC N Magnetic image/abdomen +0.00 10.68 10.68 0.67 11.35 11.35 XXX
(MRA).
74185... 26 N Magnetic image/abdomen +1.80 0.72 0.72 0.11 2.63 2.63 XXX
(MRA).
74190... .................. A X-ray exam of peritoneum 0.48 1.37 1.37 0.10 1.95 1.95 XXX
74190... TC A X-ray exam of peritoneum 0.00 1.24 1.24 0.08 1.32 1.32 XXX
74190... 26 A X-ray exam of peritoneum 0.48 0.13 0.13 0.02 0.63 0.63 XXX
74210... .................. A Contrast x-ray exam of 0.36 1.29 1.29 0.09 1.74 1.74 XXX
throat.
74210... TC A Contrast x-ray exam of 0.00 1.13 1.13 0.07 1.20 1.20 XXX
throat.
74210... 26 A Contrast x-ray exam of 0.36 0.16 0.16 0.02 0.54 0.54 XXX
throat.
74220... .................. A Contrast x-ray 0.46 1.34 1.34 0.10 1.90 1.90 XXX
exam,esophagus.
74220... TC A Contrast x-ray 0.00 1.13 1.13 0.07 1.20 1.20 XXX
exam,esophagus.
74220... 26 A Contrast x-ray 0.46 0.21 0.21 0.03 0.70 0.70 XXX
exam,esophagus.
74230... .................. A Cinema x-ray throat/ 0.53 1.49 1.49 0.12 2.14 2.14 XXX
esophagus.
74230... TC A Cinema x-ray throat/ 0.00 1.24 1.24 0.08 1.32 1.32 XXX
esophagus.
74230... 26 A Cinema x-ray throat/ 0.53 0.25 0.25 0.04 0.82 0.82 XXX
esophagus.
74235... .................. A Remove esophagus 1.19 3.02 3.02 0.25 4.46 4.46 XXX
obstruction.
74235... TC A Remove esophagus 0.00 2.50 2.50 0.17 2.67 2.67 XXX
obstruction.
74235... 26 A Remove esophagus 1.19 0.52 0.52 0.08 1.79 1.79 XXX
obstruction.
74240... .................. A X-ray exam upper GI 0.69 1.71 1.71 0.14 2.54 2.54 XXX
tract.
74240... TC A X-ray exam upper GI 0.00 1.39 1.39 0.09 1.48 1.48 XXX
tract.
74240... 26 A X-ray exam upper GI 0.69 0.32 0.32 0.05 1.06 1.06 XXX
tract.
74241... .................. A X-ray exam upper GI 0.69 1.74 1.74 0.14 2.57 2.57 XXX
tract.
74241... TC A X-ray exam upper GI 0.00 1.42 1.42 0.09 1.51 1.51 XXX
tract.
74241... 26 A X-ray exam upper GI 0.69 0.32 0.32 0.05 1.06 1.06 XXX
tract.
74245... .................. A X-ray exam upper GI 0.91 2.68 2.68 0.21 3.80 3.80 XXX
tract.
74245... TC A X-ray exam upper GI 0.00 2.27 2.27 0.15 2.42 2.42 XXX
tract.
74245... 26 A X-ray exam upper GI 0.91 0.41 0.41 0.06 1.38 1.38 XXX
tract.
74246... .................. A Contrast x-ray upper GI 0.69 1.89 1.89 0.15 2.73 2.73 XXX
tract.
74246... TC A Contrast x-ray upper GI 0.00 1.57 1.57 0.10 1.67 1.67 XXX
tract.
74246... 26 A Contrast x-ray upper GI 0.69 0.32 0.32 0.05 1.06 1.06 XXX
tract.
74247... .................. A Contrast x-ray upper GI 0.69 1.92 1.92 0.16 2.77 2.77 XXX
tract.
74247... TC A Contrast x-ray upper GI 0.00 1.60 1.60 0.11 1.71 1.71 XXX
tract.
74247... 26 A Contrast x-ray upper GI 0.69 0.32 0.32 0.05 1.06 1.06 XXX
tract.
74249... .................. A Contrast x-ray upper GI 0.91 2.86 2.86 0.22 3.99 3.99 XXX
tract.
74249... TC A Contrast x-ray upper GI 0.00 2.45 2.45 0.16 2.61 2.61 XXX
tract.
74249... 26 A Contrast x-ray upper GI 0.91 0.41 0.41 0.06 1.38 1.38 XXX
tract.
74250... .................. A X-ray exam of small 0.47 1.45 1.45 0.11 2.03 2.03 XXX
bowel.
74250... TC A X-ray exam of small 0.00 1.24 1.24 0.08 1.32 1.32 XXX
bowel.
74250... 26 A X-ray exam of small 0.47 0.21 0.21 0.03 0.71 0.71 XXX
bowel.
74251... .................. A X-ray exam of small 0.69 1.45 1.45 0.11 2.25 2.25 XXX
bowel.
74251... TC A X-ray exam of small 0.00 1.24 1.24 0.08 1.32 1.32 XXX
bowel.
74251... 26 A X-ray exam of small 0.69 0.21 0.21 0.03 0.93 0.93 XXX
bowel.
74260... .................. A X-ray exam of small 0.50 1.65 1.65 0.12 2.27 2.27 XXX
bowel.
74260... TC A X-ray exam of small 0.00 1.42 1.42 0.09 1.51 1.51 XXX
bowel.
74260... 26 A X-ray exam of small 0.50 0.23 0.23 0.03 0.76 0.76 XXX
bowel.
74270... .................. A Contrast x-ray exam of 0.69 1.94 1.94 0.16 2.79 2.79 XXX
colon.
74270... TC A Contrast x-ray exam of 0.00 1.62 1.62 0.11 1.73 1.73 XXX
colon.
74270... 26 A Contrast x-ray exam of 0.69 0.32 0.32 0.05 1.06 1.06 XXX
colon.
74280... .................. A Contrast x-ray exam of 0.99 2.58 2.58 0.21 3.78 3.78 XXX
colon.
74280... TC A Contrast x-ray exam of 0.00 2.13 2.13 0.14 2.27 2.27 XXX
colon.
74280... 26 A Contrast x-ray exam of 0.99 0.45 0.45 0.07 1.51 1.51 XXX
colon.
74283... .................. A Contrast x-ray exam of 2.02 3.34 3.34 0.30 5.66 5.66 XXX
colon.
[[Page 59178]]
74283... TC A Contrast x-ray exam of 0.00 2.44 2.44 0.16 2.60 2.60 XXX
colon.
74283... 26 A Contrast x-ray exam of 2.02 0.90 0.90 0.14 3.06 3.06 XXX
colon.
74290... .................. A Contrast x-ray, 0.32 0.85 0.85 0.07 1.24 1.24 XXX
gallbladder.
74290... TC A Contrast x-ray, 0.00 0.70 0.70 0.05 0.75 0.75 XXX
gallbladder.
74290... 26 A Contrast x-ray, 0.32 0.15 0.15 0.02 0.49 0.49 XXX
gallbladder.
74291... .................. A Contrast x-rays, 0.20 0.49 0.49 0.04 0.73 0.73 XXX
gallbladder.
74291... TC A Contrast x-rays, 0.00 0.40 0.40 0.03 0.43 0.43 XXX
gallbladder.
74291... 26 A Contrast x-rays, 0.20 0.09 0.09 0.01 0.30 0.30 XXX
gallbladder.
74300... .................. C X-ray bile ducts, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pancreas.
74300... TC C X-ray bile ducts, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pancreas.
74300... 26 A X-ray bile ducts, 0.36 0.17 0.17 0.02 0.55 0.55 XXX
pancreas.
74301... .................. C Additional x-rays at 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surgery.
74301... TC C Additional x-rays at 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surgery.
74301... 26 A Additional x-rays at 0.21 0.10 0.10 0.01 0.32 0.32 XXX
surgery.
74305... .................. A X-ray bile ducts, 0.42 0.94 0.94 0.08 1.44 1.44 XXX
pancreas.
74305... TC A X-ray bile ducts, 0.00 0.75 0.75 0.05 0.80 0.80 XXX
pancreas.
74305... 26 A X-ray bile ducts, 0.42 0.19 0.19 0.03 0.64 0.64 XXX
pancreas.
74320... .................. A Contrast x-ray of bile 0.54 3.25 3.25 0.23 4.02 4.02 XXX
ducts.
74320... TC A Contrast x-ray of bile 0.00 3.00 3.00 0.19 3.19 3.19 XXX
ducts.
74320... 26 A Contrast x-ray of bile 0.54 0.25 0.25 0.04 0.83 0.83 XXX
ducts.
74327... .................. A X-ray for bile stone 0.70 2.00 2.00 0.16 2.86 2.86 XXX
removal.
74327... TC A X-ray for bile stone 0.00 1.68 1.68 0.11 1.79 1.79 XXX
removal.
74327... 26 A X-ray for bile stone 0.70 0.32 0.32 0.05 1.07 1.07 XXX
removal.
74328... .................. A X-ray for bile duct 0.70 3.32 3.32 0.24 4.26 4.26 XXX
endoscopy.
74328... TC A X-ray for bile duct 0.00 3.00 3.00 0.19 3.19 3.19 XXX
endoscopy.
74328... 26 A X-ray for bile duct 0.70 0.32 0.32 0.05 1.07 1.07 XXX
endoscopy.
74329... .................. A X-ray for pancreas 0.70 3.32 3.32 0.24 4.26 4.26 XXX
endoscopy.
74329... TC A X-ray for pancreas 0.00 3.00 3.00 0.19 3.19 3.19 XXX
endoscopy.
74329... 26 A X-ray for pancreas 0.70 0.32 0.32 0.05 1.07 1.07 XXX
endoscopy.
74330... .................. A X-ray, bile/pancreas 0.90 3.32 3.32 0.24 4.46 4.46 XXX
endoscopy.
74330... TC A X-ray, bile/pancreas 0.00 3.00 3.00 0.19 3.19 3.19 XXX
endoscopy.
74330... 26 A X-ray, bile/pancreas 0.90 0.32 0.32 0.05 1.27 1.27 XXX
endoscopy.
74340... .................. A X-ray guide for GI tube. 0.54 2.75 2.75 0.21 3.50 3.50 XXX
74340... TC A X-ray guide for GI tube. 0.00 2.50 2.50 0.17 2.67 2.67 XXX
74340... 26 A X-ray guide for GI tube. 0.54 0.25 0.25 0.04 0.83 0.83 XXX
74350... .................. A X-ray guide, stomach 0.76 3.35 3.35 0.24 4.35 4.35 XXX
tube.
74350... TC A X-ray guide, stomach 0.00 3.00 3.00 0.19 3.19 3.19 XXX
tube.
74350... 26 A X-ray guide, stomach 0.76 0.35 0.35 0.05 1.16 1.16 XXX
tube.
74355... .................. A X-ray guide, intestinal 0.76 2.85 2.85 0.22 3.83 3.83 XXX
tube.
74355... TC A X-ray guide, intestinal 0.00 2.50 2.50 0.17 2.67 2.67 XXX
tube.
74355... 26 A X-ray guide, intestinal 0.76 0.35 0.35 0.05 1.16 1.16 XXX
tube.
74360... .................. A X-ray guide, GI dilation 0.54 3.25 3.25 0.23 4.02 4.02 XXX
74360... TC A X-ray guide, GI dilation 0.00 3.00 3.00 0.19 3.19 3.19 XXX
74360... 26 A X-ray guide, GI dilation 0.54 0.25 0.25 0.04 0.83 0.83 XXX
74363... .................. A X-ray, bile duct 0.88 6.21 6.21 0.43 7.52 7.52 XXX
dilation.
74363... TC A X-ray, bile duct 0.00 5.81 5.81 0.37 6.18 6.18 XXX
dilation.
74363... 26 A X-ray, bile duct 0.88 0.40 0.40 0.06 1.34 1.34 XXX
dilation.
74400... .................. A Contrast x-ray urinary 0.49 1.82 1.82 0.14 2.45 2.45 XXX
tract.
74400... TC A Contrast x-ray urinary 0.00 1.60 1.60 0.11 1.71 1.71 XXX
tract.
74400... 26 A Contrast x-ray urinary 0.49 0.22 0.22 0.03 0.74 0.74 XXX
tract.
74405... .................. A Contrast x-ray urinary 0.49 2.11 2.11 0.16 2.76 2.76 XXX
tract.
74405... TC A Contrast x-ray urinary 0.00 1.89 1.89 0.13 2.02 2.02 XXX
tract.
74405... 26 A Contrast x-ray urinary 0.49 0.22 0.22 0.03 0.74 0.74 XXX
tract.
74410... .................. A Contrast x-ray urinary 0.49 2.08 2.08 0.15 2.72 2.72 XXX
tract.
74410... TC A Contrast x-ray urinary 0.00 1.86 1.86 0.12 1.98 1.98 XXX
tract.
74410... 26 A Contrast x-ray urinary 0.49 0.22 0.22 0.03 0.74 0.74 XXX
tract.
74415... .................. A Contrast x-ray urinary 0.49 2.24 2.24 0.16 2.89 2.89 XXX
tract.
74415... TC A Contrast x-ray urinary 0.00 2.02 2.02 0.13 2.15 2.15 XXX
tract.
74415... 26 A Contrast x-ray urinary 0.49 0.22 0.22 0.03 0.74 0.74 XXX
tract.
74420... .................. A Contrast x-ray urinary 0.36 2.66 2.66 0.19 3.21 3.21 XXX
tract.
74420... TC A Contrast x-ray urinary 0.00 2.50 2.50 0.17 2.67 2.67 XXX
tract.
74420... 26 A Contrast x-ray urinary 0.36 0.16 0.16 0.02 0.54 0.54 XXX
tract.
74425... .................. A Contrast x-ray urinary 0.36 1.40 1.40 0.10 1.86 1.86 XXX
tract.
74425... TC A Contrast x-ray urinary 0.00 1.24 1.24 0.08 1.32 1.32 XXX
tract.
74425... 26 A Contrast x-ray urinary 0.36 0.16 0.16 0.02 0.54 0.54 XXX
tract.
74430... .................. A Contrast x-ray of 0.32 1.15 1.15 0.09 1.56 1.56 XXX
bladder.
74430... TC A Contrast x-ray of 0.00 1.00 1.00 0.07 1.07 1.07 XXX
bladder.
74430... 26 A Contrast x-ray of 0.32 0.15 0.15 0.02 0.49 0.49 XXX
bladder.
74440... .................. A X-ray exam male genital 0.38 1.25 1.25 0.10 1.73 1.73 XXX
tract.
74440... TC A X-ray exam male genital 0.00 1.08 1.08 0.07 1.15 1.15 XXX
tract.
74440... 26 A X-ray exam male genital 0.38 0.17 0.17 0.03 0.58 0.58 XXX
tract.
74445... .................. A X-ray exam of penis..... 1.14 1.58 1.58 0.15 2.87 2.87 XXX
74445... TC A X-ray exam of penis..... 0.00 1.08 1.08 0.07 1.15 1.15 XXX
74445... 26 A X-ray exam of penis..... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
[[Page 59179]]
74450... .................. A X-ray exam urethra/ 0.33 1.54 1.54 0.11 1.98 1.98 XXX
bladder.
74450... TC A X-ray exam urethra/ 0.00 1.39 1.39 0.09 1.48 1.48 XXX
bladder.
74450... 26 A X-ray exam urethra/ 0.33 0.15 0.15 0.02 0.50 0.50 XXX
bladder.
74455... .................. A X-ray exam urethra/ 0.33 1.65 1.65 0.12 2.10 2.10 XXX
bladder.
74455... TC A X-ray exam urethra/ 0.00 1.50 1.50 0.10 1.60 1.60 XXX
bladder.
74455... 26 A X-ray exam urethra/ 0.33 0.15 0.15 0.02 0.50 0.50 XXX
bladder.
74470... .................. A X-ray exam of kidney 0.54 1.44 1.44 0.12 2.10 2.10 XXX
lesion.
74470... TC A X-ray exam of kidney 0.00 1.19 1.19 0.08 1.27 1.27 XXX
lesion.
74470... 26 A X-ray exam of kidney 0.54 0.25 0.25 0.04 0.83 0.83 XXX
lesion.
74475... .................. A X-ray control catheter 0.54 4.13 4.13 0.29 4.96 4.96 XXX
insert.
74475... TC A X-ray control catheter 0.00 3.88 3.88 0.25 4.13 4.13 XXX
insert.
74475... 26 A X-ray control catheter 0.54 0.25 0.25 0.04 0.83 0.83 XXX
insert.
74480... .................. A X-ray control catheter 0.54 4.13 4.13 0.29 4.96 4.96 XXX
insert.
74480... TC A X-ray control catheter 0.00 3.88 3.88 0.25 4.13 4.13 XXX
insert.
74480... 26 A X-ray control catheter 0.54 0.25 0.25 0.04 0.83 0.83 XXX
insert.
74485... .................. A X-ray guide, GU dilation 0.54 3.25 3.25 0.23 4.02 4.02 XXX
74485... TC A X-ray guide, GU dilation 0.00 3.00 3.00 0.19 3.19 3.19 XXX
74485... 26 A X-ray guide, GU dilation 0.54 0.25 0.25 0.04 0.83 0.83 XXX
74710... .................. A X-ray measurement of 0.34 1.16 1.16 0.09 1.59 1.59 XXX
pelvis.
74710... TC A X-ray measurement of 0.00 1.00 1.00 0.07 1.07 1.07 XXX
pelvis.
74710... 26 A X-ray measurement of 0.34 0.16 0.16 0.02 0.52 0.52 XXX
pelvis.
74740... .................. A X-ray female genital 0.38 1.41 1.41 0.11 1.90 1.90 XXX
tract.
74740... TC A X-ray female genital 0.00 1.24 1.24 0.08 1.32 1.32 XXX
tract.
74740... 26 A X-ray female genital 0.38 0.17 0.17 0.03 0.58 0.58 XXX
tract.
74742... .................. A X-ray fallopian tube.... 0.61 3.25 3.25 0.23 4.09 4.09 XXX
74742... TC A X-ray fallopian tube.... 0.00 3.00 3.00 0.19 3.19 3.19 XXX
74742... 26 A X-ray fallopian tube.... 0.61 0.25 0.25 0.04 0.90 0.90 XXX
74775... .................. A X-ray exam of perineum.. 0.62 1.68 1.68 0.13 2.43 2.43 XXX
74775... TC A X-ray exam of perineum.. 0.00 1.39 1.39 0.09 1.48 1.48 XXX
74775... 26 A X-ray exam of perineum.. 0.62 0.29 0.29 0.04 0.95 0.95 XXX
75552... .................. A Magnetic image, 1.60 11.40 11.40 0.78 13.78 13.78 XXX
myocardium.
75552... TC A Magnetic image, 0.00 10.68 10.68 0.67 11.35 11.35 XXX
myocardium.
75552... 26 A Magnetic image, 1.60 0.72 0.72 0.11 2.43 2.43 XXX
myocardium.
75553... .................. A Magnetic image, 2.00 11.40 11.40 0.78 14.18 14.18 XXX
myocardium.
75553... TC A Magnetic image, 0.00 10.68 10.68 0.67 11.35 11.35 XXX
myocardium.
75553... 26 A Magnetic image, 2.00 0.72 0.72 0.11 2.83 2.83 XXX
myocardium.
75554... .................. A Cardiac MRI/function.... 1.83 11.40 11.40 0.78 14.01 14.01 XXX
75554... TC A Cardiac MRI/function.... 0.00 10.68 10.68 0.67 11.35 11.35 XXX
75554... 26 A Cardiac MRI/function.... 1.83 0.72 0.72 0.11 2.66 2.66 XXX
75555... .................. A Cardiac MRI/limited 1.74 11.40 11.40 0.78 13.92 13.92 XXX
study.
75555... TC A Cardiac MRI/limited 0.00 10.68 10.68 0.67 11.35 11.35 XXX
study.
75555... 26 A Cardiac MRI/limited 1.74 0.72 0.72 0.11 2.57 2.57 XXX
study.
75556... .................. N Cardiac MRI/flow mapping 0.00 0.00 0.00 0.00 0.00 0.00 XXX
75600... .................. A Contrast x-ray exam of 0.49 12.23 12.23 0.78 13.50 13.50 XXX
aorta.
75600... TC A Contrast x-ray exam of 0.00 12.01 12.01 0.75 12.76 12.76 XXX
aorta.
75600... 26 A Contrast x-ray exam of 0.49 0.22 0.22 0.03 0.74 0.74 XXX
aorta.
75605... .................. A Contrast x-ray exam of 1.14 12.51 12.51 0.83 14.48 14.48 XXX
aorta.
75605... TC A Contrast x-ray exam of 0.00 12.01 12.01 0.75 12.76 12.76 XXX
aorta.
75605... 26 A Contrast x-ray exam of 1.14 0.50 0.50 0.08 1.72 1.72 XXX
aorta.
75625... .................. A Contrast x-ray exam of 1.14 12.51 12.51 0.83 14.48 14.48 XXX
aorta.
75625... TC A Contrast x-ray exam of 0.00 12.01 12.01 0.75 12.76 12.76 XXX
aorta.
75625... 26 A Contrast x-ray exam of 1.14 0.50 0.50 0.08 1.72 1.72 XXX
aorta.
75630... .................. A X-ray aorta, leg 1.79 13.09 13.09 0.88 15.76 15.76 XXX
arteries.
75630... TC A X-ray aorta, leg 0.00 12.51 12.51 0.79 13.30 13.30 XXX
arteries.
75630... 26 A X-ray aorta, leg 1.79 0.58 0.58 0.09 2.46 2.46 XXX
arteries.
75650... .................. A Artery x-rays, head & 1.49 12.67 12.67 0.85 15.01 15.01 XXX
neck.
75650... TC A Artery x-rays, head & 0.00 12.01 12.01 0.75 12.76 12.76 XXX
neck.
75650... 26 A Artery x-rays, head & 1.49 0.66 0.66 0.10 2.25 2.25 XXX
neck.
75658... .................. A X-ray exam of arm 1.31 12.59 12.59 0.84 14.74 14.74 XXX
arteries.
75658... TC A X-ray exam of arm 0.00 12.01 12.01 0.75 12.76 12.76 XXX
arteries.
75658... 26 A X-ray exam of arm 1.31 0.58 0.58 0.09 1.98 1.98 XXX
arteries.
75660... .................. A Artery x-rays, head & 1.31 12.59 12.59 0.84 14.74 14.74 XXX
neck.
75660... TC A Artery x-rays, head & 0.00 12.01 12.01 0.75 12.76 12.76 XXX
neck.
75660... 26 A Artery x-rays, head & 1.31 0.58 0.58 0.09 1.98 1.98 XXX
neck.
75662... .................. A Artery x-rays, head & 1.66 12.75 12.75 0.86 15.27 15.27 XXX
neck.
75662... TC A Artery x-rays, head & 0.00 12.01 12.01 0.75 12.76 12.76 XXX
neck.
75662... 26 A Artery x-rays, head & 1.66 0.74 0.74 0.11 2.51 2.51 XXX
neck.
75665... .................. A Artery x-rays, head & 1.31 12.59 12.59 0.84 14.74 14.74 XXX
neck.
75665... TC A Artery x-rays, head & 0.00 12.01 12.01 0.75 12.76 12.76 XXX
neck.
75665... 26 A Artery x-rays, head & 1.31 0.58 0.58 0.09 1.98 1.98 XXX
neck.
75671... .................. A Artery x-rays, head & 1.66 12.75 12.75 0.86 15.27 15.27 XXX
neck.
75671... TC A Artery x-rays, head & 0.00 12.01 12.01 0.75 12.76 12.76 XXX
neck.
75671... 26 A Artery x-rays, head & 1.66 0.74 0.74 0.11 2.51 2.51 XXX
neck.
75676... .................. A Artery x-rays, neck..... 1.31 12.59 12.59 0.84 14.74 14.74 XXX
[[Page 59180]]
75676... TC A Artery x-rays, neck..... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75676... 26 A Artery x-rays, neck..... 1.31 0.58 0.58 0.09 1.98 1.98 XXX
75680... .................. A Artery x-rays, neck..... 1.66 12.75 12.75 0.86 15.27 15.27 XXX
75680... TC A Artery x-rays, neck..... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75680... 26 A Artery x-rays, neck..... 1.66 0.74 0.74 0.11 2.51 2.51 XXX
75685... .................. A Artery x-rays, spine.... 1.31 12.59 12.59 0.84 14.74 14.74 XXX
75685... TC A Artery x-rays, spine.... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75685... 26 A Artery x-rays, spine.... 1.31 0.58 0.58 0.09 1.98 1.98 XXX
75705... .................. A Artery x-rays, spine.... 2.18 12.99 12.99 0.90 16.07 16.07 XXX
75705... TC A Artery x-rays, spine.... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75705... 26 A Artery x-rays, spine.... 2.18 0.98 0.98 0.15 3.31 3.31 XXX
75710... .................. A Artery x-rays, arm/leg.. 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75710... TC A Artery x-rays, arm/leg.. 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75710... 26 A Artery x-rays, arm/leg.. 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75716... .................. A Artery x-rays, arms/legs 1.31 12.59 12.59 0.84 14.74 14.74 XXX
75716... TC A Artery x-rays, arms/legs 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75716... 26 A Artery x-rays, arms/legs 1.31 0.58 0.58 0.09 1.98 1.98 XXX
75722... .................. A Artery x-rays, kidney... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75722... TC A Artery x-rays, kidney... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75722... 26 A Artery x-rays, kidney... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75724... .................. A Artery x-rays, kidneys.. 1.49 12.67 12.67 0.85 15.01 15.01 XXX
75724... TC A Artery x-rays, kidneys.. 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75724... 26 A Artery x-rays, kidneys.. 1.49 0.66 0.66 0.10 2.25 2.25 XXX
75726... .................. A Artery x-rays, abdomen.. 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75726... TC A Artery x-rays, abdomen.. 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75726... 26 A Artery x-rays, abdomen.. 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75731... .................. A Artery x-rays, adrenal 1.14 12.51 12.51 0.83 14.48 14.48 XXX
gland.
75731... TC A Artery x-rays, adrenal 0.00 12.01 12.01 0.75 12.76 12.76 XXX
gland.
75731... 26 A Artery x-rays, adrenal 1.14 0.50 0.50 0.08 1.72 1.72 XXX
gland.
75733... .................. A Artery x-rays, adrenal 1.31 12.59 12.59 0.84 14.74 14.74 XXX
glands.
75733... TC A Artery x-rays, adrenal 0.00 12.01 12.01 0.75 12.76 12.76 XXX
glands.
75733... 26 A Artery x-rays, adrenal 1.31 0.58 0.58 0.09 1.98 1.98 XXX
glands.
75736... .................. A Artery x-rays, pelvis... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75736... TC A Artery x-rays, pelvis... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75736... 26 A Artery x-rays, pelvis... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75741... .................. A Artery x-rays, lung..... 1.31 12.59 12.59 0.84 14.74 14.74 XXX
75741... TC A Artery x-rays, lung..... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75741... 26 A Artery x-rays, lung..... 1.31 0.58 0.58 0.09 1.98 1.98 XXX
75743... .................. A Artery x-rays, lungs.... 1.66 12.75 12.75 0.86 15.27 15.27 XXX
75743... TC A Artery x-rays, lungs.... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75743... 26 A Artery x-rays, lungs.... 1.66 0.74 0.74 0.11 2.51 2.51 XXX
75746... .................. A Artery x-rays, lung..... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75746... TC A Artery x-rays, lung..... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75746... 26 A Artery x-rays, lung..... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75756... .................. A Artery x-rays, chest.... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75756... TC A Artery x-rays, chest.... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75756... 26 A Artery x-rays, chest.... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75774... .................. A Artery x-ray, each 0.36 12.17 12.17 0.77 13.30 13.30 XXX
vessel.
75774... TC A Artery x-ray, each 0.00 12.01 12.01 0.75 12.76 12.76 XXX
vessel.
75774... 26 A Artery x-ray, each 0.36 0.16 0.16 0.02 0.54 0.54 XXX
vessel.
75790... .................. A Visualize A-V shunt..... 1.84 2.12 2.12 0.21 4.17 4.17 XXX
75790... TC A Visualize A-V shunt..... 0.00 1.29 1.29 0.09 1.38 1.38 XXX
75790... 26 A Visualize A-V shunt..... 1.84 0.83 0.83 0.12 2.79 2.79 XXX
75801... .................. A Lymph vessel x-ray, arm/ 0.81 5.53 5.53 0.38 6.72 6.72 XXX
leg.
75801... TC A Lymph vessel x-ray, arm/ 0.00 5.16 5.16 0.33 5.49 5.49 XXX
leg.
75801... 26 A Lymph vessel x-ray, arm/ 0.81 0.37 0.37 0.05 1.23 1.23 XXX
leg.
75803... .................. A Lymph vessel x-ray, arms/ 1.17 5.67 5.67 0.41 7.25 7.25 XXX
legs.
75803... TC A Lymph vessel x-ray,arms/ 0.00 5.16 5.16 0.33 5.49 5.49 XXX
legs.
75803... 26 A Lymph vessel x-ray,arms/ 1.17 0.51 0.51 0.08 1.76 1.76 XXX
legs.
75805... .................. A Lymph vessel x-ray, 0.81 6.18 6.18 0.42 7.41 7.41 XXX
trunk.
75805... TC A Lymph vessel x-ray, 0.00 5.81 5.81 0.37 6.18 6.18 XXX
trunk.
75805... 26 A Lymph vessel x-ray, 0.81 0.37 0.37 0.05 1.23 1.23 XXX
trunk.
75807... .................. A Lymph vessel x-ray, 1.17 6.32 6.32 0.45 7.94 7.94 XXX
trunk.
75807... TC A Lymph vessel x-ray, 0.00 5.81 5.81 0.37 6.18 6.18 XXX
trunk.
75807... 26 A Lymph vessel x-ray, 1.17 0.51 0.51 0.08 1.76 1.76 XXX
trunk.
75809... .................. A Nonvascular shunt, x-ray 0.47 0.94 0.94 0.08 1.49 1.49 XXX
75809... TC A Nonvascular shunt, x-ray 0.00 0.75 0.75 0.05 0.80 0.80 XXX
75809... 26 A Nonvascular shunt, x-ray 0.47 0.19 0.19 0.03 0.69 0.69 XXX
75810... .................. A Vein x-ray, spleen/liver 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75810... TC A Vein x-ray, spleen/liver 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75810... 26 A Vein x-ray, spleen/liver 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75820... .................. A Vein x-ray, arm/leg..... 0.70 1.22 1.22 0.11 2.03 2.03 XXX
75820... TC A Vein x-ray, arm/leg..... 0.00 0.90 0.90 0.06 0.96 0.96 XXX
75820... 26 A Vein x-ray, arm/leg..... 0.70 0.32 0.32 0.05 1.07 1.07 XXX
[[Page 59181]]
75822... .................. A Vein x-ray, arms/legs... 1.06 1.88 1.88 0.16 3.10 3.10 XXX
75822... TC A Vein x-ray, arms/legs... 0.00 1.41 1.41 0.09 1.50 1.50 XXX
75822... 26 A Vein x-ray, arms/legs... 1.06 0.47 0.47 0.07 1.60 1.60 XXX
75825... .................. A Vein x-ray, trunk....... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75825... TC A Vein x-ray, trunk....... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75825... 26 A Vein x-ray, trunk....... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75827... .................. A Vein x-ray, chest....... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75827... TC A Vein x-ray, chest....... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75827... 26 A Vein x-ray, chest....... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75831... .................. A Vein x-ray, kidney...... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75831... TC A Vein x-ray, kidney...... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75831... 26 A Vein x-ray, kidney...... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75833... .................. A Vein x-ray, kidneys..... 1.49 12.67 12.67 0.85 15.01 15.01 XXX
75833... TC A Vein x-ray, kidneys..... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75833... 26 A Vein x-ray, kidneys..... 1.49 0.66 0.66 0.10 2.25 2.25 XXX
75840... .................. A Vein x-ray, adrenal 1.14 12.51 12.51 0.83 14.48 14.48 XXX
gland.
75840... TC A Vein x-ray, adrenal 0.00 12.01 12.01 0.75 12.76 12.76 XXX
gland.
75840... 26 A Vein x-ray, adrenal 1.14 0.50 0.50 0.08 1.72 1.72 XXX
gland.
75842... .................. A Vein x-ray, adrenal 1.49 12.67 12.67 0.85 15.01 15.01 XXX
glands.
75842... TC A Vein x-ray, adrenal 0.00 12.01 12.01 0.75 12.76 12.76 XXX
glands.
75842... 26 A Vein x-ray, adrenal 1.49 0.66 0.66 0.10 2.25 2.25 XXX
glands.
75860... .................. A Vein x-ray, neck........ 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75860... TC A Vein x-ray, neck........ 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75860... 26 A Vein x-ray, neck........ 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75870... .................. A Vein x-ray, skull....... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75870... TC A Vein x-ray, skull....... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75870... 26 A Vein x-ray, skull....... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75872... .................. A Vein x-ray, skull....... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75872... TC A Vein x-ray, skull....... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75872... 26 A Vein x-ray, skull....... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75880... .................. A Vein x-ray, eye socket.. 0.70 1.22 1.22 0.11 2.03 2.03 XXX
75880... TC A Vein x-ray, eye socket.. 0.00 0.90 0.90 0.06 0.96 0.96 XXX
75880... 26 A Vein x-ray, eye socket.. 0.70 0.32 0.32 0.05 1.07 1.07 XXX
75885... .................. A Vein x-ray, liver....... 1.44 12.65 12.65 0.85 14.94 14.94 XXX
75885... TC A Vein x-ray, liver....... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75885... 26 A Vein x-ray, liver....... 1.44 0.64 0.64 0.10 2.18 2.18 XXX
75887... .................. A Vein x-ray, liver....... 1.44 12.65 12.65 0.85 14.94 14.94 XXX
75887... TC A Vein x-ray, liver....... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75887... 26 A Vein x-ray, liver....... 1.44 0.64 0.64 0.10 2.18 2.18 XXX
75889... .................. A Vein x-ray, liver....... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75889... TC A Vein x-ray, liver....... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75889... 26 A Vein x-ray, liver....... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75891... .................. A Vein x-ray, liver....... 1.14 12.51 12.51 0.83 14.48 14.48 XXX
75891... TC A Vein x-ray, liver....... 0.00 12.01 12.01 0.75 12.76 12.76 XXX
75891... 26 A Vein x-ray, liver....... 1.14 0.50 0.50 0.08 1.72 1.72 XXX
75893... .................. A Venous sampling by 0.54 12.26 12.26 0.79 13.59 13.59 XXX
catheter.
75893... TC A Venous sampling by 0.00 12.01 12.01 0.75 12.76 12.76 XXX
catheter.
75893... 26 A Venous sampling by 0.54 0.25 0.25 0.04 0.83 0.83 XXX
catheter.
75894... .................. A Xrays, transcatheter 1.31 23.58 23.58 1.53 26.42 26.42 XXX
therapy.
75894... TC A Xrays, transcatheter 0.00 23.00 23.00 1.44 24.44 24.44 XXX
therapy.
75894... 26 A Xrays, transcatheter 1.31 0.58 0.58 0.09 1.98 1.98 XXX
therapy.
75896... .................. A Xrays, transcatheter 1.31 20.58 20.58 1.34 23.23 23.23 XXX
therapy.
75896... TC A Xrays, transcatheter 0.00 20.00 20.00 1.25 21.25 21.25 XXX
therapy.
75896... 26 A Xrays, transcatheter 1.31 0.58 0.58 0.09 1.98 1.98 XXX
therapy.
75898... .................. A Follow-up angiogram..... 1.65 1.74 1.74 0.18 3.57 3.57 XXX
75898... TC A Follow-up angiogram..... 0.00 1.00 1.00 0.07 1.07 1.07 XXX
75898... 26 A Follow-up angiogram..... 1.65 0.74 0.74 0.11 2.50 2.50 XXX
75900... .................. A Arterial catheter 0.49 20.22 20.22 1.29 22.00 22.00 XXX
exchange.
75900... TC A Arterial catheter 0.00 19.99 19.99 1.26 21.25 21.25 XXX
exchange.
75900... 26 A Arterial catheter 0.49 0.23 0.23 0.03 0.75 0.75 XXX
exchange.
75940... .................. A X-ray placement, vein 0.54 12.26 12.26 0.79 13.59 13.59 XXX
filter.
75940... TC A X-ray placement, vein 0.00 12.01 12.01 0.75 12.76 12.76 XXX
filter.
75940... 26 A X-ray placement, vein 0.54 0.25 0.25 0.04 0.83 0.83 XXX
filter.
75945... .................. A Intravascular us........ 0.40 4.57 4.57 0.31 5.28 5.28 XXX
75945... TC A Intravascular us........ 0.00 4.35 4.35 0.28 4.63 4.63 XXX
75945... 26 A Intravascular us........ 0.40 0.22 0.22 0.03 0.65 0.65 XXX
75946... .................. A Intravascular us........ 0.40 2.40 2.40 0.17 2.97 2.97 XXX
75946... TC A Intravascular us........ 0.00 2.18 2.18 0.14 2.32 2.32 XXX
75946... 26 A Intravascular us........ 0.40 0.22 0.22 0.03 0.65 0.65 XXX
75960... .................. A Transcatheter intro, 0.82 14.57 14.57 0.94 16.33 16.33 XXX
stent.
75960... TC A Transcatheter intro, 0.00 14.20 14.20 0.88 15.08 15.08 XXX
stent.
75960... 26 A Transcatheter intro, 0.82 0.37 0.37 0.06 1.25 1.25 XXX
stent.
75961... .................. A Retrieval, broken 4.25 11.91 11.91 0.90 17.06 17.06 XXX
catheter.
75961... TC A Retrieval, broken 0.00 10.01 10.01 0.62 10.63 10.63 XXX
catheter.
[[Page 59182]]
75961... 26 A Retrieval, broken 4.25 1.90 1.90 0.28 6.43 6.43 XXX
catheter.
75962... .................. A Repair arterial blockage 0.54 15.25 15.25 0.98 16.77 16.77 XXX
75962... TC A Repair arterial blockage 0.00 15.00 15.00 0.94 15.94 15.94 XXX
75962... 26 A Repair arterial blockage 0.54 0.25 0.25 0.04 0.83 0.83 XXX
75964... .................. A Repair artery blockage, 0.36 8.16 8.16 0.52 9.04 9.04 XXX
each.
75964... TC A Repair artery blockage, 0.00 8.00 8.00 0.50 8.50 8.50 XXX
each.
75964... 26 A Repair artery blockage, 0.36 0.16 0.16 0.02 0.54 0.54 XXX
each.
75966... .................. A Repair arterial blockage 1.31 15.58 15.58 1.03 17.92 17.92 XXX
75966... TC A Repair arterial blockage 0.00 15.00 15.00 0.94 15.94 15.94 XXX
75966... 26 A Repair arterial blockage 1.31 0.58 0.58 0.09 1.98 1.98 XXX
75968... .................. A Repair artery blockage, 0.36 8.16 8.16 0.52 9.04 9.04 XXX
each.
75968... TC A Repair artery blockage, 0.00 8.00 8.00 0.50 8.50 8.50 XXX
each.
75968... 26 A Repair artery blockage, 0.36 0.16 0.16 0.02 0.54 0.54 XXX
each.
75970... .................. A Vascular biopsy......... 0.83 11.38 11.38 0.75 12.96 12.96 XXX
75970... TC A Vascular biopsy......... 0.00 11.00 11.00 0.69 11.69 11.69 XXX
75970... 26 A Vascular biopsy......... 0.83 0.38 0.38 0.06 1.27 1.27 XXX
75978... .................. A Repair venous blockage.. 0.54 15.48 15.48 0.98 17.00 17.00 XXX
75978... TC A Repair venous blockage.. 0.00 15.00 15.00 0.94 15.94 15.94 XXX
75978... 26 A Repair venous blockage.. 0.54 0.48 0.48 0.04 1.06 1.06 XXX
75980... .................. A Contrast x-ray exam bile 1.44 5.80 5.80 0.43 7.67 7.67 XXX
duct.
75980... TC A Contrast x-ray exam bile 0.00 5.16 5.16 0.33 5.49 5.49 XXX
duct.
75980... 26 A Contrast x-ray exam bile 1.44 0.64 0.64 0.10 2.18 2.18 XXX
duct.
75982... .................. A Contrast x-ray exam bile 1.44 6.45 6.45 0.47 8.36 8.36 XXX
duct.
75982... TC A Contrast x-ray exam bile 0.00 5.81 5.81 0.37 6.18 6.18 XXX
duct.
75982... 26 A Contrast x-ray exam bile 1.44 0.64 0.64 0.10 2.18 2.18 XXX
duct.
75984... .................. A X-ray control catheter 0.72 2.19 2.19 0.17 3.08 3.08 XXX
change.
75984... TC A X-ray control catheter 0.00 1.86 1.86 0.12 1.98 1.98 XXX
change.
75984... 26 A X-ray control catheter 0.72 0.33 0.33 0.05 1.10 1.10 XXX
change.
75989... .................. A Abscess drainage under x- 1.19 3.52 3.52 0.27 4.98 4.98 XXX
ray.
75989... TC A Abscess drainage under x- 0.00 3.00 3.00 0.19 3.19 3.19 XXX
ray.
75989... 26 A Abscess drainage under x- 1.19 0.52 0.52 0.08 1.79 1.79 XXX
ray.
75992... .................. A Atherectomy, x-ray exam. 0.54 15.25 15.25 0.98 16.77 16.77 XXX
75992... TC A Atherectomy, x-ray exam. 0.00 15.00 15.00 0.94 15.94 15.94 XXX
75992... 26 A Atherectomy, x-ray exam. 0.54 0.25 0.25 0.04 0.83 0.83 XXX
75993... .................. A Atherectomy, x-ray exam. 0.36 8.16 8.16 0.52 9.04 9.04 XXX
75993... TC A Atherectomy, x-ray exam. 0.00 8.00 8.00 0.50 8.50 8.50 XXX
75993... 26 A Atherectomy, x-ray exam. 0.36 0.16 0.16 0.02 0.54 0.54 XXX
75994... .................. A Atherectomy, x-ray exam. 1.31 15.58 15.58 1.03 17.92 17.92 XXX
75994... TC A Atherectomy, x-ray exam. 0.00 15.00 15.00 0.94 15.94 15.94 XXX
75994... 26 A Atherectomy, x-ray exam. 1.31 0.58 0.58 0.09 1.98 1.98 XXX
75995... .................. A Atherectomy, x-ray exam. 1.31 15.58 15.58 1.03 17.92 17.92 XXX
75995... TC A Atherectomy, x-ray exam. 0.00 15.00 15.00 0.94 15.94 15.94 XXX
75995... 26 A Atherectomy, x-ray exam. 1.31 0.58 0.58 0.09 1.98 1.98 XXX
75996... .................. A Atherectomy, x-ray exam. 0.36 8.16 8.16 0.52 9.04 9.04 XXX
75996... TC A Atherectomy, x-ray exam. 0.00 8.00 8.00 0.50 8.50 8.50 XXX
75996... 26 A Atherectomy, x-ray exam. 0.36 0.16 0.16 0.02 0.54 0.54 XXX
76000... .................. A Fluoroscope examination. 0.17 1.31 1.31 0.09 1.57 1.57 XXX
76000... TC A Fluoroscope examination. 0.00 1.24 1.24 0.08 1.32 1.32 XXX
76000... 26 A Fluoroscope examination. 0.17 0.07 0.07 0.01 0.25 0.25 XXX
76001... .................. A Fluoroscope exam, 0.67 2.81 2.81 0.22 3.70 3.70 XXX
extensive.
76001... TC A Fluoroscope exam, 0.00 2.50 2.50 0.17 2.67 2.67 XXX
extensive.
76001... 26 A Fluoroscope exam, 0.67 0.31 0.31 0.05 1.03 1.03 XXX
extensive.
76003... .................. A Needle localization by x- 0.54 1.49 1.49 0.12 2.15 2.15 XXX
ray.
76003... TC A Needle localization by x- 0.00 1.24 1.24 0.08 1.32 1.32 XXX
ray.
76003... 26 A Needle localization by x- 0.54 0.25 0.25 0.04 0.83 0.83 XXX
ray.
76010... .................. A X-ray, nose to rectum... 0.18 0.58 0.58 0.04 0.80 0.80 XXX
76010... TC A X-ray, nose to rectum... 0.00 0.50 0.50 0.03 0.53 0.53 XXX
76010... 26 A X-ray, nose to rectum... 0.18 0.08 0.08 0.01 0.27 0.27 XXX
76020... .................. A X-rays for bone age..... 0.19 0.59 0.59 0.04 0.82 0.82 XXX
76020... TC A X-rays for bone age..... 0.00 0.50 0.50 0.03 0.53 0.53 XXX
76020... 26 A X-rays for bone age..... 0.19 0.09 0.09 0.01 0.29 0.29 XXX
76040... .................. A X-rays, bone evaluation. 0.27 0.88 0.88 0.07 1.22 1.22 XXX
76040... TC A X-rays, bone evaluation. 0.00 0.75 0.75 0.05 0.80 0.80 XXX
76040... 26 A X-rays, bone evaluation. 0.27 0.13 0.13 0.02 0.42 0.42 XXX
76061... .................. A X-rays, bone survey..... 0.45 1.15 1.15 0.09 1.69 1.69 XXX
76061... TC A X-rays, bone survey..... 0.00 0.95 0.95 0.06 1.01 1.01 XXX
76061... 26 A X-rays, bone survey..... 0.45 0.20 0.20 0.03 0.68 0.68 XXX
76062... .................. A X-rays, bone survey..... 0.54 1.62 1.62 0.13 2.29 2.29 XXX
76062... TC A X-rays, bone survey..... 0.00 1.37 1.37 0.09 1.46 1.46 XXX
76062... 26 A X-rays, bone survey..... 0.54 0.25 0.25 0.04 0.83 0.83 XXX
76065... .................. A X-rays, bone evaluation. 0.28 0.83 0.83 0.07 1.18 1.18 XXX
76065... TC A X-rays, bone evaluation. 0.00 0.70 0.70 0.05 0.75 0.75 XXX
76065... 26 A X-rays, bone evaluation. 0.28 0.13 0.13 0.02 0.43 0.43 XXX
76066... .................. A Joint(s) survey, single 0.31 1.20 1.20 0.09 1.60 1.60 XXX
film.
[[Page 59183]]
76066... TC A Joint(s) survey, single 0.00 1.06 1.06 0.07 1.13 1.13 XXX
film.
76066... 26 A Joint(s) survey, single 0.31 0.14 0.14 0.02 0.47 0.47 XXX
film.
76070... .................. A CT scan, bone density 0.25 2.93 2.93 0.20 3.38 3.38 XXX
study.
76070... TC A CT scan, bone density 0.00 2.81 2.81 0.18 2.99 2.99 XXX
study.
76070... 26 A CT scan, bone density 0.25 0.12 0.12 0.02 0.39 0.39 XXX
study.
76075... .................. A Dual energy x-ray study. 0.30 3.07 3.07 0.21 3.58 3.58 XXX
76075... TC A Dual energy x-ray study. 0.00 2.95 2.95 0.19 3.14 3.14 XXX
76075... 26 A Dual energy x-ray study. 0.30 0.12 0.12 0.02 0.44 0.44 XXX
76076... .................. A Dual energy x-ray study. 0.22 1.54 1.54 0.12 1.88 1.88 XXX
76076... TC A Dual energy x-ray study. 0.00 1.44 1.44 0.10 1.54 1.54 XXX
76076... 26 A Dual energy x-ray study. 0.22 0.10 0.10 0.02 0.34 0.34 XXX
76078... .................. A Photodensitometry....... 0.20 0.82 0.82 0.07 1.09 1.09 XXX
76078... TC A Photodensitometry....... 0.00 0.72 0.72 0.05 0.77 0.77 XXX
76078... 26 A Photodensitometry....... 0.20 0.10 0.10 0.02 0.32 0.32 XXX
76080... .................. A X-ray exam of fistula... 0.54 1.25 1.25 0.11 1.90 1.90 XXX
76080... TC A X-ray exam of fistula... 0.00 1.00 1.00 0.07 1.07 1.07 XXX
76080... 26 A X-ray exam of fistula... 0.54 0.25 0.25 0.04 0.83 0.83 XXX
76086... .................. A X-ray of mammary duct... 0.36 2.67 2.67 0.19 3.22 3.22 XXX
76086... TC A X-ray of mammary duct... 0.00 2.50 2.50 0.17 2.67 2.67 XXX
76086... 26 A X-ray of mammary duct... 0.36 0.17 0.17 0.02 0.55 0.55 XXX
76088... .................. A X-ray of mammary ducts.. 0.45 3.69 3.69 0.25 4.39 4.39 XXX
76088... TC A X-ray of mammary ducts.. 0.00 3.49 3.49 0.22 3.71 3.71 XXX
76088... 26 A X-ray of mammary ducts.. 0.45 0.20 0.20 0.03 0.68 0.68 XXX
76090... .................. A Mammogram, one breast... 0.58 1.12 1.12 0.09 1.79 1.79 XXX
76090... TC A Mammogram, one breast... 0.00 1.00 1.00 0.07 1.07 1.07 XXX
76090... 26 A Mammogram, one breast... 0.58 0.12 0.12 0.02 0.72 0.72 XXX
76091... .................. A Mammogram, both breasts. 0.69 1.42 1.42 0.11 2.22 2.22 XXX
76091... TC A Mammogram, both breasts. 0.00 1.24 1.24 0.08 1.32 1.32 XXX
76091... 26 A Mammogram, both breasts. 0.69 0.18 0.18 0.03 0.90 0.90 XXX
76092... .................. X Mammogram, screening.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76093... .................. A Magnetic image, breast.. 1.63 17.52 17.52 1.16 20.31 20.31 XXX
76093... TC A Magnetic image, breast.. 0.00 16.80 16.80 1.05 17.85 17.85 XXX
76093... 26 A Magnetic image, breast.. 1.63 0.72 0.72 0.11 2.46 2.46 XXX
76094... .................. A Magnetic image, both 1.63 23.51 23.51 1.53 26.67 26.67 XXX
breasts.
76094... TC A Magnetic image, both 0.00 22.79 22.79 1.42 24.21 24.21 XXX
breasts.
76094... 26 A Magnetic image, both 1.63 0.72 0.72 0.11 2.46 2.46 XXX
breasts.
76095... .................. A Stereotactic breast 1.59 7.54 7.54 0.54 9.67 9.67 XXX
biopsy.
76095... TC A Stereotactic breast 0.00 6.83 6.83 0.43 7.26 7.26 XXX
biopsy.
76095... 26 A Stereotactic breast 1.59 0.71 0.71 0.11 2.41 2.41 XXX
biopsy.
76096... .................. A X-ray of needle wire, 0.56 1.50 1.50 0.12 2.18 2.18 XXX
breast.
76096... TC A X-ray of needle wire, 0.00 1.24 1.24 0.08 1.32 1.32 XXX
breast.
76096... 26 A X-ray of needle wire, 0.56 0.26 0.26 0.04 0.86 0.86 XXX
breast.
76098... .................. A X-ray exam, breast 0.16 0.47 0.47 0.04 0.67 0.67 XXX
specimen.
76098... TC A X-ray exam, breast 0.00 0.40 0.40 0.03 0.43 0.43 XXX
specimen.
76098... 26 A X-ray exam, breast 0.16 0.07 0.07 0.01 0.24 0.24 XXX
specimen.
76100... .................. A X-ray exam of body 0.58 1.46 1.46 0.12 2.16 2.16 XXX
section.
76100... TC A X-ray exam of body 0.00 1.19 1.19 0.08 1.27 1.27 XXX
section.
76100... 26 A X-ray exam of body 0.58 0.27 0.27 0.04 0.89 0.89 XXX
section.
76101... .................. A Complex body section x- 0.58 1.62 1.62 0.13 2.33 2.33 XXX
ray.
76101... TC A Complex body section x- 0.00 1.35 1.35 0.09 1.44 1.44 XXX
ray.
76101... 26 A Complex body section x- 0.58 0.27 0.27 0.04 0.89 0.89 XXX
ray.
76102... .................. A Complex body section x- 0.58 1.92 1.92 0.15 2.65 2.65 XXX
rays.
76102... TC A Complex body section x- 0.00 1.65 1.65 0.11 1.76 1.76 XXX
rays.
76102... 26 A Complex body section x- 0.58 0.27 0.27 0.04 0.89 0.89 XXX
rays.
76120... .................. A Cinematic x-rays........ 0.38 1.17 1.17 0.10 1.65 1.65 XXX
76120... TC A Cinematic x-rays........ 0.00 1.00 1.00 0.07 1.07 1.07 XXX
76120... 26 A Cinematic x-rays........ 0.38 0.17 0.17 0.03 0.58 0.58 XXX
76125... .................. A Cinematic x-rays........ 0.27 0.87 0.87 0.07 1.21 1.21 XXX
76125... TC A Cinematic x-rays........ 0.00 0.75 0.75 0.05 0.80 0.80 XXX
76125... 26 A Cinematic x-rays........ 0.27 0.12 0.12 0.02 0.41 0.41 XXX
76140... .................. I X-ray consultation...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76150... .................. A X-ray exam, dry process. 0.00 0.40 0.40 0.03 0.43 0.43 XXX
76350... .................. C Special x-ray contrast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
study.
76355... .................. A CAT scan for 1.21 8.40 8.40 0.57 10.18 10.18 XXX
localization.
76355... TC A CAT scan for 0.00 7.87 7.87 0.49 8.36 8.36 XXX
localization.
76355... 26 A CAT scan for 1.21 0.53 0.53 0.08 1.82 1.82 XXX
localization.
76360... .................. A CAT scan for needle 1.16 8.37 8.37 0.57 10.10 10.10 XXX
biopsy.
76360... TC A CAT scan for needle 0.00 7.87 7.87 0.49 8.36 8.36 XXX
biopsy.
76360... 26 A CAT scan for needle 1.16 0.50 0.50 0.08 1.74 1.74 XXX
biopsy.
76365... .................. A CAT scan for cyst 1.16 8.37 8.37 0.57 10.10 10.10 XXX
aspiration.
76365... TC A CAT scan for cyst 0.00 7.87 7.87 0.49 8.36 8.36 XXX
aspiration.
76365... 26 A CAT scan for cyst 1.16 0.50 0.50 0.08 1.74 1.74 XXX
aspiration.
76370... .................. A CAT scan for therapy 0.85 3.19 3.19 0.24 4.28 4.28 XXX
guide.
76370... TC A CAT scan for therapy 0.00 2.81 2.81 0.18 2.99 2.99 XXX
guide.
[[Page 59184]]
76370... 26 A CAT scan for therapy 0.85 0.38 0.38 0.06 1.29 1.29 XXX
guide.
76375... .................. A 3d/holograph reconstr 0.16 3.44 3.44 0.22 3.82 3.82 XXX
add-on.
76375... TC A 3d/holograph reconstr 0.00 3.37 3.37 0.21 3.58 3.58 XXX
add-on.
76375... 26 A 3d/holograph reconstr 0.16 0.07 0.07 0.01 0.24 0.24 XXX
add-on.
76380... .................. A CAT scan follow-up study 0.98 3.78 3.78 0.28 5.04 5.04 XXX
76380... TC A CAT scan follow-up study 0.00 3.34 3.34 0.21 3.55 3.55 XXX
76380... 26 A CAT scan follow-up study 0.98 0.44 0.44 0.07 1.49 1.49 XXX
76390... .................. A Mr spectroscopy......... 1.40 11.34 11.34 0.77 13.51 13.51 XXX
76390... TC A Mr spectroscopy......... 0.00 10.68 10.68 0.67 11.35 11.35 XXX
76390... 26 A Mr spectroscopy......... 1.40 0.66 0.66 0.10 2.16 2.16 XXX
76400... .................. A Magnetic image, bone 1.60 11.40 11.40 0.78 13.78 13.78 XXX
marrow.
76400... TC A Magnetic image, bone 0.00 10.68 10.68 0.67 11.35 11.35 XXX
marrow.
76400... 26 A Magnetic image, bone 1.60 0.72 0.72 0.11 2.43 2.43 XXX
marrow.
76499... .................. C Radiographic procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76499... TC C Radiographic procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76499... 26 C Radiographic procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76506... .................. A Echo exam of head....... 0.63 1.64 1.64 0.13 2.40 2.40 XXX
76506... TC A Echo exam of head....... 0.00 1.35 1.35 0.09 1.44 1.44 XXX
76506... 26 A Echo exam of head....... 0.63 0.29 0.29 0.04 0.96 0.96 XXX
76511... .................. A Echo exam of eye........ 0.94 1.44 1.44 0.12 2.50 2.50 XXX
76511... TC A Echo exam of eye........ 0.00 1.19 1.19 0.08 1.27 1.27 XXX
76511... 26 A Echo exam of eye........ 0.94 0.25 0.25 0.04 1.23 1.23 XXX
76512... .................. A Echo exam of eye........ 0.66 1.75 1.75 0.15 2.56 2.56 XXX
76512... TC A Echo exam of eye........ 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76512... 26 A Echo exam of eye........ 0.66 0.30 0.30 0.05 1.01 1.01 XXX
76513... .................. A Echo exam of eye, water 0.66 1.75 1.75 0.15 2.56 2.56 XXX
bath.
76513... TC A Echo exam of eye, water 0.00 1.45 1.45 0.10 1.55 1.55 XXX
bath.
76513... 26 A Echo exam of eye, water 0.66 0.30 0.30 0.05 1.01 1.01 XXX
bath.
76516... .................. A Echo exam of eye........ 0.54 1.44 1.44 0.12 2.10 2.10 XXX
76516... TC A Echo exam of eye........ 0.00 1.19 1.19 0.08 1.27 1.27 XXX
76516... 26 A Echo exam of eye........ 0.54 0.25 0.25 0.04 0.83 0.83 XXX
76519... .................. A Echo exam of eye........ 0.54 1.44 1.44 0.12 2.10 2.10 XXX
76519... TC A Echo exam of eye........ 0.00 1.19 1.19 0.08 1.27 1.27 XXX
76519... 26 A Echo exam of eye........ 0.54 0.25 0.25 0.04 0.83 0.83 XXX
76529... .................. A Echo exam of eye........ 0.57 1.56 1.56 0.13 2.26 2.26 XXX
76529... TC A Echo exam of eye........ 0.00 1.30 1.30 0.09 1.39 1.39 XXX
76529... 26 A Echo exam of eye........ 0.57 0.26 0.26 0.04 0.87 0.87 XXX
76536... .................. A Echo exam of head and 0.56 1.61 1.61 0.13 2.30 2.30 XXX
neck.
76536... TC A Echo exam of head and 0.00 1.35 1.35 0.09 1.44 1.44 XXX
neck.
76536... 26 A Echo exam of head and 0.56 0.26 0.26 0.04 0.86 0.86 XXX
neck.
76604... .................. A Echo exam of chest...... 0.55 1.50 1.50 0.12 2.17 2.17 XXX
76604... TC A Echo exam of chest...... 0.00 1.24 1.24 0.08 1.32 1.32 XXX
76604... 26 A Echo exam of chest...... 0.55 0.26 0.26 0.04 0.85 0.85 XXX
76645... .................. A Echo exam of breast..... 0.54 1.25 1.25 0.11 1.90 1.90 XXX
76645... TC A Echo exam of breast..... 0.00 1.00 1.00 0.07 1.07 1.07 XXX
76645... 26 A Echo exam of breast..... 0.54 0.25 0.25 0.04 0.83 0.83 XXX
76700... .................. A Echo exam of abdomen.... 0.81 2.25 2.25 0.17 3.23 3.23 XXX
76700... TC A Echo exam of abdomen.... 0.00 1.88 1.88 0.12 2.00 2.00 XXX
76700... 26 A Echo exam of abdomen.... 0.81 0.37 0.37 0.05 1.23 1.23 XXX
76705... .................. A Echo exam of abdomen.... 0.59 1.62 1.62 0.13 2.34 2.34 XXX
76705... TC A Echo exam of abdomen.... 0.00 1.35 1.35 0.09 1.44 1.44 XXX
76705... 26 A Echo exam of abdomen.... 0.59 0.27 0.27 0.04 0.90 0.90 XXX
76770... .................. A Echo exam abdomen back 0.74 2.22 2.22 0.17 3.13 3.13 XXX
wall.
76770... TC A Echo exam abdomen back 0.00 1.88 1.88 0.12 2.00 2.00 XXX
wall.
76770... 26 A Echo exam abdomen back 0.74 0.34 0.34 0.05 1.13 1.13 XXX
wall.
76775... .................. A Echo exam abdomen back 0.58 1.62 1.62 0.13 2.33 2.33 XXX
wall.
76775... TC A Echo exam abdomen back 0.00 1.35 1.35 0.09 1.44 1.44 XXX
wall.
76775... 26 A Echo exam abdomen back 0.58 0.27 0.27 0.04 0.89 0.89 XXX
wall.
76778... .................. A Echo exam kidney 0.74 2.22 2.22 0.17 3.13 3.13 XXX
transplant.
76778... TC A Echo exam kidney 0.00 1.88 1.88 0.12 2.00 2.00 XXX
transplant.
76778... 26 A Echo exam kidney 0.74 0.34 0.34 0.05 1.13 1.13 XXX
transplant.
76800... .................. A Echo exam spinal canal.. 1.13 1.85 1.85 0.17 3.15 3.15 XXX
76800... TC A Echo exam spinal canal.. 0.00 1.35 1.35 0.09 1.44 1.44 XXX
76800... 26 A Echo exam spinal canal.. 1.13 0.50 0.50 0.08 1.71 1.71 XXX
76805... .................. A Echo exam of pregnant 0.99 2.45 2.45 0.20 3.64 3.64 XXX
uterus.
76805... TC A Echo exam of pregnant 0.00 2.00 2.00 0.13 2.13 2.13 XXX
uterus.
76805... 26 A Echo exam of pregnant 0.99 0.45 0.45 0.07 1.51 1.51 XXX
uterus.
76810... .................. A Echo exam of pregnant 1.97 4.88 4.88 0.38 7.23 7.23 XXX
uterus.
76810... TC A Echo exam of pregnant 0.00 4.00 4.00 0.25 4.25 4.25 XXX
uterus.
76810... 26 A Echo exam of pregnant 1.97 0.88 0.88 0.13 2.98 2.98 XXX
uterus.
76815... .................. A Echo exam of pregnant 0.65 1.65 1.65 0.13 2.43 2.43 XXX
uterus.
76815... TC A Echo exam of pregnant 0.00 1.35 1.35 0.09 1.44 1.44 XXX
uterus.
76815... 26 A Echo exam of pregnant 0.65 0.30 0.30 0.04 0.99 0.99 XXX
uterus.
76816... .................. A Echo exam followup or 0.57 1.32 1.32 0.11 2.00 2.00 XXX
repeat.
[[Page 59185]]
76816... TC A Echo exam followup or 0.00 1.06 1.06 0.07 1.13 1.13 XXX
repeat.
76816... 26 A Echo exam followup or 0.57 0.26 0.26 0.04 0.87 0.87 XXX
repeat.
76818... .................. A Fetal biophysical 0.77 1.89 1.89 0.15 2.81 2.81 XXX
profile.
76818... TC A Fetal biophysical 0.00 1.54 1.54 0.10 1.64 1.64 XXX
profile.
76818... 26 A Fetal biophysical 0.77 0.35 0.35 0.05 1.17 1.17 XXX
profile.
76825... .................. A Echo exam of fetal heart 1.67 2.23 2.23 0.17 4.07 4.07 XXX
76825... TC A Echo exam of fetal heart 0.00 1.88 1.88 0.12 2.00 2.00 XXX
76825... 26 A Echo exam of fetal heart 1.67 0.35 0.35 0.05 2.07 2.07 XXX
76826... .................. A Echo exam of fetal heart 0.83 1.35 1.35 0.10 2.28 2.28 XXX
76826... TC A Echo exam of fetal heart 0.00 0.67 0.67 0.05 0.72 0.72 XXX
76826... 26 A Echo exam of fetal heart 0.83 0.68 0.68 0.05 1.56 1.56 XXX
76827... .................. A Echo exam of fetal heart 0.58 2.28 2.28 0.18 3.04 3.04 XXX
76827... TC A Echo exam of fetal heart 0.00 1.64 1.64 0.13 1.77 1.77 XXX
76827... 26 A Echo exam of fetal heart 0.58 #0.64 #0.64 0.05 1.27 1.27 XXX
76828... .................. A Echo exam of fetal heart 0.56 1.34 1.34 0.11 2.01 2.01 XXX
76828... TC A Echo exam of fetal heart 0.00 1.06 1.06 0.09 1.15 1.15 XXX
76828... 26 A Echo exam of fetal heart 0.56 0.28 0.28 0.02 0.86 0.86 XXX
76830... .................. A Echo exam, transvaginal. 0.69 1.77 1.77 0.15 2.61 2.61 XXX
76830... TC A Echo exam, transvaginal. 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76830... 26 A Echo exam, transvaginal. 0.69 0.32 0.32 0.05 1.06 1.06 XXX
76831... .................. A Echo exam, uterus....... 0.72 1.77 1.77 0.15 2.64 2.64 XXX
76831... TC A Echo exam, uterus....... 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76831... 26 A Echo exam, uterus....... 0.72 0.32 0.32 0.05 1.09 1.09 XXX
76856... .................. A Echo exam of pelvis..... 0.69 1.77 1.77 0.15 2.61 2.61 XXX
76856... TC A Echo exam of pelvis..... 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76856... 26 A Echo exam of pelvis..... 0.69 0.32 0.32 0.05 1.06 1.06 XXX
76857... .................. A Echo exam of pelvis..... 0.38 1.17 1.17 0.10 1.65 1.65 XXX
76857... TC A Echo exam of pelvis..... 0.00 1.00 1.00 0.07 1.07 1.07 XXX
76857... 26 A Echo exam of pelvis..... 0.38 0.17 0.17 0.03 0.58 0.58 XXX
76870... .................. A Echo exam of scrotum.... 0.64 1.74 1.74 0.14 2.52 2.52 XXX
76870... TC A Echo exam of scrotum.... 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76870... 26 A Echo exam of scrotum.... 0.64 0.29 0.29 0.04 0.97 0.97 XXX
76872... .................. A Echo exam, transrectal.. 0.69 1.77 1.77 0.15 2.61 2.61 XXX
76872... TC A Echo exam, transrectal.. 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76872... 26 A Echo exam, transrectal.. 0.69 0.32 0.32 0.05 1.06 1.06 XXX
76880... .................. A Echo exam of extremity.. 0.59 1.62 1.62 0.13 2.34 2.34 XXX
76880... TC A Echo exam of extremity.. 0.00 1.35 1.35 0.09 1.44 1.44 XXX
76880... 26 A Echo exam of extremity.. 0.59 0.27 0.27 0.04 0.90 0.90 XXX
76885... .................. A Echo exam, infant hips.. 0.74 1.77 1.77 0.15 2.66 2.66 XXX
76885... TC A Echo exam, infant hips.. 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76885... 26 A Echo exam, infant hips.. 0.74 0.32 0.32 0.05 1.11 1.11 XXX
76886... .................. A Echo exam, infant hips.. 0.62 1.62 1.62 0.13 2.37 2.37 XXX
76886... TC A Echo exam, infant hips.. 0.00 1.35 1.35 0.09 1.44 1.44 XXX
76886... 26 A Echo exam, infant hips.. 0.62 0.27 0.27 0.04 0.93 0.93 XXX
76930... .................. A Echo guide for heart sac 0.67 1.76 1.76 0.15 2.58 2.58 XXX
tap.
76930... TC A Echo guide for heart sac 0.00 1.45 1.45 0.10 1.55 1.55 XXX
tap.
76930... 26 A Echo guide for heart sac 0.67 0.31 0.31 0.05 1.03 1.03 XXX
tap.
76932... .................. A Echo guide for heart 0.67 1.76 1.76 0.15 2.58 2.58 XXX
biopsy.
76932... TC A Echo guide for heart 0.00 1.45 1.45 0.10 1.55 1.55 XXX
biopsy.
76932... 26 A Echo guide for heart 0.67 0.31 0.31 0.05 1.03 1.03 XXX
biopsy.
76934... .................. A Echo guide for chest tap 0.67 1.76 1.76 0.15 2.58 2.58 XXX
76934... TC A Echo guide for chest tap 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76934... 26 A Echo guide for chest tap 0.67 0.31 0.31 0.05 1.03 1.03 XXX
76936... .................. A Echo guide for artery 1.99 7.24 7.24 0.48 9.71 9.71 XXX
repair.
76936... TC A Echo guide for artery 0.00 6.00 6.00 0.38 6.38 6.38 XXX
repair.
76936... 26 A Echo guide for artery 1.99 1.24 1.24 0.10 3.33 3.33 XXX
repair.
76938... .................. A Echo exam for drainage.. 0.67 1.76 1.76 0.15 2.58 2.58 XXX
76938... TC A Echo exam for drainage.. 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76938... 26 A Echo exam for drainage.. 0.67 0.31 0.31 0.05 1.03 1.03 XXX
76941... .................. A Echo guide for 1.34 2.07 2.07 0.19 3.60 3.60 XXX
transfusion.
76941... TC A Echo guide for 0.00 1.46 1.46 0.09 1.55 1.55 XXX
transfusion.
76941... 26 A Echo guide for 1.34 0.61 0.61 0.10 2.05 2.05 XXX
transfusion.
76942... .................. A Echo guide for biopsy... 0.67 1.76 1.76 0.15 2.58 2.58 XXX
76942... TC A Echo guide for biopsy... 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76942... 26 A Echo guide for biopsy... 0.67 0.31 0.31 0.05 1.03 1.03 XXX
76945... .................. A Echo guide, villus 0.67 2.07 2.07 0.19 2.93 2.93 XXX
sampling.
76945... TC A Echo guide, villus 0.00 1.46 1.46 0.09 1.55 1.55 XXX
sampling.
76945... 26 A Echo guide, villus 0.67 0.61 0.61 0.10 1.38 1.38 XXX
sampling.
76946... .................. A Echo guide for 0.38 1.62 1.62 0.13 2.13 2.13 XXX
amniocentesis.
76946... TC A Echo guide for 0.00 1.45 1.45 0.10 1.55 1.55 XXX
amniocentesis.
76946... 26 A Echo guide for 0.38 0.17 0.17 0.03 0.58 0.58 XXX
amniocentesis.
76948... .................. A Echo guide, ova 0.38 1.62 1.62 0.13 2.13 2.13 XXX
aspiration.
76948... TC A Echo guide, ova 0.00 1.45 1.45 0.10 1.55 1.55 XXX
aspiration.
76948... 26 A Echo guide, ova 0.38 0.17 0.17 0.03 0.58 0.58 XXX
aspiration.
[[Page 59186]]
76950... .................. A Echo guidance 0.58 1.51 1.51 0.12 2.21 2.21 XXX
radiotherapy.
76950... TC A Echo guidance 0.00 1.24 1.24 0.08 1.32 1.32 XXX
radiotherapy.
76950... 26 A Echo guidance 0.58 0.27 0.27 0.04 0.89 0.89 XXX
radiotherapy.
76960... .................. A Echo guidance 0.58 1.51 1.51 0.12 2.21 2.21 XXX
radiotherapy.
76960... TC A Echo guidance 0.00 1.24 1.24 0.08 1.32 1.32 XXX
radiotherapy.
76960... 26 A Echo guidance 0.58 0.27 0.27 0.04 0.89 0.89 XXX
radiotherapy.
76965... .................. A Echo guidance 1.34 6.78 6.78 0.52 8.64 8.64 XXX
radiotherapy.
76965... TC A Echo guidance 0.00 5.31 5.31 0.33 5.64 5.64 XXX
radiotherapy.
76965... 26 A Echo guidance 1.34 #1.47 #1.47 0.19 3.00 3.00 XXX
radiotherapy.
76970... .................. A Ultrasound exam follow- 0.40 1.18 1.18 0.10 1.68 1.68 XXX
up.
76970... TC A Ultrasound exam follow- 0.00 1.00 1.00 0.07 1.07 1.07 XXX
up.
76970... 26 A Ultrasound exam follow- 0.40 0.18 0.18 0.03 0.61 0.61 XXX
up.
76975... .................. A GI endoscopic ultrasound 0.81 1.79 1.79 0.15 2.75 2.75 XXX
76975... TC A GI endoscopic ultrasound 0.00 1.45 1.45 0.10 1.55 1.55 XXX
76975... 26 A GI endoscopic ultrasound 0.81 0.34 0.34 0.05 1.20 1.20 XXX
76986... .................. A Echo exam at surgery.... 1.20 3.03 3.03 0.25 4.48 4.48 XXX
76986... TC A Echo exam at surgery.... 0.00 2.50 2.50 0.17 2.67 2.67 XXX
76986... 26 A Echo exam at surgery.... 1.20 0.53 0.53 0.08 1.81 1.81 XXX
76999... .................. C Echo examination 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76999... TC C Echo examination 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76999... 26 C Echo examination 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
77261... .................. A Radiation therapy 1.39 0.62 0.62 0.09 2.10 2.10 XXX
planning.
77262... .................. A Radiation therapy 2.11 0.94 0.94 0.14 3.19 3.19 XXX
planning.
77263... .................. A Radiation therapy 3.14 1.40 1.40 0.20 4.74 4.74 XXX
planning.
77280... .................. A Set radiation therapy 0.70 3.63 3.63 0.26 4.59 4.59 XXX
field.
77280... TC A Set radiation therapy 0.00 3.31 3.31 0.21 3.52 3.52 XXX
field.
77280... 26 A Set radiation therapy 0.70 0.32 0.32 0.05 1.07 1.07 XXX
field.
77285... .................. A Set radiation therapy 1.05 5.77 5.77 0.41 7.23 7.23 XXX
field.
77285... TC A Set radiation therapy 0.00 5.31 5.31 0.34 5.65 5.65 XXX
field.
77285... 26 A Set radiation therapy 1.05 0.46 0.46 0.07 1.58 1.58 XXX
field.
77290... .................. A Set radiation therapy 1.56 6.90 6.90 0.50 8.96 8.96 XXX
field.
77290... TC A Set radiation therapy 0.00 6.20 6.20 0.39 6.59 6.59 XXX
field.
77290... 26 A Set radiation therapy 1.56 0.70 0.70 0.11 2.37 2.37 XXX
field.
77295... .................. A Set radiation therapy 4.57 28.68 28.68 1.93 35.18 35.18 XXX
field.
77295... TC A Set radiation therapy 0.00 26.62 26.62 1.70 28.32 28.32 XXX
field.
77295... 26 A Set radiation therapy 4.57 2.06 2.06 0.23 6.86 6.86 XXX
field.
77299... .................. C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
planning.
77299... TC C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
planning.
77299... 26 C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
planning.
77300... .................. A Radiation therapy dose 0.62 1.56 1.56 0.12 2.30 2.30 XXX
plan.
77300... TC A Radiation therapy dose 0.00 1.28 1.28 0.08 1.36 1.36 XXX
plan.
77300... 26 A Radiation therapy dose 0.62 0.28 0.28 0.04 0.94 0.94 XXX
plan.
77305... .................. A Radiation therapy dose 0.70 2.09 2.09 0.17 2.96 2.96 XXX
plan.
77305... TC A Radiation therapy dose 0.00 1.77 1.77 0.12 1.89 1.89 XXX
plan.
77305... 26 A Radiation therapy dose 0.70 0.32 0.32 0.05 1.07 1.07 XXX
plan.
77310... .................. A Radiation therapy dose 1.05 2.68 2.68 0.22 3.95 3.95 XXX
plan.
77310... TC A Radiation therapy dose 0.00 2.22 2.22 0.15 2.37 2.37 XXX
plan.
77310... 26 A Radiation therapy dose 1.05 0.46 0.46 0.07 1.58 1.58 XXX
plan.
77315... .................. A Radiation therapy dose 1.56 3.23 3.23 0.28 5.07 5.07 XXX
plan.
77315... TC A Radiation therapy dose 0.00 2.53 2.53 0.17 2.70 2.70 XXX
plan.
77315... 26 A Radiation therapy dose 1.56 0.70 0.70 0.11 2.37 2.37 XXX
plan.
77321... .................. A Radiation therapy port 0.95 4.28 4.28 0.30 5.53 5.53 XXX
plan.
77321... TC A Radiation therapy port 0.00 3.85 3.85 0.24 4.09 4.09 XXX
plan.
77321... 26 A Radiation therapy port 0.95 0.43 0.43 0.06 1.44 1.44 XXX
plan.
77326... .................. A Radiation therapy dose 0.93 2.67 2.67 0.21 3.81 3.81 XXX
plan.
77326... TC A Radiation therapy dose 0.00 2.25 2.25 0.15 2.40 2.40 XXX
plan.
77326... 26 A Radiation therapy dose 0.93 0.42 0.42 0.06 1.41 1.41 XXX
plan.
77327... .................. A Radiation therapy dose 1.39 3.93 3.93 0.30 5.62 5.62 XXX
plan.
77327... TC A Radiation therapy dose 0.00 3.31 3.31 0.21 3.52 3.52 XXX
plan.
77327... 26 A Radiation therapy dose 1.39 0.62 0.62 0.09 2.10 2.10 XXX
plan.
77328... .................. A Radiation therapy dose 2.09 5.66 5.66 0.44 8.19 8.19 XXX
plan.
77328... TC A Radiation therapy dose 0.00 4.73 4.73 0.30 5.03 5.03 XXX
plan.
77328... 26 A Radiation therapy dose 2.09 0.93 0.93 0.14 3.16 3.16 XXX
plan.
77331... .................. A Special radiation 0.87 0.87 0.87 0.09 1.83 1.83 XXX
dosimetry.
77331... TC A Special radiation 0.00 0.48 0.48 0.03 0.51 0.51 XXX
dosimetry.
77331... 26 A Special radiation 0.87 0.39 0.39 0.06 1.32 1.32 XXX
dosimetry.
77332... .................. A Radiation treatment 0.54 1.53 1.53 0.12 2.19 2.19 XXX
aid(s).
77332... TC A Radiation treatment 0.00 1.28 1.28 0.08 1.36 1.36 XXX
aid(s).
77332... 26 A Radiation treatment 0.54 0.25 0.25 0.04 0.83 0.83 XXX
aid(s).
77333... .................. A Radiation treatment 0.84 2.19 2.19 0.18 3.21 3.21 XXX
aid(s).
77333... TC A Radiation treatment 0.00 1.81 1.81 0.12 1.93 1.93 XXX
aid(s).
77333... 26 A Radiation treatment 0.84 0.38 0.38 0.06 1.28 1.28 XXX
aid(s).
77334... .................. A Radiation treatment 1.24 3.64 3.64 0.27 5.15 5.15 XXX
aid(s).
77334... TC A Radiation treatment 0.00 3.10 3.10 0.19 3.29 3.29 XXX
aid(s).
[[Page 59187]]
77334... 26 A Radiation treatment 1.24 0.54 0.54 0.08 1.86 1.86 XXX
aid(s).
77336... .................. A Radiation physics 0.00 2.84 2.84 0.18 3.02 3.02 XXX
consult.
77370... .................. A Radiation physics 0.00 3.33 3.33 0.21 3.54 3.54 XXX
consult.
77399... .................. C External radiation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dosimetry.
77399... TC C External radiation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dosimetry.
77399... 26 C External radiation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dosimetry.
77401... .................. A Radiation treatment 0.00 1.69 1.69 0.11 1.80 1.80 XXX
delivery.
77402... .................. A Radiation treatment 0.00 1.69 1.69 0.11 1.80 1.80 XXX
delivery.
77403... .................. A Radiation treatment 0.00 1.69 1.69 0.11 1.80 1.80 XXX
delivery.
77404... .................. A Radiation treatment 0.00 1.69 1.69 0.11 1.80 1.80 XXX
delivery.
77406... .................. A Radiation treatment 0.00 1.69 1.69 0.11 1.80 1.80 XXX
delivery.
77407... .................. A Radiation treatment 0.00 1.99 1.99 0.13 2.12 2.12 XXX
delivery.
77408... .................. A Radiation treatment 0.00 1.99 1.99 0.13 2.12 2.12 XXX
delivery.
77409... .................. A Radiation treatment 0.00 1.99 1.99 0.13 2.12 2.12 XXX
delivery.
77411... .................. A Radiation treatment 0.00 1.99 1.99 0.13 2.12 2.12 XXX
delivery.
77412... .................. A Radiation treatment 0.00 2.22 2.22 0.15 2.37 2.37 XXX
delivery.
77413... .................. A Radiation treatment 0.00 2.22 2.22 0.15 2.37 2.37 XXX
delivery.
77414... .................. A Radiation treatment 0.00 2.22 2.22 0.15 2.37 2.37 XXX
delivery.
77416... .................. A Radiation treatment 0.00 2.22 2.22 0.15 2.37 2.37 XXX
delivery.
77417... .................. A Radiology port film(s).. 0.00 0.56 0.56 0.04 0.60 0.60 XXX
77419... .................. A Weekly radiation therapy 3.60 1.61 1.61 0.23 5.44 5.44 XXX
77420... .................. A Weekly radiation therapy 1.61 0.72 0.72 0.11 2.44 2.44 XXX
77425... .................. A Weekly radiation therapy 2.44 1.10 1.10 0.17 3.71 3.71 XXX
77430... .................. A Weekly radiation therapy 3.60 1.61 1.61 0.23 5.44 5.44 XXX
77431... .................. A Radiation therapy 1.81 0.81 0.81 0.12 2.74 2.74 XXX
management.
77432... .................. A Stereotactic radiation 7.93 4.94 4.94 0.40 13.27 13.27 XXX
trmt.
77470... .................. A Special radiation 2.09 11.55 11.55 0.80 14.44 14.44 XXX
treatment.
77470... TC A Special radiation 0.00 10.62 10.62 0.66 11.28 11.28 XXX
treatment.
77470... 26 A Special radiation 2.09 0.93 0.93 0.14 3.16 3.16 XXX
treatment.
77499... .................. C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
management.
77499... TC C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
management.
77499... 26 C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
management.
77600... .................. R Hyperthermia treatment.. 1.56 3.60 3.60 0.29 5.45 5.45 ZZZ
77600... TC R Hyperthermia treatment.. 0.00 2.90 2.90 0.18 3.08 3.08 ZZZ
77600... 26 R Hyperthermia treatment.. 1.56 0.70 0.70 0.11 2.37 2.37 ZZZ
77605... .................. R Hyperthermia treatment.. 2.09 4.80 4.80 0.39 7.28 7.28 ZZZ
77605... TC R Hyperthermia treatment.. 0.00 3.87 3.87 0.25 4.12 4.12 ZZZ
77605... 26 R Hyperthermia treatment.. 2.09 0.93 0.93 0.14 3.16 3.16 ZZZ
77610... .................. R Hyperthermia treatment.. 1.56 3.60 3.60 0.29 5.45 5.45 ZZZ
77610... TC R Hyperthermia treatment.. 0.00 2.90 2.90 0.18 3.08 3.08 ZZZ
77610... 26 R Hyperthermia treatment.. 1.56 0.70 0.70 0.11 2.37 2.37 ZZZ
77615... .................. R Hyperthermia treatment.. 2.09 4.80 4.80 0.39 7.28 7.28 ZZZ
77615... TC R Hyperthermia treatment.. 0.00 3.87 3.87 0.25 4.12 4.12 ZZZ
77615... 26 R Hyperthermia treatment.. 2.09 0.93 0.93 0.14 3.16 3.16 ZZZ
77620... .................. R Hyperthermia treatment.. 1.56 3.60 3.60 0.29 5.45 5.45 ZZZ
77620... TC R Hyperthermia treatment.. 0.00 2.90 2.90 0.18 3.08 3.08 ZZZ
77620... 26 R Hyperthermia treatment.. 1.56 0.70 0.70 0.11 2.37 2.37 ZZZ
77750... .................. A Infuse radioactive *4.91 3.32 3.32 0.38 8.61 8.61 090
materials.
77750... TC A Infuse radioactive 0.00 1.27 1.27 0.08 1.35 1.35 090
materials.
77750... 26 A Infuse radioactive *4.91 2.05 2.05 0.30 7.26 7.26 090
materials.
77761... .................. A Radioelement application *3.81 3.98 3.98 0.39 8.18 8.18 090
77761... TC A Radioelement application 0.00 2.39 2.39 0.16 2.55 2.55 090
77761... 26 A Radioelement application *3.81 1.59 1.59 0.23 5.63 5.63 090
77762... .................. A Radioelement application *5.72 5.83 5.83 0.57 12.12 12.12 090
77762... TC A Radioelement application 0.00 3.44 3.44 0.22 3.66 3.66 090
77762... 26 A Radioelement application *5.72 2.39 2.39 0.35 8.46 8.46 090
77763... .................. A Radioelement application *8.57 7.86 7.86 0.77 17.20 17.20 090
77763... TC A Radioelement application 0.00 4.28 4.28 0.27 4.55 4.55 090
77763... 26 A Radioelement application *8.57 3.58 3.58 0.50 12.65 12.65 090
77776... .................. A Radioelement application 4.66 4.16 4.16 0.45 9.27 9.27 XXX
77776... TC A Radioelement application 0.00 2.07 2.07 0.14 2.21 2.21 XXX
77776... 26 A Radioelement application 4.66 2.09 2.09 0.31 7.06 7.06 XXX
77777... .................. A Radioelement application *7.48 7.17 7.17 0.71 15.36 15.36 090
77777... TC A Radioelement application 0.00 4.04 4.04 0.26 4.30 4.30 090
77777... 26 A Radioelement application *7.48 3.13 3.13 0.45 11.06 11.06 090
77778... .................. A Radioelement application *11.19 9.58 9.58 0.98 21.75 21.75 090
77778... TC A Radioelement application 0.00 4.89 4.89 0.31 5.20 5.20 090
77778... 26 A Radioelement application *11.19 4.69 4.69 0.67 16.55 16.55 090
77781... .................. A High intensity *1.66 20.04 20.04 1.32 23.02 23.02 090
brachytherapy.
77781... TC A High intensity 0.00 19.35 19.35 1.21 20.56 20.56 090
brachytherapy.
77781... 26 A High intensity *1.66 0.69 0.69 0.11 2.46 2.46 090
brachytherapy.
77782... .................. A High intensity *2.49 20.40 20.40 1.37 24.26 24.26 090
brachytherapy.
77782... TC A High intensity 0.00 19.35 19.35 1.21 20.56 20.56 090
brachytherapy.
77782... 26 A High intensity *2.49 1.05 1.05 0.16 3.70 3.70 090
brachytherapy.
[[Page 59188]]
77783... .................. A High intensity *3.73 20.90 20.90 1.44 26.07 26.07 090
brachytherapy.
77783... TC A High intensity 0.00 19.35 19.35 1.21 20.56 20.56 090
brachytherapy.
77783... 26 A High intensity *3.73 1.55 1.55 0.23 5.51 5.51 090
brachytherapy.
77784... .................. A High intensity *5.61 21.69 21.69 1.56 28.86 28.86 090
brachytherapy.
77784... TC A High intensity 0.00 19.35 19.35 1.21 20.56 20.56 090
brachytherapy.
77784... 26 A High intensity *5.61 2.34 2.34 0.35 8.30 8.30 090
brachytherapy.
77789... .................. A Radioelement application *1.12 0.89 0.89 0.10 2.11 2.11 090
77789... TC A Radioelement application 0.00 0.43 0.43 0.03 0.46 0.46 090
77789... 26 A Radioelement application *1.12 0.46 0.46 0.07 1.65 1.65 090
77790... .................. A Radioelement handling... 1.05 0.94 0.94 0.10 2.09 2.09 XXX
77790... TC A Radioelement handling... 0.00 0.48 0.48 0.03 0.51 0.51 XXX
77790... 26 A Radioelement handling... 1.05 0.46 0.46 0.07 1.58 1.58 XXX
77799... .................. C Radium/radioisotope 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
77799... TC C Radium/radioisotope 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
77799... 26 C Radium/radioisotope 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
78000... .................. A Thyroid, single uptake.. 0.19 1.01 1.01 0.07 1.27 1.27 XXX
78000... TC A Thyroid, single uptake.. 0.00 0.92 0.92 0.06 0.98 0.98 XXX
78000... 26 A Thyroid, single uptake.. 0.19 0.09 0.09 0.01 0.29 0.29 XXX
78001... .................. A Thyroid, multiple 0.26 1.36 1.36 0.10 1.72 1.72 XXX
uptakes.
78001... TC A Thyroid, multiple 0.00 1.24 1.24 0.08 1.32 1.32 XXX
uptakes.
78001... 26 A Thyroid, multiple 0.26 0.12 0.12 0.02 0.40 0.40 XXX
uptakes.
78003... .................. A Thyroid suppress/stimul. 0.33 1.07 1.07 0.08 1.48 1.48 XXX
78003... TC A Thyroid suppress/stimul. 0.00 0.92 0.92 0.06 0.98 0.98 XXX
78003... 26 A Thyroid suppress/stimul. 0.33 0.15 0.15 0.02 0.50 0.50 XXX
78006... .................. A Thyroid, imaging with 0.49 2.49 2.49 0.18 3.16 3.16 XXX
uptake.
78006... TC A Thyroid, imaging with 0.00 2.27 2.27 0.15 2.42 2.42 XXX
uptake.
78006... 26 A Thyroid, imaging with 0.49 0.22 0.22 0.03 0.74 0.74 XXX
uptake.
78007... .................. A Thyroid, image, mult 0.50 2.68 2.68 0.19 3.37 3.37 XXX
uptakes.
78007... TC A Thyroid, image, mult 0.00 2.45 2.45 0.16 2.61 2.61 XXX
uptakes.
78007... 26 A Thyroid, image, mult 0.50 0.23 0.23 0.03 0.76 0.76 XXX
uptakes.
78010... .................. A Thyroid imaging......... 0.39 1.90 1.90 0.14 2.43 2.43 XXX
78010... TC A Thyroid imaging......... 0.00 1.73 1.73 0.11 1.84 1.84 XXX
78010... 26 A Thyroid imaging......... 0.39 0.17 0.17 0.03 0.59 0.59 XXX
78011... .................. A Thyroid imaging with 0.45 2.50 2.50 0.18 3.13 3.13 XXX
flow.
78011... TC A Thyroid imaging with 0.00 2.29 2.29 0.15 2.44 2.44 XXX
flow.
78011... 26 A Thyroid imaging with 0.45 0.21 0.21 0.03 0.69 0.69 XXX
flow.
78015... .................. A Thyroid met imaging..... 0.67 2.76 2.76 0.21 3.64 3.64 XXX
78015... TC A Thyroid met imaging..... 0.00 2.45 2.45 0.16 2.61 2.61 XXX
78015... 26 A Thyroid met imaging..... 0.67 0.31 0.31 0.05 1.03 1.03 XXX
78016... .................. A Thyroid met imaging/ 0.82 3.70 3.70 0.27 4.79 4.79 XXX
studies.
78016... TC A Thyroid met imaging/ 0.00 3.32 3.32 0.21 3.53 3.53 XXX
studies.
78016... 26 A Thyroid met imaging/ 0.82 0.38 0.38 0.06 1.26 1.26 XXX
studies.
78017... .................. A Thyroid met imaging, 0.87 3.94 3.94 0.28 5.09 5.09 XXX
mult.
78017... TC A Thyroid met imaging, 0.00 3.55 3.55 0.22 3.77 3.77 XXX
mult.
78017... 26 A Thyroid met imaging, 0.87 0.39 0.39 0.06 1.32 1.32 XXX
mult.
78018... .................. A Thyroid, met imaging, 0.95 5.60 5.60 0.39 6.94 6.94 XXX
body.
78018... TC A Thyroid, met imaging, 0.00 5.17 5.17 0.33 5.50 5.50 XXX
body.
78018... 26 A Thyroid, met imaging, 0.95 0.43 0.43 0.06 1.44 1.44 XXX
body.
78070... .................. A Parathyroid nuclear 0.82 1.96 1.96 0.15 2.93 2.93 XXX
imaging.
78070... TC A Parathyroid nuclear 0.00 1.73 1.73 0.11 1.84 1.84 XXX
imaging.
78070... 26 A Parathyroid nuclear 0.82 0.23 0.23 0.04 1.09 1.09 XXX
imaging.
78075... .................. A Adrenal nuclear imaging. 0.74 5.51 5.51 0.38 6.63 6.63 XXX
78075... TC A Adrenal nuclear imaging. 0.00 5.17 5.17 0.33 5.50 5.50 XXX
78075... 26 A Adrenal nuclear imaging. 0.74 0.34 0.34 0.05 1.13 1.13 XXX
78099... .................. C Endocrine nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78099... TC C Endocrine nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78099... 26 C Endocrine nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78102... .................. A Bone marrow imaging, ltd 0.55 2.19 2.19 0.17 2.91 2.91 XXX
78102... TC A Bone marrow imaging, ltd 0.00 1.94 1.94 0.13 2.07 2.07 XXX
78102... 26 A Bone marrow imaging, ltd 0.55 0.25 0.25 0.04 0.84 0.84 XXX
78103... .................. A Bone marrow imaging, 0.75 3.36 3.36 0.24 4.35 4.35 XXX
mult.
78103... TC A Bone marrow imaging, 0.00 3.02 3.02 0.19 3.21 3.21 XXX
mult.
78103... 26 A Bone marrow imaging, 0.75 0.34 0.34 0.05 1.14 1.14 XXX
mult.
78104... .................. A Bone marrow imaging, 0.80 4.25 4.25 0.30 5.35 5.35 XXX
body.
78104... TC A Bone marrow imaging, 0.00 3.88 3.88 0.25 4.13 4.13 XXX
body.
78104... 26 A Bone marrow imaging, 0.80 0.37 0.37 0.05 1.22 1.22 XXX
body.
78110... .................. A Plasma volume, single... 0.19 0.99 0.99 0.07 1.25 1.25 XXX
78110... TC A Plasma volume, single... 0.00 0.90 0.90 0.06 0.96 0.96 XXX
78110... 26 A Plasma volume, single... 0.19 0.09 0.09 0.01 0.29 0.29 XXX
78111... .................. A Plasma volume, multiple. 0.22 2.55 2.55 0.18 2.95 2.95 XXX
78111... TC A Plasma volume, multiple. 0.00 2.45 2.45 0.16 2.61 2.61 XXX
78111... 26 A Plasma volume, multiple. 0.22 0.10 0.10 0.02 0.34 0.34 XXX
78120... .................. A Red cell mass, single... 0.23 1.76 1.76 0.13 2.12 2.12 XXX
78120... TC A Red cell mass, single... 0.00 1.65 1.65 0.11 1.76 1.76 XXX
[[Page 59189]]
78120... 26 A Red cell mass, single... 0.23 0.11 0.11 0.02 0.36 0.36 XXX
78121... .................. A Red cell mass, multiple. 0.32 2.92 2.92 0.19 3.43 3.43 XXX
78121... TC A Red cell mass, multiple. 0.00 2.77 2.77 0.17 2.94 2.94 XXX
78121... 26 A Red cell mass, multiple. 0.32 0.15 0.15 0.02 0.49 0.49 XXX
78122... .................. A Blood volume............ 0.45 4.59 4.59 0.31 5.35 5.35 XXX
78122... TC A Blood volume............ 0.00 4.39 4.39 0.28 4.67 4.67 XXX
78122... 26 A Blood volume............ 0.45 0.20 0.20 0.03 0.68 0.68 XXX
78130... .................. A Red cell survival study. 0.61 3.00 3.00 0.21 3.82 3.82 XXX
78130... TC A Red cell survival study. 0.00 2.72 2.72 0.17 2.89 2.89 XXX
78130... 26 A Red cell survival study. 0.61 0.28 0.28 0.04 0.93 0.93 XXX
78135... .................. A Red cell survival 0.64 4.93 4.93 0.34 5.91 5.91 XXX
kinetics.
78135... TC A Red cell survival 0.00 4.64 4.64 0.30 4.94 4.94 XXX
kinetics.
78135... 26 A Red cell survival 0.64 0.29 0.29 0.04 0.97 0.97 XXX
kinetics.
78140... .................. A Red cell sequestration.. 0.61 4.03 4.03 0.28 4.92 4.92 XXX
78140... TC A Red cell sequestration.. 0.00 3.75 3.75 0.24 3.99 3.99 XXX
78140... 26 A Red cell sequestration.. 0.61 0.28 0.28 0.04 0.93 0.93 XXX
78160... .................. A Plasma iron turnover.... 0.33 3.64 3.64 0.24 4.21 4.21 XXX
78160... TC A Plasma iron turnover.... 0.00 3.49 3.49 0.22 3.71 3.71 XXX
78160... 26 A Plasma iron turnover.... 0.33 0.15 0.15 0.02 0.50 0.50 XXX
78162... .................. A Iron absorption exam.... 0.45 3.25 3.25 0.22 3.92 3.92 XXX
78162... TC A Iron absorption exam.... 0.00 3.05 3.05 0.19 3.24 3.24 XXX
78162... 26 A Iron absorption exam.... 0.45 0.20 0.20 0.03 0.68 0.68 XXX
78170... .................. A Red cell iron 0.41 5.24 5.24 0.35 6.00 6.00 XXX
utilization.
78170... TC A Red cell iron 0.00 5.06 5.06 0.32 5.38 5.38 XXX
utilization.
78170... 26 A Red cell iron 0.41 0.18 0.18 0.03 0.62 0.62 XXX
utilization.
78172... .................. C Total body iron 0.00 0.00 0.00 0.00 0.00 0.00 XXX
estimation.
78172... TC C Total body iron 0.00 0.00 0.00 0.00 0.00 0.00 XXX
estimation.
78172... 26 A Total body iron 0.53 0.25 0.25 0.04 0.82 0.82 XXX
estimation.
78185... .................. A Spleen imaging.......... 0.40 2.43 2.43 0.18 3.01 3.01 XXX
78185... TC A Spleen imaging.......... 0.00 2.25 2.25 0.15 2.40 2.40 XXX
78185... 26 A Spleen imaging.......... 0.40 0.18 0.18 0.03 0.61 0.61 XXX
78190... .................. A Platelet survival, 1.09 5.93 5.93 0.42 7.44 7.44 XXX
kinetics.
78190... TC A Platelet survival, 0.00 5.45 5.45 0.35 5.80 5.80 XXX
kinetics.
78190... 26 A Platelet survival, 1.09 0.48 0.48 0.07 1.64 1.64 XXX
kinetics.
78191... .................. A Platelet survival....... 0.61 7.27 7.27 0.48 8.36 8.36 XXX
78191... TC A Platelet survival....... 0.00 6.99 6.99 0.44 7.43 7.43 XXX
78191... 26 A Platelet survival....... 0.61 0.28 0.28 0.04 0.93 0.93 XXX
78195... .................. A Lymph system imaging.... 1.20 4.20 4.20 0.30 5.70 5.70 XXX
78195... TC A Lymph system imaging.... 0.00 3.88 3.88 0.25 4.13 4.13 XXX
78195... 26 A Lymph system imaging.... 1.20 0.32 0.32 0.05 1.57 1.57 XXX
78199... .................. C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78199... TC C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78199... 26 C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78201... .................. A Liver imaging........... 0.44 2.44 2.44 0.18 3.06 3.06 XXX
78201... TC A Liver imaging........... 0.00 2.25 2.25 0.15 2.40 2.40 XXX
78201... 26 A Liver imaging........... 0.44 0.19 0.19 0.03 0.66 0.66 XXX
78202... .................. A Liver imaging with flow. 0.51 2.98 2.98 0.21 3.70 3.70 XXX
78202... TC A Liver imaging with flow. 0.00 2.75 2.75 0.17 2.92 2.92 XXX
78202... 26 A Liver imaging with flow. 0.51 0.23 0.23 0.04 0.78 0.78 XXX
78205... .................. A Liver imaging (3D)...... 0.71 5.96 5.96 0.41 7.08 7.08 XXX
78205... TC A Liver imaging (3D)...... 0.00 5.63 5.63 0.36 5.99 5.99 XXX
78205... 26 A Liver imaging (3D)...... 0.71 0.33 0.33 0.05 1.09 1.09 XXX
78215... .................. A Liver and spleen imaging 0.49 3.02 3.02 0.20 3.71 3.71 XXX
78215... TC A Liver and spleen imaging 0.00 2.80 2.80 0.17 2.97 2.97 XXX
78215... 26 A Liver and spleen imaging 0.49 0.22 0.22 0.03 0.74 0.74 XXX
78216... .................. A Liver & spleen image, 0.57 3.58 3.58 0.25 4.40 4.40 XXX
flow.
78216... TC A Liver & spleen image, 0.00 3.32 3.32 0.21 3.53 3.53 XXX
flow.
78216... 26 A Liver & spleen image, 0.57 0.26 0.26 0.04 0.87 0.87 XXX
flow.
78220... .................. A Liver function study.... 0.49 3.77 3.77 0.25 4.51 4.51 XXX
78220... TC A Liver function study.... 0.00 3.55 3.55 0.22 3.77 3.77 XXX
78220... 26 A Liver function study.... 0.49 0.22 0.22 0.03 0.74 0.74 XXX
78223... .................. A Hepatobiliary imaging... 0.84 3.87 3.87 0.28 4.99 4.99 XXX
78223... TC A Hepatobiliary imaging... 0.00 3.49 3.49 0.22 3.71 3.71 XXX
78223... 26 A Hepatobiliary imaging... 0.84 0.38 0.38 0.06 1.28 1.28 XXX
78230... .................. A Salivary gland imaging.. 0.45 2.28 2.28 0.17 2.90 2.90 XXX
78230... TC A Salivary gland imaging.. 0.00 2.07 2.07 0.14 2.21 2.21 XXX
78230... 26 A Salivary gland imaging.. 0.45 0.21 0.21 0.03 0.69 0.69 XXX
78231... .................. A Serial salivary imaging. 0.52 3.26 3.26 0.23 4.01 4.01 XXX
78231... TC A Serial salivary imaging. 0.00 3.02 3.02 0.19 3.21 3.21 XXX
78231... 26 A Serial salivary imaging. 0.52 0.24 0.24 0.04 0.80 0.80 XXX
78232... .................. A Salivary gland function 0.47 3.59 3.59 0.24 4.30 4.30 XXX
exam.
78232... TC A Salivary gland function 0.00 3.37 3.37 0.21 3.58 3.58 XXX
exam.
78232... 26 A Salivary gland function 0.47 0.22 0.22 0.03 0.72 0.72 XXX
exam.
78258... .................. A Esophageal motility 0.74 3.09 3.09 0.22 4.05 4.05 XXX
study.
[[Page 59190]]
78258... TC A Esophageal motility 0.00 2.75 2.75 0.17 2.92 2.92 XXX
study.
78258... 26 A Esophageal motility 0.74 0.34 0.34 0.05 1.13 1.13 XXX
study.
78261... .................. A Gastric mucosa imaging.. 0.69 4.23 4.23 0.30 5.22 5.22 XXX
78261... TC A Gastric mucosa imaging.. 0.00 3.91 3.91 0.25 4.16 4.16 XXX
78261... 26 A Gastric mucosa imaging.. 0.69 0.32 0.32 0.05 1.06 1.06 XXX
78262... .................. A Gastroesophageal reflux 0.68 4.36 4.36 0.31 5.35 5.35 XXX
exam.
78262... TC A Gastroesophageal reflux 0.00 4.05 4.05 0.26 4.31 4.31 XXX
exam.
78262... 26 A Gastroesophageal reflux 0.68 0.31 0.31 0.05 1.04 1.04 XXX
exam.
78264... .................. A Gastric emptying study.. 0.78 4.29 4.29 0.30 5.37 5.37 XXX
78264... TC A Gastric emptying study.. 0.00 3.93 3.93 0.25 4.18 4.18 XXX
78264... 26 A Gastric emptying study.. 0.78 0.36 0.36 0.05 1.19 1.19 XXX
78270... .................. A Vit B-12 absorption exam 0.20 1.57 1.57 0.11 1.88 1.88 XXX
78270... TC A Vit B-12 absorption exam 0.00 1.47 1.47 0.10 1.57 1.57 XXX
78270... 26 A Vit B-12 absorption exam 0.20 0.10 0.10 0.01 0.31 0.31 XXX
78271... .................. A Vit B-12 absorp exam, IF 0.20 1.67 1.67 0.11 1.98 1.98 XXX
78271... TC A Vit B-12 absorp exam, IF 0.00 1.57 1.57 0.10 1.67 1.67 XXX
78271... 26 A Vit B-12 absorp exam, IF 0.20 0.10 0.10 0.01 0.31 0.31 XXX
78272... .................. A Vit B-12 absorp, 0.27 2.34 2.34 0.17 2.78 2.78 XXX
combined.
78272... TC A Vit B-12 absorp, 0.00 2.21 2.21 0.15 2.36 2.36 XXX
combined.
78272... 26 A Vit B-12 absorp, 0.27 0.13 0.13 0.02 0.42 0.42 XXX
combined.
78278... .................. A Acute GI blood loss 0.99 5.09 5.09 0.37 6.45 6.45 XXX
imaging.
78278... TC A Acute GI blood loss 0.00 4.64 4.64 0.30 4.94 4.94 XXX
imaging.
78278... 26 A Acute GI blood loss 0.99 0.45 0.45 0.07 1.51 1.51 XXX
imaging.
78282... .................. C GI protein loss exam.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78282... TC C GI protein loss exam.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78282... 26 A GI protein loss exam.... 0.38 0.17 0.17 0.03 0.58 0.58 XXX
78290... .................. A Meckel's divert exam.... 0.68 3.21 3.21 0.23 4.12 4.12 XXX
78290... TC A Meckel's divert exam.... 0.00 2.90 2.90 0.18 3.08 3.08 XXX
78290... 26 A Meckel's divert exam.... 0.68 0.31 0.31 0.05 1.04 1.04 XXX
78291... .................. A Leveen/shunt patency 0.88 3.31 3.31 0.24 4.43 4.43 XXX
exam.
78291... TC A Leveen/shunt patency 0.00 2.92 2.92 0.18 3.10 3.10 XXX
exam.
78291... 26 A Leveen/shunt patency 0.88 0.39 0.39 0.06 1.33 1.33 XXX
exam.
78299... .................. C GI nuclear procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78299... TC C GI nuclear procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78299... 26 C GI nuclear procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78300... .................. A Bone imaging, limited 0.62 2.66 2.66 0.20 3.48 3.48 XXX
area.
78300... TC A Bone imaging, limited 0.00 2.37 2.37 0.16 2.53 2.53 XXX
area.
78300... 26 A Bone imaging, limited 0.62 0.29 0.29 0.04 0.95 0.95 XXX
area.
78305... .................. A Bone imaging, multiple 0.83 3.87 3.87 0.28 4.98 4.98 XXX
areas.
78305... TC A Bone imaging, multiple 0.00 3.49 3.49 0.22 3.71 3.71 XXX
areas.
78305... 26 A Bone imaging, multiple 0.83 0.38 0.38 0.06 1.27 1.27 XXX
areas.
78306... .................. A Bone imaging, whole body 0.86 4.46 4.46 0.32 5.64 5.64 XXX
78306... TC A Bone imaging, whole body 0.00 4.07 4.07 0.26 4.33 4.33 XXX
78306... 26 A Bone imaging, whole body 0.86 0.39 0.39 0.06 1.31 1.31 XXX
78315... .................. A Bone imaging, 3 phase... 1.02 5.00 5.00 0.36 6.38 6.38 XXX
78315... TC A Bone imaging, 3 phase... 0.00 4.55 4.55 0.29 4.84 4.84 XXX
78315... 26 A Bone imaging, 3 phase... 1.02 0.45 0.45 0.07 1.54 1.54 XXX
78320... .................. A Bone imaging (3D)....... 1.04 6.09 6.09 0.43 7.56 7.56 XXX
78320... TC A Bone imaging (3D)....... 0.00 5.63 5.63 0.36 5.99 5.99 XXX
78320... 26 A Bone imaging (3D)....... 1.04 0.46 0.46 0.07 1.57 1.57 XXX
78350... .................. A Bone mineral, single 0.22 0.82 0.82 0.07 1.11 1.11 XXX
photon.
78350... TC A Bone mineral, single 0.00 0.72 0.72 0.05 0.77 0.77 XXX
photon.
78350... 26 A Bone mineral, single 0.22 0.10 0.10 0.02 0.34 0.34 XXX
photon.
78351... .................. N Bone mineral, dual +0.30 0.19 0.19 0.02 0.51 0.51 XXX
photon.
78399... .................. C Musculoskeletal nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78399... TC C Musculoskeletal nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78399... 26 C Musculoskeletal nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78414... .................. C Non-imaging heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX
function.
78414... TC C Non-imaging heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX
function.
78414... 26 A Non-imaging heart 0.45 0.20 0.20 0.03 0.68 0.68 XXX
function.
78428... .................. A Cardiac shunt imaging... 0.78 2.51 2.51 0.19 3.48 3.48 XXX
78428... TC A Cardiac shunt imaging... 0.00 2.15 2.15 0.14 2.29 2.29 XXX
78428... 26 A Cardiac shunt imaging... 0.78 0.36 0.36 0.05 1.19 1.19 XXX
78445... .................. A Vascular flow imaging... 0.49 2.01 2.01 0.15 2.65 2.65 XXX
78445... TC A Vascular flow imaging... 0.00 1.77 1.77 0.11 1.88 1.88 XXX
78445... 26 A Vascular flow imaging... 0.49 0.24 0.24 0.04 0.77 0.77 XXX
78455... .................. A Venous thrombosis study. 0.73 4.13 4.13 0.29 5.15 5.15 XXX
78455... TC A Venous thrombosis study. 0.00 3.80 3.80 0.24 4.04 4.04 XXX
78455... 26 A Venous thrombosis study. 0.73 0.33 0.33 0.05 1.11 1.11 XXX
78457... .................. A Venous thrombosis 0.77 2.88 2.88 0.22 3.87 3.87 XXX
imaging.
78457... TC A Venous thrombosis 0.00 2.53 2.53 0.17 2.70 2.70 XXX
imaging.
78457... 26 A Venous thrombosis 0.77 0.35 0.35 0.05 1.17 1.17 XXX
imaging.
78458... .................. A Ven thrombosis images, 0.90 4.23 4.23 0.30 5.43 5.43 XXX
bilat.
78458... TC A Ven thrombosis images, 0.00 3.83 3.83 0.24 4.07 4.07 XXX
bilat.
[[Page 59191]]
78458... 26 A Ven thrombosis images, 0.90 0.40 0.40 0.06 1.36 1.36 XXX
bilat.
78459... .................. I Heart muscle imaging 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(PET).
78459... TC I Heart muscle imaging 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(PET).
78459... 26 I Heart muscle imaging +1.88 1.34 1.34 0.10 3.32 3.32 XXX
(PET).
78460... .................. A Heart muscle blood 0.86 2.64 2.64 0.21 3.71 3.71 XXX
single.
78460... TC A Heart muscle blood 0.00 2.25 2.25 0.15 2.40 2.40 XXX
single.
78460... 26 A Heart muscle blood 0.86 0.39 0.39 0.06 1.31 1.31 XXX
single.
78461... .................. A Heart muscle blood 1.23 5.04 5.04 0.37 6.64 6.64 XXX
multiple.
78461... TC A Heart muscle blood 0.00 4.50 4.50 0.29 4.79 4.79 XXX
multiple.
78461... 26 A Heart muscle blood 1.23 0.54 0.54 0.08 1.85 1.85 XXX
multiple.
78464... .................. A Heart image (3D) single. 1.09 7.22 7.22 0.50 8.81 8.81 XXX
78464... TC A Heart image (3D) single. 0.00 6.74 6.74 0.43 7.17 7.17 XXX
78464... 26 A Heart image (3D) single. 1.09 0.48 0.48 0.07 1.64 1.64 XXX
78465... .................. A Heart image (3D) 1.46 11.89 11.89 0.80 14.15 14.15 XXX
multiple.
78465... TC A Heart image (3D) 0.00 11.24 11.24 0.70 11.94 11.94 XXX
multiple.
78465... 26 A Heart image (3D) 1.46 0.65 0.65 0.10 2.21 2.21 XXX
multiple.
78466... .................. A Heart infarct image..... 0.69 2.82 2.82 0.22 3.73 3.73 XXX
78466... TC A Heart infarct image..... 0.00 2.50 2.50 0.17 2.67 2.67 XXX
78466... 26 A Heart infarct image..... 0.69 0.32 0.32 0.05 1.06 1.06 XXX
78468... .................. A Heart infarct image, EF. 0.80 3.85 3.85 0.27 4.92 4.92 XXX
78468... TC A Heart infarct image, EF. 0.00 3.49 3.49 0.22 3.71 3.71 XXX
78468... 26 A Heart infarct image, EF. 0.80 0.36 0.36 0.05 1.21 1.21 XXX
78469... .................. A Heart infarct image (3D) 0.92 5.39 5.39 0.38 6.69 6.69 XXX
78469... TC A Heart infarct image (3D) 0.00 4.98 4.98 0.32 5.30 5.30 XXX
78469... 26 A Heart infarct image (3D) 0.92 0.41 0.41 0.06 1.39 1.39 XXX
78472... .................. A Gated heart, resting.... 0.98 5.69 5.69 0.41 7.08 7.08 XXX
78472... TC A Gated heart, resting.... 0.00 5.25 5.25 0.34 5.59 5.59 XXX
78472... 26 A Gated heart, resting.... 0.98 0.44 0.44 0.07 1.49 1.49 XXX
78473... .................. A Gated heart, multiple... 1.47 8.52 8.52 0.59 10.58 10.58 XXX
78473... TC A Gated heart, multiple... 0.00 7.87 7.87 0.49 8.36 8.36 XXX
78473... 26 A Gated heart, multiple... 1.47 0.65 0.65 0.10 2.22 2.22 XXX
78478... .................. A Heart wall motion (add- 0.62 1.76 1.76 0.14 2.52 2.52 XXX
on).
78478... TC A Heart wall motion (add- 0.00 1.48 1.48 0.10 1.58 1.58 XXX
on).
78478... 26 A Heart wall motion (add- 0.62 0.28 0.28 0.04 0.94 0.94 XXX
on).
78480... .................. A Heart function, (add-on) 0.62 1.76 1.76 0.14 2.52 2.52 XXX
78480... TC A Heart function, (add-on) 0.00 1.48 1.48 0.10 1.58 1.58 XXX
78480... 26 A Heart function, (add-on) 0.62 0.28 0.28 0.04 0.94 0.94 XXX
78481... .................. A Heart first pass single. 0.98 5.42 5.42 0.39 6.79 6.79 XXX
78481... TC A Heart first pass single. 0.00 4.98 4.98 0.32 5.30 5.30 XXX
78481... 26 A Heart first pass single. 0.98 0.44 0.44 0.07 1.49 1.49 XXX
78483... .................. A Heart first pass 1.47 8.15 8.15 0.57 10.19 10.19 XXX
multiple.
78483... TC A Heart first pass 0.00 7.50 7.50 0.47 7.97 7.97 XXX
multiple.
78483... 26 A Heart first pass 1.47 0.65 0.65 0.10 2.22 2.22 XXX
multiple.
78491... .................. I Heart image (pet) single 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78491... TC I Heart image (pet) single 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78491... 26 I Heart image (pet) single +1.50 1.34 1.34 0.10 2.94 2.94 XXX
78492... .................. I Heart image (pet) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
multiple.
78492... TC I Heart image (pet) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
multiple.
78492... 26 I Heart image (pet) +1.87 1.34 1.34 0.10 3.31 3.31 XXX
multiple.
78499... .................. C Cardiovascular nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78499... TC C Cardiovascular nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78499... 26 C Cardiovascular nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78580... .................. A Lung perfusion imaging.. 0.74 3.61 3.61 0.26 4.61 4.61 XXX
78580... TC A Lung perfusion imaging.. 0.00 3.27 3.27 0.21 3.48 3.48 XXX
78580... 26 A Lung perfusion imaging.. 0.74 0.34 0.34 0.05 1.13 1.13 XXX
78584... .................. A Lung V/Q image single 0.99 3.50 3.50 0.26 4.75 4.75 XXX
breath.
78584... TC A Lung V/Q image single 0.00 3.05 3.05 0.19 3.24 3.24 XXX
breath.
78584... 26 A Lung V/Q image single 0.99 0.45 0.45 0.07 1.51 1.51 XXX
breath.
78585... .................. A Lung V/Q imaging........ 1.09 5.85 5.85 0.41 7.35 7.35 XXX
78585... TC A Lung V/Q imaging........ 0.00 5.37 5.37 0.34 5.71 5.71 XXX
78585... 26 A Lung V/Q imaging........ 1.09 0.48 0.48 0.07 1.64 1.64 XXX
78586... .................. A Aerosol lung image, 0.40 2.65 2.65 0.19 3.24 3.24 XXX
single.
78586... TC A Aerosol lung image, 0.00 2.47 2.47 0.16 2.63 2.63 XXX
single.
78586... 26 A Aerosol lung image, 0.40 0.18 0.18 0.03 0.61 0.61 XXX
single.
78587... .................. A Aerosol lung image, 0.49 2.89 2.89 0.20 3.58 3.58 XXX
multiple.
78587... TC A Aerosol lung image, 0.00 2.67 2.67 0.17 2.84 2.84 XXX
multiple.
78587... 26 A Aerosol lung image, 0.49 0.22 0.22 0.03 0.74 0.74 XXX
multiple.
78591... .................. A Vent image, 1 breath, 1 0.40 2.90 2.90 0.20 3.50 3.50 XXX
proj.
78591... TC A Vent image, 1 breath, 1 0.00 2.72 2.72 0.17 2.89 2.89 XXX
proj.
78591... 26 A Vent image, 1 breath, 1 0.40 0.18 0.18 0.03 0.61 0.61 XXX
proj.
78593... .................. A Vent image, 1 proj, gas. 0.49 3.51 3.51 0.24 4.24 4.24 XXX
78593... TC A Vent image, 1 proj, gas. 0.00 3.29 3.29 0.21 3.50 3.50 XXX
78593... 26 A Vent image, 1 proj, gas. 0.49 0.22 0.22 0.03 0.74 0.74 XXX
78594... .................. A Vent image, mult proj, 0.53 5.00 5.00 0.34 5.87 5.87 XXX
gas.
[[Page 59192]]
78594... TC A Vent image, mult proj, 0.00 4.75 4.75 0.30 5.05 5.05 XXX
gas.
78594... 26 A Vent image, mult proj, 0.53 0.25 0.25 0.04 0.82 0.82 XXX
gas.
78596... .................. A Lung differential 1.27 7.30 7.30 0.52 9.09 9.09 XXX
function.
78596... TC A Lung differential 0.00 6.74 6.74 0.43 7.17 7.17 XXX
function.
78596... 26 A Lung differential 1.27 0.56 0.56 0.09 1.92 1.92 XXX
function.
78599... .................. C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78599... TC C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78599... 26 C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78600... .................. A Brain imaging, ltd 0.44 2.95 2.95 0.20 3.59 3.59 XXX
static.
78600... TC A Brain imaging, ltd 0.00 2.75 2.75 0.17 2.92 2.92 XXX
static.
78600... 26 A Brain imaging, ltd 0.44 0.20 0.20 0.03 0.67 0.67 XXX
static.
78601... .................. A Brain ltd imaging & flow 0.51 3.48 3.48 0.24 4.23 4.23 XXX
78601... TC A Brain ltd imaging & flow 0.00 3.24 3.24 0.20 3.44 3.44 XXX
78601... 26 A Brain ltd imaging & flow 0.51 0.24 0.24 0.04 0.79 0.79 XXX
78605... .................. A Brain imaging, complete. 0.53 3.49 3.49 0.24 4.26 4.26 XXX
78605... TC A Brain imaging, complete. 0.00 3.24 3.24 0.20 3.44 3.44 XXX
78605... 26 A Brain imaging, complete. 0.53 0.25 0.25 0.04 0.82 0.82 XXX
78606... .................. A Brain imaging comp & 0.64 3.98 3.98 0.27 4.89 4.89 XXX
flow.
78606... TC A Brain imaging comp & 0.00 3.69 3.69 0.23 3.92 3.92 XXX
flow.
78606... 26 A Brain imaging comp & 0.64 0.29 0.29 0.04 0.97 0.97 XXX
flow.
78607... .................. A Brain imaging (3D)...... 1.23 6.79 6.79 0.47 8.49 8.49 XXX
78607... TC A Brain imaging (3D)...... 0.00 6.25 6.25 0.39 6.64 6.64 XXX
78607... 26 A Brain imaging (3D)...... 1.23 0.54 0.54 0.08 1.85 1.85 XXX
78608... .................. N Brain imaging (PET)..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78609... .................. N Brain imaging (PET)..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78610... .................. A Brain flow imaging only. 0.30 1.64 1.64 0.12 2.06 2.06 XXX
78610... TC A Brain flow imaging only. 0.00 1.50 1.50 0.10 1.60 1.60 XXX
78610... 26 A Brain flow imaging only. 0.30 0.14 0.14 0.02 0.46 0.46 XXX
78615... .................. A Cerebral blood flow 0.42 3.86 3.86 0.26 4.54 4.54 XXX
imaging.
78615... TC A Cerebral blood flow 0.00 3.67 3.67 0.23 3.90 3.90 XXX
imaging.
78615... 26 A Cerebral blood flow 0.42 0.19 0.19 0.03 0.64 0.64 XXX
imaging.
78630... .................. A Cerebrospinal fluid scan 0.68 5.11 5.11 0.36 6.15 6.15 XXX
78630... TC A Cerebrospinal fluid scan 0.00 4.80 4.80 0.31 5.11 5.11 XXX
78630... 26 A Cerebrospinal fluid scan 0.68 0.31 0.31 0.05 1.04 1.04 XXX
78635... .................. A CSF ventriculography.... 0.61 2.70 2.70 0.20 3.51 3.51 XXX
78635... TC A CSF ventriculography.... 0.00 2.42 2.42 0.16 2.58 2.58 XXX
78635... 26 A CSF ventriculography.... 0.61 0.28 0.28 0.04 0.93 0.93 XXX
78645... .................. A CSF shunt evaluation.... 0.57 3.53 3.53 0.25 4.35 4.35 XXX
78645... TC A CSF shunt evaluation.... 0.00 3.27 3.27 0.21 3.48 3.48 XXX
78645... 26 A CSF shunt evaluation.... 0.57 0.26 0.26 0.04 0.87 0.87 XXX
78647... .................. A Cerebrospinal fluid scan 0.90 6.04 6.04 0.42 7.36 7.36 XXX
78647... TC A Cerebrospinal fluid scan 0.00 5.63 5.63 0.36 5.99 5.99 XXX
78647... 26 A Cerebrospinal fluid scan 0.90 0.41 0.41 0.06 1.37 1.37 XXX
78650... .................. A CSF leakage imaging..... 0.61 4.70 4.70 0.32 5.63 5.63 XXX
78650... TC A CSF leakage imaging..... 0.00 4.42 4.42 0.28 4.70 4.70 XXX
78650... 26 A CSF leakage imaging..... 0.61 0.28 0.28 0.04 0.93 0.93 XXX
78660... .................. A Nuclear exam of tear 0.53 2.27 2.27 0.17 2.97 2.97 XXX
flow.
78660... TC A Nuclear exam of tear 0.00 2.02 2.02 0.13 2.15 2.15 XXX
flow.
78660... 26 A Nuclear exam of tear 0.53 0.25 0.25 0.04 0.82 0.82 XXX
flow.
78699... .................. C Nervous system nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78699... TC C Nervous system nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78699... 26 C Nervous system nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78700... .................. A Kidney imaging, static.. 0.45 3.10 3.10 0.21 3.76 3.76 XXX
78700... TC A Kidney imaging, static.. 0.00 2.90 2.90 0.18 3.08 3.08 XXX
78700... 26 A Kidney imaging, static.. 0.45 0.20 0.20 0.03 0.68 0.68 XXX
78701... .................. A Kidney imaging with flow 0.49 3.61 3.61 0.24 4.34 4.34 XXX
78701... TC A Kidney imaging with flow 0.00 3.39 3.39 0.21 3.60 3.60 XXX
78701... 26 A Kidney imaging with flow 0.49 0.22 0.22 0.03 0.74 0.74 XXX
78704... .................. A Imaging renogram........ 0.74 4.11 4.11 0.29 5.14 5.14 XXX
78704... TC A Imaging renogram........ 0.00 3.77 3.77 0.24 4.01 4.01 XXX
78704... 26 A Imaging renogram........ 0.74 0.34 0.34 0.05 1.13 1.13 XXX
78707... .................. A Kidney flow & function 0.96 4.68 4.68 0.33 5.97 5.97 XXX
image.
78707... TC A Kidney flow & function 0.00 4.26 4.26 0.27 4.53 4.53 XXX
image.
78707... 26 A Kidney flow & function 0.96 0.42 0.42 0.06 1.44 1.44 XXX
image.
78708... .................. A Kidney flow & function 1.21 4.68 4.68 0.33 6.22 6.22 XXX
image.
78708... TC A Kidney flow & function 0.00 4.26 4.26 0.27 4.53 4.53 XXX
image.
78708... 26 A Kidney flow & function 1.21 0.42 0.42 0.06 1.69 1.69 XXX
image.
78709... .................. A Kidney flow & function 1.41 4.68 4.68 0.33 6.42 6.42 XXX
image.
78709... TC A Kidney flow & function 0.00 4.26 4.26 0.27 4.53 4.53 XXX
image.
78709... 26 A Kidney flow & function 1.41 0.42 0.42 0.06 1.89 1.89 XXX
image.
78710... .................. A Kidney imaging (3D)..... 0.66 5.93 5.93 0.41 7.00 7.00 XXX
78710... TC A Kidney imaging (3D)..... 0.00 5.63 5.63 0.36 5.99 5.99 XXX
78710... 26 A Kidney imaging (3D)..... 0.66 0.30 0.30 0.05 1.01 1.01 XXX
78715... .................. A Renal vascular flow exam 0.30 1.64 1.64 0.12 2.06 2.06 XXX
[[Page 59193]]
78715... TC A Renal vascular flow exam 0.00 1.50 1.50 0.10 1.60 1.60 XXX
78715... 26 A Renal vascular flow exam 0.30 0.14 0.14 0.02 0.46 0.46 XXX
78725... .................. A Kidney function study... 0.38 1.87 1.87 0.14 2.39 2.39 XXX
78725... TC A Kidney function study... 0.00 1.70 1.70 0.11 1.81 1.81 XXX
78725... 26 A Kidney function study... 0.38 0.17 0.17 0.03 0.58 0.58 XXX
78726... .................. D Kidney function w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intervent.
78726... TC D Kidney function w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intervent.
78726... 26 D Kidney function w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intervent.
78727... .................. D Kidney transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
78727... TC D Kidney transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
78727... 26 D Kidney transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
78730... .................. A Urinary bladder 0.36 1.55 1.55 0.11 2.02 2.02 XXX
retention.
78730... TC A Urinary bladder 0.00 1.39 1.39 0.09 1.48 1.48 XXX
retention.
78730... 26 A Urinary bladder 0.36 0.16 0.16 0.02 0.54 0.54 XXX
retention.
78740... .................. A Ureteral reflux study... 0.57 2.28 2.28 0.17 3.02 3.02 XXX
78740... TC A Ureteral reflux study... 0.00 2.02 2.02 0.13 2.15 2.15 XXX
78740... 26 A Ureteral reflux study... 0.57 0.26 0.26 0.04 0.87 0.87 XXX
78760... .................. A Testicular imaging...... 0.66 2.85 2.85 0.21 3.72 3.72 XXX
78760... TC A Testicular imaging...... 0.00 2.55 2.55 0.17 2.72 2.72 XXX
78760... 26 A Testicular imaging...... 0.66 0.30 0.30 0.04 1.00 1.00 XXX
78761... .................. A Testicular imaging & 0.71 3.38 3.38 0.24 4.33 4.33 XXX
flow.
78761... TC A Testicular imaging & 0.00 3.05 3.05 0.19 3.24 3.24 XXX
flow.
78761... 26 A Testicular imaging & 0.71 0.33 0.33 0.05 1.09 1.09 XXX
flow.
78799... .................. C Genitourinary nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78799... TC C Genitourinary nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78799... 26 C Genitourinary nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78800... .................. A Tumor imaging, limited 0.66 3.54 3.54 0.24 4.44 4.44 XXX
area.
78800... TC A Tumor imaging, limited 0.00 3.24 3.24 0.20 3.44 3.44 XXX
area.
78800... 26 A Tumor imaging, limited 0.66 0.30 0.30 0.04 1.00 1.00 XXX
area.
78801... .................. A Tumor imaging, mult 0.79 4.39 4.39 0.31 5.49 5.49 XXX
areas.
78801... TC A Tumor imaging, mult 0.00 4.03 4.03 0.26 4.29 4.29 XXX
areas.
78801... 26 A Tumor imaging, mult 0.79 0.36 0.36 0.05 1.20 1.20 XXX
areas.
78802... .................. A Tumor imaging, whole 0.86 5.66 5.66 0.40 6.92 6.92 XXX
body.
78802... TC A Tumor imaging, whole 0.00 5.27 5.27 0.34 5.61 5.61 XXX
body.
78802... 26 A Tumor imaging, whole 0.86 0.39 0.39 0.06 1.31 1.31 XXX
body.
78803... .................. A Tumor imaging (3D)...... 1.09 6.73 6.73 0.46 8.28 8.28 XXX
78803... TC A Tumor imaging (3D)...... 0.00 6.25 6.25 0.39 6.64 6.64 XXX
78803... 26 A Tumor imaging (3D)...... 1.09 0.48 0.48 0.07 1.64 1.64 XXX
78805... .................. A Abscess imaging, ltd 0.73 3.57 3.57 0.25 4.55 4.55 XXX
area.
78805... TC A Abscess imaging, ltd 0.00 3.24 3.24 0.20 3.44 3.44 XXX
area.
78805... 26 A Abscess imaging, ltd 0.73 0.33 0.33 0.05 1.11 1.11 XXX
area.
78806... .................. A Abscess imaging, whole 0.86 6.51 6.51 0.45 7.82 7.82 XXX
body.
78806... TC A Abscess imaging, whole 0.00 6.13 6.13 0.39 6.52 6.52 XXX
body.
78806... 26 A Abscess imaging, whole 0.86 0.38 0.38 0.06 1.30 1.30 XXX
body.
78807... .................. A Nuclear localization/ 1.09 6.73 6.73 0.46 8.28 8.28 XXX
abscess.
78807... TC A Nuclear localization/ 0.00 6.25 6.25 0.39 6.64 6.64 XXX
abscess.
78807... 26 A Nuclear localization/ 1.09 0.48 0.48 0.07 1.64 1.64 XXX
abscess.
78810... .................. N Tumor imaging (PET)..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78810... TC N Tumor imaging (PET)..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78810... 26 N Tumor imaging (PET)..... +1.93 1.37 1.37 0.10 3.40 3.40 XXX
78890... .................. B Nuclear medicine data +0.05 1.26 1.26 0.08 1.39 1.39 XXX
proc.
78890... TC B Nuclear medicine data +0.00 1.24 1.24 0.08 1.32 1.32 XXX
proc.
78890... 26 B Nuclear medicine data +0.05 0.02 0.02 0.00 0.07 0.07 XXX
proc.
78891... .................. B Nuclear med data proc... +0.10 2.55 2.55 0.18 2.83 2.83 XXX
78891... TC B Nuclear med data proc... +0.00 2.50 2.50 0.17 2.67 2.67 XXX
78891... 26 B Nuclear med data proc... +0.10 0.05 0.05 0.01 0.16 0.16 XXX
78990... .................. I Provide diag 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radionuclide(s).
78999... .................. C Nuclear diagnostic exam. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78999... TC C Nuclear diagnostic exam. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78999... 26 C Nuclear diagnostic exam. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
79000... .................. A Intial hyperthyroid 1.80 3.31 3.31 0.29 5.40 5.40 XXX
therapy.
79000... TC A Intial hyperthyroid 0.00 2.50 2.50 0.17 2.67 2.67 XXX
therapy.
79000... 26 A Intial hyperthyroid 1.80 0.81 0.81 0.12 2.73 2.73 XXX
therapy.
79001... .................. A Repeat hyperthyroid 1.05 1.70 1.70 0.15 2.90 2.90 XXX
therapy.
79001... TC A Repeat hyperthyroid 0.00 1.24 1.24 0.08 1.32 1.32 XXX
therapy.
79001... 26 A Repeat hyperthyroid 1.05 0.46 0.46 0.07 1.58 1.58 XXX
therapy.
79020... .................. A Thyroid ablation........ 1.81 3.31 3.31 0.29 5.41 5.41 XXX
79020... TC A Thyroid ablation........ 0.00 2.50 2.50 0.17 2.67 2.67 XXX
79020... 26 A Thyroid ablation........ 1.81 0.81 0.81 0.12 2.74 2.74 XXX
79030... .................. A Thyroid ablation, 2.10 3.44 3.44 0.31 5.85 5.85 XXX
carcinoma.
79030... TC A Thyroid ablation, 0.00 2.50 2.50 0.17 2.67 2.67 XXX
carcinoma.
79030... 26 A Thyroid ablation, 2.10 0.94 0.94 0.14 3.18 3.18 XXX
carcinoma.
79035... .................. A Thyroid metastatic 2.52 3.63 3.63 0.34 6.49 6.49 XXX
therapy.
79035... TC A Thyroid metastatic 0.00 2.50 2.50 0.17 2.67 2.67 XXX
therapy.
[[Page 59194]]
79035... 26 A Thyroid metastatic 2.52 1.13 1.13 0.17 3.82 3.82 XXX
therapy.
79100... .................. A Hematopoetic nuclear 1.32 3.08 3.08 0.26 4.66 4.66 XXX
therapy.
79100... TC A Hematopoetic nuclear 0.00 2.50 2.50 0.17 2.67 2.67 XXX
therapy.
79100... 26 A Hematopoetic nuclear 1.32 0.58 0.58 0.09 1.99 1.99 XXX
therapy.
79200... .................. A Intracavitary nuc 1.99 3.39 3.39 0.31 5.69 5.69 XXX
treatment.
79200... TC A Intracavitary nuc 0.00 2.50 2.50 0.17 2.67 2.67 XXX
treatment.
79200... 26 A Intracavitary nuc 1.99 0.89 0.89 0.14 3.02 3.02 XXX
treatment.
79300... .................. C Interstitial nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
79300... TC C Interstitial nuclear 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
79300... 26 A Interstitial nuclear 1.60 0.71 0.71 0.11 2.42 2.42 XXX
therapy.
79400... .................. A Nonhemato nuclear 1.96 3.37 3.37 0.30 5.63 5.63 XXX
therapy.
79400... TC A Nonhemato nuclear 0.00 2.50 2.50 0.17 2.67 2.67 XXX
therapy.
79400... 26 A Nonhemato nuclear 1.96 0.87 0.87 0.13 2.96 2.96 XXX
therapy.
79420... .................. C Intravascular nuc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
79420... TC C Intravascular nuc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
79420... 26 A Intravascular nuc 1.51 0.67 0.67 0.10 2.28 2.28 XXX
therapy.
79440... .................. A Nuclear joint therapy... 1.99 3.39 3.39 0.31 5.69 5.69 XXX
79440... TC A Nuclear joint therapy... 0.00 2.50 2.50 0.17 2.67 2.67 XXX
79440... 26 A Nuclear joint therapy... 1.99 0.89 0.89 0.14 3.02 3.02 XXX
79900... .................. C Provide ther 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radiopharm(s).
79999... .................. C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
79999... TC C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
79999... 26 C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80002... .................. D 1-2 clinical chem tests. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80003... .................. D 3 clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80004... .................. D 124 clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80005... .................. D 5 clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80006... .................. D 6 clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80007... .................. D 7 clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80008... .................. D 8 clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80009... .................. D 129 clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80010... .................. D 110 clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80011... .................. D 11 clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80012... .................. D 12 clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80016... .................. D 13-16 blood/urine tests. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80018... .................. D 112/317-18 blood/urine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80019... .................. D 12/31/9719 blood/urine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
80049... .................. X Metabolic panel, basic.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80050... .................. N General health panel.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80051... .................. X Electrolyte panel....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80054... .................. X Comprehen metabolic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80055... .................. I Obstetric panel......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80058... .................. X Hepatic function panel.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80059... .................. X Hepatitis panel......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80061... .................. X Lipid panel............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80072... .................. X Arthritis panel......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80090... .................. X Torch antibody panel.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80091... .................. X Thyroid panel........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80092... .................. X Thyroid panel w/TSH..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80100... .................. X Drug screen............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80101... .................. X Drug screen............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80102... .................. X Drug confirmation....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80103... .................. X Drug analysis, tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prep.
80150... .................. X Assay of amikacin....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80152... .................. X Assay of amitriptyline.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80154... .................. X Assay of benzodiazepines 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80156... .................. X Assay carbamazepine..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80158... .................. X Assay of cyclosporine... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80160... .................. X Assay of desipramine.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80162... .................. X Assay for digoxin....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80164... .................. X Assay, dipropylacetic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
80166... .................. X Assay of doxepin........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80168... .................. X Assay of ethosuximide... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80170... .................. X Gentamicin.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80172... .................. X Assay for gold.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80174... .................. X Assay of imipramine..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80176... .................. X Assay for lidocaine..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80178... .................. X Assay for lithium....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80182... .................. X Assay for nortriptyline. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80184... .................. X Assay for phenobarbital. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80185... .................. X Assay for phenytoin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80186... .................. X Assay for phenytoin, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
free.
80188... .................. X Assay for primidone..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80190... .................. X Assay for procainamide.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59195]]
80192... .................. X Assay for procainamide.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80194... .................. X Assay for quinidine..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80196... .................. X Assay for salicylate.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80197... .................. X Assay for tacrolimus.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80198... .................. X Assay for theophylline.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80200... .................. X Assay for tobramycin.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80201... .................. X Assay for topiramate.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80202... .................. X Assay for vancomycin.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80299... .................. X Quantitative assay, drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80400... .................. X Acth stimulation panel.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80402... .................. X Acth stimulation panel.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80406... .................. X Acth stimulation panel.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80408... .................. X Aldosterone suppression 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eval.
80410... .................. X Calcitonin stimul panel. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80412... .................. X CRH stimulation panel... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80414... .................. X Testosterone response... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80415... .................. X Estradiol response panel 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80416... .................. X Renin stimulation panel. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80417... .................. X Renin stimulation panel. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80418... .................. X Pituitary evaluation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80420... .................. X Dexamethasone panel..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80422... .................. X Glucagon tolerance panel 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80424... .................. X Glucagon tolerance panel 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80426... .................. X Gonadotropin hormone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80428... .................. X Growth hormone panel.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80430... .................. X Growth hormone panel.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80432... .................. X Insulin suppression 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80434... .................. X Insulin tolerance panel. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80435... .................. X Insulin tolerance panel. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80436... .................. X Metyrapone panel........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80438... .................. X TRH stimulation panel... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80439... .................. X TRH stimulation panel... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80440... .................. X TRH stimulation panel... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80500... .................. A Lab pathology 0.37 0.20 0.20 0.01 0.58 0.58 XXX
consultation.
80502... .................. A Lab pathology 1.33 0.33 0.33 0.02 1.68 1.68 XXX
consultation.
81000... .................. X Urinalysis, nonauto, w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
scope.
81001... .................. X Urinalysis, auto, w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
scope.
81002... .................. X Urinalysis nonauto w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
scope.
81003... .................. X Urinalysis, auto, w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
scope.
81005... .................. X Urinalysis.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
81007... .................. X Urine screen for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
81015... .................. X Microscopic exam of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urine.
81020... .................. X Urinalysis, glass test.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
81025... .................. X Urine pregnancy test.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
81050... .................. X Urinalysis, volume 0.00 0.00 0.00 0.00 0.00 0.00 XXX
measure.
81099... .................. X Urinalysis test 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
82000... .................. X Assay blood acetaldehyde 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82003... .................. X Assay acetaminophen..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82009... .................. X Test for acetone/ketones 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82010... .................. X Acetone assay........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82013... .................. X Acetylcholinesterase 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
82024... .................. X ACTH.................... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82030... .................. X ADP & AMP............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82040... .................. X Assay serum albumin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82042... .................. X Assay urine albumin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82043... .................. X Microalbumin, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quantitative.
82044... .................. X Microalbumin, semiquant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82055... .................. X Assay ethanol........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82075... .................. X Assay breath ethanol.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82085... .................. X Assay of aldolase....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82088... .................. X Aldosterone............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82101... .................. X Assay of urine alkaloids 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82103... .................. X Alpha-1-antitrypsin, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
total.
82104... .................. X Alpha-1-antitrypsin, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pheno.
82105... .................. X Alpha-fetoprotein, serum 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82106... .................. X Alpha-fetoprotein; 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amniotic.
82108... .................. X Assay, aluminum......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82128... .................. X Test for amino acids.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82130... .................. X Amino acids analysis.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82131... .................. X Amino acids............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82135... .................. X Assay, aminolevulinic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
82140... .................. X Assay of ammonia........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82143... .................. X Amniotic fluid scan..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82145... .................. X Assay of amphetamines... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59196]]
82150... .................. X Assay of amylase........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82154... .................. X Androstanediol 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucuronide.
82157... .................. X Assay of androstenedione 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82160... .................. X Androsterone assay...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82163... .................. X Assay of angiotensin II. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82164... .................. X Angiotensin I enzyme 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82172... .................. X Apolipoprotein.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82175... .................. X Assay of arsenic........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82180... .................. X Assay of ascorbic acid.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82190... .................. X Atomic absorption....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82205... .................. X Assay of barbiturates... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82232... .................. X Beta-2 protein.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82239... .................. X Bile acids, total....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82240... .................. X Bile acids, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cholylglycine.
82250... .................. X Assay bilirubin......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82251... .................. X Assay bilirubin......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82252... .................. X Fecal bilirubin test.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82270... .................. X Test feces for blood.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82273... .................. X Test for blood, other 0.00 0.00 0.00 0.00 0.00 0.00 XXX
source.
82286... .................. X Assay of bradykinin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82300... .................. X Assay cadmium........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82306... .................. X Assay of vitamin D...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82307... .................. X Assay of vitamin D...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82308... .................. X Assay of calcitonin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82310... .................. X Assay calcium........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82330... .................. X Assay calcium........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82331... .................. X Calcium infusion test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82340... .................. X Assay calcium in urine.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82355... .................. X Calculus (stone) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
82360... .................. X Calculus (stone) assay.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82365... .................. X Calculus (stone) assay.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82370... .................. X X-ray assay, calculus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(stone).
82374... .................. X Assay blood carbon 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dioxide.
82375... .................. X Assay blood carbon 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monoxide.
82376... .................. X Test for carbon monoxide 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82378... .................. X Carcinoembryonic antigen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82380... .................. X Assay carotene.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82382... .................. X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catecholamines.
82383... .................. X Assay blood 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catecholamines.
82384... .................. X Assay three 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catecholamines.
82387... .................. X Cathepsin-D............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82390... .................. X Assay ceruloplasmin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82397... .................. X Chemiluminescent assay.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82415... .................. X Assay chloramphenicol... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82435... .................. X Assay blood chloride.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82436... .................. X Assay urine chloride.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82438... .................. X Assay other fluid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chlorides.
82441... .................. X Test for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chlorohydrocarbons.
82465... .................. X Assay serum cholesterol. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82480... .................. X Assay serum 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cholinesterase.
82482... .................. X Assay rbc cholinesterase 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82485... .................. X Assay chondroitin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
82486... .................. X Gas/liquid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromatography.
82487... .................. X Paper chromatography.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82488... .................. X Paper chromatography.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82489... .................. X Thin layer 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromatography.
82491... .................. X Chromotography, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quantitative.
82495... .................. X Assay chromium.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82507... .................. X Assay citrate........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82520... .................. X Assay for cocaine....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82523... .................. X Collagen crosslinks..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82525... .................. X Assay copper............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82528... .................. X Assay corticosterone.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82530... .................. X Cortisol, free.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82533... .................. X Total cortisol.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82540... .................. X Assay creatine.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82550... .................. X Assay CK (CPK).......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82552... .................. X Assay CPK in blood...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82553... .................. X Creatine, MB fraction... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82554... .................. X Creatine, isoforms...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82565... .................. X Assay creatinine........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82570... .................. X Assay urine creatinine.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82575... .................. X Creatinine clearance 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82585... .................. X Assay cryofibrinogen.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59197]]
82595... .................. X Assay cryoglobulin...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82600... .................. X Assay cyanide........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82607... .................. X Vitamin B-12............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82608... .................. X B-12 binding capacity... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82615... .................. X Test for urine cystines. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82626... .................. X Dehydroepiandrosterone.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82627... .................. X Dehydroepiandrosterone.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82633... .................. X Desoxycorticosterone.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82634... .................. X Deoxycortisol........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82638... .................. X Assay dibucaine number.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82646... .................. X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydrocodeinone.
82649... .................. X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydromorphinone.
82651... .................. X Dihydrotestosterone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
82652... .................. X Assay, dihydroxyvitamin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D.
82654... .................. X Assay of dimethadione... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82664... .................. X Electrophoretic test.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82666... .................. X Epiandrosterone assay... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82668... .................. X Erythropoietin.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82670... .................. X Estradiol............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82671... .................. X Estrogens assay......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82672... .................. X Estrogen assay.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82677... .................. X Estriol................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82679... .................. X Estrone................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82690... .................. X Ethchlorvynol........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82693... .................. X Ethylene glycol......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82696... .................. X Etiocholanolone......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82705... .................. X Fats/lipids, feces, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qualitativ.
82710... .................. X Fats/lipids, feces, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quantitati.
82715... .................. X Fecal fat assay......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82725... .................. X Assay blood fatty acids. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82728... .................. X Assay ferritin.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82735... .................. X Assay fluoride.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82742... .................. X Assay of flurazepam..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82746... .................. X Blood folic acid serum.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82747... .................. X Folic acid, RBC......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82757... .................. X Assay semen fructose.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82759... .................. X RBC galactokinase assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82760... .................. X Assay galactose......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82775... .................. X Assay galactose 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transferase.
82776... .................. X Galactose transferase 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82784... .................. X Assay gammaglobulin IgM. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82785... .................. X Assay, gammaglobulin IgE 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82787... .................. X IgG1, 2, 3 and 4........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82800... .................. X Blood pH................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82803... .................. X Blood gases: pH, pO2 & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pCO2.
82805... .................. X Blood gases W/02 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saturation.
82810... .................. X Blood gases, O2 sat only 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82820... .................. X Hemoglobin-oxygen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
affinity.
82926... .................. X Assay gastric acid...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82928... .................. X Assay gastric acid...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82938... .................. X Gastrin test............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82941... .................. X Assay of gastrin........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82943... .................. X Assay of glucagon....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82946... .................. X Glucagon tolerance test. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82947... .................. X Assay quantitative, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucose.
82948... .................. X Reagent strip/blood 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucose.
82950... .................. X Glucose test............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82951... .................. X Glucose tolerance test 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(GTT).
82952... .................. X GTT-added samples....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82953... .................. X Glucose-tolbutamide test 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82955... .................. X Assay G6PD enzyme....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82960... .................. X Test for G6PD enzyme.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82962... .................. X Glucose blood test...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82963... .................. X Glucosidase assay....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82965... .................. X Assay GDH enzyme........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82975... .................. X Assay glutamine......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82977... .................. X Assay of GGT............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82978... .................. X Glutathione assay....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82979... .................. X Assay RBC glutathione 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme.
82980... .................. X Assay of glutethimide... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82985... .................. X Glycated protein........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83001... .................. X Gonadotropin (FSH)...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83002... .................. X Gonadotropin (LH)....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83003... .................. X Assay growth hormone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(HGH).
[[Page 59198]]
83008... .................. X Assay guanosine......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83010... .................. X Quant assay haptoglobin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83012... .................. X Assay haptoglobins...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83015... .................. X Heavy metal screen...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83018... .................. X Quantitative screen, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metals.
83019... .................. X Breath isotope test..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83020... .................. X Assay hemoglobin........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83020... 26 A Assay hemoglobin........ 0.37 0.20 0.20 0.01 0.58 0.58 XXX
83026... .................. X Hemoglobin, copper 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
83030... .................. X Fetal hemoglobin assay.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83033... .................. X Fetal fecal hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83036... .................. X Glycated hemoglobin test 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83045... .................. X Blood methemoglobin test 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83050... .................. X Blood methemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83051... .................. X Assay plasma hemoglobin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83055... .................. X Blood sulfhemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
83060... .................. X Blood sulfhemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83065... .................. X Hemoglobin heat assay... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83068... .................. X Hemoglobin stability 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
83069... .................. X Assay urine hemoglobin.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83070... .................. X Qualt assay hemosiderin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83071... .................. X Quant assay of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemosiderin.
83088... .................. X Assay histamine......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83150... .................. X Assay for HVA........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83491... .................. X Assay of corticosteroids 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83497... .................. X Assay 5-HIAA............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83498... .................. X Assay of progesterone... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83499... .................. X Assay of progesterone... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83500... .................. X Assay free 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroxyproline.
83505... .................. X Assay total 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroxyproline.
83516... .................. X Immunoassay, nonantibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83518... .................. X Immunoassay, dipstick... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83519... .................. X Immunoassay nonantibody. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83520... .................. X Immunoassay, RIA........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83525... .................. X Assay of insulin........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83527... .................. X Assay of insulin........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83528... .................. X Assay intrinsic factor.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83540... .................. X Assay iron.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83550... .................. X Iron binding test....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83570... .................. X Assay IDH enzyme........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83582... .................. X Assay ketogenic steroids 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83586... .................. X Assay 17-(17- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
KS)ketosteroids.
83593... .................. X Fractionation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ketosteroids.
83605... .................. X Lactic acid assay....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83615... .................. X Lactate (LD) (LDH) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme.
83625... .................. X Assay LDH enzymes....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83632... .................. X Placental lactogen...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83633... .................. X Test urine for lactose.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83634... .................. X Assay urine for lactose. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83655... .................. X Assay for lead.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83661... .................. X Assay L/S ratio......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83662... .................. X L/S ratio, foam 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stability.
83670... .................. X Assay LAP enzyme........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83690... .................. X Assay lipase............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83715... .................. X Assay blood lipoproteins 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83717... .................. X Assay blood lipoproteins 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83718... .................. X Blood lipoprotein assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83719... .................. X Blood lipoprotein assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83721... .................. X Blood lipoprotein assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83727... .................. X LRH hormone assay....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83735... .................. X Assay magnesium......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83775... .................. X Assay of md enzyme...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83785... .................. X Assay of manganese...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83805... .................. X Assay of meprobamate.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83825... .................. X Assay mercury........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83835... .................. X Assay metanephrines..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83840... .................. X Assay methadone......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83857... .................. X Assay methemalbumin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83858... .................. X Assay methsuximide...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83864... .................. X Mucopolysaccharides..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83866... .................. X Mucopolysaccharides 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
83872... .................. X Assay synovial fluid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mucin.
83873... .................. X Assay, CSF protein...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83874... .................. X Myoglobin............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59199]]
83883... .................. X Nephelometry, not 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specified.
83885... .................. X Assay for nickel........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83887... .................. X Assay nicotine.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83890... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83892... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83894... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83896... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83898... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83902... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83912... .................. X Genetic examination..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83912... 26 A Genetic examination..... 0.37 0.20 0.20 0.01 0.58 0.58 XXX
83915... .................. X Assay nucleotidase...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83916... .................. X Oligoclonal bands....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83918... .................. X Assay organic acids..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83925... .................. X Opiates................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83930... .................. X Assay blood osmolality.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83935... .................. X Assay urine osmolality.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83937... .................. X Assay for osteocalcin... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83945... .................. X Assay oxalate........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83970... .................. X Assay of parathormone... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83986... .................. X Assay body fluid acidity 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83992... .................. X Assay for phencyclidine. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84022... .................. X Assay of phenothiazine.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84030... .................. X Assay blood PKU......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84035... .................. X Assay phenylketones..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84060... .................. X Assay acid phosphatase.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84061... .................. X Phosphatase, forensic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
84066... .................. X Assay prostate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
84075... .................. X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
84078... .................. X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
84080... .................. X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatases.
84081... .................. X Amniotic fluid enzyme 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
84085... .................. X Assay RBC PG6D enzyme... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84087... .................. X Assay phosphohexose 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzymes.
84100... .................. X Assay phosphorus........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84105... .................. X Assay urine phosphorus.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84106... .................. X Test for porphobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84110... .................. X Assay porphobilinogen... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84119... .................. X Test urine for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphyrins.
84120... .................. X Assay urine porphyrins.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84126... .................. X Assay feces porphyrins.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84127... .................. X Porphyrins, feces....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84132... .................. X Assay serum potassium... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84133... .................. X Assay urine potassium... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84134... .................. X Prealbumin.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84135... .................. X Assay pregnanediol...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84138... .................. X Assay pregnanetriol..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84140... .................. X Assay for pregnenolone.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84143... .................. X Assay/17- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroxypregnenolone.
84144... .................. X Assay progesterone...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84146... .................. X Assay for prolactin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84150... .................. X Assay of prostaglandin.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84153... .................. X Prostate specific 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen.
84155... .................. X Assay protein........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84160... .................. X Assay serum protein..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84165... .................. X Assay serum proteins.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84165... 26 A Assay serum proteins.... 0.37 0.20 0.20 0.01 0.58 0.58 XXX
84181... .................. X Western blot test....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84181... 26 A Western blot test....... 0.37 0.20 0.20 0.01 0.58 0.58 XXX
84182... .................. X Protein, western blot 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
84182... 26 A Protein, western blot 0.37 0.20 0.20 0.01 0.58 0.58 XXX
test.
84202... .................. X Assay RBC protoporphyrin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84203... .................. X Test RBC protoporphyrin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84206... .................. X Assay of proinsulin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84207... .................. X Assay vitamin B-6....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84210... .................. X Assay pyruvate.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84220... .................. X Assay pyruvate kinase... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84228... .................. X Assay quinine........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84233... .................. X Assay estrogen.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84234... .................. X Assay progesterone...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84235... .................. X Assay endocrine hormone. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84238... .................. X Assay non-endocrine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
receptor.
84244... .................. X Assay of renin.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84252... .................. X Assay vitamin B-2....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59200]]
84255... .................. X Assay selenium.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84260... .................. X Assay serotonin......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84270... .................. X Sex hormone globulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(SHBG).
84275... .................. X Assay sialic acid....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84285... .................. X Assay silica............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84295... .................. X Assay serum sodium...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84300... .................. X Assay urine sodium...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84305... .................. X Somatomedin............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84307... .................. X Somatostatin............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84311... .................. X Spectrophotometry....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84315... .................. X Body fluid specific 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gravity.
84375... .................. X Chromatogram assay, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sugars.
84392... .................. X Assay urine sulfate..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84402... .................. X Testosterone............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84403... .................. X Assay total testosterone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84425... .................. X Assay vitamin B-1....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84430... .................. X Assay thiocyanate....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84432... .................. X Thyroglobulin........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84436... .................. X Assay, total thyroxine.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84437... .................. X Assay neonatal thyroxine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84439... .................. X Assay, free thyroxine... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84442... .................. X Thyroid activity (TBG) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
84443... .................. X Assay thyroid stim 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone.
84445... .................. X Thyroid immunoglobulins 0.00 0.00 0.00 0.00 0.00 0.00 XXX
TSI.
84446... .................. X Assay vitamin E......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84449... .................. X Assay for transcortin... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84450... .................. X Transferase (AST) (SGOT) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84460... .................. X Alanine amino (ALT) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(SGPT).
84466... .................. X Transferrin............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84478... .................. X Assay triglycerides..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84479... .................. X Assay thyroid (t-3 or t- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4).
84480... .................. X Assay triiodothyronine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(t-3).
84481... .................. X Free assay (FT-3)....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84482... .................. X T3 reverse.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84484... .................. X Troponin, quant......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84485... .................. X Assay duodenal fluid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trypsin.
84488... .................. X Test feces for trypsin.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84490... .................. X Assay feces for trypsin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84510... .................. X Assay tyrosine.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84512... .................. X Troponin, qual.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84520... .................. X Assay urea nitrogen..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84525... .................. X Urea nitrogen semi-quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84540... .................. X Assay urine urea-N...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84545... .................. X Urea-N clearance test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84550... .................. X Assay blood uric acid... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84560... .................. X Assay urine uric acid... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84577... .................. X Assay feces urobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84578... .................. X Test urine urobilinogen. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84580... .................. X Assay urine urobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84583... .................. X Assay urine urobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84585... .................. X Assay urine VMA......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84586... .................. X VIP assay............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84588... .................. X Assay vasopressin....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84590... .................. X Assay vitamin-A......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84597... .................. X Assay vitamin-K......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84600... .................. X Assay for volatiles..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84620... .................. X Xylose tolerance test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84630... .................. X Assay zinc.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84681... .................. X Assay C-peptide......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84702... .................. X Chorionic gonadotropin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
84703... .................. X Chorionic gonadotropin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
84830... .................. X Ovulation tests......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84999... .................. X Clinical chemistry test. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85002... .................. X Bleeding time test...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85007... .................. X Differential WBC count.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85008... .................. X Nondifferential WBC 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
85009... .................. X Differential WBC count.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85013... .................. X Hematocrit.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85014... .................. X Hematocrit.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85018... .................. X Hemoglobin.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85021... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85022... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85023... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85024... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59201]]
85025... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85027... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85029... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85030... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85031... .................. X Manual hemogram, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete cbc.
85041... .................. X Red blood cell (RBC) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
85044... .................. X Reticulocyte count...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85045... .................. X Reticulocyte count...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85048... .................. X White blood cell (WBC) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
85060... .................. A Blood smear 0.45 0.22 0.22 0.02 0.69 0.69 XXX
interpretation.
85095... .................. A Bone marrow aspiration.. 1.08 0.67 0.67 0.05 1.80 1.80 XXX
85097... .................. A Bone marrow 0.94 0.48 0.48 0.04 1.46 1.46 XXX
interpretation.
85102... .................. A Bone marrow biopsy...... 1.37 0.80 0.80 0.05 2.22 2.22 XXX
85130... .................. X Chromogenic substrate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
85170... .................. X Blood clot retraction... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85175... .................. X Blood clot lysis time... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85210... .................. X Blood clot factor II 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85220... .................. X Blood clot factor V test 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85230... .................. X Blood clot factor VII 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85240... .................. X Blood clot factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85244... .................. X Blood clot factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85245... .................. X Blood clot factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85246... .................. X Blood clot factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85247... .................. X Blood clot factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85250... .................. X Blood clot factor IX 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85260... .................. X Blood clot factor X test 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85270... .................. X Blood clot factor XI 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85280... .................. X Blood clot factor XII 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85290... .................. X Blood clot factor XIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85291... .................. X Blood clot factor XIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85292... .................. X Blood clot factor assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85293... .................. X Blood clot factor assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85300... .................. X Antithrombin III test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85301... .................. X Antithrombin III test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85302... .................. X Blood clot inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen.
85303... .................. X Blood clot inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85305... .................. X Blood clot inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
85306... .................. X Blood clot inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85335... .................. X Factor inhibitor test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85337... .................. X Thrombomodulin.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85345... .................. X Coagulation time........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85347... .................. X Coagulation time........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85348... .................. X Coagulation time........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85360... .................. X Euglobulin lysis........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85362... .................. X Fibrin degradation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
products.
85366... .................. X Fibrinogen test......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85370... .................. X Fibrinogen test......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85378... .................. X Fibrin degradation...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85379... .................. X Fibrin degradation...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85384... .................. X Fibrinogen.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85385... .................. X Fibrinogen.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85390... .................. X Fibrinolysins screen.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85390... 26 A Fibrinolysins screen.... 0.37 0.20 0.20 0.01 0.58 0.58 XXX
85400... .................. X Fibrinolytic plasmin.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85410... .................. X Fibrinolytic antiplasmin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85415... .................. X Fibrinolytic plasminogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85420... .................. X Fibrinolytic plasminogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85421... .................. X Fibrinolytic plasminogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85441... .................. X Heinz bodies; direct.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85445... .................. X Heinz bodies; induced... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85460... .................. X Hemoglobin, fetal....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85461... .................. X Hemoglobin, fetal....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85475... .................. X Hemolysin............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85520... .................. X Heparin assay........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85525... .................. X Heparin................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85530... .................. X Heparin-protamine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tolerance.
85535... .................. X Iron stain, blood cells. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85540... .................. X Wbc alkaline phosphatase 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85547... .................. X RBC mechanical fragility 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85549... .................. X Muramidase.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85555... .................. X RBC osmotic fragility... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85557... .................. X RBC osmotic fragility... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85576... .................. X Blood platelet 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aggregation.
85576... 26 A Blood platelet 0.37 0.20 0.20 0.01 0.58 0.58 XXX
aggregation.
[[Page 59202]]
85585... .................. X Blood platelet 0.00 0.00 0.00 0.00 0.00 0.00 XXX
estimation.
85590... .................. X Platelet manual count... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85595... .................. X Platelet count, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
automated.
85597... .................. X Platelet neutralization. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85610... .................. X Prothrombin time........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85611... .................. X Prothrombin test........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85612... .................. X Viper venom prothrombin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
time.
85613... .................. X Russell viper venom, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diluted.
85635... .................. X Reptilase test.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85651... .................. X Rbc sed rate, nonauto... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85652... .................. X Rbc sed rate, auto...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85660... .................. X RBC sickle cell test.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85670... .................. X Thrombin time, plasma... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85675... .................. X Thrombin time, titer.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85705... .................. X Thromboplastin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibition.
85730... .................. X Thromboplastin time, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
partial.
85732... .................. X Thromboplastin time, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
partial.
85810... .................. X Blood viscosity 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
85999... .................. X Hematology procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86000... .................. X Agglutinins; febrile.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86003... .................. X Allergen specific IgE... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86005... .................. X Allergen specific IgE... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86021... .................. X WBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
86022... .................. X Platelet antibodies..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86023... .................. X Immunoglobulin assay.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86038... .................. X Antinuclear antibodies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86039... .................. X Antinuclear antibodies 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(ANA).
86060... .................. X Antistreptolysin O titer 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86063... .................. X Antistreptolysin O 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
86077... .................. A Physician blood bank 0.94 0.30 0.30 0.02 1.26 1.26 XXX
service.
86078... .................. A Physician blood bank 0.94 0.34 0.34 0.02 1.30 1.30 XXX
service.
86079... .................. A Physician blood bank 0.94 0.33 0.33 0.02 1.29 1.29 XXX
service.
86140... .................. X C-reactive protein...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86147... .................. X Cardiolipin antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86148... .................. X Phospholipid antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86155... .................. X Chemotaxis assay........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86156... .................. X Cold agglutinin screen.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86157... .................. X Cold agglutinin, titer.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86160... .................. X Complement, antigen..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86161... .................. X Complement/function 0.00 0.00 0.00 0.00 0.00 0.00 XXX
activity.
86162... .................. X Complement, total (CH50) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86171... .................. X Complement fixation, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each.
86185... .................. X Counterimmunoelectrophor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
esis.
86215... .................. X Deoxyribonuclease, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86225... .................. X DNA antibody............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86226... .................. X DNA antibody, single 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strand.
86235... .................. X Nuclear antigen antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86243... .................. X Fc receptor............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86255... .................. X Fluorescent antibody; 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
86255... 26 A Fluorescent antibody; 0.37 0.20 0.20 0.01 0.58 0.58 XXX
screen.
86256... .................. X Fluorescent antibody; 0.00 0.00 0.00 0.00 0.00 0.00 XXX
titer.
86256... 26 A Fluorescent antibody; 0.37 0.20 0.20 0.01 0.58 0.58 XXX
titer.
86277... .................. X Growth hormone antibody. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86280... .................. X Hemagglutination 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibition.
86287... .................. D 12/Hepatitis B (HBsAg).. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86289... .................. D Hepatitis BC antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86290... .................. D 12/Hepatitis BC antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86291... .................. D Hepatitis BS antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86293... .................. D Hepatitis Be antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86295... .................. D 12/Hepatitis Be antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86296... .................. D Hepatitis A antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86299... .................. D Hepatitis A antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86302... .................. D Hepatitis C antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86303... .................. D Hepatitis C antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86306... .................. D Hepatitis, delta agent.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86308... .................. X Heterophile antibodies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86309... .................. X Heterophile antibodies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86310... .................. X Heterophile antibodies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86311... .................. D 12/31/97HIV antigen test 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86313... .................. D Immunoassay, infectious 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
86315... .................. D Immunoassay, infectious 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
86316... .................. X Immunoassay, tumor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen.
86317... .................. X Immunoassay, infectious 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
86318... .................. X Immunoassay, infectious 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
[[Page 59203]]
86320... .................. X Serum 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunoelectrophoresis.
86320... 26 A Serum 0.37 0.20 0.20 0.01 0.58 0.58 XXX
immunoelectrophoresis.
86325... .................. X Other 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunoelectrophoresis.
86325... 26 A Other 0.37 0.20 0.20 0.01 0.58 0.58 XXX
immunoelectrophoresis.
86327... .................. X Immunoelectrophoresis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86327... 26 A Immunoelectrophoresis 0.42 0.20 0.20 0.01 0.63 0.63 XXX
assay.
86329... .................. X Immunodiffusion......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86331... .................. X Immunodiffusion 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ouchterlony.
86332... .................. X Immune complex assay.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86334... .................. X Immunofixation procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86334... 26 A Immunofixation procedure 0.37 0.20 0.20 0.01 0.58 0.58 XXX
86337... .................. X Insulin antibodies...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86340... .................. X Intrinsic factor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86341... .................. X Islet cell antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86343... .................. X Leukocyte histamine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
release.
86344... .................. X Leukocyte phagocytosis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86353... .................. X Lymphocyte 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transformation.
86359... .................. X T cells, total count.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86360... .................. X T cell absolute count/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ratio.
86361... .................. X T cell absolute count... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86376... .................. X Microsomal antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86378... .................. X Migration inhibitory 0.00 0.00 0.00 0.00 0.00 0.00 XXX
factor.
86382... .................. X Neutralization test, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
viral.
86384... .................. X Nitroblue tetrazolium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dye.
86403... .................. X Particle agglutination 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86406... .................. X Particle agglutination 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86430... .................. X Rheumatoid factor test.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86431... .................. X Rheumatoid factor, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86485... .................. C Skin test, candida...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86490... .................. A Coccidioidomycosis skin 0.00 0.28 0.28 0.02 0.30 0.30 XXX
test.
86510... .................. A Histoplasmosis skin test 0.00 0.30 0.30 0.02 0.32 0.32 XXX
86580... .................. A TB intradermal test..... 0.00 0.24 0.24 0.02 0.26 0.26 XXX
86585... .................. A TB tine test............ 0.00 0.19 0.19 0.01 0.20 0.20 XXX
86586... .................. C Skin test, unlisted..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86588... .................. X Streptocollus, direct 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
86590... .................. X Streptokinase, antibody. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86592... .................. X Blood serology, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qualitative.
86593... .................. X Blood serology, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quantitative.
86602... .................. X Antinomyces antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86603... .................. X Adenovirus, antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86606... .................. X Aspergillus antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86609... .................. X Bacterium, antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86612... .................. X Blastomyces, antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86615... .................. X Bordetella antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86617... .................. X Lyme disease antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86618... .................. X Lyme disease antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86619... .................. X Borrelia antibody....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86622... .................. X Brucella, antibody...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86625... .................. X Campylobacter, antibody. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86628... .................. X Candida, antibody....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86631... .................. X Chlamydia, antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86632... .................. X Chlamydia, IgM, antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86635... .................. X Coccidioides, antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86638... .................. X Q fever antibody........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86641... .................. X Cryptococcus antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86644... .................. X CMV antibody............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86645... .................. X CMV antibody, IgM....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86648... .................. X Diphtheria antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86651... .................. X Encephalitis antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86652... .................. X Encephalitis antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86653... .................. X Encephalitis, antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86654... .................. X Encephalitis, antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86658... .................. X Enterovirus, antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86663... .................. X Epstein-barr antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86664... .................. X Epstein-barr antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86665... .................. X Epstein-barr, antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86668... .................. X Francisella tularensis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86671... .................. X Fungus, antibody........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86674... .................. X Giardia lamblia......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86677... .................. X Helicobacter pylori..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86682... .................. X Helminth, antibody...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86684... .................. X Hemophilus influenza.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86687... .................. X HTLV I.................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86688... .................. X HTLV-II................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59204]]
86689... .................. X HTLV/HIV confirmatory 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86692... .................. X Hepatitis, delta agent.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86694... .................. X Herpes simplex test..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86695... .................. X Herpes simplex test..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86698... .................. X Histoplasma............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86701... .................. X HIV-1................... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86702... .................. X HIV-2................... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86703... .................. X HIV-1/HIV-2, single 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86704... .................. X Hep b core ab test, igg 0.00 0.00 0.00 0.00 0.00 0.00 XXX
& m.
86705... .................. X Hep b core ab test, igm. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86706... .................. X Hepatitis b surface ab 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86707... .................. X Hepatitis be ab test.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86708... .................. X Hep a ab test, igg & m.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86709... .................. X Hep a ab test, igm...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86710... .................. X Influenza virus......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86713... .................. X Legionella.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86717... .................. X Leishmania.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86720... .................. X Leptospira.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86723... .................. X Listeria monocytogenes.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86727... .................. X Lymph choriomeningitis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86729... .................. X Lympho venereum......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86732... .................. X Mucormycosis............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86735... .................. X Mumps................... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86738... .................. X Mycoplasma.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86741... .................. X Neisseria meningitidis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86744... .................. X Nocardia................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86747... .................. X Parvovirus.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86750... .................. X Malaria................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86753... .................. X Protozoa, not elsewhere. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86756... .................. X Respiratory virus....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86759... .................. X Rotavirus............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86762... .................. X Rubella................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86765... .................. X Rubeola................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86768... .................. X Salmonella.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86771... .................. X Shigella................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86774... .................. X Tetanus................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86777... .................. X Toxoplasma.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86778... .................. X Toxoplasma, IgM......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86781... .................. X Treponema pallidum 0.00 0.00 0.00 0.00 0.00 0.00 XXX
confirm.
86784... .................. X Trichinella............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86787... .................. X Varicella-zoster........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86790... .................. X Virus, not specified.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86793... .................. X Yersinia................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86800... .................. X Thyroglobulin antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86803... .................. X Hepatitis c ab test..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86804... .................. X Hep c ab test, confirm.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86805... .................. X Lymphocytotoxicity assay 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86806... .................. X Lymphocytotoxicity assay 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86807... .................. X Cytotoxic antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screening.
86808... .................. X Cytotoxic antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screening.
86812... .................. X HLA typing, A, B, or C.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86813... .................. X HLA typing, A, B, or C.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86816... .................. X HLA typing, DR/DQ....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86817... .................. X HLA typing, DR/DQ....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86821... .................. X Lymphocyte culture, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mixed.
86822... .................. X Lymphocyte culture, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primed.
86849... .................. X Immunology procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86850... .................. X RBC antibody screen..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86860... .................. X RBC antibody elution.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86870... .................. X RBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
86880... .................. X Coombs test............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86885... .................. X Coombs test............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86886... .................. X Coombs test............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86890... .................. X Autologous blood process 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86891... .................. X Autologous blood, op 0.00 0.00 0.00 0.00 0.00 0.00 XXX
salvage.
86900... .................. X Blood typing, ABO....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86901... .................. X Blood typing, Rh (D).... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86903... .................. X Blood typing, antigen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
86904... .................. X Blood typing, patient 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
86905... .................. X Blood typing, RBC 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigens.
86906... .................. X Blood typing, Rh 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenotype.
86910... .................. N Blood typing, paternity 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86911... .................. N Blood typing, antigen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
system.
86915... .................. X Bone marrow............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59205]]
86920... .................. X Compatibility test...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86921... .................. X Compatibility test...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86922... .................. X Compatibility test...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86927... .................. X Plasma, fresh frozen.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86930... .................. X Frozen blood prep....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86931... .................. X Frozen blood thaw....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86932... .................. X Frozen blood, freeze/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thaw.
86940... .................. X Hemolysins/agglutinins 0.00 0.00 0.00 0.00 0.00 0.00 XXX
auto.
86941... .................. X Hemolysins/agglutinins.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86945... .................. X Blood product/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
irradiation.
86950... .................. X Leukacyte transfusion... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86965... .................. X Pooling blood platelets. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86970... .................. X RBC pretreatment........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86971... .................. X RBC pretreatment........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86972... .................. X RBC pretreatment........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86975... .................. X RBC pretreatment, serum. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86976... .................. X RBC pretreatment, serum. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86977... .................. X RBC pretreatment, serum. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86978... .................. X RBC pretreatment, serum. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86985... .................. X Split blood or products. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86999... .................. X Transfusion procedure... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87001... .................. X Small animal inoculation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87003... .................. X Small animal inoculation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87015... .................. X Specimen concentration.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87040... .................. X Blood culture for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87045... .................. X Stool culture for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87060... .................. X Nose/throat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture,bacteria.
87070... .................. X Culture specimen, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87072... .................. X Culture of specimen by 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kit.
87075... .................. X Culture specimen, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87076... .................. X Bacteria identification. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87081... .................. X Bacteria culture screen. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87082... .................. X Culture of specimen by 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kit.
87083... .................. X Culture of specimen by 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kit.
87084... .................. X Culture of specimen by 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kit.
87085... .................. X Culture of specimen by 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kit.
87086... .................. X Urine culture, colony 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
87087... .................. X Urine bacteria culture.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87088... .................. X Urine bacteria culture.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87101... .................. X Skin fungus culture..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87102... .................. X Fungus isolation culture 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87103... .................. X Blood fungus culture.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87106... .................. X Fungus identification... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87109... .................. X Mycoplasma culture...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87110... .................. X Culture, chlamydia...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87116... .................. X Mycobacteria culture.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87117... .................. X Mycobacteria culture.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87118... .................. X Mycobacteria 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
87140... .................. X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluorescent.
87143... .................. X Culture typing, GLC 0.00 0.00 0.00 0.00 0.00 0.00 XXX
method.
87145... .................. X Culture typing, phage 0.00 0.00 0.00 0.00 0.00 0.00 XXX
method.
87147... .................. X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serologic.
87151... .................. X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serologic.
87155... .................. X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
precipitin.
87158... .................. X Culture typing, added 0.00 0.00 0.00 0.00 0.00 0.00 XXX
method.
87163... .................. X Special microbiology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87164... .................. X Dark field examination.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87164... 26 A Dark field examination.. 0.37 0.20 0.20 0.01 0.58 0.58 XXX
87166... .................. X Dark field examination.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87174... .................. X Endotoxin, bacterial.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87175... .................. X Assay, endotoxin, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacterial.
87176... .................. X Endotoxin, bacterial.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87177... .................. X Ova and parasites smears 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87178... .................. D Microbe identification.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87179... .................. D Microbe identification.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87181... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each.
87184... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each.
87186... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MIC.
87187... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MBC.
87188... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each.
87190... .................. X TB antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity.
87192... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each.
87197... .................. X Bactericidal level, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
87205... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59206]]
87206... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87207... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87207... 26 A Smear, stain & interpret 0.37 0.20 0.20 0.01 0.58 0.58 XXX
87208... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87210... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87211... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87220... .................. X Tissue exam for fungi... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87230... .................. X Assay, toxin or 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitoxin.
87250... .................. X Virus inoculation for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
87252... .................. X Virus inoculation for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
87253... .................. X Virus inoculation for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
87260... .................. X Adenovirus ag, dfa...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87265... .................. X Pertussis ag, dfa....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87270... .................. X Chylmd trach ag, dfa.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87272... .................. X Cryptosporidum ag, dfa.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87274... .................. X Herpes simplex ag, dfa.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87276... .................. X Influenza ag, dfa....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87278... .................. X Legion pneumo ag, dfa... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87280... .................. X Resp syncytial ag, dfa.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87285... .................. X Trepon pallidum ag, dfa. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87290... .................. X Varicella ag, dfa....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87299... .................. X Ag detection nos, dfa... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87301... .................. X Adenovirus ag, eia...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87320... .................. X Chylmd trach ag, eia.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87324... .................. X Clostridium ag, eia..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87328... .................. X Cryptospor ag, eia...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87332... .................. X Cytomegalovirus ag, eia. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87335... .................. X E coli 0157 ag, eia..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87340... .................. X Hepatitis b surface ag, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87350... .................. X Hepatitis b ag, eia..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87380... .................. X Hepatitis delta ag, eia. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87385... .................. X Histoplasma capsul ag, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87390... .................. X HIV-1 ag, eia........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87391... .................. X HIV-2 ag, eia........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87420... .................. X Resp syncytial ag, eia.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87425... .................. X Rotavirus ag, eia....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87430... .................. X Strep a ag, eia......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87449... .................. X Ag detect nos, eia, mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87450... .................. X Ag detect nos, eia, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single.
87470... .................. X Bartonella, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87471... .................. X Bartonella, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87472... .................. X Bartonella, dna, quant.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87475... .................. X Lyme dis, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87476... .................. X Lyme dis, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87477... .................. X Lyme dis, dna, quant.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87480... .................. X Candida, dna, dir probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87481... .................. X Candida, dna, amp probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87482... .................. X Candida, dna, quant..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87485... .................. X Chylmd pneum, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87486... .................. X Chylmd pneum, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87487... .................. X Chylmd pneum, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87490... .................. X Chylmd trach, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87491... .................. X Chylmd trach, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87492... .................. X Chylmd trach, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87495... .................. X Cytomeg, dna, dir probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87496... .................. X Cytomeg, dna, amp probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87497... .................. X Cytomeg, dna, quant..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87510... .................. X Gardner vag, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87511... .................. X Gardner vag, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87512... .................. X Gardner vag, dna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87515... .................. X Hepatitis b, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87516... .................. X Hepatitis b, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87517... .................. X Hepatitis b, dna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87520... .................. X Hepatitis c, rna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87521... .................. X Hepatitis c, rna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87522... .................. X Hepatitis c, rna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87525... .................. X Hepatitis g , dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87526... .................. X Hepatitis g, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87527... .................. X Hepatitis g, dna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87528... .................. X Hsv, dna, dir probe..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87529... .................. X Hsv, dna, amp probe..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87530... .................. X Hsv, dna, quant......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87531... .................. X Hhv-6, dna, dir probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87532... .................. X Hhv-6, dna, amp probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59207]]
87533... .................. X Hhv-6, dna, quant....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87534... .................. X Hiv-1, dna, dir probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87535... .................. X Hiv-1, dna, amp probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87536... .................. X Hiv-1, dna, quant....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87537... .................. X Hiv-2, dna, dir probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87538... .................. X Hiv-2, dna, amp probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87539... .................. X Hiv-2, dna, quant....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87540... .................. X Legion pneumo, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prob.
87541... .................. X Legion pneumo, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prob.
87542... .................. X Legion pneumo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87550... .................. X Mycobacteria, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87551... .................. X Mycobacteria, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87552... .................. X Mycobacteria, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87555... .................. X M. tuberculo, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87556... .................. X M. tuberculo, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87557... .................. X M. tuberculo, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87560... .................. X M. avium-intra, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prob.
87561... .................. X M. avium-intra, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prob.
87562... .................. X M. avium-intra, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87580... .................. X M. pneumon, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87581... .................. X M. pneumon, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87582... .................. X M. pneumon, dna, quant.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87590... .................. X N. gonorrhoeae, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prob.
87591... .................. X N. gonorrhoeae, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prob.
87592... .................. X N. gonorrhoeae, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87620... .................. X Hpv, dna, dir probe..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87621... .................. X Hpv, dna, amp probe..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87622... .................. X Hpv, dna, quant......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87650... .................. X Strep a, dna, dir probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87651... .................. X Strep a, dna, amp probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87652... .................. X Strep a, dna, quant..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87797... .................. X Detect agent nos, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir.
87798... .................. X Detect agent nos, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp.
87799... .................. X Detect agent nos, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87810... .................. X Chylmd trach assay w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
optic.
87850... .................. X N. gonorrhoeae assay w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
optic.
87880... .................. X Strep a assay w/optic... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87899... .................. X Agent nos assay w/optic. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87999... .................. X Microbiology procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88000... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88005... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88007... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88012... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88014... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88016... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gross.
88020... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
88025... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
88027... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
88028... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
88029... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
88036... .................. N Limited autopsy......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88037... .................. N Limited autopsy......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88040... .................. N Forensic autopsy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy).
88045... .................. N Coroner's autopsy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy).
88099... .................. N Necropsy (autopsy) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88104... .................. A Cytopathology, fluids... 0.56 0.44 0.44 0.04 1.04 1.04 XXX
88104... TC A Cytopathology, fluids... 0.00 0.21 0.21 0.02 0.23 0.23 XXX
88104... 26 A Cytopathology, fluids... 0.56 0.23 0.23 0.02 0.81 0.81 XXX
88106... .................. A Cytopathology, fluids... 0.56 0.37 0.37 0.03 0.96 0.96 XXX
88106... TC A Cytopathology, fluids... 0.00 0.17 0.17 0.02 0.19 0.19 XXX
88106... 26 A Cytopathology, fluids... 0.56 0.20 0.20 0.01 0.77 0.77 XXX
88107... .................. A Cytopathology, fluids... 0.76 0.47 0.47 0.04 1.27 1.27 XXX
88107... TC A Cytopathology, fluids... 0.00 0.23 0.23 0.02 0.25 0.25 XXX
88107... 26 A Cytopathology, fluids... 0.76 0.24 0.24 0.02 1.02 1.02 XXX
88108... .................. A Cytopath, concentrate 0.56 0.47 0.47 0.04 1.07 1.07 XXX
tech.
88108... TC A Cytopath, concentrate 0.00 0.23 0.23 0.02 0.25 0.25 XXX
tech.
88108... 26 A Cytopath, concentrate 0.56 0.24 0.24 0.02 0.82 0.82 XXX
tech.
88125... .................. A Forensic cytopathology.. 0.26 0.11 0.11 0.00 0.37 0.37 XXX
88125... TC A Forensic cytopathology.. 0.00 0.04 0.04 0.00 0.04 0.04 XXX
88125... 26 A Forensic cytopathology.. 0.26 0.07 0.07 0.00 0.33 0.33 XXX
88130... .................. X Sex chromatin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
88140... .................. X Sex chromatin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
88141... .................. A Cytopath cerv/vag 0.42 0.32 0.32 0.04 0.78 0.78 XXX
interpret.
88142... .................. X Cytopath cerv/vag thin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
layer.
[[Page 59208]]
88150... .................. X Cytopath cerv/vag....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88151... .................. D Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpretation.
88151... 26 D Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpretation.
88152... .................. X Cytopath cerv/vag auto.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88155... .................. X Cytopath cerv/vag index. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88156... .................. X Cytopath cerv/vag tbs... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88157... .................. D 1TBS smear (bethesda 0.00 0.00 0.00 0.00 0.00 0.00 XXX
system).
88157... 26 D 1TBS smear (bethesda 0.00 0.00 0.00 0.00 0.00 0.00 XXX
system).
88158... .................. X Cytopath cerv/vag tbs 0.00 0.00 0.00 0.00 0.00 0.00 XXX
auto.
88160... .................. A Cytopath smear, other 0.50 0.33 0.33 0.03 0.86 0.86 XXX
source.
88160... TC A Cytopath smear, other 0.00 0.16 0.16 0.02 0.18 0.18 XXX
source.
88160... 26 A Cytopath smear, other 0.50 0.17 0.17 0.01 0.68 0.68 XXX
source.
88161... .................. A Cytopath smear, other 0.50 0.39 0.39 0.03 0.92 0.92 XXX
source.
88161... TC A Cytopath smear, other 0.00 0.19 0.19 0.02 0.21 0.21 XXX
source.
88161... 26 A Cytopath smear, other 0.50 0.20 0.20 0.01 0.71 0.71 XXX
source.
88162... .................. A Cytopath smear, other 0.76 0.79 0.79 0.05 1.60 1.60 XXX
source.
88162... TC A Cytopath smear, other 0.00 0.38 0.38 0.02 0.40 0.40 XXX
source.
88162... 26 A Cytopath smear, other 0.76 0.41 0.41 0.03 1.20 1.20 XXX
source.
88170... .................. A Fine needle aspiration.. 1.27 0.99 0.99 0.09 2.35 2.35 XXX
88170... TC A Fine needle aspiration.. 0.00 0.47 0.47 0.04 0.51 0.51 XXX
88170... 26 A Fine needle aspiration.. 1.27 0.52 0.52 0.05 1.84 1.84 XXX
88171... .................. A Fine needle aspiration.. 1.27 1.35 1.35 0.09 2.71 2.71 XXX
88171... TC A Fine needle aspiration.. 0.00 0.64 0.64 0.04 0.68 0.68 XXX
88171... 26 A Fine needle aspiration.. 1.27 0.71 0.71 0.05 2.03 2.03 XXX
88172... .................. A Evaluation of smear..... 0.60 0.71 0.71 0.05 1.36 1.36 XXX
88172... TC A Evaluation of smear..... 0.00 0.35 0.35 0.02 0.37 0.37 XXX
88172... 26 A Evaluation of smear..... 0.60 0.36 0.36 0.03 0.99 0.99 XXX
88173... .................. A Interpretation of smear. 1.39 0.87 0.87 0.05 2.31 2.31 XXX
88173... TC A Interpretation of smear. 0.00 0.42 0.42 0.02 0.44 0.44 XXX
88173... 26 A Interpretation of smear. 1.39 0.45 0.45 0.03 1.87 1.87 XXX
88180... .................. A Cell marker study....... 0.36 0.33 0.33 0.03 0.72 0.72 XXX
88180... TC A Cell marker study....... 0.00 0.16 0.16 0.02 0.18 0.18 XXX
88180... 26 A Cell marker study....... 0.36 0.17 0.17 0.01 0.54 0.54 XXX
88182... .................. A Cell marker study....... 0.77 0.89 0.89 0.07 1.73 1.73 XXX
88182... TC A Cell marker study....... 0.00 0.44 0.44 0.04 0.48 0.48 XXX
88182... 26 A Cell marker study....... 0.77 0.45 0.45 0.03 1.25 1.25 XXX
88199... .................. C Cytopathology procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88199... TC C Cytopathology procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88199... 26 C Cytopathology procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88230... .................. X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lymphocyte.
88233... .................. X Tissue culture, skin/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
biopsy.
88235... .................. X Tissue culture, placenta 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88237... .................. X Tissue culture, bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
marrow.
88239... .................. X Tissue culture, other... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88245... .................. X Chromosome analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88248... .................. X Chromosome analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88250... .................. X Chromosome analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88260... .................. X Chromosome analysis: 5 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cells.
88261... .................. X Chromosome analysis: 5 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cells.
88262... .................. X Chromosome count: 15-20 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cells.
88263... .................. X Chromosome analysis: 45 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cells.
88267... .................. X Chromosome analysis: 0.00 0.00 0.00 0.00 0.00 0.00 XXX
placenta.
88269... .................. X Chromosome analysis: 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amniotic.
88280... .................. X Chromosome karyotype 0.00 0.00 0.00 0.00 0.00 0.00 XXX
study.
88283... .................. X Chromosome banding study 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88285... .................. X Chromosome count: 0.00 0.00 0.00 0.00 0.00 0.00 XXX
additional.
88289... .................. X Chromosome study: 0.00 0.00 0.00 0.00 0.00 0.00 XXX
additional.
88299... .................. C Cytogenetic study....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88300... .................. A Surg path, gross........ 0.08 0.20 0.20 0.01 0.29 0.29 XXX
88300... TC A Surg path, gross........ 0.00 0.10 0.10 0.00 0.10 0.10 XXX
88300... 26 A Surg path, gross........ 0.08 0.10 0.10 0.01 0.19 0.19 XXX
88302... .................. A Tissue exam by 0.13 0.40 0.40 0.04 0.57 0.57 XXX
pathologist.
88302... TC A Tissue exam by 0.00 0.23 0.23 0.02 0.25 0.25 XXX
pathologist.
88302... 26 A Tissue exam by 0.13 0.17 0.17 0.02 0.32 0.32 XXX
pathologist.
88304... .................. A Tissue exam by 0.22 0.57 0.57 0.04 0.83 0.83 XXX
pathologist.
88304... TC A Tissue exam by 0.00 0.33 0.33 0.02 0.35 0.35 XXX
pathologist.
88304... 26 A Tissue exam by 0.22 #0.24 #0.24 0.02 0.48 0.48 XXX
pathologist.
88305... .................. A Tissue exam by 0.75 1.03 1.03 0.08 1.86 1.86 XXX
pathologist.
88305... TC A Tissue exam by 0.00 0.50 0.50 0.04 0.54 0.54 XXX
pathologist.
88305... 26 A Tissue exam by 0.75 0.53 0.53 0.04 1.32 1.32 XXX
pathologist.
88307... .................. A Tissue exam by 1.59 1.52 1.52 0.12 3.23 3.23 XXX
pathologist.
88307... TC A Tissue exam by 0.00 0.74 0.74 0.06 0.80 0.80 XXX
pathologist.
88307... 26 A Tissue exam by 1.59 0.78 0.78 0.06 2.43 2.43 XXX
pathologist.
88309... .................. A Tissue exam by 2.28 1.92 1.92 0.13 4.33 4.33 XXX
pathologist.
[[Page 59209]]
88309... TC A Tissue exam by 0.00 0.93 0.93 0.06 0.99 0.99 XXX
pathologist.
88309... 26 A Tissue exam by 2.28 0.99 0.99 0.07 3.34 3.34 XXX
pathologist.
88311... .................. A Decalcify tissue........ 0.24 0.21 0.21 0.01 0.46 0.46 XXX
88311... TC A Decalcify tissue........ 0.00 0.10 0.10 0.00 0.10 0.10 XXX
88311... 26 A Decalcify tissue........ 0.24 0.11 0.11 0.01 0.36 0.36 XXX
88312... .................. A Special stains.......... 0.54 0.26 0.26 0.01 0.81 0.81 XXX
88312... TC A Special stains.......... 0.00 0.12 0.12 0.00 0.12 0.12 XXX
88312... 26 A Special stains.......... 0.54 0.14 0.14 0.01 0.69 0.69 XXX
88313... .................. A Special stains.......... 0.24 0.21 0.21 0.01 0.46 0.46 XXX
88313... TC A Special stains.......... 0.00 0.10 0.10 0.00 0.10 0.10 XXX
88313... 26 A Special stains.......... 0.24 0.11 0.11 0.01 0.36 0.36 XXX
88314... .................. A Histochemical stain..... 0.45 0.62 0.62 0.04 1.11 1.11 XXX
88314... TC A Histochemical stain..... 0.00 0.27 0.27 0.02 0.29 0.29 XXX
88314... 26 A Histochemical stain..... 0.45 0.35 0.35 0.02 0.82 0.82 XXX
88318... .................. A Chemical histochemistry. 0.42 0.24 0.24 0.01 0.67 0.67 XXX
88318... TC A Chemical histochemistry. 0.00 0.12 0.12 0.00 0.12 0.12 XXX
88318... 26 A Chemical histochemistry. 0.42 0.12 0.12 0.01 0.55 0.55 XXX
88319... .................. A Enzyme histochemistry... 0.53 0.49 0.49 0.04 1.06 1.06 XXX
88319... TC A Enzyme histochemistry... 0.00 0.23 0.23 0.02 0.25 0.25 XXX
88319... 26 A Enzyme histochemistry... 0.53 0.26 0.26 0.02 0.81 0.81 XXX
88321... .................. A Microslide consultation. 1.30 0.41 0.41 0.03 1.74 1.74 XXX
88323... .................. A Microslide consultation. 1.35 0.72 0.72 0.05 2.12 2.12 XXX
88323... TC A Microslide consultation. 0.00 0.33 0.33 0.02 0.35 0.35 XXX
88323... 26 A Microslide consultation. 1.35 0.39 0.39 0.03 1.77 1.77 XXX
88325... .................. A Comprehensive review of 2.22 0.47 0.47 0.04 2.73 2.73 XXX
data.
88329... .................. A Pathology consult in 0.67 0.37 0.37 0.03 1.07 1.07 XXX
surgery.
88331... .................. A Pathology consult in 1.19 1.10 1.10 0.08 2.37 2.37 XXX
surgery.
88331... TC A Pathology consult in 0.00 0.54 0.54 0.04 0.58 0.58 XXX
surgery.
88331... 26 A Pathology consult in 1.19 0.56 0.56 0.04 1.79 1.79 XXX
surgery.
88332... .................. A Pathology consult in 0.59 0.56 0.56 0.04 1.19 1.19 XXX
surgery.
88332... TC A Pathology consult in 0.00 0.27 0.27 0.02 0.29 0.29 XXX
surgery.
88332... 26 A Pathology consult in 0.59 0.29 0.29 0.02 0.90 0.90 XXX
surgery.
88342... .................. A Immunocytochemistry..... 0.85 0.64 0.64 0.04 1.53 1.53 XXX
88342... TC A Immunocytochemistry..... 0.00 0.31 0.31 0.02 0.33 0.33 XXX
88342... 26 A Immunocytochemistry..... 0.85 0.33 0.33 0.02 1.20 1.20 XXX
88346... .................. A Immunofluorescent study. 0.86 0.58 0.58 0.04 1.48 1.48 XXX
88346... TC A Immunofluorescent study. 0.00 0.27 0.27 0.02 0.29 0.29 XXX
88346... 26 A Immunofluorescent study. 0.86 0.31 0.31 0.02 1.19 1.19 XXX
88347... .................. A Immunofluorescent study. 0.86 0.42 0.42 0.04 1.32 1.32 XXX
88347... TC A Immunofluorescent study. 0.00 0.27 0.27 0.02 0.29 0.29 XXX
88347... 26 A Immunofluorescent study. 0.86 0.15 0.15 0.02 1.03 1.03 XXX
88348... .................. A Electron microscopy..... 1.51 2.28 2.28 0.16 3.95 3.95 XXX
88348... TC A Electron microscopy..... 0.00 1.09 1.09 0.08 1.17 1.17 XXX
88348... 26 A Electron microscopy..... 1.51 1.19 1.19 0.08 2.78 2.78 XXX
88349... .................. A Scanning electron 0.76 1.55 1.55 0.12 2.43 2.43 XXX
microscopy.
88349... TC A Scanning electron 0.00 0.76 0.76 0.06 0.82 0.82 XXX
microscopy.
88349... 26 A Scanning electron 0.76 0.79 0.79 0.06 1.61 1.61 XXX
microscopy.
88355... .................. A Analysis, skeletal 1.85 1.74 1.74 0.13 3.72 3.72 XXX
muscle.
88355... TC A Analysis, skeletal 0.00 0.82 0.82 0.06 0.88 0.88 XXX
muscle.
88355... 26 A Analysis, skeletal 1.85 0.92 0.92 0.07 2.84 2.84 XXX
muscle.
88356... .................. A Analysis, nerve......... 3.02 2.66 2.66 0.18 5.86 5.86 XXX
88356... TC A Analysis, nerve......... 0.00 1.27 1.27 0.08 1.35 1.35 XXX
88356... 26 A Analysis, nerve......... 3.02 1.39 1.39 0.10 4.51 4.51 XXX
88358... .................. A Analysis, tumor......... 2.82 2.32 2.32 0.16 5.30 5.30 XXX
88358... TC A Analysis, tumor......... 0.00 1.16 1.16 0.08 1.24 1.24 XXX
88358... 26 A Analysis, tumor......... 2.82 1.16 1.16 0.08 4.06 4.06 XXX
88362... .................. A Nerve teasing 2.17 1.97 1.97 0.13 4.27 4.27 XXX
preparations.
88362... TC A Nerve teasing 0.00 0.97 0.97 0.06 1.03 1.03 XXX
preparations.
88362... 26 A Nerve teasing 2.17 1.00 1.00 0.07 3.24 3.24 XXX
preparations.
88365... .................. A Tissue hybridization.... 0.93 0.75 0.75 0.05 1.73 1.73 XXX
88365... TC A Tissue hybridization.... 0.00 0.37 0.37 0.02 0.39 0.39 XXX
88365... 26 A Tissue hybridization.... 0.93 0.38 0.38 0.03 1.34 1.34 XXX
88371... .................. X Protein, western blot 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue.
88371... 26 A Protein, western blot 0.37 0.20 0.20 0.01 0.58 0.58 XXX
tissue.
88372... .................. X Protein analysis w/probe 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88372... 26 A Protein analysis w/probe 0.37 0.20 0.20 0.01 0.58 0.58 XXX
88399... .................. C Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88399... TC C Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88399... 26 C Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
89050... .................. X Body fluid cell count... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89051... .................. X Body fluid cell count... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89060... .................. X Exam, synovial fluid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crystals.
89060... 26 A Exam, synovial fluid 0.37 0.20 0.20 0.01 0.58 0.58 XXX
crystals.
89100... .................. A Sample intestinal 0.60 0.42 0.42 0.03 1.05 1.05 XXX
contents.
[[Page 59210]]
89105... .................. A Sample intestinal 0.50 0.39 0.39 0.03 0.92 0.92 XXX
contents.
89125... .................. X Specimen fat stain...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89130... .................. A Sample stomach contents. 0.45 0.41 0.41 0.03 0.89 0.89 XXX
89132... .................. A Sample stomach contents. 0.19 0.19 0.19 0.02 0.40 0.40 XXX
89135... .................. A Sample stomach contents. 0.79 0.58 0.58 0.04 1.41 1.41 XXX
89136... .................. A Sample stomach contents. 0.21 0.22 0.22 0.02 0.45 0.45 XXX
89140... .................. A Sample stomach contents. 0.94 0.81 0.81 0.07 1.82 1.82 XXX
89141... .................. A Sample stomach contents. 0.85 0.73 0.73 0.06 1.64 1.64 XXX
89160... .................. X Exam feces for meat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fibers.
89190... .................. X Nasal smear for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eosinophils.
89250... .................. X Fertilization of oocyte. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89251... .................. X Culture oocyte w/embryos 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89252... .................. X Assist oocyte 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fertilization.
89253... .................. X Embryo hatching......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89254... .................. X Oocyte identification... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89255... .................. X Prepare embryo for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transfer.
89256... .................. X Prepare cryopreserved 0.00 0.00 0.00 0.00 0.00 0.00 XXX
embryo.
89257... .................. X Sperm identification.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89258... .................. X Cryopreservation, embryo 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89259... .................. X Cryopreservation, sperm. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89260... .................. X Sperm isolation, simple. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89261... .................. X Sperm isolation, complex 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89300... .................. X Semen analysis.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89310... .................. X Semen analysis.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89320... .................. X Semen analysis.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89325... .................. X Sperm antibody test..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89329... .................. X Sperm evaluation test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89330... .................. X Evaluation, cervical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mucus.
89350... .................. A Sputum specimen 0.00 0.39 0.39 0.03 0.42 0.42 XXX
collection.
89355... .................. X Exam feces for starch... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89360... .................. A Collect sweat for test.. 0.00 0.43 0.43 0.03 0.46 0.46 XXX
89365... .................. X Water load test......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89399... .................. C Pathology lab procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89399... TC C Pathology lab procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89399... 26 C Pathology lab procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90700... .................. E DTaP immunization....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90701... .................. E DTP immunization........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90702... .................. E DT immunization......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90703... .................. E Tetanus immunization.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90704... .................. E Mumps immunization...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90705... .................. E Measles immunization.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90706... .................. E Rubella immunization.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90707... .................. E MMR virus immunization.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90708... .................. E Measles-rubella 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunization.
90709... .................. E Rubella & mumps 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunization.
90710... .................. E Combined vaccine........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90711... .................. E Combined vaccine........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90712... .................. E Oral poliovirus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunization.
90713... .................. E Poliomyelitis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunization.
90714... .................. E Typhoid immunization.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90716... .................. E Chicken pox vaccine..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90717... .................. E Yellow fever 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunization.
90718... .................. E Td immunization......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90719... .................. E Diphtheria immunization. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90720... .................. E DTP/HIB vaccine......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90721... .................. E Dtap/hib vaccine........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90724... .................. X Influenza immunization.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90725... .................. E Cholera immunization.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90726... .................. E Rabies immunization..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90727... .................. E Plague immunization..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90728... .................. E BCG immunization........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90730... .................. E Hepatitis A vaccine..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90732... .................. X Pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunization.
90733... .................. E Meningococcal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunization.
90735... .................. E Encephalitis virus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
90737... .................. E Influenza B immunization 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90741... .................. E Passive immunization, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ISG.
90742... .................. E Special passive 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunization.
90744... .................. X Hepatitis B vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
under 11.
90745... .................. X Hepatitis B vaccine, 11- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
19.
90746... .................. X Hepatitis B vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over 20.
90747... .................. X Hepatitis B vaccine, ill 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pat.
90748... .................. X Hepatitis b/hib vaccine. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90749... .................. C Immunization procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59211]]
90780... .................. A IV infusion therapy, 1 0.00 1.06 1.06 0.08 1.14 1.14 XXX
hour.
90781... .................. A IV infusion, additional 0.00 0.53 0.53 0.04 0.57 0.57 XXX
hour.
90782... .................. T Injection (SC)/(IM)..... 0.00 0.10 0.10 0.01 0.11 0.11 XXX
90783... .................. T Injection (IA).......... 0.00 0.39 0.39 0.03 0.42 0.42 XXX
90784... .................. T Injection (IV).......... 0.00 0.45 0.45 0.04 0.49 0.49 XXX
90788... .................. T Injection of antibiotic. 0.00 0.11 0.11 0.01 0.12 0.12 XXX
90799... .................. C Therapeutic/diag 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
90801... .................. A Psy dx interview........ 2.80 0.67 0.67 0.09 3.56 3.56 XXX
90802... .................. A Intac psy dx interview.. 3.01 0.38 0.38 0.05 3.44 3.44 XXX
90804... .................. A Psytx, office (20-30)... 1.11 0.35 0.35 0.05 1.51 1.51 XXX
90805... .................. A Psytx, office (20-30) w/ 1.47 0.35 0.35 0.05 1.87 1.87 XXX
e&m.
90806... .................. A Psytx, office (45-50)... 1.73 0.54 0.54 0.08 2.35 2.35 XXX
90807... .................. A Psytx, office (45-50) w/ 2.00 0.54 0.54 0.08 2.62 2.62 XXX
e&m.
90808... .................. A Psytx, office (75-80)... 2.76 1.05 1.05 0.15 3.96 3.96 XXX
90809... .................. A Psytx, office (75-80) w/ 3.15 1.05 1.05 0.15 4.35 4.35 XXX
e&m.
90810... .................. A Intac psytx, office (20- 1.19 0.59 0.59 0.09 1.87 1.87 XXX
30).
90811... .................. A Intac psytx, off 20-30 w/ 1.58 0.59 0.59 0.09 2.26 2.26 XXX
e&m.
90812... .................. A Intac psytx, office (45- 1.86 0.59 0.59 0.09 2.54 2.54 XXX
50).
90813... .................. A Intac psytx, off 45-50 w/ 2.15 0.59 0.59 0.09 2.83 2.83 XXX
e&m.
90814... .................. A Intac psytx, office (75- 2.97 0.59 0.59 0.09 3.65 3.65 XXX
80).
90815... .................. A Intac psytx, off 75-80 w/ 3.39 0.59 0.59 0.09 4.07 4.07 XXX
e&m.
90816... .................. A Psytx, hosp (20-30)..... 1.24 0.35 0.35 0.05 1.64 1.64 XXX
90817... .................. A Psytx, hosp (20-30) w/ 1.65 0.35 0.35 0.05 2.05 2.05 XXX
e&m.
90818... .................. A Psytx, hosp (45-50)..... 1.94 0.54 0.54 0.08 2.56 2.56 XXX
90819... .................. A Psytx, hosp (45-50) w/ 2.24 0.54 0.54 0.08 2.86 2.86 XXX
e&m.
90820... .................. D Diagnostic interview.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90821... .................. A Psytx, hosp (75-80)..... 3.09 1.05 1.05 0.15 4.29 4.29 XXX
90822... .................. A Psytx, hosp (75-80) w/ 3.53 1.05 1.05 0.15 4.73 4.73 XXX
e&m.
90823... .................. A Intac psytx, hosp (20- 1.33 0.59 0.59 0.09 2.01 2.01 XXX
30).
90824... .................. A Intac psytx, hsp 20-30 w/ 1.77 0.59 0.59 0.09 2.45 2.45 XXX
e&m.
90825... .................. D 1Evaluation of tests/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
records.
90826... .................. A Intac psytx, hosp (45- 2.08 0.59 0.59 0.09 2.76 2.76 XXX
50).
90827... .................. A Intac psytx, hsp 45-50 w/ 2.41 0.59 0.59 0.09 3.09 3.09 XXX
e&m.
90828... .................. A Intac psytx, hosp (75- 3.32 0.59 0.59 0.09 4.00 4.00 XXX
80).
90829... .................. A Intac psytx, hsp 75-80 w/ 3.80 0.59 0.59 0.09 4.48 4.48 XXX
e&m.
90835... .................. D Special interview....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90841... .................. D Psychotherapy........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90842... .................. D Psychotherapy, 75-80 0.00 0.00 0.00 0.00 0.00 0.00 XXX
min..
90843... .................. D Psychotherapy, 20-30 0.00 0.00 0.00 0.00 0.00 0.00 XXX
min..
90844... .................. D Psychotherapy, 45-50 0.00 0.00 0.00 0.00 0.00 0.00 XXX
min..
90845... .................. A Psychoanalysis.......... 1.79 0.41 0.41 0.05 2.25 2.25 XXX
90846... .................. R Family psytx w/o patient 1.83 0.62 0.62 0.08 2.53 2.53 XXX
90847... .................. R Family psytx w/patient.. 2.21 0.58 0.58 0.08 2.87 2.87 XXX
90849... .................. R Multiple family group 0.59 0.26 0.26 0.03 0.88 0.88 XXX
psytx.
90853... .................. A Group psychotherapy..... 0.59 0.26 0.26 0.03 0.88 0.88 XXX
90855... .................. D 12/3 Individual 0.00 0.00 0.00 0.00 0.00 0.00 XXX
psychotherapy.
90857... .................. A Intac group psytx....... 0.63 0.15 0.15 0.02 0.80 0.80 XXX
90862... .................. A Medication management... 0.95 0.37 0.37 0.05 1.37 1.37 XXX
90865... .................. A Narcosynthesis.......... 2.84 0.50 0.50 0.07 3.41 3.41 XXX
90870... .................. A Electroconvulsive 1.88 0.55 0.55 0.08 2.51 2.51 000
therapy.
90871... .................. A Electroconvulsive 2.72 0.83 0.83 0.13 3.68 3.68 000
therapy.
90875... .................. N Psychophysiological 1.20 0.00 0.00 0.00 1.20 1.20 XXX
therapy.
90876... .................. N Psychophysiological 1.90 0.00 0.00 0.00 1.90 1.90 XXX
therapy.
90880... .................. A Hypnotherapy............ 2.19 0.64 0.64 0.07 2.90 2.90 XXX
90882... .................. N Environmental 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manipulation.
90885... .................. B Psy evaluation of +0.97 0.31 0.31 0.04 1.32 1.32 XXX
records.
90887... .................. B Consultation with family +1.48 0.33 0.33 0.04 1.85 1.85 XXX
90889... .................. B Preparation of report... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90899... .................. C Psychiatric service/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
90901... .................. A Biofeedback, any method. 0.41 0.97 0.97 0.07 1.45 1.45 000
90911... .................. A Biofeedback peri/uro/ 0.89 1.13 1.13 0.27 2.29 2.29 000
rectal.
90918... .................. A ESRD related services, 11.18 2.19 2.19 0.14 13.51 13.51 XXX
month.
90919... .................. A ESRD related services, 8.54 2.19 2.19 0.14 10.87 10.87 XXX
month.
90920... .................. A ESRD related services, 7.27 2.19 2.19 0.14 9.60 9.60 XXX
month.
90921... .................. A ESRD related services, 4.47 2.19 2.19 0.14 6.80 6.80 XXX
month.
90922... .................. A ESRD related services, 0.37 0.07 0.07 0.01 0.45 0.45 XXX
day.
90923... .................. A Esrd related services, 0.28 0.07 0.07 0.01 0.36 0.36 XXX
day.
90924... .................. A Esrd related services, 0.24 0.07 0.07 0.01 0.32 0.32 XXX
day.
90925... .................. A Esrd related services, 0.15 0.07 0.07 0.01 0.23 0.23 XXX
day.
90935... .................. A Hemodialysis, one 1.22 #1.34 #1.34 0.10 2.66 2.66 000
evaluation.
90937... .................. A Hemodialysis, repeated 2.11 #2.32 #2.32 0.18 4.61 4.61 000
eval..
90945... .................. A Dialysis, one evaluation 1.28 1.27 1.27 0.08 2.63 2.63 000
90947... .................. A Dialysis, repeated eval. 2.16 2.09 2.09 0.14 4.39 4.39 000
90989... .................. X Dialysis training/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
[[Page 59212]]
90993... .................. X Dialysis training/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
incomplete.
90997... .................. A Hemoperfusion........... 1.84 #2.02 #2.02 0.16 4.02 4.02 000
90999... .................. C Dialysis procedure...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
91000... .................. A Esophageal intubation... 0.73 0.66 0.66 0.06 1.45 1.45 000
91000... TC A Esophageal intubation... 0.00 0.07 0.07 0.01 0.08 0.08 000
91000... 26 A Esophageal intubation... 0.73 0.59 0.59 0.05 1.37 1.37 000
91010... .................. A Esophagus motility study 1.25 2.16 2.16 0.17 3.58 3.58 000
91010... TC A Esophagus motility study 0.00 0.78 0.78 0.06 0.84 0.84 000
91010... 26 A Esophagus motility study 1.25 #1.38 #1.38 0.11 2.74 2.74 000
91011... .................. A Esophagus motility study 1.50 2.63 2.63 0.18 4.31 4.31 000
91011... TC A Esophagus motility study 0.00 0.98 0.98 0.07 1.05 1.05 000
91011... 26 A Esophagus motility study 1.50 #1.65 #1.65 0.11 3.26 3.26 000
91012... .................. A Esophagus motility study 1.46 2.71 2.71 0.23 4.40 4.40 000
91012... TC A Esophagus motility study 0.00 1.10 1.10 0.08 1.18 1.18 000
91012... 26 A Esophagus motility study 1.46 #1.61 #1.61 0.15 3.22 3.22 000
91020... .................. A Gastric motility........ 1.44 2.31 2.31 0.18 3.93 3.93 000
91020... TC A Gastric motility........ 0.00 0.73 0.73 0.06 0.79 0.79 000
91020... 26 A Gastric motility........ 1.44 #1.58 #1.58 0.12 3.14 3.14 000
91030... .................. A Acid perfusion of 0.91 0.56 0.56 0.05 1.52 1.52 000
esophagus.
91030... TC A Acid perfusion of 0.00 0.21 0.21 0.02 0.23 0.23 000
esophagus.
91030... 26 A Acid perfusion of 0.91 0.35 0.35 0.03 1.29 1.29 000
esophagus.
91032... .................. A Esophagus, acid reflux 1.21 1.96 1.96 0.16 3.33 3.33 000
test.
91032... TC A Esophagus, acid reflux 0.00 0.71 0.71 0.06 0.77 0.77 000
test.
91032... 26 A Esophagus, acid reflux 1.21 1.25 1.25 0.10 2.56 2.56 000
test.
91033... .................. A Prolonged acid reflux 1.30 2.71 2.71 0.25 4.26 4.26 000
test.
91033... TC A Prolonged acid reflux 0.00 1.28 1.28 0.11 1.39 1.39 000
test.
91033... 26 A Prolonged acid reflux 1.30 #1.43 #1.43 0.14 2.87 2.87 000
test.
91052... .................. A Gastric analysis test... 0.79 0.82 0.82 0.07 1.68 1.68 000
91052... TC A Gastric analysis test... 0.00 0.32 0.32 0.03 0.35 0.35 000
91052... 26 A Gastric analysis test... 0.79 0.50 0.50 0.04 1.33 1.33 000
91055... .................. A Gastric intubation for 0.94 0.80 0.80 0.06 1.80 1.80 000
smear.
91055... TC A Gastric intubation for 0.00 0.29 0.29 0.02 0.31 0.31 000
smear.
91055... 26 A Gastric intubation for 0.94 0.51 0.51 0.04 1.49 1.49 000
smear.
91060... .................. A Gastric saline load test 0.45 0.71 0.71 0.06 1.22 1.22 000
91060... TC A Gastric saline load test 0.00 0.21 0.21 0.02 0.23 0.23 000
91060... 26 A Gastric saline load test 0.45 0.50 0.50 0.04 0.99 0.99 000
91065... .................. A Breath hydrogen test.... 0.20 0.56 0.56 0.05 0.81 0.81 000
91065... TC A Breath hydrogen test.... 0.00 0.34 0.34 0.02 0.36 0.36 000
91065... 26 A Breath hydrogen test.... 0.20 #0.22 #0.22 0.03 0.45 0.45 000
91100... .................. A Pass intestine bleeding 1.08 0.56 0.56 0.05 1.69 1.69 000
tube.
91105... .................. A Gastric intubation 0.37 #0.41 #0.41 0.04 0.82 0.82 000
treatment.
91122... .................. A Anal pressure record.... 1.77 1.73 1.73 0.22 3.72 3.72 000
91122... TC A Anal pressure record.... 0.00 0.67 0.67 0.09 0.76 0.76 000
91122... 26 A Anal pressure record.... 1.77 1.06 1.06 0.13 2.96 2.96 000
91299... .................. C Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
91299... TC C Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
91299... 26 C Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92002... .................. A Eye exam, new patient... 0.88 0.49 0.49 0.02 1.39 1.39 XXX
92004... .................. A Eye exam, new patient... 1.67 0.57 0.57 0.02 2.26 2.26 XXX
92012... .................. A Eye exam established pt. 0.67 0.44 0.44 0.02 1.13 1.13 XXX
92014... .................. A Eye exam & treatment.... 1.10 0.54 0.54 0.02 1.66 1.66 XXX
92015... .................. N Refraction.............. +0.38 0.32 0.32 0.02 0.72 0.72 XXX
92018... .................. A New eye exam & treatment 1.51 0.47 0.47 0.03 2.01 2.01 XXX
92019... .................. A Eye exam & treatment.... 1.31 0.47 0.47 0.03 1.81 1.81 XXX
92020... .................. A Special eye evaluation.. 0.37 0.29 0.29 0.01 0.67 0.67 XXX
92060... .................. A Special eye evaluation.. 0.69 0.39 0.39 0.02 1.10 1.10 XXX
92060... TC A Special eye evaluation.. 0.00 0.18 0.18 0.01 0.19 0.19 XXX
92060... 26 A Special eye evaluation.. 0.69 0.21 0.21 0.01 0.91 0.91 XXX
92065... .................. A Orthoptic/pleoptic 0.37 0.36 0.36 0.01 0.74 0.74 XXX
training.
92065... TC A Orthoptic/pleoptic 0.00 0.16 0.16 0.00 0.16 0.16 XXX
training.
92065... 26 A Orthoptic/pleoptic 0.37 0.20 0.20 0.01 0.58 0.58 XXX
training.
92070... .................. A Fitting of contact lens. 0.70 1.20 1.20 0.06 1.96 1.96 XXX
92081... .................. A Visual field 0.36 0.32 0.32 0.01 0.69 0.69 XXX
examination(s).
92081... TC A Visual field 0.00 0.15 0.15 0.00 0.15 0.15 XXX
examination(s).
92081... 26 A Visual field 0.36 0.17 0.17 0.01 0.54 0.54 XXX
examination(s).
92082... .................. A Visual field 0.44 0.49 0.49 0.02 0.95 0.95 XXX
examination(s).
92082... TC A Visual field 0.00 0.19 0.19 0.01 0.20 0.20 XXX
examination(s).
92082... 26 A Visual field 0.44 0.30 0.30 0.01 0.75 0.75 XXX
examination(s).
92083... .................. A Visual field 0.50 0.83 0.83 0.04 1.37 1.37 XXX
examination(s).
92083... TC A Visual field 0.00 0.28 0.28 0.01 0.29 0.29 XXX
examination(s).
92083... 26 A Visual field 0.50 0.55 0.55 0.03 1.08 1.08 XXX
examination(s).
92100... .................. A Serial tonometry exam(s) 0.92 0.25 0.25 0.01 1.18 1.18 XXX
92120... .................. A Tonography & eye 0.81 0.31 0.31 0.02 1.14 1.14 XXX
evaluation.
92130... .................. A Water provocation 0.81 0.49 0.49 0.02 1.32 1.32 XXX
tonography.
[[Page 59213]]
92140... .................. A Glaucoma provocative 0.50 0.30 0.30 0.01 0.81 0.81 XXX
tests.
92225... .................. A Special eye exam, 0.38 0.45 0.45 0.02 0.85 0.85 XXX
initial.
92226... .................. A Special eye exam, 0.33 0.40 0.40 0.02 0.75 0.75 XXX
subsequent.
92230... .................. A Eye exam with photos.... 0.60 0.69 0.69 0.04 1.33 1.33 XXX
92235... .................. A Eye exam with photos.... 0.81 1.58 1.58 0.09 2.48 2.48 XXX
92235... TC A Eye exam with photos.... 0.00 0.99 0.99 0.06 1.05 1.05 XXX
92235... 26 A Eye exam with photos.... 0.81 0.59 0.59 0.03 1.43 1.43 XXX
92240... .................. A Icg angiography......... 1.10 1.58 1.58 0.09 2.77 2.77 XXX
92240... TC A Icg angiography......... 0.00 0.99 0.99 0.06 1.05 1.05 XXX
92240... 26 A Icg angiography......... 1.10 0.59 0.59 0.03 1.72 1.72 XXX
92250... .................. A Eye exam with photos.... 0.44 0.42 0.42 0.02 0.88 0.88 XXX
92250... TC A Eye exam with photos.... 0.00 0.17 0.17 0.01 0.18 0.18 XXX
92250... 26 A Eye exam with photos.... 0.44 0.25 0.25 0.01 0.70 0.70 XXX
92260... .................. A Ophthalmoscopy/ 0.20 0.54 0.54 0.03 0.77 0.77 XXX
dynamometry.
92265... .................. A Eye muscle evaluation... 0.81 0.29 0.29 0.02 1.12 1.12 XXX
92265... TC A Eye muscle evaluation... 0.00 0.22 0.22 0.02 0.24 0.24 XXX
92265... 26 A Eye muscle evaluation... 0.81 0.07 0.07 0.00 0.88 0.88 XXX
92270... .................. A Electro-oculography..... 0.81 0.67 0.67 0.05 1.53 1.53 XXX
92270... TC A Electro-oculography..... 0.00 0.30 0.30 0.02 0.32 0.32 XXX
92270... 26 A Electro-oculography..... 0.81 0.37 0.37 0.03 1.21 1.21 XXX
92275... .................. A Electroretinography..... 1.01 0.90 0.90 0.05 1.96 1.96 XXX
92275... TC A Electroretinography..... 0.00 0.39 0.39 0.02 0.41 0.41 XXX
92275... 26 A Electroretinography..... 1.01 0.51 0.51 0.03 1.55 1.55 XXX
92283... .................. A Color vision examination 0.17 0.29 0.29 0.01 0.47 0.47 XXX
92283... TC A Color vision examination 0.00 0.12 0.12 0.00 0.12 0.12 XXX
92283... 26 A Color vision examination 0.17 0.17 0.17 0.01 0.35 0.35 XXX
92284... .................. A Dark adaptation eye exam 0.24 0.45 0.45 0.02 0.71 0.71 XXX
92284... TC A Dark adaptation eye exam 0.00 0.17 0.17 0.01 0.18 0.18 XXX
92284... 26 A Dark adaptation eye exam 0.24 0.28 0.28 0.01 0.53 0.53 XXX
92285... .................. A Eye photography......... 0.20 0.29 0.29 0.01 0.50 0.50 XXX
92285... TC A Eye photography......... 0.00 0.11 0.11 0.00 0.11 0.11 XXX
92285... 26 A Eye photography......... 0.20 0.18 0.18 0.01 0.39 0.39 XXX
92286... .................. A Internal eye photography 0.66 1.22 1.22 0.07 1.95 1.95 XXX
92286... TC A Internal eye photography 0.00 0.39 0.39 0.02 0.41 0.41 XXX
92286... 26 A Internal eye photography 0.66 0.83 0.83 0.05 1.54 1.54 XXX
92287... .................. A Internal eye photography 0.81 1.52 1.52 0.08 2.41 2.41 XXX
92310... .................. N Contact lens fitting.... +1.17 #1.29 #1.29 0.00 2.46 2.46 XXX
92311... .................. A Contact lens fitting.... 1.08 0.90 0.90 0.03 2.01 2.01 XXX
92312... .................. A Contact lens fitting.... 1.26 1.16 1.16 0.03 2.45 2.45 XXX
92313... .................. A Contact lens fitting.... 0.92 0.88 0.88 0.03 1.83 1.83 XXX
92314... .................. N Prescription of contact +0.69 #0.76 #0.76 0.00 1.45 1.45 XXX
lens.
92315... .................. A Prescription of contact 0.45 0.66 0.66 0.03 1.14 1.14 XXX
lens.
92316... .................. A Prescription of contact 0.68 0.95 0.95 0.04 1.67 1.67 XXX
lens.
92317... .................. A Prescription of contact 0.45 0.39 0.39 0.02 0.86 0.86 XXX
lens.
92325... .................. A Modification of contact 0.00 0.38 0.38 0.01 0.39 0.39 XXX
lens.
92326... .................. A Replacement of contact 0.00 1.56 1.56 0.06 1.62 1.62 XXX
lens.
92330... .................. A Fitting of artificial 1.08 1.13 1.13 0.09 2.30 2.30 XXX
eye.
92335... .................. A Fitting of artificial 0.45 1.97 1.97 0.11 2.53 2.53 XXX
eye.
92340... .................. N Fitting of spectacles... +0.37 0.42 #0.41 0.00 0.79 0.78 XXX
92341... .................. N Fitting of spectacles... +0.47 0.53 #0.52 0.00 1.00 0.99 XXX
92342... .................. N Fitting of spectacles... +0.53 0.60 #0.58 0.00 1.13 1.11 XXX
92352... .................. B Special spectacles +0.37 0.30 0.30 0.01 0.68 0.68 XXX
fitting.
92353... .................. B Special spectacles +0.50 0.40 0.40 0.01 0.91 0.91 XXX
fitting.
92354... .................. B Special spectacles +0.00 8.44 8.44 0.10 8.54 8.54 XXX
fitting.
92355... .................. B Special spectacles +0.00 4.13 4.13 0.01 4.14 4.14 XXX
fitting.
92358... .................. B Eye prosthesis service.. +0.00 0.92 0.92 0.05 0.97 0.97 XXX
92370... .................. N Repair & adjust +0.32 0.36 #0.35 0.00 0.68 0.67 XXX
spectacles.
92371... .................. B Repair & adjust +0.00 0.59 0.59 0.02 0.61 0.61 XXX
spectacles.
92390... .................. N Supply of spectacles.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92391... .................. N Supply of contact lenses 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92392... .................. I Supply of low vision +0.00 3.85 3.85 0.02 3.87 3.87 XXX
aids.
92393... .................. I Supply of artificial eye +0.00 11.96 11.96 0.67 12.63 12.63 XXX
92395... .................. I Supply of spectacles.... +0.00 1.31 1.31 0.10 1.41 1.41 XXX
92396... .................. I Supply of contact lenses +0.00 2.19 2.19 0.08 2.27 2.27 XXX
92499... .................. C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92499... TC C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92499... 26 C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92502... .................. A Ear and throat 1.51 1.12 1.12 0.12 2.75 2.75 000
examination.
92504... .................. A Ear microscopy 0.18 0.26 0.26 0.02 0.46 0.46 XXX
examination.
92506... .................. A Speech & hearing 0.86 0.52 0.52 0.05 1.43 1.43 XXX
evaluation.
92507... .................. A Speech/hearing therapy.. 0.52 0.33 0.33 0.03 0.88 0.88 XXX
92508... .................. A Speech/hearing therapy.. 0.26 0.18 0.18 0.02 0.46 0.46 XXX
92510... .................. A Rehab for ear implant... 1.50 1.36 1.36 0.15 3.01 3.01 XXX
92511... .................. A Nasopharyngoscopy....... 0.84 0.85 0.85 0.09 1.78 1.78 000
[[Page 59214]]
92512... .................. A Nasal function studies.. 0.55 0.47 0.47 0.05 1.07 1.07 XXX
92516... .................. A Facial nerve function 0.43 0.39 0.39 0.04 0.86 0.86 XXX
test.
92520... .................. A Laryngeal function 0.76 0.53 0.53 0.05 1.34 1.34 XXX
studies.
92525... .................. A Oral function evaluation 1.50 1.02 1.02 0.11 2.63 2.63 XXX
92526... .................. A Oral function therapy... 0.55 0.47 0.47 0.05 1.07 1.07 XXX
92531... .................. B Spontaneous nystagmus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
study.
92532... .................. B Positional nystagmus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
study.
92533... .................. B Caloric vestibular test. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92534... .................. B Optokinetic nystagmus... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92541... .................. A Spontaneous nystagmus 0.40 0.67 0.67 0.07 1.14 1.14 XXX
test.
92541... TC A Spontaneous nystagmus 0.00 0.22 0.22 0.02 0.24 0.24 XXX
test.
92541... 26 A Spontaneous nystagmus 0.40 0.45 0.45 0.05 0.90 0.90 XXX
test.
92542... .................. A Positional nystagmus 0.33 0.61 0.61 0.07 1.01 1.01 XXX
test.
92542... TC A Positional nystagmus 0.00 0.25 0.25 0.03 0.28 0.28 XXX
test.
92542... 26 A Positional nystagmus 0.33 0.36 0.36 0.04 0.73 0.73 XXX
test.
92543... .................. A Caloric vestibular test. 0.38 0.82 0.82 0.09 1.29 1.29 XXX
92543... TC A Caloric vestibular test. 0.00 0.40 0.40 0.04 0.44 0.44 XXX
92543... 26 A Caloric vestibular test. 0.38 0.42 0.42 0.05 0.85 0.85 XXX
92544... .................. A Optokinetic nystagmus 0.26 0.47 0.47 0.05 0.78 0.78 XXX
test.
92544... TC A Optokinetic nystagmus 0.00 0.20 0.20 0.02 0.22 0.22 XXX
test.
92544... 26 A Optokinetic nystagmus 0.26 0.27 0.27 0.03 0.56 0.56 XXX
test.
92545... .................. A Oscillating tracking 0.23 0.40 0.40 0.04 0.67 0.67 XXX
test.
92545... TC A Oscillating tracking 0.00 0.20 0.20 0.02 0.22 0.22 XXX
test.
92545... 26 A Oscillating tracking 0.23 0.20 0.20 0.02 0.45 0.45 XXX
test.
92546... .................. A Sinusoidal rotational 0.29 0.53 0.53 0.05 0.87 0.87 XXX
test.
92546... TC A Sinusoidal rotational 0.00 0.23 0.23 0.02 0.25 0.25 XXX
test.
92546... 26 A Sinusoidal rotational 0.29 0.30 0.30 0.03 0.62 0.62 XXX
test.
92547... .................. A Supplemental electrical 0.00 0.53 0.53 0.06 0.59 0.59 XXX
test.
92548... .................. A Posturography........... 0.50 1.85 1.85 0.19 2.54 2.54 XXX
92548... TC A Posturography........... 0.00 1.40 1.40 0.14 1.54 1.54 XXX
92548... 26 A Posturography........... 0.50 0.45 0.45 0.05 1.00 1.00 XXX
92551... .................. N Pure tone hearing test, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
air.
92552... .................. A Pure tone audiometry, 0.00 0.42 0.42 0.04 0.46 0.46 XXX
air.
92553... .................. A Audiometry, air & bone.. 0.00 0.63 0.63 0.07 0.70 0.70 XXX
92555... .................. A Speech threshold 0.00 0.36 0.36 0.04 0.40 0.40 XXX
audiometry.
92556... .................. A Speech audiometry, 0.00 0.54 0.54 0.06 0.60 0.60 XXX
complete.
92557... .................. A Comprehensive hearing 0.00 1.13 1.13 0.13 1.26 1.26 XXX
test.
92559... .................. N Group audiometric 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testing.
92560... .................. N Bekesy audiometry, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
92561... .................. A Bekesy audiometry, 0.00 0.68 0.68 0.07 0.75 0.75 XXX
diagnosis.
92562... .................. A Loudness balance test... 0.00 0.39 0.39 0.04 0.43 0.43 XXX
92563... .................. A Tone decay hearing test. 0.00 0.36 0.36 0.04 0.40 0.40 XXX
92564... .................. A Sisi hearing test....... 0.00 0.45 0.45 0.05 0.50 0.50 XXX
92565... .................. A Stenger test, pure tone. 0.00 0.38 0.38 0.04 0.42 0.42 XXX
92567... .................. A Tympanometry............ 0.00 0.50 0.50 0.06 0.56 0.56 XXX
92568... .................. A Acoustic reflex testing. 0.00 0.36 0.36 0.04 0.40 0.40 XXX
92569... .................. A Acoustic reflex decay 0.00 0.39 0.39 0.04 0.43 0.43 XXX
test.
92571... .................. A Filtered speech hearing 0.00 0.37 0.37 0.04 0.41 0.41 XXX
test.
92572... .................. A Staggered spondaic word 0.00 0.08 0.08 0.01 0.09 0.09 XXX
test.
92573... .................. A Lombard test............ 0.00 0.33 0.33 0.04 0.37 0.37 XXX
92575... .................. A Sensorineural acuity 0.00 0.29 0.29 0.03 0.32 0.32 XXX
test.
92576... .................. A Synthetic sentence test. 0.00 0.42 0.42 0.05 0.47 0.47 XXX
92577... .................. A Stenger test, speech.... 0.00 0.68 0.68 0.08 0.76 0.76 XXX
92579... .................. A Visual audiometry (vra). 0.00 0.69 0.69 0.07 0.76 0.76 XXX
92582... .................. A Conditioning play 0.00 0.69 0.69 0.07 0.76 0.76 XXX
audiometry.
92583... .................. A Select picture 0.00 0.85 0.85 0.09 0.94 0.94 XXX
audiometry.
92584... .................. A Electrocochleography.... 0.00 2.36 2.36 0.25 2.61 2.61 XXX
92585... .................. A Auditory evoked 0.50 3.25 3.25 0.31 4.06 4.06 XXX
potential.
92585... TC A Auditory evoked 0.00 1.76 1.76 0.17 1.93 1.93 XXX
potential.
92585... 26 A Auditory evoked 0.50 1.49 1.49 0.14 2.13 2.13 XXX
potential.
92587... .................. A Evoked auditory test.... 0.13 1.35 1.35 0.13 1.61 1.61 XXX
92587... TC A Evoked auditory test.... 0.00 1.24 1.24 0.12 1.36 1.36 XXX
92587... 26 A Evoked auditory test.... 0.13 0.11 0.11 0.01 0.25 0.25 XXX
92588... .................. A Evoked auditory test.... 0.36 1.70 1.70 0.16 2.22 2.22 XXX
92588... TC A Evoked auditory test.... 0.00 1.40 1.40 0.14 1.54 1.54 XXX
92588... 26 A Evoked auditory test.... 0.36 0.30 0.30 0.02 0.68 0.68 XXX
92589... .................. A Auditory function 0.00 0.51 0.51 0.06 0.57 0.57 XXX
test(s).
92590... .................. N Hearing aid exam, one 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ear.
92591... .................. N Hearing aid exam, both 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ears.
92592... .................. N Hearing aid check, one 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ear.
92593... .................. N Hearing aid check, both 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ears.
92594... .................. N Electro hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, one.
92595... .................. N Electro hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, both.
92596... .................. A Ear protector evaluation 0.00 0.56 0.56 0.06 0.62 0.62 XXX
[[Page 59215]]
92597... .................. A Oral speech device eval. 1.35 1.01 1.01 0.11 2.47 2.47 XXX
92598... .................. A Modify oral speech 0.99 0.66 0.66 0.07 1.72 1.72 XXX
device.
92599... .................. C ENT procedure/service... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92599... TC C ENT procedure/service... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92599... 26 C ENT procedure/service... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92950... .................. A Heart/lung resuscitation 3.80 2.27 2.27 0.17 6.24 6.24 000
(CPR).
92953... .................. A Temporary external 0.23 #0.25 #0.25 0.15 0.63 0.63 000
pacing.
92960... .................. A Heart electroconversion. 2.25 1.88 1.88 0.16 4.29 4.29 000
92970... .................. A Cardioassist, internal.. 3.52 3.47 3.47 0.41 7.40 7.40 000
92971... .................. A Cardioassist, external.. 1.77 1.11 1.11 0.08 2.96 2.96 000
92975... .................. A Dissolve clot, heart 7.25 5.71 5.71 0.42 13.38 13.38 000
vessel.
92977... .................. A Dissolve clot, heart 0.00 7.68 7.68 0.54 8.22 8.22 XXX
vessel.
92978... .................. A Intravas us, heart (add- 1.80 5.41 5.41 0.36 7.57 7.57 ZZZ
on).
92978... TC A Intravas us, heart (add- 0.00 4.35 4.35 0.28 4.63 4.63 ZZZ
on).
92978... 26 A Intravas us, heart (add- 1.80 1.06 1.06 0.08 2.94 2.94 ZZZ
on).
92979... .................. A Intravas us, heart (add- 1.44 3.03 3.03 0.20 4.67 4.67 ZZZ
on).
92979... TC A Intravas us, heart (add- 0.00 2.18 2.18 0.14 2.32 2.32 ZZZ
on).
92979... 26 A Intravas us, heart (add- 1.44 0.85 0.85 0.06 2.35 2.35 ZZZ
on).
92980... .................. A Insert intracoronary 14.84 #16.32 #16.32 1.22 32.38 32.38 000
stent.
92981... .................. A Insert intracoronary 4.17 #4.59 #4.59 0.44 9.20 9.20 ZZZ
stent.
92982... .................. A Coronary artery dilation 10.98 #12.08 #12.08 1.22 24.28 24.28 000
92984... .................. A Coronary artery dilation 2.97 #3.27 #3.27 0.44 6.68 6.68 ZZZ
92986... .................. A Revision of aortic valve *21.80 12.04 12.04 0.90 34.74 34.74 090
92987... .................. A Revision of mitral valve *22.70 12.20 12.20 0.91 35.81 35.81 090
92990... .................. A Revision of pulmonary *17.34 9.59 9.59 0.71 27.64 27.64 090
valve.
92992... .................. C Revision of heart 0.00 0.00 0.00 0.00 0.00 0.00 090
chamber.
92993... .................. C Revision of heart 0.00 0.00 0.00 0.00 0.00 0.00 090
chamber.
92995... .................. A Coronary atherectomy.... 12.09 #13.30 #13.30 1.22 26.61 26.61 000
92996... .................. A Coronary atherectomy.... 3.26 #3.59 #3.59 0.44 7.29 7.29 ZZZ
92997... .................. A Pul art balloon repair, 12.00 #13.20 #13.20 1.22 26.42 26.42 000
perc.
92998... .................. A Pul art balloon repair, 6.00 3.80 3.80 0.44 10.24 10.24 ZZZ
perc.
93000... .................. A Electrocardiogram, 0.17 0.59 0.59 0.04 0.80 0.80 XXX
complete.
93005... .................. A Electrocardiogram, 0.00 0.43 0.43 0.03 0.46 0.46 XXX
tracing.
93010... .................. A Electrocardiogram report 0.17 0.16 0.16 0.01 0.34 0.34 XXX
93012... .................. A Transmission of ecg..... 0.00 2.25 2.25 0.22 2.47 2.47 XXX
93014... .................. A Report on transmitted 0.52 0.40 0.40 0.05 0.97 0.97 XXX
ecg.
93015... .................. A Cardiovascular stress 0.75 2.32 2.32 0.18 3.25 3.25 XXX
test.
93016... .................. A Cardiovascular stress 0.45 0.39 0.39 0.03 0.87 0.87 XXX
test.
93017... .................. A Cardiovascular stress 0.00 1.60 1.60 0.12 1.72 1.72 XXX
test.
93018... .................. A Cardiovascular stress 0.30 #0.33 #0.33 0.03 0.66 0.66 XXX
test.
93024... .................. A Cardiac drug stress test 1.17 2.36 2.36 0.23 3.76 3.76 XXX
93024... TC A Cardiac drug stress test 0.00 1.07 1.07 0.09 1.16 1.16 XXX
93024... 26 A Cardiac drug stress test 1.17 #1.29 #1.29 0.14 2.60 2.60 XXX
93040... .................. A Rhythm ECG with report.. 0.16 0.26 0.26 0.02 0.44 0.44 XXX
93041... .................. A Rhythm ECG, tracing..... 0.00 0.14 0.14 0.01 0.15 0.15 XXX
93042... .................. A Rhythm ECG, report...... 0.16 0.12 0.12 0.01 0.29 0.29 XXX
93224... .................. A ECG monitor/report, 24 0.52 3.83 3.83 0.31 4.66 4.66 XXX
hrs.
93225... .................. A ECG monitor/record, 24 0.00 1.18 1.18 0.09 1.27 1.27 XXX
hrs.
93226... .................. A ECG monitor/report, 24 0.00 2.08 2.08 0.16 2.24 2.24 XXX
hrs.
93227... .................. A ECG monitor/review, 24 0.52 #0.57 #0.57 0.06 1.15 1.15 XXX
hrs.
93230... .................. A ECG monitor/report, 24 0.52 4.09 4.09 0.34 4.95 4.95 XXX
hrs.
93231... .................. A ECG monitor/record, 24 0.00 1.45 1.45 0.11 1.56 1.56 XXX
hrs.
93232... .................. A ECG monitor/report, 24 0.00 2.07 2.07 0.15 2.22 2.22 XXX
hrs.
93233... .................. A ECG monitor/review, 24 0.52 #0.57 #0.57 0.08 1.17 1.17 XXX
hrs.
93235... .................. A ECG monitor/report, 24 0.45 3.00 3.00 0.23 3.68 3.68 XXX
hrs.
93236... .................. A ECG monitor/report, 24 0.00 2.50 2.50 0.17 2.67 2.67 XXX
hrs.
93237... .................. A ECG monitor/review, 24 0.45 #0.50 #0.50 0.06 1.01 1.01 XXX
hrs.
93268... .................. A ECG record/review....... 0.52 3.83 3.83 0.36 4.71 4.71 XXX
93270... .................. A ECG recording........... 0.00 1.18 1.18 0.09 1.27 1.27 XXX
93271... .................. A ECG/monitoring and 0.00 2.25 2.25 0.22 2.47 2.47 XXX
anaylsis.
93272... .................. A ECG/review, interpret 0.52 0.40 0.40 0.05 0.97 0.97 XXX
only.
93278... .................. A ECG/signal-averaged..... 0.25 1.38 1.38 0.18 1.81 1.81 XXX
93278... TC A ECG/signal-averaged..... 0.00 1.10 1.10 0.12 1.22 1.22 XXX
93278... 26 A ECG/signal-averaged..... 0.25 #0.28 #0.28 0.06 0.59 0.59 XXX
93303... .................. A Echo transthoracic...... 1.30 4.68 4.68 0.36 6.34 6.34 XXX
93303... TC A Echo transthoracic...... 0.00 3.68 3.68 0.27 3.95 3.95 XXX
93303... 26 A Echo transthoracic...... 1.30 1.00 1.00 0.09 2.39 2.39 XXX
93304... .................. A Echo transthoracic...... 0.75 2.53 2.53 0.19 3.47 3.47 XXX
93304... TC A Echo transthoracic...... 0.00 1.85 1.85 0.14 1.99 1.99 XXX
93304... 26 A Echo transthoracic...... 0.75 0.68 0.68 0.05 1.48 1.48 XXX
93307... .................. A Echo exam of heart...... 0.92 4.68 4.68 0.36 5.96 5.96 XXX
93307... TC A Echo exam of heart...... 0.00 3.68 3.68 0.27 3.95 3.95 XXX
93307... 26 A Echo exam of heart...... 0.92 1.00 1.00 0.09 2.01 2.01 XXX
93308... .................. A Echo exam of heart...... 0.53 2.43 2.43 0.19 3.15 3.15 XXX
[[Page 59216]]
93308... TC A Echo exam of heart...... 0.00 1.85 1.85 0.14 1.99 1.99 XXX
93308... 26 A Echo exam of heart...... 0.53 #0.58 #0.58 0.05 1.16 1.16 XXX
93312... .................. A Echo transesophageal.... 2.20 4.95 4.95 0.45 7.60 7.60 XXX
93312... TC A Echo transesophageal.... 0.00 3.60 3.60 0.33 3.93 3.93 XXX
93312... 26 A Echo transesophageal.... 2.20 1.35 1.35 0.12 3.67 3.67 XXX
93313... .................. A Echo transesophageal.... 0.95 0.67 0.67 0.06 1.68 1.68 XXX
93314... .................. A Echo transesophageal.... 1.25 4.27 4.27 0.39 5.91 5.91 XXX
93314... TC A Echo transesophageal.... 0.00 3.60 3.60 0.33 3.93 3.93 XXX
93314... 26 A Echo transesophageal.... 1.25 0.67 0.67 0.06 1.98 1.98 XXX
93315... .................. A Echo transesophageal.... 2.78 4.95 4.95 0.45 8.18 8.18 XXX
93315... TC A Echo transesophageal.... 0.00 3.60 3.60 0.33 3.93 3.93 XXX
93315... 26 A Echo transesophageal.... 2.78 1.35 1.35 0.12 4.25 4.25 XXX
93316... .................. A Echo transesophageal.... 0.95 0.67 0.67 0.06 1.68 1.68 XXX
93317... .................. A Echo transesophageal.... 1.83 4.27 4.27 0.39 6.49 6.49 XXX
93317... TC A Echo transesophageal.... 0.00 3.60 3.60 0.33 3.93 3.93 XXX
93317... 26 A Echo transesophageal.... 1.83 0.67 0.67 0.06 2.56 2.56 XXX
93320... .................. A Doppler echo exam, heart 0.38 2.05 2.05 0.18 2.61 2.61 ZZZ
93320... TC A Doppler echo exam, heart 0.00 1.63 1.63 0.13 1.76 1.76 ZZZ
93320... 26 A Doppler echo exam, heart 0.38 #0.42 #0.42 0.05 0.85 0.85 ZZZ
93321... .................. A Doppler echo exam, heart 0.15 1.23 1.23 0.11 1.49 1.49 ZZZ
93321... TC A Doppler echo exam, heart 0.00 1.06 1.06 0.09 1.15 1.15 ZZZ
93321... 26 A Doppler echo exam, heart 0.15 #0.17 #0.17 0.02 0.34 0.34 ZZZ
93325... .................. A Doppler color flow...... 0.07 2.80 2.80 0.25 3.12 3.12 ZZZ
93325... TC A Doppler color flow...... 0.00 2.76 2.76 0.24 3.00 3.00 ZZZ
93325... 26 A Doppler color flow...... 0.07 0.04 0.04 0.01 0.12 0.12 ZZZ
93350... .................. A Echo transthoracic...... 0.78 2.54 2.54 0.24 3.56 3.56 XXX
93350... TC A Echo transthoracic...... 0.00 1.68 1.68 0.14 1.82 1.82 XXX
93350... 26 A Echo transthoracic...... 0.78 #0.86 #0.86 0.10 1.74 1.74 XXX
93501... .................. A Right heart 3.02 19.43 19.43 1.54 23.99 23.99 000
catheterization.
93501... TC A Right heart 0.00 16.11 16.11 1.20 17.31 17.31 000
catheterization.
93501... 26 A Right heart 3.02 #3.32 #3.32 0.34 6.68 6.68 000
catheterization.
93503... .................. A Insert/place heart 2.91 2.37 2.37 0.36 5.64 5.64 000
catheter.
93505... .................. A Biopsy of heart lining.. 4.38 4.92 4.92 0.46 9.76 9.76 000
93505... TC A Biopsy of heart lining.. 0.00 1.89 1.89 0.18 2.07 2.07 000
93505... 26 A Biopsy of heart lining.. 4.38 3.03 3.03 0.28 7.69 7.69 000
93508... .................. A Cath placement, 4.10 14.79 14.79 0.98 19.87 19.87 000
angiography.
93508... TC A Cath placement, 0.00 12.01 12.01 0.75 12.76 12.76 000
angiography.
93508... 26 A Cath placement, 4.10 2.78 2.78 0.23 7.11 7.11 000
angiography.
93510... .................. A Left heart 4.33 38.28 38.28 2.86 45.47 45.47 000
catheterization.
93510... TC A Left heart 0.00 35.22 35.22 2.63 37.85 37.85 000
catheterization.
93510... 26 A Left heart 4.33 3.06 3.06 0.23 7.62 7.62 000
catheterization.
93511... .................. A Left heart 5.03 36.91 36.91 2.76 44.70 44.70 000
catheterization.
93511... TC A Left heart 0.00 34.29 34.29 2.56 36.85 36.85 000
catheterization.
93511... 26 A Left heart 5.03 2.62 2.62 0.20 7.85 7.85 000
catheterization.
93514... .................. A Left heart 7.05 38.84 38.84 2.94 48.83 48.83 000
catheterization.
93514... TC A Left heart 0.00 34.29 34.29 2.56 36.85 36.85 000
catheterization.
93514... 26 A Left heart 7.05 4.55 4.55 0.38 11.98 11.98 000
catheterization.
93524... .................. A Left heart 6.95 49.45 49.45 3.69 60.09 60.09 000
catheterization.
93524... TC A Left heart 0.00 44.80 44.80 3.35 48.15 48.15 000
catheterization.
93524... 26 A Left heart 6.95 4.65 4.65 0.34 11.94 11.94 000
catheterization.
93526... .................. A Rt & Lt heart catheters. 5.99 51.48 51.48 3.83 61.30 61.30 000
93526... TC A Rt & Lt heart catheters. 0.00 46.03 46.03 3.44 49.47 49.47 000
93526... 26 A Rt & Lt heart catheters. 5.99 5.45 5.45 0.39 11.83 11.83 000
93527... .................. A Rt & Lt heart catheters. 7.28 51.94 51.94 3.85 63.07 63.07 000
93527... TC A Rt & Lt heart catheters. 0.00 44.80 44.80 3.35 48.15 48.15 000
93527... 26 A Rt & Lt heart catheters. 7.28 7.14 7.14 0.50 14.92 14.92 000
93528... .................. A Rt & Lt heart catheters. 9.00 49.23 49.23 3.68 61.91 61.91 000
93528... TC A Rt & Lt heart catheters. 0.00 44.80 44.80 3.35 48.15 48.15 000
93528... 26 A Rt & Lt heart catheters. 9.00 4.43 4.43 0.33 13.76 13.76 000
93529... .................. A Rt, Lt heart 4.80 47.73 47.73 3.57 56.10 56.10 000
catheterization.
93529... TC A Rt, Lt heart 0.00 44.80 44.80 3.35 48.15 48.15 000
catheterization.
93529... 26 A Rt, Lt heart 4.80 2.93 2.93 0.22 7.95 7.95 000
catheterization.
93530... .................. A Rt heart cath, 4.23 19.72 19.72 1.54 25.49 25.49 000
congenital.
93530... TC A Rt heart cath, 0.00 16.11 16.11 1.20 17.31 17.31 000
congenital.
93530... 26 A Rt heart cath, 4.23 3.61 3.61 0.34 8.18 8.18 000
congenital.
93531... .................. A R & l heart cath, 8.35 51.48 51.48 3.83 63.66 63.66 000
congenital.
93531... TC A R & l heart cath, 0.00 46.03 46.03 3.44 49.47 49.47 000
congenital.
93531... 26 A R & l heart cath, 8.35 5.45 5.45 0.39 14.19 14.19 000
congenital.
93532... .................. A R & l heart cath, 10.00 51.94 51.94 3.85 65.79 65.79 000
congenital.
93532... TC A R & l heart cath, 0.00 44.80 44.80 3.35 48.15 48.15 000
congenital.
93532... 26 A R & l heart cath, 10.00 7.14 7.14 0.50 17.64 17.64 000
congenital.
93533... .................. A R & l heart cath, 6.70 47.73 47.73 3.57 58.00 58.00 000
congenital.
93533... TC A R & l heart cath, 0.00 44.80 44.80 3.35 48.15 48.15 000
congenital.
93533... 26 A R & l heart cath, 6.70 2.93 2.93 0.22 9.85 9.85 000
congenital.
[[Page 59217]]
93536... .................. A Insert circulation assi. 4.85 #5.34 #5.34 0.71 10.90 10.90 000
93539... .................. A Injection, cardiac cath. 0.40 0.88 #0.44 0.20 1.48 1.04 000
93540... .................. A Injection, cardiac cath. 0.43 0.88 #0.47 0.20 1.51 1.10 000
93541... .................. A Injection for lung 0.29 #0.32 #0.32 0.16 0.77 0.77 000
angiogram.
93542... .................. A Injection for heart x- 0.29 #0.32 #0.32 0.16 0.77 0.77 000
rays.
93543... .................. A Injection for heart x- 0.29 0.57 #0.32 0.11 0.97 0.72 000
rays.
93544... .................. A Injection for 0.25 0.57 #0.28 0.11 0.93 0.64 000
aortography.
93545... .................. A Injection for coronary x- 0.40 #0.44 #0.44 0.24 1.08 1.08 000
rays.
93555... .................. A Imaging, cardiac cath... 0.81 6.25 6.25 0.42 7.48 7.48 XXX
93555... TC A Imaging, cardiac cath... 0.00 5.98 5.98 0.38 6.36 6.36 XXX
93555... 26 A Imaging, cardiac cath... 0.81 0.27 0.27 0.04 1.12 1.12 XXX
93556... .................. A Imaging, cardiac cath... 0.83 9.88 9.88 0.65 11.36 11.36 XXX
93556... TC A Imaging, cardiac cath... 0.00 9.43 9.43 0.58 10.01 10.01 XXX
93556... 26 A Imaging, cardiac cath... 0.83 0.45 0.45 0.07 1.35 1.35 XXX
93561... .................. A Cardiac output 0.50 1.05 1.05 0.16 1.71 1.71 000
measurement.
93561... TC A Cardiac output 0.00 0.50 0.50 0.07 0.57 0.57 000
measurement.
93561... 26 A Cardiac output 0.50 #0.55 #0.55 0.09 1.14 1.14 000
measurement.
93562... .................. A Cardiac output 0.16 0.48 0.48 0.10 0.74 0.74 000
measurement.
93562... TC A Cardiac output 0.00 0.30 0.30 0.04 0.34 0.34 000
measurement.
93562... 26 A Cardiac output 0.16 #0.18 #0.18 0.06 0.40 0.40 000
measurement.
93600... .................. A Bundle of His recording. 2.12 4.19 4.19 0.38 6.69 6.69 000
93600... TC A Bundle of His recording. 0.00 1.86 1.86 0.14 2.00 2.00 000
93600... 26 A Bundle of His recording. 2.12 #2.33 #2.33 0.24 4.69 4.69 000
93602... .................. A Intra-atrial recording.. 2.12 2.83 2.83 0.22 5.17 5.17 000
93602... TC A Intra-atrial recording.. 0.00 1.06 1.06 0.08 1.14 1.14 000
93602... 26 A Intra-atrial recording.. 2.12 1.77 1.77 0.14 4.03 4.03 000
93603... .................. A Right ventricular 2.12 3.79 3.79 0.28 6.19 6.19 000
recording.
93603... TC A Right ventricular 0.00 1.60 1.60 0.12 1.72 1.72 000
recording.
93603... 26 A Right ventricular 2.12 2.19 2.19 0.16 4.47 4.47 000
recording.
93607... .................. A Right ventricular 3.26 3.63 3.63 0.28 7.17 7.17 000
recording.
93607... TC A Right ventricular 0.00 1.42 1.42 0.11 1.53 1.53 000
recording.
93607... 26 A Right ventricular 3.26 2.21 2.21 0.17 5.64 5.64 000
recording.
93609... .................. A Mapping of tachycardia.. 10.07 6.43 6.43 0.47 16.97 16.97 000
93609... TC A Mapping of tachycardia.. 0.00 2.59 2.59 0.19 2.78 2.78 000
93609... 26 A Mapping of tachycardia.. 10.07 3.84 3.84 0.28 14.19 14.19 000
93610... .................. A Intra-atrial pacing..... 3.02 3.60 3.60 0.27 6.89 6.89 000
93610... TC A Intra-atrial pacing..... 0.00 1.29 1.29 0.10 1.39 1.39 000
93610... 26 A Intra-atrial pacing..... 3.02 2.31 2.31 0.17 5.50 5.50 000
93612... .................. A Intraventricular pacing. 3.02 3.88 3.88 0.29 7.19 7.19 000
93612... TC A Intraventricular pacing. 0.00 1.54 1.54 0.12 1.66 1.66 000
93612... 26 A Intraventricular pacing. 3.02 2.34 2.34 0.17 5.53 5.53 000
93615... .................. A Esophageal recording.... 0.99 0.65 0.65 0.04 1.68 1.68 000
93615... TC A Esophageal recording.... 0.00 0.30 0.30 0.02 0.32 0.32 000
93615... 26 A Esophageal recording.... 0.99 0.35 0.35 0.02 1.36 1.36 000
93616... .................. A Esophageal recording.... 1.49 1.66 1.66 0.10 3.25 3.25 000
93616... TC A Esophageal recording.... 0.00 0.30 0.30 0.02 0.32 0.32 000
93616... 26 A Esophageal recording.... 1.49 1.36 1.36 0.08 2.93 2.93 000
93618... .................. A Heart rhythm pacing..... 4.26 8.47 8.47 0.72 13.45 13.45 000
93618... TC A Heart rhythm pacing..... 0.00 3.78 3.78 0.28 4.06 4.06 000
93618... 26 A Heart rhythm pacing..... 4.26 #4.69 #4.69 0.44 9.39 9.39 000
93619... .................. A Electrophysiology 7.32 15.39 15.39 1.40 24.11 24.11 000
evaluation.
93619... TC A Electrophysiology 0.00 7.34 7.34 0.54 7.88 7.88 000
evaluation.
93619... 26 A Electrophysiology 7.32 #8.05 #8.05 0.86 16.23 16.23 000
evaluation.
93620... .................. A Electrophysiology 11.59 21.29 21.29 1.55 34.43 34.43 000
evaluation.
93620... TC A Electrophysiology 0.00 8.54 8.54 0.60 9.14 9.14 000
evaluation.
93620... 26 A Electrophysiology 11.59 #12.75 #12.75 0.95 25.29 25.29 000
evaluation.
93621... .................. C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.00 000
evaluation.
93621... TC C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.00 000
evaluation.
93621... 26 A Electrophysiology 12.66 #13.93 #13.93 1.11 27.70 27.70 000
evaluation.
93622... .................. C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.00 000
evaluation.
93622... TC C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.00 000
evaluation.
93622... 26 A Electrophysiology 12.74 #14.01 #14.01 1.07 27.82 27.82 000
evaluation.
93623... .................. C Stimulation, pacing 0.00 0.00 0.00 0.00 0.00 0.00 000
heart.
93623... TC C Stimulation, pacing 0.00 0.00 0.00 0.00 0.00 0.00 000
heart.
93623... 26 A Stimulation, pacing 2.85 2.78 2.78 0.20 5.83 5.83 000
heart.
93624... .................. A Electrophysiologic study 4.81 4.88 4.88 0.35 10.04 10.04 000
93624... TC A Electrophysiologic study 0.00 1.89 1.89 0.14 2.03 2.03 000
93624... 26 A Electrophysiologic study 4.81 2.99 2.99 0.21 8.01 8.01 000
93631... .................. A Heart pacing, mapping... 7.60 11.62 11.62 1.37 20.59 20.59 000
93631... TC A Heart pacing, mapping... 0.00 5.86 5.86 0.70 6.56 6.56 000
93631... 26 A Heart pacing, mapping... 7.60 5.76 5.76 0.67 14.03 14.03 000
93640... .................. A Evaluation heart device. 3.52 10.71 10.71 1.09 15.32 15.32 000
93640... TC A Evaluation heart device. 0.00 6.84 6.84 0.48 7.32 7.32 000
93640... 26 A Evaluation heart device. 3.52 #3.87 #3.87 0.61 8.00 8.00 000
[[Page 59218]]
93641... .................. A Electrophysiology 5.93 13.36 13.36 1.09 20.38 20.38 000
evaluation.
93641... TC A Electrophysiology 0.00 6.84 6.84 0.48 7.32 7.32 000
evaluation.
93641... 26 A Electrophysiology 5.93 #6.52 #6.52 0.61 13.06 13.06 000
evaluation.
93642... .................. A Electrophysiology 4.89 12.22 12.22 1.09 18.20 18.20 000
evaluation.
93642... TC A Electrophysiology 0.00 6.84 6.84 0.48 7.32 7.32 000
evaluation.
93642... 26 A Electrophysiology 4.89 #5.38 #5.38 0.61 10.88 10.88 000
evaluation.
93650... .................. A Ablate heart dysrhythm 10.51 #11.56 #11.56 1.34 23.41 23.41 000
focus.
93651... .................. A Ablate heart dysrhythm 16.25 17.83 17.83 1.34 35.42 35.42 000
focus.
93652... .................. A Ablate heart dysrhythm 17.68 17.83 17.83 1.34 36.85 36.85 000
focus.
93660... .................. C Tilt table evaluation... 0.00 0.00 0.00 0.00 0.00 0.00 000
93660... TC C Tilt table evaluation... 0.00 0.00 0.00 0.00 0.00 0.00 000
93660... 26 A Tilt table evaluation... 1.89 1.44 1.44 0.17 3.50 3.50 000
93720... .................. A Total body 0.17 0.89 0.86 0.10 1.16 1.13 XXX
plethysmography.
93721... .................. A Plethysmography tracing. 0.00 0.67 0.67 0.07 0.74 0.74 XXX
93722... .................. A Plethysmography report.. 0.17 0.22 #0.19 0.03 0.42 0.39 XXX
93724... .................. A Analyze pacemaker system 4.89 6.66 6.66 0.50 12.05 12.05 000
93724... TC A Analyze pacemaker system 0.00 3.78 3.78 0.28 4.06 4.06 000
93724... 26 A Analyze pacemaker system 4.89 2.88 2.88 0.22 7.99 7.99 000
93731... .................. A Analyze pacemaker system 0.45 0.79 0.79 0.07 1.31 1.31 XXX
93731... TC A Analyze pacemaker system 0.00 0.47 0.47 0.04 0.51 0.51 XXX
93731... 26 A Analyze pacemaker system 0.45 0.32 0.32 0.03 0.80 0.80 XXX
93732... .................. A Analyze pacemaker system 0.92 0.91 0.91 0.08 1.91 1.91 XXX
93732... TC A Analyze pacemaker system 0.00 0.49 0.49 0.04 0.53 0.53 XXX
93732... 26 A Analyze pacemaker system 0.92 0.42 0.42 0.04 1.38 1.38 XXX
93733... .................. A Telephone analysis, 0.17 0.88 0.88 0.08 1.13 1.13 XXX
pacemaker.
93733... TC A Telephone analysis, 0.00 0.69 0.69 0.06 0.75 0.75 XXX
pacemaker.
93733... 26 A Telephone analysis, 0.17 #0.19 #0.19 0.02 0.38 0.38 XXX
pacemaker.
93734... .................. A Analyze pacemaker system 0.38 0.64 0.64 0.06 1.08 1.08 XXX
93734... TC A Analyze pacemaker system 0.00 0.33 0.33 0.03 0.36 0.36 XXX
93734... 26 A Analyze pacemaker system 0.38 0.31 0.31 0.03 0.72 0.72 XXX
93735... .................. A Analyze pacemaker system 0.74 0.85 0.85 0.08 1.67 1.67 XXX
93735... TC A Analyze pacemaker system 0.00 0.42 0.42 0.04 0.46 0.46 XXX
93735... 26 A Analyze pacemaker system 0.74 0.43 0.43 0.04 1.21 1.21 XXX
93736... .................. A Telephone analysis, 0.15 0.77 0.77 0.09 1.01 1.01 XXX
pacemaker.
93736... TC A Telephone analysis, 0.00 0.60 0.60 0.06 0.66 0.66 XXX
pacemaker.
93736... 26 A Telephone analysis, 0.15 #0.17 #0.17 0.03 0.35 0.35 XXX
pacemaker.
93737... .................. A Analyze cardio/ 0.45 0.74 0.74 0.06 1.25 1.25 XXX
defibrillator.
93737... TC A Analyze cardio/ 0.00 0.47 0.47 0.04 0.51 0.51 XXX
defibrillator.
93737... 26 A Analyze cardio/ 0.45 0.27 0.27 0.02 0.74 0.74 XXX
defibrillator.
93738... .................. A Analyze cardio/ 0.92 0.88 0.88 0.07 1.87 1.87 XXX
defibrillator.
93738... TC................ A Analyze cardio/ 0.00 0.49 0.49 0.04 0.53 0.53 XXX
defibrillator.
93738... 26 A Analyze cardio/ 0.92 0.39 0.39 0.03 1.34 1.34 XXX
defibrillator.
93740... .................. A Temperature gradient 0.16 0.45 0.45 0.04 0.65 0.65 XXX
studies.
93740... TC A Temperature gradient 0.00 0.15 0.15 0.01 0.16 0.16 XXX
studies.
93740... 26 A Temperature gradient 0.16 0.30 0.30 0.03 0.49 0.49 XXX
studies.
93760... .................. N Cephalic thermogram..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93762... .................. N Peripheral thermogram... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93770... .................. A Measure venous pressure. 0.16 0.20 0.20 0.02 0.38 0.38 XXX
93770... TC A Measure venous pressure. 0.00 0.03 0.03 0.00 0.03 0.03 XXX
93770... 26 A Measure venous pressure. 0.16 0.17 0.17 0.02 0.35 0.35 XXX
93784... .................. N Ambulatory BP monitoring 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93786... .................. N Ambulatory BP recording. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93788... .................. N Ambulatory BP analysis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93790... .................. N Review/report BP 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recording.
93797... .................. A Cardiac rehab........... 0.18 #0.20 #0.20 0.02 0.40 0.40 000
93798... .................. A Cardiac rehab/monitor... 0.28 0.47 0.47 0.04 0.79 0.79 000
93799... .................. C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93799... TC C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93799... 26 C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93875... .................. A Extracranial study...... 0.22 1.29 1.29 0.18 1.69 1.69 XXX
93875... TC A Extracranial study...... 0.00 1.05 1.05 0.12 1.17 1.17 XXX
93875... 26 A Extracranial study...... 0.22 #0.24 #0.24 0.06 0.52 0.52 XXX
93880... .................. A Extracranial study...... 0.60 3.94 3.94 0.44 4.98 4.98 XXX
93880... TC A Extracranial study...... 0.00 3.55 3.55 0.40 3.95 3.95 XXX
93880... 26 A Extracranial study...... 0.60 0.39 0.39 0.04 1.03 1.03 XXX
93882... .................. A Extracranial study...... 0.40 2.62 2.62 0.29 3.31 3.31 XXX
93882... TC A Extracranial study...... 0.00 2.36 2.36 0.26 2.62 2.62 XXX
93882... 26 A Extracranial study...... 0.40 0.26 0.26 0.03 0.69 0.69 XXX
93886... .................. A Intracranial study...... 0.94 4.44 4.44 0.50 5.88 5.88 XXX
93886... TC A Intracranial study...... 0.00 4.02 4.02 0.45 4.47 4.47 XXX
93886... 26 A Intracranial study...... 0.94 0.42 0.42 0.05 1.41 1.41 XXX
93888... .................. A Intracranial study...... 0.62 2.96 2.96 0.34 3.92 3.92 XXX
93888... TC A Intracranial study...... 0.00 2.68 2.68 0.31 2.99 2.99 XXX
93888... 26 A Intracranial study...... 0.62 0.28 0.28 0.03 0.93 0.93 XXX
[[Page 59219]]
93922... .................. A Extremity study......... 0.25 1.38 1.38 0.19 1.82 1.82 XXX
93922... TC A Extremity study......... 0.00 1.10 1.10 0.14 1.24 1.24 XXX
93922... 26 A Extremity study......... 0.25 0.28 0.28 0.05 0.58 0.58 XXX
93923... .................. A Extremity study......... 0.45 2.58 2.58 0.35 3.38 3.38 XXX
93923... TC A Extremity study......... 0.00 2.08 2.08 0.26 2.34 2.34 XXX
93923... 26 A Extremity study......... 0.45 #0.50 #0.50 0.09 1.04 1.04 XXX
93924... .................. A Extremity study......... 0.50 2.81 2.81 0.39 3.70 3.70 XXX
93924... TC A Extremity study......... 0.00 2.26 2.26 0.29 2.55 2.55 XXX
93924... 26 A Extremity study......... 0.50 #0.55 #0.55 0.10 1.15 1.15 XXX
93925... .................. A Lower extremity study... 0.58 3.96 3.96 0.44 4.98 4.98 XXX
93925... TC A Lower extremity study... 0.00 3.57 3.57 0.40 3.97 3.97 XXX
93925... 26 A Lower extremity study... 0.58 0.39 0.39 0.04 1.01 1.01 XXX
93926... .................. A Lower extremity study... 0.39 2.64 2.64 0.30 3.33 3.33 XXX
93926... TC A Lower extremity study... 0.00 2.38 2.38 0.27 2.65 2.65 XXX
93926... 26 A Lower extremity study... 0.39 0.26 0.26 0.03 0.68 0.68 XXX
93930... .................. A Upper extremity study... 0.46 4.18 4.18 0.47 5.11 5.11 XXX
93930... TC A Upper extremity study... 0.00 3.79 3.79 0.42 4.21 4.21 XXX
93930... 26 A Upper extremity study... 0.46 0.39 0.39 0.05 0.90 0.90 XXX
93931... .................. A Upper extremity study... 0.31 2.78 2.78 0.31 3.40 3.40 XXX
93931... TC A Upper extremity study... 0.00 2.52 2.52 0.28 2.80 2.80 XXX
93931... 26 A Upper extremity study... 0.31 0.26 0.26 0.03 0.60 0.60 XXX
93965... .................. A Extremity study......... 0.35 1.43 1.43 0.19 1.97 1.97 XXX
93965... TC A Extremity study......... 0.00 1.04 1.04 0.13 1.17 1.17 XXX
93965... 26 A Extremity study......... 0.35 #0.39 #0.39 0.06 0.80 0.80 XXX
93970... .................. A Extremity study......... 0.68 4.33 4.33 0.51 5.52 5.52 XXX
93970... TC A Extremity study......... 0.00 3.93 3.93 0.46 4.39 4.39 XXX
93970... 26 A Extremity study......... 0.68 0.40 0.40 0.05 1.13 1.13 XXX
93971... .................. A Extremity study......... 0.45 2.89 2.89 0.34 3.68 3.68 XXX
93971... TC A Extremity study......... 0.00 2.62 2.62 0.31 2.93 2.93 XXX
93971... 26 A Extremity study......... 0.45 0.27 0.27 0.03 0.75 0.75 XXX
93975... .................. A Vascular study.......... 1.80 4.90 4.90 0.55 7.25 7.25 XXX
93975... TC A Vascular study.......... 0.00 4.48 4.48 0.50 4.98 4.98 XXX
93975... 26 A Vascular study.......... 1.80 0.42 0.42 0.05 2.27 2.27 XXX
93976... .................. A Vascular study.......... 1.21 3.27 3.27 0.37 4.85 4.85 XXX
93976... TC A Vascular study.......... 0.00 2.99 2.99 0.34 3.33 3.33 XXX
93976... 26 A Vascular study.......... 1.21 0.28 0.28 0.03 1.52 1.52 XXX
93978... .................. A Vascular study.......... 0.65 4.06 4.06 0.47 5.18 5.18 XXX
93978... TC A Vascular study.......... 0.00 3.67 3.67 0.42 4.09 4.09 XXX
93978... 26 A Vascular study.......... 0.65 0.39 0.39 0.05 1.09 1.09 XXX
93979... .................. A Vascular study.......... 0.44 2.70 2.70 0.31 3.45 3.45 XXX
93979... TC A Vascular study.......... 0.00 2.44 2.44 0.28 2.72 2.72 XXX
93979... 26 A Vascular study.......... 0.44 0.26 0.26 0.03 0.73 0.73 XXX
93980... .................. A Penile vascular study... 1.25 4.15 4.15 0.45 5.85 5.85 XXX
93980... TC A Penile vascular study... 0.00 3.33 3.33 0.38 3.71 3.71 XXX
93980... 26 A Penile vascular study... 1.25 0.82 0.82 0.07 2.14 2.14 XXX
93981... .................. A Penile vascular study... 0.44 3.47 3.47 0.39 4.30 4.30 XXX
93981... TC A Penile vascular study... 0.00 3.07 3.07 0.36 3.43 3.43 XXX
93981... 26 A Penile vascular study... 0.44 0.40 0.40 0.03 0.87 0.87 XXX
93990... .................. A Doppler flow testing.... 0.25 2.57 2.57 0.29 3.11 3.11 XXX
93990... TC A Doppler flow testing.... 0.00 2.38 2.38 0.27 2.65 2.65 XXX
93990... 26 A Doppler flow testing.... 0.25 0.19 0.19 0.02 0.46 0.46 XXX
94010... .................. A Breathing capacity test. 0.17 0.68 0.68 0.05 0.90 0.90 XXX
94010... TC A Breathing capacity test. 0.00 0.40 0.40 0.03 0.43 0.43 XXX
94010... 26 A Breathing capacity test. 0.17 0.28 0.28 0.02 0.47 0.47 XXX
94060... .................. A Evaluation of wheezing.. 0.31 1.23 1.23 0.09 1.63 1.63 XXX
94060... TC A Evaluation of wheezing.. 0.00 0.89 0.89 0.06 0.95 0.95 XXX
94060... 26 A Evaluation of wheezing.. 0.31 #0.34 #0.34 0.03 0.68 0.68 XXX
94070... .................. A Evaluation of wheezing.. 0.60 1.77 1.77 0.13 2.50 2.50 XXX
94070... TC A Evaluation of wheezing.. 0.00 1.39 1.39 0.10 1.49 1.49 XXX
94070... 26 A Evaluation of wheezing.. 0.60 0.38 0.38 0.03 1.01 1.01 XXX
94150... .................. B Vital capacity test..... +0.07 0.16 0.16 0.02 0.25 0.25 XXX
94150... TC B Vital capacity test..... +0.00 0.08 0.08 0.01 0.09 0.09 XXX
94150... 26 B Vital capacity test..... +0.07 #0.08 #0.08 0.01 0.16 0.16 XXX
94200... .................. A Lung function test (MBC/ 0.11 0.36 0.36 0.03 0.50 0.50 XXX
MVV).
94200... TC A Lung function test (MBC/ 0.00 0.24 0.24 0.02 0.26 0.26 XXX
MVV).
94200... 26 A Lung function test (MBC/ 0.11 #0.12 #0.12 0.01 0.24 0.24 XXX
MVV).
94240... .................. A Residual lung capacity.. 0.26 0.88 0.88 0.07 1.21 1.21 XXX
94240... TC A Residual lung capacity.. 0.00 0.65 0.65 0.05 0.70 0.70 XXX
94240... 26 A Residual lung capacity.. 0.26 0.23 0.23 0.02 0.51 0.51 XXX
94250... .................. A Expired gas collection.. 0.11 0.25 0.25 0.02 0.38 0.38 XXX
94250... TC A Expired gas collection.. 0.00 0.13 0.13 0.01 0.14 0.14 XXX
94250... 26 A Expired gas collection.. 0.11 #0.12 #0.12 0.01 0.24 0.24 XXX
94260... .................. A Thoracic gas volume..... 0.13 0.66 0.66 0.06 0.85 0.85 XXX
94260... TC A Thoracic gas volume..... 0.00 0.52 0.52 0.04 0.56 0.56 XXX
[[Page 59220]]
94260... 26 A Thoracic gas volume..... 0.13 #0.14 #0.14 0.02 0.29 0.29 XXX
94350... .................. A Lung nitrogen washout 0.26 0.73 0.73 0.05 1.04 1.04 XXX
curve.
94350... TC A Lung nitrogen washout 0.00 0.52 0.52 0.04 0.56 0.56 XXX
curve.
94350... 26 A Lung nitrogen washout 0.26 0.21 0.21 0.01 0.48 0.48 XXX
curve.
94360... .................. A Measure airflow 0.26 1.11 1.11 0.07 1.44 1.44 XXX
resistance.
94360... TC A Measure airflow 0.00 0.92 0.92 0.06 0.98 0.98 XXX
resistance.
94360... 26 A Measure airflow 0.26 0.19 0.19 0.01 0.46 0.46 XXX
resistance.
94370... .................. A Breath airway closing 0.26 0.40 0.40 0.03 0.69 0.69 XXX
volume.
94370... TC A Breath airway closing 0.00 0.26 0.26 0.02 0.28 0.28 XXX
volume.
94370... 26 A Breath airway closing 0.26 0.14 0.14 0.01 0.41 0.41 XXX
volume.
94375... .................. A Respiratory flow volume 0.31 0.67 0.67 0.04 1.02 1.02 XXX
loop.
94375... TC A Respiratory flow volume 0.00 0.46 0.46 0.03 0.49 0.49 XXX
loop.
94375... 26 A Respiratory flow volume 0.31 0.21 0.21 0.01 0.53 0.53 XXX
loop.
94400... .................. A CO2 breathing response 0.40 0.77 0.77 0.19 1.36 1.36 XXX
curve.
94400... TC A CO2 breathing response 0.00 0.30 0.30 0.06 0.36 0.36 XXX
curve.
94400... 26 A CO2 breathing response 0.40 0.47 0.47 0.13 1.00 1.00 XXX
curve.
94450... .................. A Hypoxia response curve.. 0.40 0.61 0.61 0.05 1.06 1.06 XXX
94450... TC A Hypoxia response curve.. 0.00 0.37 0.37 0.03 0.40 0.40 XXX
94450... 26 A Hypoxia response curve.. 0.40 0.24 0.24 0.02 0.66 0.66 XXX
94620... .................. A Pulmonary stress testing 0.88 2.05 2.05 0.15 3.08 3.08 XXX
94620... TC A Pulmonary stress testing 0.00 1.35 1.35 0.10 1.45 1.45 XXX
94620... 26 A Pulmonary stress testing 0.88 0.70 0.70 0.05 1.63 1.63 XXX
94640... .................. A Airway inhalation 0.00 0.39 0.39 0.03 0.42 0.42 XXX
treatment.
94642... .................. C Aerosol inhalation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
94650... .................. A Pressure breathing 0.00 0.37 0.37 0.03 0.40 0.40 XXX
(IPPB).
94651... .................. A Pressure breathing 0.00 0.36 0.36 0.03 0.39 0.39 XXX
(IPPB).
94652... .................. A Pressure breathing 0.00 0.41 0.41 0.08 0.49 0.49 XXX
(IPPB).
94656... .................. A Initial ventilator mgmt. 1.22 1.13 1.13 0.12 2.47 2.47 XXX
94657... .................. A Cont. ventilator........ 0.83 0.62 0.62 0.05 1.50 1.50 XXX
94660... .................. A Pos airway pressure, 0.76 0.71 0.71 0.06 1.53 1.53 XXX
CPAP.
94662... .................. A Neg pressure 0.76 0.30 0.30 0.02 1.08 1.08 XXX
ventilation, cnp.
94664... .................. A Aerosol or vapor 0.00 0.50 0.50 0.04 0.54 0.54 XXX
inhalations.
94665... .................. A Aerosol or vapor 0.00 0.46 0.46 0.05 0.51 0.51 XXX
inhalations.
94667... .................. A Chest wall manipulation. 0.00 0.55 0.55 0.05 0.60 0.60 XXX
94668... .................. A Chest wall manipulation. 0.00 0.34 0.34 0.03 0.37 0.37 XXX
94680... .................. A Exhaled air analysis: O2 0.26 0.78 0.78 0.10 1.14 1.14 XXX
94680... TC A Exhaled air analysis: O2 0.00 0.49 0.49 0.07 0.56 0.56 XXX
94680... 26 A Exhaled air analysis: O2 0.26 #0.29 #0.29 0.03 0.58 0.58 XXX
94681... .................. A Exhaled air analysis: 0.20 1.54 1.54 0.17 1.91 1.91 XXX
O2, CO2.
94681... TC A Exhaled air analysis: 0.00 1.32 1.32 0.13 1.45 1.45 XXX
O2, CO2.
94681... 26 A Exhaled air analysis: 0.20 #0.22 #0.22 0.04 0.46 0.46 XXX
O2, CO2.
94690... .................. A Exhaled air analysis.... 0.07 0.56 0.56 0.04 0.67 0.67 XXX
94690... TC A Exhaled air analysis.... 0.00 0.51 0.51 0.04 0.55 0.55 XXX
94690... 26 A Exhaled air analysis.... 0.07 0.05 0.05 0.00 0.12 0.12 XXX
94720... .................. A Monoxide diffusing 0.26 1.03 1.03 0.08 1.37 1.37 XXX
capacity.
94720... TC A Monoxide diffusing 0.00 0.80 0.80 0.06 0.86 0.86 XXX
capacity.
94720... 26 A Monoxide diffusing 0.26 0.23 0.23 0.02 0.51 0.51 XXX
capacity.
94725... .................. A Membrane diffusion 0.26 1.84 1.84 0.14 2.24 2.24 XXX
capacity.
94725... TC A Membrane diffusion 0.00 1.66 1.66 0.13 1.79 1.79 XXX
capacity.
94725... 26 A Membrane diffusion 0.26 0.18 0.18 0.01 0.45 0.45 XXX
capacity.
94750... .................. A Pulmonary compliance 0.23 0.80 0.80 0.06 1.09 1.09 XXX
study.
94750... TC A Pulmonary compliance 0.00 0.55 0.55 0.04 0.59 0.59 XXX
study.
94750... 26 A Pulmonary compliance 0.23 #0.25 #0.25 0.02 0.50 0.50 XXX
study.
94760... .................. A Measure blood oxygen 0.00 0.25 0.25 0.02 0.27 0.27 XXX
level.
94761... .................. A Measure blood oxygen 0.00 0.64 0.64 0.06 0.70 0.70 XXX
level.
94762... .................. A Measure blood oxygen 0.00 1.08 1.08 0.10 1.18 1.18 XXX
level.
94770... .................. A Exhaled carbon dioxide 0.15 0.40 0.40 0.11 0.66 0.66 XXX
test.
94770... TC A Exhaled carbon dioxide 0.00 0.29 0.29 0.08 0.37 0.37 XXX
test.
94770... 26 A Exhaled carbon dioxide 0.15 0.11 0.11 0.03 0.29 0.29 XXX
test.
94772... .................. C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
94772... TC C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
94772... 26 C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
94799... .................. C Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
94799... TC C Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
94799... 26 C Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
95004... .................. A Allergy skin tests...... 0.00 0.09 0.09 0.01 0.10 0.10 XXX
95010... .................. A Sensitivity skin tests.. 0.15 0.11 0.11 0.01 0.27 0.27 XXX
95015... .................. A Sensitivity skin tests.. 0.15 0.11 0.11 0.01 0.27 0.27 XXX
95024... .................. A Allergy skin tests...... 0.00 0.14 0.14 0.01 0.15 0.15 XXX
95027... .................. A Skin end point titration 0.00 0.14 0.14 0.01 0.15 0.15 XXX
95028... .................. A Allergy skin tests...... 0.00 0.22 0.22 0.01 0.23 0.23 XXX
95044... .................. A Allergy patch tests..... 0.00 0.19 0.19 0.01 0.20 0.20 XXX
95052... .................. A Photo patch test........ 0.00 0.24 0.24 0.01 0.25 0.25 XXX
95056... .................. A Photosensitivity tests.. 0.00 0.17 0.17 0.01 0.18 0.18 XXX
[[Page 59221]]
95060... .................. A Eye allergy tests....... 0.00 0.33 0.33 0.02 0.35 0.35 XXX
95065... .................. A Nose allergy test....... 0.00 0.19 0.19 0.01 0.20 0.20 XXX
95070... .................. A Bronchial allergy tests. 0.00 2.17 2.17 0.02 2.19 2.19 XXX
95071... .................. A Bronchial allergy tests. 0.00 2.78 2.78 0.02 2.80 2.80 XXX
95075... .................. A Ingestion challenge test 0.95 1.97 1.97 0.02 2.94 2.94 XXX
95078... .................. A Provocative testing..... 0.00 0.24 0.24 0.02 0.26 0.26 XXX
95115... .................. A Immunotherapy, one 0.00 0.37 0.37 0.02 0.39 0.39 000
injection.
95117... .................. A Immunotherapy injections 0.00 0.48 0.48 0.02 0.50 0.50 000
95120... .................. I Immunotherapy, one 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
95125... .................. I Immunotherapy, many 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigens.
95130... .................. I Immunotherapy, insect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
venom.
95131... .................. I Immunotherapy, insect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
venoms.
95132... .................. I Immunotherapy, insect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
venoms.
95133... .................. I Immunotherapy, insect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
venoms.
95134... .................. I Immunotherapy, insect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
venoms.
95144... .................. A Antigen therapy services 0.06 0.13 0.13 0.01 0.20 0.20 000
95145... .................. A Antigen therapy services 0.06 0.34 0.34 0.03 0.43 0.43 000
95146... .................. A Antigen therapy services 0.06 0.61 0.61 0.03 0.70 0.70 000
95147... .................. A Antigen therapy services 0.06 0.91 0.91 0.03 1.00 1.00 000
95148... .................. A Antigen therapy services 0.06 0.91 0.91 0.03 1.00 1.00 000
95149... .................. A Antigen therapy services 0.06 1.14 1.14 0.03 1.23 1.23 000
95165... .................. A Antigen therapy services 0.06 0.10 0.10 0.01 0.17 0.17 000
95170... .................. A Antigen therapy services 0.06 0.35 0.35 0.03 0.44 0.44 000
95180... .................. A Rapid desensitization... 2.01 0.14 0.14 0.01 2.16 2.16 000
95199... .................. C Allergy immunology 0.00 0.00 0.00 0.00 0.00 0.00 000
services.
95805... .................. A Multiple sleep latency 1.88 5.51 5.51 0.45 7.84 7.84 XXX
test.
95805... TC A Multiple sleep latency 0.00 4.95 4.95 0.38 5.33 5.33 XXX
test.
95805... 26 A Multiple sleep latency 1.88 0.56 0.56 0.07 2.51 2.51 XXX
test.
95806... .................. A Sleep study, unattended. 1.66 7.18 6.56 0.55 9.39 8.77 XXX
95806... TC A Sleep study, unattended. 0.00 4.73 4.73 0.36 5.09 5.09 XXX
95806... 26 A Sleep study, unattended. 1.66 2.45 #1.83 0.19 4.30 3.68 XXX
95807... .................. A Sleep study, attended... 1.66 8.13 8.13 0.67 10.46 10.46 XXX
95807... TC A Sleep study, attended... 0.00 6.30 6.30 0.48 6.78 6.78 XXX
95807... 26 A Sleep study, attended... 1.66 #1.83 #1.83 0.19 3.68 3.68 XXX
95808... .................. A Polysomnography, 1-3.... 2.65 8.75 8.75 0.67 12.07 12.07 XXX
95808... TC A Polysomnography, 1-3.... 0.00 6.30 6.30 0.48 6.78 6.78 XXX
95808... 26 A Polysomnography, 1-3.... 2.65 2.45 2.45 0.19 5.29 5.29 XXX
95810... .................. A Polysomnography, 4 or 3.53 8.75 8.75 0.67 12.95 12.95 XXX
more.
95810... TC A Polysomnography, 4 or 0.00 6.30 6.30 0.48 6.78 6.78 XXX
more.
95810... 26 A Polysomnography, 4 or 3.53 2.45 2.45 0.19 6.17 6.17 XXX
more.
95811... .................. A Polysomnography w/cpap.. 3.80 9.19 9.19 0.70 13.69 13.69 XXX
95811... TC A Polysomnography w/cpap.. 0.00 6.62 6.62 0.50 7.12 7.12 XXX
95811... 26 A Polysomnography w/cpap.. 3.80 2.57 2.57 0.20 6.57 6.57 XXX
95812... .................. A Electroencephalogram 1.08 1.85 1.85 0.15 3.08 3.08 XXX
(EEG).
95812... TC A Electroencephalogram 0.00 1.35 1.35 0.11 1.46 1.46 XXX
(EEG).
95812... 26 A Electroencephalogram 1.08 0.50 0.50 0.04 1.62 1.62 XXX
(EEG).
95813... .................. A Electroencephalogram 1.73 1.85 1.85 0.15 3.73 3.73 XXX
(EEG).
95813... TC A Electroencephalogram 0.00 1.35 1.35 0.11 1.46 1.46 XXX
(EEG).
95813... 26 A Electroencephalogram 1.73 0.50 0.50 0.04 2.27 2.27 XXX
(EEG).
95816... .................. A Electroencephalogram 1.08 1.54 1.54 0.13 2.75 2.75 XXX
(EEG).
95816... TC A Electroencephalogram 0.00 1.26 1.26 0.10 1.36 1.36 XXX
(EEG).
95816... 26 A Electroencephalogram 1.08 0.28 0.28 0.03 1.39 1.39 XXX
(EEG).
95819... .................. A Electroencephalogram 1.08 1.80 1.80 0.14 3.02 3.02 XXX
(EEG).
95819... TC A Electroencephalogram 0.00 1.30 1.30 0.10 1.40 1.40 XXX
(EEG).
95819... 26 A Electroencephalogram 1.08 0.50 0.50 0.04 1.62 1.62 XXX
(EEG).
95822... .................. A Sleep 1.08 2.28 2.28 0.18 3.54 3.54 XXX
electroencephalogram.
95822... TC A Sleep 0.00 1.72 1.72 0.14 1.86 1.86 XXX
electroencephalogram.
95822... 26 A Sleep 1.08 0.56 0.56 0.04 1.68 1.68 XXX
electroencephalogram.
95824... .................. A Electroencephalography.. 0.74 0.98 0.98 0.07 1.79 1.79 XXX
95824... TC A Electroencephalography.. 0.00 0.40 0.40 0.03 0.43 0.43 XXX
95824... 26 A Electroencephalography.. 0.74 0.58 0.58 0.04 1.36 1.36 XXX
95827... .................. A Night 1.08 3.06 3.06 0.24 4.38 4.38 XXX
electroencephalogram.
95827... TC A Night 0.00 2.18 2.18 0.17 2.35 2.35 XXX
electroencephalogram.
95827... 26 A Night 1.08 0.88 0.88 0.07 2.03 2.03 XXX
electroencephalogram.
95829... .................. A Surgery 6.21 0.59 0.59 0.05 6.85 6.85 XXX
electrocorticogram.
95829... TC A Surgery 0.00 0.14 0.14 0.02 0.16 0.16 XXX
electrocorticogram.
95829... 26 A Surgery 6.21 0.45 0.45 0.03 6.69 6.69 XXX
electrocorticogram.
95830... .................. A Insert electrodes for 1.70 0.78 0.78 0.07 2.55 2.55 XXX
EEG.
95831... .................. A Limb muscle testing, 0.28 0.29 0.29 0.03 0.60 0.60 XXX
manual.
95832... .................. A Hand muscle testing, 0.29 0.25 0.25 0.02 0.56 0.56 XXX
manual.
95833... .................. A Body muscle testing, 0.47 0.38 0.38 0.05 0.90 0.90 XXX
manual.
95834... .................. A Body muscle testing, 0.60 0.61 0.61 0.06 1.27 1.27 XXX
manual.
95851... .................. A Range of motion 0.16 0.24 0.24 0.02 0.42 0.42 XXX
measurements.
95852... .................. A Range of motion 0.11 0.15 0.15 0.02 0.28 0.28 XXX
measurements.
[[Page 59222]]
95857... .................. A Tensilon test........... 0.53 0.50 0.50 0.04 1.07 1.07 XXX
95858... .................. A Tensilon test & myogram. 1.56 1.02 1.02 0.09 2.67 2.67 XXX
95858... TC A Tensilon test & myogram. 0.00 0.38 0.38 0.04 0.42 0.42 XXX
95858... 26 A Tensilon test & myogram. 1.56 0.64 0.64 0.05 2.25 2.25 XXX
95860... .................. A Muscle test, one limb... 0.96 1.09 1.09 0.09 2.14 2.14 XXX
95860... TC A Muscle test, one limb... 0.00 0.36 0.36 0.03 0.39 0.39 XXX
95860... 26 A Muscle test, one limb... 0.96 0.73 0.73 0.06 1.75 1.75 XXX
95861... .................. A Muscle test, two limbs.. 1.54 1.97 1.97 0.16 3.67 3.67 XXX
95861... TC A Muscle test, two limbs.. 0.00 0.70 0.70 0.06 0.76 0.76 XXX
95861... 26 A Muscle test, two limbs.. 1.54 1.27 1.27 0.10 2.91 2.91 XXX
95863... .................. A Muscle test, 3 limbs.... 1.87 2.30 2.30 0.18 4.35 4.35 XXX
95863... TC A Muscle test, 3 limbs.... 0.00 0.89 0.89 0.07 0.96 0.96 XXX
95863... 26 A Muscle test, 3 limbs.... 1.87 1.41 1.41 0.11 3.39 3.39 XXX
95864... .................. A Muscle test, 4 limbs.... 1.99 3.45 3.45 0.27 5.71 5.71 XXX
95864... TC A Muscle test, 4 limbs.... 0.00 1.70 1.70 0.13 1.83 1.83 XXX
95864... 26 A Muscle test, 4 limbs.... 1.99 1.75 1.75 0.14 3.88 3.88 XXX
95867... .................. A Muscle test, head or 0.79 1.13 1.13 0.09 2.01 2.01 XXX
neck.
95867... TC A Muscle test, head or 0.00 0.55 0.55 0.04 0.59 0.59 XXX
neck.
95867... 26 A Muscle test, head or 0.79 0.58 0.58 0.05 1.42 1.42 XXX
neck.
95868... .................. A Muscle test, head or 1.18 1.92 1.92 0.15 3.25 3.25 XXX
neck.
95868... TC A Muscle test, head or 0.00 0.66 0.66 0.05 0.71 0.71 XXX
neck.
95868... 26 A Muscle test, head or 1.18 1.26 1.26 0.10 2.54 2.54 XXX
neck.
95869... .................. A Muscle test, thor 0.37 0.53 0.53 0.05 0.95 0.95 XXX
paraspinal.
95869... TC A Muscle test, thor 0.00 0.20 0.20 0.02 0.22 0.22 XXX
paraspinal.
95869... 26 A Muscle test, thor 0.37 0.33 0.33 0.03 0.73 0.73 XXX
paraspinal.
95870... .................. A Muscle test, non- 0.37 0.53 0.53 0.05 0.95 0.95 XXX
paraspinal.
95870... TC A Muscle test, non- 0.00 0.20 0.20 0.02 0.22 0.22 XXX
paraspinal.
95870... 26 A Muscle test, non- 0.37 0.33 0.33 0.03 0.73 0.73 XXX
paraspinal.
95872... .................. A Muscle test, one fiber.. 1.50 1.25 1.25 0.11 2.86 2.86 XXX
95872... TC A Muscle test, one fiber.. 0.00 0.57 0.57 0.05 0.62 0.62 XXX
95872... 26 A Muscle test, one fiber.. 1.50 0.68 0.68 0.06 2.24 2.24 XXX
95875... .................. A Limb exercise test...... 1.34 0.60 0.60 0.10 2.04 2.04 XXX
95875... TC A Limb exercise test...... 0.00 0.38 0.38 0.06 0.44 0.44 XXX
95875... 26 A Limb exercise test...... 1.34 0.22 0.22 0.04 1.60 1.60 XXX
95900... .................. A Motor nerve conduction 0.42 0.62 0.62 0.05 1.09 1.09 XXX
test.
95900... TC A Motor nerve conduction 0.00 0.27 0.27 0.02 0.29 0.29 XXX
test.
95900... 26 A Motor nerve conduction 0.42 0.35 0.35 0.03 0.80 0.80 XXX
test.
95903... .................. A Motor nerve conduction 0.60 0.59 0.59 0.05 1.24 1.24 XXX
test.
95903... TC A Motor nerve conduction 0.00 0.24 0.24 0.02 0.26 0.26 XXX
test.
95903... 26 A Motor nerve conduction 0.60 0.35 0.35 0.03 0.98 0.98 XXX
test.
95904... .................. A Sense nerve conduction 0.34 0.55 0.55 0.05 0.94 0.94 XXX
test.
95904... TC A Sense nerve conduction 0.00 0.21 0.21 0.02 0.23 0.23 XXX
test.
95904... 26 A Sense nerve conduction 0.34 0.34 0.34 0.03 0.71 0.71 XXX
test.
95920... .................. A Intraoperative nerve 2.11 2.67 2.67 0.20 4.98 4.98 XXX
testing.
95920... TC A Intraoperative nerve 0.00 1.24 1.24 0.08 1.32 1.32 XXX
testing.
95920... 26 A Intraoperative nerve 2.11 1.43 1.43 0.12 3.66 3.66 XXX
testing.
95921... .................. A Autonomic nervous func 0.90 0.68 0.68 0.05 1.63 1.63 XXX
test.
95921... TC A Autonomic nervous func 0.00 0.36 0.36 0.03 0.39 0.39 XXX
test.
95921... 26 A Autonomic nervous func 0.90 0.32 0.32 0.02 1.24 1.24 XXX
test.
95922... .................. A Autonomic nervous func 0.96 0.70 0.70 0.06 1.72 1.72 XXX
test.
95922... TC A Autonomic nervous func 0.00 0.36 0.36 0.03 0.39 0.39 XXX
test.
95922... 26 A Autonomic nervous func 0.96 0.34 0.34 0.03 1.33 1.33 XXX
test.
95923... .................. A Autonomic nervous func 0.90 0.68 0.68 0.05 1.63 1.63 XXX
test.
95923... TC A Autonomic nervous func 0.00 0.36 0.36 0.03 0.39 0.39 XXX
test.
95923... 26 A Autonomic nervous func 0.90 0.32 0.32 0.02 1.24 1.24 XXX
test.
95925... .................. A Somatosensory testing... 0.54 1.51 1.51 0.12 2.17 2.17 XXX
95925... TC A Somatosensory testing... 0.00 0.87 0.87 0.07 0.94 0.94 XXX
95925... 26 A Somatosensory testing... 0.54 0.64 0.64 0.05 1.23 1.23 XXX
95926... .................. A Somatosensory testing... 0.54 1.51 1.51 0.12 2.17 2.17 XXX
95926... TC A Somatosensory testing... 0.00 0.87 0.87 0.07 0.94 0.94 XXX
95926... 26 A Somatosensory testing... 0.54 0.64 0.64 0.05 1.23 1.23 XXX
95927... .................. A Somatosensory testing... 0.54 1.51 1.51 0.12 2.17 2.17 XXX
95927... TC A Somatosensory testing... 0.00 0.87 0.87 0.07 0.94 0.94 XXX
95927... 26 A Somatosensory testing... 0.54 0.64 0.64 0.05 1.23 1.23 XXX
95930... .................. A Visual evoked potential 0.35 0.83 0.83 0.05 1.23 1.23 XXX
test.
95930... TC A Visual evoked potential 0.00 0.25 0.25 0.01 0.26 0.26 XXX
test.
95930... 26 A Visual evoked potential 0.35 0.58 0.58 0.04 0.97 0.97 XXX
test.
95933... .................. A Blink reflex test....... 0.59 1.25 1.25 0.10 1.94 1.94 XXX
95933... TC A Blink reflex test....... 0.00 0.75 0.75 0.06 0.81 0.81 XXX
95933... 26 A Blink reflex test....... 0.59 0.50 0.50 0.04 1.13 1.13 XXX
95934... .................. A h reflex test........... 0.51 0.54 0.54 0.05 1.10 1.10 XXX
95934... TC A h reflex test........... 0.00 0.20 0.20 0.02 0.22 0.22 XXX
95934... 26 A h reflex test........... 0.51 0.34 0.34 0.03 0.88 0.88 XXX
95936... .................. A h reflex test........... 0.55 0.54 0.54 0.05 1.14 1.14 XXX
[[Page 59223]]
95936... TC A h reflex test........... 0.00 0.20 0.20 0.02 0.22 0.22 XXX
95936... 26 A h reflex test........... 0.55 0.34 0.34 0.03 0.92 0.92 XXX
95937... .................. A Neuromuscular junction 0.65 0.77 0.77 0.07 1.49 1.49 XXX
test.
95937... TC A Neuromuscular junction 0.00 0.32 0.32 0.03 0.35 0.35 XXX
test.
95937... 26 A Neuromuscular junction 0.65 0.45 0.45 0.04 1.14 1.14 XXX
test.
95950... .................. A Ambulatory eeg 1.51 7.25 7.25 0.60 9.36 9.36 XXX
monitoring.
95950... TC A Ambulatory eeg 0.00 6.04 6.04 0.50 6.54 6.54 XXX
monitoring.
95950... 26 A Ambulatory eeg 1.51 1.21 1.21 0.10 2.82 2.82 XXX
monitoring.
95951... .................. A EEG monitoring/ 6.00 8.83 8.83 0.64 15.47 15.47 XXX
videorecord.
95951... TC A EEG monitoring/ 0.00 7.33 7.33 0.53 7.86 7.86 XXX
videorecord.
95951... 26 A EEG monitoring/ 6.00 1.50 1.50 0.11 7.61 7.61 XXX
videorecord.
95953... .................. A EEG monitoring/computer. 3.08 7.25 7.25 0.60 10.93 10.93 XXX
95953... TC A EEG monitoring/computer. 0.00 6.04 6.04 0.50 6.54 6.54 XXX
95953... 26 A EEG monitoring/computer. 3.08 1.21 1.21 0.10 4.39 4.39 XXX
95954... .................. A EEG monitoring/giving 2.45 2.32 2.32 0.28 5.05 5.05 XXX
drugs.
95954... TC A EEG monitoring/giving 0.00 0.45 0.45 0.06 0.51 0.51 XXX
drugs.
95954... 26 A EEG monitoring/giving 2.45 1.87 1.87 0.22 4.54 4.54 XXX
drugs.
95955... .................. A EEG during surgery...... 1.01 2.90 2.90 0.30 4.21 4.21 XXX
95955... TC A EEG during surgery...... 0.00 1.87 1.87 0.19 2.06 2.06 XXX
95955... 26 A EEG during surgery...... 1.01 1.03 1.03 0.11 2.15 2.15 XXX
95956... .................. A EEG monitoring/cable/ 3.08 7.54 7.54 0.61 11.23 11.23 XXX
radio.
95956... TC A EEG monitoring/cable/ 0.00 6.04 6.04 0.50 6.54 6.54 XXX
radio.
95956... 26 A EEG monitoring/cable/ 3.08 1.50 1.50 0.11 4.69 4.69 XXX
radio.
95957... .................. A EEG digital analysis.... 1.98 2.25 2.25 0.18 4.41 4.41 XXX
95957... TC A EEG digital analysis.... 0.00 1.62 1.62 0.13 1.75 1.75 XXX
95957... 26 A EEG digital analysis.... 1.98 0.63 0.63 0.05 2.66 2.66 XXX
95958... .................. A EEG monitoring/function 4.25 4.89 4.89 0.52 9.66 9.66 XXX
test.
95958... TC A EEG monitoring/function 0.00 1.66 1.66 0.14 1.80 1.80 XXX
test.
95958... 26 A EEG monitoring/function 4.25 3.23 3.23 0.38 7.86 7.86 XXX
test.
95961... .................. A Electrode stimulation, 2.97 2.67 2.67 0.20 5.84 5.84 XXX
brain.
95961... TC A Electrode stimulation, 0.00 1.24 1.24 0.08 1.32 1.32 XXX
brain.
95961... 26 A Electrode stimulation, 2.97 1.43 1.43 0.12 4.52 4.52 XXX
brain.
95962... .................. A Electrode stimulation, 3.21 2.67 2.67 0.20 6.08 6.08 XXX
brain.
95962... TC A Electrode stimulation, 0.00 1.24 1.24 0.08 1.32 1.32 XXX
brain.
95962... 26 A Electrode stimulation, 3.21 1.43 1.43 0.12 4.76 4.76 XXX
brain.
95999... .................. C Neurological procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
96100... .................. A Psychological testing... 0.00 1.68 1.68 0.20 1.88 1.88 XXX
96105... .................. A Assessment of aphasia... 0.00 1.68 1.68 0.20 1.88 1.88 XXX
96110... .................. C Developmental test, lim. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
96111... .................. A Developmental test, 0.00 1.68 1.68 0.20 1.88 1.88 XXX
extend.
96115... .................. A Neurobehavior status 0.00 1.68 1.68 0.20 1.88 1.88 XXX
exam.
96117... .................. A Neuropsych test battery. 0.00 1.68 1.68 0.20 1.88 1.88 XXX
96400... .................. A Chemotherapy, (SC)/(IM). 0.00 0.13 0.13 0.01 0.14 0.14 XXX
96405... .................. A Intralesional chemo 0.52 0.38 0.38 0.03 0.93 0.93 000
admin.
96406... .................. A Intralesional chemo 0.80 0.56 0.56 0.04 1.40 1.40 000
admin.
96408... .................. A Chemotherapy, push 0.00 0.92 0.92 0.06 0.98 0.98 XXX
technique.
96410... .................. A Chemotherapy, infusion 0.00 1.47 1.47 0.09 1.56 1.56 XXX
method.
96412... .................. A Chemotherapy, infusion 0.00 1.10 1.10 0.08 1.18 1.18 XXX
method.
96414... .................. A Chemotherapy, infusion 0.00 1.27 1.27 0.09 1.36 1.36 XXX
method.
96420... .................. A Chemotherapy, push 0.00 1.19 1.19 0.09 1.28 1.28 XXX
technique.
96422... .................. A Chemotherapy, infusion 0.00 1.17 1.17 0.09 1.26 1.26 XXX
method.
96423... .................. A Chemotherapy, infusion 0.00 0.46 0.46 0.03 0.49 0.49 XXX
method.
96425... .................. A Chemotherapy, infusion 0.00 1.36 1.36 0.09 1.45 1.45 XXX
method.
96440... .................. A Chemotherapy, 2.37 0.81 0.81 0.06 3.24 3.24 000
intracavitary.
96445... .................. A Chemotherapy, 2.20 0.98 0.98 0.09 3.27 3.27 000
intracavitary.
96450... .................. A Chemotherapy, into CNS.. 1.89 0.87 0.87 0.06 2.82 2.82 000
96520... .................. A Pump refilling, 0.00 0.85 0.85 0.06 0.91 0.91 XXX
maintenance.
96530... .................. A Pump refilling, 0.00 1.01 1.01 0.07 1.08 1.08 XXX
maintenance.
96542... .................. A Chemotherapy injection.. 1.42 1.09 1.09 0.13 2.64 2.64 XXX
96545... .................. B Provide chemotherapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
96549... .................. C Chemotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unspecified.
96900... .................. A Ultraviolet light 0.00 0.38 0.38 0.03 0.41 0.41 XXX
therapy.
96902... .................. B Trichogram.............. +0.41 0.29 0.29 0.02 0.72 0.72 XXX
96910... .................. A Photochemotherapy with 0.00 0.55 0.55 0.04 0.59 0.59 XXX
UV-B.
96912... .................. A Photochemotherapy with 0.00 0.63 0.63 0.05 0.68 0.68 XXX
UV-A.
96913... .................. A Photochemotherapy, UV-A 0.00 1.29 1.29 0.10 1.39 1.39 XXX
or B.
96999... .................. C Dermatological procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97001... .................. A Pt evaluation........... 1.20 0.35 0.35 0.11 1.66 1.66 XXX
97002... .................. A Pt re-evaluation........ 0.60 0.04 0.04 0.01 0.65 0.65 XXX
97003... .................. A Ot evaluation........... 1.20 0.35 0.35 0.11 1.66 1.66 XXX
97004... .................. A Ot re-evaluation........ 0.60 0.04 0.04 0.01 0.65 0.65 XXX
97010... .................. B Hot or cold packs +0.06 0.21 0.21 0.02 0.29 0.29 XXX
therapy.
97012... .................. A Mechanical traction 0.25 0.19 0.19 0.02 0.46 0.46 XXX
therapy.
97014... .................. A Electric stimulation 0.18 0.20 0.20 0.02 0.40 0.40 XXX
therapy.
[[Page 59224]]
97016... .................. A Vasopneumatic device 0.18 0.25 0.25 0.02 0.45 0.45 XXX
therapy.
97018... .................. A Paraffin bath therapy... 0.06 0.24 0.24 0.03 0.33 0.33 XXX
97020... .................. A Microwave therapy....... 0.06 0.20 0.20 0.02 0.28 0.28 XXX
97022... .................. A Whirlpool therapy....... 0.17 0.19 0.19 0.02 0.38 0.38 XXX
97024... .................. A Diathermy treatment..... 0.06 0.21 0.21 0.02 0.29 0.29 XXX
97026... .................. A Infrared therapy........ 0.06 0.19 0.19 0.02 0.27 0.27 XXX
97028... .................. A Ultraviolet therapy..... 0.08 0.19 0.19 0.01 0.28 0.28 XXX
97032... .................. A Electrical stimulation.. 0.25 0.14 0.14 0.01 0.40 0.40 XXX
97033... .................. A Electric current therapy 0.26 0.14 0.14 0.02 0.42 0.42 XXX
97034... .................. A Contrast bath therapy... 0.21 0.10 0.10 0.01 0.32 0.32 XXX
97035... .................. A Ultrasound therapy...... 0.21 0.11 0.11 0.01 0.33 0.33 XXX
97036... .................. A Hydrotherapy............ 0.28 0.21 0.21 0.02 0.51 0.51 XXX
97039... .................. A Physical therapy 0.20 0.24 0.24 0.03 0.47 0.47 XXX
treatment.
97110... .................. A Therapeutic exercises... 0.45 0.13 0.13 0.02 0.60 0.60 XXX
97112... .................. A Neuromuscular 0.45 0.13 0.13 0.01 0.59 0.59 XXX
reeducation.
97113... .................. A Aquatic therapy/ 0.44 0.20 0.20 0.02 0.66 0.66 XXX
exercises.
97116... .................. A Gait training therapy... 0.40 0.11 0.11 0.01 0.52 0.52 XXX
97122... .................. A Manual traction therapy. 0.42 0.11 0.11 0.01 0.54 0.54 XXX
97124... .................. A Massage therapy......... 0.35 0.11 0.11 0.01 0.47 0.47 XXX
97139... .................. A Physical medicine 0.21 0.16 0.16 0.02 0.39 0.39 XXX
procedure.
97150... .................. A Group therapeutic 0.27 0.20 0.20 0.02 0.49 0.49 XXX
procedures.
97250... .................. A Myofascial release...... 0.45 0.35 0.35 0.04 0.84 0.84 000
97260... .................. A Regional manipulation... 0.19 0.20 0.20 0.02 0.41 0.41 000
97261... .................. A Supplemental 0.12 0.11 0.11 0.01 0.24 0.24 000
manipulations.
97265... .................. A Joint mobilization...... 0.45 0.35 0.35 0.04 0.84 0.84 XXX
97504... .................. A Orthotic training....... 0.45 0.14 0.14 0.02 0.61 0.61 XXX
97520... .................. A Prosthetic training..... 0.45 0.15 0.15 0.02 0.62 0.62 XXX
97530... .................. A Therapeutic activities.. 0.44 0.17 0.17 0.02 0.63 0.63 XXX
97535... .................. A Self care mngment 0.45 0.17 0.17 0.02 0.64 0.64 XXX
training.
97537... .................. A Community/work 0.45 0.17 0.17 0.02 0.64 0.64 XXX
reintegration.
97542... .................. A Wheelchair mngement 0.25 0.17 0.17 0.02 0.44 0.44 XXX
training.
97545... .................. R Work hardening.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97546... .................. R Work hardening.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97703... .................. A Prosthetic checkout..... 0.25 0.18 0.18 0.03 0.46 0.46 XXX
97750... .................. A Physical performance 0.45 0.24 0.24 0.03 0.72 0.72 XXX
test.
97770... .................. A Cognitive skills 0.44 0.28 0.28 0.03 0.75 0.75 XXX
development.
97780... .................. N Acupuncture w/o stim.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97781... .................. N Acupuncture w/stim...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97799... .................. C Physical medicine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
98925... .................. A Osteopathic manipulation 0.45 0.25 0.25 0.02 0.72 0.72 000
98926... .................. A Osteopathic manipulation 0.65 0.40 0.40 0.03 1.08 1.08 000
98927... .................. A Osteopathic manipulation 0.87 0.38 0.38 0.03 1.28 1.28 000
98928... .................. A Osteopathic manipulation 1.03 0.42 0.42 0.04 1.49 1.49 000
98929... .................. A Osteopathic manipulation 1.19 0.39 0.39 0.03 1.61 1.61 000
98940... .................. A Chiropractic 0.45 0.29 0.29 0.01 0.75 0.75 000
manipulation.
98941... .................. A Chiropractic 0.65 0.29 0.29 0.01 0.95 0.95 000
manipulation.
98942... .................. A Chiropractic 0.87 0.29 0.29 0.01 1.17 1.17 000
manipulation.
98943... .................. N Chiropractic +0.40 0.29 0.29 0.01 0.70 0.70 XXX
manipulation.
99000... .................. B Specimen handling....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99001... .................. B Specimen handling....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99002... .................. B Device handling......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99024... .................. B Post-op follow-up visit. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99025... .................. B Initial surgical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
99050... .................. B Medical services after 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hrs.
99052... .................. B Medical services at 0.00 0.00 0.00 0.00 0.00 0.00 XXX
night.
99054... .................. B Medical services, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unusual hrs.
99056... .................. B Non-office medical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99058... .................. B Office emergency care... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99070... .................. B Special supplies........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99071... .................. B Patient education 0.00 0.00 0.00 0.00 0.00 0.00 XXX
materials.
99075... .................. N Medical testimony....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99078... .................. B Group health education.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99080... .................. B Special reports or forms 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99082... .................. C Unusual physician travel 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99090... .................. B Computer data analysis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99100... .................. B Special anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
99116... .................. B Anesthesia with 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hypothermia.
99135... .................. B Special anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
99140... .................. B Emergency anesthesia.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99141... .................. B Sedation, iv/im or +0.80 0.83 0.83 0.05 1.68 1.68 XXX
inhalant.
99142... .................. B Sedation, oral/rectal/ +0.60 0.62 0.62 0.04 1.26 1.26 XXX
nasal.
99175... .................. A Induction of vomiting... 0.00 1.33 1.33 0.10 1.43 1.43 XXX
99183... .................. A Hyperbaric oxygen 2.34 1.67 1.67 0.11 4.12 4.12 XXX
therapy.
99185... .................. A Regional hypothermia.... 0.00 0.61 0.61 0.04 0.65 0.65 XXX
[[Page 59225]]
99186... .................. A Total body hypothermia.. 0.00 1.70 1.70 0.52 2.22 2.22 XXX
99190... .................. X Special pump services... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99191... .................. X Special pump services... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99192... .................. X Special pump services... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99195... .................. A Phlebotomy.............. 0.00 0.42 0.42 0.03 0.45 0.45 XXX
99199... .................. C Special service or 0.00 0.00 0.00 0.00 0.00 0.00 XXX
report.
99201... .................. A Office/outpatient visit, 0.45 0.42 0.37 0.04 0.91 0.86 XXX
new.
99202... .................. A Office/outpatient visit, 0.88 0.51 0.45 0.05 1.44 1.38 XXX
new.
99203... .................. A Office/outpatient visit, 1.34 0.59 0.52 0.06 1.99 1.92 XXX
new.
99204... .................. A Office/outpatient visit, 2.00 0.88 0.78 0.08 2.96 2.86 XXX
new.
99205... .................. A Office/outpatient visit, 2.67 0.96 0.85 0.09 3.72 3.61 XXX
new.
99211... .................. A Office/outpatient visit, 0.17 0.21 0.19 0.02 0.40 0.38 XXX
est.
99212... .................. A Office/outpatient visit, 0.45 0.32 0.28 0.02 0.79 0.75 XXX
est.
99213... .................. A Office/outpatient visit, 0.67 0.43 0.38 0.03 1.13 1.08 XXX
est.
99214... .................. A Office/outpatient visit, 1.10 0.57 0.50 0.04 1.71 1.64 XXX
est.
99215... .................. A Office/outpatient visit, 1.77 0.86 0.76 0.07 2.70 2.60 XXX
est.
99217... .................. A Observation care 1.28 0.52 0.52 0.04 1.84 1.84 XXX
discharge.
99218... .................. A Observation care........ 1.28 0.68 0.68 0.06 2.02 2.02 XXX
99219... .................. A Observation care........ 2.14 1.05 1.05 0.09 3.28 3.28 XXX
99220... .................. A Observation care........ 2.99 1.14 1.14 0.09 4.22 4.22 XXX
99221... .................. A Initial hospital care... 1.28 0.67 0.67 0.06 2.01 2.01 XXX
99222... .................. A Initial hospital care... 2.14 1.04 1.04 0.09 3.27 3.27 XXX
99223... .................. A Initial hospital care... 2.99 1.13 1.13 0.08 4.20 4.20 XXX
99231... .................. A Subsequent hospital care 0.64 0.38 0.38 0.03 1.05 1.05 XXX
99232... .................. A Subsequent hospital care 1.06 0.45 0.45 0.04 1.55 1.55 XXX
99233... .................. A Subsequent hospital care 1.51 0.60 0.60 0.05 2.16 2.16 XXX
99234... .................. A Observ/hosp same date... 2.56 0.68 0.68 0.06 3.30 3.30 XXX
99235... .................. A Observ/hosp same date... 3.42 1.05 1.05 0.09 4.56 4.56 XXX
99236... .................. A Observ/hosp same date... 4.27 1.14 1.14 0.09 5.50 5.50 XXX
99238... .................. A Hospital discharge day.. 1.28 0.51 0.51 0.04 1.83 1.83 XXX
99239... .................. A Hospital discharge day.. 1.75 0.51 0.51 0.04 2.30 2.30 XXX
99241... .................. A Office consultation..... 0.64 0.64 0.64 0.08 1.36 1.36 XXX
99242... .................. A Office consultation..... 1.29 0.77 0.77 0.09 2.15 2.15 XXX
99243... .................. A Office consultation..... 1.72 0.97 0.97 0.10 2.79 2.79 XXX
99244... .................. A Office consultation..... 2.58 1.23 1.23 0.11 3.92 3.92 XXX
99245... .................. A Office consultation..... 3.43 1.69 1.69 0.16 5.28 5.28 XXX
99251... .................. A Initial inpatient 0.66 0.67 0.67 0.08 1.41 1.41 XXX
consult.
99252... .................. A Initial inpatient 1.32 0.76 0.76 0.09 2.17 2.17 XXX
consult.
99253... .................. A Initial inpatient 1.82 0.95 0.95 0.10 2.87 2.87 XXX
consult.
99254... .................. A Initial inpatient 2.64 1.20 1.20 0.11 3.95 3.95 XXX
consult.
99255... .................. A Initial inpatient 3.65 1.57 1.57 0.14 5.36 5.36 XXX
consult.
99261... .................. A Follow-up inpatient 0.42 0.33 0.33 0.03 0.78 0.78 XXX
consult.
99262... .................. A Follow-up inpatient 0.85 0.46 0.46 0.04 1.35 1.35 XXX
consult.
99263... .................. A Follow-up inpatient 1.27 0.67 0.67 0.04 1.98 1.98 XXX
consult.
99271... .................. A Confirmatory 0.45 0.58 0.58 0.07 1.10 1.10 XXX
consultation.
99272... .................. A Confirmatory 0.84 0.71 0.71 0.09 1.64 1.64 XXX
consultation.
99273... .................. A Confirmatory 1.19 1.02 1.02 0.11 2.32 2.32 XXX
consultation.
99274... .................. A Confirmatory 1.73 1.22 1.22 0.11 3.06 3.06 XXX
consultation.
99275... .................. A Confirmatory 2.31 1.74 1.74 0.17 4.22 4.22 XXX
consultation.
99281... .................. A Emergency dept visit.... 0.33 0.28 0.28 0.01 0.62 0.62 XXX
99282... .................. A Emergency dept visit.... 0.55 0.38 0.38 0.03 0.96 0.96 XXX
99283... .................. A Emergency dept visit.... 1.24 0.49 0.49 0.04 1.77 1.77 XXX
99284... .................. A Emergency dept visit.... 1.95 0.70 0.70 0.06 2.71 2.71 XXX
99285... .................. A Emergency dept visit.... 3.06 1.13 1.13 0.08 4.27 4.27 XXX
99288... .................. B Direct advanced life 0.00 0.00 0.00 0.00 0.00 0.00 XXX
support.
99291... .................. A Critical care, first 4.00 1.43 1.43 0.11 5.54 5.54 XXX
hour.
99292... .................. A Critical care, addl 30 2.00 0.63 0.63 0.04 2.67 2.67 XXX
min.
99295... .................. A Neonatal critical care.. 16.00 5.08 5.08 1.55 22.63 22.63 XXX
99296... .................. A Neonatal critical care.. 8.00 2.46 2.46 0.77 11.23 11.23 XXX
99297... .................. A Neonatal critical care.. 4.00 1.23 1.23 0.38 5.61 5.61 XXX
99301... .................. A Nursing facility care... 1.20 0.45 0.45 0.03 1.68 1.68 XXX
99302... .................. A Nursing facility care... 1.61 0.50 0.50 0.04 2.15 2.15 XXX
99303... .................. A Nursing facility care... 2.01 0.95 0.95 0.07 3.03 3.03 XXX
99311... .................. A Nursing facility care, 0.60 0.34 0.34 0.03 0.97 0.97 XXX
subseq.
99312... .................. A Nursing facility care, 1.00 0.41 0.41 0.03 1.44 1.44 XXX
subseq.
99313... .................. A Nursing facility care, 1.42 0.46 0.46 0.04 1.92 1.92 XXX
subseq.
99315... .................. A Nursing fac discharge 1.13 0.51 0.51 0.04 1.68 1.68 XXX
day.
99316... .................. A Nursing fac discharge 1.50 0.51 0.51 0.04 2.05 2.05 XXX
day.
99321... .................. A Rest home visit, new 0.71 0.37 0.37 0.03 1.11 1.11 XXX
patient.
99322... .................. A Rest home visit, new 1.01 0.51 0.51 0.05 1.57 1.57 XXX
patient.
99323... .................. A Rest home visit, new 1.28 0.73 0.73 0.06 2.07 2.07 XXX
patient.
99331... .................. A Rest home visit, estab 0.60 0.28 0.28 0.02 0.90 0.90 XXX
pat.
99332... .................. A Rest home visit, estab 0.80 0.36 0.36 0.03 1.19 1.19 XXX
pat.
99333... .................. A Rest home visit, estab 1.00 0.44 0.44 0.02 1.46 1.46 XXX
pat.
[[Page 59226]]
99341... .................. A Home visit, new patient. 1.01 0.53 0.53 0.05 1.59 1.59 XXX
99342... .................. A Home visit, new patient. 1.52 0.60 0.60 0.05 2.17 2.17 XXX
99343... .................. A Home visit, new patient. 2.27 0.77 0.77 0.06 3.10 3.10 XXX
99344... .................. A Home visit, new patient. 3.03 0.85 0.85 0.09 3.97 3.97 XXX
99345... .................. A Home visit, new patient. 3.79 0.85 0.85 0.09 4.73 4.73 XXX
99347... .................. A Home visit, estab 0.76 0.45 0.45 0.04 1.25 1.25 XXX
patient.
99348... .................. A Home visit, estab 1.26 0.53 0.53 0.04 1.83 1.83 XXX
patient.
99349... .................. A Home visit, estab 2.02 0.61 0.61 0.05 2.68 2.68 XXX
patient.
99350... .................. A Home visit, estab 3.03 0.76 0.76 0.07 3.86 3.86 XXX
patient.
99351... .................. D Home visit, estab 0.00 0.00 0.00 0.00 0.00 0.00 XXX
patient.
99352... .................. D Home visit, estab 0.00 0.00 0.00 0.00 0.00 0.00 XXX
patient.
99353... .................. D 12/Home visit, estab 0.00 0.00 0.00 0.00 0.00 0.00 XXX
patient.
99354... .................. A Prolonged service, 1.77 0.76 0.76 0.07 2.60 2.60 XXX
office.
99355... .................. A Prolonged service, 1.77 0.76 0.76 0.07 2.60 2.60 XXX
office.
99356... .................. A Prolonged service, 1.71 0.85 0.85 0.08 2.64 2.64 XXX
inpatient.
99357... .................. A Prolonged service, 1.71 0.85 0.85 0.08 2.64 2.64 XXX
inpatient.
99358... .................. B Prolonged serv, w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contact.
99359... .................. B Prolonged serv, w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contact.
99360... .................. X Physician standby 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99361... .................. B Physician/team 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conference.
99362... .................. B Physician/team 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conference.
99371... .................. B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
consultation.
99372... .................. B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
consultation.
99373... .................. B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
consultation.
99374... .................. B Home health care +1.10 0.51 0.51 0.04 1.65 1.65 XXX
supervision.
99375... .................. A Home health care 1.73 0.51 0.51 0.04 2.28 2.28 XXX
supervision.
99376... .................. D 1Care plan oversight/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over 60.
99377... .................. B Hospice care supervision +1.10 0.51 0.51 0.04 1.65 1.65 XXX
99378... .................. A Hospice care supervision 1.73 0.51 0.51 0.04 2.28 2.28 XXX
99379... .................. B Nursing fac care +1.10 0.51 0.51 0.04 1.65 1.65 XXX
supervision.
99380... .................. B Nursing fac care +1.73 0.51 0.51 0.04 2.28 2.28 XXX
supervision.
99381... .................. N Preventive visit, new, +1.19 1.23 1.23 0.08 2.50 2.50 XXX
infant.
99382... .................. N Preventive visit, new, +1.36 1.41 1.41 0.09 2.86 2.86 XXX
age 1-4.
99383... .................. N Preventive visit, new, +1.36 1.41 1.41 0.09 2.86 2.86 XXX
age 5-11.
99384... .................. N Preventive visit, new, +1.53 1.59 1.59 0.10 3.22 3.22 XXX
12-17.
99385... .................. N Preventive visit, new, +1.53 1.40 1.40 0.09 3.02 3.02 XXX
18-39.
99386... .................. N Preventive visit, new, +1.88 1.72 1.72 0.10 3.70 3.70 XXX
40-64.
99387... .................. N Preventive visit, new, +2.06 1.88 1.88 0.11 4.05 4.05 XXX
65 & over.
99391... .................. N Preventive visit, est, +1.02 1.06 1.06 0.07 2.15 2.15 XXX
infant.
99392... .................. N Preventive visit, est, +1.19 1.23 1.23 0.08 2.50 2.50 XXX
age 1-4.
99393... .................. N Preventive visit, est, +1.19 1.23 1.23 0.08 2.50 2.50 XXX
age 5-11.
99394... .................. N Preventive visit, est, +1.36 1.41 1.41 0.09 2.86 2.86 XXX
12-17.
99395... .................. N Preventive visit, est, +1.36 1.25 1.25 0.08 2.69 2.69 XXX
18-39.
99396... .................. N Preventive visit, est, +1.53 1.40 1.40 0.09 3.02 3.02 XXX
40-64.
99397... .................. N Preventive visit, est, +1.71 1.56 1.56 0.10 3.37 3.37 XXX
65 & over.
99401... .................. N Preventive counseling, +0.48 0.45 0.45 0.03 0.96 0.96 XXX
indiv.
99402... .................. N Preventive counseling, +0.98 0.89 0.89 0.05 1.92 1.92 XXX
indiv.
99403... .................. N Preventive counseling, +1.46 1.34 1.34 0.08 2.88 2.88 XXX
indiv.
99404... .................. N Preventive counseling, +1.95 1.78 1.78 0.11 3.84 3.84 XXX
indiv.
99411... .................. N Preventive counseling, +0.15 0.14 0.14 0.01 0.30 0.30 XXX
group.
99412... .................. N Preventive counseling, +0.25 0.23 0.23 0.01 0.49 0.49 XXX
group.
99420... .................. N Health risk assessment 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
99429... .................. N Unlisted preventive 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
99431... .................. A Initial care, normal 1.17 1.21 1.21 0.08 2.46 2.46 XXX
newborn.
99432... .................. A Newborn care not in 1.26 1.31 1.31 0.08 2.65 2.65 XXX
hospital.
99433... .................. A Normal newborn care, 0.62 0.64 0.64 0.04 1.30 1.30 XXX
hospital.
99435... .................. A Hospital NB discharge 1.50 1.55 1.55 0.10 3.15 3.15 XXX
day.
99436... .................. A Attendance, birth....... 1.50 1.55 1.55 0.10 3.15 3.15 XXX
99440... .................. A Newborn resuscitation... 2.93 3.04 3.04 0.19 6.16 6.16 XXX
99450... .................. N Life/disability 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
99455... .................. R Disability examination.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99456... .................. R Disability examination.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99499... .................. C Unlisted E/M service.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A0021... .................. I Outside state ambulance 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv.
A0030... .................. X Air ambulance service... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A0040... .................. X Helicopter ambulance 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A0050... .................. X Water amb service 0.00 0.00 0.00 0.00 0.00 0.00 XXX
emergency.
A0080... .................. I Noninterest escort in 0.00 0.00 0.00 0.00 0.00 0.00 XXX
non er.
A0090... .................. I Interest escort in non 0.00 0.00 0.00 0.00 0.00 0.00 XXX
er.
A0100... .................. I Nonemergency transport 0.00 0.00 0.00 0.00 0.00 0.00 XXX
taxi.
A0110... .................. I Nonemergency transport 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bus.
A0120... .................. I Noner transport mini-bus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A0130... .................. I Noner transport wheelch 0.00 0.00 0.00 0.00 0.00 0.00 XXX
van.
A0140... .................. I Nonemergency transport 0.00 0.00 0.00 0.00 0.00 0.00 XXX
air.
[[Page 59227]]
A0160... .................. I Noner transport case 0.00 0.00 0.00 0.00 0.00 0.00 XXX
worker.
A0170... .................. I Noner transport parking 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fees.
A0180... .................. I Noner transport lodgng 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recip.
A0190... .................. I Noner transport meals 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recip.
A0200... .................. I Noner transport lodgng 0.00 0.00 0.00 0.00 0.00 0.00 XXX
escrt.
A0210... .................. I Noner transport meals 0.00 0.00 0.00 0.00 0.00 0.00 XXX
escort.
A0225... .................. X Neonatal emergency 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transport.
A0300... .................. X Ambulance basic non-emer 0.00 0.00 0.00 0.00 0.00 0.00 XXX
all.
A0302... .................. X Ambulance basic emergeny 0.00 0.00 0.00 0.00 0.00 0.00 XXX
all.
A0304... .................. X Amb adv non-er no serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
all.
A0306... .................. X Amb adv non-er spec serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
all.
A0308... .................. X Amb adv er no spec serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
all.
A0310... .................. X Amb adv er spec serv all 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A0320... .................. X Amb basic non-er + 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0322... .................. X Amb basic emerg + 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0324... .................. X Adv non-er serv sep 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0326... .................. X Adv non-er no serv sep 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mile.
A0328... .................. X Adv er no serv sep 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0330... .................. X Adv er spec serv sep 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mile.
A0340... .................. X Amb basic non-er + 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0342... .................. X Ambul basic emer + 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0344... .................. X Amb adv non-er no serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
+mile.
A0346... .................. X Amb adv non-er serv + 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mile.
A0348... .................. X Adv emer no spec serv + 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mile.
A0350... .................. X Adv emer spec serv + 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0360... .................. X Basic non-er sep mile & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supp.
A0362... .................. X Basic emer sep mile & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supply.
A0364... .................. X Adv non-er no serv sep 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mi & su.
A0366... .................. X Adv non-er serv sep mil 0.00 0.00 0.00 0.00 0.00 0.00 XXX
& supp.
A0368... .................. X Adv er no serv sep mile 0.00 0.00 0.00 0.00 0.00 0.00 XXX
& supp.
A0370... .................. X Adv er spec serv sep mi 0.00 0.00 0.00 0.00 0.00 0.00 XXX
& supp.
A0380... .................. X Basic life support 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0382... .................. X Basic support routine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suppls.
A0384... .................. X Bls defibrillation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0390... .................. X Advanced life support 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileag.
A0392... .................. X Als defibrillation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0394... .................. X Als IV drug therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0396... .................. X Als esophageal intub 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suppls.
A0398... .................. X Als routine disposble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suppls.
A0420... .................. X Ambulance waiting 1/2 hr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A0422... .................. X Ambulance 02 life 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sustaining.
A0424... .................. X Extra ambulance 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attendant.
A0888... .................. N Noncovered ambulance 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0999... .................. X Unlisted ambulance 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A2000... .................. D Chiropractor manip of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spine.
A4206... .................. P 1 CC sterile syringe & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
needle.
A4207... .................. P 2 CC sterile syringe & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
needle.
A4208... .................. P 3 CC sterile syringe & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
needle.
A4209... .................. P 5+ CC sterile syringe & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
needle.
A4210... .................. N Nonneedle injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX
device.
A4211... .................. P Supp for self-adm 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injections.
A4212... .................. P Non coring needle or 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stylet.
A4213... .................. P 20+ CC syringe only..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4214... .................. P 30 CC sterile water/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saline.
A4215... .................. P Sterile needle.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4220... .................. P Infusion pump refill kit 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4221... .................. X Maint drug infus cath 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per wk.
A4222... .................. X Drug infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A4230... .................. N Infus insulin pump non 0.00 0.00 0.00 0.00 0.00 0.00 XXX
needle.
A4231... .................. N Infusion insulin pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX
needle.
A4232... .................. N Syringe w/needle insulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3cc.
A4244... .................. P Alcohol or peroxide per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pint.
A4245... .................. P Alcohol wipes per box... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4246... .................. P Betadine/phisohex 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4247... .................. P Betadine/iodine swabs/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wipes.
A4250... .................. N Urine reagent strips/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tablets.
A4253... .................. P Blood glucose/reagent 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strips.
A4254... .................. X Battery for glucose 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monitor.
A4255... .................. X Glucose monitor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
platforms.
A4256... .................. P Calibrator solution/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chips.
A4258... .................. P Lancet device each...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4259... .................. P Lancets per box......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4260... .................. N Levonorgestrel implant.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4262... .................. B Temporary tear duct plug 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59228]]
A4263... .................. A Permanent tear duct plug 0.00 0.95 0.95 0.00 0.95 0.95 XXX
A4265... .................. P Paraffin................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4270... .................. B Disposable endoscope 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sheath.
A4300... .................. A Cath impl vasc access 0.00 0.95 0.95 0.00 0.95 0.95 XXX
portal.
A4301... .................. P Implantable access syst 0.00 0.00 0.00 0.00 0.00 0.00 XXX
perc.
A4305... .................. P Drug delivery system 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>=50 ML.
A4306... .................. P Drug delivery system <=5 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ML.
A4310... .................. P Insert tray w/o bag/cath 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4311... .................. P Catheter w/o bag 2-way 0.00 0.00 0.00 0.00 0.00 0.00 XXX
latex.
A4312... .................. P Cath w/o bag 2-way 0.00 0.00 0.00 0.00 0.00 0.00 XXX
silicone.
A4313... .................. P Catheter w/bag 3-way.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4314... .................. P Cath w/drainage 2-way 0.00 0.00 0.00 0.00 0.00 0.00 XXX
latex.
A4315... .................. P Cath w/drainage 2-way 0.00 0.00 0.00 0.00 0.00 0.00 XXX
silcne.
A4316... .................. P Cath w/drainage 3-way... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4320... .................. P Irrigation tray......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4321... .................. X Cath therapeutic irrig 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
A4322... .................. P Irrigation syringe...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4323... .................. P Saline irrigation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4326... .................. P Male external catheter.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4327... .................. P Fem urinary collect dev 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cup.
A4328... .................. P Fem urinary collect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pouch.
A4329... .................. P External catheter start 0.00 0.00 0.00 0.00 0.00 0.00 XXX
set.
A4330... .................. P Stool collection pouch.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4335... .................. P Incontinence supply..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4338... .................. P Indwelling catheter 0.00 0.00 0.00 0.00 0.00 0.00 XXX
latex.
A4340... .................. P Indwelling catheter 0.00 0.00 0.00 0.00 0.00 0.00 XXX
special.
A4344... .................. P Cath indw foley 2 way 0.00 0.00 0.00 0.00 0.00 0.00 XXX
silicn.
A4346... .................. P Cath indw foley 3 way... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4347... .................. P Male external catheter.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4351... .................. P Straight tip urine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A4352... .................. P Coude tip urinary 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A4353... .................. X Intermittent urinary 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cath.
A4354... .................. P Cath insertion tray w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bag.
A4355... .................. P Bladder irrigation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tubing.
A4356... .................. P Ext ureth clmp or compr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dvc.
A4357... .................. P Bedside drainage bag.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4358... .................. P Urinary leg bag......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4359... .................. P Urinary suspensory w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
leg b.
A4361... .................. P Ostomy face plate....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4362... .................. P Solid skin barrier...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4363... .................. P Liquid skin barrier..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4364... .................. P Ostomy/cath adhesive.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4365... .................. X Ostomy adhesive remover 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wipe.
A4367... .................. P Ostomy belt............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4368... .................. X Ostomy filter........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4397... .................. P Irrigation supply sleeve 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4398... .................. P Ostomy irrigation bag... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4399... .................. P Ostomy irrig cone/cath w 0.00 0.00 0.00 0.00 0.00 0.00 XXX
brs.
A4400... .................. P Ostomy irrigation set... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4402... .................. P Lubricant per ounce..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4404... .................. P Ostomy ring each........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4421... .................. P Ostomy supply misc...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4454... .................. P Tape all types all sizes 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4455... .................. P Adhesive remover per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ounce.
A4460... .................. P Elastic compression 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bandage.
A4462... .................. X Abdmnl drssng holder/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
binder.
A4465... .................. P Non-elastic extremity 0.00 0.00 0.00 0.00 0.00 0.00 XXX
binder.
A4470... .................. P Gravlee jet washer...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4480... .................. P Vabra aspirator......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4481... .................. X Tracheostoma filter..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4490... .................. N Above knee surgical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stocking.
A4495... .................. N Thigh length surg 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stocking.
A4500... .................. N Below knee surgical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stocking.
A4510... .................. N Full length surg 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stocking.
A4550... .................. A Surgical trays.......... 0.00 0.95 0.95 0.00 0.95 0.95 XXX
A4554... .................. N Disposable underpads.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4556... .................. P Electrodes.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4557... .................. P Lead wires.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4558... .................. P Conductive paste or gel. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4560... .................. X Pessary................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4565... .................. X Slings.................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4570... .................. X Splint.................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4572... .................. X Rib belt................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4575... .................. N Hyperbaric o2 chamber 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disps.
[[Page 59229]]
A4580... .................. X Cast supplies (plaster). 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4590... .................. X Special casting material 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4595... .................. X TENS suppl 2 lead per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
month.
A4611... .................. X Heavy duty battery...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4612... .................. X Battery cables.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4613... .................. X Battery charger......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4615... .................. X Cannula nasal........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4616... .................. X Tubing (oxygen) per foot 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4617... .................. X Mouth piece............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4618... .................. X Breathing circuits...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4619... .................. X Face tent............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4620... .................. X Variable concentration 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mask.
A4621... .................. X Tracheotomy mask or 0.00 0.00 0.00 0.00 0.00 0.00 XXX
collar.
A4622... .................. X Tracheostomy or 0.00 0.00 0.00 0.00 0.00 0.00 XXX
larngectomy.
A4623... .................. X Tracheostomy inner 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cannula.
A4624... .................. X Tracheal suction tube... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4625... .................. X Trach care kit for new 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trach.
A4626... .................. X Tracheostomy cleaning 0.00 0.00 0.00 0.00 0.00 0.00 XXX
brush.
A4627... .................. N Spacer bag/reservoir.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4628... .................. X Oropharyngeal suction 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cath.
A4629... .................. X Tracheostomy care kit... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4630... .................. X Repl bat t.e.n.s. own by 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pt.
A4631... .................. X Wheelchair battery...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4635... .................. X Underarm crutch pad..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4636... .................. X Handgrip for cane etc... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4637... .................. X Repl tip cane/crutch/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
walker.
A4640... .................. X Alternating pressure pad 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4641... .................. E Diagnostic imaging agent 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4642... .................. E Satumomab pendetide per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dose.
A4643... .................. E High dose contrast MRI.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4644... .................. E Contrast 100-199 MGs 0.00 0.00 0.00 0.00 0.00 0.00 XXX
iodine.
A4645... .................. E Contrast 200-299 MGs 0.00 0.00 0.00 0.00 0.00 0.00 XXX
iodine.
A4646... .................. E Contrast 300-399 MGs 0.00 0.00 0.00 0.00 0.00 0.00 XXX
iodine.
A4647... .................. B Supp- paramagnetic contr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mat.
A4649... .................. P Surgical supplies....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4650... .................. X Supp esrd centrifuge.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4655... .................. X Esrd syringe/needle..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4660... .................. X Esrd blood pressure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
device.
A4663... .................. X Esrd blood pressure cuff 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4670... .................. N Auto blood pressure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monitor.
A4680... .................. X Activated carbon filters 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4690... .................. X Dialyzers............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4700... .................. X Standard dialysate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4705... .................. X Bicarb dialysate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4712... .................. X Sterile water........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4714... .................. X Treated water for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dialysis.
A4730... .................. X Fistula cannulation set 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dial.
A4735... .................. X Local/topical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anesthetics.
A4740... .................. X Esrd shunt accessory.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4750... .................. X Arterial or venous 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tubing.
A4755... .................. X Arterial and venous 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tubing.
A4760... .................. X Standard testing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4765... .................. X Dialysate concentrate... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4770... .................. X Blood testing supplies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4771... .................. X Blood clotting time tube 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4772... .................. X Dextrostick/glucose 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strips.
A4773... .................. X Hemostix................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4774... .................. X Ammonia test paper...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4780... .................. X Esrd sterilizing agent.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4790... .................. X Esrd cleansing agents... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4800... .................. X Heparin/antidote 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dialysis.
A4820... .................. X Supplies hemodialysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kit.
A4850... .................. X Rubber tipped hemostats. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4860... .................. X Disposable catheter caps 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4870... .................. X Plumbing/electrical work 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4880... .................. X Water storage tanks..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4890... .................. R Contracts/repair/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maintenance.
A4900... .................. X Capd supply kit......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4901... .................. X Ccpd supply kit......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4905... .................. X Ipd supply kit.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4910... .................. X Esrd nonmedical supplies 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4912... .................. X Gomco drain bottle...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4913... .................. X Esrd supply............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4914... .................. X Preparation kit......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59230]]
A4918... .................. X Venous pressure clamp... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4919... .................. X Supp dialysis dialyzer 0.00 0.00 0.00 0.00 0.00 0.00 XXX
holde.
A4920... .................. X Harvard pressure clamp.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4921... .................. X Measuring cylinder...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4927... .................. X Gloves.................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5051... .................. P Pouch clsd w barr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attached.
A5052... .................. P Clsd ostomy pouch w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barr.
A5053... .................. P Clsd ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 XXX
faceplate.
A5054... .................. P Clsd ostomy pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flange.
A5055... .................. P Stoma cap............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5061... .................. P Pouch drainable w 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barrier at.
A5062... .................. P Drnble ostomy pouch w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barr.
A5063... .................. P Drain ostomy pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flange.
A5064... .................. I Drain ostomy pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fceplte.
A5065... .................. I Drain ostomy pouch on 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fcplte.
A5071... .................. P Urinary pouch w/barrier. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5072... .................. P Urinary pouch w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barrier.
A5073... .................. P Urinary pouch on barr w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flng.
A5074... .................. I Urinary pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
faceplate.
A5075... .................. I Urinary pouch on 0.00 0.00 0.00 0.00 0.00 0.00 XXX
faceplate.
A5081... .................. P Continent stoma plug.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5082... .................. P Continent stoma catheter 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5093... .................. P Ostomy accessory convex 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inse.
A5102... .................. P Bedside drain btl w/wo 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tube.
A5105... .................. P Urinary suspensory...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5112... .................. P Urinary leg bag......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5113... .................. P Latex leg strap......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5114... .................. P Foam/fabric leg strap... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5119... .................. P Skin barrier wipes box 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pr 50.
A5121... .................. P Solid skin barrier 6x6.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5122... .................. P Solid skin barrier 8x8.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5123... .................. P Skin barrier with flange 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5126... .................. P Adhesive disc/foam pad.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5131... .................. P Appliance cleaner....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5149... .................. P Incontinence/ostomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supply.
A5500... .................. X Diab shoe for density 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insert.
A5501... .................. X Diabetic custom molded 0.00 0.00 0.00 0.00 0.00 0.00 XXX
shoe.
A5502... .................. X Diabetic shoe density 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insert.
A5503... .................. X Diabetic shoe w/roller/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rockr.
A5504... .................. X Diabetic shoe with wedge 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5505... .................. X Diab shoe w/metatarsal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bar.
A5506... .................. X Diabetic shoe w/off set 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heel.
A5507... .................. X Modification diabetic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
shoe.
A6020... .................. P Collagen dressing cover 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ea.
A6025... .................. I Silicone gel sheet, each 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6154... .................. P Wound pouch each........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6196... .................. P Alginate dressing <=16 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6197... .................. P Alginate drsg 16 <=48 sq in.
A6198... .................. P alginate dressing > 48 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6199... .................. P Alginate drsg wound 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filler.
A6203... .................. P Composite drsg <=16 sq 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in.
A6204... .................. P Composite drsg >16<=48 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6205... .................. P Composite drsg >48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6206... .................. P Contact layer <=16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6207... .................. P Contact layer >16<=48 sq 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in.
A6208... .................. P Contact layer >48 sq in. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6209... .................. P Foam drsg <=16 sq in w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6210... .................. P Foam drg >16<=48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o b.
A6211... .................. P Foam drg >48 sq in w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
brdr.
A6212... .................. P Foam drg <=16 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
border.
A6213... .................. P Foam drg >16<=48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6214... .................. P Foam drg >48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
border.
A6215... .................. P Foam dressing wound 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filler.
A6216... .................. P Non-sterile gauze <=16 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6217... .................. P Non-sterile gauze 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16<=48 sq.
A6218... .................. P Non-sterile gauze >48 sq 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in.
A6219... .................. P Gauze <=16 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
border.
A6220... .................. P Gauze >16 <=48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bordr.
A6221... .................. P Gauze >48 sq in w/border 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6222... .................. P Gauze <=16 in no w/sal w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o b.
A6223... .................. P Gauze >16 <=48 no w/sal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o b.
A6224... .................. P Gauze >48 in no w/sal w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o b.
A6228... .................. P Gauze <=16 sq in water/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sal.
A6229... .................. P Gauze >16 <=48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 XXX
watr/sal.
[[Page 59231]]
A6230... .................. P Gauze >48 sq in water/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
salne.
A6234... .................. P Hydrocolld drg <=16 w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6235... .................. P Hydrocolld drg >16 <=48 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o b.
A6236... .................. P Hydrocolld drg >48 in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o b.
A6237... .................. P Hydrocolld drg <=16 in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6238... .................. P Hydrocolld drg >16<=48 w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6239... .................. P Hydrocolld drg >48 in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6240... .................. P Hydrocolld drg filler 0.00 0.00 0.00 0.00 0.00 0.00 XXX
paste.
A6241... .................. P Hydrocolloid drg filler 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dry.
A6242... .................. P Hydrogel drg <=16 in w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6243... .................. P Hydrogel drg >16<=48 w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6244... .................. P Hydrogel drg >48 in w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6245... .................. P Hydrogel drg <=16 in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6246... .................. P Hydrogel drg >16 <=48 in w/b.
A6247... .................. P Hydrogel drg >48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
b.
A6248... .................. P Hydrogel drsg gel filler 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6250... .................. P Skin seal protect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
moisturizr.
A6251... .................. P Absorpt drg <=16 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o b.
A6252... .................. P Absorpt drg >16 <=48 w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6253... .................. P Absorpt drg >48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o b.
A6254... .................. P Absorpt drg <=16 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6255... .................. P Absorpt drg >16<=48 in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6256... .................. P Absorpt drg >48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bdr.
A6257... .................. P Transparent film <= 16 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6258... .................. P Transparent film >16<=48 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in.
A6259... .................. P Transparent film >48 sq 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in.
A6260... .................. P Wound cleanser any type/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
size.
A6261... .................. P Wound filler gel/paste/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oz.
A6262... .................. P Wound filler dry form/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gram.
A6263... .................. P Non-sterile elastic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze/yd.
A6264... .................. P Non-sterile no elastic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze.
A6265... .................. P Tape per 18 sq inches... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6266... .................. P Impreg gauze no h20/sal/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
yard.
A6402... .................. P Sterile gauze <=16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6403... .................. P Sterile gauze >16 <=48 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6404... .................. P Sterile gauze >48 sq in. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6405... .................. P Sterile elastic gauze/yd 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6406... .................. P Sterile non-elastic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze/yd.
A9150... .................. E Misc/exper non-prescript 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dru.
A9160... .................. N Podiatrist non-covered 0.00 0.00 0.00 0.00 0.00 0.00 XXX
servi.
A9170... .................. N Chiropractor non-covered 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ser.
A9190... .................. N Misc/expe personal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
comfort i.
A9270... .................. N Non-covered item or 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A9300... .................. N Exercise equipment...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A9500... .................. E Technetium TC 99m 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sestamibi.
A9502... .................. X Technetium TC99M 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tetrofosmin.
A9503... .................. E Technetium TC 99m 0.00 0.00 0.00 0.00 0.00 0.00 XXX
medronate.
A9505... .................. E Thallous chloride TL 201/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mci.
A9600... .................. X Strontium-89 chloride... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0120... .................. N Periodic oral evaluation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0140... .................. N Limit oral eval problm 0.00 0.00 0.00 0.00 0.00 0.00 XXX
focus.
D0150... .................. R Comprehensve oral 0.00 0.00 0.00 0.00 0.00 0.00 YYY
evaluation.
D0160... .................. N Extensv oral eval prob 0.00 0.00 0.00 0.00 0.00 0.00 XXX
focus.
D0210... .................. I Intraor complete film 0.00 0.00 0.00 0.00 0.00 0.00 XXX
series.
D0220... .................. I Intraoral periapical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
first f.
D0230... .................. I Intraoral periapical ea 0.00 0.00 0.00 0.00 0.00 0.00 XXX
add.
D0240... .................. R Intraoral occlusal film. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D0250... .................. R Extraoral first film.... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D0260... .................. R Extraoral ea additional 0.00 0.00 0.00 0.00 0.00 0.00 YYY
film.
D0270... .................. R Dental bitewing single 0.00 0.00 0.00 0.00 0.00 0.00 YYY
film.
D0272... .................. R Dental bitewings two 0.00 0.00 0.00 0.00 0.00 0.00 YYY
films.
D0274... .................. R Dental bitewings four 0.00 0.00 0.00 0.00 0.00 0.00 YYY
films.
D0290... .................. I Dental film skull/facial 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bon.
D0310... .................. I Dental saliography...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0320... .................. I Dental tmj arthrogram 0.00 0.00 0.00 0.00 0.00 0.00 XXX
incl i.
D0321... .................. I Dental other tmj films.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0322... .................. I Dental tomographic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
survey.
D0330... .................. I Dental panoramic film... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0340... .................. I Dental cephalometric 0.00 0.00 0.00 0.00 0.00 0.00 XXX
film.
D0415... .................. N Bacteriologic study..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0425... .................. N Caries susceptibility 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
D0460... .................. R Pulp vitality test...... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D0470... .................. N Diagnostic casts........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0471... .................. R Diagnostic photographs.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
[[Page 59232]]
D0501... .................. R Histopathologic 0.00 0.00 0.00 0.00 0.00 0.00 YYY
examinations.
D0502... .................. R Other oral pathology 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedu.
D0999... .................. R Unspecified diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proce.
D1110... .................. N Dental prophylaxis adult 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D1120... .................. N Dental prophylaxis child 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D1201... .................. N Topical fluor w prophy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
child.
D1203... .................. N Topical fluor w/o prophy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chi.
D1204... .................. N Topical fluor w/o prophy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adu.
D1205... .................. N Topical fluoride w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prophy a.
D1310... .................. N Nutri counsel-control 0.00 0.00 0.00 0.00 0.00 0.00 XXX
caries.
D1320... .................. N Tobacco counseling...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D1330... .................. N Oral hygiene instruction 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D1351... .................. N Dental sealant per tooth 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D1510... .................. R Space maintainer fxd 0.00 0.00 0.00 0.00 0.00 0.00 YYY
unilat.
D1515... .................. R Fixed bilat space 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintainer.
D1520... .................. R Remove unilat space 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintainer.
D1525... .................. R Remove bilat space 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintainer.
D1550... .................. R Recement space 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintainer.
D2110... .................. N Amalgam one surface 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D2120... .................. N Amalgam two surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D2130... .................. N Amalgam three surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D2131... .................. N Amalgam four/more surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D2140... .................. N Amalgam one surface 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permanent.
D2150... .................. N Amalgam two surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permanent.
D2160... .................. N Amalgam three surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permanent.
D2161... .................. N Amalgam 4 or > surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permanent.
D2210... .................. N Silicate cement per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
restorat.
D2330... .................. N Resin one surface- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior.
D2331... .................. N Resin two surfaces- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior.
D2332... .................. N Resin three surfaces- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior.
D2335... .................. N Resin 4/> surf or w 0.00 0.00 0.00 0.00 0.00 0.00 XXX
incis an.
D2336... .................. N Composite resin crown... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2380... .................. N Resin one surf poster 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D2381... .................. N Resin two surf poster 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D2382... .................. N Resin three/more surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX
post p.
D2385... .................. N Resin one surf poster 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permanent.
D2386... .................. N Resin two surf poster 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permanent.
D2387... .................. N Resin three/more surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX
post p.
D2410... .................. N Dental gold foil one 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces.
D2420... .................. N Dental gold foil two 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces.
D2430... .................. N Dental gold foil three 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces.
D2510... .................. N Dental inlay metallic 1 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surface.
D2520... .................. N Dental inlay metallic 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces.
D2530... .................. N Dental inlay metl 3/more 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sur.
D2543... .................. N Dental onlay metallic 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf.
D2544... .................. N Dental onlay metl 4/more 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sur.
D2610... .................. N Inlay porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1 su.
D2620... .................. N Inlay porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2 su.
D2630... .................. N Dental onlay porc 3/more 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sur.
D2642... .................. N Dental onlay porcelin 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf.
D2643... .................. N Dental onlay porcelin 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf.
D2644... .................. N Dental onlay porc 4/more 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sur.
D2650... .................. N Inlay composite/resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one su.
D2651... .................. N Inlay composite/resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
two su.
D2652... .................. N Dental inlay resin 3/mre 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sur.
D2662... .................. N Dental onlay resin 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces.
D2663... .................. N Dental onlay resin 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces.
D2664... .................. N Dental onlay resin 4/mre 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sur.
D2710... .................. N Crown resin laboratory.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2720... .................. N Crown resin w/high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
me.
D2721... .................. N Crown resin w/base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2722... .................. N Crown resin w/noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D2740... .................. N Crown porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
subs.
D2750... .................. N Crown porcelain w/h 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble m.
D2751... .................. N Crown porcelain fused 0.00 0.00 0.00 0.00 0.00 0.00 XXX
base m.
D2752... .................. N Crown porcelain w/noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
met.
D2790... .................. N Crown full cast high 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble m.
D2791... .................. N Crown full cast base 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D2792... .................. N Crown full cast noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D2810... .................. N Crown 3/4 cast metallic. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2910... .................. N Dental recement inlay... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2920... .................. N Dental recement crown... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2930... .................. N Prefab stnlss steel crwn 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pri.
D2931... .................. N Prefab stnlss steel 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown pe.
[[Page 59233]]
D2932... .................. N Prefabricated resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D2933... .................. N Prefab stainless steel 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D2940... .................. N Dental sedative filling. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2950... .................. N Core build-up incl any 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pins.
D2951... .................. N Tooth pin retention..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2952... .................. N Post and core cast + 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D2954... .................. N Prefab post/core + crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2955... .................. N Post removal............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2960... .................. N Laminate labial veneer.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2961... .................. N Lab labial veneer resin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2962... .................. N Lab labial veneer 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porcelain.
D2970... .................. R Temporary--fractured 0.00 0.00 0.00 0.00 0.00 0.00 YYY
tooth.
D2980... .................. N Crown repair............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2999... .................. R Dental unspec 0.00 0.00 0.00 0.00 0.00 0.00 YYY
restorative pr.
D3110... .................. N Pulp cap direct......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3120... .................. N Pulp cap indirect....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3220... .................. N Therapeutic pulpotomy... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3230... .................. N Pulpal therapy anterior 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prim.
D3240... .................. N Pulpal therapy posterior 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prim.
D3310... .................. N Anterior................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3320... .................. N Root canal therapy 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX
canals.
D3330... .................. N Root canal therapy 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX
canals.
D3346... .................. N Retreat root canal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior.
D3347... .................. N Retreat root canal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bicuspid.
D3348... .................. N Retreat root canal molar 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3351... .................. N Apexification/recalc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
initial.
D3352... .................. N Apexification/recalc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interim.
D3353... .................. N Apexification/recalc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
final.
D3410... .................. N Apicoect/perirad surg 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anter.
D3421... .................. N Root surgery bicuspid... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3425... .................. N Root surgery molar...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3426... .................. N Root surgery ea add root 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3430... .................. N Retrograde filling...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3450... .................. N Root amputation......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3460... .................. R Endodontic endosseous 0.00 0.00 0.00 0.00 0.00 0.00 YYY
implant.
D3470... .................. N Intentional replantation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3910... .................. N Isolation-tooth w rubb 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dam.
D3920... .................. N Tooth splitting......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3950... .................. N Canal prep/fitting of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dowel.
D3960... .................. N Bleaching of discolored 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tooth.
D3999... .................. R Endodontic procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D4210... .................. I Gingivectomy/plasty per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quad.
D4211... .................. I Gingivectomy/plasty per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tooth.
D4220... .................. N Gingival curettage per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quadr.
D4240... .................. N Gingival flap proc w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
planing.
D4249... .................. N Crown lengthen hard 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue.
D4250... .................. R Mucogingival surg per 0.00 0.00 0.00 0.00 0.00 0.00 YYY
quadra.
D4260... .................. R Osseous surgery per 0.00 0.00 0.00 0.00 0.00 0.00 YYY
quadrant.
D4263... .................. R Bone replce graft first 0.00 0.00 0.00 0.00 0.00 0.00 YYY
site.
D4264... .................. R Bone replce graft each 0.00 0.00 0.00 0.00 0.00 0.00 YYY
add.
D4266... .................. N Guided tiss regen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resorble.
D4267... .................. N Guided tiss regen 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonresorb.
D4270... .................. R Pedicle soft tissue 0.00 0.00 0.00 0.00 0.00 0.00 YYY
graft pr.
D4271... .................. R Free soft tissue graft 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc.
D4273... .................. R Subepithelial tissue 0.00 0.00 0.00 0.00 0.00 0.00 YYY
graft.
D4274... .................. N Distal/proximal wedge 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proc.
D4320... .................. N Provision splnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intracoronal.
D4321... .................. N Provisional splint 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extracoro.
D4341... .................. N Periodontal scaling & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
root.
D4355... .................. R Full mouth debridement.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D4381... .................. R Localized chemo delivery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D4910... .................. N Periodontal maint 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedures.
D4920... .................. N Unscheduled dressing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
change.
D4999... .................. N Unspecified periodontal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proc.
D5110... .................. N Dentures complete 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxillary.
D5120... .................. N Dentures complete 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible.
D5130... .................. N Dentures immediat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxillary.
D5140... .................. N Dentures immediat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible.
D5211... .................. N Dentures maxill part 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin.
D5212... .................. N Dentures mand part resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5213... .................. N Dentures maxill part 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D5214... .................. N Dentures mandibl part 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D5281... .................. N Removable partial 0.00 0.00 0.00 0.00 0.00 0.00 XXX
denture.
D5410... .................. N Dentures adjust cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxil.
[[Page 59234]]
D5411... .................. N Dentures adjust cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mand.
D5421... .................. N Dentures adjust part 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxill.
D5422... .................. N Dentures adjust part 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandbl.
D5510... .................. N Dentur repr broken compl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bas.
D5520... .................. N Replace denture teeth 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complt.
D5610... .................. N Dentures repair resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
base.
D5620... .................. N Rep part denture cast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
frame.
D5630... .................. N Rep partial denture 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clasp.
D5640... .................. N Replace part denture 0.00 0.00 0.00 0.00 0.00 0.00 XXX
teeth.
D5650... .................. N Add tooth to partial 0.00 0.00 0.00 0.00 0.00 0.00 XXX
denture.
D5660... .................. N Add clasp to partial 0.00 0.00 0.00 0.00 0.00 0.00 XXX
denture.
D5710... .................. N Dentures rebase cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxil.
D5711... .................. N Dentures rebase cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mand.
D5720... .................. N Dentures rebase part 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxill.
D5721... .................. N Dentures rebase part 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandbl.
D5730... .................. N Denture reln cmplt maxil 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ch.
D5731... .................. N Denture reln cmplt mand 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chr.
D5740... .................. N Denture reln part maxil 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chr.
D5741... .................. N Denture reln part mand 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chr.
D5750... .................. N Denture reln cmplt max 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lab.
D5751... .................. N Denture reln cmplt mand 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lab.
D5760... .................. N Denture reln part maxil 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lab.
D5761... .................. N Denture reln part mand 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lab.
D5810... .................. N Denture interm cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxill.
D5811... .................. N Denture interm cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandbl.
D5820... .................. N Denture interm part 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxill.
D5821... .................. N Denture interm part 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandbl.
D5850... .................. N Denture tiss conditn 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxill.
D5851... .................. N Denture tiss condtin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandbl.
D5860... .................. N Overdenture complete.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5861... .................. N Overdenture partial..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5862... .................. N Precision attachment.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5899... .................. N Removable prosthodontic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proc.
D5911... .................. R Facial moulage sectional 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5912... .................. R Facial moulage complete. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5913... .................. I Nasal prosthesis........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5914... .................. I Auricular prosthesis.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5915... .................. I Orbital prosthesis...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5916... .................. I Ocular prosthesis....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5919... .................. I Facial prosthesis....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5922... .................. I Nasal septal prosthesis. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5923... .................. I Ocular prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interim.
D5924... .................. I Cranial prosthesis...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5925... .................. I Facial augmentation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
D5926... .................. I Replacement nasal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5927... .................. I Auricular replacement... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5928... .................. I Orbital replacement..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5929... .................. I Facial replacement...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5931... .................. I Surgical obturator...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5932... .................. I Postsurgical obturator.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5933... .................. I Refitting of obturator.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5934... .................. I Mandibular flange 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5935... .................. I Mandibular denture 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosth.
D5936... .................. I Temp obturator 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5937... .................. I Trismus appliance....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5951... .................. R Feeding aid............. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5952... .................. I Pediatric speech aid.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5953... .................. I Adult speech aid........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5954... .................. I Superimposed prosthesis. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5955... .................. I Palatal lift prosthesis. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5958... .................. I Intraoral con def inter 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plt.
D5959... .................. I Intraoral con def mod 0.00 0.00 0.00 0.00 0.00 0.00 XXX
palat.
D5960... .................. I Modify speech aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5982... .................. I Surgical stent.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5983... .................. R Radiation applicator.... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5984... .................. R Radiation shield........ 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5985... .................. R Radiation cone locator.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5986... .................. N Fluoride applicator..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5987... .................. R Commissure splint....... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5988... .................. I Surgical splint......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5999... .................. I Maxillofacial prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6010... .................. I Odontics endosteal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
D6020... .................. I Odontics abutment 0.00 0.00 0.00 0.00 0.00 0.00 XXX
placement.
D6040... .................. I Odontics eposteal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
[[Page 59235]]
D6050... .................. I Odontics transosteal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implnt.
D6055... .................. I Implant connecting bar.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6080... .................. I Implant maintenance..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6090... .................. I Repair implant.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6095... .................. I Odontics repr abutment.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6100... .................. I Removal of implant...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6199... .................. I Implant procedure....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6210... .................. N Prosthodont high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6211... .................. N Bridge base metal cast.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6212... .................. N Bridge noble metal cast. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6240... .................. N Bridge porcelain high 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble.
D6241... .................. N Bridge porcelain base 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6242... .................. N Bridge porcelain nobel 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6250... .................. N Bridge resin w/high 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble.
D6251... .................. N Bridge resin base metal. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6252... .................. N Bridge resin w/noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6520... .................. N Dental retainer two 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces.
D6530... .................. N Retainer metallic 3+ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surface.
D6543... .................. N Dental retainr onlay 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf.
D6544... .................. N Dental retainr onlay 4/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
more.
D6545... .................. N Dental retainr cast metl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6720... .................. N Retain crown resin w hi 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nble.
D6721... .................. N Crown resin w/base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6722... .................. N Crown resin w/noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6750... .................. N Crown porcelain high 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble.
D6751... .................. N Crown porcelain base 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6752... .................. N Crown porcelain noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6780... .................. N Crown 3/4 high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6790... .................. N Crown full high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6791... .................. N Crown full base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cast.
D6792... .................. N Crown full noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cast.
D6920... .................. R Dental connector bar.... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D6930... .................. N Dental recement bridge.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6940... .................. N Stress breaker.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6950... .................. N Precision attachment.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6970... .................. N Post & core plus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6971... .................. N Cast post bridge 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6972... .................. N Prefab post & core plus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reta.
D6973... .................. N Core build up for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6975... .................. N Coping metal............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6980... .................. N Bridge repair........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6999... .................. N Fixed prosthodontic proc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7110... .................. R Oral surgery single 0.00 0.00 0.00 0.00 0.00 0.00 YYY
tooth.
D7120... .................. R Each add tooth 0.00 0.00 0.00 0.00 0.00 0.00 YYY
extraction.
D7130... .................. R Tooth root removal...... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D7210... .................. R Rem imp tooth w mucoper 0.00 0.00 0.00 0.00 0.00 0.00 YYY
flp.
D7220... .................. R Impact tooth remov soft 0.00 0.00 0.00 0.00 0.00 0.00 YYY
tiss.
D7230... .................. R Impact tooth remov part 0.00 0.00 0.00 0.00 0.00 0.00 YYY
bony.
D7240... .................. R Impact tooth remov comp 0.00 0.00 0.00 0.00 0.00 0.00 YYY
bony.
D7241... .................. R Impact tooth rem bony w/ 0.00 0.00 0.00 0.00 0.00 0.00 YYY
comp.
D7250... .................. R Tooth root removal...... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D7260... .................. R Oral antral fistula 0.00 0.00 0.00 0.00 0.00 0.00 YYY
closure.
D7270... .................. N Tooth reimplantation.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7272... .................. N Tooth transplantation... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7280... .................. N Exposure impact tooth 0.00 0.00 0.00 0.00 0.00 0.00 XXX
orthod.
D7281... .................. N Exposure tooth aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eruption.
D7285... .................. I Biopsy of oral tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hard.
D7286... .................. I Biopsy of oral tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX
soft.
D7290... .................. N Repositioning of teeth.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7291... .................. R Transseptal fiberotomy.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D7310... .................. I Alveoplasty w/extraction 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7320... .................. I Alveoplasty w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extraction.
D7340... .................. I Vestibuloplasty ridge 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extens.
D7350... .................. I Vestibuloplasty exten 0.00 0.00 0.00 0.00 0.00 0.00 XXX
graft.
D7410... .................. I Rad exc lesion up to 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25 cm.
D7420... .................. I Lesion >1.25 cm......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7430... .................. I Exc benign tumor to 1.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cm.
D7431... .................. I Benign tumor exc >1.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cm.
D7440... .................. I Malig tumor exc to 1.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cm.
D7441... .................. I Malig tumor >1.25 cm.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7450... .................. I Rem odontogen cyst to 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25cm.
D7451... .................. I Rem odontogen cyst >1.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cm.
D7460... .................. I Rem nonodonto cyst to 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25cm.
D7461... .................. I Rem nonodonto cyst >1.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cm.
[[Page 59236]]
D7465... .................. I Lesion destruction...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7470... .................. I Rem exostosis maxilla/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandib.
D7480... .................. I Partial ostectomy....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7490... .................. I Mandible resection...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7510... .................. I I&d absc intraoral soft 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tiss.
D7520... .................. I I&d abscess extraoral... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7530... .................. I Removal fb skin/areolar 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tiss.
D7540... .................. I Removal of fb reaction.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7550... .................. I Removal of sloughed off 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bone.
D7560... .................. I Maxillary sinusotomy.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7610... .................. I Maxilla open reduct 0.00 0.00 0.00 0.00 0.00 0.00 XXX
simple.
D7620... .................. I Clsd reduct simpl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla fx.
D7630... .................. I Open red simpl mandible 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fx.
D7640... .................. I Clsd red simpl mandible 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fx.
D7650... .................. I Open red simp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
zygom fx.
D7660... .................. I Clsd red simp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
zygom fx.
D7670... .................. I Open red simple alveolus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fx.
D7680... .................. I Reduct simple facial 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bone fx.
D7710... .................. I Maxilla open reduct 0.00 0.00 0.00 0.00 0.00 0.00 XXX
compound.
D7720... .................. I Clsd reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla fx.
D7730... .................. I Open reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandble fx.
D7740... .................. I Clsd reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandble fx.
D7750... .................. I Open red comp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
zygma fx.
D7760... .................. I Clsd red comp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
zygma fx.
D7770... .................. I Open reduc compd 0.00 0.00 0.00 0.00 0.00 0.00 XXX
alveolus fx.
D7780... .................. I Reduct compnd facial 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bone fx.
D7810... .................. I Tmj open reduct- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dislocation.
D7820... .................. I Closed tmp manipulation. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7830... .................. I Tmj manipulation under 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anest.
D7840... .................. I Removal of tmj condyle.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7850... .................. I Tmj meniscectomy........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7852... .................. I Tmj repair of joint disc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7854... .................. I Tmj excisn of joint 0.00 0.00 0.00 0.00 0.00 0.00 XXX
membrane.
D7856... .................. I Tmj cutting of a muscle. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7858... .................. I Tmj reconstruction...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7860... .................. I Tmj cutting into joint.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7865... .................. I Tmj reshaping components 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7870... .................. I Tmj aspiration joint 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluid.
D7872... .................. I Tmj diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
arthroscopy.
D7873... .................. I Tmj arthroscopy lysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adhesn.
D7874... .................. I Tmj arthroscopy disc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reposit.
D7875... .................. I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
synovectomy.
D7876... .................. I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
discectomy.
D7877... .................. I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
debridement.
D7880... .................. I Occlusal orthotic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
appliance.
D7899... .................. I Tmj unspecified therapy. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7910... .................. I Dent sutur recent wnd to 0.00 0.00 0.00 0.00 0.00 0.00 XXX
5cm.
D7911... .................. I Dental suture wound to 5 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cm.
D7912... .................. I Suture complicate wnd >5 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cm.
D7920... .................. I Dental skin graft....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7940... .................. R Reshaping bone 0.00 0.00 0.00 0.00 0.00 0.00 YYY
orthognathic.
D7941... .................. I Bone cutting ramus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
closed.
D7942... .................. I Bone cutting ramus open. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7943... .................. I Cutting ramus open w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
graft.
D7944... .................. I Bone cutting segmented.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7945... .................. I Bone cutting body 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible.
D7946... .................. I Reconstruction maxilla 0.00 0.00 0.00 0.00 0.00 0.00 XXX
total.
D7947... .................. I Reconstruct maxilla 0.00 0.00 0.00 0.00 0.00 0.00 XXX
segment.
D7948... .................. I Reconstruct midface no 0.00 0.00 0.00 0.00 0.00 0.00 XXX
graft.
D7949... .................. I Reconstruct midface w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
graft.
D7950... .................. I Mandible graft.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7955... .................. I Repair maxillofacial 0.00 0.00 0.00 0.00 0.00 0.00 XXX
defects.
D7960... .................. I Frenulectomy/frenulotomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7970... .................. I Excision hyperplastic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue.
D7971... .................. I Excision pericoronal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gingiva.
D7980... .................. I Sialolithotomy.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7981... .................. I Excision of salivary 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gland.
D7982... .................. I Sialodochoplasty........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7983... .................. I Closure of salivary 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fistula.
D7990... .................. I Emergency tracheotomy... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7991... .................. I Dental coronoidectomy... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7995... .................. I Synthetic graft facial 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bones.
D7996... .................. I Implant mandible for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
augment.
D7999... .................. I Oral surgery procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59237]]
D8010... .................. N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D8020... .................. N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transition.
D8030... .................. N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adolescent.
D8040... .................. N Limited dental tx adult. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D8050... .................. N Intercep dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D8060... .................. N Intercep dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transitn.
D8070... .................. N Compre dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transition.
D8080... .................. N Compre dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adolescent.
D8090... .................. N Compre dental tx adult.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D8210... .................. N Orthodontic rem 0.00 0.00 0.00 0.00 0.00 0.00 XXX
appliance tx.
D8220... .................. N Fixed appliance therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
habt.
D8660... .................. N Preorthodontic tx visit. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D8670... .................. N Periodic orthodontc tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
visit.
D8680... .................. N Orthodontic retention... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D8690... .................. N Orthodontic treatment... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D8999... .................. N Orthodontic procedure... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9110... .................. R Tx dental pain minor 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc.
D9210... .................. I Dent anesthesia w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surgery.
D9211... .................. I Regional block 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anesthesia.
D9212... .................. I Trigeminal block 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anesthesia.
D9215... .................. I Local anesthesia........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9220... .................. I General anesthesia...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9221... .................. I General anesthesia ea ad 0.00 0.00 0.00 0.00 0.00 0.00 XXX
15m.
D9230... .................. R Analgesia............... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D9240... .................. I Intravenous sedation.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9310... .................. I Dental consultation..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9410... .................. I Dental house call....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9420... .................. I Hospital call........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9430... .................. I Office visit during 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hours.
D9440... .................. I Office visit after hours 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9610... .................. I Dent therapeutic drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inject.
D9630... .................. R Other drugs/medicaments. 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D9910... .................. N Dent appl desensitizing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
med.
D9920... .................. N Behavior management..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9930... .................. R Treatment of 0.00 0.00 0.00 0.00 0.00 0.00 YYY
complications.
D9940... .................. R Dental occlusal guard... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D9941... .................. N Fabrication athletic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
guard.
D9950... .................. R Occlusion analysis...... 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D9951... .................. R Limited occlusal 0.00 0.00 0.00 0.00 0.00 0.00 YYY
adjustment.
D9952... .................. R Complete occlusal 0.00 0.00 0.00 0.00 0.00 0.00 YYY
adjustment.
D9970... .................. N Enamel microabrasion.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9999... .................. I Adjunctive procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
G0001... .................. X Drawing blood for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specimen.
G0002... .................. A Temporary urinary 0.50 0.70 0.70 0.02 1.22 1.22 000
catheter.
G0004... .................. A ECG transm phys review & 0.52 7.31 7.31 0.65 8.48 8.48 XXX
int.
G0005... .................. A ECG 24 hour recording... 0.00 1.18 1.18 0.09 1.27 1.27 XXX
G0006... .................. A ECG transmission & 0.00 5.73 5.73 0.51 6.24 6.24 XXX
analysis.
G0007... .................. A ECG phy review & 0.52 0.40 0.40 0.05 0.97 0.97 XXX
interpret.
G0008... .................. X Admin influenza virus 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vac.
G0009... .................. X Admin pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
G0010... .................. X Admin hepatitis b 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
G0015... .................. A Post symptom ECG tracing 0.00 5.73 5.73 0.51 6.24 6.24 XXX
G0016... .................. A Post symptom ECG md 0.52 0.40 0.40 0.05 0.97 0.97 XXX
review.
G0025... .................. A Collagen skin test kit.. 0.00 0.95 0.95 0.00 0.95 0.95 XXX
G0026... .................. X Fecal leukocyte 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
G0027... .................. X Semen analysis.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
G0030... .................. C PET imaging prev PET 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single.
G0030... TC C PET imaging prev PET 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single.
G0030... 26 A PET imaging prev PET 1.50 0.48 0.48 0.07 2.05 2.05 XXX
single.
G0031... .................. C PET imaging prev PET 0.00 0.00 0.00 0.00 0.00 0.00 XXX
multple.
G0031... TC C PET imaging prev PET 0.00 0.00 0.00 0.00 0.00 0.00 XXX
multple.
G0031... 26 A PET imaging prev PET 1.87 0.65 0.65 0.10 2.62 2.62 XXX
multple.
G0032... .................. C PET follow SPECT 78464 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
G0032... TC C PET follow SPECT 78464 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
G0032... 26 A PET follow SPECT 78464 1.50 0.48 0.48 0.07 2.05 2.05 XXX
singl.
G0033... .................. C PET follow SPECT 78464 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0033... TC C PET follow SPECT 78464 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0033... 26 A PET follow SPECT 78464 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0034... .................. C PET follow SPECT 76865 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
G0034... TC C PET follow SPECT 76865 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
G0034... 26 A PET follow SPECT 76865 1.50 0.48 0.48 0.07 2.05 2.05 XXX
singl.
G0035... .................. C PET follow SPECT 78465 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0035... TC C PET follow SPECT 78465 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0035... 26 A PET follow SPECT 78465 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
[[Page 59238]]
G0036... .................. C PET follow cornry angio 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sing.
G0036... TC C PET follow cornry angio 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sing.
G0036... 26 A PET follow cornry angio 1.50 0.48 0.48 0.07 2.05 2.05 XXX
sing.
G0037... .................. C PET follow cornry angio 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0037... TC C PET follow cornry angio 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0037... 26 A PET follow cornry angio 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0038... .................. C PET follow myocard perf 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sing.
G0038... TC C PET follow myocard perf 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sing.
G0038... 26 A PET follow myocard perf 1.50 0.48 0.48 0.07 2.05 2.05 XXX
sing.
G0039... .................. C PET follow myocard perf 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0039... TC C PET follow myocard perf 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0039... 26 A PET follow myocard perf 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0040... .................. C PET follow stress echo 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
G0040... TC C PET follow stress echo 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
G0040... 26 A PET follow stress echo 1.50 0.48 0.48 0.07 2.05 2.05 XXX
singl.
G0041... .................. C PET follow stress echo 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0041... TC C PET follow stress echo 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0041... 26 A PET follow stress echo 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0042... .................. C PET follow ventriculogm 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sing.
G0042... TC C PET follow ventriculogm 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sing.
G0042... 26 A PET follow ventriculogm 1.50 0.48 0.48 0.07 2.05 2.05 XXX
sing.
G0043... .................. C PET follow ventriculogm 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0043... TC C PET follow ventriculogm 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0043... 26 A PET follow ventriculogm 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0044... .................. C PET following rest ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
G0044... TC C PET following rest ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
G0044... 26 A PET following rest ECG 1.50 0.48 0.48 0.07 2.05 2.05 XXX
singl.
G0045... .................. C PET following rest ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0045... TC C PET following rest ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0045... 26 A PET following rest ECG 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0046... .................. C PET follow stress ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
G0046... TC C PET follow stress ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
G0046... 26 A PET follow stress ECG 1.50 0.48 0.48 0.07 2.05 2.05 XXX
singl.
G0047... .................. C PET follow stress ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0047... TC C PET follow stress ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
G0047... 26 A PET follow stress ECG 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0050... .................. A Residual urine by 0.00 0.81 0.81 0.05 0.86 0.86 XXX
ultrasound.
G0051... .................. D Destroy benign/premal *0.00 0.00 0.00 0.00 0.00 0.00 010
lesion.
G0052... .................. D Destruction of added 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
lesions.
G0053... .................. D Destruction of added *0.00 0.00 0.00 0.00 0.00 0.00 010
lesions.
G0058... .................. D Auto multichannel 20 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
G0059... .................. D Auto multichannel 21 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
G0060... .................. D Auto multichannel 22 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tests.
G0062... .................. D peripheral bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
densitometry.
G0062... TC D peripheral bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
densitometry.
G0062... 26 D peripheral bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
densitometry.
G0063... .................. D central bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
densitometry.
G0063... TC D central bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
densitometry.
G0063... 26 D central bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
densitometry.
G0064... .................. D care plan oversight, hme 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hlth.
G0065... .................. D care plan oversight, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hospice.
G0066... .................. D care plan oversight nurs 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fac.
G0071... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
no E/M.
G0072... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wth E/M.
G0073... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
no E/M.
G0074... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wth E/M.
G0075... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
no E/M.
G0076... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wth E/M.
G0077... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
no E/M.
G0078... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wth E/M.
G0079... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
no E/M.
G0080... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wth E/M.
G0081... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
no E/M.
G0082... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wth E/M.
G0083... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX
E/M.
G0084... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
with E/M.
G0085... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX
E/M.
G0086... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
with E/M.
G0087... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX
E/M.
G0088... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
with E/M.
G0089... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX
E/M.
G0090... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
with E/M.
G0091... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX
E/M.
G0092... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
with E/M.
[[Page 59239]]
G0093... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX
E/M.
G0094... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
with E/M.
G0100... .................. D HIV-1, viral load, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
G0101... .................. A CA screen; pelvic/breast 0.45 0.28 0.28 0.02 0.75 0.75 XXX
exam.
G0104... .................. A CA screen; flexi 0.96 1.23 #1.06 0.12 2.31 2.14 000
sigmoidscope.
G0105... .................. A Colorectal scrn; hi risk 3.70 4.13 #4.07 0.39 8.22 8.16 000
ind.
G0106... .................. A Colon CA screen; barium 0.99 2.58 2.58 0.21 3.78 3.78 XXX
enema.
G0106... TC A Colon CA screen; barium 0.00 2.13 2.13 0.14 2.27 2.27 XXX
enema.
G0106... 26 A Colon CA screen; barium 0.99 0.45 0.45 0.07 1.51 1.51 XXX
enema.
G0107... .................. X CA screen; fecal blood 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
G0110... .................. R Nett pulm-rehab educ; 0.90 0.26 0.26 0.04 1.20 1.20 XXX
ind.
G0111... .................. R Nett pulm-rehab educ; 0.27 0.20 0.20 0.02 0.49 0.49 XXX
group.
G0112... .................. R Nett; nutrition guid, 1.72 0.97 0.97 0.10 2.79 2.79 XXX
initial.
G0113... .................. R Nett; nutrition guid, 1.29 0.77 0.77 0.09 2.15 2.15 XXX
subseqnt.
G0114... .................. R Nett; psychosocial 1.20 0.35 0.35 0.11 1.66 1.66 XXX
consult.
G0115... .................. R Nett; psychological 1.20 0.35 0.35 0.11 1.66 1.66 XXX
testing.
G0116... .................. A Nett; psychosocial 1.11 0.35 0.35 0.05 1.51 1.51 XXX
counsel.
G0120... .................. A Colon ca scrn; barium 0.99 2.58 2.58 0.21 3.78 3.78 XXX
enema.
G0120... TC A Colon ca scrn; barium 0.00 2.13 2.13 0.14 2.27 2.27 XXX
enema.
G0120... 26 A Colon ca scrn; barium 0.99 0.45 0.45 0.07 1.51 1.51 XXX
enema.
G0121... .................. N Colon ca scrn; barium +3.70 4.13 #4.07 0.39 8.22 8.16 XXX
enema.
G0122... .................. N Colon ca scrn; barium +0.99 2.58 2.58 0.21 3.78 3.78 XXX
enema.
G0122... TC N Colon ca scrn; barium +0.00 2.13 2.13 0.14 2.27 2.27 XXX
enema.
G0122... 26 N Colon ca scrn; barium +0.99 0.45 0.45 0.07 1.51 1.51 XXX
enema.
H5300... .................. D Occupational therapy.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0120... .................. E Tetracyclin injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0150... .................. E Injection adenosine 6 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0170... .................. E Adrenalin epinephrin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inject.
J0190... .................. E Inj biperiden lactate/5 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg.
J0205... .................. E Alglucerase injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0207... .................. E Amifostine.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0210... .................. E Methyldopate hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0256... .................. E Alpha 1-proteinase 500 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J0270... .................. E Alprostadil for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0280... .................. E Aminophyllin 250 MG inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0290... .................. E Ampicillin 500 MG inj... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0295... .................. E Ampicillin sodium per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.5 gm.
J0300... .................. E Amobarbital 125 MG inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0330... .................. E Succinycholine chloride 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0340... .................. E Nandrolon phenpropionate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0350... .................. E Injection anistreplase 0.00 0.00 0.00 0.00 0.00 0.00 XXX
30 u.
J0360... .................. E Hydralazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0380... .................. E Inj metaraminol 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bitartrate.
J0390... .................. E Chloroquine injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0400... .................. E Inj trimethaphan 0.00 0.00 0.00 0.00 0.00 0.00 XXX
camsylate.
J0460... .................. E Atropine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0470... .................. E Dimecaprol injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0475... .................. E Baclofen 10 MG injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0500... .................. E Dicyclomine injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0510... .................. E Benzquinamide injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0515... .................. E Inj benztropine mesylate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0520... .................. E Bethanechol chloride 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inject.
J0530... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0540... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0550... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0560... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0570... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0580... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0585... .................. E Botulinum toxin a per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit.
J0590... .................. E Ethylnorepinephrine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0600... .................. E Edetate calcium disodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0610... .................. E Calcium gluconate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0620... .................. E Calcium glycer & lact/10 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ML.
J0630... .................. E Calcitonin salmon 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0635... .................. E Calcitriol injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0640... .................. E Leucovorin calcium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0670... .................. E Inj mepivacaine HCL/10 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ml.
J0690... .................. E Cefazolin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0694... .................. E Cefoxitin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0695... .................. E Cefonocid sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0696... .................. E Ceftriaxone sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0697... .................. E Sterile cefuroxime 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0698... .................. E Cefotaxime sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0702... .................. E Betamethasone acet&sod 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosp.
[[Page 59240]]
J0704... .................. E Betamethasone sod phosp/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4 MG.
J0710... .................. E Cephapirin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0713... .................. E Inj ceftazidime per 500 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg.
J0715... .................. E Ceftizoxime sodium / 500 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J0720... .................. E Chloramphenicol sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injec.
J0725... .................. E Chorionic gonadotropin/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1000u.
J0730... .................. E Chlorpheniramin maleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0735... .................. E Clonidine hydrochloride. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0740... .................. E Cidofovir injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0743... .................. E Cilastatin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0745... .................. E Inj codeine phosphate / 0.00 0.00 0.00 0.00 0.00 0.00 XXX
30 MG.
J0760... .................. E Colchicine injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0770... .................. E Colistimethate sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0780... .................. E Prochlorperazine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0800... .................. E Corticotropin injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0810... .................. E Cortisone injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0835... .................. E Inj cosyntropin per 0.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J0850... .................. E Cytomegalovirus imm IV / 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vial.
J0895... .................. E Deferoxamine mesylate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0900... .................. E Testosterone enanthate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0945... .................. E Brompheniramine maleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0970... .................. E Estradiol valerate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1000... .................. E Depo-estradiol cypionate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1020... .................. E Methylprednisolone 20 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1030... .................. E Methylprednisolone 40 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1040... .................. E Methylprednisolone 80 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1050... .................. E Medroxyprogesterone inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1055... .................. N Medrxyprogester acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1060... .................. E Testosterone cypionate 1 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ML.
J1070... .................. E Testosterone cypionat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
100 MG.
J1080... .................. E Testosterone cypionat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
200 MG.
J1090... .................. E Testosterone cypionate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
50 MG.
J1095... .................. E Inj dexamethasone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate.
J1100... .................. E Dexamethosone sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phos.
J1110... .................. E Inj dihydroergotamine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mesylt.
J1120... .................. E Acetazolamid sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injectio.
J1160... .................. E Digoxin injection....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1165... .................. E Phenytoin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1170... .................. E Hydromorphone injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1180... .................. E Dyphylline injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1190... .................. E Dexrazoxane HCl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1200... .................. E Diphenhydramine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injectio.
J1205... .................. E Chlorothiazide sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1212... .................. E Dimethyl sulfoxide 50% 0.00 0.00 0.00 0.00 0.00 0.00 XXX
50 ML.
J1230... .................. E Methadone injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1240... .................. E Dimenhydrinate injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1245... .................. E Dipyridamole injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1250... .................. E Inj dobutamine HCL/250 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg.
J1320... .................. E Amitriptyline injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1325... .................. E Epoprostenol injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1330... .................. E Ergonovine maleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1362... .................. E Erythromycin glucep / 0.00 0.00 0.00 0.00 0.00 0.00 XXX
250 MG.
J1364... .................. E Erythro lactobionate / 0.00 0.00 0.00 0.00 0.00 0.00 XXX
500 MG.
J1380... .................. E Estradiol valerate 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1390... .................. E Estradiol valerate 20 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1410... .................. E Inj estrogen conjugate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
25 MG.
J1435... .................. E Injection estrone per 1 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J1436... .................. E Etidronate disodium inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1440... .................. E Filgrastim 300 mcg 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J1441... .................. E Filgrastim 480 mcg 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1455... .................. E Foscarnet sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1460... .................. E Gamma globulin 1 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1470... .................. E Gamma globulin 2 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1480... .................. E Gamma globulin 3 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1490... .................. E Gamma globulin 4 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1500... .................. E Gamma globulin 5 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1510... .................. E Gamma globulin 6 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1520... .................. E Gamma globulin 7 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1530... .................. E Gamma globulin 8 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1540... .................. E Gamma globulin 9 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1550... .................. E Gamma globulin 10 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1560... .................. E Gamma globulin >10 CC 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1561... .................. E Immune globulin 500 mg.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1562... .................. E Immune globulin 5 gms... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 59241]]
J1565... .................. E RSV-ivig................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1570... .................. E Ganciclovir sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1580... .................. E Garamycin gentamicin inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1600... .................. E Gold sodium thiomaleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1610... .................. E Glucagon hydrochloride/1 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J1620... .................. E Gonadorelin hydroch/ 100 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mcg.
J1625... .................. D Granisetron hydrochlor/1 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J1626... .................. E Granisetron HCl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1630... .................. E Haloperidol injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1631... .................. E Haloperidol decanoate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1642... .................. E Inj heparin sodium per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
10 u.
J1644... .................. E Inj heparin sodium per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1000u.
J1645... .................. E Dalteparin sodium....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1650... .................. E Inj enoxaparin sodium 30 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg.
J1670... .................. E Tetanus immune globulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1690... .................. E Prednisolone tebutate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1700... .................. E Hydrocortisone acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1710... .................. E Hydrocortisone sodium ph 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1720... .................. E Hydrocortisone sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
succ i.
J1730... .................. E Diazoxide injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1739... .................. E Hydroxyprogesterone cap 0.00 0.00 0.00 0.00 0.00 0.00 XXX
125.
J1741... .................. E Hydroxyprogesterone cap 0.00 0.00 0.00 0.00 0.00 0.00 XXX
250.
J1742... .................. E Ibutilide fumarate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1760... .................. E Iron dextran 2 CC inj... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1770... .................. E Iron dextran 5 CC inj... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1780... .................. E Iron dextran 10 CC inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1785... .................. E Injection imiglucerase / 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit.
J1790... .................. E Droperidol injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1800... .................. E Propranolol injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1810... .................. E Droperidol/fentanyl inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1820... .................. E Insulin injection....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1825... .................. E Interferon beta-1a...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1830... .................. E Interferon beta-1b/.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J1840... .................. E Kanamycin sulfate 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1850... .................. E Kanamycin sulfate 75 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1885... .................. E Ketorolac tromethamine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1890... .................. E Cephalothin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1910... .................. E Kutapressin injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1930... .................. E Propiomazine injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1940... .................. E Furosemide injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1950... .................. E Leuprolide acetate/3.75 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J1955... .................. E Inj levocarnitine per 1 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gm.
J1960... .................. E Levorphanol tartrate inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1970... .................. E Methotrimeprazine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1980... .................. E Hyoscyamine sulfate inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1990... .................. E Chlordiazepoxide 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2000... .................. E Lidocaine injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2010... .................. E Lincomycin injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2060... .................. E Lorazepam injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2150... .................. E Mannitol injection...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2175... .................. E Meperidine hydrochl/100 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J2180... .................. E Meperidine/promethazine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J2210... .................. E Methylergonovin maleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J2240... .................. E Metocurine iodide 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2250... .................. E Inj midazolam 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J2260... .................. E Inj milrinone lactate/5 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ML.
J2270... .................. E Morphine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2275... .................. E Morphine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2300... .................. E Inj nalbuphine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J2310... .................. E Inj naloxone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J2320... .................. E Nandrolone decanoate 50 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J2321... .................. E Nandrolone decanoate 100 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J2322... .................. E Nandrolone decanoate 200 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J2330... .................. E Thiothixene injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2350... .................. E Niacinamide/niacin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2360... .................. E Orphenadrine injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2370... .................. E Phenylephrine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2400... .................. E Chloroprocaine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2405... .................. E Ondansetron hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2410... .................. E Oxymorphone hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2430... .................. E Pamidronate disodium/30 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J2440... .................. E Papaverin hcl injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2460... .................. E Oxytetracycline 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2480... .................. E Hydrochlorides of opium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
[[Page 59242]]
J2510... .................. E Penicillin g procaine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J2512... .................. E Inj pentagastrin per 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ML.
J2515... .................. E Pentobarbital sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2540... .................. E Penicillin g potassium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J2545... .................. E Pentamidine isethionte/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
300mg.
J2550... .................. E Promethazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2560... .................. E Phenobarbital sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2590... .................. E Oxytocin injection...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2597... .................. E Inj desmopressin acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2640... .................. E Prednisolone sodium ph 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J2650... .................. E Prednisolone acetate inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2670... .................. E Totazoline hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2675... .................. E Inj progesterone per 50 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J2680... .................. E Fluphenazine decanoate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
25 MG.
J2690... .................. E Procainamide hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2700... .................. E Oxacillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2710... .................. E Neostigmine methylslfte 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J2720... .................. E Inj protamine sulfate/10 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J2725... .................. E Inj protirelin per 250 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mcg.
J2730... .................. E Pralidoxime chloride inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2760... .................. E Phentolaine mesylate inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2765... .................. E Metoclopramide hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2790... .................. E Rho d immune globulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J2800... .................. E Methocarbamol injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2810... .................. E Inj theophylline per 40 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J2820... .................. E Sargramostim injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2860... .................. E Secobarbital sodium inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2910... .................. E Aurothioglucose 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2912... .................. E Sodium chloride 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2920... .................. E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2930... .................. E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2950... .................. E Promazine hcl injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2970... .................. E Methicillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2995... .................. E Inj streptokinase/250000 0.00 0.00 0.00 0.00 0.00 0.00 XXX
IU.
J2996... .................. E Alteplase recombinant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3000... .................. E Streptomycin injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3005... .................. D Strontium-89 chloride/10 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ML.
J3010... .................. E Fentanyl citrate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3030... .................. E Sumatriptan succinate/6 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J3070... .................. E Pentazocine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J3080... .................. E Chlorprothixene 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3105... .................. E Terbutaline sulfate inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3120... .................. E Testosterone enanthate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3130... .................. E Testosterone enanthate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3140... .................. E Testosterone suspension 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3150... .................. E Testosteron propionate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3230... .................. E Chlorpromazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3240... .................. E Thyrotropin injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3250... .................. E Trimethobenzamide hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3260... .................. E Tobramycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3265... .................. E Injection torsemide 10 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg/ml.
J3270... .................. E Imipramine hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3280... .................. E Thiethylperazine maleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3301... .................. E Triamcinolone acetonide 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3302... .................. E Triamcinolone diacetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3303... .................. E Triamcinolone hexacetonl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3305... .................. E Inj trimetrexate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucoronate.
J3310... .................. E Perphenazine injeciton.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3320... .................. E Spectinomycn di-hcl inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3350... .................. E Urea injection.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3360... .................. E Diazepam injection...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3364... .................. E Urokinase 5000 IU 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3365... .................. E Urokinase 250,000 IU inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3370... .................. R Vancomycin hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3390... .................. E Methoxamine injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3400... .................. E Triflupromazine hcl inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3410... .................. E Hydroxyzine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3420... .................. E Vitamin b12 injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3430... .................. E Vitamin k phytonadione 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3450... .................. E Mephentermine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J3470... .................. E Hyaluronidase injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3475... .................. E Inj magnesium sulfate... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3480... .................. E Inj potassium chloride.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3490... .................. E Drugs unclassified 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
[[Page 59243]]
J3520... .................. N Edetate disodium per 150 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg.
J3530... .................. E Nasal vaccine inhalation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3535... .................. N Metered dose inhaler 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug.
J3570... .................. N Laetrile amygdalin vit 0.00 0.00 0.00 0.00 0.00 0.00 XXX
B17.
J7030... .................. E Normal saline solution 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infus.
J7040... .................. E Normal saline solution 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infus.
J7042... .................. E 5% dextrose/normal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saline.
J7050... .................. E Normal saline solution 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infus.
J7051... .................. E Sterile saline/water.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7060... .................. E 5% dextrose/water....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7070... .................. E D5w infusion............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7100... .................. E Dextran 40 infusion..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7110... .................. E Dextran 75 infusion..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7120... .................. E Ringers lactate infusion 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7130... .................. E Hypertonic saline 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
J7190... .................. X Factor viii............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7191... .................. X Factor VIII (porcine)... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7192... .................. X Factor viii recombinant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7194... .................. X Factor ix complex....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7196... .................. X Othr hemophilia clot 0.00 0.00 0.00 0.00 0.00 0.00 XXX
factors.
J7197... .................. X Antithrombin iii 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7300... .................. N Intraut copper 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contraceptive.
J7310... .................. E Ganciclovir long act 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
J7500... .................. X Azathiop po tab 50mg 0.00 0.00 0.00 0.00 0.00 0.00 XXX
100s ea.
J7501... .................. X Azathioprine parenteral. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7503... .................. X Cyclosporine parenteral. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7504... .................. X Lymphocyte immune 0.00 0.00 0.00 0.00 0.00 0.00 XXX
globulin.
J7505... .................. X Monoclonal antibodies... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7506... .................. X Prednisone oral......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7507... .................. E Tacrolimus oral per 1 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7508... .................. E Tacrolimus oral per 5 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7509... .................. X Methylprednisolone oral. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7510... .................. X Prednisolone oral per 5 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg.
J7599... .................. X Immunosuppressive drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noc.
J7610... .................. E Acetylcysteine 10% 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7615... .................. E Acetylcysteine 20% 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7620... .................. E Albuterol sulfate .083%/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ml.
J7625... .................. E Albuterol sulfate .5% 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J7627... .................. E Bitolterolmesylate inhal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sol.
J7630... .................. E Cromolyn sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J7640... .................. E Epinephrine injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7645... .................. E Ipratropium bromide .02%/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ml.
J7650... .................. E Isoetharine hcl .1% inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7651... .................. E Isoetharine hcl .125% 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J7652... .................. E Isoetharine hcl .167% 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J7653... .................. E Isoetharine hcl .2%/ inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7654... .................. E Isoetharine hcl .25% inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7655... .................. E Isoetharine hcl 1% inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7660... .................. E Isoproterenol hcl .5% 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J7665... .................. E Isoproterenol hcl 1% inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7670... .................. E Metaproterenol sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.4%.
J7672... .................. E Metaproterenol sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.6%.
J7675... .................. E Metaproterenol sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
5%.
J7699... .................. E Inhalation solution for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
DME.
J7799... .................. E Non-inhalation drug for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
DME.
J8499... .................. N Oral prescrip drug non 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chemo.
J8530... .................. E Cyclophosphamide oral 25 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J8560... .................. E Etoposide oral 50 MG.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J8600... .................. E Melphalan oral 2 MG..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J8610... .................. E Methotrexate oral 2.5 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J8999... .................. E Oral prescription drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chemo.
J9000... .................. E Doxorubic hcl 10 MG vl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chemo.
J9015... .................. E Aldesleukin/single use 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vial.
J9020... .................. E Asparaginase injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9031... .................. E Bcg live intravesical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vac.
J9040... .................. E Bleomycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9045... .................. E Carboplatin injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9050... .................. E Carmus bischl nitro inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9060... .................. E Cisplatin 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9062... .................. E Cisplatin 50 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9065... .................. E Inj cladribine per 1 MG. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9070... .................. E Cyclophosphamide 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9080... .................. E Cyclophosphamide 200 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9090... .................. E Cyclophosphamide 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
[[Page 59244]]
J9091... .................. E Cyclophosphamide 1.0 grm 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9092... .................. E Cyclophosphamide 2.0 grm 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9093... .................. E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9094... .................. E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9095... .................. E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9096... .................. E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9097... .................. E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9100... .................. E Cytarabine hcl 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9110... .................. E Cytarabine hcl 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9120... .................. E Dactinomycin actinomycin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
d.
J9130... .................. E Dacarbazine 10 MG inj... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9140... .................. E Dacarbazine 200 MG inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9150... .................. E Daunorubicin............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9165... .................. E Diethylstilbestrol 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9170... .................. E Docetaxel............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9181... .................. E Etoposide 10 MG inj..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9182... .................. E Etoposide 100 MG inj.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9185... .................. E Fludarabine phosphate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9190... .................. E Fluorouracil injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9200... .................. E Floxuridine injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9201... .................. E Gemcitabine HCl......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9202... .................. E Goserelin acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
J9206... .................. E Irinotecan injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9208... .................. E Ifosfomide injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9209... .................. E Mesna injection......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9211... .................. E Idarubicin hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9213... .................. E Interferon alfa-2a inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9214... .................. E Interferon alfa-2b inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9215... .................. E Interferon alfa-n3 inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9216... .................. E Interferon gamma 1-b inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9217... .................. E Leuprolide acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suspnsion.
J9218... .................. E Leuprolide acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9230... .................. E Mechlorethamine hcl inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9245... .................. E Inj melphalan hydrochl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
50 MG.
J9250... .................. E Methotrexate sodium inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9260... .................. E Methotrexate sodium inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9265... .................. E Paclitaxel injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9266... .................. E Pegaspargase/singl dose 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vial.
J9268... .................. E Pentostatin injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9270... .................. E Plicamycin (mithramycin) 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9280... .................. E Mitomycin 5 MG inj...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9290... .................. E Mitomycin 20 MG inj..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9291... .................. E Mitomycin 40 MG inj..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9293... .................. E Mitoxantrone hydrochl/5 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J9320... .................. E Streptozocin injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9340... .................. E Thiotepa injection...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9350... .................. E Topotecan............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9360... .................. E Vinblastine sulfate inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9370... .................. E Vincristine sulfate 1 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9375... .................. E Vincristine sulfate 2 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9380... .................. E Vincristine sulfate 5 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9390... .................. E Vinorelbine tartrate/10 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg.
J9600... .................. E Porfimer sodium......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9999... .................. E Chemotherapy drug....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0005... .................. D Off visit 2/more 0.00 0.00 0.00 0.00 0.00 0.00 XXX
modalities.
M0006... .................. D One phys therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
modality.
M0007... .................. D Combined phys ther mod & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx.
M0008... .................. D Combined phys ther mod & 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx.
M0064... .................. A Visit for drug 0.37 0.19 0.19 0.03 0.59 0.59 XXX
monitoring.
M0075... .................. N Cellular therapy........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0076... .................. N Prolotherapy............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0100... .................. N Intragastric hypothermia 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0101... .................. G Foot care hygienic/pm... 0.43 0.35 0.35 0.03 0.81 0.81 XXX
M0300... .................. N IV chelationtherapy..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0301... .................. N Fabric wrapping of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aneurysm.
M0302... .................. N Assessment of cardiac 0.00 0.00 0.00 0.00 0.00 0.00 XXX
output.
P2028... .................. X Cephalin floculation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
P2029... .................. X Congo red blood test.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P2031... .................. N Hair analysis........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P2033... .................. X Blood thymol turbidity.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P2038... .................. X Blood mucoprotein....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P3000... .................. X Screen pap by tech w md 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supv.
P3001... .................. X Screening pap smear by 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phys.
P3001... 26 A Screening pap smear by 0.42 0.32 0.32 0.04 0.78 0.78 XXX
phys.
[[Page 59245]]
P7001... .................. I Culture bacterial urine. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P9010... .................. E Whole blood for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transfusion.
P9011... .................. E Blood split unit........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P9012... .................. E Cryoprecipitate each 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit.
P9013... .................. E Unit/s blood fibrinogen. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P9014... .................. E Gamma globulin 1 ML..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P9015... .................. E Rh immune globulin 1 ML. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P9016... .................. E Leukocyte poor blood, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit.
P9017... .................. E One donor fresh frozn 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasma.
P9018... .................. E Plasma protein fract, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit.
P9019... .................. E Platelet concentrate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit.
P9020... .................. E Plaelet rich plasma unit 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P9021... .................. E Red blood cells unit.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P9022... .................. E Washed red blood cells 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit.
P9603... .................. X One-way allow prorated 0.00 0.00 0.00 0.00 0.00 0.00 XXX
miles.
P9604... .................. X One-way allow prorated 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trip.
P9610... .................. X Urine specimen collect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
singl.
P9615... .................. X Urine specimen collect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mult.
Q0034... .................. X Admin of influenza 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
Q0035... .................. A Cardiokymography........ 0.17 0.49 0.49 0.04 0.70 0.70 XXX
Q0035... TC A Cardiokymography........ 0.00 0.37 0.37 0.03 0.40 0.40 XXX
Q0035... 26 A Cardiokymography........ 0.17 0.12 0.12 0.01 0.30 0.30 XXX
Q0068... .................. A Extracorpeal 1.67 1.27 1.27 0.16 3.10 3.10 000
plasmapheresis.
Q0091... .................. A Obtaining screen pap 0.37 0.28 0.28 0.03 0.68 0.68 XXX
smear.
Q0092... .................. A Set up port x-ray 0.00 0.30 0.30 0.01 0.31 0.31 XXX
equipment.
Q0103... .................. D Physical therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
Q0104... .................. D Phys therapy re- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
Q0109... .................. D Occupational therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eval.
Q0110... .................. D Occupational therap re- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eval.
Q0111... .................. X Wet mounts/w 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preparations.
Q0112... .................. X Potassium hydroxide 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preps.
Q0113... .................. X Pinworm examinations.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0114... .................. X Fern test............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0115... .................. X Post-coital mucous exam. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0132... .................. X Dispensing fee DME neb 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug.
Q0136... .................. X Non esrd epoetin alpha 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
Q0144... .................. N Azithromycin dihydrate, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
Q0156... .................. X Human albumin 5%........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0157... .................. X Human albumin 25%....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0158... .................. D Combined hib & hep B 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
Q9920... .................. E Epoetin with hct <=20... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9921... .................. E Epoetin with hct =21.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9922... .................. E Epoetin with hct =22.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9923... .................. E Epoetin with hct =23.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9924... .................. E Epoetin with hct =24.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9925... .................. E Epoetin with hct =25.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9926... .................. E Epoetin with hct =26.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9927... .................. E Epoetin with hct =27.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9928... .................. E Epoetin with hct =28.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9929... .................. E Epoetin with hct =29.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9930... .................. E Epoetin with hct =30.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9931... .................. E Epoetin with hct =31.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9932... .................. E Epoetin with hct =32.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9933... .................. E Epoetin with hct =33.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9934... .................. E Epoetin with hct =34.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9935... .................. E Epoetin with hct =35.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9936... .................. E Epoetin with hct =36.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9937... .................. E Epoetin with hct =37.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9938... .................. E Epoetin with hct =38.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9939... .................. E Epoetin with hct =39.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q9940... .................. E Epoetin with hct >=40... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
R0070... .................. C Transport portable x-ray 0.00 0.00 0.00 0.00 0.00 0.00 XXX
R0075... .................. C Transport port x-ray 0.00 0.00 0.00 0.00 0.00 0.00 XXX
multipl.
R0076... .................. C Transport portable EKG.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2020... .................. X Vision svcs frames 0.00 0.00 0.00 0.00 0.00 0.00 XXX
purchases.
V2025... .................. N Eyeglasses delux frames. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2100... .................. X Lens spher single plano 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00.
V2101... .................. X Single visn sphere 4.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.00.
V2102... .................. X Singl visn sphere 7.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20.00.
V2103... .................. X Spherocylindr 4.00-0.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.00d.
V2104... .................. X Spherocylindr 4.00d/2.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4d.
V2105... .................. X Spherocylinder 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-6d.
V2106... .................. X Spherocylinder 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>6.00d.
V2107... .................. X Spherocylinder 4.25d/12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2d.
[[Page 59246]]
V2108... .................. X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.12-4d.
V2109... .................. X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-6d.
V2110... .................. X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over 6d.
V2111... .................. X Spherocylindr 7.25d/.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.25.
V2112... .................. X Spherocylindr 7.25d/2.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4d.
V2113... .................. X Spherocylindr 7.25d/4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
6d.
V2114... .................. X Spherocylinder over 0.00 0.00 0.00 0.00 0.00 0.00 XXX
12.00d.
V2115... .................. X Lens lenticular bifocal. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2116... .................. X Nonaspheric lens bifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2117... .................. X Aspheric lens bifocal... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2118... .................. X Lens aniseikonic single. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2199... .................. X Lens single vision not 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oth c.
V2200... .................. X Lens spher bifoc plano 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d.
V2201... .................. X Lens sphere bifocal 4.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.0.
V2202... .................. X Lens sphere bifocal 7.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20..
V2203... .................. X Lens sphcyl bifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/.1.
V2204... .................. X Lens sphcy bifocal 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.1.
V2205... .................. X Lens sphcy bifocal 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.2.
V2206... .................. X Lens sphcy bifocal 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ove.
V2207... .................. X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7d/..
V2208... .................. X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7/2..
V2209... .................. X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7/4..
V2210... .................. X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7/ov.
V2211... .................. X Lens sphcy bifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.25-.
V2212... .................. X Lens sphcyl bifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.2.
V2213... .................. X Lens sphcyl bifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.2.
V2214... .................. X Lens sphcyl bifocal over 0.00 0.00 0.00 0.00 0.00 0.00 XXX
12..
V2215... .................. X Lens lenticular bifocal. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2216... .................. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonaspheric.
V2217... .................. X Lens lenticular aspheric 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bif.
V2218... .................. X Lens aniseikonic bifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2219... .................. X Lens bifocal seg width 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over.
V2220... .................. X Lens bifocal add over 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3.25d.
V2299... .................. X Lens bifocal speciality. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2300... .................. X Lens sphere trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d.
V2301... .................. X Lens sphere trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.12-7..
V2302... .................. X Lens sphere trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.12-20.
V2303... .................. X Lens sphcy trifocal 4.0/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.12-.
V2304... .................. X Lens sphcy trifocal 4.0/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.25.
V2305... .................. X Lens sphcy trifocal 4.0/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25.
V2306... .................. X Lens sphcyl trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00/>6.
V2307... .................. X Lens sphcy trifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7/..
V2308... .................. X Lens sphc trifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7/2..
V2309... .................. X Lens sphc trifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7/4..
V2310... .................. X Lens sphc trifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7/>6.
V2311... .................. X Lens sphc trifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.25-.
V2312... .................. X Lens sphc trifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.25.
V2313... .................. X Lens sphc trifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25.
V2314... .................. X Lens sphcyl trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over 12.
V2315... .................. X Lens lenticular trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2316... .................. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonaspheric.
V2317... .................. X Lens lenticular aspheric 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tri.
V2318... .................. X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal.
V2319... .................. X Lens trifocal seg width 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>28.
V2320... .................. X Lens trifocal add over 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3.25d.
V2399... .................. X Lens trifocal speciality 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2410... .................. X Lens variab asphericity 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sing.
V2430... .................. X Lens variable 0.00 0.00 0.00 0.00 0.00 0.00 XXX
asphericity bi.
V2499... .................. X Variable asphericity 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lens.
V2500... .................. X Contact lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spherical.
V2501... .................. X Cntct lens pmma-toric/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prism.
V2502... .................. X Contact lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2503... .................. X Cntct lens pmma color 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vision.
V2510... .................. X Cntct gas permeable 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sphericl.
V2511... .................. X Cntct toric prism 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ballast.
V2512... .................. X Cntct lens gas permbl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocl.
V2513... .................. X Contact lens extended 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wear.
V2520... .................. P Contact lens hydrophilic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2521... .................. X Cntct lens hydrophilic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
toric.
V2522... .................. X Cntct lens hydrophil 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocl.
V2523... .................. X Cntct lens hydrophil 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extend.
V2530... .................. X Contact lens gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX
impermeable.
V2531... .................. X Contact lens gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permeable.
V2599... .................. X Contact lens/es other 0.00 0.00 0.00 0.00 0.00 0.00 XXX
type.
[[Page 59247]]
V2600... .................. X Hand held low vision 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aids.
V2610... .................. X Single lens spectacle 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mount.
V2615... .................. X Telescop/othr compound 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lens.
V2623... .................. X Plastic eye prosth 0.00 0.00 0.00 0.00 0.00 0.00 XXX
custom.
V2624... .................. X Polishing artifical eye. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2625... .................. X Enlargemnt of eye 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
V2626... .................. X Reduction of eye 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
V2627... .................. X Scleral cover shell..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2628... .................. X Fabrication & fitting... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2629... .................. X Prosthetic eye other 0.00 0.00 0.00 0.00 0.00 0.00 XXX
type.
V2630... .................. X Anter chamber intraocul 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lens.
V2631... .................. X Iris support intraoclr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lens.
V2632... .................. X Post chmbr intraocular 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lens.
V2700... .................. X Balance lens............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2710... .................. X Glass/plastic slab off 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prism.
V2715... .................. X Prism lens/es........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2718... .................. X Fresnell prism press-on 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lens.
V2730... .................. X Special base curve...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2740... .................. X Rose tint plastic....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2741... .................. X Non-rose tint plastic... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2742... .................. X Rose tint glass......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2743... .................. X Non-rose tint glass..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2744... .................. X Tint photochromatic lens/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
es.
V2750... .................. X Anti-reflective coating. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2755... .................. X UV lens/es.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2760... .................. X Scratch resistant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
coating.
V2770... .................. X Occluder lens/es........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2780... .................. X Oversize lens/es........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2781... .................. X Progressive lens per 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lens.
V2785... .................. X Corneal tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX
processing.
V2799... .................. X Miscellaneous vision 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
V5008... .................. N Hearing screening....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5010... .................. N Assessment for hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5011... .................. N Hearing aid fitting/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
checking.
V5014... .................. N Hearing aid repair/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
modifying.
V5020... .................. N Conformity evaluation... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5030... .................. N Body-worn hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
air.
V5040... .................. N Body-worn hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bone.
V5050... .................. N Body-worn hearing aid in 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ear.
V5060... .................. N Behind ear hearing aid.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5070... .................. N Glasses air conduction.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5080... .................. N Glasses bone conduction. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5090... .................. N Hearing aid dispensing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fee.
V5100... .................. N Body-worn bilat hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5110... .................. N Hearing aid dispensing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fee.
V5120... .................. N Body-worn binaur hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5130... .................. N In ear binaural hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5140... .................. N Behind ear binaur 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5150... .................. N Glasses binaural hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5160... .................. N Dispensing fee binaural. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5170... .................. N Within ear cros hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5180... .................. N Behind ear cros hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5190... .................. N Glasses cros hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5200... .................. N Cros hearing aid dispens 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fee.
V5210... .................. N In ear bicros hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5220... .................. N Behind ear bicros 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5230... .................. N Glasses bicros hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5240... .................. N Dispensing fee bicros... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5299... .................. R Hearing service......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5336... .................. N Repair communication 0.00 0.00 0.00 0.00 0.00 0.00 XXX
device.
V5362... .................. R Speech screening........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5363... .................. R Language screening...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5364... .................. R Dysphagia screening..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------
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., December 30,
1997. Any revisions to the interim RVUs will be announced in a document
to be published in 1998 that provides our analysis of and responses to
public comments. These revisions will apply to services furnished
beginning January 1, 1999.
Addendum C contains the following information:
[[Page 59248]]
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.
\4\ * Work RVUs increased in global surgical package.
\5\ # Indicates reduction of Practice Expense RVUs as result of 110% PE
reduction.
Addendum C.--Codes With Interim RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
Non-
Physician facility Facility Mal- Non-
CPT \1\/ MOD Status Description work RVUs practice practice practice facility Facility Global
HCPCS \3\ \4\ expense expense RVUs total total
\2\ RVUs \5\ RVUs \5\
--------------------------------------------------------------------------------------------------------------------------------------------------------
11055... .................. R Trim skin lesion........ 0.27 0.19 0.19 0.01 0.47 0.47 000
11056... .................. R Trim 2 to 4 skin lesions 0.39 0.26 0.26 0.02 0.67 0.67 000
11057... .................. R Trim over 4 skin lesions 0.50 0.21 0.21 0.02 0.73 0.73 000
11200... .................. A Removal of skin tags.... *0.77 0.43 0.43 0.04 1.24 1.24 010
11201... .................. A Removal of added skin 0.29 0.17 0.17 0.02 0.48 0.48 ZZZ
tags.
11719... .................. R Trim nail(s)............ 0.06 0.18 #0.07 0.01 0.25 0.14 000
17000... .................. A Destroy benign/premal *0.60 0.42 0.42 0.03 1.05 1.05 010
lesion.
17003... .................. A Destroy 2-14 lesions.... 0.15 0.13 0.13 0.01 0.29 0.29 ZZZ
17004... .................. A Destroy 15 & more *2.79 2.25 2.25 0.20 5.24 5.24 010
lesions.
17110... .................. A Destruct lesion, 1-14... *0.65 0.40 0.40 0.03 1.08 1.08 010
17111... .................. A Destruct lesion, 15 or *0.92 0.60 0.60 0.05 1.57 1.57 010
more.
17200... .................. D 1Electrocautery of skin *0.00 0.00 0.00 0.00 0.00 0.00 010
tags.
17340... .................. A Cryotherapy of skin..... *0.76 0.28 0.28 0.02 1.06 1.06 010
19020... .................. A Incision of breast *3.57 1.40 1.40 0.28 5.25 5.25 090
lesion.
19316... .................. A Suspension of breast.... *10.69 #11.76 #11.76 2.43 24.88 24.88 090
19357... .................. A Breast reconstruction... *18.16 12.15 12.15 2.37 32.68 32.68 090
19361... .................. A Breast reconstruction... *19.26 20.13 20.13 3.88 43.27 43.27 090
19366... .................. A Breast reconstruction... *21.28 16.40 16.40 3.18 40.86 40.86 090
20102... .................. A Explore wound, abdomen.. *3.94 1.92 1.92 0.45 6.31 6.31 010
20103... .................. A Explore wound, extremity *5.30 2.59 2.59 0.60 8.49 8.49 010
20664... .................. A Halo brace application.. *8.06 3.82 3.82 0.65 12.53 12.53 090
20962... .................. A Other bone graft, *39.27 26.90 26.90 5.26 71.43 71.43 090
microvasc.
21010... .................. A Incision of jaw joint... *10.14 10.24 10.24 0.93 21.31 21.31 090
21015... .................. A Resection of facial *5.29 #5.82 #5.82 1.13 12.24 12.24 090
tumor.
21026... .................. A Excision of facial *4.85 3.14 3.14 0.28 8.27 8.27 090
bone(s).
21029... .................. A Contour of face bone *7.71 #8.48 #8.48 0.78 16.97 16.97 090
lesion.
21030... .................. A Removal of face bone *6.46 3.35 3.35 0.29 10.10 10.10 090
lesion.
21032... .................. A Remove exostosis, *3.24 3.88 3.88 0.35 7.47 7.47 090
maxilla.
21034... .................. A Removal of face bone *16.17 6.98 6.98 0.89 24.04 24.04 090
lesion.
21040... .................. A Removal of jaw bone *2.11 2.76 2.76 0.24 5.11 5.11 090
lesion.
21044... .................. A Removal of jaw bone *11.86 9.55 9.55 1.11 22.52 22.52 090
lesion.
21045... .................. A Extensive jaw surgery... *16.17 13.83 13.83 1.58 31.58 31.58 090
21050... .................. A Removal of jaw joint.... *10.77 #11.85 #11.85 1.08 23.70 23.70 090
21060... .................. A Remove jaw joint *10.23 #11.25 #11.25 1.04 22.52 22.52 090
cartilage.
21070... .................. A Remove coronoid process. *8.20 6.81 6.81 0.82 15.83 15.83 090
21076... .................. A Prepare face/oral *13.42 #14.76 #14.76 1.35 29.53 29.53 010
prosthesis.
21077... .................. A Prepare face/oral *33.75 #37.13 #37.13 3.39 74.27 74.27 090
prosthesis.
21079... .................. A Prepare face/oral *22.34 27.93 27.93 2.25 52.52 52.52 090
prosthesis.
21080... .................. A Prepare face/oral *25.10 31.38 31.38 2.52 59.00 59.00 090
prosthesis.
21081... .................. A Prepare face/oral *22.88 28.59 28.59 2.30 53.77 53.77 090
prosthesis.
21082... .................. A Prepare face/oral *20.87 #22.96 #22.96 2.10 45.93 45.93 090
prosthesis.
21083... .................. A Prepare face/oral *19.30 24.13 24.13 1.94 45.37 45.37 090
prosthesis.
21084... .................. A Prepare face/oral *22.51 28.14 28.14 2.28 52.93 52.93 090
prosthesis.
21085... .................. A Prepare face/oral *9.00 #9.90 #9.90 0.90 19.80 19.80 010
prosthesis.
21086... .................. A Prepare face/oral *24.92 31.15 31.15 2.51 58.58 58.58 090
prosthesis.
21087... .................. A Prepare face/oral *24.92 #27.41 #27.41 2.51 54.84 54.84 090
prosthesis.
21100... .................. A Maxillofacial fixation.. *4.22 1.06 1.06 0.11 5.39 5.39 090
21110... .................. A Interdental fixation.... *5.21 5.53 5.53 0.46 11.20 11.20 090
21141... .................. A Reconstruct midface, *18.10 14.34 14.34 1.68 34.12 34.12 090
lefort.
21142... .................. A Reconstruct midface, *18.81 14.84 14.84 1.74 35.39 35.39 090
lefort.
21143... .................. A Reconstruct midface, *19.58 15.40 15.40 1.81 36.79 36.79 090
lefort.
21208... .................. A Augmentation of facial *10.23 #11.25 #11.25 1.07 22.55 22.55 090
bones.
21209... .................. A Reduction of facial *6.72 4.59 4.59 0.76 12.07 12.07 090
bones.
21210... .................. A Face bone graft......... *10.23 #11.25 #11.25 1.29 22.77 22.77 090
21215... .................. A Lower jaw bone graft.... *10.77 #11.85 #11.85 1.42 24.04 24.04 090
[[Page 59249]]
21230... .................. A Rib cartilage graft..... *10.77 10.37 10.37 1.69 22.83 22.83 090
21235... .................. A Ear cartilage graft..... *6.72 #7.39 #7.39 1.09 15.20 15.20 090
21242... .................. A Reconstruction of jaw *12.95 #14.25 #14.25 2.25 29.45 29.45 090
joint.
21244... .................. A Reconstruction of lower *11.86 #13.05 #13.05 1.93 26.84 26.84 090
jaw.
21245... .................. A Reconstruction of jaw... *11.86 11.47 11.47 1.31 24.64 24.64 090
21246... .................. A Reconstruction of jaw... *12.47 8.83 8.83 1.04 22.34 22.34 090
21247... .................. A Reconstruct lower jaw *22.63 #24.89 #24.89 2.27 49.79 49.79 090
bone.
21255... .................. A Reconstruct lower jaw *16.72 #18.39 #18.39 1.68 36.79 36.79 090
bone.
21256... .................. A Reconstruction of orbit. *16.19 #17.81 #17.81 1.63 35.63 35.63 090
21260... .................. A Revise eye sockets...... *16.52 #18.17 #18.17 1.66 36.35 36.35 090
21261... .................. A Revise eye sockets...... *31.49 17.78 17.78 1.65 50.92 50.92 090
21263... .................. A Revise eye sockets...... *28.42 #31.26 #31.26 2.86 62.54 62.54 090
21267... .................. A Revise eye sockets...... *18.90 14.61 14.61 2.13 35.64 35.64 090
21268... .................. A Revise eye sockets...... *24.48 15.35 15.35 3.13 42.96 42.96 090
21270... .................. A Augmentation cheek bone. *10.23 9.60 9.60 1.41 21.24 21.24 090
21275... .................. A Revision orbitofacial *11.24 8.95 8.95 1.26 21.45 21.45 090
bones.
21280... .................. A Revision of eyelid...... *6.03 #6.63 #6.63 0.61 13.27 13.27 090
21282... .................. A Revision of eyelid...... *3.49 #3.84 #3.84 0.79 8.12 8.12 090
21295... .................. A Revision of jaw muscle/ *1.53 0.96 0.96 0.13 2.62 2.62 090
bone.
21296... .................. A Revision of jaw muscle/ *4.25 3.62 3.62 0.22 8.09 8.09 090
bone.
21325... .................. A Repair of nose fracture. *3.77 4.09 4.09 0.52 8.38 8.38 090
21330... .................. A Repair of nose fracture. *5.38 #5.92 #5.92 0.86 12.16 12.16 090
21335... .................. A Repair of nose fracture. *8.61 #9.47 #9.47 1.56 19.64 19.64 090
21336... .................. A Repair nasal septal *5.72 4.09 4.09 0.52 10.33 10.33 090
fracture.
21337... .................. A Repair nasal septal *2.70 2.82 2.82 0.38 5.90 5.90 090
fracture.
21338... .................. A Repair nasoethmoid *6.46 5.01 5.01 0.66 12.13 12.13 090
fracture.
21339... .................. A Repair nasoethmoid *8.09 7.09 7.09 0.70 15.88 15.88 090
fracture.
21340... .................. A Repair of nose fracture. *10.77 8.91 8.91 1.04 20.72 20.72 090
21343... .................. A Repair of sinus fracture *12.95 9.17 9.17 1.08 23.20 23.20 090
21344... .................. A Repair of sinus fracture *19.72 9.17 9.17 1.08 29.97 29.97 090
21345... .................. A Repair of nose/jaw *8.16 7.90 7.90 0.81 16.87 16.87 090
fracture.
21346... .................. A Repair of nose/jaw *10.61 9.40 9.40 1.04 21.05 21.05 090
fracture.
21347... .................. A Repair of nose/jaw *12.69 10.36 10.36 1.36 24.41 24.41 090
fracture.
21348... .................. A Repair of nose/jaw *16.69 11.34 11.34 2.22 30.25 30.25 090
fracture.
21355... .................. A Repair cheek bone *3.77 1.56 1.56 0.17 5.50 5.50 010
fracture.
21356... .................. A Repair cheek bone *4.15 #4.57 #4.57 0.89 9.61 9.61 010
fracture.
21360... .................. A Repair cheek bone *6.46 #7.11 #7.11 0.89 14.46 14.46 090
fracture.
21366... .................. A Repair cheek bone *17.77 12.08 12.08 2.36 32.21 32.21 090
fracture.
21385... .................. A Repair eye socket *9.16 9.59 9.59 1.13 19.88 19.88 090
fracture.
21386... .................. A Repair eye socket *9.16 9.07 9.07 1.25 19.48 19.48 090
fracture.
21387... .................. A Repair eye socket *9.70 7.45 7.45 0.96 18.11 18.11 090
fracture.
21390... .................. A Repair eye socket *10.13 #11.14 #11.14 1.37 22.64 22.64 090
fracture.
21395... .................. A Repair eye socket *12.68 9.63 9.63 1.37 23.68 23.68 090
fracture.
21400... .................. A Treat eye socket *1.40 1.67 #1.54 0.17 3.24 3.11 090
fracture.
21401... .................. A Repair eye socket *3.26 2.58 2.58 0.32 6.16 6.16 090
fracture.
21406... .................. A Repair eye socket *7.01 5.21 5.21 0.74 12.96 12.96 090
fracture.
21407... .................. A Repair eye socket *8.61 7.09 7.09 0.78 16.48 16.48 090
fracture.
21408... .................. A Repair eye socket *12.38 8.49 8.49 0.99 21.86 21.86 090
fracture.
21421... .................. A Treat mouth roof *5.14 6.14 #5.65 0.62 11.90 11.41 090
fracture.
21422... .................. A Repair mouth roof *8.32 #9.15 #9.15 1.19 18.66 18.66 090
fracture.
21423... .................. A Repair mouth roof *10.40 9.80 9.80 1.19 21.39 21.39 090
fracture.
21431... .................. A Treat craniofacial *7.05 6.02 6.02 0.71 13.78 13.78 090
fracture.
21432... .................. A Repair craniofacial *8.61 6.76 6.76 0.84 16.21 16.21 090
fracture.
21433... .................. A Repair craniofacial *25.35 17.96 17.96 2.10 45.41 45.41 090
fracture.
21435... .................. A Repair craniofacial *17.25 13.25 13.25 1.88 32.38 32.38 090
fracture.
21436... .................. A Repair craniofacial *28.04 14.65 14.65 2.08 44.77 44.77 090
fracture.
21440... .................. A Repair dental ridge *2.70 3.07 #2.97 0.28 6.05 5.95 090
fracture.
21445... .................. A Repair dental ridge *5.38 6.11 #5.92 0.56 12.05 11.86 090
fracture.
21450... .................. A Treat lower jaw fracture *2.97 2.84 2.84 0.26 6.07 6.07 090
21451... .................. A Treat lower jaw fracture *4.87 5.83 #5.36 0.74 11.44 10.97 090
21452... .................. A Treat lower jaw fracture *1.98 1.39 1.39 0.17 3.54 3.54 090
21453... .................. A Treat lower jaw fracture *5.54 6.64 #6.09 0.55 12.73 12.18 090
21454... .................. A Treat lower jaw fracture *6.46 #7.11 #7.11 1.42 14.99 14.99 090
21461... .................. A Repair lower jaw *8.09 #8.90 #8.90 1.30 18.29 18.29 090
fracture.
21462... .................. A Repair lower jaw *9.79 #10.77 #10.77 1.34 21.90 21.90 090
fracture.
21465... .................. A Repair lower jaw *11.91 8.44 8.44 0.99 21.34 21.34 090
fracture.
21485... .................. A Reset dislocated jaw.... *3.99 2.19 2.19 0.20 6.38 6.38 090
21490... .................. A Repair dislocated jaw... *11.86 6.31 6.31 0.52 18.69 18.69 090
21493... .................. A Treat hyoid bone *1.27 1.52 #1.40 0.13 2.92 2.80 090
fracture.
21494... .................. A Repair hyoid bone *6.28 7.52 7.52 0.63 14.43 14.43 090
fracture.
21495... .................. A Repair hyoid bone *5.69 4.82 4.82 0.51 11.02 11.02 090
fracture.
21497... .................. A Interdental wiring...... *3.86 3.97 3.97 0.38 8.21 8.21 090
21740... .................. A Reconstruction of *16.50 8.99 8.99 1.64 27.13 27.13 090
sternum.
21750... .................. A Repair of sternum *10.77 7.33 7.33 1.43 19.53 19.53 090
separation.
[[Page 59250]]
22505... .................. A Manipulation of spine... *1.87 1.31 1.31 0.17 3.35 3.35 010
22818... .................. A Kyphectomy, 1-2 segments *31.83 28.25 28.25 4.85 64.93 64.93 090
22819... .................. A Kyphectomy, 3 & more *36.44 28.25 28.25 4.85 69.54 69.54 090
segment.
23616... .................. A Repair humerus fracture. *21.27 22.32 22.32 3.54 47.13 47.13 090
24006... .................. A Release elbow joint..... *9.31 7.14 7.14 1.17 17.62 17.62 090
24516... .................. A Repair humerus fracture. *11.65 9.65 9.65 1.54 22.84 22.84 090
24546... .................. A Repair humerus fracture. *15.69 9.97 9.97 1.59 27.25 27.25 090
25337... .................. A Reconstruct ulna/ *10.17 8.60 8.60 1.45 20.22 20.22 090
radioulnar.
25520... .................. A Repair fracture of *6.26 5.74 5.74 0.94 12.94 12.94 090
radius.
25525... .................. A Repair fracture of *12.24 11.15 11.15 1.83 25.22 25.22 090
radius.
25526... .................. A Repair fracture of *12.98 11.85 11.85 1.94 26.77 26.77 090
radius.
25574... .................. A Treat fracture radius & *7.01 #7.71 #7.71 1.73 16.45 16.45 090
ulna.
26546... .................. A Repair non-union hand... *8.92 8.11 8.11 1.33 18.36 18.36 090
26608... .................. A Treat metacarpal *5.36 3.55 3.55 0.57 9.48 9.48 090
fracture.
27193... .................. A Treat pelvic ring *5.56 2.41 2.41 0.39 8.36 8.36 090
fracture.
27194... .................. A Treat pelvic ring *9.65 3.90 3.90 0.50 14.05 14.05 090
fracture.
27215... .................. A Pelvic fracture(s) *10.05 #11.06 #11.06 2.33 23.44 23.44 090
treatment.
27216... .................. A Treat pelvic ring *15.19 4.30 4.30 0.66 20.15 20.15 090
fracture.
27217... .................. A Treat pelvic ring *14.11 14.55 14.55 2.33 30.99 30.99 090
fracture.
27218... .................. A Treat pelvic ring *20.15 14.55 14.55 2.33 37.03 37.03 090
fracture.
27226... .................. A Treat hip wall fracture. *14.91 15.78 15.78 2.52 33.21 33.21 090
27245... .................. A Repair of thigh fracture *20.31 16.30 16.30 2.62 39.23 39.23 090
27496... .................. A Decompression of thigh/ *6.11 4.53 4.53 0.74 11.38 11.38 090
knee.
27497... .................. A Decompression of thigh/ *7.17 5.55 5.55 0.91 13.63 13.63 090
knee.
27498... .................. A Decompression of thigh/ *7.99 6.32 6.32 1.04 15.35 15.35 090
knee.
27499... .................. A Decompression of thigh/ *9.00 7.28 7.28 1.19 17.47 17.47 090
knee.
27501... .................. A Treatment of thigh *5.92 5.41 5.41 0.82 12.15 12.15 090
fracture.
27503... .................. A Treatment of thigh *10.58 7.67 7.67 1.21 19.46 19.46 090
fracture.
27507... .................. A Treatment of thigh *13.99 #15.39 #15.39 2.56 31.94 31.94 090
fracture.
27509... .................. A Treatment of thigh *7.71 4.22 4.22 0.65 12.58 12.58 090
fracture.
27511... .................. A Treatment of thigh *13.64 #15.00 #15.00 2.56 31.20 31.20 090
fracture.
27535... .................. A Treatment of knee *11.50 11.69 11.69 1.88 25.07 25.07 090
fracture.
27558... .................. A Repair of knee *17.72 14.60 14.60 2.43 34.75 34.75 090
dislocation.
27759... .................. A Repair of tibia fracture *13.76 13.74 13.74 2.22 29.72 29.72 090
27824... .................. A Treat lower leg fracture *2.89 3.47 #3.18 0.55 6.91 6.62 090
27825... .................. A Treat lower leg fracture *6.19 6.51 6.51 1.06 13.76 13.76 090
27826... .................. A Treat lower leg fracture *8.54 #9.39 #9.39 1.88 19.81 19.81 090
27829... .................. A Treat lower leg joint... *5.49 #6.04 #6.04 1.37 12.90 12.90 090
27892... .................. A Decompression of leg.... *7.39 3.39 3.39 0.64 11.42 11.42 090
27893... .................. A Decompression of leg.... *7.35 3.38 3.38 0.67 11.40 11.40 090
28470... .................. A Treat metatarsal *1.99 1.80 1.80 0.23 4.02 4.02 090
fracture.
28475... .................. A Treat metatarsal *2.97 2.34 2.34 0.30 5.61 5.61 090
fracture.
28531... .................. A Treat sesamoid bone *2.35 1.91 1.91 0.32 4.58 4.58 090
fracture.
28576... .................. A Treat foot dislocation.. *4.17 2.77 2.77 0.42 7.36 7.36 090
29800... .................. A Jaw arthroscopy/surgery. *6.43 4.01 4.01 0.46 10.90 10.90 090
29804... .................. A Jaw arthroscopy/surgery. *8.14 #8.95 #8.95 1.46 18.55 18.55 090
29850... .................. A Knee arthroscopy/surgery *8.19 #9.01 #9.01 1.74 18.94 18.94 090
29851... .................. A Knee arthroscopy/surgery *13.10 10.95 10.95 1.74 25.79 25.79 090
29855... .................. A Tibial arthroscopy/ *10.62 #11.68 #11.68 1.88 24.18 24.18 090
surgery.
29856... .................. A Tibial arthroscopy/ *14.14 11.69 11.69 1.88 27.71 27.71 090
surgery.
29860... .................. A Hip arthroscopy, dx..... *8.05 4.84 4.84 0.76 13.65 13.65 090
29861... .................. A Hip arthroscopy/surgery. *9.15 9.38 9.38 1.73 20.26 20.26 090
29862... .................. A Hip arthroscopy/surgery. *9.90 10.07 10.07 2.32 22.29 22.29 090
29863... .................. A Hip arthroscopy/surgery. *9.90 8.72 8.72 1.73 20.35 20.35 090
29891... .................. A Ankle arthroscopy/ *8.40 8.86 8.86 1.77 19.03 19.03 090
surgery.
29892... .................. A Ankle arthroscopy/ *9.00 8.86 8.86 1.77 19.63 19.63 090
surgery.
29893... .................. A Scope, plantar *5.22 5.20 5.20 0.46 10.88 10.88 090
fasciotomy.
30460... .................. A Revision of nose........ *9.96 8.58 8.58 0.93 19.47 19.47 090
30462... .................. A Revision of nose........ *19.57 17.16 17.16 1.87 38.60 38.60 090
30801... .................. A Cauterization inner nose *1.09 0.47 0.47 0.05 1.61 1.61 010
30802... .................. A Cauterization inner nose *2.03 0.94 0.94 0.11 3.08 3.08 010
32201... .................. A Percut drainage, lung 4.00 3.03 3.03 0.35 7.38 7.38 000
lesion.
33496... .................. A Repair, prosth valve *27.25 #29.98 #29.98 5.33 62.56 62.56 090
clot.
33501... .................. A Repair heart vessel *17.78 14.14 14.14 2.51 34.43 34.43 090
fistula.
33514... .................. A CABG, vein, five........ *35.00 #38.50 #38.50 7.23 80.73 80.73 090
33516... .................. A CABG, vein, six+........ *37.40 #41.14 #41.14 7.74 86.28 86.28 090
33517... .................. A CABG, artery-vein, *2.57 #2.83 #2.83 0.50 5.90 5.90 090
single.
33518... .................. A CABG, artery-vein, two.. *4.85 #5.34 #5.34 1.02 11.21 11.21 090
33519... .................. A CABG, artery-vein, three *7.12 #7.83 #7.83 1.52 16.47 16.47 090
33521... .................. A CABG, artery-vein, four. *9.40 #10.34 #10.34 2.03 21.77 21.77 090
33522... .................. A CABG, artery-vein, five. *11.67 #12.84 #12.84 2.54 27.05 27.05 090
33523... .................. A CABG, artery-vein, six+. *13.95 #15.35 #15.35 3.05 32.35 32.35 090
33533... .................. A CABG, arterial, single.. *25.83 #28.41 #28.41 5.36 59.60 59.60 090
33534... .................. A CABG, arterial, two..... *28.82 #31.70 #31.70 6.03 66.55 66.55 090
[[Page 59251]]
33535... .................. A CABG, arterial, three... *31.81 #34.99 #34.99 6.70 73.50 73.50 090
33536... .................. A CABG, arterial, four+... *34.79 #38.27 #38.27 7.37 80.43 80.43 090
33800... .................. A Aortic suspension....... *16.24 14.14 14.14 2.51 32.89 32.89 090
34151... .................. A Removal of artery clot.. *16.86 11.96 11.96 2.39 31.21 31.21 090
35400... .................. A Angioscopy.............. 3.00 2.27 2.27 0.27 5.54 5.54 ZZZ
35691... .................. A Arterial transposition.. *18.05 19.62 19.62 3.81 41.48 41.48 090
35693... .................. A Arterial transposition.. *15.36 9.40 9.40 1.91 26.67 26.67 090
35694... .................. A Arterial transposition.. *19.16 9.33 9.33 2.17 30.66 30.66 090
35695... .................. A Arterial transposition.. *19.16 9.33 9.33 2.17 30.66 30.66 090
36470... .................. A Injection therapy of *1.09 0.27 0.27 0.04 1.40 1.40 010
vein.
36530... .................. R Insertion of infusion *6.20 4.82 4.82 1.02 12.04 12.04 010
pump.
36531... .................. R Revision of infusion *4.87 4.37 4.37 0.27 9.51 9.51 010
pump.
36532... .................. R Removal of infusion pump *3.30 1.77 1.77 0.37 5.44 5.44 010
36534... .................. A Revision of access port. *2.80 #3.08 #3.08 0.21 6.09 6.09 010
36535... .................. A Removal of access port.. *2.27 1.81 1.81 0.38 4.46 4.46 010
36834... .................. A Repair A-V aneurysm..... *9.93 7.80 7.80 1.66 19.39 19.39 090
37195... .................. A Thrombolytic therapy, 0.00 7.68 7.68 0.54 8.22 8.22 XXX
stroke.
37250... .................. A Intravascular us........ 2.10 1.14 1.14 0.13 3.37 3.37 ZZZ
37251... .................. A Intravascular us........ 1.60 0.87 0.87 0.10 2.57 2.57 ZZZ
40800... .................. A Drainage of mouth lesion *1.17 0.74 0.74 0.07 1.98 1.98 010
40801... .................. A Drainage of mouth lesion *2.53 1.70 1.70 0.16 4.39 4.39 010
40804... .................. A Removal foreign body, *1.24 0.58 0.58 0.06 1.88 1.88 010
mouth.
40805... .................. A Removal foreign body, *2.69 2.50 2.50 0.30 5.49 5.49 010
mouth.
40808... .................. A Biopsy of mouth lesion.. *0.96 0.76 0.76 0.08 1.80 1.80 010
40810... .................. A Excision of mouth lesion *1.31 1.18 1.18 0.11 2.60 2.60 010
40812... .................. A Excise/repair mouth *2.31 1.50 1.50 0.14 3.95 3.95 010
lesion.
40814... .................. A Excise/repair mouth *3.42 3.23 3.23 0.32 6.97 6.97 090
lesion.
40816... .................. A Excision of mouth lesion *3.67 3.22 3.22 0.33 7.22 7.22 090
40818... .................. A Excise oral mucosa for *2.41 2.25 2.25 0.20 4.86 4.86 090
graft.
40819... .................. A Excise lip or cheek fold *2.41 1.23 1.23 0.14 3.78 3.78 090
40820... .................. A Treatment of mouth *1.28 0.53 0.53 0.06 1.87 1.87 010
lesion.
40830... .................. A Repair mouth laceration. *1.76 0.67 0.67 0.07 2.50 2.50 010
40831... .................. A Repair mouth laceration. *2.46 1.94 1.94 0.21 4.61 4.61 010
41800... .................. A Drainage of gum lesion.. *1.17 0.69 0.69 0.07 1.93 1.93 010
41805... .................. A Removal foreign body, *1.24 0.84 0.84 0.08 2.16 2.16 010
gum.
41806... .................. A Removal foreign body, *2.69 1.64 1.64 0.15 4.48 4.48 010
jawbone.
41822... .................. R Excision of gum lesion.. *2.31 3.03 3.03 0.25 5.59 5.59 010
41823... .................. R Excision of gum lesion.. *3.30 #3.63 #3.63 0.34 7.27 7.27 090
41825... .................. A Excision of gum lesion.. *1.31 1.49 1.49 0.14 2.94 2.94 010
41826... .................. A Excision of gum lesion.. *2.31 2.07 2.07 0.18 4.56 4.56 010
41827... .................. A Excision of gum lesion.. *3.42 #3.76 #3.76 0.38 7.56 7.56 090
41828... .................. R Excision of gum lesion.. *3.09 4.07 4.07 0.33 7.49 7.49 010
41830... .................. R Removal of gum tissue... *3.35 #3.69 #3.69 0.36 7.40 7.40 010
41872... .................. R Repair gum.............. *2.59 #2.85 #2.85 0.27 5.71 5.71 090
41874... .................. R Repair tooth socket..... *3.09 #3.40 #3.40 0.32 6.81 6.81 090
43360... .................. A Gastrointestinal repair. *28.78 21.36 21.36 4.19 54.33 54.33 090
43361... .................. A Gastrointestinal repair. *32.65 25.27 25.27 4.77 62.69 62.69 090
44626... .................. A Repair bowel opening.... *22.59 11.37 11.37 2.40 36.36 36.36 090
44700... .................. A Suspend bowel w/ *14.35 11.37 11.37 2.40 28.12 28.12 090
prosthesis.
44901... .................. A Drain, app abscess, perc 3.38 2.56 2.56 0.30 6.24 6.24 000
45119... .................. A Remove, rectum w/ *26.21 16.06 16.06 3.36 45.63 45.63 090
reservoir.
45900... .................. A Reduction of rectal *1.83 0.58 0.58 0.11 2.52 2.52 010
prolapse.
45905... .................. A Dilation of anal *1.61 0.71 0.71 0.12 2.44 2.44 010
sphincter.
45910... .................. A Dilation of rectal *1.96 0.87 0.87 0.13 2.96 2.96 010
narrowing.
46715... .................. A Repair of anovaginal *7.46 3.51 3.51 0.82 11.79 11.79 090
fistula.
46746... .................. A Repair, cloacal anomaly. *36.74 24.26 24.26 2.37 63.37 63.37 090
47011... .................. A Percut drain, liver 3.70 2.80 2.80 0.33 6.83 6.83 000
lesion.
47511... .................. A Insert bile duct drain.. *10.50 2.87 2.87 0.25 13.62 13.62 090
47716... .................. A Fusion of bile duct cyst *13.83 6.56 6.56 1.53 21.92 21.92 090
48001... .................. A Placement of drain, *18.83 8.13 8.13 1.89 28.85 28.85 090
pancreas.
48005... .................. A Resect/debride pancreas. *22.40 9.19 9.19 2.14 33.73 33.73 090
48146... .................. A Pancreatectomy.......... *23.91 16.49 16.49 1.92 42.32 42.32 090
48154... .................. A Pancreatectomy.......... *39.95 22.54 22.54 4.75 67.24 67.24 090
48511... .................. A Drain pancreatic 4.00 3.03 3.03 0.35 7.38 7.38 000
pseudocyst.
48556... .................. A Removal, allograft *15.71 7.26 7.26 1.69 24.66 24.66 090
pancreas.
49021... .................. A Drain abdominal abscess. *3.38 #3.72 #3.72 0.91 8.01 8.01 000
49041... .................. A Percut drain abdom 4.00 3.03 3.03 0.35 7.38 7.38 000
abscess.
49061... .................. A Percutdrain retroper 3.70 2.80 2.80 0.33 6.83 6.83 000
abscess.
49062... .................. A Drain to peritoneal *11.36 8.07 8.07 0.79 20.22 20.22 090
cavity.
49423... .................. A Exchange drainage cath.. 1.46 1.10 1.10 0.13 2.69 2.69 000
49424... .................. A Assess cyst, contrast 0.76 0.57 0.57 0.07 1.40 1.40 000
inj.
49507... .................. A Repair, inguinal hernia. *8.17 5.04 5.04 1.08 14.29 14.29 090
50021... .................. A Percut drain renal 3.38 2.56 2.56 0.30 6.24 6.24 000
abscess.
50727... .................. A Revise ureter........... *8.18 5.37 5.37 0.51 14.06 14.06 090
[[Page 59252]]
50728... .................. A Revise ureter........... *12.02 7.90 7.90 0.77 20.69 20.69 090
50782... .................. A Reimplant ureter in *19.54 13.78 13.78 1.46 34.78 34.78 090
bladder.
50783... .................. A Reimplant ureter in *20.55 13.78 13.78 1.46 35.79 35.79 090
bladder.
52282... .................. A Cystoscopy, implant 6.40 4.58 4.58 0.45 11.43 11.43 000
stent.
52450... .................. A Incision of prostate.... *7.64 4.99 4.99 0.49 13.12 13.12 090
53850... .................. A Prostatic microwave *9.45 6.71 6.71 0.66 16.82 16.82 090
thermotx.
53852... .................. A Prostatic rf thermotx... *9.88 7.01 7.01 0.69 17.58 17.58 090
54401... .................. A Insert self-contd *10.28 #11.31 #11.31 1.73 23.32 23.32 090
prosthesis.
56300... .................. A Laparoscopy; diagnostic. *5.10 4.45 4.45 0.93 10.48 10.48 010
56301... .................. A Laparoscopy; tubal *5.60 4.71 4.71 1.28 11.59 11.59 010
cautery.
56302... .................. A Laparoscopy; tubal block *5.60 5.26 5.26 1.32 12.18 12.18 010
56303... .................. A Laparoscopy; excise *11.79 5.53 5.53 1.16 18.48 18.48 090
lesions.
56304... .................. A Laparoscopy; lysis...... *11.29 5.60 5.60 1.20 18.09 18.09 090
56305... .................. A Laparoscopy; biopsy..... *5.40 4.90 4.90 0.79 11.09 11.09 010
56306... .................. A Laparoscopy; aspiration. *5.70 4.87 4.87 1.18 11.75 11.75 010
56310... .................. A Laparoscopic enterolysis *14.44 8.28 8.28 1.75 24.47 24.47 090
56314... .................. A Lapar; drain lymphocele. *9.48 6.73 6.73 0.66 16.87 16.87 090
56318... .................. A Laparoscopic orchiectomy *10.96 7.23 7.23 0.81 19.00 19.00 090
56322... .................. A Laparoscopy, vagus *10.15 5.07 5.07 1.18 16.40 16.40 090
nerves.
56323... .................. A Laparoscopy, vagus *12.15 6.09 6.09 1.41 19.65 19.65 090
nerves.
56324... .................. A Laparoscopy, *12.58 9.16 9.16 1.93 23.67 23.67 090
cholecystoenter.
56342... .................. A Laparoscopic *14.23 9.37 9.37 2.00 25.60 25.60 090
cholecystectomy.
56343... .................. A Laparoscopic *13.74 5.28 5.28 1.11 20.13 20.13 090
salpingostomy.
56344... .................. A Laparoscopic *12.88 5.11 5.11 1.19 19.18 19.18 090
fimbrioplasty.
56345... .................. C Laparoscopic splenectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
56346... .................. A Laparoscopic gastrostomy *7.73 6.19 6.19 1.19 15.11 15.11 090
56347... .................. C Laparoscopic jejunostomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
56348... .................. A Laparo; resect intestine *22.04 13.25 13.25 2.78 38.07 38.07 090
56349... .................. A Laparoscopy; fundoplasty *17.25 11.88 11.88 2.53 31.66 31.66 090
56350... .................. A Hysteroscopy; diagnostic 3.33 1.99 1.99 0.44 5.76 5.76 000
56351... .................. A Hysteroscopy; biopsy.... 4.75 1.99 1.99 0.44 7.18 7.18 000
56352... .................. A Hysteroscopy; lysis..... 6.17 3.77 3.77 0.85 10.79 10.79 000
56353... .................. A Hysteroscopy; resect 7.00 3.77 3.77 0.85 11.62 11.62 000
septum.
56354... .................. A Hysteroscopy; remove 10.00 4.93 4.93 1.30 16.23 16.23 000
myoma.
56355... .................. A Hysteroscopy; remove 5.21 1.99 1.99 0.44 7.64 7.64 000
impact.
56356... .................. A Hysteroscopy; ablation.. 6.17 4.39 4.39 1.49 12.05 12.05 000
56631... .................. A Extensive vulva surgery. *16.20 #17.82 #17.82 4.51 38.53 38.53 090
56634... .................. A Extensive vulva surgery. *17.88 #19.67 #19.67 4.51 42.06 42.06 090
56637... .................. A Extensive vulva surgery. *21.97 21.42 21.42 4.51 47.90 47.90 090
56810... .................. A Repair of perineum...... *4.13 2.62 2.62 0.51 7.26 7.26 010
57308... .................. A Fistula repair, *9.94 7.23 7.23 1.41 18.58 18.58 090
transperine.
57510... .................. A Cauterization of cervix. *1.90 0.52 0.52 0.09 2.51 2.51 010
57531... .................. A Removal of cervix, *22.04 17.77 17.77 3.87 43.68 43.68 090
radical.
58262... .................. A Vaginal hysterectomy.... *13.99 9.39 9.39 2.07 25.45 25.45 090
58263... .................. A Vaginal hysterectomy.... *15.28 10.32 10.32 2.22 27.82 27.82 090
58345... .................. A Reopen fallopian tube... *4.66 3.49 3.49 0.41 8.56 8.56 010
58823... .................. A Percut drain pelvic 3.38 2.56 2.56 0.30 6.24 6.24 000
abscess.
58825... .................. A Transposition, ovary(s). *6.13 4.03 4.03 0.93 11.09 11.09 090
59150... .................. A Treat ectopic pregnancy. *6.89 4.53 4.53 1.05 12.47 12.47 090
59151... .................. A Treat ectopic pregnancy. *7.86 8.61 8.61 0.64 17.11 17.11 090
59871... .................. A Remove cerclage suture.. 2.13 1.78 1.78 0.41 4.32 4.32 000
60271... .................. A Removal of thyroid...... *14.89 12.14 12.14 2.25 29.28 29.28 090
61760... .................. A Implant brain electrodes *22.27 14.98 14.98 1.75 39.00 39.00 090
62280... .................. A Treat spinal cord lesion *2.63 0.71 0.71 0.14 3.48 3.48 010
62281... .................. A Treat spinal cord lesion *2.66 0.87 0.87 0.28 3.81 3.81 010
62282... .................. A Treat spinal canal *2.33 1.70 1.70 0.40 4.43 4.43 010
lesion.
64612... .................. A Destroy nerve, face *1.96 1.45 1.45 0.17 3.58 3.58 010
muscle.
64613... .................. A Destroy nerve, spine *1.96 1.45 1.45 0.17 3.58 3.58 010
muscle.
64716... .................. A Revision of cranial *6.31 4.83 4.83 0.67 11.81 11.81 090
nerve.
64755... .................. A Incision of stomach *13.52 10.47 10.47 2.27 26.26 26.26 090
nerves.
64885... .................. A Nerve graft, head or *17.53 12.69 12.69 1.48 31.70 31.70 090
neck.
64886... .................. A Nerve graft, head or *20.75 15.13 15.13 1.77 37.65 37.65 090
neck.
65860... .................. A Incise inner eye *3.55 #3.91 #3.91 0.37 7.83 7.83 090
adhesions.
66700... .................. A Destruction, ciliary *4.78 #5.26 #5.26 0.35 10.39 10.39 090
body.
66710... .................. A Destruction, ciliary *4.78 #5.26 #5.26 0.41 10.45 10.45 090
body.
66740... .................. A Destruction, ciliary *4.78 #5.26 #5.26 0.39 10.43 10.43 090
body.
67027... .................. A Implant eye drug system. *10.85 9.04 9.04 0.47 20.36 20.36 090
67414... .................. A Explore/decompress eye *11.13 8.39 8.39 0.44 19.96 19.96 090
socke.
67445... .................. A Explore/decompress eye *14.42 11.13 11.13 0.57 26.12 26.12 090
socke.
67570... .................. A Decompress optic nerve.. *13.58 7.56 7.56 0.39 21.53 21.53 090
68761... .................. A Close tear duct opening. *1.36 0.92 0.92 0.04 2.32 2.32 010
69205... .................. A Clear outer ear canal... *1.20 1.07 1.07 0.11 2.38 2.38 010
75945... 26 A Intravascular us........ 0.40 0.22 0.22 0.03 0.65 0.65 XXX
75946... 26 A Intravascular us........ 0.40 0.22 0.22 0.03 0.65 0.65 XXX
[[Page 59253]]
76076... 26 A Dual energy x-ray study. 0.22 0.10 0.10 0.02 0.34 0.34 XXX
76078... 26 A Photodensitometry....... 0.20 0.10 0.10 0.02 0.32 0.32 XXX
76390... 26 A Mr spectroscopy......... 1.40 0.66 0.66 0.10 2.16 2.16 XXX
76831... 26 A Echo exam, uterus....... 0.72 0.32 0.32 0.05 1.09 1.09 XXX
76885... 26 A Echo exam, infant hips.. 0.74 0.32 0.32 0.05 1.11 1.11 XXX
76886... 26 A Echo exam, infant hips.. 0.62 0.27 0.27 0.04 0.93 0.93 XXX
77750... .................. A Infuse radioactive *4.91 3.32 3.32 0.38 8.61 8.61 090
materials.
77750... 26 A Infuse radioactive *4.91 2.05 2.05 0.30 7.26 7.26 090
materials.
77761... .................. A Radioelement application *3.81 3.98 3.98 0.39 8.18 8.18 090
77761... 26 A Radioelement application *3.81 1.59 1.59 0.23 5.63 5.63 090
77762... .................. A Radioelement application *5.72 5.83 5.83 0.57 12.12 12.12 090
77762... 26 A Radioelement application *5.72 2.39 2.39 0.35 8.46 8.46 090
77763... .................. A Radioelement application *8.57 7.86 7.86 0.77 17.20 17.20 090
77763... 26 A Radioelement application *8.57 3.58 3.58 0.50 12.65 12.65 090
77777... .................. A Radioelement application *7.48 7.17 7.17 0.71 15.36 15.36 090
77777... 26 A Radioelement application *7.48 3.13 3.13 0.45 11.06 11.06 090
77778... .................. A Radioelement application *11.19 9.58 9.58 0.98 21.75 21.75 090
77778... 26 A Radioelement application *11.19 4.69 4.69 0.67 16.55 16.55 090
77781... .................. A High intensity *1.66 20.04 20.04 1.32 23.02 23.02 090
brachytherapy.
77781... 26 A High intensity *1.66 0.69 0.69 0.11 2.46 2.46 090
brachytherapy.
77782... .................. A High intensity *2.49 20.40 20.40 1.37 24.26 24.26 090
brachytherapy.
77782... 26 A High intensity *2.49 1.05 1.05 0.16 3.70 3.70 090
brachytherapy.
77783... .................. A High intensity *3.73 20.90 20.90 1.44 26.07 26.07 090
brachytherapy.
77783... 26 A High intensity *3.73 1.55 1.55 0.23 5.51 5.51 090
brachytherapy.
77784... .................. A High intensity *5.61 21.69 21.69 1.56 28.86 28.86 090
brachytherapy.
77784... 26 A High intensity *5.61 2.34 2.34 0.35 8.30 8.30 090
brachytherapy.
77789... .................. A Radioelement application *1.12 0.89 0.89 0.10 2.11 2.11 090
77789... 26 A Radioelement application *1.12 0.46 0.46 0.07 1.65 1.65 090
78491... 26 I Heart image (pet) single +1.50 1.34 1.34 0.10 2.94 2.94 XXX
78492... 26 I Heart image (pet) +1.87 1.34 1.34 0.10 3.31 3.31 XXX
multiple.
78707... 26 A Kidney flow & function 0.96 0.42 0.42 0.06 1.44 1.44 XXX
image.
78708... 26 A Kidney flow & function 1.21 0.42 0.42 0.06 1.69 1.69 XXX
image.
78709... 26 A Kidney flow & function 1.41 0.42 0.42 0.06 1.89 1.89 XXX
image.
88141... .................. A Cytopath cerv/vag 0.42 0.32 0.32 0.04 0.78 0.78 XXX
interpret.
88152... .................. X Cytopath cerv/vag auto.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90802... .................. A Intac psy dx interview.. 3.01 0.38 0.38 0.05 3.44 3.44 XXX
90804... .................. A Psytx, office (20-30)... 1.11 0.35 0.35 0.05 1.51 1.51 XXX
90805... .................. A Psytx, office (20-30) w/ 1.47 0.35 0.35 0.05 1.87 1.87 XXX
e&m.
90806... .................. A Psytx, office (45-50)... 1.73 0.54 0.54 0.08 2.35 2.35 XXX
90807... .................. A Psytx, office (45-50) w/ 2.00 0.54 0.54 0.08 2.62 2.62 XXX
e&m.
90808... .................. A Psytx, office (75-80)... 2.76 1.05 1.05 0.15 3.96 3.96 XXX
90809... .................. A Psytx, office (75-80) w/ 3.15 1.05 1.05 0.15 4.35 4.35 XXX
e&m.
90810... .................. A Intac psytx, office (20- 1.19 0.59 0.59 0.09 1.87 1.87 XXX
30).
90811... .................. A Intac psytx, off 20-30 w/ 1.58 0.59 0.59 0.09 2.26 2.26 XXX
e&m.
90812... .................. A Intac psytx, office (45- 1.86 0.59 0.59 0.09 2.54 2.54 XXX
50).
90813... .................. A Intac psytx, off 45-50 w/ 2.15 0.59 0.59 0.09 2.83 2.83 XXX
e&m.
90814... .................. A Intac psytx, office (75- 2.97 0.59 0.59 0.09 3.65 3.65 XXX
80).
90815... .................. A Intac psytx, off 75-80 w/ 3.39 0.59 0.59 0.09 4.07 4.07 XXX
e&m.
90816... .................. A Psytx, hosp (20-30)..... 1.24 0.35 0.35 0.05 1.64 1.64 XXX
90817... .................. A Psytx, hosp (20-30) w/ 1.65 0.35 0.35 0.05 2.05 2.05 XXX
e&m.
90818... .................. A Psytx, hosp (45-50)..... 1.94 0.54 0.54 0.08 2.56 2.56 XXX
90819... .................. A Psytx, hosp (45-50) w/ 2.24 0.54 0.54 0.08 2.86 2.86 XXX
e&m.
90821... .................. A Psytx, hosp (75-80)..... 3.09 1.05 1.05 0.15 4.29 4.29 XXX
90822... .................. A Psytx, hosp (75-80) w/ 3.53 1.05 1.05 0.15 4.73 4.73 XXX
e&m.
90823... .................. A Intac psytx, hosp (20- 1.33 0.59 0.59 0.09 2.01 2.01 XXX
30).
90824... .................. A Intac psytx, hsp 20-30 w/ 1.77 0.59 0.59 0.09 2.45 2.45 XXX
e&m.
90826... .................. A Intac psytx, hosp (45- 2.08 0.59 0.59 0.09 2.76 2.76 XXX
50).
90827... .................. A Intac psytx, hsp 45-50 w/ 2.41 0.59 0.59 0.09 3.09 3.09 XXX
e&m.
90828... .................. A Intac psytx, hosp (75- 3.32 0.59 0.59 0.09 4.00 4.00 XXX
80).
90829... .................. A Intac psytx, hsp 75-80 w/ 3.80 0.59 0.59 0.09 4.48 4.48 XXX
e&m.
90865... .................. A Narcosynthesis.......... 2.84 0.50 0.50 0.07 3.41 3.41 XXX
90875... .................. N Psychophysiological 1.20 0.00 0.00 0.00 1.20 1.20 XXX
therapy.
90876... .................. N Psychophysiological 1.90 0.00 0.00 0.00 1.90 1.90 XXX
therapy.
90885... .................. B Psy evaluation of +0.97 0.31 0.31 0.04 1.32 1.32 XXX
records.
92986... .................. A Revision of aortic valve *21.80 12.04 12.04 0.90 34.74 34.74 090
92987... .................. A Revision of mitral valve *22.70 12.20 12.20 0.91 35.81 35.81 090
92990... .................. A Revision of pulmonary *17.34 9.59 9.59 0.71 27.64 27.64 090
valve.
92997... .................. A Pul art balloon repair, 12.00 #13.20 #13.20 1.22 26.42 26.42 000
perc.
92998... .................. A Pul art balloon repair, 6.00 3.80 3.80 0.44 10.24 10.24 ZZZ
perc.
93508... 26 A Cath placement, 4.10 2.78 2.78 0.23 7.11 7.11 000
angiography.
93530... 26 A Rt heart cath, 4.23 3.61 3.61 0.34 8.18 8.18 000
congenital.
93531... 26 A R & l heart cath, 8.35 5.45 5.45 0.39 14.19 14.19 000
congenital.
93532... 26 A R & l heart cath, 10.00 7.14 7.14 0.50 17.64 17.64 000
congenital.
93533... 26 A R & l heart cath, 6.70 2.93 2.93 0.22 9.85 9.85 000
congenital.
[[Page 59254]]
95806... 26 A Sleep study, unattended. 1.66 2.45 #1.83 0.19 4.30 3.68 XXX
95811... 26 A Polysomnography w/cpap.. 3.80 2.57 2.57 0.20 6.57 6.57 XXX
95870... 26 A Muscle test, non- 0.37 0.33 0.33 0.03 0.73 0.73 XXX
paraspinal.
95921... 26 A Autonomic nervous func 0.90 0.32 0.32 0.02 1.24 1.24 XXX
test.
95922... 26 A Autonomic nervous func 0.96 0.34 0.34 0.03 1.33 1.33 XXX
test.
95923... 26 A Autonomic nervous func 0.90 0.32 0.32 0.02 1.24 1.24 XXX
test.
96902... .................. B Trichogram.............. +0.41 0.29 0.29 0.02 0.72 0.72 XXX
97001... .................. A Pt evaluation........... 1.20 0.35 0.35 0.11 1.66 1.66 XXX
97002... .................. A Pt re-evaluation........ 0.60 0.04 0.04 0.01 0.65 0.65 XXX
97003... .................. A Ot evaluation........... 1.20 0.35 0.35 0.11 1.66 1.66 XXX
97004... .................. A Ot re-evaluation........ 0.60 0.04 0.04 0.01 0.65 0.65 XXX
97780... .................. N Acupuncture w/o stim.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97781... .................. N Acupuncture w/stim...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99141... .................. B Sedation, iv/im or +0.80 0.83 0.83 0.05 1.68 1.68 XXX
inhalant.
99142... .................. B Sedation, oral/rectal/ +0.60 0.62 0.62 0.04 1.26 1.26 XXX
nasal.
99234... .................. A Observ/hosp same date... 2.56 0.68 0.68 0.06 3.30 3.30 XXX
99235... .................. A Observ/hosp same date... 3.42 1.05 1.05 0.09 4.56 4.56 XXX
99236... .................. A Observ/hosp same date... 4.27 1.14 1.14 0.09 5.50 5.50 XXX
99301... .................. A Nursing facility care... 1.20 0.45 0.45 0.03 1.68 1.68 XXX
99302... .................. A Nursing facility care... 1.61 0.50 0.50 0.04 2.15 2.15 XXX
99303... .................. A Nursing facility care... 2.01 0.95 0.95 0.07 3.03 3.03 XXX
99311... .................. A Nursing facility care, 0.60 0.34 0.34 0.03 0.97 0.97 XXX
subseq.
99312... .................. A Nursing facility care, 1.00 0.41 0.41 0.03 1.44 1.44 XXX
subseq.
99313... .................. A Nursing facility care, 1.42 0.46 0.46 0.04 1.92 1.92 XXX
subseq.
99315... .................. A Nursing fac discharge 1.13 0.51 0.51 0.04 1.68 1.68 XXX
day.
99316... .................. A Nursing fac discharge 1.50 0.51 0.51 0.04 2.05 2.05 XXX
day.
99341... .................. A Home visit, new patient. 1.01 0.53 0.53 0.05 1.59 1.59 XXX
99342... .................. A Home visit, new patient. 1.52 0.60 0.60 0.05 2.17 2.17 XXX
99343... .................. A Home visit, new patient. 2.27 0.77 0.77 0.06 3.10 3.10 XXX
99344... .................. A Home visit, new patient. 3.03 0.85 0.85 0.09 3.97 3.97 XXX
99345... .................. A Home visit, new patient. 3.79 0.85 0.85 0.09 4.73 4.73 XXX
99347... .................. A Home visit, estab 0.76 0.45 0.45 0.04 1.25 1.25 XXX
patient.
99348... .................. A Home visit, estab 1.26 0.53 0.53 0.04 1.83 1.83 XXX
patient.
99349... .................. A Home visit, estab 2.02 0.61 0.61 0.05 2.68 2.68 XXX
patient.
99350... .................. A Home visit, estab 3.03 0.76 0.76 0.07 3.86 3.86 XXX
patient.
99374... .................. B Home health care +1.10 0.51 0.51 0.04 1.65 1.65 XXX
supervision.
99375... .................. A Home health care 1.73 0.51 0.51 0.04 2.28 2.28 XXX
supervision.
99377... .................. B Hospice care supervision +1.10 0.51 0.51 0.04 1.65 1.65 XXX
99378... .................. A Hospice care supervision 1.73 0.51 0.51 0.04 2.28 2.28 XXX
99379... .................. B Nursing fac care +1.10 0.51 0.51 0.04 1.65 1.65 XXX
supervision.
99380... .................. B Nursing fac care +1.73 0.51 0.51 0.04 2.28 2.28 XXX
supervision.
99436... .................. A Attendance, birth....... 1.50 1.55 1.55 0.10 3.15 3.15 XXX
G0030... 26 A PET imaging prev PET 1.50 0.48 0.48 0.07 2.05 2.05 XXX
single.
G0031... 26 A PET imaging prev PET 1.87 0.65 0.65 0.10 2.62 2.62 XXX
multple.
G0032... 26 A PET follow SPECT 78464 1.50 0.48 0.48 0.07 2.05 2.05 XXX
singl.
G0033... 26 A PET follow SPECT 78464 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0034... 26 A PET follow SPECT 76865 1.50 0.48 0.48 0.07 2.05 2.05 XXX
singl.
G0035... 26 A PET follow SPECT 78465 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0036... 26 A PET follow cornry angio 1.50 0.48 0.48 0.07 2.05 2.05 XXX
sing.
G0037... 26 A PET follow cornry angio 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0038... 26 A PET follow myocard perf 1.50 0.48 0.48 0.07 2.05 2.05 XXX
sing.
G0039... 26 A PET follow myocard perf 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0040... 26 A PET follow stress echo 1.50 0.48 0.48 0.07 2.05 2.05 XXX
singl.
G0041... 26 A PET follow stress echo 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0042... 26 A PET follow ventriculogm 1.50 0.48 0.48 0.07 2.05 2.05 XXX
sing.
G0043... 26 A PET follow ventriculogm 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0044... 26 A PET following rest ECG 1.50 0.48 0.48 0.07 2.05 2.05 XXX
singl.
G0045... 26 A PET following rest ECG 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0046... 26 A PET follow stress ECG 1.50 0.48 0.48 0.07 2.05 2.05 XXX
singl.
G0047... 26 A PET follow stress ECG 1.87 0.65 0.65 0.10 2.62 2.62 XXX
mult.
G0051... .................. D Destroy benign/premal *0.00 0.00 0.00 0.00 0.00 0.00 010
lesion.
G0101... .................. A CA screen;pelvic/breast 0.45 0.28 0.28 0.02 0.75 0.75 XXX
exam.
G0104... .................. A CA screen;flexi 0.96 1.23 #1.06 0.12 2.31 2.14 000
sigmoidscope.
G0105... .................. A Colorectal scrn; hi risk 3.70 4.13 #4.07 0.39 8.22 8.16 000
ind.
G0106... 26 A Colon CA screen;barium 0.99 0.45 0.45 0.07 1.51 1.51 XXX
enema.
G0107... .................. X CA screen; fecal blood 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
G0110... .................. R Nett pulm-rehab educ; 0.90 0.26 0.26 0.04 1.20 1.20 XXX
ind.
G0111... .................. R Nett pulm-rehab educ; 0.27 0.20 0.20 0.02 0.49 0.49 XXX
group.
G0112... .................. R Nett;nutrition guid, 1.72 0.97 0.97 0.10 2.79 2.79 XXX
initial.
G0113... .................. R Nett;nutrition guid, 1.29 0.77 0.77 0.09 2.15 2.15 XXX
subseqnt.
G0114... .................. R Nett; psychosocial 1.20 0.35 0.35 0.11 1.66 1.66 XXX
consult.
G0115... .................. R Nett; psychological 1.20 0.35 0.35 0.11 1.66 1.66 XXX
testing.
G0116... .................. A Nett; psychosocial 1.11 0.35 0.35 0.05 1.51 1.51 XXX
counsel.
G0120... 26 A Colon ca scrn; barium 0.99 0.45 0.45 0.07 1.51 1.51 XXX
enema.
[[Page 59255]]
G0121... .................. N Colon ca scrn; barium +3.70 4.13 #4.07 0.39 8.22 8.16 XXX
enema.
G0122... 26 N Colon ca scrn; barium +0.99 0.45 0.45 0.07 1.51 1.51 XXX
enema.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Addendum D.--1999 Geographic Practice Cost Indices by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
Carrier Locality Practice Mal-
No. No. Locality name Work expense practice
----------------------------------------------------------------------------------------------------------------
00510.. 00 ALABAMA.................................................... 0.978 0.872 0.876
00831.. 01 ALASKA..................................................... 1.063 1.173 1.533
00832.. 00 ARIZONA.................................................... 0.995 0.971 1.189
00520.. 13 ARKANSAS................................................... 0.953 0.855 0.403
02050.. 26 ANAHEIM/SANTA ANA, CA...................................... 1.036 1.191 0.846
02050.. 18 LOS ANGELES, CA............................................ 1.055 1.199 0.846
31140.. 03 MARIN/NAPA/SOLANO, CA...................................... 1.014 1.161 0.667
31140.. 07 OAKLAND/BERKLEY, CA........................................ 1.040 1.196 0.667
31140.. 05 SAN FRANCISCO, CA.......................................... 1.067 1.299 0.667
31140.. 06 SAN MATEO, CA.............................................. 1.047 1.274 0.667
31140.. 09 SANTA CLARA, CA............................................ 1.062 1.262 0.667
02050.. 17 VENTURA, CA................................................ 1.027 1.131 0.717
02050.. 99 REST OF STATE*............................................. 1.008 1.043 0.698
31140.. 99 REST OF STATE*............................................. 1.008 1.043 0.698
00824.. 01 COLORADO................................................... 0.987 0.970 0.795
10230.. 00 CONNECTICUT................................................ 1.049 1.172 1.052
00570.. 01 DELAWARE................................................... 1.019 1.028 0.860
00580.. 01 DC + MD/VA SUBURBS......................................... 1.050 1.161 1.032
00590.. 03 FORT LAUDERDALE, FL........................................ 0.996 1.026 1.783
00590.. 04 MIAMI, FL.................................................. 1.015 1.077 2.350
00590.. 99 REST OF STATE.............................................. 0.975 0.948 1.327
00511.. 01 ATLANTA, GA................................................ 1.006 1.034 0.951
00511.. 99 REST OF STATE.............................................. 0.970 0.900 0.951
00833.. 01 HAWAII/GUAM................................................ 0.998 1.183 0.954
05130.. 00 IDAHO...................................................... 0.960 0.892 0.566
00621.. 16 CHICAGO, IL................................................ 1.027 1.088 1.693
00621.. 12 EAST ST. LOUIS, IL......................................... 0.988 0.931 1.487
00621.. 15 SUBURBAN CHICAGO, IL....................................... 1.006 1.067 1.365
00621.. 99 REST OF STATE.............................................. 0.963 0.886 0.990
00630.. 00 INDIANA.................................................... 0.981 0.917 0.408
00640.. 00 IOWA....................................................... 0.958 0.882 0.648
00650.. 00 KANSAS*.................................................... 0.963 0.898 0.890
00740.. 04 KANSAS*.................................................... 0.963 0.898 0.890
00660.. 00 KENTUCKY................................................... 0.970 0.874 0.807
00528.. 01 NEW ORLEANS, LA............................................ 0.998 0.950 1.153
00528.. 99 REST OF STATE.............................................. 0.969 0.881 1.031
31142.. 03 SOUTHERN MAINE............................................. 0.979 1.030 0.708
31142.. 99 REST OF STATE.............................................. 0.961 0.924 0.708
00901.. 01 BALTIMORE/SURR. CNTYS, MD.................................. 1.019 1.039 1.098
00901.. 99 REST OF STATE.............................................. 0.985 0.986 0.866
31143.. 01 METROPOLITAN BOSTON........................................ 1.039 1.196 0.713
31143.. 99 REST OF STATE.............................................. 1.010 1.093 0.713
00623.. 01 DETROIT, MI................................................ 1.042 1.022 3.069
00623.. 99 REST OF STATE.............................................. 0.996 0.939 1.828
10240.. 00 MINNESOTA.................................................. 0.989 0.967 0.507
10250.. 00 MISSISSIPPI................................................ 0.957 0.846 0.721
00740.. 02 METROPOLITAN KANSAS CITY, MO............................... 0.988 0.949 1.196
11260.. 01 METROPOLITAN ST. LOUIS, MO................................. 0.994 0.943 1.198
00740.. 99 REST OF STATE*............................................. 0.945 0.828 1.165
11260.. 99 REST OF STATE*............................................. 0.945 0.828 1.165
00751.. 01 MONTANA.................................................... 0.951 0.877 0.732
00655.. 00 NEBRASKA................................................... 0.949 0.873 0.443
00834.. 00 NEVADA..................................................... 1.005 1.032 0.997
31144.. 40 NEW HAMPSHIRE.............................................. 0.988 1.033 1.013
00860.. 01 NORTHERN NJ................................................ 1.057 1.191 0.795
00860.. 99 REST OF STATE.............................................. 1.028 1.094 0.795
00521.. 05 NEW MEXICO................................................. 0.973 0.910 0.716
00803.. 01 MANHATTAN, NY.............................................. 1.093 1.353 1.654
00803.. 02 NYC SUBURBS/LONG I., NY.................................... 1.067 1.233 1.932
00803.. 03 POUGHKPSIE/N NYC SUBURBS, NY............................... 1.010 1.084 1.326
14330.. 04 QUEENS, NY................................................. 1.057 1.234 1.839
00801.. 99 REST OF STATE.............................................. 0.999 0.959 0.793
05535.. 00 NORTH CAROLINA............................................. 0.970 0.924 0.497
00820.. 01 NORTH DAKOTA............................................... 0.950 0.877 0.656
16360.. 00 OHIO....................................................... 0.990 0.939 1.074
[[Page 59256]]
00522.. 00 OKLAHOMA................................................... 0.969 0.882 0.451
00835.. 01 PORTLAND, OR............................................... 0.996 1.021 0.587
00835.. 99 REST OF STATE.............................................. 0.961 0.938 0.587
00865.. 01 METROPOLITAN PHILADELPHIA, PA.............................. 1.024 1.089 1.207
00865.. 99 REST OF STATE.............................................. 0.989 0.931 0.637
00973.. 20 PUERTO RICO................................................ 0.882 0.729 0.359
00870.. 01 RHODE ISLAND............................................... 1.018 1.069 1.189
00880.. 01 SOUTH CAROLINA............................................. 0.975 0.905 0.280
00820.. 02 SOUTH DAKOTA............................................... 0.935 0.873 0.435
05440.. 35 TENNESSEE.................................................. 0.975 0.899 0.552
00900.. 31 AUSTIN, TX................................................. 0.986 1.000 0.849
00900.. 20 BEAUMONT, TX............................................... 0.992 0.899 1.386
00900.. 09 BRAZORIA, TX............................................... 0.992 0.977 1.386
00900.. 11 DALLAS, TX................................................. 1.010 1.016 0.930
00900.. 28 FORT WORTH, TX............................................. 0.987 0.971 0.930
00900.. 15 GALVESTON, TX.............................................. 0.988 0.970 1.386
00900.. 18 HOUSTON, TX................................................ 1.020 1.007 1.418
00900.. 99 REST OF STATE.............................................. 0.966 0.888 0.871
00910.. 09 UTAH....................................................... 0.977 0.909 0.594
31145.. 50 VERMONT.................................................... 0.973 0.984 0.548
00973.. 50 VIRGIN ISLANDS............................................. 0.965 1.034 1.032
10490.. 00 VIRGINIA................................................... 0.985 0.941 0.557
00836.. 02 SEATTLE (KING CNTY), WA.................................... 1.005 1.080 0.742
00836.. 99 REST OF STATE.............................................. 0.982 0.976 0.742
16510.. 16 WEST VIRGINIA.............................................. 0.963 0.853 1.106
00951.. 00 WISCONSIN.................................................. 0.981 0.933 0.841
00825.. 21 WYOMING.................................................... 0.967 0.895 0.705
----------------------------------------------------------------------------------------------------------------
* Payment locality is serviced by two carriers.
Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs
rescaled by the following factors to assure budget neutrality: Work = 1.00027; Practice expense = 1.00057;
Malpractice = 1.03174.
Addendum E.--1998 Geographic Practice Cost Indices by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
Carrier Locality Practice Mal-
No. No. Locality name Work expense practice
----------------------------------------------------------------------------------------------------------------
00510.. 00 ALABAMA.................................................... 0.979 0.871 0.902
00831.. 01 ALASKA..................................................... 1.064 1.164 1.575
00832.. 00 ARIZONA.................................................... 0.996 0.964 1.255
00520.. 13 ARKANSAS................................................... 0.954 0.854 0.415
02050.. 26 ANAHEIM/SANTA ANA, CA...................................... 1.037 1.198 0.799
02050.. 18 LOS ANGELES, CA............................................ 1.056 1.203 0.799
31140.. 03 MARIN/NAPA/SOLANO, CA...................................... 1.015 1.171 0.632
31140.. 07 OAKLAND/BERKLEY, CA........................................ 1.041 1.206 0.632
31140.. 05 SAN FRANCISCO, CA.......................................... 1.068 1.315 0.632
31140.. 06 SAN MATEO, CA.............................................. 1.048 1.287 0.632
31140.. 09 SANTA CLARA, CA............................................ 1.063 1.276 0.632
02050.. 17 VENTURA, CA................................................ 1.028 1.162 0.702
02050.. 99 REST OF STATE*............................................. 1.009 1.046 0.663
31140.. 99 REST OF STATE*............................................. 1.009 1.046 0.663
00824.. 01 COLORADO................................................... 0.988 0.961 0.811
10230.. 00 CONNECTICUT................................................ 1.050 1.182 1.027
00570.. 01 DELAWARE................................................... 1.020 1.030 0.826
00580.. 01 DC + MD/VA SUBURBS......................................... 1.051 1.177 1.006
00590.. 03 FORT LAUDERDALE, FL........................................ 0.997 1.031 1.825
00590.. 04 MIAMI, FL.................................................. 1.016 1.082 2.403
00590.. 99 REST OF STATE.............................................. 0.976 0.946 1.372
00511.. 01 ATLANTA, GA................................................ 1.007 1.032 0.927
00511.. 99 REST OF STATE.............................................. 0.971 0.896 0.927
00833.. 01 HAWAII/GUAM................................................ 0.999 1.202 0.938
05130.. 00 IDAHO...................................................... 0.961 0.887 0.577
00621.. 16 CHICAGO, IL................................................ 1.028 1.084 1.538
00621.. 12 EAST ST. LOUIS, IL......................................... 0.988 0.930 1.345
00621.. 15 SUBURBAN CHICAGO, IL....................................... 1.007 1.080 1.262
00621.. 99 REST OF STATE.............................................. 0.964 0.885 0.906
00630.. 00 INDIANA.................................................... 0.982 0.917 0.382
00640.. 00 IOWA....................................................... 0.959 0.880 0.664
00650.. 00 KANSAS*.................................................... 0.964 0.895 1.041
00740.. 04 KANSAS*.................................................... 0.964 0.895 1.041
00660.. 00 KENTUCKY................................................... 0.971 0.871 0.813
00528.. 01 NEW ORLEANS, LA............................................ 0.999 0.948 1.075
00528.. 99 REST OF STATE.............................................. 0.969 0.876 0.972
31142.. 03 SOUTHERN MAINE............................................. 0.980 1.032 0.734
31142.. 99 REST OF STATE.............................................. 0.962 0.925 0.734
00901.. 01 BALTIMORE/SURR. CNTYS, MD.................................. 1.020 1.038 1.107
00901.. 99 REST OF STATE.............................................. 0.984 0.969 0.864
[[Page 59257]]
31143.. 01 METROPOLITAN BOSTON........................................ 1.040 1.205 0.846
31143.. 99 REST OF STATE.............................................. 1.011 1.089 0.846
00623.. 01 DETROIT, MI................................................ 1.043 1.030 3.060
00623.. 99 REST OF STATE.............................................. 0.997 0.937 1.836
10240.. 00 MINNESOTA.................................................. 0.990 0.966 0.551
10250.. 00 MISSISSIPPI................................................ 0.957 0.845 0.724
00740.. 02 METROPOLITAN KANSAS CITY, MO............................... 0.989 0.949 1.202
11260.. 01 METROPOLITAN ST. LOUIS, MO................................. 0.995 0.944 1.203
00740.. 99 REST OF STATE*............................................. 0.946 0.831 1.162
11260.. 99 REST OF STATE*............................................. 0.946 0.831 1.162
00751.. 01 MONTANA.................................................... 0.952 0.871 0.744
00655.. 00 NEBRASKA................................................... 0.950 0.873 0.444
00834.. 00 NEVADA..................................................... 1.006 1.030 0.942
31144.. 40 NEW HAMPSHIRE.............................................. 0.988 1.034 0.965
00860.. 01 NORTHERN NJ................................................ 1.058 1.203 0.779
00860.. 99 REST OF STATE.............................................. 1.029 1.104 0.779
00521.. 05 NEW MEXICO................................................. 0.974 0.907 0.754
00803.. 01 MANHATTAN, NY.............................................. 1.094 1.356 1.600
00803.. 02 NYC SUBURBS/LONG I., NY.................................... 1.068 1.234 1.846
00803.. 03 POUGHKPSIE/N NYC SUBURBS, NY............................... 1.011 1.083 1.272
14330.. 04 QUEENS, NY................................................. 1.058 1.237 1.763
00801.. 99 REST OF STATE.............................................. 1.000 0.957 0.807
05535.. 00 NORTH CAROLINA............................................. 0.971 0.921 0.466
00820.. 01 NORTH DAKOTA............................................... 0.951 0.869 0.637
16360.. 00 OHIO....................................................... 0.991 0.940 1.062
00522.. 00 OKLAHOMA................................................... 0.969 0.881 0.437
00835.. 01 PORTLAND, OR............................................... 0.997 1.011 0.612
00835.. 99 REST OF STATE.............................................. 0.962 0.934 0.612
00865.. 01 METROPOLITAN PHILADELPHIA, PA.............................. 1.025 1.090 1.261
00865.. 99 REST OF STATE.............................................. 0.990 0.928 0.687
00973.. 20 PUERTO RICO................................................ 0.883 0.734 0.314
00870.. 01 RHODE ISLAND............................................... 1.019 1.072 1.379
00880.. 01 SOUTH CAROLINA............................................. 0.976 0.902 0.321
00820.. 02 SOUTH DAKOTA............................................... 0.936 0.865 0.439
05440.. 35 TENNESSEE.................................................. 0.976 0.899 0.538
00900.. 31 AUSTIN, TX................................................. 0.987 0.993 0.838
00900.. 20 BEAUMONT, TX............................................... 0.993 0.896 1.407
00900.. 09 BRAZORIA, TX............................................... 0.993 0.972 1.407
00900.. 11 DALLAS, TX................................................. 1.011 1.014 0.912
00900.. 28 FORT WORTH, TX............................................. 0.988 0.972 0.912
00900.. 15 GALVESTON, TX.............................................. 0.989 0.968 1.407
00900.. 18 HOUSTON, TX................................................ 1.021 1.006 1.423
00900.. 99 REST OF STATE.............................................. 0.966 0.884 0.855
00910.. 09 UTAH....................................................... 0.978 0.900 0.619
31145.. 50 VERMONT.................................................... 0.974 0.986 0.500
00973.. 50 VIRGIN ISLANDS............................................. 0.966 1.006 1.028
10490.. 00 VIRGINIA................................................... 0.986 0.940 0.538
00836.. 02 SEATTLE (KING CNTY), WA.................................... 1.006 1.079 0.745
00836.. 99 REST OF STATE.............................................. 0.983 0.969 0.745
16510.. 16 WEST VIRGINIA.............................................. 0.964 0.852 1.055
00951.. 00 WISCONSIN.................................................. 0.982 0.930 1.001
00825.. 21 WYOMING.................................................... 0.968 0.888 0.758
----------------------------------------------------------------------------------------------------------------
* Payment locality is serviced by two carriers.
Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs
rescaled by the following factors to assure budget neutrality: Work = 1.00027; Practice expense = 1.00057;
Malpractice = 1.03174.
Addendum F.--1999 Versus 1997 Geographic Adjustment Factor (GAF) by 1998 Fee Schedule Area
----------------------------------------------------------------------------------------------------------------
Carrier Locality Percent
No. No. Locality name 1999 GAF 1997 GAF Difference difference
----------------------------------------------------------------------------------------------------------------
00973.. 50 VIRGIN ISLANDS.......................... 0.997 0.974 0.023 2.4
00621.. 16 CHICAGO, IL............................. 1.084 1.066 0.018 1.7
00901.. 99 REST OF MARYLAND........................ 0.980 0.964 0.016 1.7
00621.. 12 EAST ST. LOUIS, IL...................... 0.989 0.974 0.015 1.5
00528.. 99 REST OF LOUISIANA....................... 0.936 0.926 0.010 1.1
00621.. 99 REST OF ILLINOIS........................ 0.933 0.924 0.009 1.0
00528.. 01 NEW ORLEANS, LA......................... 0.986 0.977 0.009 0.9
00820.. 01 NORTH DAKOTA............................ 0.906 0.898 0.008 0.9
00803.. 02 NYC SUBURBS/LONG I., NY................. 1.177 1.170 0.007 0.6
00834.. 00 NEVADA.................................. 1.016 1.010 0.006 0.6
00803.. 03 POUGHKPSIE/N NYC SUBURBS, NY............ 1.056 1.050 0.006 0.6
00835.. 01 PORTLAND, OR............................ 0.987 0.981 0.006 0.6
00820.. 02 SOUTH DAKOTA............................ 0.886 0.880 0.006 0.7
00900.. 31 AUSTIN, TX.............................. 0.985 0.979 0.006 0.6
16510.. 16 WEST VIRGINIA........................... 0.925 0.919 0.006 0.7
[[Page 59258]]
00824.. 01 COLORADO................................ 0.971 0.966 0.005 0.5
00900.. 99 REST OF TEXAS........................... 0.929 0.924 0.005 0.5
00910.. 09 UTAH.................................... 0.931 0.926 0.005 0.5
00836.. 99 REST OF WASHINGTON...................... 0.968 0.963 0.005 0.5
31144.. 40 NEW HAMPSHIRE........................... 1.008 1.003 0.005 0.5
00511.. 01 ATLANTA, GA............................. 1.015 1.011 0.004 0.4
00511.. 99 REST OF GEORGIA......................... 0.940 0.936 0.004 0.4
05535.. 00 NORTH CAROLINA.......................... 0.928 0.924 0.004 0.4
14330.. 04 QUEENS, NY.............................. 1.167 1.163 0.004 0.3
00900.. 11 DALLAS, TX.............................. 1.009 1.006 0.003 0.3
00751.. 01 MONTANA................................. 0.910 0.907 0.003 0.3
00831.. 01 ALASKA.................................. 1.131 1.128 0.003 0.3
05130.. 00 IDAHO................................... 0.913 0.911 0.002 0.2
00630.. 00 INDIANA................................. 0.927 0.925 0.002 0.2
00660.. 00 KENTUCKY................................ 0.923 0.921 0.002 0.2
00803.. 01 MANHATTAN, NY........................... 1.227 1.225 0.002 0.2
00900.. 09 BRAZORIA, TX............................ 1.005 1.003 0.002 0.2
10490.. 00 VIRGINIA................................ 0.946 0.944 0.002 0.2
31145.. 50 VERMONT................................. 0.957 0.955 0.002 0.2
02050.. 18 LOS ANGELES............................. 1.104 1.103 0.001 0.1
10250.. 00 MISSISSIPPI............................. 0.900 0.899 0.001 0.1
00835.. 99 REST OF OREGON.......................... 0.934 0.933 0.001 0.1
05440.. 35 TENNESSEE............................... 0.924 0.923 0.001 0.1
00590.. 03 FORT WORTH, TX.......................... 0.978 0.977 0.001 0.1
00570.. 01 DELAWARE................................ 1.015 1.015 0.000 0.0
00640.. 00 IOWA.................................... 0.912 0.912 0.000 0.0
00623.. 99 REST OF MICHIGAN........................ 1.013 1.013 0.000 0.0
00655.. 00 NEBRASKA................................ 0.894 0.894 0.000 0.0
16360.. 00 OHIO.................................... 0.973 0.973 0.000 0.0
00973.. 20 PUERTO RICO............................. 0.794 0.794 0.000 0.0
00900.. 18 HOUSTON, TX............................. 1.034 1.034 0.000 0.0
00900.. 20 BEAUMONT, TX............................ 0.973 0.973 0.000 0.0
00836.. 02 SEATTLE (KING CNTY), WA................. 1.023 1.023 0.000 0.0
00825.. 21 WYOMING................................. 0.925 0.925 0.000 0.0
02050.. 99 REST OF CALIFORNIA*..................... 1.007 1.008 -0.001 -0.1
31140.. 99 REST OF CALIFORNIA*..................... 1.007 1.008 -0.001 -0.1
00520.. 13 ARKANSAS................................ 0.886 0.887 -0.001 -0.1
00832.. 00 ARIZONA................................. 0.994 0.995 -0.001 -0.1
00740.. 02 METROPOLITAN KANSAS CITY, MO............ 0.982 0.983 -0.001 -0.1
11260.. 01 METROPOLITAN ST. LOUIS, MO.............. 0.983 0.984 -0.001 -0.1
00801.. 99 REST OF NEW YORK........................ 0.973 0.974 -0.001 -0.1
00901.. 01 BALTIMORE/SURR. CNTYS, MD............... 1.031 1.032 -0.001 -0.1
00900.. 15 GALVESTON, TX........................... 1.000 1.001 -0.001 -0.1
00510.. 00 ALABAMA................................. 0.930 0.932 -0.002 -0.2
02050.. 26 ANAHEIM/SANTA ANA, CA................... 1.090 1.092 -0.002 -0.2
00621.. 15 SUBURBAN CHICAGO, IL.................... 1.048 1.050 -0.002 -0.2
00521.. 05 NEW MEXICO.............................. 0.935 0.937 -0.002 -0.2
00522.. 00 OKLAHOMA................................ 0.908 0.910 -0.002 -0.2
00880.. 01 SOUTH CAROLINA.......................... 0.913 0.915 -0.002 -0.2
00590.. 99 REST OF FLORIDA......................... 0.981 0.984 -0.003 -0.3
31142.. 99 REST OF MAINE........................... 0.934 0.937 -0.003 -0.3
00740.. 99 REST OF MISSOURI*....................... 0.908 0.911 -0.003 -0.3
11260.. 99 REST OF MISSOURI*....................... 0.908 0.911 -0.003 -0.3
00865.. 99 REST OF PENNSYLVANIA.................... 0.948 0.951 -0.003 -0.3
10240.. 00 MINNESOTA............................... 0.957 0.961 -0.004 -0.4
31140.. 03 MARIN/NAPA/SOLANO, CA................... 1.058 1.063 -0.005 -0.5
31142.. 03 SOUTHERN MAINE.......................... 0.987 0.992 -0.005 -0.5
31140.. 07 OAKLAND/BERKLEY, CA..................... 1.086 1.092 -0.006 -0.5
10230.. 00 CONNECTICUT............................. 1.100 1.106 -0.006 -0.5
00623.. 01 DETROIT, MI............................. 1.131 1.137 -0.006 -0.5
00860.. 99 REST OF NEW JERSEY...................... 1.044 1.051 -0.007 -0.7
00865.. 01 METROPOLITAN PHILADELPHIA, PA........... 1.059 1.066 -0.007 -0.7
31140.. 06 SAN MATEO, CA........................... 1.122 1.130 -0.008 -0.7
00900.. 28 FORT LAUDERDALE, FL..................... 1.046 1.055 -0.009 -0.9
31140.. 09 SANTA CLARA, CA......................... 1.125 1.134 -0.009 -0.8
00590.. 04 MIAMI, FL............................... 1.105 1.114 -0.009 -0.8
31140.. 05 SAN FRANCISCO, CA....................... 1.143 1.153 -0.010 -0.9
00580.. 01 DC +MD/VA SUBURBS....................... 1.095 1.105 -0.010 -0.9
31143.. 99 REST OF MASSACHUSETTS................... 1.030 1.040 -0.010 -1.0
00860.. 01 NORTHERN NJ............................. 1.099 1.109 -0.010 -0.9
00650.. 00 KANSAS*................................. 0.933 0.945 -0.012 -1.3
00740.. 04 KANSAS*................................. 0.933 0.945 -0.012 -1.3
00951.. 00 WISCONSIN............................... 0.955 0.968 -0.013 -1.3
00833.. 01 HAWAII/GUAM............................. 1.072 1.086 -0.014 -1.3
31143.. 01 METROPOLITAN BOSTON..................... 1.088 1.108 -0.020 -1.8
[[Page 59259]]
00870.. 01 RHODE ISLAND............................ 1.047 1.068 -0.021 -2.0
02050.. 17 VENTURA, CA............................. 1.055 1.079 -0.024 -2.2
----------------------------------------------------------------------------------------------------------------
* Payment locality is serviced by two carriers.
Addendum G.--Counties Included in 1998 Localities
[Alphabetically by State and Locality Name Within State]
----------------------------------------------------------------------------------------------------------------
Carrier Locality
No. No. State Fee schedule area Counties
----------------------------------------------------------------------------------------------------------------
00510.. 00 ALABAMA................... STATEWIDE...................... ALL COUNTIES.
00831.. 01 ALASKA.................... STATEWIDE...................... ALL COUNTIES.
00832.. 00 ARIZONA................... STATEWIDE...................... ALL COUNTIES.
00520.. 13 ARKANSAS.................. STATEWIDE...................... ALL COUNTIES.
02050.. 26 CALIFORNIA................ ANAHEIM/SANTA ANA.............. ORANGE.
02050.. 18 .......................... LOS ANGELES.................... LOS ANGELES.
31140.. 03 .......................... MARIN/NAPA/SOLANO.............. MARIN, NAPA, AND SOLANO.
31140.. 07 .......................... OAKLAND/BERKLEY................ ALAMEDA AND CONTRA COSTA.
31140.. 05 .......................... SAN FRANCISCO.................. SAN FRANCISCO.
31140.. 06 .......................... SAN MATEO...................... SAN MATEO.
31140.. 09 .......................... SANTA CLARA.................... SANTA CLARA.
02050.. 17 .......................... VENTURA........................ VENTURA.
02050.. 99 .......................... REST OF STATE*................. ALL OTHER COUNTIES.
31140.. 99 .......................... REST OF STATE*................. ALL OTHER COUNTIES.
00824.. 01 COLORADO.................. STATEWIDE...................... ALL COUNTIES.
10230.. 00 CONNECTICUT............... STATEWIDE...................... ALL COUNTIES.
00570.. 01 DELAWARE.................. STATEWIDE...................... ALL COUNTIES.
00580.. 01 DISTRICT OF COLUMBIA...... DC + MD/VA SUBURBS............. DISTRICT OF COLUMBIA;
ALEXANDRIA CITY, ARLINGTON,
FAIRFAX, FAIRFAX CITY, FALLS
CHURCH CITY IN VIRGINIA;
MONTGOMERY AND PRINCE GEORGE'S
IN MARYLAND.
00900.. 03 FLORIDA................... FORT LAUDERDALE................ BROWARD, COLLIER, INDIAN RIVER,
LEE, MARTIN, PALM BEACH, AND
ST. LUCIE.
00590.. 04 .......................... MIAMI.......................... DADE AND MONROE.
00590.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
00511.. 01 GEORGIA................... ATLANTA........................ BUTTS, CHEROKEE, CLAYTON, COBB,
DEKALB, DOUGLAS, FAYETTE,
FORSYTH, FULTON, GWINNETT,
HENRY, NEWTON, PAULDING,
ROCKDALE AND WALTON.
00511.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
00833.. 01 HAWAII/GUAM............... STATEWIDE...................... ALL COUNTIES.
05130.. 00 IDAHO..................... STATEWIDE...................... ALL COUNTIES.
00621.. 16 ILLINOIS.................. CHICAGO........................ COOK.
00621.. 12 .......................... EAST ST. LOUIS................. BOND, CALHOUN, CLINTON, JERSEY,
MACOUPIN, MADISON, MONROE,
MONTGOMERY, RANDOLPH, ST.
CLAIR AND WASHINGTON.
00621.. 15 .......................... SUBURBAN CHICAGO............... DUPAGE, KANE, LAKE AND WILL.
00621.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
00630.. 00 INDIANA................... STATEWIDE...................... ALL COUNTIES.
00640.. 00 IOWA...................... STATEWIDE...................... ALL COUNTIES.
00650.. 00 KANSAS.................... STATEWIDE*..................... ALL COUNTIES.
00740.. 04 .......................... STATEWIDE*..................... ALL COUNTIES.
00660.. 00 KENTUCKY.................. STATEWIDE...................... ALL COUNTIES.
00528.. 01 LOUISIANA................. NEW ORLEANS.................... JEFFERSON, ORLEANS, PLAQUEMINES
AND ST. BERNARD.
00528.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
31142.. 03 MAINE..................... SOUTHERN MAINE................. CUMBERLAND AND YORK.
31142.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
00901.. 01 MARYLAND.................. BALTIMORE/SURR. CNTYS.......... ANNE ARUNDEL, BALTIMORE,
BALTIMORE CITY, CARROLL,
HARFORD AND HOWARD.
00901.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES EXCEPT
MONTGOMERY AND PRINCE
GEORGE'S.
31143.. 01 MASSACHUSETTS............. METROPOLITAN BOSTON............ MIDDLESEX, NORFOLK AND SUFFOLK.
31143.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
00623.. 01 MICHIGAN.................. DETROIT........................ MACOMB, OAKLAND, WASHTENAW AND
WAYNE.
00623.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
10240.. 00 MINNESOTA................. STATEWIDE...................... ALL COUNTIES.
10250.. 00 MISSISSIPPI............... STATEWIDE...................... ALL COUNTIES.
00740.. 02 MISSOURI.................. METROPOLITAN KANSAS CITY....... CLAY, JACKSON AND PLATTE.
11260.. 01 .......................... METROPOLITAN ST. LOUIS......... JEFFERSON, ST. CHARLES, ST.
LOUIS AND ST. LOUIS CITY.
00740.. 99 .......................... REST OF STATE*................. ALL OTHER COUNTIES.
11260.. 99 .......................... REST OF STATE*................. ALL OTHER COUNTIES.
00751.. 01 MONTANA................... STATEWIDE...................... ALL COUNTIES.
[[Page 59260]]
00655.. 00 NEBRASKA.................. STATEWIDE...................... ALL COUNTIES.
00834.. 00 NEVADA.................... STATEWIDE...................... ALL COUNTIES.
31144.. 40 NEW HAMPSHIRE............. STATEWIDE...................... ALL COUNTIES.
00860.. 01 NEW JERSEY................ NORTHERN NJ.................... BERGEN, ESSEX, HUDSON,
HUNTERDON, MIDDLESEX, MORRIS,
PASSAIC, SOMERSET, SUSSEX,
UNION AND WARREN.
00860.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
00521.. 05 NEW MEXICO................ STATEWIDE...................... ALL COUNTIES.
00803.. 01 NEW YORK.................. MANHATTAN...................... NEW YORK.
00803.. 02 .......................... NYC SUBURBS/LONG ISLAND........ BRONX, KINGS, NASSAU, RICHMOND,
ROCKLAND, SUFFOLK AND
WESTCHESTER.
00803.. 03 .......................... POUGHKPSIE/N NYC SUBURBS....... COLUMBIA, DELAWARE, DUTCHESS,
GREENE, ORANGE, PUTNAM,
SULLIVAN AND ULSTER.
14330.. 04 .......................... QUEENS......................... QUEENS.
00801.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
05535.. 00 NORTH CAROLINA............ STATEWIDE...................... ALL COUNTIES.
00820.. 01 NORTH DAKOTA.............. STATEWIDE...................... ALL COUNTIES.
16360.. 00 OHIO...................... STATEWIDE...................... ALL COUNTIES.
00522.. 00 OKLAHOMA.................. STATEWIDE...................... ALL COUNTIES.
00835.. 01 OREGON.................... PORTLAND....................... CLACKAMAS, MULTNOMAH AND
WASHINGTON.
00835.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
00865.. 01 PENNSYLVANIA.............. METROPOLITAN PHILADELPHIA...... BUCKS, CHESTER, DELAWARE,
MONTGOMERY AND PHILADELPHIA.
00865.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
00973.. 20 PUERTO RICO............... PUERTO RICO.................... ALL COUNTY EQUIVALENTS.
00870.. 01 RHODE ISLAND.............. STATEWIDE...................... ALL COUNTIES.
00880.. 01 SOUTH CAROLINA............ STATEWIDE...................... ALL COUNTIES.
00820.. 02 SOUTH DAKOTA.............. STATEWIDE...................... ALL COUNTIES.
05440.. 35 TENNESSEE................. STATEWIDE...................... ALL COUNTIES.
00900.. 31 TEXAS..................... AUSTIN......................... TRAVIS.
00900.. 20 .......................... BEAUMONT....................... JEFFERSON.
00900.. 09 .......................... BRAZORIA....................... BRAZORIA.
00900.. 11 .......................... DALLAS......................... DALLAS.
00590.. 03 .......................... FORT WORTH..................... TARRANT.
00900.. 15 .......................... GALVESTON...................... GALVESTON.
00900.. 18 .......................... HOUSTON........................ HARRIS.
00900.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
00910.. 09 UTAH...................... STATEWIDE...................... ALL COUNTIES.
31145.. 50 VERMONT................... STATEWIDE...................... ALL COUNTIES.
00973.. 50 VIRGIN ISLANDS............ VIRGIN ISLANDS................. ALL COUNTY EQUIVALENTS.
10490.. 00 VIRGINIA.................. STATEWIDE...................... ALL COUNTIES, EXCEPT ALEXANDRIA
CITY, ARLINGTON, FAIRFAX,
FAIRFAX CITY, AND FALLS CHURCH
CITY.
00836.. 02 WASHINGTON................ SEATTLE (KING CNTY)............ KING.
00836.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES.
16510.. 16 WEST VIRGINIA............. STATEWIDE...................... ALL COUNTIES.
00951.. 00 WISCONSIN................. STATEWIDE...................... ALL COUNTIES.
00825.. 21 WYOMING................... STATEWIDE...................... ALL COUNTIES.
----------------------------------------------------------------------------------------------------------------
* Payment locality is serviced by two carriers.
[FR Doc. 97-28973 Filed 10-30-97; 8:45 am]
BILLING CODE 4120-03-P