[Federal Register Volume 63, Number 113 (Friday, June 12, 1998)]
[Proposed Rules]
[Pages 32290-32521]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-14835]



[[Page 32289]]

_______________________________________________________________________

Part II





Department of Health and Human Services





_______________________________________________________________________



Health Care Financing Administration



_______________________________________________________________________



42 CFR Parts 416 and 488



Medicare Program; Update of Ratesetting Methodology, Payment Rates, 
Payment Policies, and the List of Covered Surgical Procedures for 
Ambulatory Surgical Centers Effective October 1, 1998; Proposed Rule

  Federal Register / Vol. 63, No. 113 / Friday, June 12, 1998 / 
Proposed Rules  

[[Page 32290]]



DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Parts 416 and 488

[HCFA-1885-P]
RIN 0938-AH81


Medicare Program; Update of Ratesetting Methodology, Payment 
Rates, Payment Policies, and the List of Covered Surgical Procedures 
for Ambulatory Surgical Centers Effective October 1, 1998

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Proposed rule.

-----------------------------------------------------------------------

SUMMARY: In this rule we propose to--
     Update the criteria for determining which surgical 
procedures can be appropriately and safely performed in an ambulatory 
surgical center (ASC);
     Make additions to and deletions from the current list of 
Medicare covered ASC procedures based on the revised criteria;
     Rebase the ASC payment rates using cost, charge, and 
utilization data collected by a 1994 survey of ASCs;
     Refine the ratesetting methodology that was implemented by 
a final notice published on February 8, 1990 in the Federal Register;
     Require that ASC payment, coverage, and wage index updates 
be implemented annually on January 1 rather than having these updates 
occur randomly throughout the year;
     Reduce regulatory burden; and
     Make several technical policy changes.
    This proposed rule implements requirements of section 1833(i)(1) 
and (2) of the Social Security Act.

DATES: Comments will be considered if we receive them at the 
appropriate address, as provided below, no later than 5 p.m. on August 
11, 1998.

ADDRESSES: Mail written comments (1 original and 3 copies) to the 
following address: Health Care Financing Administration, Department of 
Health and Human Services, Attention: HCFA-1885-P, P.O. Box 26688, 
Baltimore, MD 21207-5178.
    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.

FOR FURTHER INFORMATION CONTACT: Joan H. Sanow, (410) 786-5723.

SUPPLEMENTARY INFORMATION: Because of staffing and resource 
limitations, we cannot accept comments by facsimile (FAX) transmission. 
In commenting, please refer to file code HCFA-1885-P. Comments received 
timely will be available for public inspection as they are received, 
generally beginning approximately 3 weeks after publication of a 
document, in Room 309-G of the Department's offices at 200 Independence 
Avenue, SW., Washington, DC, on Monday through Friday of each week from 
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Table of Contents

I. Background
    A. Legislative History
    B. Published Changes to ASC List
    C. Published Changes to ASC Payment Rates
    D. Payment Rate for Extracorporeal Shock Wave Lithotripsy
    E. ASC Town Meeting (July 1996)
    F. Revisions to the Conditions for Coverage of ASCs
II. Comments
III. Provisions of the Proposed Regulations
    A. Basis and Scope (proposed Sec. 416.1)
    B. Definitions (Sec. 416.2)
    C. Basic requirements (proposed Sec. 416.3 and Sec. 416.4)
    D. Additions to/Deletions from the ASC list
    1. Revision of 42 CFR 416.65
    2. Eliminate Numeric Thresholds
    3. Formation of Advisory Group
    4. Proposed Additions to the ASC List
    a. Additions Suggested by Commenters
    b. Proposed Additions Resulting from Changes to CPT
    c. Proposed Additions Resulting from Ambulatory Payment 
Classification (APC) Groupings
    5. Proposed Deletions and Exclusions from the ASC List
    a. Procedures Excluded For Reasons of Safety, Reasonableness and 
Medical Necessity
    b. Unlisted procedures
    c. Exclusion of Office-Based Procedures
    d. Suggested Additions Not Accepted
    e. Procedures Deleted Because of CPT Coding Changes
    f. Procedures Recommended by Commenter for Deletion
    6. Comments on the ASC List
    E. Ratesetting Methodology
    1. Current method
    2. Proposed ratesetting method--Determine a per-procedure cost 
for every reported CPT code at the individual facility level
    a. Use 1994 Survey Data
    b. Audit Representative Sample of Facilities
    c. Adjust Audited Surveys
    d. Standardize Unaudited Costs and Charges
    e. Calculate Facility-Specific Cost-to-Charge Ratio
    5f. Convert Each Procedure Charge to a Procedure Cost
    g. Remove Intraocular Lens (IOL) Costs from Four Lens Insertion 
Procedures
    h. Calculate Facility Specific Portion of Procedure Cost 
Attributable to Labor Expenses
    i. Deflation by Wage Index Value
    j. Adjust Reported Costs for Inflation to Offset Fiscal Year 
Differences Among Facilities
    3. Proposed ratesetting method:--Determine the median per-
procedure cost, across all facilities, for each reported CPT code
    a. Weights
    b. Determination of weighted, trimmed median per procedure cost 
across all facilities
    4. Proposed ratesetting method:--Establish procedure groupings
    a. Current Classification System
    b. Proposed Ambulatory Payment Classification System
    5. Proposed ratesetting methodology:--Determine a standard 
payment rate for the procedures within each group
    a. Setting rates based on ASC survey data
    b. Setting Rates for Procedures with Limited Medicare Volume or 
Aberrant Cost Data

[[Page 32291]]

    c. Payment rate for CPT code 67027, Implantation of intravitreal 
drug delivery system
    6. Payment Policy Indicators
    7. Comments on proposed ambulatory payment classification 
groups, payment policy indicators and payment rates
    8. Carrier adjustment of base rates to determine payment amounts
    9. Using Resource Costing to Determine Procedure Costs

    We are disappointed by our lack of success in the 1994 ASC survey 
in gathering usable resource cost data. Our inability to establish 
weights and base ASC payment rates on the resource cost data that we 
did collect is particularly frustrating in light of the fact that we 
expect, beginning January 1, 1999, to make payments to physicians under 
the Medicare physicians' fee schedule that are determined in part on 
the basis of resource-based practice expense relative units. We have 
been closely monitoring the development of the resource-based practice 
expense relative value units under the physicians' fee schedule and the 
ratesetting method for the hospital outpatient prospective payment 
system, which is also scheduled for implementation effective January 1, 
1999. When we rebase ASC payment rates following the next ASC survey, 
we are committed to reexamining the resource-based practice expense 
relative value units established under the Medicare physicians' fee 
schedule and the weights developed under the hospital outpatient 
prospective payment system for their applicability to ASC ratesetting 
in order to advance towards our goal of setting rates in a manner that 
is consistent across different sites of service.

    F. Scope of ASC Services (Sec. 416.21)
    1. ASC Services
    2. Venous Access Portals are ASC Facility Services
    3. Acquisition of corneal tissue is an ASC service
    4. Outside the Scope of ASC Services
    G. Basis for Payment (Sec. 416.30)
    1. Hospital outpatient department (HOPD)
    2. ASCs Operated by a Hospital
    3. Medicare approved ASCs
    H. Extracorporeal Shock Wave Lithotripsy (ESWL)
    1. Background
    2. Comments
    I. Schedule and Publication of Updates
    1. Update of ASC list
    2. Update of ASC Payment Rates
    J. Technical Changes to 42 CFR Part 416
    1. ASC payment rates
    2. ASC survey
    K. Explanation and Use of Addenda
IV. Collection of Information Requirements
V. Regulatory Impact Analysis
    A. Rebased payment rates
    1. Impact on ASCs
    B. Additions to/Deletions from the ASC list
    C. Impact of Technical Changes
    D. Impact on Hospitals and Small Rural Hospitals

SUPPLEMENTARY INFORMATION:

I. Background

A. Legislative History

    Section 1832(a)(2)(F)(i) of the Social Security Act (the Act) 
provides that benefits under the Medicare Supplementary Medical 
Insurance program (Part B) include payment for facility services 
furnished in connection with surgical procedures specified by the 
Secretary and performed in an ambulatory surgical center (ASC).
    The Secretary is to review and update the list of ASC procedures 
biennially.
    To participate in the Medicare program as an ASC, a facility must 
meet the standards specified under section 1832(a)(2)(F)(i) of the Act 
and 42 CFR 416.25, which sets forth general conditions and requirements 
for ASCs.
    Generally, there are two primary elements in the total cost of 
performing a surgical procedure: the cost of the physician's 
professional services for performing the procedure, and the cost of 
services furnished by the facility where the procedure is performed 
(for example, surgical supplies and equipment and nursing services). 
Section 1833(i)(2)(A) of the Act addresses what the ASC facility fee is 
intended to represent and how the amount of the Medicare payment for 
ASC facility services is to be determined. It requires us to review and 
update ASC payment amounts annually.
    The ASC payment rate is to be a standard overhead amount 
established on the basis of our estimate of a fair fee that takes into 
account the costs incurred by ASCs generally in providing facility 
services in connection with performing a specific procedure. The Report 
of the Conference Committee accompanying section 934 of the Omnibus 
Budget Reconciliation Act of 1980 (Public Law 96-499), which enacted 
the ASC benefit in December 1980, states, ``This overhead factor is 
expected to be calculated on a prospective basis * * * utilizing sample 
survey and similar techniques to establish reasonable estimated 
overhead allowances for each of the listed procedures which take 
account of volume (within reasonable limits).'' (See H.R. Rep. No 1479, 
96th Cong., 2nd Sess. 134 (1980).)
    In order to estimate the amount of those reasonable allowances, we 
are required by section 1833(i)(2)(A)(i) of the Act to survey the 
actual audited costs incurred by a representative sample of facilities 
in connection with a representative sample of procedures. This survey 
is to be conducted every five years, beginning no later than January 1, 
1995.
    Because payment for ASC facility services is subject to the usual 
Medicare Part B deductible and coinsurance requirements, Medicare pays 
participating ASCs 80 percent of the prospectively-determined rate, 
adjusted for regional wage variations.
    Section 1833(i)(2)(A)(ii) requires that the ASC payment rates 
result in substantially lower Medicare expenditures than would have 
been paid if the same procedure had been performed on an inpatient 
basis in a hospital. Section 1833(i)(2)(A)(iii) requires that payment 
for insertion of an intraocular lens (IOL) include an allowance for the 
IOL that is reasonable and related to the cost of acquiring the class 
of lens involved.
    Under section 1833(i)(3)(A), the aggregate payment to hospital 
outpatient departments for covered ASC procedures is equal to the 
lesser of the following amounts:
     The amount paid for the same services that would be paid 
to the hospital under section 1833(a)(2)(B) (that is, the lower of the 
hospital's reasonable costs or customary charges less deductibles and 
coinsurance).
     The amount determined under section 1833(i)(3)(B)(i) based 
on a blend of the lower of the hospital's reasonable costs or customary 
charges, less deductibles and coinsurance, and the amount that would be 
paid to a free-standing ASC in the same area for the same procedures.
    Under section 1833(i)(3)(B)(i), the blend amount for a cost 
reporting period is the sum of the hospital cost proportion and the ASC 
cost proportion. Under section 1833(i)(3)(B)(ii), the hospital cost 
proportion and the ASC cost proportion for portions of cost reporting 
periods beginning on or after January 1, 1991 are 42 and 58 percent, 
respectively. Section 4521 of the Balanced Budget Act of 1997 (BBA 
1997) (Public Law 105-33) amended section 1833(i)(3)(B)(i)(II) of the 
Act to eliminate the formula-driven overpayment (FDO) for ASC 
procedures.
    Section 13531 of the Omnibus Budget Reconciliation Act of 1993 
(OBRA 1993) (Public Law 103-66), prohibited the Secretary from 
providing for any inflation update in the payment amounts for ASCs 
determined under section 1833(i)(2)(A) of the Act for fiscal years 
(FYs) 1994 and 1995. Section 13533 of OBRA 1993 established $150 as the 
amount of payment allowed for an IOL inserted during or subsequent to 
cataract surgery in an ASC on or after

[[Page 32292]]

January 1, 1994, and before January 1, 1999.
    Section 141(a)(1) of the Social Security Act Amendments of 1994 
(SSAA 1994) (Public Law 103-432) amended section 1833(i)(2)(A)(i) of 
the Act to require that a quinquennial survey of ASCs be taken 
beginning not later than January 1, 1995.
    Section 141(a)(2) of SSAA 1994 added section 1833(i)(2)(C) to the 
Act to provide that, beginning with FY 1996, there be an adjustment for 
inflation during fiscal years when the Secretary does not update ASC 
rates based on actual audited costs determined by surveying a 
representative sample of facilities. Section 1833(i)(2)(C) of the Act 
provides that ASC payment rates are to increased by the percentage 
increase in the consumer price index for urban consumers (CPI-U), as 
estimated by the Secretary for the 12-month period ending with the 
midpoint of the year involved, beginning with FY 1996.
    Section 141(a)(3) of SSAA 1994 amended section 1833(i)(1) of the 
Act to require the Secretary to consult with appropriate trade and 
professional organizations in specifying the procedures that constitute 
the ASC list.
    Section 141(b) of SSAA 1994 requires the Secretary to establish a 
process for reviewing the appropriateness of the payment amount 
provided under section 1833(i)(2)(A)(iii) of the Act for IOLs with 
respect to a class of new-technology IOLs. That process is the subject 
of a separate notice of proposed rulemaking entitled ``Adjustment in 
Payment Amounts for New Technology Intraocular Lenses'' (BPD-831-P) 
published in the Federal Register on September 9, 1997 at 62 FR 46698.
    Section 4555 of BBA 1997 amended section 1833(i)(2)(C) of the Act 
to limit the annual adjustment of ASC payment rates provided for in 
that paragraph to the CPI-U increase reduced by 2.0 percentage points 
(but not below zero) for fiscal years 1998 through 2002.

B. Published Changes to ASC List

    We published a final notice in the Federal Register on February 8, 
1990 (55 FR 4526) in which we implemented a new ratesetting methodology 
that increased the number of ASC payment groups from four to the 
current eight groups. We assigned a new payment rate to each of the 
nearly 1500 current procedural technology (CPT) codes on the ASC list 
at that time, and we revised the ASC list to be consistent with CPT 
coding changes effected by The American Medical Association in 1988 and 
1989.
    Federal Register notices adding codes to and deleting codes from 
the ASC list were subsequently published as follows:
     December 31, 1991 notice with comment period (56 FR 67666) 
in which we added approximately 900 CPT codes to the ASC list, 
including CPT code 50590, Extracorporeal shock wave lithotripsy (ESWL).
     January 26, 1995 final notice with comment period (60 FR 
5185) in which we updated the ASC list to reflect CPT changes that had 
occurred during the interval since publication of the December 31, 1991 
notice. We deleted five codes from the ASC list on the basis of 
modified quantitative criteria that we adopted to determine whether or 
not a procedures should be retained on the list. We added nearly 30 
codes that met our numeric criteria of adding to the list procedures 
performed at least 20 percent of the time on a hospital inpatient basis 
but no more than 50 percent of the time in a physician's office, based 
on national claims history data. We solicited public comment on certain 
additions to and deletions from the ASC list and the payment rates 
assigned to the additions. We respond to those comments in this notice.

C. Published Changes to ASC Payment Rates

    In a final notice published in the Federal Register on February 8, 
1990 (55 FR 4526), we explained the new ASC ratesetting methodology and 
increased the number of ASC payment groups from four to the current 
eight groups on the basis of ASC survey data collected in 1986. The 
rates that Medicare paid for services furnished on or after March 12, 
1990 under the new eight-group payment methodology were published in a 
separate notice with comment period in the same February 8, 1990 
Federal Register (55 FR 4577). Subsequent updates of the ASC payment 
rates are as follows:
     July 5, 1990 Federal Register notice with comment period 
(55 FR 27690) increased payment rates by a CPI-U factor of 4.21 
percent;
     December 31, 1991 Federal Register notice with comment 
period (56 FR 67666) increased payment rates by a CPI-U factor of 5.1 
percent and added a ninth payment group for ESWL;
     October 1, 1992 Federal Register notice with comment 
period (57 FR 45544) increased payment rates by a CPI-U factor of 3.5 
percent;
     September 26, 1995 Federal Register notice (60 FR 49619) 
increased payment rates by a CPI-U factor of 3.2 percent;
     October 1, 1996 Federal Register notice (61 FR 51295) 
increased payment rates by a CPI-U factor of 2.6 percent;
     February 19, 1998 Federal Register notice (62 FR 8462) 
Increased payments rates by 0.6 percent effective for services 
furnished on or after October 1,1997. The ASC payment rates implemented 
by this notice, which are currently in effect, are:


Group 1--$314.............................  Group 5--$678.              
Group 2--$422.............................  Group 6--$789 (639 + 150 for
                                             IOL).                      
Group 3--$482.............................  Group 7--$941.              
Group 4--$595.............................  Group 8--$928 (778 + 150 for
                                             IOL).                      
                                                                        

    There is no payment rate shown for group 9 because of the decision 
in American Lithotripsy Society v. Sullivan, 785 F. Supp. 1034 (D.D.C. 
1992) that prohibits payment for these services under the ASC benefit 
at this time. Payment for ESWL as an ASC service is discussed below.

D. Payment Rate for Extracorporeal Shock Wave Lithotripsy

    In the Federal Register published December 7, 1990, (55 FR 50590), 
we published a notice proposing additions to and deletions from the ASC 
list. We solicited comments on our proposal to add CPT code 50590, 
Lithotripsy, extracorporeal shock wave, to the ASC list and on the 
Group 7 payment rate of $812 that we proposed as the ASC facility fee 
for the procedure. We also requested detailed information on facility 
charges and costs associated with providing ESWL services to help us 
evaluate the appropriateness of the proposed payment rate.
    In the final notice with comment period published December 31, 1991 
in the Federal Register (56 FR 67666), we established a payment rate 
for ESWL as new ASC payment group 9. We set the group 9 rate at $1,150, 
effective for services furnished on or after January 30, 1992. On 
January 30, 1992, the American Lithotripsy Society filed a complaint 
and motion to enjoin enforcement and implementation of the December 31, 
1991 notice insofar as it concerned ESWL. In American Lithotripsy 
Society v. Louis W. Sullivan, M.D., et al, 785 F. Supp. 1034 (D.D.C. 
1992), the American Lithotripsy Society challenged HCFA's determination 
that ESWL is a surgical procedure under the ASC benefit and the amount 
payable for ESWL services in an ASC. The plaintiff alleged that the 
$1,150 rate was not based on an estimate of a ``fair fee'' that took 
into account costs incurred by ASCs performing such services as 
required by section 1833(i)(2)(A) of the

[[Page 32293]]

Act and that the rate was not supported by the administrative record.
    On March 12, 1992, the United States District Court for the 
District of Columbia held that HCFA's decision to classify ESWL as a 
surgical procedure was rationally justified. However, it remanded the 
final notice setting a rate for lithotripsy to the Secretary for 
further consideration and stayed the regulation, insofar as it related 
to ESWL, pending remand. On remand, the Secretary is required to 
publish all material information that is relevant to the setting of the 
ESWL rate, receive comments, and publish a final notice in accordance 
with the applicable statutes and regulations.
    To comply with the court order, Medicare ceased paying an ASC 
facility fee for ESWL services furnished in Medicare approved ASCs and 
resumed making payment on a reasonable cost basis for ESWL furnished in 
a hospital outpatient setting. On October 1, 1993, we published a 
proposed notice with comment period in the Federal Register (58 FR 
51355) in which we proposed a revised ASC payment rate of $1,000, based 
on further consideration of the data and methodology that we used to 
determine the rate. We explained in detail in the October 1, 1993 
notice how we arrived at the proposed rate, and we solicited 
information on ESWL costs, charges, and utilization to enable us to 
further evaluate the appropriateness of the assumptions that we used to 
develop the proposed rate. The information submitted during the public 
comment period persuaded us to defer publication of a final notice and 
implementation of an ASC facility fee for ESWL, pending completion of 
the 1994 ASC survey that was about to be conducted. In this notice of 
proposed rulemaking we respond to the comments that were submitted 
timely following publication of the October 1, 1993 notice, and we 
propose an ASC payment rate for ESWL services that we have determined 
in accordance with the ratesetting methodology that is also proposed in 
this notice. In accordance with applicable statutes and regulations, 
this notice of proposed rulemaking includes all material information 
that is relevant to the setting of ASC payment rates, which includes a 
payment rate for ESWL. Publication of this notice of proposed 
rulemaking is followed by a 60-day public comment period. When the 
comment period closes, and following review of all comments submitted 
timely, we shall publish a final notice to implement rebased ASC 
payment rates for procedures on the ASC list, including ESWL.

E. ASC Town Meeting (July 1996)

    Many of the policy changes proposed in this notice had their 
genesis in discussions and comments that emanated from an ASC ``Town 
Meeting'' that was held at the central office of the Health Care 
Financing Administration on July 25-26, 1996. The purpose of the Town 
Meeting was to give representatives of professional and trade 
associations and other parties with an interest in ASCs an opportunity 
to come together with HCFA staff to exchange information and ideas 
regarding Medicare ASC policy. More than 100 people from across the 
country attended, including physicians, nurses, ASC administrators, and 
representatives of independent and chain facilities, State licensing 
and certification agencies, and numerous professional societies and ASC 
trade associations. From the Town Meeting, we gained a greater 
understanding of some of the immediate and long-term issues and 
concerns facing ASC staff and partners, and we received numerous 
suggestions and recommendations on ways to strengthen the ASC benefit 
on behalf of Medicare beneficiaries.
    The first day's meetings focussed on performance outcome measures 
for ASCs and conditions for coverage of ASCs. The second day of the 
meeting focussed on the criteria HCFA uses to determine which 
procedures should be placed on the ASC list and the method HCFA uses to 
set ASC payment rates. Following the Town Meeting, we received 79 
written comments reiterating concerns and suggestions that were raised 
during the meeting itself.
    Virtually every commenter submitted a critique of a grouping system 
that we presented at the meeting as a possible alternative to the 
current eight ASC payment groups. We had distributed to participants a 
listing of CPT surgical codes arranged in ``Ambulatory Patient Groups'' 
(APGs). These groups were developed by 3M Health Information Systems 
with the support of HCFA. The list was taken from The Ambulatory 
Patient Groups Definitions Manual, Version 2.0. Only groups of CPT 
codes were shown; no payment rates or procedure costs were given. We 
were primarily interested in whether or not participants found the 
groups to be clinically homogeneous as well as consistent in terms of 
resource costs. Commenters were unanimous in disagreeing with the 
internal consistency of numerous APG groups across most body systems. 
The commenters' examples and reasons for taking issue with the 
homogeneity of the APGs prompted us to re-examine the groups. We did 
so, which resulted in the revision and reclassification of most of the 
groups. The product of that exercise is the ambulatory payment 
classification (APC) system that we propose in this notice as the basis 
for ASC ratesetting.

F. Revisions to the Conditions for Coverage of ASCs

    The standards and conditions for coverage of an ASC currently found 
in subpart C of 42 CFR part 416 are being revised and are the subject 
of a separate notice currently under development.

II. Comments

    In the final notice with comment period published January 26, 1995 
in the Federal Register (60 FR 5185), we solicited comments on certain 
changes to the ASC list that we had not included in the proposed notice 
published on December 14, 1993 (58 FR 65357). Specifically, we asked 
for comments on our deletion from the ASC list of any codes that had 
been deleted in CPT 1994, and we asked for comments about our deletion 
from the ASC list of CPT code 36522 Photopheresis, extracorporeal. We 
received 9 comments supporting the deletion of CPT code 36522 from the 
ASC list and no comments disagreeing with our decision. We received no 
comments regarding the other deletions from the ASC list.
    We also requested comments on the addition of, and assignment of 
payment groups for, certain CPT codes that were not proposed in the 
December 14, 1993 Federal Register. We have limited our response to 
comments that were submitted timely regarding the specified codes.
    We specifically solicited comments on the addition to the ASC list 
of certain codes that were added to CPT 1994 as well as the 
appropriateness of the payment groups to which we assigned those codes. 
No commenters disagreed with adding the codes to the ASC list. However, 
commenters indicated that they believed the payment rate assigned to 
the following CPT codes was too low:

19125
19126
29804
31235
31238
31239
31248
31249
31251
31266
31269
31271
31280
31281

[[Page 32294]]

31282
31283
31284
31286
31287
31288
43216
43259
44394
45339
56309
56316
56317
56351
56356
64421
66172

    Response: As a consequence of the following codes being deleted 
from CPT in 1995, we excluded them from the ASC list: 31248, 31249, 
31251, 31266, 31269, 31271, 31280, 31281, 31282, 31283, 31284, 31286. 
CPT code 64421 is one of the codes that we are proposing in this notice 
to delete from the ASC list (section III.D). For all but four of the 
remaining codes, consistent with commenters' recommendations, the 
payment rates that we propose in this notice using the revised 
ratesetting methodology and 1994 survey data are higher than what we 
proposed in the January 26, 1995 Federal Register. However, the same 
revised ratesetting methodology and 1994 survey data result in payment 
rates for CPT codes 19125 (APC 197), 19126 (APC 197), 43259 (APC 449), 
and 66172 (APC 652) that are lower than the rates we proposed in the 
January 26, 1995 Federal Register, which is at variance with 
commenters' recommendations. We welcome comments on the rebased rates 
that are proposed as payments for all of these codes, but request that 
arguments for changes in payment rates be supported by data regarding 
direct costs (supplies, equipment, labor, time) relative to other 
procedures in the same APC group that would justify a change in either 
the APC group assignment or the payment rate determined for the code.

III. Provisions of the Proposed Regulations

    Many of the changes that we are proposing to make in 42 CFR part 
416, Ambulatory Surgical Services, were stimulated by our commitment to 
assist in the President and Vice President's continuing drive to 
reinvent government and government regulations and to reform the 
Federal government's regulatory process. The reorganization of 42 CFR 
part 416 represents an effort to balance a reduction in regulatory 
requirements with adequate assurances that the ambulatory surgical 
services that we are purchasing for Medicare beneficiaries are of the 
highest quality and consistent with our commitment to work in 
partnership with the rest of the health care community to institute 
better, more common sense ways of operating that are in the best 
interests of Medicare beneficiaries. An outline of the reorganization 
that we propose to make to part 416 in this notice follows:

----------------------------------------------------------------------------------------------------------------
      Current organization                  Citation             Proposed organization           Citation       
----------------------------------------------------------------------------------------------------------------
Subpart A--General Provisions                                   Subpart A--Definitions                          
 and Definitions:                                                and General Provisions                         
                                                                 and Requirements:                              
    Basis and Scope............  416.1........................    Basis and Scope......  416.1                  
    Definitions................  416.2........................    Definitions..........  416.2                  
Subpart B--General Conditions                                                                                   
 and Requirements:                                                                                              
    Basic requirements.........  416.25.......................  Basic requirements.....  416.3                  
    Qualifying for an agreement  416.26                                                                         
        Deemed Compliance......  416.26(a)....................  Currently addressed in   42 CFR 488             
                                                                 42 CFR 488.                                    
        Survey of ASCs.........  416.26(b)....................  Currently addressed in   42 CFR 488             
                                                                 42 CFR 488.                                    
        Acceptance of the ASC..  416.26(c)....................  Replaced by 416.3(h)     416.3(h), (i)          
                                                                 and (i).                                       
        Filing of agreement....  416.26(d)....................  Replaced by 416.3(h)     416.3(h), (i)          
                                                                 and (i).                                       
        Acceptance; Appeal       416.26(e)-(f)................  Replaced by 416.3 (h)    416.3(h), (i)          
         Rights.                                                 and (i).                                       
    Terms of agreement with      416.30(a)-(e)................  Moves to Basic           416.3                  
     HCFA.                                                       requirements.                                  
    ASC operated by a hospital.  416.30(f)....................  Moved to                 416.2 & 416.30         
                                                                 ``Definitions'' and                            
                                                                 ``Basis for payment''.                         
    Additional provisions......  416.30(g)....................  Deleted................  N.A.                   
    Termination of agreement...  416.35.......................  Termination of           416.4                  
                                                                 participation,                                 
                                                                 including billing                              
                                                                 privileges.                                    
Subpart C--Specific Conditions     ...........................  Subpart D--Specific                             
 for Coverage:                                                   Conditions of                                  
                                                                 Coverage:                                      
    Compliance with State        416.40.......................    Basic Requirements...  416.3                  
     licensure law.                                                                                             
    Conditions for Coverage....  416.41-416.49................    Proposed Subpart D...  416.41-416.49          
Subpart D--Scope of Benefits:                                   Subpart B--Scope of                             
                                                                 Benefits:                                      
    General rules..............  416.60.......................    General rules........  416.20                 
    Scope of facility services.  416.61.......................    Scope of ASC Services  416.21                 
    Covered surgical procedures  416.65.......................    ASC List.............  416.22                 
    Performance of listed        416.75.......................  Performance of           416.23                 
     surgical procedures on an                                   procedures on the ASC                          
     inpatient hospital basis.                                   list in a hospital                             
                                                                 inpatient setting.                             
Subpart E--Payment for Facility                                 Subpart C--Payment for                          
 Services:                                                       Facility Services:                             
    Basis for payment..........  416.120......................    Basis for payment....  416.30                 
    ASC facility services        416.125......................    ASC payment rates....  416.31                 
     payment rate.                                                                                              
    Publication of revised       416.130......................    Publication of         416.32                 
     payment methodologies.                                        revised payment                              
                                                                   rates.                                       
    Surveys....................  416.140......................    Surveys..............  416.33                 
    Beneficiary appeals........  416.150......................    Beneficiary appeals..  416.34                 
----------------------------------------------------------------------------------------------------------------

A. Basis and Scope (Proposed Sec. 416.1)

    Most of the changes in this section are of a technical nature. In 
Sec. 416.1(a)(1) we propose to revise the description of the ASC 
benefit to make it more consistent with section 1832(a)(2)(F)(i) of the 
Act. We further propose to add the statutory basis for the conditions 
for coverage of ASCs as new Sec. 416.1(a)(2). And, we have deleted the 
reference to ``a hospital outpatient department'' in new paragraph 
Sec. 416.1(a)(3) because the content of part 416 of the Code of Federal 
Regulations pertains exclusively to ASCs under the benefit provided in 
section 1832(a)(2)(F)(i) of the Act. The

[[Page 32295]]

current Sec. 416.1(a)(3) would become new Sec. 416.1(a)(4).
    In Sec. 416.1(b), which defines the scope of the regulation, we 
propose to reorder paragraphs (1), (2), and (3) to parallel the 
reorganization of 42 CFR part 416. We are reorganizing the regulations 
to make them simpler, more understandable, less prescriptive, less 
process-oriented, and more focussed on patient-centered outcomes. 
Section 416.1(b)(1) applies to renamed subpart B, which describes the 
scope of the ASC benefit, including the scope of ASC services and the 
criteria that HCFA uses to determine those procedures for which 
Medicare pays an ASC facility fee. Section 416.1(b)(2) applies to new 
subpart C, which sets forth the manner in which Medicare determines and 
makes payments for ASC services. Section 416.1(b)(3) refers to new 
subpart D, to which we propose to move the conditions for coverage of a 
Medicare approved ASC. Revisions to the conditions for coverage that an 
ASC must meet in order to be certified for participation in Medicare 
are the subject of a separate notice of proposed rulemaking currently 
under development entitled ``Conditions for Coverage of Ambulatory 
Surgical Centers'' (HCFA-1887-P). In the reorganized part 416, there is 
no subpart E.

B. Definitions (Sec. 416.2)

    We propose to update and clarify the definition of several basic 
terms as they are used in 42 CFR part 416. Rather than being generic, 
these definitions are specific to Medicare approved ASCs and the 
implementation of the Medicare ASC benefit.
    When section 934 of the Omnibus Reconciliation Act of 1980 added to 
the benefits available under Part B of Medicare facility services 
associated with certain surgical procedures provided in an ASC, the Act 
did not define an ASC other than to imply that it was a facility that 
is different from a hospital outpatient department, a physician's 
office, and a rural primary care hospital. Therefore, in order to 
implement the benefit, we must identify ASCs in order to be able to 
distinguish them from other types of facilities. Otherwise, we would 
not know if Medicare payments for ASC facility services under section 
1832(a)(2)(F) were being made properly, in accordance with the statute 
and with Medicare rules and regulations.
    The definition of an ASC that is currently found at Sec. 416.2 
became effective following publication on August 5, 1982 of the final 
rule (47 FR 34082) that implemented the ASC benefit initially. Since 
1982, ASCs as a type of facility have evolved significantly. In 1982 
there were approximately 40 ASCs in existence. By the end of 1997, the 
number of Medicare-approved ASCs exceeded 2400. We have found the 1982 
definition of an ASC to be so broad and general that it is increasingly 
difficult for us to make a definitive determination whether a facility 
is an ASC for the purposes of Medicare approval. This is especially 
true in the health care delivery system of the late 1990s, which is in 
a state of dynamic and constant reformation. Therefore, we have revised 
the definition of an ASC in Sec. 416.2 to be more specific in 
distinguishing ASCs from other categories of facilities.
    The first important criterion in distinguishing ASCs is to 
recognize that, for Medicare purposes, an ASC is a supplier of health 
care services. It is not a Medicare provider, as that term is defined 
by statute and regulation.
    A second criterion critical to understanding how HCFA defines ASCs 
for purposes of entitlement to Medicare payment is that an ASC is an 
entity that is separate and must be distinguishable from any other 
entity or type of facility. We define ``separate'' as meaning totally 
separate with respect to licensure, accreditation, governance, 
professional supervision, administrative functions, clinical services, 
recordkeeping, financial and accounting systems, and national 
identifier or supplier number. The word ``separate'' does not 
necessarily refer to the actual physical space the ASC occupies. An ASC 
may be physically located within the space of another entity and still 
be considered separate for Medicare payment purposes within this 
definition.
    If a facility that considers itself an ``ASC'' were to bill 
Medicare for services using a hospital's identification number, 
Medicare could not pay the facility under the benefit established in 
the Act at section 1832(a)(2)(F). Though a facility may be called an 
``ASC'' and may be located in a separate building or at a site removed 
from a hospital's campus, Medicare does not consider the facility to be 
an ASC unless the facility has its own license and accreditation, 
governing board, system for professional supervision, clinical 
services, and administrative functions, and its own Medicare billing 
and identification number.
    Similarly, Medicare cannot pay an ASC facility fee for procedures 
performed in a suite, treatment room, office or clinic unless the site 
has been approved by Medicare as an ASC in accordance with the 
regulations.
    We recognize that this requirement that an ASC be a separate entity 
may be onerous to ASCs that are owned by a large health system seeking 
to share services or to consolidate with other member entities. The 
statutory requirement for setting ASC payment rates is at the heart of 
our requirement that an ASC be an entity or facility that is separate 
from any other entity or facility and that its administrative, fiscal, 
clinical, and patient care services be clearly distinguishable from 
those of any other entity or facility in every respect. In order for us 
to determine by survey what costs ASCs incur to furnish facility 
services in connection with performing a specific surgical procedure, 
we at HCFA and the ASC administrators must be able to distinguish costs 
and charges as they emanate strictly from the ASC. If costs incurred by 
the ASC are commingled with another entity's activities, it will be 
difficult for the ASC to isolate the portion of costs properly 
attributable only to the ASC, and therefore difficult for us to be 
assured that the data we are using to determine payment rates are truly 
reflective of ASC costs alone, and not the costs or services of another 
entity, such as other hospital outpatient services or the functioning 
of a clinic or physician's office.
    We have added a definition of ``hospital operated ASC'' to 
Sec. 416.2 both to clarify what we mean by ``hospital operated ASC'' 
and to distinguish a ``hospital operated ASC'' from a hospital 
outpatient department that furnishes surgical services.
    In order to be considered a Medicare approved ASC, the entity's 
function and purpose must be to supply facility services, as opposed to 
physician or practitioner services, in connection with performing 
certain surgical procedures. We define such services as ASC services, 
and under the benefit established at section 1832(a)(2)(F) of the Act, 
Medicare pays a prospectively determined fee for ASC services. Section 
416.21 of the revised regulation proposed in this notice lists the 
types of services that fall within the scope of ASC services. They 
include but are not limited to nursing and technician services, 
supplies, drugs and biologicals, surgical dressings, housekeeping 
services, and use of the facility. We emphasize that the professional 
services of physicians and other practitioners do not fall within the 
scope of ASC facility services, and the ASC facility fee does not 
include payment for the professional services of physicians and other 
practitioners.
    Medicare pays an ASC facility fee only for procedures on the ASC 
list.

[[Page 32296]]

HCFA determines which procedures will constitute the ASC list on the 
basis of certain criteria related to the safety, appropriateness, and 
effectiveness of performing the procedure in an ASC setting. The 
criteria that HCFA used as the standard for determining a procedure's 
suitability for the ASC list in this notice are proposed in 
Sec. 416.22. The procedures for which a Medicare participating ASC 
furnishes services and for which Medicare makes payment of an ASC 
facility fee are of a nature that does not require Medicare patients to 
be admitted to a hospital as inpatients either to have the procedure 
performed or to recover from the procedure. By ``hospital,'' we mean an 
institution that meets the definition of ``hospital'' in section 
1861(e) of the Act.
    Within the framework of the definition of an ASC that we are 
proposing in Sec. 416.2, Medicare would not consider an entity devoted 
exclusively to furnishing services such as clinical laboratory 
services, chemotherapy, radiation treatment, cardiac catheterization, 
dialysis services, magnetic resonance imaging, or other diagnostic 
tests, to be an ASC because these are not services that are necessary 
to enable surgical procedures to be performed. However, an entity that 
meets the conditions for coverage as an ASC could also be recognized 
and paid by Medicare as a non-physician supplier of radiology services, 
as an independent diagnostic testing facility (IDTF), or as a supplier 
of durable medical equipment, prosthetics, and orthotics as long as it 
supplied these services in accordance with the statute and Medicare 
payment rules and regulations.

C. Basic Requirements (Proposed Sec. 416.3 and Sec. 416.4)

    We propose to renumber Sec. 416.25 as Sec. 416.3. Paragraph (a) 
does not change. We have moved current Sec. 416.40 to become new 
paragraph (b) in Sec. 416.3, to reinforce the fundamental importance of 
State licensure as a basic requirement for an ASC wanting to qualify 
for participation and billing privileges in the Medicare program.
    We have also moved Secs. 416.30(a) through 416.30(e) to proposed 
Sec. 416.3, Basic Requirements. By incorporating these provisions 
directly into the regulations at Sec. 416.3, we emphasize their 
significance as binding requirements with which ASCs wishing to 
participate and have billing privileges in the Medicare program must 
agree to comply.
    Section 416.3(h) replaces current Sec. 416.26(a) and Sec. 416.26(b) 
by cross-referencing part 488, ``Survey, Certification, and Enforcement 
Procedures'' and establishes compliance with the regulations in that 
part that pertain to suppliers generally and to ASCs in particular as a 
basic requirement for ASCs to participate in Medicare. In order to make 
this link, we propose to add ASCs to the definition of ``supplier'' 
found in Sec. 488.1.
    Proposed Sec. 416.3(i) replaces Sec. 416.25(b). An ASC can satisfy 
the requirement that it have an agreement to abide by the Medicare laws 
and regulations by possessing a Form HCFA-855, ``Medicare Health Care 
Provider/Supplier Enrollment Application'' that has been validated by 
HCFA.
    We are proposing one technical change in Sec. 416.3(g). This change 
requires ASCs to accept the Medicare-approved amount as full payment 
for all items and services covered under Part B of Medicare that it 
furnishes to Medicare beneficiaries. ASCs must agree to accept 
assignment for all facility services furnished in connection with 
procedures on the ASC list. We are proposing to extend the ASC's 
assignment acceptance to include all items and services that the ASC 
supplies to a beneficiary, whether those items and services are 
considered ASC facility services as listed in Sec. 416.21(a) or are 
items and services for which payment may be made under other provisions 
of Medicare, Part B, such as those listed in Sec. 416.21(b).
    Proposed Sec. 416.4 basically restates the provisions of 
Sec. 416.35 yet revises the language to reflect our proposed 
substitution of the ``Medicare Health Care Provider/Supplier Enrollment 
Application'' (Form HCFA 855) for the ``Health Insurance Benefits 
Agreement--(Agreement with Ambulatory Surgical Center Pursuant to 
Section 1832(a)(2)(F) of the Social Security Act)'' (Form HCFA 370). 
Since May 1996, HCFA has required all ASCs with an interest in 
participating and obtaining billing privileges in Medicare to complete 
Form HCFA 855. The certification statement that is a part of the Form 
HCFA 855 includes a provision that the applicant is familiar with and 
agrees to abide by the Medicare laws and regulations that apply to its 
provider/supplier type. In 42 CFR part 416, we have expanded the list 
of basic requirements for ASCs to include all of the provisions that 
are currently listed in the Form HCFA 370. We have also added to 
Sec. 416.3 the provision that an ASC, in order to participate and to 
have billing privileges in Medicare, must have in effect a Form HCFA 
855 that has been validated by HCFA. Given these changes, we propose to 
discontinue use of Form HCFA-370 for ASCs seeking to participate and to 
obtain billing privileges in Medicare beginning on the effective date 
of the final rule that implements the proposals contained in this 
notice. For ASCs whose agreement with HCFA consists of a Form HCFA 370 
that has been duly executed in accordance with the provisions currently 
found in Secs. 416.26 and 416.30, the Form HCFA 370 and the ASC's 
agreement with HCFA remain in effect until such time as the ASC 
completes a Form HCFA-855 that is validated by HCFA. We invite comments 
on our proposal to retire the Form HCFA 370 and replace it with a 
validated Form HCFA 855.
    Revisions to the ASC conditions for coverage are the subject of a 
separate notice entitled ``Conditions for Coverage of Ambulatory 
Surgical Centers'' (HCFA-1887-P) that is currently being developed. 
Pending publication of that notice of proposed rulemaking, we propose 
to move the conditions for coverage found currently in sections 
Sec. 416.41 through Sec. 416.49 to subpart D, which we propose to 
rename ``Specific Conditions for Coverage.''

D. Additions to/Deletions From the ASC List

    Section 934 of the Omnibus Reconciliation Act of 1980 amended 
sections 1832(a)(2) and 1833 of the Act to authorize the Secretary to 
specify, in consultation with appropriate medical organizations, 
surgical procedures that, although appropriately performed in an 
inpatient hospital setting, can also be performed safely on an 
ambulatory basis in an ASC, a hospital outpatient department, or a 
rural primary care hospital. The report accompanying the legislation 
explained that the Congress intended procedures currently performed on 
an ambulatory basis in a physician's office, which do not generally 
require the more elaborate facilities of an ASC, not be included in the 
list of covered procedures (H.R. Rep. No. 1167, 96th Cong. 2d Sess. 
390, reprinted in the 1980 U.S.C.C.A.N 5526, 5753). In a final rule 
published August 5, 1982 in the Federal Register (47 FR 34082), we 
established regulations which included criteria for specifying which 
surgical procedures were to be included for purposes of implementing 
the ASC facility benefit. These criteria are found at 42 CFR 416.65, 
and include both general and specific standards. The general standards 
in Sec. 416.65(a) define ASC procedures as--
     Commonly performed on an inpatient basis but may be safely 
performed in an ASC;
     Not of a type that are commonly performed or that may be 
safely performed in physicians' offices;

[[Page 32297]]

     Requiring a dedicated operating room or suite and 
generally requiring a post-operative recovery room or short-term (not 
overnight) convalescent room; and,
     Not otherwise excluded from Medicare coverage.
    The specific standards in Sec. 416.65(b) limit ASC procedures to 
those that do not generally exceed 90 minutes operating time, a total 
of 4 hours recovery or convalescent time, and, if anesthesia is 
required, the anesthesia must be local or regional anesthesia or 
general anesthesia of not more than 90 minutes duration. Section 
416.65(c) excludes from the ASC list procedures that generally result 
in extensive blood loss, that require major or prolonged invasion of 
body cavities, that directly involve major blood vessels, or that are 
generally emergency or life-threatening in nature.
    In April 1987, we adopted numerical criteria as a tool for 
identifying procedures that were commonly performed either in a 
hospital inpatient setting or in a physician's office. Collectively, 
commenters responding to a notice published in the Federal Register on 
February 16, 1984 (49 FR 6023) had recommended that virtually every 
surgical CPT code be included on the ASC list. Consulting with other 
specialist physicians and medical organizations as appropriate, our 
medical staff reviewed the recommended additions to the list to 
determine which code or series of codes were appropriately performed on 
an ambulatory basis within the framework of the regulatory criteria in 
Sec. 416.65. However, when we arrayed the proposed procedures by the 
site where they were most frequently performed according to our claims 
payment data files (1984 Part B Medicare Data (BMAD)), we found that 
many codes were not commonly performed on an inpatient basis or were 
performed in a physician's office a majority of the time, contrary to 
our regulations. Therefore, we decided that if a procedure was 
performed on an inpatient basis 20 percent of the time or less, or in a 
physician's office 50 percent of the time or more, it should be 
excluded from the ASC list. (See Federal Register of April 21, 1987, 
(52 FR 13176).) At the time, we believed that these utilization 
thresholds best reflected the legislative objectives of moving 
procedures from the more expensive hospital inpatient setting to the 
less expensive ASC setting without encouraging the migration of 
procedures from the less expensive physician's office setting to the 
ASC. We applied these place of service tests not only to codes proposed 
for addition to the ASC list, but also to the codes that were currently 
on the list, to delete codes that did not meet the 20/50 site of 
service thresholds.
    The trend towards performing surgery on an ambulatory or outpatient 
basis grew steadily, and by 1995, we discovered that a number of 
procedures that were on the ASC list at the time fell short of the 20/
50 threshold even though the procedures were obviously appropriate to 
the ASC setting. The most notable of these was cataract extraction with 
intraocular lens insertion, very few cases of which were being 
performed on an inpatient basis by the early 1990's. We were also 
excluding from the ASC list certain newer procedures, such as CPT code 
66825, Repositioning of intraocular lens prosthesis, requiring an 
incision (separate procedure), that from their inception were almost 
never performed on a hospital inpatient basis but that were certainly 
appropriate for the ASC setting. And, strict adherence to the same 20/
50 thresholds both to add and remove procedures did not provide 
latitude for minor fluctuations in utilization settings or errors that 
could occur in the site-of-service data drawn from the National Claims 
History File that we were using, replacing BMAD data, for analysis. In 
an effort to avoid these anomalies but still retain a relatively 
objective standard for determining which procedures should comprise the 
ASC list, we adopted in the last revision of the list, which was 
published in the Federal Register on January 26, 1995 (60 FR 5185), a 
modified standard for deleting procedures already on the ASC list. We 
deleted from the list only those procedures whose combined inpatient, 
hospital outpatient, and ASC site-of-service volume was less than 46 
percent of the procedure's total volume, and that were performed 50 
percent of the time or more in a physician's office or 10 percent of 
the time or less in an inpatient hospital setting. We retained the 20/
50 standard to determine which procedures should be added to the ASC 
list.
    The applicability and appropriateness of the standards HCFA uses to 
specify procedures that constitute the ASC list were the subject of 
lengthy discussion at the July 1996 ASC Town Meeting. The comments of 
those attending the Town Meeting, as well as written comments received 
following the meeting, repeatedly characterized the 20/50 numerical 
thresholds as simplistic, arbitrary, artificial, and outdated and urged 
us to ``modernize'' the standards by which we select procedures for the 
ASC list. Similarly, most commenters characterized the 90 minute limit 
on surgery and the four hour limit on recovery as obsolete, outdated, 
arbitrary and without medical significance and blind to the numerous 
technical advances in surgery and the development of short-acting 
anesthesia which have radically altered surgical practices since the 
early 1980's when those criteria were established. Commenters urged us 
to supplement or preferably replace quantitative thresholds with 
qualitative considerations that recognize the capabilities of modern 
ASCs. Some commenters took the position that the list be abandoned 
altogether; others recommended leaving the choice of where a surgical 
procedure is to be performed to those best able to determine which 
setting is most appropriate, namely, the physician, in consultation 
with the patient, and the anesthesiologist. Commenters argued that 
eliminating the list would allow Medicare beneficiaries who are 
medically unstable and for whom an office would not be a safe setting 
for even very simple surgery to have access to an ASC as an alternative 
to the hospital. Conversely, an ASC could be an appropriate alternative 
to the hospital for more complex procedures for beneficiaries who are 
healthy. At least one commenter suggested that the ASC list include any 
procedure which we would recognize as appropriate in a hospital 
outpatient setting.
    The statute prevents us from eliminating the ASC list. However, in 
response to discussions at the Town Meeting, written comments submitted 
after the Town Meeting, and the growing consensus expressed by the ASC 
community in comments we received following publication in the Federal 
Register of proposed notices on December 7, 1990 (55 FR 50590) and 
December 14, 1993 (58 FR 65367), we propose to modify our approach to 
selecting the procedures for which Medicare pays an ASC facility fee.
1. Revision of 42 CFR 416.65
    The intent of the revision to Sec. 416.65 is to render the 
regulation less prescriptive in defining the kinds of procedures that 
are appropriate for the ASC list while allowing it to still remain 
within the constraints imposed by the statute. The changes to 42 CFR 
416.65 that we are proposing are based on certain basic premises. 
First, we continue to focus on procedures that fall within the surgical 
range (10000 through 69999) of the HCFA Common Procedure Coding System 
(HCPCS) or the American Medical Association (AMA) Physicians' Current 
Procedural

[[Page 32298]]

Terminology (CPT). (The AMA's CPT terminology and coding is included, 
with permission, in the HCPCS system. For surgical procedures, the 
codes are the same.) Second, we limit ASC procedures to those surgical 
procedures that require the kind of supplies, equipment, physical 
environment, staffing, and health and safety protocols that are typical 
of a hospital setting and required of an ASC, including a dedicated 
operating room or suite or procedure room that is equipped, staffed, 
and maintained solely for the performance of surgical procedures, and a 
designated recovery room or area that is equipped, staffed, and 
maintained solely for the use of post-operative patients. However, 
while necessitating the resources and set-up typical of a hospital 
surgical department, ASC procedures must not be those for which 
patients are expected to be admitted to the hospital on an inpatient 
basis due to the severity or risks inherent in the procedure or to the 
need for inpatient post-operative care before the patient can be safely 
discharged to recuperate at home. Finally, the ASC list must not 
include procedures that are excluded from Medicare coverage by statute.
    We propose to remove the references to ``commonly performed'' found 
in Sec. 416.65(a) and the time limits on operating, anesthesia, and 
recovery time that are currently spelled out in Sec. 416.65(b)(1) and 
(2). With the ambulatory payment classification (APC) system, we can 
rely on clinical homogeneity at least as much as site of service 
patterns in determining which procedures are appropriate for the ASC 
list. Precisely because the APC groups are clinically coherent, as a 
general rule we did not split up APC groups by including some 
procedures from an APC group on the ASC list while excluding from the 
list other procedures in the same APC group. We either regarded all of 
the procedures in an APC as appropriate for the ASC list or none of the 
procedures in an APC as appropriate for the ASC list.
    We propose to retain the specific standards found at 
Sec. 416.65(b)(3), and we shall continue to exclude from the ASC list 
procedures that generally result in extensive blood loss, require major 
or prolonged invasion of body cavities, directly involve major blood 
vessels, or are generally emergent or life-threatening in nature. 
Because of the risks inherent in procedures that involve these 
characteristics, any of which suggests that the well-being of the 
patient could be in jeopardy, we are excluding such procedures from the 
ASC list because performing them in an ambulatory setting violates the 
statutory safety standard of the Act (1833(i)(1)(A)). One of our 
reasons for revising 42 CFR Part 416 is to highlight that procedures 
with any of the characteristics listed in proposed Sec. 416.22(b) are, 
by their nature, unsafe and inappropriate in an ASC setting and are 
therefore not reasonable and not medically necessary when performed in 
an ASC setting. Procedures with these characteristics are excluded from 
the ASC list and payment of a Medicare ASC facility fee for services 
furnished in connection with such procedures is not allowed.
    Conversely, we discuss below in greater detail, procedures that do 
not satisfy the criteria in proposed Secs. 416.22(a)(1), 416.22(a)(2), 
or 416.22(a)(3) are excluded from the ASC list because such procedures 
do not require the generally more elaborate and costly services and 
resources that characterize Medicare approved ASCs.
    We solicit comments on the reasonableness and validity of the 
criteria that we are proposing as the basis for excluding procedures 
from the ASC list. We solicit comments on the reasonableness and 
validity of the changes to Sec. 416.65 of the regulations, which we 
propose to incorporate in proposed Sec. 416.22. We also solicit 
comments regarding the appropriateness of all the codes on the ASC list 
in Addendum B. Specifically, we welcome comments regarding any 
procedure in Addendum B that should be excluded from the ASC list 
because it is not safe outside a hospital inpatient setting or any 
procedure in Addendum B that can be safely and effectively performed in 
an office setting without the more elaborate services typical of an 
ASC. Comments should be framed within the context of the revised 
criteria proposed in proposed Sec. 416.22.
2. Eliminate Numeric Thresholds
    Although the 20/50 numeric thresholds for adding procedures to the 
ASC list and the 46/10/50 threshold for keeping procedures on the list 
were not a part of the regulations, they have been the basis of our 
policy for determining whether a procedure belonged on the ASC list. 
However, beginning with this notice, we propose to discontinue using 
site-of-service as the principal determinant of which procedures to add 
to or delete from the ASC list. Instead, we regard site-of-service data 
as but one of several factors, such as the criteria proposed in 
proposed Sec. 416.22, to be taken into account in determining whether 
or not a procedure should be on the ASC list.
    By adhering to the principle of keeping APC groups intact, we 
included on the ASC list or excluded from the list all of the 
procedures in a clinically homogeneous APC, notwithstanding anomalous 
site of service data for individual procedures within the groups.
3. Formation of Advisory Group
    A number of commenters, both during and subsequent to the ASC Town 
Meeting, urged the creation of an advisory committee or council to work 
with HCFA on keeping the ASC list up-to-date. One commenter suggested 
adding a review of the ASC list to the annual CPT/Relative Value Update 
Committee (RUC) process. We are deferring a decision on the creation of 
an advisory committee pending implementation of the provisions that are 
proposed in this notice and until we can investigate further the 
possibility of utilizing an existing group, such as the RUC or the 
Medicare Carriers Medical Directors Workgroup, whose members might give 
us timely advice regarding procedures that are appropriate in an ASC 
setting. In the meantime, we propose to continue relying on 
consultations with professional and medical societies and trade 
associations; on correspondence and comments from these groups, from 
individual members of the ASC community, and from the public generally; 
as well as on the judgement of our medical advisors to determine the 
appropriateness of procedures for the ASC list both within the context 
of the criteria we have proposed in renumbered Sec. 416.22 and the 
composition of APC groups.
4. Proposed Additions to the ASC List
    We propose to add 422 CPT codes to the ASC list, consistent with 
the standards we propose in the new Sec. 416.22. In applying the 
principles proposed in Sec. 416.22 for the purpose of specifying 
additions to the ASC list, we recognized that an ASC might be 
appropriate for some procedures shifting from an inpatient to an 
outpatient setting for the patient who is generally healthy and is 
capable, but that an ASC would be a questionable setting for those 
procedures among the greater Medicare population whose health is more 
likely to be compromised by age or disability. Overall, based on the 
advice of our medical advisors and on the written comments we have 
received from ASC administrators, physicians, professional societies, 
and trade associations since the January 26, 1995 update of ASC 
procedures, we have determined that the procedure codes we are 
proposing to add to the ASC list could be safely performed in an ASC on 
the general Medicare

[[Page 32299]]

population in at least a significant number of cases.
    One commenter expressed apprehension that expanding the ASC list 
could result in edicts from HCFA or other purchasers of health care 
that once added to the ASC list, a procedure must be performed in an 
ASC, without taking into account the individual patient's condition or 
the suitability of an ASC for a particular procedure. We recognize that 
for individuals with certain medical conditions, no procedure on the 
ASC list may be safely performed except on an inpatient basis. 
Therefore, we emphasize that the choice of operating site remains 
ultimately a matter for the professional judgement of the patient's 
physician, in consultation with the patient and, often, the 
anesthesiologist, irrespective of whether a procedure is on the ASC 
list. Section 416.23 in the proposed regulations reinforces this point.
    All of the proposed additions to the ASC list are designated in 
Addendum A, along with the ambulatory payment classification (APC) 
group proposed for each. We invite and encourage comments on the 
appropriateness of these additions to the ASC list in light of the 
criteria in Sec. 416.22.
a. Additions Suggested by Commenters
    Of the 422 additions to the ASC list that we are proposing, the 
following 52 codes were specifically suggested by the ASC community in 
correspondence and comments that we have received since the publication 
of the last Federal Register update of the list on January 26, 1995 (60 
FR 5185). We invite comments on the appropriateness for the ASC list of 
the procedures identified by these CPT codes:


15822............         43244             56353             67110     
15823............         43249             56355             67145     
15824............         43761             57288             67208     
15825............         45330             62287             67210     
15826............         49568             62298             67228     
26608............         50080             63244             67900     
29848............         50081             65436             68810     
33222............         51715             65855             68811     
35875............         52601             66761             68815     
36862............         52647             66762             68830     
37731............         52648             66825                       
40720............         55859             67028                       
42415............         57288             67101                       
43205............         62287             67105                       
                                                                        

b. Proposed Additions Resulting From Changes to CPT
    The CPT is updated annually, and occasionally new codes added to 
CPT affect the ASC list. The following procedures were added to the ASC 
list because they were added to the CPT, usually to replace a deleted 
code. We are requesting comments on the appropriateness of adding to 
the ASC list the codes new to CPT in 1995 that are indicated below, 
which we were unable to include in the Federal Register notice 
published on January 26, 1995 (60 FR 5185). We are also requesting 
comments on the appropriateness of adding to the ASC list codes new to 
CPT in 1996, 1997, and 1998, which are indicated below.

New CPT codes added effective January 1, 1995: 31254; 31255; 31256; 
31267; 31276; 57522
New CPT codes added effective January 1, 1996: 19290; 19291; 22103; 
22328; 43249; 56301; 56302; 56343; 56344; 62350; 62351; 62360; 62361; 
62362; 62365; 62367; 62368
New CPT codes effective January 1, 1997: 15756; 15757; 15758; 26551; 
26553; 26554; 68810; 68811; 68815
New 1998 CPT codes: We are proposing to add to the ASC list the 
following HCPCS codes that were new in 1998: 29860; 29861; 29863; 
29891; 29892; 29893; 52282; 53850; 53852; 56318; 56318; 56346; 59871; 
67027; G0104; G0105
c. Proposed Additions Resulting From Ambulatory Payment Classification 
(APC) Groupings
    We have determined that the remaining codes that we are proposing 
to add to the ASC list are consistent with the criteria in Sec. 416.22, 
and we believe that they would be safe, appropriate, and effective if 
performed in an ASC setting.
5. Proposed Deletions and Exclusions From the ASC List
a. Procedures Excluded for Reasons of Safety, Reasonableness and 
Medical Necessity
    There are a total of 2,361 CPT codes in the surgical range that are 
not on the revised ASC list proposed in this notice. Of these 2,361 
procedures, 203 are codes that we are proposing to delete from the 
current ASC list because they are not safe or otherwise reasonable and 
necessary in an ASC setting. The proposed deletions are flagged in 
Addendum A.
b. Unlisted Procedures
    In most surgical categories, CPT includes codes for unlisted 
procedures. Because codes for ``unlisted'' procedures, by definition, 
contradict the statutory mandate for an ASC list, and because there is 
no way of knowing in advance whether a procedure for which there is no 
appropriate description in CPT is consistent with our standards for the 
ASC list, we are continuing our policy of excluding those codes from 
the ASC list.
c. Exclusion of Office-Based Procedures
    Some comments made during and after the ASC Town Meeting supported 
expansion of the ASC list to allow Medicare payment of an ASC facility 
fee for procedures that are ordinarily performed in an office setting 
but that require the more extensive resources typical of an ASC to 
accommodate the special health needs of a patient. We considered the 
effect of expanding the ASC list to include procedures that are 
ordinarily performed safely and appropriately in a physician's office 
or a physician's clinic or treatment room. Our 1994 ASC survey did not 
capture charge information on office-based procedures, but we had the 
benefit of hospital outpatient claims data and practice expense data 
compiled for the Medicare physician fee schedule (see the proposed rule 
in the Federal Register published June 18, 1997, 62 FR 33158, entitled 
``Revisions to Payment Policies Under the Physician Fee Schedule, Other 
Part B Payment Policies and Establishment of the Clinical Psychologist 
Fee Schedule for Calendar Year 1998''). We theorized that we would not 
encourage office-based procedures to migrate to the ASC setting by 
paying the ASC instead of the physician the amount allowed for in-
office practice expenses in connection with an office-based procedure 
on the few occasions when a patient needed a more intensive level of 
support because of individual health considerations. Relating payment 
to the costs intrinsic to performing the procedure would also move 
closer towards achieving a level playing field where payments are based 
on the service, rather than on the site where the service is furnished.
    In the final analysis, we have decided that we would not, at this 
time, propose to add to the ASC list 340 HCPCS codes that describe 
procedures that can be performed safely and effectively in a 
physician's office, clinic or treatment room and for which the more 
elaborate facility services of an ASC are not required. Further, we 
propose to remove 63 codes that are currently on the ASC list which, we 
have determined, fail to meet the criteria in Sec. 416.22(a), i.e. 
these procedures do not require surgical facilities, they are not 
services of the kind that are typically provided in a hospital 
inpatient setting, or do they do not require a dedicated operating room 
or room for post-operative recovery. Including procedures that are 
office-based on the ASC list might be construed as running counter to 
Congressional intent expressed in the conference report cited above. 
Also, paying ASC facility fees of $5 or $10

[[Page 32300]]

appeared administratively frivolous. Finally, office-based procedures 
are readily identifiable precisely because they do not satisfy the ASC-
appropriate standards that we are proposing in Sec. 416.22. Therefore, 
we are continuing, at this time, our policy of not including office-
based procedures on the ASC list. However, we do not rule out the 
possibility of a future change of policy on this point after we have 
had an opportunity to evaluate the impact of incorporating resource-
based practice expense relative value units (PE RVUs) into the Medicare 
Physician Fee Schedule and of implementing a prospective payment system 
for hospital outpatient surgical services, each of which is scheduled 
to occur in 1999.
    We have given an ASC payment policy indicator ``5'' to the 403 CPT 
codes that we consider to be office-based procedures to indicate that 
no payment for expenses incurred to perform these office-based 
procedures is allowed other than the Medicare payment to the physician 
performing the procedure. An ASC payment policy indicator ``5'' 
precludes additional payment if these procedures are performed in an 
ASC. Refer to section III.E. of this notice for a more detailed 
discussion of the ASC payment policy indicators.
d. Suggested Additions Not Accepted
    The following procedures have been suggested by the ASC community 
for addition to the list since publication of the last Federal Register 
update of the list on January 26, 1995 (60 FR 5185), but we propose to 
exclude them from the ASC list for the reasons given.
    19240--Mastectomy, modified radical. (This procedure can result in 
extensive blood loss; admission to a hospital on an inpatient basis to 
recover from the procedure is appropriate.)
    21356 & 21366--Repair heel bone fracture; 31225-- Removal of upper 
jaw; 33212 & 33213--Insertion or replacement of pacemaker pulse 
generators; 37201-- Transcatheter therapy, infusion for thrombolysis; 
41130-- Partial removal of tongue; 41153--Tongue, mouth, neck surgery; 
51840 & 51841--Anterior vesicourethropexies; 51845--Abdomino-vaginal 
vesical neck suspension; 54430--Revision of penis; 56308--Laparoscopy, 
surgical and vaginal hysterectomy; 63030--Laminotomy (hemilaminectomy), 
with decompression of nerve root(s). (These procedures require 
admission to a hospital on an inpatient basis in order to have the 
procedure performed or in order to recover from the procedure.)
    33216, 33217, & 33218--Insertion/replacement of electrodes and 
repair of pacemaker electrodes; 35475 & 35476--Transluminal balloon 
angioplasties; 56340, 56341 & 56342--Laparoscopy, surgical 
cholecystectomies. (These procedures directly involve major blood 
vessels, and with respect to the Medicare population in particular, the 
latter procedures would necessitate admission to a hospital on an 
inpatient basis to perform or to recover from the procedure.) One 
professional society takes the position that laparoscopic 
cholecystectomy should only be performed in a setting that is equipped 
and prepared to switch intra-operatively to an open procedure in the 
event problems arise during the laparoscopic procedures.
e. Procedures Deleted Because of CPT Coding Changes
    The CPT is updated annually, and occasionally, the deletions affect 
the ASC list. The following is a list of procedures that were deleted 
from the ASC list because they were deleted from the CPT.

Deleted effective April 1, 1995: 25005; 25317; 25318; 26527; 31245; 
31246; 31247; 31248; 31249; 31251; 31261; 31262; 31264; 31266; 31269; 
31271; 31280; 31281; 31282; 31283; 31284; 31286; 31659; 36840; 36845; 
45180; 52650
Deleted effective March 31, 1996: 28236; 63750; 63780; 67109
Deleted effective April 1, 1997: 15755; 20960; 20971; 25330; 25331; 
26522; 26557; 26558; 26559; 42880; 56360; 56361; 68825

    None of the procedures deleted from CPT 1998 were on the ASC list.
f. Procedures Recommended by Commenter for Deletion
    One correspondent suggested that we remove several codes from the 
ASC list because they describe procedures that may not be safely and 
effectively performed in the ASC setting. Our medical staff concurs 
with the opinion of the correspondent, and the following codes are 
among those we are proposing to exclude from the ASC list: 15756; 
15757; 15758.
6. Comments on the ASC List
    We propose to add 422 procedures to the ASC list and to delete 203 
procedures from the ASC list, consistent with the standards discussed 
previously in this notice. The net effect of these changes would expand 
the ASC list from 2280 CPT codes to 2499 CPT codes.
    We solicit comments on whether we have made appropriate 
determinations regarding the following:
     Procedures that are excluded from the ASC list because 
they involve one or more of the criteria in proposed Sec. 416.22(b) and 
are not, as a consequence, safely performed in an ASC. (These 
procedures are listed in Addendum A with an ASC payment policy 
indicator of ``3.'');
     Procedures that are not on the ASC list because they do 
not satisfy one or more of the criteria in proposed Sec. 416.22(a). 
(These procedures are listed in Addendum A with an ASC payment policy 
indicator of ``5.'');
     Procedures that are prepared as the ASC list for which 
Medicare should not be paying an ASC facility fee because the 
procedures are not consistent with the criteria in Sec. 416.22. (The 
proposed ASC list is presented as Addendum B.)
    We also solicit comments on 203 codes that we are proposing to 
delete from the current ASC list and the 422 codes that we are 
proposing to add to the ASC list. (See Addendum A.) We ask that all 
comments regarding the appropriateness of procedures for the ASC list 
be framed within the context of the revised criteria proposed in re-
numbered Sec. 416.22.

E. Ratesetting Methodology

1. Current method
    There are currently eight payment levels under the Medicare ASC 
benefit. Based on its cost, each of the 2280 CPT codes on the ASC list 
is paid one of eight prospectively determined payment rates. 
Collectively, all of the codes that are paid a particular rate 
constitute a payment group. (A ninth payment rate for extracorporeal 
shock wave lithotripsy (ESWL) was established in a notice published 
December 31, 1991 in the Federal Register (56 FR 67666). Medicare 
stopped paying for ESWL as an ASC service beginning in March 1992 under 
the provisions of a court stay, which is discussed in section III.H. of 
this notice.) The method by which the current eight ASC payment levels 
or rates were calculated is explained in the Federal Register that was 
published on February 8, 1990 (55 FR 4526). The steps involved in the 
1990 ratesetting methodology which based rates on ASC facility overhead 
expenses and procedure-specific charges reported in the 1986 ASC Survey 
are summarized as follows:
     Adjust reported costs and charges on the basis of audit 
findings, eliminate incorrectly reported survey data, and adjust costs 
that exceed allowable limits;

[[Page 32301]]

     Inflate per procedure charges across all facilities using 
the consumer price index for all urban consumers (CPI-U);
     Using the hospital prospective payment system wage index, 
neutralize the effect of regional wage differences across all 
facilities by deflating that portion of per-procedure charges 
attributable on average to labor costs (34.45 percent);
     Identify the median charge for each procedure (CPT code) 
across all facilities, weighting individual procedure charges in each 
facility by the total number of times the procedure was performed 
multiplied by the facility's ratio of Medicare patients to total number 
of patients;
     Calculate the median Medicare cost-to-charge ratio for 
audited facilities and adjust the weighted median charge for each 
procedure (CPT code) by the cost-to-charge ratio (0.776) to calculate a 
cost value;
     Form groups at $75 intervals and set the payment rate for 
each group at the weighted median cost of the procedures in the group;
     Incorporate as part of the ASC facility fee for 
intraocular lens (IOL) insertion procedures an allowance for the lens. 
(Section 13533 of the Omnibus Budget Reconciliation Act of 1993 (OBRA 
93) (Public Law 103-66), enacted on August 10, 1993, requires that the 
payment for an IOL furnished by an ASC be equal to $150 for the period 
beginning January 1, 1994 through December 31, 1998).
    Both the current and proposed ASC ratesetting methodology consist 
of four major components: (I) Determine a per-procedure cost for every 
reported CPT code at the individual facility level; (II) Determine a 
per-procedure cost for every reported CPT code across all facilities; 
(III) Group procedures, and (IV) Determine a standard payment rate that 
is generally a fair fee for all the procedures within each group. The 
standard payment rate arrived at in the final step becomes the Medicare 
ASC facility fee or payment rate.
    In developing the payment rates proposed in this notice, we have 
retained the same basic methodology that is explained in the final 
notice published in the Federal Register on February 8, 1990 (52 FR 
4526) and outlined above. We have introduced a few refinements that we 
believe enable us to measure more precisely the costs incurred by ASCs 
individually and collectively to perform procedures on the ASC list. 
The most notable modification of the current ratesetting methodology 
that we are proposing affects the third component of the ratesetting 
process: We propose to adopt a different approach to grouping 
procedures, using an ambulatory payment classification system (APCS), 
instead of creating groups based on $75 cost increments. The following 
steps explain how we arrived at the ASC payment rates that are proposed 
in this notice.
2. Proposed Ratesetting Method
    Determine a per-procedure cost for every reported CPT code at the 
individual facility level:
a. Use 1994 Survey Data
    Data on facility overhead expenses and procedure specific charges 
that were collected in 1994 via the Medicare Ambulatory Surgical Center 
Payment Rate Survey are the basis for the payment rates proposed in 
this notice. Part I of the survey instrument, ``General Information and 
Charge Schedules'' (Form HCFA-452A), was mailed in July 1992 to all 
ASCs that were Medicare participating at that time (1,396) for the 
purpose of gathering demographic data to serve as the frame for 
selecting a representative sample of ASCs that would be asked to 
complete a more comprehensive cost survey in 1994. One thousand one 
hundred forty-three ASCs completed and returned Part I of the ASC 
survey. In establishing the sample of facilities to complete Part II of 
the ASC survey, we excluded facilities that had been in operation for 
less than two years, facilities that performed fewer than 250 
procedures during the 12-month survey period, and facilities whose most 
recently completed fiscal year exceeded or was less than 12 months. The 
remaining 832 ASCs were stratified into four categories based on 
reported procedure volume: high, medium, and low procedure volume, and 
eye specialty facilities. Eye specialty facilities were defined as any 
facility where procedures in the CPT range between 65000 and 68900 (Eye 
and Ocular Adnexa) comprised 50 percent or more of total surgical 
volume. We used these strata because we found them most likely to 
result in a sample of facilities that would be representative of the 
universe of Medicare participating ASCs that completed Part I of the 
survey in terms of type and volume of procedures typically performed 
and costs incurred to furnish facility services in connection with 
those procedures.
    Available resources for data entry required us to limit the size of 
the sample to approximately 300 facilities. In accordance with 
generally recognized statistical conventions, 320 facilities were 
randomly selected. In March 1994, we mailed the Medicare Ambulatory 
Surgical Center Payment Rate Survey, Part II--Facility Overhead and 
Procedure Specific Costs (Form HCFA-452B) to the survey sample. 
Facilities were initially required to complete Form HCFA-452B by May 
31, 1994, but because a large number of facilities experienced 
difficulties in meeting the deadline, we complied with most requests to 
extend the due date.
    Part II of the survey gathered information from each ASC's most 
recently completed 12-month fiscal year. Most facilities reported 
calendar year 1993 data, with a few facilities reporting data from 
other fiscal years. The survey yielded a data set of procedure-specific 
information for 1516 of the nearly 2250 CPT codes that were on the ASC 
list as of December 31, 1993, including the number of times each 
procedure was performed on Medicare and on non-Medicare patients and 
the charge billed on average to all patients, both Medicare and non-
Medicare, for each surgical CPT code. The survey also collected data on 
operating room time for high volume procedures on the ASC list and 
aggregate utilization and charges for procedures performed that were 
not on the ASC list. In addition, the survey elicited facility overhead 
costs for plant and property, equipment, supplies, contractual labor, 
employee labor, owner's compensation, bad debt, and general 
administrative costs. We asked ASCs to report the costs they incurred 
to procure intraocular lenses and to purchase ``non-routine'' supplies, 
e.g., any supply whose net unit cost exceeded $100. Information 
regarding any relationship between the ASC and other organizations or 
entities and the ASC's financial statement for the fiscal period 
reported in the survey were also solicited. Part II of the ASC survey 
included a section intended to capture procedure specific statistical 
and resource cost data for 29 CPT codes, including time allocations, 
staffing patterns and labor costs, supply costs, and medical equipment 
costs.
b. Audit Representative Sample of Facilities
    In accordance with the statutory requirement at section 
1833(i)(2)(A)(i) that we set rates in such a way as to take into 
account actual audited facility costs, and in order to validate the 
accuracy and reasonableness of survey responses, we conducted a 
nationwide audit of a sample of the ASCs that completed Part II of the 
survey. One hundred ASCs, 25 from each sampling stratum (high 
utilization, medium utilization, low utilization, and eye specialty), 
were randomly selected for audit in accordance with standard

[[Page 32302]]

statistical sampling procedures. The nationwide audit was conducted 
from November 1994 through January 1995 by Medicare fiscal 
intermediaries. Although ASC claims are processed by Medicare carriers, 
we believe intermediaries' familiarity and experience with Medicare 
audits better equipped them to carry out this task. In addition, the 
Office of Inspector General (OIG) conducted an audit of the home 
offices of the two principal ASC chain organizations with facilities 
included in the sample. We instructed the auditors to determine 
reasonable facility costs in accordance with Medicare payment 
principles.
    Of the 320 facilities randomly selected to complete Part II of the 
Medicare ASC survey, 16 were exempted from completing the survey 
because of termination of Medicare participation or change in ownership 
prior to receipt of the survey form; inability to identify and properly 
allocate facility operating costs as a separate and distinct entity; 
or, incomplete records due to facility damage. In addition, we excluded 
nine other surveys from consideration in setting the rates proposed in 
this notice for the following various reasons: The audits revealed four 
facilities to have incorrectly reported their charge and utilization 
information; one form could not be accounted for and the facility did 
not have a copy to resubmit; two facilities reported data for less than 
a 12 month period; and, two facilities were unable to capture charge 
data from their record keeping systems in the manner requested.
c. Adjust Audited Surveys
    We accepted the auditors' findings, which resulted in net 
adjustments that reduced reported aggregate costs by 9 percent and 
increased reported aggregate charges by 3 percent. The major cost 
reductions occurred in the areas of general administrative expenses and 
bad debts. We then made two additional adjustments to audited adjusted 
wage and administrative cost data, as follows.
    After an analysis of audited contractual labor expenses, employee 
salaries and fringe benefits, and owner's compensation, we set a 
maximum compensation limit for each staffing category to eliminate 
unreasonable, and therefore unallowable, labor expenses from our 
determination of facility costs. (Because payment for the professional 
services of physicians and certified registered nurse anesthetists is 
made under other provisions of Medicare, Part B, the cost of these 
services is excluded from determining ASC facility costs.)
     We calculated the hourly wages for administrative and 
medical staff, taking into account fringe benefits and paid leave, 
using audited 1994 survey data. In calculating hourly pay rates for 
each staff category, we excluded data reported as owner's compensation 
because the reported hourly rates of owner's compensation were 
excessively high relative to the hourly pay for non-owners in the same 
positions.
     We selected the 75th percentile as the maximum allowable 
hourly wage rate in each staffing category. We considered using higher 
levels (80th or 90th percentile) as a cap, but we found the wage rates 
above the 75th percentile to be too erratic. We found the wage rates at 
the 75th percentile to be consistent and reasonable across all staff 
categories.
     We adjusted audited hourly wage rates that exceeded the 
75th percentile of each staffing category to the maximum allowable 
hourly wage rate and recalculated labor costs by multiplying the 
adjusted hourly wage rate by the number of reported paid hours.
    We believe that this approach is an improvement over the current 
methodology because it adjusts unreasonable labor costs for all 
categories of staffing, not just administrator and medical director 
pay; it takes actual compensated hours into account rather than using 
full-time equivalents (FTEs); and, we base the maximum allowable factor 
on the 75th percentile of labor costs rather than on an average. Table 
1 shows the limits applied to ASC labor expenses.

                                  Table 1.--Hourly Wage Caps at 75th Percentile                                 
----------------------------------------------------------------------------------------------------------------
                                                                             Approx.        75th       Approx.  
                Staff category                    Number of      Median       annual     percentile     annual  
                                                observations  hourly wage     salary    hourly wage     salary  
----------------------------------------------------------------------------------------------------------------
Administrator.................................            66        35.39      $73,611        45.23      $94,078
Director/Manager..............................            87        24.13       50,190        31.53       65,582
Supervisors...................................            52        21.41       44,533        26.07       54,226
Clerical......................................           116        11.33       23,566        13.24       27,539
Nurse.........................................           117        19.53       40,622        23.60       49,088
Medical Technician............................            92        13.31       27,685        16.60       34,528
Other Medical.................................            49        10.99       22,859        15.61       32,469
Other Non-medical.............................            83        11.94       24,865        15.65       32,552
----------------------------------------------------------------------------------------------------------------

    In addition to making adjustments to unreasonable labor costs, we 
excluded from our calculation of facility costs those expenses reported 
in the 96 audited surveys for services which are not allowable under 
Medicare Part B principles of payment. Examples of costs that were not 
allowed include expenses for advertising, employee morale, gifts and 
memorials, entertainment, and parties.
d. Standardize Unaudited Costs and Charges
    For the 96 audited surveys, aggregated audit adjusted expenses, 
including our adjustments for unreasonable labor and administrative 
costs, were 12 percent lower than reported overhead costs. To 
standardize the costs of the 199 unaudited facilities with those of the 
96 audited facilities, we adjusted each category of overhead expense 
(plant and property, equipment, supplies, IOL, contractual labor, 
employee, owner's compensation, bad debts, and other expenses) in the 
unaudited surveys by the percent of difference between reported and 
audit adjusted data in each category of overhead expense for the 96 
audited surveys. To standardize unaudited charges, we determined the 
percent of difference between aggregated reported charges and 
aggregated audited charges for the 96 audited surveys. We increased 
per-procedure charges in each of the 199 unaudited surveys by the 3.07 
percent of difference between reported and audit adjusted aggregate 
charges.

[[Page 32303]]

e. Calculate Facility-Specific Cost-to-Charge Ratio
    When we rebased ASC payment rates using 1986 data, we used a median 
cost-to-charge ratio based on data from 90 audited surveys. At that 
time, we considered using a facility-specific cost-to-charge ratio that 
would have taken into account the differences in the relationship 
between charges and cost that exist among facilities, but we elected 
not to do so because the data from unaudited 1986 surveys were 
seriously deficient. Because most of those earlier deficiencies have 
been ameliorated in the 1994 survey database, we are revising our 
ratesetting methodology to use a facility-specific cost-to-charge 
ratio.
     For each of the 295 surveys, we summed costs reported for 
plant and property, equipment, supplies, contractual labor, salaries, 
owner's compensation, bad debts, and miscellaneous other administrative 
expenses to calculate total net adjusted costs. Note that we exclude 
costs incurred by ASCs to furnish intraocular lenses (IOLs) from the 
calculation of the facility specific cost-to-charge ratio. Otherwise, 
the cost of an IOL would be spread across all procedures rather than 
being allocated specifically to the four procedures that require IOLs. 
We treat IOL costs separately, as we explain below.
     For each of the 295 surveys, we calculated total net 
adjusted procedure charges, including charges both for procedures on 
the ASC list and for procedures performed at the ASC that were not on 
the ASC list.
     We divided each facility's total net adjusted costs by the 
facility's total net adjusted charges to determine the ratio of the 
facility's overall costs to its charges.
f. Convert Each Procedure Charge to a Procedure Cost
    We multiplied the net adjusted charge reported for each CPT code by 
the facility-specific cost-to-charge ratio in order to convert every 
net adjusted per-procedure charge to a per-procedure cost value. We 
believe that using a facility specific cost-to-charge ratio to arrive 
at per-procedure costs is a distinct improvement over the current 
methodology of using a median facility cost-to-charge ratio across all 
facilities because the facility specific ratio takes into account 
facility variations (single vs. multi-specialty, small vs. large, 
single vs. multiple ownership, etc.) which may affect the relationship 
between facility costs and charges.
g. Remove Intraocular Lens (IOL) Costs From Four Lens Insertion 
Procedures
    Section 4063(b) of the Omnibus Budget and Reconciliation Act of 
1987 (OBRA 1987) (Public Law 100-203) amended section 1833(i)(2)(A) of 
the Act to mandate that HCFA include payment for an IOL furnished by an 
ASC for insertion during or subsequent to cataract surgery as part of 
the ASC facility fee rather than paying for the prosthetic lens 
separately, in addition to the facility fee. The payment amount must be 
reasonable and related to the cost of acquiring the class of IOL 
involved.
    Section 4151(c)(3) of the Omnibus Budget Reconciliation Act of 1990 
(OBRA 1990) (Public Law 101-508) froze the IOL payment amount at $200 
for the period beginning November 5, 1990 and ending December 31, 1992, 
and we continued the $200 IOL allowance from January 1, 1993 through 
December 31, 1993. Therefore, Medicare payments to ASCs performing IOL 
insertion procedures in calendar year 1993, the survey period for most 
facilities completing the 1994 ASC survey, included a $200 allowance 
for the IOL.
    Section 13533 of the Omnibus Budget and Reconciliation Act of 1993 
(OBRA 1993) (Public Law 103-66) mandated that, notwithstanding section 
1833(i)(2)(A)(iii) of the Act, payment for an IOL furnished by an ASC 
must be equal to $150 beginning January 1, 1994 through December 31, 
1998.
    Although the statute at section 1833(i)(2)(A)(iii) defines IOLs as 
an ASC facility service and mandates that the ASC facility fee for lens 
insertion procedures include payment for the IOL that is reasonable and 
related to the cost of acquiring the class of lens involved, amendments 
to the statute have mandated a specific dollar amount that Medicare is 
to pay for the IOL, irrespective of the costs incurred by ASCs 
generally to furnish the IOL.
    Because IOLs are considered a facility service, ASCs do not bill 
for them separately. Rather, the charge for an IOL is included within 
the procedure charge for CPT codes 66983, 66984, 66985, and 66986. 
After we converted procedure charges to procedure costs, we subtracted 
the IOL cost from the procedure cost for each of the four lens 
insertion codes before we neutralized per-procedure costs for regional 
wage variations, adjusted procedure costs for inflation, and grouped 
procedures in order to set payment rates. The amount that we subtracted 
is a facility-specific mean IOL cost based on data collected in the 
1994 survey regarding the quantity and models of IOLs purchased and the 
total amount paid for each model net of all discounts, rebates, and 
credits. If we did not subtract the IOL cost from the procedure cost of 
the lens insertion procedures at this juncture, Medicare would be 
recognizing IOL costs twice: once as part of the rebased payment rate 
for the procedure, and again through the mandated IOL allowance that is 
to be added onto the payment rates set for CPT codes 66983, 66984, 
66985, and 66986. Note that the payment rate of $863 determined for CPT 
codes 66983, 66984, 66985 and 66986 (APC 668) includes a $150 IOL 
allowance.
    Rates for lens insertion procedures beginning January 1, 1999. The 
1994 survey data reveal that the current IOL allowance of $150 is 
neither reasonable nor related to the cost of acquiring the lens, but 
rather, represents an overpayment by Medicare and a lost opportunity 
for beneficiary and program savings. The 1994 ASC survey data show that 
ASCs were acquiring IOLs in 1993 for substantially less than the $200 
that Medicare was paying ASCs for IOLs at that time. Based on survey 
data reported by 215 ASCs (72 audited and 143 standardized by 
increasing IOL costs by 1.93 percent) that purchased 197,289 lenses, 
the weighted mean lens cost was $100, and the weighted median cost was 
$97 (weighted by frequency). Of the 215 ASCs on which these findings 
are based, 76 are eye specialty facilities. For eye specialty ASCs 
alone, the weighted mean IOL cost was $82, and the weighted median IOL 
cost was $70. Table 2 shows that even inflating 1993 IOL costs to 1998 
dollars, ASCs can still acquire IOLs on average well below the $150 
allowance mandated by Congress through December 31, 1998.

 Table 2.--1994 ASC Survey: Intraocular Lens (IOL) Cost Inflated to 1998
                                 Dollars                                
------------------------------------------------------------------------
                                                   CPI-U                
                                     CY 1993     inflation     CY 1998  
                                     dollars       factor      dollars  
------------------------------------------------------------------------
Mean Cost, weight by frequency...         $100      1.14915         $115
Median Cost, weight by frequency.           97      1.14915          108

[[Page 32304]]

                                                                        
Medicare IOL allowance...........          200           NA         150 
------------------------------------------------------------------------
(Based on 1994 ASC survey reported by 215 ASCs that purchased 197,289   
  lenses).                                                              

    Prior to expiration of the $150 IOL allowance on December 31, 1998, 
we shall propose a revised payment rate for the four lens insertion 
procedures in APC 668 in order to be consistent with section 
1833(i)(2)(A)(iii) of the statute, which states that lens insertion 
procedures are to include an IOL allowance that is reasonable and 
related to the cost of the lens involved. In rebasing the payment rates 
for the four lens insertion procedures, we expect to follow the basic 
ratesetting methodology proposed in this notice, with one difference: 
We would neutralize the charge-converted per procedure cost determined 
for CPT codes 66983, 66984, 66985, and 66986 to offset the effect of 
regional wage variations, and then, we would add the facility-specific 
mean IOL cost to the procedure cost for these codes. The resulting cost 
for the four lens insertion codes would be adjusted for inflation, and 
the payment rate for APC 668 would be recalculated. IOL costs would 
then be subject to interim year annual adjustments for inflation 
because they would be packaged within the facility fee for lens 
insertion procedures. Under the current payment method, the fixed add-
on IOL allowance in payment group 6 and payment group 8 is not subject 
to an annual adjustment for inflation.
    We solicit comments on this approach to rebasing the payment rate 
for IOL insertion procedures for services furnished beginning on 
January 1, 1999.
h. Calculate Facility Specific Portion of Procedure Cost Attributable 
to Labor Expenses
    Having converted per procedure charges to cost values and 
subtracted IOL costs from CPT codes 66983, 66984, 66985, and 66986, we 
determined for the 295 audited and standardized surveys the percentage 
of facility costs attributable to labor.
     We summed each facility's expenses for contractual 
personnel, employee salaries and fringe benefits, and owner's 
compensation (labor-related costs);
     We summed each facility's net total costs including plant 
and property, equipment, supplies, contractual labor, employee salaries 
and fringe benefits, owner's compensation, bad debts, and miscellaneous 
other administrative expenses.
     We divided each facility's total labor-related costs by 
its net total costs to determine the percentage of the facility's costs 
related to labor.
     We multiplied each facility's per-procedure cost by the 
facility's percentage of labor-related costs to apportion each 
procedure cost into labor-related and non-labor related components.
    Under the current ratesetting methodology, as explained in the 
final notice published in the Federal Register on February 8, 1990 (55 
FR 4526), we use an average of the labor-related percentage for all 
facilities based on 1986 survey data to determine the portion of 
procedure charges attributable to labor costs. Using 1994 survey data 
to determine as precisely as possible costs incurred by a facility to 
perform an individual surgical procedure, we reasoned that a facility 
specific labor-related percentage would be a more sensitive gauge of 
variations in hiring practices, staffing patterns, and employee 
expenses that influence ASC procedure costs than a national average 
which, by definition, flattens these variations. Therefore, to capture 
the influence on per procedure costs of individual facility staffing 
patterns and practices, we calculated a facility specific labor-related 
percentage preliminary to deflating per procedure costs to offset 
variations in labor costs that are the result of broader regional 
demographic differences. However, we shall continue the current method 
of calculating actual payment amounts for ASC facility services using 
an average labor-related factor to adjust rates for regional wage 
differences, which is consistent with the Congressional intent that 
Medicare pay ASCs a prospectively determined standard overhead fee. 
Using 1994 audited survey data, we found that, on average, the 
percentage of facility costs attributable to labor expenses 
(contractual personnel, employee salaries and fringe benefits, and 
owner's compensation) is 37.66 percent, a slight increase over the 
34.45 percent labor-related factor based on 1986 data that carriers use 
currently to adjust base rates for regional wage differences.
i. Deflation by Wage Index Value
    In order to remove variations in ASC per procedure costs that could 
be due solely to geographical differences in labor costs, we 
neutralized or deflated the portion of each ASC's per procedure costs 
attributable to labor expenses.
     We calculated a facility-specific percentage of overall 
costs attributable to labor expenses as explained in section 2-h, 
above.
     We multiplied each facility's per-procedure cost (see 
section 2-f, above) by the facility's percentage of labor-related costs 
to determine the labor-related portion of the procedure cost.
     We divided the labor-related portion by the wage index 
value applicable to the ASC's location.
     We added the deflated labor-related portion of the 
procedure's cost to its nonlabor-related portion to arrive at a per 
procedure cost that is not influenced by geographic wage variations.
    As part of the ratesetting methodology explained in the final 
notice published in the February 8, 1990 Federal Register (55 FR 4526), 
we state as a matter of policy our intention to use the most recent 
Medicare hospital inpatient prospective payment system (PPS) wage index 
values both to determine ASC base payment rates and to calculate 
payment amounts for individual claims for ASC facility services. 
Therefore, the updated ASC base rates published in the February 8, 1990 
notice reflect the fiscal year (FY) 1990 hospital inpatient PPS wage 
index that was effective for hospital discharges beginning October 1, 
1989. We also included wage index values for rural counties deemed 
urban under sections 1886(d)(8)(B) and 1886(d)(8)(C) of the Act.
    In the Federal Register published December 31, 1991 (56 FR 67666), 
we announced that we would continue to use the most recently updated 
hospital inpatient PPS wage index values for urban areas and rural 
areas to calculate ASC payment amounts; that we would limit recognition 
of reclassified wage index values resulting from reclassifications 
approved by the Medicare Geographic Classification Review Board (MGCRB) 
under section 1886(d)(10) of the Act to rural counties deemed urban 
under section 1886(d)(8)(B) of the Act; and, that we would annually 
update ASC payment

[[Page 32305]]

rates concurrently with the annual update of the hospital inpatient PPS 
wage index.
    Use of pre-reclassification wage index values. Both the method of 
setting ASC payment rates and the method of calculating payment amounts 
for individual claims for ASC facility services proposed in this notice 
include a wage index adjustment to offset the effects of geographic 
wage differences. In this notice, we propose to continue using the most 
recent index that HCFA has determined from hospital wage and salary 
data collected from hospital cost reports. However, we propose to use 
wage index values that are calculated from wage and salary data before 
HCFA makes certain adjustments. That is, the wage index that we propose 
to use to adjust ASC payment rates reflects neither the effects of 
hospitals being redesignated or reclassified from one area to another 
under the provisions of sections 1886(d)(8)(B), 1886(d)(8)(C), and 
1886(d)(10) of the Act, nor the requirement stated in sections 4410 (a) 
and (b) of the Balanced Budget Act of 1997 (Pub. L. 105-33) that the 
wage index for an urban hospital not be lower than the Statewide rural 
wage index. We believe this ``pre-classification// pre-floor'' wage 
index more directly reflects salary and wage levels for health care 
personnel within a given geographic area than does a wage index that is 
the result of a series of hospital-specific adjustments.
    A description of how HCFA determines the FY 1998 pre-
reclassification//pre-floor wage index values for urban and rural areas 
that we used to determine the rebased rates that are proposed in this 
notice and that carriers will use to calculate wage-adjusted payments 
to individual ASCs is in the Federal Register published on August 29, 
1997 (62 FR 45985).
    For the same reason that we are using pre-reclassification// pre-
floor wage index values, we propose to eliminate special wage index 
designations for ASCs in rural counties deemed urban under section 
1886(d)(8)(B) of the Act. The counties affected by this proposed change 
of policy are listed in Table 3. We propose to have carriers use the 
wage index value for the geographic area in which the facility is 
located rather than a reclassified wage index value when they calculate 
Medicare facility fees for ASCs in these designated counties. We 
solicit comments from ASCs located in these areas if they believe they 
will be adversely affected by our no longer providing an ASC-specific 
wage index value for counties deemed urban under section 1886(d)(8)(B) 
of the Act.
    There is precedent for our decision to use pre-reclassification 
hospital inpatient PPS wage index values: We use pre-reclassification 
wage index values to determine allowable costs and Medicare payment 
limits for skilled nursing facilities (SNFs) and home health agencies 
(HHAs). We further reason that because the decisions of the MGCRB apply 
solely to individual hospitals, and because there is no mechanism by 
which we can link ASCs with individual hospitals, pre-reclassification/
/ pre-floor wage index values adequately measure wage and wage-related 
costs for short-term, acute care hospitals located within the labor 
market areas defined by the Office of Management and Budget (OMB) upon 
which we base our definition of geographic areas. OMB updates the 
definitions of metropolitan areas (MAs) each June, adding new areas 
that qualify as MAs and cities that qualify as central areas for MAs, 
keeping the definitions of these geographic areas current. We also 
include in our definition of hospital labor market areas the New 
England County Metropolitan Areas (NECMAs), as defined by OMB and the 
special reclassification of Stanly County, North Carolina (a rural 
county) as part of the Charlotte-Gastonia-Rock Hill, North Carolina-
South Carolina MSA ( a large urban area) under section 4408 of the BBA 
of 1997.
    If the FY 1998 hospital inpatient PPS wage index is updated prior 
to publication of the final rule implementing the provisions of this 
notice, we shall recalculate all procedure costs and payment rates 
accordingly. The final rebased ASC rates may therefore vary somewhat 
from the rates proposed in this notice as a result of our using pre-
reclassification//pre-floor hospital inpatient PPS wage index values 
that are more current at the time of publication of the final notice.
    During the time between implementation of the final rates proposed 
in this notice and the next cycle of ratesetting to rebase rates using 
newer survey data, we shall freeze the base rates other than to adjust 
them for inflation in accordance with section 1833(i)(2)(C) of the Act, 
as amended by section 4555 of BBA 1997. That is, we do not intend to 
reset the base rates during these interim years to reflect the annual 
update of the wage index, although carriers will continue to calculate 
payment amounts to facilities using the most currently available wage 
index values, as they do currently.
    We note that one consequence of our proposal to move all ASC 
updates to a calendar year cycle is a three-month delay in applying to 
the calculation of ASC facility fees the hospital inpatient PPS wage 
index values, which are updated on a fiscal year basis every October 1. 
We believe that the advantages of consolidating the updates of ASC 
rates, the ASC list, and wage index values to be effective every 
January 1, concurrent with the update of the Medicare Physician Fee 
Schedule, the Physicians' Current Procedural Terminology, and the 
Health Care Financing Administration (HCFA) Common Procedure Coding 
System (HCPCS), far outweigh any disadvantages that might result from 
delaying for three months implementation of the most recent wage index. 
We solicit comments on this point and on the other modifications we 
propose to make with respect to our policy for adjusting ASC payment 
rates to offset the effects of geographic wage differences.

  Table 3.--Counties That Will No Longer be Deemed Urban Under Section  
           1886(d)(8)(B) of the Act to Calculate ASC Payments           
                                                                        
                                 County                                 
                                                                         
Barry, MI                                                               
Cass, MI                                                                
Caswell, NC                                                             
Christian, IL                                                           
Harnett, NC                                                             
Henry, IN                                                               
Indian River, FL                                                        
Ionia, MI                                                               
Jefferson, KS                                                           
Jefferson, WI                                                           
Lawrence, PA                                                            
Lincoln, WV                                                             
Macoupin, IL                                                            
Marshall, AL                                                            
Mason, IL                                                               
Morrow, OH                                                              
Owen, IN                                                                
Preble, OH                                                              
Shiawassee, MI                                                          
Tuscola, MI                                                             
Van Wert, OH                                                            
Walworth, WI                                                            
                                                                        

j. Adjust Reported Costs for Inflation to Offset Fiscal Year 
Differences Among Facilities
    The most recently completed 12-month fiscal period for the majority 
of ASCs that submitted the 1994 survey coincided with calendar year 
1993, but there were some surveys with data reported for a 12-month 
period ending on a date other than December 31, 1993. (The earliest 
beginning date for a survey period was January 1, 1992; the latest 
ending date for a survey period was June 30, 1994.) Therefore, both to 
ensure comparability in our cost assumptions and to express procedure 
costs in equivalent dollars, we inflated the cost

[[Page 32306]]

amount established for every procedure at the facility level from the 
midpoint of the facility's reporting period to a common end period 
using the Consumer Price Index--All Items (Urban). We used July 1, 
1998, the midpoint of the calendar year during which the rates in this 
notice are proposed for implementation, as the common end period. Table 
4 shows the factors we used to express procedure costs in dollar levels 
projected for July 1, 1998. The only difference between using the 
factors in this table to adjust procedure costs for actual and 
projected changes resulting from inflation and the factors that we used 
to inflate the 1986 base rates is that the factors used here are 
sensitive to quarterly rather than just annual inflationary trends.

 Table 4.--Factors to Inflate Ambulatory Surgical Center Per Procedure Costs to July 1, 1998 Dollars Using CPI- 
                                                All Items, Urban                                                
----------------------------------------------------------------------------------------------------------------
                                                                                                        Factor  
                                                                                                      needed to 
                                                                                                      adjust to 
          Survey year starts                  Survey mid-point               Survey year ends         common end
                                                                                                     period (7/1/
                                                                                                         98)    
----------------------------------------------------------------------------------------------------------------
Jan-1-92.............................  Jul-1-92.....................  Dec-31-92....................      1.18268
Feb-1-92.............................  Aug-1-92.....................  Jan-31-93....................      1.17961
Mar-1-92.............................  Sep-1-92.....................  Feb-28-93....................      1.17653
Apr-1-92.............................  Oct-1-92.....................  Mar-31-93....................      1.17347
May-1-92.............................  Nov-1-92.....................  Apr-30-93....................      1.17043
Jun-1-92.............................  Dec-1-92.....................  May-31-93....................      1.16748
Jul-1-92.............................  Jan-1-93.....................  Jun-30-93....................      1.16466
Aug-1-92.............................  Feb-1-93.....................  Jul-31-93....................      1.16198
Sep-1-92.............................  Mar-1-93.....................  Aug-31-93....................      1.15936
Oct-1-92.............................  Apr-1-93.....................  Sep-30-93....................      1.15676
Nov-1-92.............................  May-1-93.....................  Oct-31-93....................      1.15417
Dec-1-92.............................  Jun-1-93.....................  Nov-30-93....................      1.15163
Jan-1-93.............................  Jul-1-93.....................  Dec-31-93....................      1.14915
Feb-1-93.............................  Aug-1-93.....................  Jan-31-94....................      1.14674
Mar-1-93.............................  Sep-1-93.....................  Feb-28-94....................      1.14439
Apr-1-93.............................  Oct-1-93.....................  Mar-31-94....................      1.14208
May-1-93.............................  Nov-1-93.....................  Apr-30-94....................      1.13982
Jun-1-93.............................  Dec-1-93.....................  May-31-94....................      1.13751
Jul-1-93.............................  Jan-1-94.....................  Jun-30-94....................      1.13505
----------------------------------------------------------------------------------------------------------------
Source: DRI/McGraw-Hill, 4th Qtr1996;@USSIM/TRENDLONG1196@CISSIM/CONTROL964.                                    

3. Proposed Ratesetting Method
    Determine the median per-procedure cost, across all facilities, for 
each reported CPT code.
a. Weights
    In the 1986 ASC survey, we collected data on the total number of 
times a specific procedure, as defined by a CPT code, was performed in 
the facility. To determine Medicare utilization, the 1986 survey asked 
for a total count of Medicare patients served by the ASC during the 
survey period. The number of times specific procedures were performed 
on Medicare patients was not identified. Therefore, the only way to 
weight 1986 survey data by Medicare utilization was to apply a 
facility-specific ratio of Medicare patients to all patients served 
during the survey period to the total number of times a specific 
procedure was performed. As a result, cost data for procedures with 
high Medicare utilization, such as cataract extraction, were weighted 
the same as cost data for procedures that were performed only rarely 
for Medicare beneficiaries.
    In the 1994 ASC survey, to obtain a more accurate measure of 
Medicare utilization, we not only collected information on how many 
times a procedure on the ASC list was performed during the survey 
period, but also, how many times the patient was a Medicare beneficiary 
when the procedure was performed. Having this utilization information 
available for each CPT code enables us to weight 1994 survey data with 
greater precision than we could with the 1986 survey data. After we 
adjust and then convert per procedure charges to per procedure costs, 
we use the procedure's total volume as a weighting factor to determine 
the median per procedure cost across all facilities that reported 
charge and utilization data for the procedure. Then, as we explain in a 
later section, after we assign procedures to payment groups, we use the 
procedure's Medicare volume as a weighting factor to determine the 
median cost of all the procedures in the group. This final median cost 
becomes the payment rate for all the procedures in the group.
b. Determination of Weighted, Trimmed Median Per Procedure Cost Across 
All Facilities
    To determine the median cost of a procedure across all the 
facilities where it was performed, we arrayed each facility's net, 
wage-neutral, inflation adjusted cost for the procedure in descending 
order of cost, weighted by the number of times the procedure was 
performed in the facility for all patients, both Medicare and non-
Medicare. After trimming observations above the 90th and below the 10th 
percentile, to remove costs that were aberrant extremes, we determined 
the median cost for the procedure code. We repeated this process for 
every procedure on the ASC list for which utilization was reported in 
the 1994 survey to arrive at a weighted median procedure cost for the 
1516 CPT codes in the survey data set.
    Because Medicare volume for most procedures is but a fraction of 
total utilization, we believe that weighting by total volume gives us a 
truer per procedure median cost across all ASCs than weighting by 
Medicare volume alone. Weighting by total volume expands our data set 
by pulling in

[[Page 32307]]

procedures for which no Medicare volume was reported. Use of the median 
rather the mean procedure cost further minimizes the effect of 
individual facility cost extremes.
    Having established a weighted median procedure cost that represents 
costs incurred by ASCs generally to perform the procedure based on 
audited and standardized 1994 survey data, we proceed to the final step 
in the ratesetting process, which is grouping procedures for the 
purpose of calculating prospective ASC payment rates.
4. Proposed Ratesetting Method
    Establish procedure groupings.
a. Current Classification System
    When we rebased ASC payment rates using 1986 survey data, we 
expanded from four to eight payment rates or levels, as explained in 
the February 8, 1990 Federal Register (55 FR 4539). (We explain 
elsewhere in this notice that a ninth payment level was established 
effective January 30, 1992 to accommodate payment for CPT code 50590, 
extracorporeal shock wave lithotripsy, but that payments of an ASC 
facility fee for this procedure were suspended following the issuance 
of a court stay on March 10, 1992.) We currently group codes by 
assigning each procedure, depending on its cost, to the appropriate 
level within a series of predetermined $75 intervals. The only factor 
roughly common to all procedures within the six currently active non-
IOL ASC payment groups is the approximate cost of performing the 
procedure based on 1986 survey data and/or our estimate of that cost 
when data are lacking.
b. Proposed Ambulatory Payment Classification System
    We propose to replace the current method of grouping procedures on 
the ASC list with a classification system that takes factors such as 
time, type of surgery, and body system into account, in addition to the 
costs incurred by facilities in connection with performing the 
procedure. Addendum B lists the resulting ambulatory payment 
classification system (APCS) groups that are the basis for determining 
the payment rates for ASC facility services that we are proposing in 
this notice. Although the genesis of these groups was in the ambulatory 
patient groups (APGs) that were developed by 3M Health Care under a 
HCFA grant, the APC groups are not the same as APGs, and Medicare 
regulations and policy governing payments to ASCs using these groups do 
not necessarily follow the 3M APG model.1
---------------------------------------------------------------------------

    \1\ Health Information Systems, 3M Health Care. The Ambulatory 
Patient Groups Definitions Manual, Version 2.0. Wallingford, 
Connecticut, 1995.
---------------------------------------------------------------------------

    The APC groups are the result of intensive work on the part of HCFA 
staff and medical advisors who started with the 3M APGs but then 
reorganized the groups on the basis of several factors. First, we had a 
data set of 1516 CPT codes with cost and utilization information from 
295 ASCs that was collected through the 1994 ASC survey. In addition, 
we had comments from 79 correspondents, including ASC administrators, 
State agencies, professional organizations and societies, trade 
associations, and physicians following the July 1996 Medicare ASC Town 
Meeting in Baltimore, that were virtually unanimous in questioning the 
internal consistency of a number of the 3M APG groups. (We had 
circulated 3M's Version 2.0 significant procedure APGs at the ASC Town 
Meeting, without any costs or rates attached, and asked for comments on 
the homogeneity of the groups.) A number of commenters suggested 
regrouping codes, and they supported their recommendations on the basis 
of the time required to perform procedures in the new groups and the 
costs associated with supplies and equipment needed to perform the 
procedures. Of particular concern were the grouping of gastrointestinal 
endoscopies, arthroscopies, a number of urinary tract procedures, and 
groups where diagnostic and therapeutic surgical procedures were put in 
the same APG. In cases where our data supported a recommendation, we 
modified a payment group accordingly. If we did not make a recommended 
change, it was because our data did not support the change, or because 
the change was inconsistent with our standards for determining 
procedures that are safe and appropriate in an ASC. Once we began 
shifting codes from one group to another, we found that other groups 
were affected, so we ended up reviewing and modifying virtually every 
grouping of surgical procedure codes.
    To classify procedures with limited or aberrant ASC survey data, we 
relied on the medical judgement of our staff physicians in conjunction 
with 1993 hospital outpatient department claims data and physician 
practice expense relative value units (RVU) from the Medicare physician 
fee schedule. We also took into account Medicare utilization patterns 
based on 1995 physician claims site-of-service data to aid in 
determining levels of procedure complexity.
    By adding clinical consistency to cost as a determinant for 
classifying surgical procedures for ratesetting purposes, we propose to 
expand from eight to 105 the number of ASC payment groups. Our lowest 
payment rate would drop to $53 (APC #207, Closed Treatment Fracture 
Finger/Toe/Trunk), and our highest payment rate would increase to 
$2,107 (APC #527, Lithotripsy). We believe this classification system 
rectifies distortions that have developed under the current ASC groups 
which have resulted in underpayments for a number of procedures and 
overpayments for some others.
    Using groups that are characterized by homogeneous clinical 
characteristics as well as costs enables us to set rates more 
accurately for new procedures that are appropriate and safe in an ASC 
but for which we have minimal data or for infrequently performed 
procedures for which cost data are questionable or non-existent.
    Following the ASC Town Meeting, some commenters urged a ratesetting 
method for ASCs that would promote equitable reimbursement for 
procedures across all settings. At least one commenter stated that 
Medicare payment policy ought to be neutral as to site of service. In 
fact, one of the reasons that we have devoted so much attention to 
developing the APC surgical groups for ASC ratesetting is in 
anticipation of using them as part of the prospective payment system 
that is to be implemented on January 1, 1999 for hospital outpatient 
department services. It is our intent to keep the APC surgical groups 
comparable for ASCs and hospital outpatient departments (HOPDs). 
Currently under development is the HOPD prospective payment system, 
which contains as one of its elements APC surgical groups that parallel 
the APC surgical groups we are proposing for ASCs. In order to keep the 
groups comparable in the two settings, we propose to review comments on 
the composition of the APC groups that are submitted during the public 
comment period following publication of both this ASC notice and the 
HOPD notice. We further propose to coordinate any adjustments to the 
composition of the APC surgical groups that may result from our 
analysis of both sets of comments to ensure that the final APC surgical 
groups not only reflect and take into account both sets of comments, 
but also remain comparable for ASCs and HOPDs to the maximum extent 
possible within the constraints imposed by statutory and regulatory 
requirements.

[[Page 32308]]

    Every CPT code within the surgical range of 1998 Physicians' 
Current Procedural Terminology is accounted for in Addendum A either in 
an APC group or in a non-payment category. We propose to expand the 
list of Medicare covered procedures from 2280 to 2499, which includes 
the addition of 422 procedures and the deletion of 203 procedures 
currently on the list, consistent with the standards discussed in 
section II.A. of this notice. We move to the final step in determining 
prospective payment rates for procedures on the ASC list.
5. Proposed Ratesetting Methodology
    Determine a standard payment rate for the procedures within each 
group.
a. Setting Rates Based on ASC Survey Data
    Having classified procedures that are safe and appropriate in an 
ASC setting into 105 payment groups, we arrayed the procedures within 
each group in descending order of facility-specific procedure cost, 
weighted by each facility's procedure-specific Medicare volume, to 
determine the median cost of procedures in that APC. Weighting by the 
number of times the procedures were performed on Medicare patients 
gives recognition to the relative importance of each facility in 
furnishing procedures covered by the Medicare program. The derived 
median cost determined the payment rate for the group.
b. Setting Rates for Procedures With Limited Medicare Volume or 
Aberrant Cost Data
    When we determined individual procedure costs (see section III.E.2, 
above), we eliminated information on costs, charges, and utilization 
from the ASC survey database for 345 CPT codes that were reported by 
fewer than 3 facilities and 199 CPT codes for which there was no 
reported Medicare volume. We also lacked 1994 survey data for the 422 
proposed additions to the ASC list. After procedures had been assigned 
to APC groups (section III.E.4, above), we found 6 surgical APCs 
comprised entirely of codes for which we had no reported ASC survey 
data. In addition, there were 43 APCs with fewer than 200 Medicare 
cases across all procedures in the group. (We determined that using the 
median cost of fewer than 200 Medicare cases to set payment rates for 
these 43 APCs failed to represent adequately the majority of procedures 
within the group and did not result in a reasonable group payment 
rate.) We also identified 15 APCs with Medicare volume greater than 200 
cases for which we did not rely on reported ASC data to determine a 
payment rate because we believed that reported procedure charges for 
codes in these groups were based more on historical ASC payment rates 
than on the cost of performing the procedure. We also questioned the 
reliability of the data reported for procedures within these groups 
when we found in the majority of cases that the per procedure costs of 
simple procedures were higher than the costs determined for similar but 
more complex procedures.
    In order to set a payment rate for the 64 APC groups for which we 
had little or no Medicare volume or reliable cost data, we calculated a 
relative value factor for each of the 41 surgical APC groups for which 
we did have reliable data, which we extrapolated as a standard against 
which to compare and rank the 64 data deficient APC groups. To 
calculate the relative value factors, we divided the payment rate 
already set for each of the 41 APCs with adequate ASC survey data (see 
section III.E.5.a, above) by 504, the median rate of those 41 groups. 
We used the relative value factors as a gauge to compare the data-
deficient groups with the 41 groups with data in terms of the type and 
duration of surgery, supply and equipment costs, and clinical labor 
requirements characteristic of each group. We reasoned that we could 
infer a relative value factor for each of the data-deficient groups on 
the basis of these comparisons. Using this analysis, combined with the 
expertise of our staff physicians, the comments we received following 
the 1996 ASC Town Meeting, and our analysis of other data sources, such 
as 1993 hospital outpatient claims data and relative value units 
established under the Medicare Physician Fee Schedule, we estimated 
relative value factors for the 64 ASC data-deficient APC groups. The 
relative value factors for procedures on the ASC list are shown in 
Addendum A and Addendum C.
    We then multiplied the relative value factor estimated for each 
data-deficient group by 504 to determine a payment rate for each of the 
64 data-deficient APC groups. We viewed 504 as the most reasonable 
value to use as a conversion factor to set ASC payment rates for the 
data-deficient APCs because 504 was the median rate of the APC groups 
that had the highest ASC Medicare volume and for which we had 
substantive 1994 survey data.
    Using this approach, we determined payment rates for 1058 CPT codes 
(42 percent of the 2499 codes proposed for the ASC list) for which we 
had little or no cost data. Of the 43 APCs that had fewer than 200 
Medicare cases, nearly half were assigned a higher payment rate than 
would have been the case if we had relied on the limited ASC data that 
were available as the basis for the payment rate. In the case of two 
groups with more than 200 Medicare cases, one of which consisted of 
corneal transplant procedures, we increased the payment rate because 
the data-referenced costs were too low.
c. Payment Rate for CPT Code 67027, Implantation of Intravitreal Drug 
Delivery System
    This is a new 1998 CPT code that we are proposing to add to the ASC 
list. Because it is new, we have no cost data in connection with this 
code. We ask for comments on which of the APC groups proposed for 
ophthalmic procedures (APC groups 649, 651, 652, 667, 668, 670, 676, 
677, 683, 684, or 690) this procedure code would be most appropriately 
assigned both in terms of its clinical characteristics and resource 
costs. We request that commenters support their suggestions with 
information and data that elucidates the clinical characteristics and 
resource costs of this procedure relative to other procedures in the 
various APC groups for eye surgery.
6. Payment Policy Indicators
    We have developed a set of payment policy indicators to assist ASCs 
and fiscal contractors in determining whether Medicare allows payment 
to an ASC for a particular procedure, item or service. Addendum A shows 
a payment indicator for every 1998 HCPCS code.
    ASC payment policy indicators are intended to supplement, not 
replace, the correct coding initiative (CCI) edits that carriers 
already apply to claims for ASC services. (The CCI edits identify code 
pairs which, when billed together, represent either unbundling (the 
reporting of a comprehensive procedure and its component procedures) or 
mutually exclusive procedures (procedures which by definition cannot 
occur during the same operative session.)) The ASC payment policy 
indicators are defined as follows:
    a. We use ``1'' to designate a procedure for which Medicare pays 
Medicare approved ASCs a prospectively determined ASC facility fee for 
ASC services. Collectively, the CPT codes with an ASC payment indicator 
of ``1'' make up the ASC list. (See Addendum B.) Medicare allows 
payment of an ASC facility fee only for codes with an ASC payment 
policy indicator of ``1.''
    b. We use ``2'' to indicate a procedure, item, or service for which 
Medicare

[[Page 32309]]

does not allow a separate payment when the procedure, item, or service 
is furnished at a Medicare approved ASC. If the procedure, item, or 
service is covered, payment is always packaged into and subsumed within 
payment(s) made for other services not specified. Some codes with a 
``2'' indicator describe items or services that fall within the scope 
of ASC facility services, whose costs are taken into account within the 
ASC facility fee. Examples of these include CPT code 36000, 
Introduction of needle or intracatheter; or, CPT code 81002, 
Urinalysis, by dip stick or tablet reagent; or, alphanumeric HCPCS code 
V2632, Posterior chamber intraocular lens. When these services are 
furnished at an ASC, payment for them is included as part of the ASC 
facility fee.
    c. We use ``3'' to indicate a procedure, item or service that is 
excluded from the ASC list because it is not reasonable, not necessary, 
and not appropriate in an ASC setting. We have assigned an ASC payment 
policy indicator of ``3'' to procedures that our medical advisors 
consider to be unsafe in an ASC based on the criteria in 
Sec. 416.22(b), and to CPT codes that are for unlisted procedures.
    d. Codes with an ASC payment policy indicator ``4'' are not valid 
for Medicare purposes, although Medicare recognizes a 90-day grace 
period during which the code may be used. If Medicare covers the 
service, another code is to be used to bill for it. Codes with an ASC 
payment policy indicator ``4'' are assigned a procedure status code of 
``G'' on the Medicare Physician's Fee Schedule.
    e. We use ``5'' to indicate a procedure, item, or service that is 
safely and appropriately performed or furnished in a physician's office 
or clinic. We consider procedures with an ASC payment policy indicator 
``5'' to be office-based because they do not generally require the more 
elaborate facility services of an ASC and they do not satisfy the 
criteria proposed in Sec. 416.22(a). Procedures with an ASC payment 
policy indicator ``5'' are not considered to be on the ASC list.
    Medicare takes into account and pays for the costs incurred to 
perform these procedures under the Physician Fee Schedule. If a 
procedure with an ASC payment policy indicator ``5'' were performed at 
an ASC and the ASC billed Medicare for the procedure, payment would be 
denied. The denial would be based on two factors: first, the procedure 
is not on the ASC list, and secondly, because the procedure is 
designated as an office-based procedure, Medicare payment for the 
procedure is made in full to the physician as determined by the 
physician's fee schedule. Any payment in addition to what Medicare pays 
the physician under the Medicare Physician Fee Schedule for procedures 
with an ASC payment policy indicator ``5'' is redundant and is not 
allowed. After any applicable deductible and copayment amounts are 
satisfied, we consider the beneficiary's obligation for a procedure 
with an ASC payment policy indicator ``5'' to be met in full by 
Medicare's payment to the physician.
    If a procedure code with an ASC payment policy indicator ``5'' is 
subject to the site-of-service differential under the Medicare 
Physician Fee Schedule, the site-of-service practice expense reduction 
is not applied if the procedure is performed in an ASC because we do 
not consider the procedure to be on the ASC list and because we regard 
the ASC as a surrogate physician's office with respect to these 
procedures.
    f. We use ASC payment policy indicator ``6'' to indicate that a 
procedure, item or service either falls outside the scope of ASC 
facility services as proposed in Sec. 416.21(b) or that the procedure, 
item or service is one to which the concepts of an ASC facility fee or 
the ASC benefit are not relevant and do not apply. In the latter case, 
the procedure, item or service is outside the realm of ASC facility 
services and would never, by definition, be furnished by an ASC, e.g., 
clinical laboratory tests, maternity care and delivery, emergent 
procedures, or physician evaluation and management.
    In the former case, although the ASC facility fee for a surgical 
procedure on the ASC list does not include payment for the cost of 
items, procedures, or services that have an ASC payment policy 
indicator ``6'', if these procedures, items, or services are covered 
and are reasonable and necessary, Medicare could allow a separate 
payment under another Part B benefit as long as Medicare recognizes and 
approves the entity as a supplier of the item or service. For example, 
we do not consider prosthetic implants, except IOLs, to fall within the 
scope of ASC facility services. But if an entity that is approved by 
Medicare as an ASC is also approved as a supplier of prosthetic 
implants, Medicare allows payment to the entity for a prosthetic 
implant in accordance with the prosthetic fee schedule in addition to 
payment of an ASC facility fee for services furnished by the entity in 
connection with a procedure on the ASC list that is performed to insert 
the prosthetic implant. See section III.F for further discussion of 
items and services that fall outside the scope of ASC services.
    g. We use ``7'' to indicate a procedure to which special coverage 
instructions apply, such as CPT code 11950, Subcutaneous injection of 
``filling'' material, (e.g. collagen); 1 cc or less, about which 
carriers must make a determination of reasonableness and medical 
necessity. If a surgical procedure with an ASC payment policy indicator 
``7'' is performed in a Medicare approved ASC and a claim for ASC 
services is submitted, payment depends on whether the carrier 
determines that the procedure is reasonable and necessary. If the 
carrier determines that the procedure was reasonable and necessary, an 
ASC payment rate is given and the procedure would be considered to be 
on the ASC list for the purposes of the specific claim. Procedures with 
a status indicator ``R'' under the Medicare Physicians' Fee Schedule 
automatically receive an ASC payment policy indicator of ``7.''
    h. We have reserved payment policy indicator ``8'' for future use.
    i. We use ``9'' to indicate a procedure, item or service that is 
not covered by Medicare and for which Medicare never makes payment. ASC 
payment policy indicator ``9'' corresponds to procedure status codes 
``I'', ``N'', and ``E'' under the Medicare Physician Fee Schedule. 
(Status code ``I'' is used to indicate codes that are not valid for 
Medicare purposes with no grace billing period allowed; status code 
``N'' is used to indicate codes that describe a noncovered service; 
status code ``E'' is used to indicate codes that are excluded from the 
Medicare Physician Fee Schedule by regulation.)
7. Comments on Proposed Ambulatory Payment Classification Groups, 
Payment Policy Indicators and Payment Rates
    Addendum A lists all 1998 HCPCS codes in numeric order by code and 
includes an ASC payment policy indicator for each code and, where 
applicable, a notation as to whether or not the code is proposed for 
addition to or deletion from the ASC list. Addendum B presents the ASC 
list by APC group. Addendum C is a list of 105 surgical APC groups with 
their respective titles, ASC relative values, and ASC payment rates. We 
solicit comments on the payment rates, APC grouping, and payment policy 
indicators proposed in these tables. However, we request that 
commenters who question the appropriateness of the rate or APC 
assignment proposed for a particular procedure support their argument 
with specific details related to intra-operative time, staffing 
requirements, and costs incurred by the

[[Page 32310]]

facility to furnish disposable and non-disposable supplies, 
pharmaceuticals, instrumentation, and equipment in connection with the 
procedure and that procedures more closely related in terms of cost be 
identified. We also solicit comments on the changes to the ASC 
ratesetting methodology that are proposed in this section.
8. Carrier Adjustment of Base Rates to Determine Payment Amounts
    The payment rates proposed in this notice are standard base rates 
that have been adjusted to remove the effects of regional wage 
variations. When carriers process claims for ASC facility services, 
they adjust the base rates to reflect the wage index value applicable 
to the area in which the ASC is located. The Medicare payment for ASC 
facility services is equal to 80 percent of the wage-adjusted standard 
payment rate. Beneficiaries are responsible for a 20 percent copayment 
for ASC facility services once their deductible is satisfied. Below are 
some examples of how carriers adjust the ASC base rates to calculate 
facility fees.
Example 1
    The following is an example of how to determine the wage adjusted 
payment rate for CPT code 28230, Tenotomy, open, flexor; foot, single 
or multiple (separate procedure) performed at an ASC located in Denver, 
Colorado. The procedure is in APC group 271, Level I foot 
musculoskeletal procedures. The base rate for the procedure is $510. 
The ASC wage index value for Denver, Colorado is 1.0386. The labor 
related portion of the base rate is $192 ($510 x 37.66 percent); the 
non-labor related portion of the base rate is $318 ($510 x 62.34 
percent).

Wage Adjusted Rate:

= ($192 x 1.0386) + $318
= $199 + $318
= $517
Example 2
    The following is an example of how to determine payment for CPT 
code 66984, Extracapsular cataract removal with insertion of 
intraocular lens prosthesis (one stage procedure), manual or mechanical 
technique (e.g, irrigation and aspiration or phacoemulsification). The 
procedure is in APC group 668, Cataract procedures with IOL insert. The 
base rate for the procedure is $863, which includes a $150 IOL 
allowance. Because IOLs are not subject to adjustment for labor costs, 
the IOL allowance ($150) must be subtracted from the composite payment 
rate before applying the wage index adjustment. The ASC wage index 
value for Denver, Colorado is 1.0386. The labor related portion subject 
to wage index adjustment is 37.66 percent of the base rate from which 
the IOL allowance has been deducted.

Wage Adjusted Rate:

= [{($863-150)  x  .3766}  x  1.0386] + [{863-150}  x  .6234]
= [($713  x  .3766)  x  1.0386] + [$713  x  .6234]
= ($269  x  1.0386) + $444
= $279 + $444
= $723

Composite Adjusted Rate:

= $723 + $150
= $873
9. Using Resource Costing to Determine Procedure Costs
    Resource costing involves the measurement of all the direct and 
indirect costs involved in the performance of a specific procedure. 
Direct costs include all activities, materials, and equipment that are 
traceable to a specific procedure. Indirect costs, such as rent, 
utilities, and insurance, cannot be directly traced to a specific 
procedure. Rather, a factor such as units or time is used to allocate 
indirect costs uniformly at the individual procedure level.
    We introduced the collection of resource cost data in the 1994 ASC 
survey primarily in response to industry recommendations that we do so 
on the grounds that procedure-specific cost studies measure facility 
resource expenditures more accurately and reliably than using a cost-
to-charge ratio to convert procedure charges into a proxy for procedure 
costs. Part II of the 1994 ASC survey collected procedure specific 
statistical and resource cost data for the following 29 ASC procedures.
    1. 14060 Adjacent tissue transfer or rearrangement, eyelids, nose, 
ears and/or lips; defect 10 sq cm or less.
    2. 19120 Excision of cyst, fibroadenoma, or other benign or 
malignant tumor aberrant breast tissue, duct lesion or nipple lesion 
(except 19140), male or female, one or more lesions.
    3. 28285 Hammertoe operation; one toe (e.g., interphalangeal 
fusion, filleting, phalangectomy).
    4. 28292 Hallux valgus (bunion) correction, with or without 
sesamoidectomy; Keller, McBride or Mayo type procedure.
    5. 29881 Arthroscopy, knee, surgical; with meniscectomy (medial or 
lateral including any menuiscal shaving).
    6. 43235 Upper gastrointestinal endoscopy including esophagus, 
stomach, and either the duodenum and/or jejunum as appropriate; complex 
diagnostic.
    7. 43239 Upper gastrointestinal endoscopy including esophagus, 
stomach, and either the duodenum and/or jejunum as appropriate; for 
biopsy and/or collection of specimen by brushing or washing.
    8. 45378 Colonoscopy, fiberoptic, beyond splenic flexure; 
diagnostic procedure.
    9. 45380 Colonoscopy, fiberoptic, beyond splenic flexure; for 
biopsy and/or collection of specimen by brushing or washing.
    10. 45385 Colonoscopy, fiberoptic, beyond splenic flexure; with 
removal of polypoid lesion(s).
    11. 49505 Repair inguinal hernia, age 5 or over.
    12. 50590 Lithotripsy, extracorporeal shock wave.
    13. 52000 Cystourethroscopy (separate procedure).
    14. 55700 Biopsy, prostate; needle or punch, single or multiple, 
any approach.
    15. 56350 Hysteroscopy, diagnostic (separate procedure).
    16. 58120 Dilation and curettage, diagnostic and/or therapeutic 
(nonobstetrical).
    17. 62278 Injection of anesthetic substance (including narcotics), 
diagnostic or therapeutic; lumbar or caudal epidural, single.
    18. 62289 Injection of substance other than anesthetic, contrast, 
or neurolytic solutions; lumbar or caudal epidural (separate 
procedure).
    19. 64721 Neuroplasty and/or transposition; median nerve at carpal 
tunnel.
    20. 65730 Keratoplasty (corneal transplant); penetrating (except in 
aphakia).
    21. 66170 Fistulization of sclera for glaucoma; trabeculectomy ab 
externo.
    22. 66821 Discission of secondary membranous cataract (opacified 
posterior lens capsule and/or anterior hyaloid); laser surgery (e.g.. 
YAG laser) (one or more stages).
    23. 66984 Extracapsular cataract removal with insertion of 
intraocular lens prosthesis (one stage procedure), manual or 
phacoemulsification technique (e.g., irrigation and aspiration or 
phacoemulsification).
    24. 66985 Insertion of intraocular lens prosthesis (secondary 
implant), not associated with concurrent cataract removal.
    25. 66986 Exchange of intraocular lens.
    26. 67010 Removal of vitreous, anterior approach (open sky 
technique or limbal incision); subtotal removal with mechanical 
vitrectomy.

[[Page 32311]]

    27. 67036 Vitrectomy, mechanical, pars plana approach.
    28. 67107 Repair of retinal detachment, one or more sessions; 
scleral buckling (such as lamellar excision, imbrication or encircling 
procedure), with or without implant, may include procedures 67101, 
67105.
    29. 67904 Repair of blepharoptosis; (tarso) levator resection or 
advancement, external approach.
    We selected these procedures because they are either high volume 
ASC procedures (such as 66984, 66821, 52000) or they are procedures 
that include an unusual cost or service (such as 67036, 65730, 50590). 
We asked facilities to report typical resource utilization and cost 
information regarding time allocations, staffing patterns and labor 
costs, supply costs, and equipment costs on a procedure-specific, 
single case basis. In order to calculate an overall per procedure cost 
based on the resource cost data reported in the 1994 ASC survey, we 
first calculated a facility-specific procedure cost for each of the 29 
CPT codes targeted in the 1994 ASC survey. We then determined the 
median procedure cost across all facilities, weighted by total volume. 
We also looked at weighting by Medicare volume. We used the same wage 
index values and inflation factors to adjust resource based cost data 
that we used to convert procedure charges to costs, as explained in the 
preceding sections.
    Step a--To remove the effect of geographical wage differences, we 
divided indirect and direct labor-related procedure costs by the pre-
classification/pre-floor hospital inpatient prospective payment system 
wage index value applicable to the facility's location.
    Step b--We calculated an overhead factor by which to step down 
indirect overhead costs to a single procedure level. To determine this 
factor, we summed the costs reported by a facility for its plant and 
property; office equipment; medical equipment other than procedure 
specific equipment; office and housekeeping supplies; wages and fringe 
benefits for administrators, directors, managers, supervisors, 
clerical, and other non-medical personnel; bad debt; and general 
administrative overhead such as taxes, insurance, and interest. We 
divided the facility's aggregated overhead expenses by the total number 
of procedures performed at the facility during the survey period. The 
resulting figure represents the amount of indirect overhead costs 
apportioned to each surgical case performed in the ASC.
    Step c--We summed the costs incurred by the facility to furnish the 
disposable and reusable supplies, pharmaceuticals, equipment, and labor 
that it typically furnishes in connection with the procedure (direct 
costs).
    Step d--We added the facility's procedure-specific direct costs 
(Step c) to the facility's indirect cost allocation (Step b).
    Step e--We inflated the facility's procedure cost to July 1998 
using the appropriate inflation factor.
    Step f--To ascertain what it costs ASCs generally to perform the 
target procedures, based on audited direct and indirect costs, we 
determined the median cost across all facilities, weighted by total 
volume.
    Analysis of Resource-Based Procedure Cost Methodology: We found 
that for 11 of the 29 target procedures for which we collected resource 
cost data, the per procedure cost was lower using resource costing than 
it was using a cost-to-charge ratio conversion, whereas for 18 of the 
29 target procedures, the per procedure cost was higher using resource-
based costing. Variations in procedure costs between the two methods 
were extreme, and for only 11 procedures was the resource-based cost 
within 20% of the cost-to-charge converted cost.
    In seeking an explanation for the lack of consistency between 
resource costing and cost-to-charge conversion as a descriptor of 
procedure cost, we found resource cost data to be irretrievably flawed. 
We attribute the flaws in the resource cost data in part to the fact 
that the 1994 survey was our first attempt to capture resource costs. 
In spite of our efforts at clarity and several sessions in 1994 during 
which we met with ASC representatives to answer questions about the 
survey, the data reported indicate that our instructions were either 
misinterpreted or misunderstood altogether. In addition, we attribute 
the highly variable resource cost data to ASCs' lack of familiarity 
with the new survey form and to inconsistencies among ASC recordkeeping 
systems.
    Our intent was for each facility to furnish a catalog or inventory 
of the direct resources it typically expends to perform each of the 29 
target procedures. But in many instances the use of disposable and 
reusable supplies and pieces of equipment for the same procedure were 
reported inconsistently across facilities. Equipment required to 
perform a procedure was not listed or information reported about the 
useful life of equipment or its purchase price was not given, making it 
impossible to prorate the full cost of equipment to a single case. The 
unit cost of numerous items and services was omitted altogether or ASCs 
misinterpreted unit supply cost as the full cost of a single item or 
service, instead of prorating the full cost of an item or service to a 
single case. ASCs provided incomplete sets of resource cost data, e.g., 
labor costs for a procedure would be reported without the corresponding 
supply costs. Entries were illegible on several forms.
    Because of the many problems encountered with reported resource 
cost data, we used only the audited data from the 96 facilities to 
compute resource cost. However, in many cases even audited surveys 
lacked direct resource cost data reported in the manner requested. 
Although we did consult resource cost data in our analysis of procedure 
costs and in assigning CPT codes to APC groups, we believe that 
shortcomings inherent in our resource cost data base and the limitation 
of cost data to only 29 codes preclude our relying on resource costing 
as a basis for setting payment rates at this time. Therefore, we have 
based the rates proposed in this notice on the methodology explained 
previously.
    We are disappointed by our lack of success in the 1994 ASC survey 
in gathering usable resource cost data. Our inability to establish 
weights and base ASC payment rates on the resource cost data that we 
did collect is particularly frustrating in light of the fact that we 
expect, beginning January 1, 1999, to make payments to physicians under 
the Medicare physicians' fee schedule that are determined in part on 
the basis of resource-based practice expense relative units. We have 
been closely monitoring the development of the resource-based practice 
expense relative value units under the physicians' fee schedule and the 
ratesetting method for the hospital outpatient prospective payment 
system, which is also scheduled for implementation effective January 1, 
1999. When we rebase ASC payment rates following the next ASC survey, 
we are committed to reexamining the resource-based practice expense 
relative value units established under the Medicare physicians' fee 
schedule and the weights developed under the hospital outpatient 
prospective payment system for their applicability to ASC ratesetting 
in order to advance towards our goal of setting rates in a manner that 
is consistent across different sites of service.

F. Scope of ASC Services (Sec. 416.21)

    We are proposing to renumber Sec. 416.61 to become Sec. 416.21, and 
to clarify those items and services that we consider to fall within the 
scope of facility services for which payment is

[[Page 32312]]

made as part of the ASC facility fee. In addition, this section of the 
regulation lists the types of items and services that are considered to 
fall outside the scope of ASC facility services, for which payment is 
not included in the ASC facility fee but for which payment could be 
made under other provisions of Medicare Part B. Recurring questions 
have prompted these changes, such as inquiries as to whether or not ASC 
facility services include fixation devices and orthopedic pins, 
fluoroscopy used to assist the surgeon's field of vision during 
surgery, electrocardiograms, the costs of procuring tissue for implant, 
and prosthetic implants.
1. ASC Services
    We continue to consider the following to be ASC facility services: 
the services of nurses, technicians, and other staff involved in 
patient care; the patient's use of the facility, including but not 
limited to its operating room, recovery room, waiting room, rest rooms, 
locker area; administrative, recordkeeping, and housekeeping items and 
services that constitute indirect overhead expenses, including but not 
limited to employees and contracted services related to scheduling, 
admitting, discharging, and billing patients, to maintenance, 
utilities, laundry, debt service, plant and property costs, and 
insurance; and, intraocular lenses that are defined by the statute 
specifically as an ASC facility service. In addition, ASC services 
include medical and other health services such as surgical supplies, 
medical equipment, drugs, biologicals, and pharmaceuticals; materials 
for anesthesia, including the anesthetic itself and any equipment and 
supplies necessary to administer and monitor anesthesia; and, splints, 
casts, pins, wires, and other supplies used to reduce fractures and 
dislocations.
    Current section 416.61(a)(4) states that facility services include 
``diagnostic or therapeutic services or items directly related to the 
provision of a surgical procedure.'' Section 416.61(b)lists as 
``excluded services'', among other things, ``X-ray or diagnostic 
procedures (other than those directly related to performance of the 
surgical procedure). . . .'' We have had a number of inquiries as to 
which diagnostic or therapeutic services are considered within the 
scope of ASC facility services and which are not. From a payment 
perspective the distinction is important, to determine if the 
diagnostic and therapeutic services can be paid for separately, in 
addition to the facility fee. In an effort to clarify the distinction, 
we have revised the regulation, and we propose to adopt the following 
policy. We assume that when the descriptor for a CPT code includes 
explicit reference to some kind of imaging, guidance, or other 
diagnostic test, the cost, and therefore the ASC payment rate that we 
have derived for that procedure, include the imaging, guidance, or 
other diagnostic test, and those services are considered to be within 
the scope of ASC services. An example of such a procedure is CPT code 
56362, Laparoscopy with guided transhepatic cholangiography; without 
biopsy. In the case of a procedure such as this, because the imaging is 
explicitly integral to and inseparable from the surgical procedure, it 
is considered within the scope of service and no separate payment is 
allowed for the imaging.
    When the descriptor for a CPT code specifies ``with or without'' 
some kind of imaging, guidance, or other diagnostic test, we assume 
that the cost, and therefore the ASC payment rate that we have derived 
for that procedure, do not include the imaging, guidance, or other 
diagnostic test, and those services are considered to fall outside the 
scope of ASC facility services. Therefore, the ASC facility fee for the 
procedure would not include payment for costs incurred to furnish this 
type of monitoring. There are other procedures, such as CPT code 36533, 
Insertion of implantable venous access port, with or without 
subcutaneous reservoir, where the physician may or may not elect to use 
some type of imaging such as a fluoroscope to assist in placing the 
device. In such cases, we assume that the cost, and therefore the ASC 
payment rate for the procedure, do not include the imaging or guidance. 
In the case of these procedures, the imaging, guidance, or other 
diagnostic test is considered to fall outside the scope of ASC facility 
services, and the ASC facility fee does not include payment for the 
costs incurred to furnish these services.
    Payment for the costs incurred by an ASC to perform any tests 
granted waived status under the Clinical Laboratory Improvement 
Amendments of 1988 (CLIA) as part of preparing a patient for surgery on 
the day of surgery is included in the ASC facility fee for the surgical 
procedure, and no separate payment for these tests is allowed. If an 
entity that is approved by Medicare as an ASC also wants to be paid by 
Medicare for diagnostic laboratory services, other than tests granted 
waived status under CLIA, that entity must meet the laboratory 
requirements spelled out in 42 CFR Part 493. In this case, the entity 
would be considered a certified laboratory billing Medicare for 
certified laboratory services, not as a Medicare approved ASC billing 
Medicare for ASC facility services. Classification as a certified 
laboratory or classification as a Medicare approved ASC is, for 
Medicare billing purposes mutually exclusive.
2. Venous Access Portals Are ASC Facility Services
    In 1992 we began receiving communications informing us that the 
cost of certain models of implantable venous access ports that ASCs 
were furnishing in connection with CPT 36533, Insertion of implantable 
venous access port with or without subcutaneous reservoir, exceeded the 
total facility fee for the surgical implant procedure. Following a 
review of cost data available at the time, we instructed carriers to 
pay the acquisition cost of an implantable venous access port (HCPCS 
code A4300) as a temporary add-on to the ASC facility fee for CPT code 
36533, even though the port is considered a supply, the cost of which 
would ordinarily be packaged in the ASC facility fee.
    In this notice, we propose to place CPT code 36533 in APC 368. The 
payment rate proposed for CPT code 36533 includes an allowance for the 
cost incurred by an ASC to furnish A4300, Implantable access catheter 
(venous, arterial, epidural, or peritoneal), external access, or A4301, 
Implantable access total system; catheter, port/reservoir (venous, 
arterial or epidural), percutaneous access. Beginning on the effective 
date of the implementation of the rates and ratesetting methodology 
proposed in this notice, Medicare will cease to make a separate payment 
for implantable access catheters and/or ports furnished in connection 
with CPT code 36533 when the procedure is performed in an ASC. 
Alphanumeric codes A4300 and A4301 have a payment indicator ``2,'' 
because the costs incurred to furnish these items, which are considered 
supplies, in connection with performing CPT code 36533 are considered 
to be within the scope of ASC services for which Medicare makes payment 
of an ASC facility fee.
    We solicit comments on the adequacy of the payment rate for CPT 
code 36533 to offset the costs incurred to furnish the vascular access 
portal.
3. Acquisition of Corneal Tissue is an ASC Service
    In 1992, ASC administrators and medical staff also pointed out a 
growing disparity between the payment amount established for corneal 
transplant procedures (CPT codes 65710, 65730, 65750, and 65755) and 
the costs ASCs were incurring to furnish corneal tissue, e.g., the 
charges imposed by eye banks

[[Page 32313]]

and organ procurement organizations for processing, preserving and 
shipping corneal tissue. A review of the data that were the basis for 
setting the payment rates for corneal transplant procedures indicated 
that corneal tissue procurement costs had either not been reported or 
else had been imprecisely identified, and these costs did not appear to 
be reflected in the ASC payment rates established for corneal 
transplant surgery. Therefore, we instructed carriers to pay corneal 
tissue acquisition costs (HCPCS code V2785), subject to the usual 
copayment and deductible requirements, as an add-on to either the ASC 
facility fee or the supplying physician's fee for corneal transplant 
surgery performed in an ASC. The additional payment had to be supported 
by an invoice from an eye bank or organ procurement organization 
showing the actual cost of acquiring the corneal tissue.
    In this notice, we propose to group corneal transplant procedures 
in APC 670. The payment rate for the procedures in APC 670 takes into 
account the costs of acquiring corneal tissue. Therefore, Medicare will 
cease to make a separate payment for corneal tissue procurement costs 
incurred in connection with CPT codes 65710, 65730, 65750, and 65755 
when these procedures are performed in an ASC, beginning on the 
effective date of implementation of the rates and ratesetting 
methodology proposed in this notice. Alphanumeric code V2785 
(Processing, preserving and transporting corneal tissue) has a payment 
indicator ``2,'' because the costs incurred for this service are 
considered to be within the scope of ASC services for which payment is 
made as part of the ASC facility fee.
    We solicit comments on the adequacy of the payment rate for the 
procedures in APC 670 to offset the costs incurred to procure corneal 
tissue in connection with performing corneal transplant surgery.
4. Outside the Scope of ASC Services
    Historically, certain items and services that may be furnished in 
connection with surgery performed at an ASC have not been considered to 
fall within the scope of ASC services because payment for these items 
and services could be made under other provisions of Medicare Part B. 
None of the following is considered to be an ASC service, and Medicare 
does not include payment for these services in the ASC facility fee: 
Physicians' services, the services of certified registered nurse 
anesthetists, prosthetic devices and implants, durable medical 
equipment and supplies, artificial limbs, or braces.
    As discussed above, diagnostic imaging services and other 
diagnostic tests are not considered to be ASC services and are not paid 
for as part of the ASC facility fee except when they are considered an 
integral and inseparable part of a surgical procedure by explicit 
reference or by universal agreement that they are standard medical 
practice as in the case of amniocentesis.

G. Basis for Payment (Sec. 416.30)

    When an ASC furnishes services in connection with a procedure on 
the ASC list, Medicare pays a prospectively determined standard fee for 
those services. Section 416.22 of the ASC regulations proposed in this 
rule pertains to how we determine which procedures are safe, effective, 
appropriate, reasonable and necessary in an ASC and are therefore 
included in the ASC list. Section 416.21 of the proposed ASC 
regulations lists the services that are paid for within the ASC 
facility fee as well as describing services that might be furnished in 
connection with an ASC procedure but for which payment is not included 
in the ASC facility fee. Section 416.30 of the proposed ASC regulation 
is intended to delineate the differing bases by which Medicare can make 
payment for services furnished in connection with surgical procedures 
on the ASC list. Because of the manner in which the statute is written, 
the type of setting determines the basis for Medicare payment for 
services that are furnished in connection with procedures on the ASC 
list.
1. Hospital Outpatient Department (HOPD)
    Section 1833(i)(3) of the Act provides that payment for services 
furnished in a hospital outpatient department in connection with 
procedures on the ASC list is to be based in the aggregate on a 
comparison between two amounts. The payment is to be the lesser of the 
following:
     The amount for services that would be paid to the hospital 
under section 1833(a)(2)(B) of the Act (that is, the lower of the 
hospital's reasonable costs or customary charges for the services, 
reduced by deductibles and coinsurance).
     An amount based on a blend of--
    The amount that would be paid to the hospital for the services 
under section 1833(a)(2)(B) of the Act reduced by deductibles and 
coinsurance (called the hospital-specific amount); and

--The amount paid to a Medicare approved ASC for the same procedure in 
the same geographic area in accordance with 1833(i)(2)(A) of the Act, 
which is equal to 80 percent of the standard overhead amount net of 
deductibles (the ASC amount). Under 1833(i)(3)(B)(ii) of the Act, the 
hospital specific amount and the ASC amount for portions of cost 
reporting periods beginning on or after January 1, 1991 are 42 and 58 
percent, respectively.
    Section 4523(a) of the Balanced Budget Act of 1997 (Pub. L. 105-33) 
requires that, beginning in 1999, the amount of Medicare payment for 
covered HOPD services shall be determined in accordance with a 
prospective payment system. This HOPD prospective payment system will 
replace the blended payment methodology for ASC procedures performed in 
an HOPD setting. It is not within the scope of this notice to describe 
or discuss the specific provisions of the hospital outpatient 
prospective payment system. However, consistent with our commitment to 
move toward a more unified, less fragmented approach to Medicare 
payment for surgical services performed on an ambulatory basis, we 
anticipate that there will be common elements in the Medicare 
ratesetting method and payment structure for surgical procedures 
performed in either an ASC, or in a hospital outpatient setting under 
the HOPD prospective payment system. These common elements include the 
principle of packaging payment for a range of services within a single 
payment rate; application of a multiple procedure discount; adjustment 
of base payment rates to take into account the effects of regional wage 
differences; and use of the same system of classifying or grouping 
surgical procedures for ratesetting purposes, e.g., the ambulatory 
payment classification system (APCS) which we discuss elsewhere in this 
notice. (Even though we expect to use a common grouping system to 
determine payment rates for both ASCs and hospital outpatient 
departments, note that we base ASC payment rates on cost and charge 
information taken from the 1994 ASC survey and that we will base 
hospital outpatient payment rates on data taken from 1996 Medicare 
claims for hospital outpatient services, on the most recently available 
hospital Medicare cost report information, and on projected Medicare 
expenditures in HOPDS in 1999.)
2. ASCs Operated by a Hospital
    Our 1992 ASC survey revealed that hospital operated ASCs comprised 
only 3.1 percent of the 1081 ASCs from

[[Page 32314]]

which we received completed surveys.2 We propose to add an 
expanded definition of ``hospital-operated ASC'' to Sec. 416.2 to 
eliminate some of the confusion in terminology that seems to occur when 
distinguishing among ASCs, hospital outpatient departments, hospital 
affiliated ASCs, provider-based ASCs, etc. The term ``hospital operated 
ASC'' was coined originally simply to identify those ambulatory 
surgical centers that were already in existence in 1982 as part of a 
hospital and that wanted the option of participating in and being paid 
under the new ASC benefit rather than continuing to be paid on a 
reasonable cost basis as part of the hospital. In the August 5, 1982 
Federal Register, we stated that if a hospital elected to have its ASC 
paid for ambulatory surgical services under the ASC benefit, that ASC 
would be subject to the same rules and regulations that apply to all 
ASCs approved under 42 CFR part 416, in addition to certain other 
restrictions directly related to the ASC's being owned and operated by 
a hospital. A hospital outpatient department providing ambulatory 
surgery would not be eligible to be paid as an ASC. (See 47 FR 34085.)
---------------------------------------------------------------------------

    \2\ U.S. Department of Health and Human Services, Health Care 
Financing Administration, Medicare Ambulatory Surgical Center 
Payment Rate Survey--1992: Part I, General Information Summary of 
Data. Baltimore: July 1994.
---------------------------------------------------------------------------

    The regulations that apply solely to hospital operated ASCs are 
found in Sec. 416.2 and Sec. 416.30 of the revised ASC regulations that 
are proposed in this notice. We propose to continue the requirement 
that once an ASC operated by a hospital elects to participate in 
Medicare as an ASC rather than as a part of the hospital, that ASC will 
not have the option of reverting to be a component of the hospital 
unless HCFA determines there is good cause for it to do so. Costs for a 
hospital-operated ASC must be treated as a non-reimbursable cost center 
on the hospital's cost report.
    We also propose to delete the requirement that a hospital operated 
ASC's agreement to participate as an ASC be made effective on the first 
day of the next Medicare cost reporting period of the hospital (42 CFR 
416.30(f)(1)). We do not believe this would compromise either the 
interests of beneficiaries or the integrity of the Medicare program. 
This requirement imposes certain burdens, such as instances where a 
hospital's cost reporting period does not begin until many months after 
its ASC opens for business. We invite comments on whether this 
requirement is superfluous and should therefore be removed from the 
regulations.
3. Medicare Approved ASCs
    The statute at 1832(a)(2)(f) authorizes Medicare to pay ASCs a 
prospectively determined fee for facility services furnished in 
connection with surgical procedures on the ASC list. Since 1982, HCFA 
has defined facility services as items and services which would 
otherwise be covered under Medicare if furnished on an inpatient or 
outpatient basis in a hospital in connection with the ASC covered 
procedure, excluding items and services for which payment may be made 
under other provisions of Medicare Part B. (See the Federal Register 
dated August 5, 1982 (47 FR 34097).) It is these items and services, 
e.g., the items and services that would be covered under Medicare if 
they were furnished on an inpatient or outpatient basis in a hospital 
in connection with a surgical procedure, for which we make payment as 
part of the ASC facility fee, and any service for which we include 
payment in the ASC facility fee is considered an ASC service. As a 
matter of policy, we have generally not included, as part of the ASC 
facility fee, payment for items and services explicitly identified in 
the Act as a Medicare Part B benefit for which separate payment is 
made, although we have made a few exceptions. In summary, we exclude 
from the Medicare definition of an ASC facility service any item or 
service for which payment is not included in the ASC facility fee or 
any procedure not on the ASC list, even if the item, service or 
procedure is furnished at the ASC in connection with a procedure that 
is on the ASC list. Section 416.21 of the proposed ASC regulations 
distinguishes between services for which payment is included in the ASC 
facility fee and services for which payment is not included in the ASC 
facility fee.
    We have received numerous inquiries from ASCs asking how Medicare 
pays for certain services that they furnish to Medicare beneficiaries 
in connection with a procedure on the ASC list when Medicare does not 
include payment for those services as part of the ASC facility fee. We 
have added Sec. 416.30(d)(2) to emphasize that excluding payment for 
certain services and procedures from the ASC facility fee does not 
preclude payment to the ASC for those services and procedures, 
presupposing they are covered and reasonable and necessary, under other 
provisions of Medicare Part B. Examples of the kinds of services 
furnished at an ASC in connection with an ASC procedure, for which 
payment is not included in the Medicare ASC facility fee, are the 
professional services of physicians and certified registered nurse 
anesthetists, prosthetic implants, or certain diagnostic X-ray and 
imaging services and other diagnostic tests such as ultra sound. ASCs 
have asked us how they can recoup the costs they incur to furnish 
facility services (e.g., those expenses embodied in the technical 
component (TC) established for diagnostic X-ray and other diagnostic 
tests under the Medicare physicians' fee schedule) for diagnostic 
electrocardiograms or fluoroscopy or ultrasound diagnostic procedures. 
As discussed in Section III.F, when diagnostic X-rays, imaging, or 
other diagnostic tests are explicitly referenced in a CPT code 
descriptor, they are considered integral to the surgery and are 
therefore paid for within the ASC facility fee. Otherwise, in order to 
be paid separately for services that are furnished in connection with 
procedures on the ASC list that are not ASC services, the Medicare 
participating ASC must also be recognized and obtain Medicare approval 
and billing privileges as a supplier of these other services.
    One example of the multiple Medicare payment modalities that could 
affect how an ASC is paid by Medicare is the manner in which Medicare 
would pay for transperineal ultrasound guided seed implants for 
prostate cancer performed at a Medicare approved ASC. There is a 
surgical component to this treatment, CPT code 55859, Transperineal 
placement of needles or catheters into prostate for interstitial 
radioelement application, with or without cystoscopy. We are proposing 
to add this procedure to the ASC list in APC group 523. Once the 
surgical procedure is added to the ASC list, Medicare would allow 
payment to an ASC for facility services furnished in connection with 
CPT code 55859. If cystoscopy services were required, and the relevant 
cystoscopy codes were on the ASC list, Medicare would allow an ASC 
facility fee for the cystoscopy procedure(s), subject to the multiple 
procedure payment rules found in proposed Sec. 416.30(d)(4). The other 
procedures and services performed to furnish this treatment fall within 
the radiology range (70000-79999) of CPT. Since radiology procedures 
are not included on the ASC list, there is no basis for Medicare to 
make payment to an ASC for brachytherapy services. However, if the 
facility were to obtain supplier numbers from its carrier indicating 
that the carrier recognizes the facility both as a non-physician 
supplier of radiology services and as a freestanding radiation therapy 
center, the facility should be able to bill for and

[[Page 32315]]

be paid the technical component for brachytherapy services within the 
radiology range under the Medicare physicians' fee schedule.
    Similarly, if a Medicare approved ASC were to furnish diagnostic X-
ray and other diagnostic tests in connection with performing a 
procedure on the ASC list, such as visualizing the pre-operative 
placement of needle localization wires, and if payment for those 
services is not otherwise included in the ASC facility fee as signified 
by an ASC payment policy indicator ``2,'' the facility could be paid 
the technical component provided for those services under the Medicare 
physicians' fee schedule as long as it meets the requirements for 
independent diagnostic testing facilities (IDTFs). The regulations at 
42 CFR 410.32 and 42 CFR 410.33 published in the October 31, 1997 
Federal Register (63 FR 59098) and implemented January 1, 1998 explain 
the IDTF requirements.
    A Medicare approved ASC that is also approved as a supplier of 
durable medical equipment (DME), prosthetics, and orthotics can be paid 
the allowed Medicare fee schedule amount when it furnishes these items. 
We believe that many ASCs are not aware that Medicare payment for 
prosthetic implants in particular is separate from the ASC facility 
fee. Prosthetics and durable medical equipment are coded using 
alphanumeric HCPCS codes; the codes for prosthetic implants begin with 
code L8500. Claims for prosthetic implants are processed by local 
carriers; claims for orthotics and DME are processed by durable medical 
equipment regional carriers (DMERCs). ASCs wishing to be recognized as 
a supplier of prosthetics, orthotics, and/or durable medical equipment 
should contact the National Supplier Clearinghouse (NSC), Palmetto 
Government Benefit Administrators, P.O. Box 100141/300 Arbor Lake 
Drive, Columbia, South Carolina 29202-3143, FAX 317-841-4600, to obtain 
further information and an application.
    As we explained in section III.D above, we propose to establish 
that procedures with any of the criteria in Sec. 416.22(b) are not safe 
and appropriate in an ASC. We have determined that such procedures are 
not reasonable and medically necessary when performed in an ASC. 
Therefore, we propose to add Sec. 416.30(d)(3) to the ASC regulations 
to clarify that denials for such procedures, designated by ASC payment 
policy indicator ``3,'' are based on the exclusion contained 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 are protected from liability for 
claims denied on this basis by the limitation on liability provision of 
section 1879 of the Act.
    If an ASC facility fee is denied for a procedure because the 
procedure is not reasonable and necessary in an ASC, logic dictates 
that payment be denied for any other services furnished in connection 
with that procedure because those other services would also have to be 
considered not reasonable and necessary. Therefore, as a matter of 
policy, we propose to instruct carriers to deny payment for physicians' 
services, including anesthesiologists, or certified registered nurse 
anesthetist (CRNA) services, prosthetic implants, imaging services, 
etc., when such services are furnished at an ASC in connection with a 
surgical procedure that is excluded from the ASC list.

H. Extracorporeal Shock Wave Lithotripsy (ESWL)

1. Background
    On December 31, 1991 we published a final notice with comment 
period in the Federal Register (56 FR 67666) in which we added CPT code 
50590, Lithotripsy, extracorporeal shock wave (ESWL), to the list of 
ASC covered procedures. We set the payment rate for ESWL at $1,150 on 
the basis of a procedure cost matrix model. A new payment group 9 was 
created solely for ESWL. Payment of a facility fee for ESWL as an ASC 
covered procedure was effective for services furnished beginning 
January 30, 1992.
    On January 30, 1992 the American Lithotripsy Society (ALS) filed a 
complaint and motion to preliminarily enjoin enforcement and 
implementation of the December 31, 1991 notice insofar as it concerned 
ESWL. In American Lithotripsy Society v. Louis W. Sullivan, M.D., et 
al. 85 F. Supp. 1034 (D.D.C. 1992), the plaintiff challenged HCFA's 
determination that ESWL is a surgical procedure under the ASC benefit 
and the amount payable for the services in an ASC setting. The 
plaintiff alleged that the $1,150 rate was not based on an estimate of 
``a fair fee'' which took into account costs incurred by ASCs 
performing such services as required by section 1833(i)(2)(a) of the 
Act and that the rate was not supported by the administrative record.
    On March 12, 1992, the United States District Court for the 
District of Columbia held that HCFA's decision to classify ESWL as a 
surgical procedure was reasonable. However, it remanded the rate-
setting issue in the December 31, 1991 notice to the Secretary for 
further consideration and stayed the regulation, insofar as it related 
to lithotripsy, pending remand. On remand, the Secretary is required to 
publish all material information that is relevant to the setting of the 
ESWL rate, receive comments, and publish a final notice in accordance 
with the applicable statutes and regulations.
    On March 19, 1992 we asked our regional offices to instruct 
carriers and intermediaries to cease payments to Medicare participating 
ASCs for ESWL services and to resume calculation of payments for ESWL 
services furnished in a hospital outpatient setting on a reasonable 
cost basis.
    On October 1, 1993, we published a proposed notice in the Federal 
Register (58 FR 51355) in which we proposed an ASC payment rate of 
$1,000 for ESWL along with the data and the methodology used to 
determine that rate, in accordance with the court's remand. The public 
comment period that was to end on November 30, 1993 was extended to 
December 30, 1993. (See Federal Register (58 FR 62128) dated November 
24, 1993.)
    We received timely 141 comments about the October 1, 1993 proposed 
notice. Commenters included certified renal lithotripsy specialists; 
physicians, nurses, administrators, and attorneys representing urology 
and lithotripsy specialty clinics and centers; hospitals; physician 
clinics and group practices; mobile lithotripsy suppliers; ambulatory 
surgical centers; a regional multi-hospital cooperative stone treatment 
service; and, professional societies and trade associations. Six 
commenters submitted information on ESWL costs, charges, and 
utilization following the format that we requested. In addition, ALS 
submitted in support of its comments a study entitled Proposed Payment 
for Extracorporeal Shock Wave Lithotripsy Services Furnished by 
Ambulatory Surgical Centers that was prepared by The Moore Group of 
Washington, D.C.
    We have been considering the information contained in the comments 
that were submitted during the public comment period. Virtually every 
commenter objected to our proposed $1,000 ESWL payment rate, the 
methodology and cost model that we used to set the rate, and the 
assumptions upon which we based the ratesetting methodology and cost 
model, stating that we had failed to take into account, as required by 
the statute, the costs incurred by facilities to furnish ESWL services. 
The comments raised enough question about the appropriateness of 
certain of the assumptions upon which

[[Page 32316]]

we had based the payment rate proposed in the October 1, 1993 Federal 
Register to cause us to defer setting a final ESWL rate until we had 
completed our survey of ASCs that we had already scheduled to begin in 
March 1994. That survey, entitled ``The Medicare Ambulatory Surgical 
Center Payment Rate Survey--1994, Part II: Facility Overhead and 
Procedure Specific Costs,'' is described elsewhere in this notice. We 
made a point of including CPT code 50590 in the list of codes for which 
we solicited charge, utilization, and resource cost data, even though 
payment of a Medicare ASC facility fee for ESWL had been under remand 
since March 12, 1992.
    The ASC payment rate that we propose in this notice for ESWL (CPT 
code 50590) supersedes the rate we proposed in the October 1, 1993 
Federal Register. We followed the ratesetting methodology that is the 
subject of this notice to determine the ASC payment rate for ESWL. In 
addition to reviewing information on ESWL submitted in the 1994 ASC 
survey, we also took into consideration the cost data and comments 
submitted during the public comment period following publication of the 
October 1, 1993 Federal Register. All material information that is 
relevant to setting the rate for every ASC covered procedure contained 
in this notice, including but not limited to ESWL, is published herein, 
with the exception of our 1994 ASC survey data, which we explain how to 
obtain separately. Our response to comments received timely and the 
final notice published in accordance with applicable statutes and 
regulations will therefore address the rate set for ESWL services 
within the context of the other proposals contained in this notice.
    Below is our response to the comments that were submitted timely 
following publication of the October 1, 1993 proposed notice.
2. Comments
    Comment: The American Lithotripsy Society (ALS) commented that it 
continues to disagree with classifying ESWL as a surgical procedure and 
that it believes that ESWL does not belong on the ASC list.
    Response: We do not agree with the position taken by ALS on this 
point. We believe that ESWL is a procedure that is appropriate for the 
ASC list in light of the criteria we are proposing in this notice 
(proposed 42 CFR 416.22). We explained our reasoning for considering 
ESWL appropriate for the ASC list in the final notice with comment 
period published December 31, 1991 in the Federal Register (56 FR 
67673), and the federal district court found that we had rationally 
justified and properly noticed our decision to classify ESWL as a 
surgical procedure (American Lithotripsy Society v. Sullivan, 785 F. 
Supp. 1034, 1037 (D.D.C. 1992). We therefore propose to retain ESWL on 
the ASC list in APC group 527.
    Comment: Every commenter objected to the $1,000 payment rate that 
we proposed for ESWL services furnished in a Medicare participating ASC 
as being inadequate, unfair, and far below the actual cost of providing 
ESWL services. One commenter charged that HCFA was using the rate-
setting process as a device to eliminate what HCFA viewed as 
underutilized facilities. Other commenters predicted that Medicare 
beneficiaries would be denied access to the ease and convenience of 
ESWL treatment of kidney stones if we were to implement a $1,000 ASC 
facility fee for ESWL because ESWL suppliers could not afford to treat 
Medicare patients for this amount. Another commenter complained that 
HCFA's proposed facility fee would deprive lithotripsy facilities of a 
substantial portion of the lithotripsy market and adversely affect the 
hospitals, physicians, and others who had invested substantially in 
ESWL facilities with the expectation that overhead costs would be fully 
reimbursed by a Medicare payment rate based on actual costs.
    Most commenters also challenged the cost model matrix and the 
assumptions underlying the model that we used to calculate the $1,000 
payment rate proposed in the October 1, 1993 Federal Register. One 
commenter attributed our proposed rate to an ``impractically high 
utilization rate'' combined with ``an unrealistically low estimate'' of 
the costs involved in performing an ESWL treatment. Commenters claimed 
that we ignored information submitted by the actual providers of ESWL 
services, relying instead on outdated studies and obsolete information 
from 1985, 1986, and 1987 when lithotripsy was first introduced and 
furnished primarily on an inpatient basis, or substituting our own 
judgment of what the facility fee should be without considering survey 
data that revealed the actual costs of performing the procedure, as 
required by the statute. In particular, commenters challenged our 
assumptions about optimal utilization levels and the number of 
procedures that could be performed in one day (too high); capital costs 
(understated); fixed costs (attributable to our understatement of the 
staff required to provide ESWL services in addition to pre-and post-
treatment care and to be in compliance with state regulatory 
requirements); our allowance for supplies (too low, especially for the 
disposable electrodes); and, our allowance for indirect overhead costs 
(unrealistically low, especially because lithotripsy centers perform 
only one procedure, which prevents them from offsetting losses from 
ESWL by performing other more lucrative procedures).
    Every commenter urged us to review or revise the proposed rate to 
bring it more in line with actual expenses, which they asserted ranged 
from $1,911 to as much as $3,674, as validated by urologists and actual 
providers of ESWL services. Many commenters recommended that we adopt 
as the basis for a Medicare payment amount for ESWL services the 
findings and data contained in a report prepared by The Moore Group at 
the behest of The American Lithotripsy Society (ALS) and its counsel, 
Dyer, Ellis, Joseph & Mills. One commenter said the ALS survey and The 
Moore Group report would no longer allow HCFA to use the lack of cost 
data as a rationale for relying on the cost model contained in the 
October 1, 1993 proposed notice. The same commenter said that if HCFA 
was unwilling to use the ALS survey data as the basis for setting an 
ESWL rate, HCFA should not adopt a payment rate until it conducted its 
own survey of providers to determine a fair fee based on the costs 
derived from that survey. This commenter urged HCFA, as a last resort, 
to hold a formal hearing before implementing its proposed rate if HCFA 
would not adopt the ALS survey data or collect its own survey data.
    The report prepared by The Moore Group for ALS is entitled 
``Proposed Payment for Extracorporeal Shock Wave Lithotripsy Services 
Furnished by Ambulatory Surgical Centers'' and is based on the results 
of a survey conducted by ALS. (This report was prepared for Dyer, 
Ellis, Joseph & Mills, 600 New Hampshire Avenue, NW., Washington, DC 
20037, telephone (202) 944-3000 by Lois A. Ehle, The Moore Group, 1212 
New York Avenue, Suite 475, Washington DC 20005, telephone (202) 789-
0045.) ALS sent the survey (``American Lithotripsy Society Shock Wave 
Lithotripsy Survey'') to its membership. In addition, according to the 
introduction to the report, Dornier Medical Systems and Siemens Medical 
Systems, lithotripter manufacturers, sent the ALS survey to users of 
their equipment. Counsel for ALS collected survey responses and 
forwarded them to The Moore Group, which analyzed the responses and 
prepared the report. The report is based on information submitted by 
105 of the 110 providers that returned a completed survey

[[Page 32317]]

representing approximately one third of the providers that received the 
survey. The report is dated December 15, 1993, and it was enclosed with 
comments submitted by ALS during the extended public comment period 
following publication of the October 1, 1993 proposed notice.
    The Moore Group report concluded that HCFA's cost matrix model 
understated the capital, fixed, and variable costs associated with ESWL 
services with the result that HCFA's proposed payment rate of $1,000 
understated by 43 percent the $2,326 average cost incurred by ESWL 
providers based on analysis of the ASL survey responses.
    Response: The information submitted by commenters to the October 1, 
1993 proposed notice has convinced us to defer implementing a $1,000 
ASC facility fee for ESWL services. We considered adopting as an 
interim payment rate the average cost per treatment arrived at by The 
Moore Group ($2,326), but we ultimately decided not to do so for 
several reasons. Our principal reservation was related to the fact that 
of the 49 fixed lithotripter sites responding to the ALS survey, only 
five were actually identified as ``Medicare approved'' ambulatory 
surgical centers (ASCs), and only 30 of the 437 mobile sites for which 
data were reported were identified as ASCs. Our charge is to set rates 
for ambulatory surgical centers, as defined in the statute at Section 
1832(a)(2)(F) and in regulations at 42 CFR part 416, and those rates, 
as so many commenters pointed out, are to take into account the costs 
incurred by ASCs generally in providing services in connection with 
procedures on the ASC list. While the ALS survey points to costs 
incurred by lithotripsy suppliers generally, including fixed and mobile 
sites and hospitals and ``freestanding'' centers, we could not isolate 
the ALS survey data as contained in The Moore Group report to costs 
incurred solely by ASCs.
    One commenter said that if we were unwilling to use the Moore 
Survey, we should then, at the very least, conduct our own survey of 
providers to determine a fair fee for ESWL rather than implement the 
payment rate based on the cost model proposed in the October 1, 1993 
Federal Register. As it happened, we had scheduled a survey of ASC 
costs, charges, and utilization generally for early 1994, our first 
such survey since 1986. Therefore, we decided to follow the commenter's 
recommendation, and we included ESWL services as a part of the Medicare 
ASC survey that went out in March 1994, the data from which are the 
foundation for the rebased payment rates proposed in this notice. We 
followed the ratesetting methodology explained in this notice and, 
taking into account the comments submitted following publication of the 
October 1, 1993 proposed notice as well as information submitted 
through our 1994 survey, we determined a payment rate of $2,107 (APC 
527) for ESWL services furnished by a Medicare participating ASC.
    We believe this is a reasonable payment amount because it 
approximates the average per procedure costs reported in comments to 
the October 1, 1993 proposed notice, including The Moore Group study of 
the ALS survey results, and costs derived from the 1994 Medicare survey 
of ASCs; and, it takes into account costs incurred by fixed as well as 
mobile lithotripsy delivery systems. It implicitly acknowledges the 
utilization levels pronounced as typical by commenters and The Moore 
Group and rewards facilities that maintain or exceed those utilization 
levels while serving as an incentive to facilities with lower 
utilization to improve their volume. Further attesting to the 
reasonableness and reliability of the payment rate proposed in this 
notice is the fact that it was determined in accordance with a 
systematic, data-oriented, comprehensive ratesetting methodology 
applied to more than 2400 surgical procedures rather than on the basis 
of an interim ratesetting methodology that was developed to fill an 
immediate need resulting from a lack in 1991-92 of current, reliable, 
disinterested data on lithotripsy costs.
    Comment: One commenter wondered why we accepted cost data from ASCs 
to revise payment rates in February 1990 (55 FR 4526), and from payers 
like Blue Cross/Blue Shield and lithotripter manufacturers to support 
the cost model we proposed in the October 1, 1993 Federal Register (58 
FR 51355), but refused to consider data submitted by lithotripsy 
providers.
    Response: We did consider the data submitted by commenters 
following publication in the Federal Register of our proposed notice in 
October 1, 1993 (58 FR 51355), and our analysis of those comments 
resulted in our not implementing the October 1, 1993 proposed rate of 
$1,000 pending completion of the 1994 Medicare ASC survey. In some 
cases such as the matter of ESWL treatment time and general ESWL 
utilization levels, we have reversed our earlier proposals on the basis 
of information and data submitted by commenters.
    Comment: One commenter stated that, in order to be considered a 
``fair fee,'' the average cost of ESWL services reported by The Moore 
Group ($2,326) would have to be increased to offset three additional 
costs: payment for pre-and post-treatment services provided by a host 
hospital or ASC when ESWL is furnished by a mobile lithotripter; 
payment to offset bad debt; and, payment to provide a reasonable return 
on equity capital.
    Response: We disagree. Our reading of the report indicates that the 
ALS survey and The Moore Group study took such costs into account in 
the calculation of an average per treatment cost. The data reported in 
the 1994 Medicare ASC survey would have reflected pre- and post-
operative costs and bad debt. Medicare policy precludes payment 
allowances to provide a return on equity capital for facilities paid by 
a prospective payment system because it diminishes the incentive for 
efficient operation (47 FR 34082, 34089)
    Comment: One commenter criticized our use of the CPI-U All Items 
Index as a measure of the effect of inflation on health care costs and 
our applying that factor to historical data to produce an estimate of 
current costs.
    Response: We see no compelling argument to depart from the 
rationale we gave in the February 8, 1990 Federal Register (55 FR 
4537), in which we implemented the eight payment rates that were 
rebased using 1986 survey data, for using the consumer price index for 
all urban consumers, all items index. The fact that 141(a)(1)(B)of SSAA 
1994 mandated that we use the CPI-U to update ASC rates during years 
when we do not rebase rates using survey data makes it difficult to 
justify switching to a different inflationary adjustment during years 
when we rebase rates.
    Comment: One conclusion of The Moore Group report is that HCFA's 
cost matrix model overstates the maximum amount of time a lithotripter 
can be used each year and the number of treatments that can be 
reasonably performed each year. Numerous commenters echoed the 
sentiment that basing the ESWL payment rate on a utilization level of 
performing 1,000 procedures annually or an average of four treatments 
per day was unreasonable and impractically high. One commenter noted 
that treatment volume is determined more by the number of patients with 
kidney stone disease than on the availability of ``efficient'' 
equipment. Another commenter wrote that most ASCs wishing to provide 
lithotripsy services will utilize a mobile lithotripter unit because 
few ASCs will ever have the

[[Page 32318]]

volume necessary to keep a lithotripter busy at maximum possible 
utilization. Commenters reported annual utilization levels ranging from 
as few as 65 treatments to as many as 1,200 treatments, and daily 
utilization of no more than two procedures per day to five or six a day 
if the ``day'' were extended into the evening hours. The Moore Group 
report indicated that an average of seven hours was required from 
patient pre-admission until discharge, which was cited by other 
commenters as the reason why it was unrealistic to expect more than two 
treatments to be performed in one day. The Moore Group study also 
indicated that 42 of the 105 providers that returned ALS surveys 
performed between 400 and 700 procedures per year, accounting for 44 
percent of the total cases reported by respondents to the ASL survey, 
with an average annual treatment level of 519. One commenter asserted 
that no facility actually does 1,000 cases per year. Another conceded 
that while six patients could indeed be treated in the course of a 
single day, factors important to quality care might be sacrificed. One 
commenter said that five to six treatments could easily be furnished in 
a single day, but that the length of the day would have to be extended 
beyond eight hours. Most commenters favored approximately 500 
treatments annually as a more realistic utilization level based on 
their own experience. Two commenters observed that the rapid diffusion 
of ESWL in the 1980's had resulted in market saturation so that each 
lithotripter has a smaller number of patients to serve, and another 
commenter noted that with more than 300 lithotripters in operation, 
demand per machine would naturally be lower. The same commenter further 
objected to HCFA's basing its utilization standard for ESWL services 
that are furnished predominantly in outpatient settings on a 1985 Blue 
Cross/Blue Shield study of six investigational lithotripters that were 
involved in the FDA approval process and that furnished treatments 
strictly on an inpatient basis.
    Response: Based on the comments we received and data reported in 
the 1994 Medicare survey of ASCs, we agree that in the early 1990's, 
most lithotripsy providers were probably performing only half to two-
thirds of the number of treatments we assumed as an efficient annual 
utilization level when we proposed a payment rate of $1,000 in the 
October 1, 1993 Federal Register. The payment rate that we are 
proposing in this notice for APC group 527 is more compatible with 
utilization levels reported by commenters and suggested by 1994 ASC 
survey data. However, we emphasize that HCFA has a fiduciary 
responsibility to the Medicare program and its beneficiaries that 
compels us to promote and reinforce the efficient use of shrinking 
resources. We cannot condone paying for per treatment costs that are 
inflated by idle or underutilized equipment which is the result of 
redundancy. We believe that the rate we propose in this notice for ESWL 
services is reasonable and that it allows generously for volume levels 
declared by the industry to be standard without encouraging further 
proliferation of ESWL services in a market that is acknowledged to be 
at the saturation level.
    Comment: Most commenters indicated that our estimate of 30 or 45 
minutes to an hour as the amount of time required to administer ESWL 
and disintegrate the stone(s) was too low. While the Moore Group report 
shows a mean treatment time of 113 minutes, most other commenters 
indicated that 80 to 90 minutes was typically required for the actual 
ESWL treatment. Several commenters noted that, contrary to our 
supposition, treatments using newer lithotripters actually require more 
time than did the older generation of lithotripters because the newer 
lithotripters require a greater number of lower voltage shocks to be 
administered, depending upon the patient's heart rate.
    Response: We agree that the length of time required to administer 
an ESWL treatment generally exceeds the 30 to 60 minutes we suggested 
in the October 1, 1993 notice. The information submitted by commenters, 
further supported by data collected in the 1994 Medicare ASC survey, 
indicates a mean treatment time of 82 to 113 minutes with a median 
treatment time of 89 to 110 minutes.
    Comment: Several commenters stated that HCFA's cost matrix model 
does not include the cost of cystoscopy or any stent placements.
    Response: We stated in the October 1, 1993 notice that the costs 
associated with the cystoscope procedure that frequently accompanies 
ESWL (CPT code 52332, Cystourethroscopy, with insertion of indwelling 
ureteral stent (e.g., Gibbons or double-J type) were not included in 
the cost model for ESWL. When this procedure is performed in 
conjunction with ESWL (CPT code 50590), the ASC submits a claim for 
both procedures. In accordance with Medicare payment policy when 
multiple procedures are performed in an ASC, Medicare pays the full 
usual and customary facility fee for the procedure with the highest 
payment rate (CPT code 50590 in this case) and 50 percent of the usual 
and customary facility fee for the procedure(s) with a lower payment 
rate (CPT code 52332 in this case). The payment rate we are proposing 
in this notice for CPT code 52332 (APC 523) is $504.
    Comment: Several commenters disagreed with our estimate of 16 
percent Medicare utilization and suggested annual Medicare procedure 
volume ranging between 12 percent and 45 percent, the latter volume 
occurring in an area with a high retirement population.
    Response: Our 1994 survey data indicate that Medicare beneficiaries 
account for 16.5 percent of total volume for ESWL services furnish in 
an ASC setting.
    Comment: A few commenters wrote that HCFA's study fails to account 
for the special staffing, travel, and set-up costs incurred when a 
mobile unit is used to furnish ESWL services.
    Response: Our October 1, 1993 cost model may not have fully 
recognized costs unique to mobile ESWL services. However, based on data 
submitted in the 1994 Medicare ASC survey, we believe that the payment 
rate we are proposing in this notice does take mobile unit costs into 
account.
    Comment: One commenter stated that an increase in the number of 
mobile ESWL units threatens the continued viability of provider based 
facilities. Another commenter wrote that volume at a free-standing 
lithotripsy center is expected to decrease due to implementation of a 
mobile unit in a neighboring state.
    Response: We recognize that an increase in the number of mobile 
ESWL units could reduce patient volume at fixed ESWL sites. We do not 
have current data to indicate the ratio of mobile to fixed ESWL units 
nationally or by state or region nor can we evaluate the extent to 
which increased numbers of mobile units represent redundancy in areas 
with existing adequate ESWL services or are a response to a demand for 
ESWL services in underserved or remote areas.
    Comment: One commenter disagreed with our proposal that ASC 
facility payment be denied for bilateral ESWL renal treatment, 
preferring that the decision be left to the treating urologist who is 
in the best position to weigh the risks to his/her patients of 
performing one or multiple ESWL treatments in cases where there are 
small symptomatic stones in both kidneys.
    Response: In the absence of medical evidence arguing otherwise, we 
propose to withdraw our October 1, 1993 proposal to deny payment for 
bilateral ESWL renal treatment.

[[Page 32319]]

    Comment: Three commenters addressed our proposal to enlist the 
medical directors for Medicare carriers and intermediaries to develop 
procedure protocols and to define the indications for ESWL treatment. 
The commenter asserted that indications and contraindications for 
treating patients with ESWL are already well established in the 
urological and lithotripsy literature. One commenter urged that 
experienced urologists who have an established reputation for clinical 
expertise in urology and lithotripsy be enlisted if general guidelines 
for ESWL are to be developed. One commenter wrote that a five percent 
re-treatment rate doesn't suggest abuse of a type that would justify 
creation of indicators in the first place.
    Response: In the absence of support from the provider community and 
having no evidence that ESWL is being performed excessively or is 
medically unnecessary for Medicare beneficiaries with kidney stones, we 
propose to defer our October 1, 1993 proposal to sponsor the 
development of procedure protocols and indicators of ESWL treatment.
    Comment: A few commenters said it was not fair to base ESWL costs 
on a multi-specialty ASC that can spread overhead costs over many 
different procedures whereas ESWL is most often provided in single-
service fixed-site or mobile units. Another commenter noted that the 
costs of providing ESWL in a free-standing ambulatory care facility 
cannot be deferred to other areas or services as they can in a full 
service hospital. Two commenters stated that HCFA, by asking for data 
on costs, charges and utilization for ESWL performed on an outpatient 
basis, was failing to differentiate between free-standing and hospital-
based facilities, each of which furnishes ESWL services on an 
outpatient basis, but each of which may have very different operational 
costs. One commenter said that HCFA should consider implementing 
different overhead amounts and payment rates for different classes of 
centers because costs differ depending on whether ESWL treatment is 
furnished at a fixed lithotripsy center site, by a mobile unit, or by a 
multi-specialty ASC.
    Response: We specifically requested data for outpatient ESWL 
services, whether furnished by a hospital, by a freestanding ESWL 
facility, by an ASC, or by a mobile unit, to distinguish these from 
inpatient ESWL services.
    Based on the comments we received, we acknowledge that 
``outpatient'' ESWL services can be furnished in a variety of forms. 
The rate we propose in this notice does not distinguish among the 
various possible types of ESWL service delivery settings partly because 
we do not have data to support a correlation between the cost of ESWL 
services with the type of site that furnishes those services and partly 
because our responsibility is to set a facility payment rate for ESWL 
services furnished by Medicare participating ASCs. The statute does not 
include a separate benefit for suppliers of ESWL services.
    We are not aware of any mobile lithotripters that have been 
certified as a Medicare participating ASC. Rather, mobile lithotripters 
are, as a rule, contracted by ASCs or by hospitals, clinics, or other 
entities to furnish a lithotripter and the actual lithotripsy treatment 
by arrangement to a patient of the ``host'' entity. The most efficient 
utilization of mobile lithotripters seems to result when pre-operative 
patient preparation and post-operative recovery services are furnished 
by the host entity, freeing the lithotripter conveyance for the next 
patient. The unusual capital costs of ESWL are reflected in its being 
assigned to a dedicated APC group, but the fact that ESWL services can 
be furnished in virtually any type of setting as a consequence of the 
lithotripter's mobility makes it impossible to lump all lithotripsy 
suppliers together as a ``class'' of ASCs. Further, in the absence of 
data to support that ESWL costs are a direct function of the type of 
facility where the treatment is furnished, we believe that our proposed 
rate is fair and reasonable and takes into account the costs incurred 
by ASCs generally to furnish ESWL services, either directly or by 
arrangement.
    We believe that the argument can just as well be made that single 
specialty ESWL providers, because they focus on only one type of 
procedure, can defray costs by increasing volume and by being more 
efficient than other providers that furnish ESWL only on an irregular 
basis. If sufficient volume cannot be generated due to the increase in 
patient access to lithotripsy services, as one commenter observed to be 
the case, the supply of lithotripters combined with their mobility may 
exceed the demand for single specialty, fixed ESWL suppliers in high 
saturation areas. We noted above our determination to avoid 
establishing Medicare payment policy that stimulates redundant 
services, which in turn typically result in inflated per procedure 
costs.
    Comment: One commenter asked how payment for CPT code 52337--
Cystourethroscopy, with ureteroscopy and/or pyeloscopy (includes 
dilation of the ureter and/or pyeloureteral junction by any method); 
with lithotripsy (ureteral catheterization is included) would be 
affected by the proposed ESWL payment scheme.
    Response: Based on the ratesetting methodology proposed in this 
notice, CPT code 52337 is in APC group 524. The payment rate proposed 
for that group is $1,131.
    Comment: Capital and operating expenses vary significantly from 
region to region and cannot be reasonably represented with broad based 
adjustment factors. Do HCFA/Medicare geographic adjustment guidelines 
take variations in capital and operating expenses into account?
    Response: No. The adjustment to ASC payment rates that Medicare 
makes to offset geographic differences applies only to differences in 
labor costs.

I. Schedule and Publication of Updates

    Section 1833(i)(1) of the Act requires that the ASC list be 
reviewed and updated at least biennially, and section 1833(i)(2) 
requires that ASC payment rates be updated annually. Section 
141(a)(1)(B) of SSAA 1994 added paragraph (C) to section 1833(i)(2), 
requiring that ASC payment rates be increased by the percentage 
increase in the consumer price index for all urban consumers (U.S. city 
average) (CPI-U), beginning in fiscal year 1996, during years when the 
rates are not updated in accordance with survey data. In the Federal 
Register notice published on December 31, 1991 (56 FR 67666), we tied 
ASC rate updates with the annual update of the PPS wage index and we 
said that we would coordinate rate updates with the ASC list update. In 
subsequent years, we have succeeded in implementing ASC rate updates 
resulting from a CPI-U adjustment to coincide with implementation of 
the annual update of the PPS wage index, but we have been less 
successful in coordinating the rate updates with the list updates, in 
part because the ASC list updates have tended to be more closely 
related to the calendar year revisions of CPT than to PPS wage index 
changes.
    1. Update of ASC List
    There are two ways in which HCFA updates the ASC list. First, we 
modify the list to reflect the annual changes made to CPT and 
alphanumeric HCPCS codes. For example, if the American Medical 
Association (AMA) deletes from CPT a code that has been on the ASC 
list, we remove the code from the ASC list. In some cases, AMA modifies 
the descriptors of CPT codes or creates a new code to replace a deleted 
code. We have always incorporated these changes into the ASC list. In 
order to make the CPT changes in as timely a manner as possible, we 
have instructed

[[Page 32320]]

carriers directly to modify the ASC list to conform with the CPT 
changes without first publishing a notice in the Federal Register to 
announce what the changes will be. We have felt justified in by-passing 
the Federal Register because the annual CPT changes have been more 
editorial than substantive. And we eventually list these changes in the 
next Federal Register notice that is published on the subject of the 
ASC list.
    When we review the ASC list against the standards for determining 
whether or not procedures are appropriate for the ASC setting or to 
determine if a code describing an altogether new procedure should be 
added to the ASC list, we go through the Federal Register notice and 
comment process to furnish an opportunity for public comment on 
additions to or deletions from the list that we propose to make. We 
also incorporate into these notices recommendations for change that we 
receive between updates to the list.
    We propose to replace Sec. 416.65(c) in the current ASC regulations 
with new Sec. 416.22(c). In the revised regulation, we make explicit 
our intention not to publish in the Federal Register prior notice of 
changes made to the ASC list to reflect the annual changes made to CPT. 
We also indicate that we will go through the standard notice and 
comment process in the Federal Register when procedures are added to or 
deleted from the list in accordance with the standards in paragraphs 
(a) and (b) of Sec. 416.22.
    We further propose, as a matter of policy, to update the ASC list 
on a calendar year basis, to coincide with the annual updates of the 
HCPCS and the Medicare physicians' fee schedule.
2. Update of ASC Payment Rates
    We propose to replace the current section Sec. 416.130 with revised 
Sec. 416.32. We clarify that when ASC payment rates are updated solely 
by a CPI-U factor to comply with 1833(i)(2)(C), we intend only to 
publish a notice that announces the new CPI-U adjusted rates, without a 
formal comment period. When HCFA rebases the ASC payment rates to 
reflect data collected through the quinquennial survey of ASCs required 
under 1833(i)(2)(A)(i) of the Act, we will go through a full notice and 
comment or rulemaking cycle, depending on whether or not changes to the 
regulations are to be proposed.
    As with the updates of the ASC list, we further propose as a matter 
of policy to update the ASC payment rates on a calendar year basis to 
coincide with the annual updates of the HCPCS and the Medicare 
physicians' fee schedule. This represents a departure from our current 
policy of implementing rate updates on October 1 to coincide with the 
annual update of the hospital inpatient prospective payment system 
(PPS) wage index. We believe that the improved efficiency and reduced 
paperwork resulting from coordinating all of the ASC updates--the list, 
payment rates, and wage index-- to coincide with the annual CPT update 
outweighs any disadvantages that might result from postponing for three 
months implementation of revised PPS wage index values.

J. Technical Changes to 42 CFR Part 416

1. ASC Payment Rates
    We have rewritten, reorganized, and renumbered Sec. 416.125 to 
create new Sec. 416.31. This revised section summarizes the 
characteristics of ASC payment rates, e.g., they are prospectively 
determined; they take into account the per procedure costs of providing 
services by ASCs generally; they are based on audited survey data; they 
are updated annually by a CPI-U factor during years when they are not 
rebased using survey data; and, they must result in substantially less 
being paid by Medicare than would have been paid if the procedures on 
the ASC list were performed on a hospital inpatient basis.
2. ASC Survey
    The purpose of the ASC survey is to furnish HCFA with data on the 
costs incurred by ASCs to furnish facility services in connection with 
procedures on the ASC list. HCFA uses these data for the purpose of 
setting ASC payment rates. The SSAA 1994 amended section 1833(i)(2)(A) 
to require that ASC costs, which are to be the basis of the standard 
ASC fees determined by HCFA, be determined by a survey of a 
representative sample of procedures and facilities that is taken every 
five years. The 1994 Amendments also make it a requirement that these 
costs be audited. We have revised Sec. 416.140 to include these new 
requirements and we have renumbered this section as Sec. 416.33.
    We issued the last ASC survey on March 15, 1994, and the rates that 
are proposed in this notice are based on the data reported in that 
survey which were subsequently verified by audit. The 1994 survey was 
entitled ``Medicare Ambulatory Surgical Center Payment Rate Survey--
1994: II. Facility Overhead and Procedure Specific Costs'' (Form HCFA-
452B, OMB No. 0938-0434, expired March 1997). The next ASC survey must 
be taken in 1999. Because the survey form that we used in 1994 has 
expired, we have to have HCFA Form 452 reinstated and approved by the 
Office of Management and Budget (OMB) before we can survey ASCs in 
1999. HCFA Form 452 is being revised, and decisions regarding survey 
format and content for the 1999 ASC survey are pending. We expect to 
consult representatives of the ASC industry for assistance in revising 
HCFA Form 452 before it is submitted to OMB for reinstatement and 
approval.
    In Sec. 416.33, we propose to extend the time period allowed for 
completion of the survey from 60 to 90 days, with the option of an 
additional 30-day extension if the facility can demonstrate good cause 
for not completing the survey within the allotted 90 days.

K. Explanation and Use of Addenda

    The addenda on the following pages present in schematic form the 
updated ASC payment rates, additions to and deletions from the ASC 
list, payment policy indicators, and ambulatory payment classification 
(APC) groups that are proposed in this notice.

Addendum A--Proposed Ambulatory Surgical Center (ASC) Payment 
Status by HCPCS Code and Related Information

    This addendum is a list of the 1998 HCPCS codes:
    1. CPT/HCPCS code. This column is a list of the 1998 CPT and 
alphanumeric HCPCS codes. With the exception of the surgical CPT codes, 
most of the codes in Addendum A show only a payment policy indicator.
    2. Payment Policy Indicator (PPI). This indicator shows whether the 
CPT/HCPCS code is on the ASC list and whether it is paid for as part of 
the ASC facility fee, or separately payable if the service is covered, 
or not payable as an ASC service.
    1=Procedure on ASC list. Codes with this indicator are procedures 
for which Medicare pays ASCs a prospectively determined facility fee. 
The codes with this indicator constitute the list of ASC covered 
procedures (ASC list).
    2=Bundled service/no separate payment. Payment for covered services 
is always bundled into payment for other services not specified. 
Medicare does not make separate payment when these services are 
furnished in an ASC. Payment is already included within the ASC 
facility fee or submitted within payment(s) made for or the services.
    3=Excluded from ASC list. Codes with this indicator are for a 
procedure, item or service that is excluded from the list of ASC 
covered procedures because it is not reasonable, not necessary, not 
appropriate or not safe in an ASC

[[Page 32321]]

setting. Medicare does not pay an ASC facility fee for these codes.
    4=Invalid code/90-day grace period. Codes with this indicator are 
not valid for Medicare purposes. Medicare recognizes a 90-day grace 
period following designation of the code as invalid, during which the 
code may be used, pending full implementation of the specified 
replacement code. ASCs and hospital outpatient departments are to use 
another code to bill for these services.
    5=Office-based procedure. No payment is allowed for ASC facility 
services. If this procedure is performed in an ASC, the ASC is 
considered a physician's office, and the physician's fee constitutes 
payment in full.
    6=Separate payment when furnished by an ASC. Codes with this 
indicator are for items or services that fall outside the scope of ASC 
facility services or that are unrelated to or do not apply to the ASC 
benefit. Medicare does not include payment for the item or service in 
the ASC facility fee. However, if this item or service is supplied at 
an ASC in connection with a surgical procedure on the ASC list, 
Medicare could make separate payment under other sections of Medicare 
Part B in accordance with applicable coverage and payment provisions 
and requirements.
    7=ASC restricted coverage procedure. Special coverage instructions 
apply. The APC group shown signifies the payment rate to be paid in the 
event the carrier determines that the procedure or service is 
reasonable and necessary.
    8=Reserved for future use.
    9=Medicare does not allow payment for the item or service.
    3. Description of Code. This is an abbreviated version of the 
narrative description of the code. Note: All CPT codes and descriptors 
are copyrighted by the American Medical Association. CPT-4 codes 
including both long and short descriptor shall be used in accordance 
with the HCFA/AMA agreement. Any other use violates the AMA copyright.
    4. Current payment group. If applicable, this column gives the ASC 
payment group to which the code is currently assigned.
    5. Current Payment Rate. If applicable, this column gives the 
current ASC payment rate.
    6. Proposed APC group. This is the payment group to which the code 
would be assigned under the proposed ambulatory payment classification 
(APC) system.
    7. Proposed Payment Rate. Where applicable, this is the ASC payment 
rate proposed for the code.
    8. Relative Value Factor. Indicates the relationship between the 
payment rate assigned to the code and the median payment rate ($504) 
determined for the 41 surgical APC groups that are priced on the basis 
of 1994 ASC survey data.
    9. Add/Delete. ``Add'' indicates that the code is proposed for 
addition to the ASC list. ``Delete'' indicates that the code is 
currently on the ASC list and that we propose to delete it from the ASC 
list.

Addendum B--Proposed Ambulatory Surgical Center (ASC) List by 
Ambulatory Payment Classification (APC) Groups and Related 
Information

    This addendum lists CPT codes on the ASC list in order of 
ambulatory payment classification (APC) group and gives the long 
descriptor of each CPT/HCPC code on the ASC list.

    Note: All CPT codes and descriptors are copyrighted by the 
American Medical Association. CPT-4 codes including both long and 
short descriptor shall be used in accordance with the HCFA/AMA 
agreement. Any other use violates the AMA copyright.

Addendum C--List of APC Groups and Related Information

    This addendum lists in numeric order the number and title of the 
APC groups used as the basis for setting the ASC payment rates proposed 
in this notice. The proposed ASC payment rate and relative value factor 
for each APC group are shown.

Addendum D--Ambulatory Surgical Center (ASC) Wage Index

IV. 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.
    The information collection requirements and associated burden as 
summarized below are subject to the PRA:

Section 416.4  Termination of participation, including billing 
privileges

    In summary, an ASC that wishes to terminate its participation and 
billing privileges in Medicare must send HCFA written notice of its 
intent. The notice must state the intended date of termination which 
must be the first day of a calendar month. Furthermore, the ASC must 
give prompt notice of the date and effect of termination to the public, 
through publication in local newspapers, after HCFA has approved or set 
a termination date.
    The burden for this requirement involves sending the written intent 
to terminate notice to HCFA and publishing the required third party 
disclosure notice in a local newspaper.
    The table below indicates the annual number of responses for the 
regulation section in this proposed rule containing information 
collection requirements, the average burden per response in minutes or 
hours, and the total annual burden hours.

                                          Estimated Annual Burden Chart                                         
----------------------------------------------------------------------------------------------------------------
                                        Annual number                                              Annual burden
             CFR sections               of responses          Average burden per response              hours    
----------------------------------------------------------------------------------------------------------------
416.4 (written notice)...............              25  10 minutes...............................             4.2
416.4 (publication)..................              25  30 minutes...............................            12.5
                                                                                                 ---------------
    Total Hours......................  ..............    .......................................              17
----------------------------------------------------------------------------------------------------------------


[[Page 32322]]

Section 416.33(b)(1)  Surveys

    In summary, Sec. 416.33(b)(1) requires ASCs to maintain adequate 
financial and facility records to allow accurate completion of the 
report specified in subparagarph (b)(2) of this section in the event 
they are selected to participate in the quinquennial ASC survey as a 
member of the representative sample of facilities.
    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 will be 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 above is of 
the type that are usual and customary in the conduct of commercial 
business. Thus, we believe the burden to be exempt for these 
requirements.

Section 416.33(b)(2)  Surveys

    In summary, Sec. 416.33(b)(2) requires ASCs to submit within 90 
days of a request, from HCFA, ASC survey data. HCFA issued the last ASC 
survey in 1994, ``Medicare Ambulatory Surgical Center Payment Rate 
Survey--1994: II. Facility Overhead and Procedure Specific Costs,'' 
Form HCFA-452B, OMB No. 0938-0434, expired March 1997. Form HCFA 452 is 
being revised, and decisions regarding survey format and content for 
the 1999 ASC survey are pending. We expect to consult representatives 
of the ASC industry for assistance in revising Form HCFA 452 before it 
is submitted to OMB for approval. In addition, HCFA will publish a 
separate Federal Register notice soliciting public comments for the ASC 
Survey.
    We have submitted a copy of this proposed rule to OMB for its 
review of the information collection requirements described above. 
These requirements are not effective until they have been approved by 
OMB.
    If you comment on any of these information collection and 
recordkeeping requirements, please mail copies directly to the 
following: Office of Information and Regulatory Affairs, Office of 
Management and Budget, Room 10235, New Executive Office Building, 
Washington, DC 20503, Attn.: Allison Eydt, HCFA Desk Officer.

V. Regulatory Impact Analysis

    We have examined the impacts of this proposed 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 
Unfunded Mandates Reform Act of 1995 also requires (in section 202) 
that agencies prepare an assessment of anticipated costs and benefits 
before proposing 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 Actuarial and Health Cost Analysis Group of HCFA's Office of 
Strategic Planning estimates that the rebased ASC payment rates 
proposed in this notice reduce Medicare payments to ASCs by two percent 
from current spending levels, in the aggregate. Actuarial estimates of 
the modest savings to Medicare that are the result of the regrouping 
and repricing of the ASC list proposed in this notice are as follows:

                       Projected Medicare Savings                       
                             [In millions]*                             
------------------------------------------------------------------------
                                                                        
------------------------------------------------------------------------
FY 1998........................................................     $-20
FY 1999........................................................      -20
FY 2000........................................................      -20
FY 2001........................................................      -20
FY 2002........................................................      -20
FY 2003........................................................     -20 
------------------------------------------------------------------------
* Rounded to the nearest $10 million.                                   

    The Balanced Budget Act of 1997 is considered in the estimate, 
including the prospective payment system for hospital outpatient 
services to be implemented on January 1, 1999, the formula-driven 
overpayment elimination effective October 1, 1997, and the ASC update 
reduced by two percentage points for each of the fiscal years 1998 
through 2002.
    This proposed rule has no consequential effect on State, local, or 
tribal governments, and, based on the actuarial estimates shown above, 
we believe the private sector costs of this rule fall below the 
economic thresholds established by E.O. 12866 and by the Unfunded 
Mandates Act of 1995. Because this notice is not an economically 
significant regulatory action under either E.O. 12866 or the Unfunded 
Mandates Act of 1995, a regulatory impact analysis is not required.
    Consistent with the provisions of the Regulatory Flexibility Act, 
we analyze options for regulatory relief for small businesses and other 
small entities. We generally prepare a regulatory flexibility analysis 
that is consistent with the Regulatory Flexibility Act (RFA) (5 U.S.C. 
601 through 612) unless we certify that a notice will not have a 
significant economic impact on a substantial number of small entities. 
The regulatory flexibility analysis is to include a justification of 
why action is being taken, the kinds and number of small entities the 
proposed rule will affect, and an explanation of any considered 
meaningful options that achieve the objectives and would lessen any 
significant adverse economic impact on the small entities. For purposes 
of the RFA, we consider ASCs to be small entities. In addition, section 
1102(b) of the Social Security Act requires us to prepare a regulatory 
impact analysis if a notice may have a significant impact on the 
operations of a substantial number of small rural hospitals. 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.
    We believe that the rebased rates proposed in this notice will 
affect revenues of most Medicare approved ASCs that furnish services to 
Medicare beneficiaries and, to a lesser extent, revenues of hospitals 
that perform procedures on the ASC list on an outpatient basis. We have 
therefore prepared the following regulatory flexibility analysis which, 
together with the rest of this preamble, meets all three assessment 
requirements under the RFA. We will have explained the rationale for 
and purposes of the rule, analyzed alternatives, and presented the 
measures we propose to minimize the burden on small entities.

A. Rebased Payment Rates

    This notice implements section 1833(i)(2)(A)(i) of the Act, which 
mandates that payment amounts for ASC facility services take into 
account costs incurred by ASCs generally to furnish services in 
connection with procedures on the ASC list, as determined by a survey 
of the actual audited costs incurred by ASCs taken not later than 
January 1, 1995 and every five years thereafter.
1. Impact on ASCs
    In the aggregate, based on actuarial estimates, we expect the 
revised rates

[[Page 32323]]

proposed in this notice to result in a two percent reduction in 
Medicare outlays for ASC facility services. Given the negligible 
magnitude of this reduction, we can say that the effect of rebasing the 
ASC rates and revising the ASC list is virtually budget neutral when 
viewed in the aggregate. This outcome is attributable primarily to the 
lower payment rate determined for the two procedures with the highest 
ASC volume: CPT codes 66984 and 66821. These two procedures alone 
account for approximately 46 percent of ASC Medicare volume, which 
helps offset the effect of increased expenditures that will result from 
higher payment rates for procedures such as hernia repair, hammertoe 
and bunion correction surgery, arthoscopic procedures, and from the 
addition of extracorporeal shock wave lithotripsy (ESWL) to the ASC 
list.
    However, the change in payment rate for virtually every procedure 
on the ASC list--with some procedures receiving a lower rate and others 
receiving a higher rate than they do currently--could affect the 
Medicare revenues of individual ASCs, depending on factors such as 
patient volume and case mix and the type of procedures performed. Of 
the 295 facilities whose 1994 survey responses are the basis for the 
rates proposed in this notice, 54 (18 percent) reported that more than 
60 percent their total volume in a 12-month period comprised of some 
combination of CPT codes in the range between 66820 and 66986 cataract 
procedures. For most of those facilities, Medicare utilization exceeded 
fifty percent, and for 16 facilities, Medicare utilization exceeded 
seventy-five percent. The rates proposed in this CPT range represent, 
overall, a drop of about eleven percent from current payment rates for 
cataract-related procedures. The rate we propose for CPT code 66984, 
the highest volume ASC procedure representing 35 percent of all ASC 
Medicare volume in 1996, decreases by 8 percent. The rate for CPT code 
66821, the second highest volume ASC procedure representing 11 percent 
of all ASC Medicare volume in 1996, decreases by 35 percent. Obviously 
facilities that specialize in these two cataract-related procedures are 
going to be affected more dramatically by the proposed rebased rates 
than are facilities where the volume of these procedures is lower.
    The rates that we propose in this notice for certain high volume 
gastrointestinal and urinary tract endoscopies are also lower than 
current rates for the same procedures, such as CPT code 43239 (22 
percent decrease), CPT code 45378 (16 percent decrease) and CPT code 
52000 (32 percent decrease). As a group, endoscopies are second only to 
CPT codes 66984 and 66821 with respect to Medicare utilization of ASCs. 
Of the 295 facilities whose 1994 survey responses are the basis for the 
rates proposed in this notice, 17 (6 percent) reported that more than 
60 percent of their total volume in a 12-month period comprised some 
combination of CPT codes encompassing gastrointestinal endoscopies. 
However, in only one of those 17 facilities did Medicare utilization 
exceed fifty percent, and for 11 facilities, Medicare utilization was 
less than thirty-five percent.
    Not all of the rebased rates proposed in this notice are reductions 
of current rates. The rebased rates proposed for arthroscopic surgery, 
for some gynecological procedures, for certain podiatric procedures, 
for carpal tunnel release, for hernia repair, and for certain eye 
procedures involving the cornea and the retina are higher than the 
current rates for those procedures. Facilities where those procedures 
are now being performed will, upon implementation of the rebased rates, 
be paid a facility fee that more closely approximates the cost of doing 
the surgery and that should allow the facility a reasonable return, as 
will facilities performing procedures for which the rebased rates are 
lower than current ASC payment.
    Some smaller, single specialty ASCs may experience some decrease in 
Medicare payment upon implementation of the rebased rates proposed in 
this notice, especially if their annual total volume of cases is less 
than 1000, if the proportion of Medicare beneficiaries that they serve 
greatly exceeds the 34 percent average ASC Medicare volume, or if they 
perform a case mix of procedures whose rebased rates are all lower than 
current rates. Congress does not provide us with tools such as a 
``hold-harmless'' clause or a transition period for implementation of 
rebased rates that could serve to deflect some of the adverse effects 
of lower payment rates. However, judging from the 1994 survey data, 
even though efficient ASCs may experience a fractional reduction in 
profits, we do not think that they will suddenly be faced with serious 
financial reverses as a result of the rates proposed in this notice. 
That is because the rebased rates proposed in this notice are closer to 
costs based on verified data reported by ASCs than are the current 
rates, which are based on data collected in 1986.
    We emphasize that the rates proposed in this notice have been 
determined in accordance with audited cost, charge, and utilization 
data reported by a representative sample of ASCs, as we explained in 
detail earlier in this notice. To summarize the process we used to 
establish the payment rates proposed in this notice using audit 
adjusted 1994 survey data--
    Step 1--We standardized the original reported CPT code charges and 
facility overhead costs of the 199 unaudited facilities by the percent 
of difference between audited and original reported data of the 96 
audited facilities.
    Step 2--We determined each facility's cost-to-charge ratio by 
dividing the facility's total costs by its total charges.
    Step 3--We converted each procedure charge to a procedure cost by 
multiplying each facility's procedure charge by the facility's cost-to-
charge ratio.
    Step 4--Because the facilities' IOL costs were imbedded in the 
calculated procedure cost for IOL insertion procedures (CPT codes 
66983, 66984, 66985, and 66986), we reduced those procedure costs by 
the facility specific average IOL cost to offset the carrier's addition 
of the $150 allowance for the IOL.
    Step 5--To remove the effects of area wage differences, we 
neutralized the cost of each procedure by dividing the facility-
specific labor-related portion of procedure cost by the hospital 
inpatient prospective payment system pre-reclassification//pre-floor 
wage index value applicable to the facility's location. We then added 
the wage adjusted labor-related portion of procedure cost back to the 
nonlabor-related portion.
    Step 6--We applied an inflation adjustment based on the CPI-U to 
each procedure cost in order to account for historical and projected 
price changes occurring between the midpoint of the facility's fiscal 
period represented in our data base and the midpoint of the 12-month 
period to which the new rates would apply (July 1, 1998).
    Step 7--We grouped the procedure codes into APCs based on clinical 
and cost similarities.
    Step 8--For the 41 APCs with sufficient ASC survey cost data, we 
calculated the median procedure cost for all Medicare cases within the 
group to determine the group payment rate.
    Step 9--We designated the median of the payment rates for the 41 
APCs with sufficient ASC survey cost date as a conversion factor 504.
    Step 10--We assigned a value to each of the remaining 64 APCs for 
which we had inadequate ASC survey data based on an estimate of each 
APC group's relative similarity to or deviation from the 41 APCs for 
which we had sufficient survey data.

[[Page 32324]]

    Step 11--We multiplied the relative value of each of the 64 groups 
by a conversion factor of 504 to determine the group payment rate.
    By using survey data reported by ASCs that was checked and verified 
by audit, we have determined ASC payment rates that are generally lower 
than current ASC payment rates. In one sense, the lower proposed 
payment rates are a tribute to the efficiency and success of ASCs 
generally in holding the line on facility costs. Lower rates reflect 
lower costs that are the result of improved technology, efficiency, and 
experience. The fact remains that regardless of the method we used to 
calculate payment rates, whether we used dollar intervals to group 
codes like the current methodology or APC groups or an individual per 
procedure fee schedule or weighted or unweighted medians or means, the 
relationship of the resulting rates relative to current rates remained 
the same: rates for high volume cataract-related procedures and 
gastrointestinal endoscopies were lower and rates for less frequently 
performed arthroscopies and various other general surgical procedures 
went up.
    Another explanation for the lower rebased rates could rest with the 
fact that the current eight ASC payment rates are based on data that 
were collected in 1986, which generally reflected 1984-85 cost and 
charge experience. We used 1986 survey data, adjusted for inflation, to 
rebase ASC payment rates effective for services furnished beginning on 
March 12, 1990. Between March 1990 and October 1996, we adjusted the 
ASC payment rates five times resulting in an across the board increase 
of approximately 20 percentage points for procedures in groups 1, 2, 3, 
4, 5, and 7. (The rates for groups 6 and 8, which are limited to 
intraocular lens (IOL) insertion procedures for which the IOL allowance 
was prescribed by statute, increased by only 7.5 percent during that 
time due to the statutory reduction in the IOL allowance from $200 to 
$150 effective January 1, 1994.) We did not rebase the 1990 rates, or 
take into account variations in cost resulting from changes in 
technology. The current eight ASC rates are therefore the result of 
across-the-board flat increases for inflation dating back to 1990 that 
do not reflect upward or downward changes in costs associated with 
individual procedures over the same period.

B. Additions to/Deletions From the ASC List

    The addition of outpatient procedures that were previously kept off 
the list will give ASCs an opportunity to increase volume and 
utilization as well as expand their revenue sources. The addition of a 
payment rate for ESWL will allow payment to ASCs for this procedure and 
make it available for Medicare beneficiaries in an ASC setting.
    The procedures that are being removed from the ASC list are not 
high volume procedures, and we do not expect their deletion from the 
ASC list to have any significant impact, negative or positive.

C. Impact of Technical Changes

    Most of the technical changes proposed in this notice--extending to 
90 days the period for completing the ASC survey; implementing all ASC 
updates on a calendar year basis; rearranging and reorganizing part 416 
of the Code of Federal Regulations; adding payment policy indicators; 
clarifying that procedures excluded from the ASC list are not 
reasonable and necessary in an ASC--are intended to streamline the ASC 
benefit and reduce ambiguity to the advantage of beneficiaries and ASCs 
alike without compromising beneficiary safety and positive surgical 
outcomes.

D. Impact on Hospitals and Small Rural Hospitals

    Section 1833(i)(3)(A) of the Act mandates the method of determining 
payments to hospitals for ASC-approved procedures performed in an 
outpatient setting. Congress believed some comparability should exist 
in the amount of payment to hospitals and ASCs for similar procedures. 
Congress recognized, however, that hospitals have certain overhead 
costs that ASCs do not and allowed for those costs by establishing a 
blended payment methodology. For ASC procedures performed in an 
outpatient setting, hospitals are paid based on the lower of their 
aggregate costs, aggregate charges, or a blend of 58 percent of the 
applicable wage-adjusted ASC rate and 42 percent of the lower of the 
hospital's aggregate costs or charges. According to statistics from the 
Office of the Actuary within HCFA, 12 percent of Medicare payments to 
hospitals by intermediaries is attributable to services furnished in 
conjunction with ASC-covered procedures performed on an outpatient 
basis.
    While an ASC rate change may not keep pace with actual hospital 
cost increases, we would recognize cost increases to the extent that 
the blended payment methodology includes aggregate hospital costs. The 
weight of the ASC portion of the blended payment amount, which would 
reflect the new ASC rates, is offset to a degree when hospital costs 
significantly exceed the ASC rate. Another element that could mitigate 
the effect of the rebased ASC rates on hospital outpatient payments is 
the application of the lowest payment screen in determining payments. 
Applying the lowest of costs, charges, or a blend can result in some 
hospitals being paid entirely on the basis of a hospital's costs or 
charges. In those instances, changes in the ASC rates will have no 
effect on hospital payments. The number of Medicare beneficiaries a 
hospital serves and its case-mix variation influence the total impact 
of the new ASC rates on Medicare payments to hospitals. Based on these 
factors, we do not believe that the provisions of this notice will have 
a significant impact on a substantial number of small rural hospitals. 
Moreover, the impact of rebased ASC rates on hospital outpatient 
payments will be eliminated upon implementation of a prospective 
payment system for hospital outpatient services in January 1999.
    In accordance with the provisions of Executive Order 12866, this 
proposed rule was reviewed by the Office of Management and Budget.

List of Subjects

42 CFR Part 416

    Health facilities, Kidney diseases, Medicare, Reporting and 
recordkeeping requirements.

42 CFR Part 488

    Administrative practice and procedure, Health facilities, Medicare, 
Reporting and recordkeeping requirements.

    42 CFR chapter IV would be amended as set forth below:

PART 416--AMBULATORY SURGICAL SERVICES

    A. Part 416 is amended as set forth below:
    1. The authority citation for part 416 continues to read as 
follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh).

    2. The heading of subpart A is revised and Sec. 416.1 is revised to 
read as follows:

Subpart A--Definitions and General Provisions and Requirements


Sec. 416.1  Basis and scope.

    (a) Statutory basis. (1) Section 1832(a)(2)(F) of the Act provides 
for Medicare Part B payment for facility services furnished by an 
ambulatory surgical center (ASC) in connection with surgical procedures 
specified by

[[Page 32325]]

the Secretary under section 1833(i)(1)(A) of the Act.
    (2) Section 1832(a)(2)(F)(i) of the Act provides that an ASC, in 
order to receive Medicare payment, must meet health, safety, and other 
standards specified by the Secretary in regulations and must also agree 
to accept assignment and to accept as payment in full for facility 
services furnished in connection with surgical procedures specified by 
the Secretary under section 1883(i)(1)(A) of the Act the payment amount 
determined under section 1833(i)(2)(A).
    (3) Section 1833(i)(1)(A) of the Act requires the Secretary to 
specify the surgical procedures that can be performed safely on an 
ambulatory basis in an ASC.
    (4) Section 1833(i)(2)(A) and (3) specify the amounts to be paid 
for facility services furnished in connection with the specified 
surgical procedures when they are performed, respectively, in an ASC or 
in a hospital outpatient department.
    (b) Scope. This part sets forth--
    (1) The scope of ASC facility services and the criteria for 
determining the procedures for which Medicare pays ASCs a facility fee;
    (2) The manner by which Medicare determines payment amounts for ASC 
facility services; and
    (3) The conditions that an ASC must meet in order to participate in 
the Medicare program.
    3. Section 416.2 is revised to read as follows:


416.2  Definitions

    As used in this part:
    An Ambulatory Surgical Center or ASC means a supplier that--
    (1) Has its own National Identifier under Medicare;
    (2) Is a separate entity with respect to its licensure, 
accreditation, governance, professional supervision, administrative 
functions, clinical services, record keeping, and financial and 
accounting systems;
    (3) Has as its sole purpose the furnishing of services in 
connection with surgical procedures that do not require inpatient 
hospitalization; and
    (4) Meets the conditions and requirements set forth in all subparts 
of this part.
    ASC list means the list of procedures that HCFA specifies can be 
safely and appropriately performed in an ASC, for which Medicare allows 
payment of an ASC facility fee in accordance with the provisions of 
this part.
    ASC services means services that a Medicare approved ASC furnishes 
in connection with procedures on the ASC list and for which Medicare 
pays a prospectively-determined ASC facility fee.
    Hospital-operated ASC means an ASC that is owned and operated by a 
hospital but that is a separate entity with respect to its licensure, 
accreditation, governance, professional supervision, administrative 
functions, clinical services, recordkeeping, and financial and 
accounting systems. A hospital-operated ASC must meet all the 
conditions and requirements set forth in subparts A, B, C and D of this 
part.
    4. Section 416.25 is redesignated as Sec. 416.3 and is transferred 
to subpart A and is revised to read as follows:


Sec. 416.3  Basic Requirements

    Participation as an ASC, including billing privileges, is limited 
to facilities that meet the following conditions:
    (a) Meet the definition in Sec. 416.2.
    (b) Have State licensure in States where licensure is required.
    (c) Meet the conditions for coverage specified in subpart D of this 
part and report promptly to HCFA any failure to do so.
    (d) Charge the beneficiary or any other person on the beneficiary's 
behalf only the applicable deductible and coinsurance amounts for 
services for which the beneficiary--
    (1) Is entitled to have payment made on his or her behalf under 
this part; or
    (2) Would have been so entitled if the ASC had filed a request for 
payment in accordance with Sec. 410.165 of this chapter.
    (e) Refund as promptly as possible any money incorrectly collected 
from beneficiaries or from someone on their behalf. As used in this 
section, money incorrectly collected means sums collected in excess of 
those specified in paragraph (d) of this section. It includes amounts 
collected for a period of time when the beneficiary was believed not to 
be entitled to Medicare benefits if--
    (1) The beneficiary is later determined to have been entitled to 
Medicare benefits; and
    (2) The beneficiary's entitlement period falls within the time the 
ASC's agreement with HCFA is in effect.
    (f) Furnish to HCFA, if requested, information necessary to 
establish payment rates as specified in subpart C, and in the form and 
manner that HCFA requires;
    (g) Accept assignment for all items and services that it furnishes 
to Medicare beneficiaries for which payment may be made under Medicare 
Part B in connection with procedures on the ASC list. For purposes of 
this section, assignment means an assignment under Sec. 424.55 of this 
chapter of the right to receive payment under Medicare Part B and 
payment under Sec. 424.64 of this chapter (when an individual dies 
before assigning the claim).
    (h) Are in compliance with ASC requirements set forth in Part 488--
Survey, Certification, and Enforcement Procedures.
    (i) Have in effect a validated Medicare health care provider/
supplier enrollment application.
    5. Section 416. 4 is added to subpart A to read as follows:


Sec. 416.4  Termination of participation, including billing privileges.

    (a) Termination by the ASC--(1) Notice to HCFA. An ASC that wishes 
to terminate its participation and billing privileges in Medicare must 
send HCFA written notice of its intent.
    (2) Date of termination. The notice must state the intended date of 
termination, which must be the first day of a calendar month.
    (i) If the notice does not specify a date, or the date is not 
acceptable to HCFA, HCFA may set a date that will not be more than 6 
months from the date on the ASC's notice of intent.
    (ii) HCFA may accept a termination date that is less than 6 months 
after the date on the ASC's notice if it determines that to do so would 
not unduly disrupt services to the community or otherwise interfere 
with the effective and efficient administration of the Medicare 
program.
    (3) Voluntary termination. If an ASC ceases to furnish services to 
the community, that shall be deemed to be a voluntary termination of 
the agreement by the ASC, effective on the last day of business with 
Medicare beneficiaries.
    (b) Termination by HCFA. (1) Cause for termination. HCFA may 
terminate an ASC's participation, including its billing privileges, if 
it determines that the ASC--
    (i) No longer meets the conditions for coverage as specified under 
subpart D of this part; or
    (ii) Is not in substantial compliance with the provisions and the 
requirements of subparts A, B, and C of this part, or other applicable 
regulations of subchapter B of this chapter, or any applicable 
provisions of title XVIII of the Act.
    (2) Notice of termination. HCFA sends notice of termination to the 
ASC at least 15 days before the effective date stated in the notice.
    (3) Appeal by the ASC. An ASC may appeal the termination of its 
participation, including its billing privileges, in accordance with the 
provisions set forth in part 498 of this chapter.

[[Page 32326]]

    (c) Effect of termination. Payment is not available for ASC 
services furnished on or after the effective date of termination.
    (d) Notice to the public. Prompt notice of the date and effect of 
termination is given to the public, through publication in local 
newspapers by--
    (1) The ASC, after HCFA has approved or set a termination date; or
    (2) HCFA, when it has terminated the ASC's participation, including 
its billing privileges.
    (e) Conditions for reinstatement after termination by HCFA. When 
HCFA terminates an ASC's participation in Medicare, which includes 
terminating its billing privileges, the ASC may not file another 
application to participate in the Medicare program as an ASC unless 
HCFA--
    (1) Finds that the reason for the prior termination has been 
removed; and
    (2) Is assured that the reason for the termination will not recur.
    6. Subpart B is revised; subpart D is removed; subpart C is 
redesignated as subpart D, and Sec. 416.40 is removed; and subpart E is 
redesignated as subpart C and revised. The revised subparts B and C 
read as follows:

Subpart B--Scope of Benefits


Sec. 416.20  General rules.

    The services for which payment is made under this part are facility 
services furnished to Medicare beneficiaries by a participating ASC in 
connection with procedures on the ASC list as specified by HCFA in 
accordance with Sec. 416.22.


Sec. 416.21  Scope of ASC services.

    (a) Included services. ASC services include but are not limited to:
    (1) Nursing, technician, and related services.
    (2) Use of the facility where the surgical procedures are 
performed.
    (3) Items and services directly related and integral to the pre-
operative preparation of patients upon their admission to the ASC for 
surgery, to the performance of a surgical procedure(s), and to the 
post-operative and/or post-anesthesia care of patients prior to their 
discharge from the ASC. This includes, but is not limited to, any 
laboratory testing performed under a Clinical Laboratory Improvement 
Amendments of 1988 (CLIA) certificate of waiver; drugs and biologicals; 
medical and surgical supplies and equipment; surgical dressings; 
splints, casts and other devices used for reduction of fractures and 
dislocations; and, imaging services or other diagnostic tests integral 
to a surgical procedure.
    (4) Administrative, recordkeeping, and housekeeping items and 
services.
    (5) Materials, including supplies and equipment, for the 
administration and monitoring of anesthesia.
    (6) Intra-ocular lenses (IOLs).
    (b) Excluded services. ASC services do not include certain items 
and services for which payment may be made under other provisions of 
this chapter, such as physician services, diagnostic X-ray services and 
other diagnostic tests (other than those integral to the performance of 
a surgical procedure), diagnostic laboratory tests, X-ray therapy and 
other radiation therapy, prosthetic devices (except IOLs), ambulance 
services, leg, arm, back and neck braces, artificial limbs, and durable 
medical equipment for use in the patient's home. In addition, ASC 
services do not include anesthetist services furnished on or after 
January 1, 1989.


Sec. 416.22  ASC list.

    The ASC list consists of those procedures that HCFA, in 
consultation with appropriate trade and professional associations, 
specifies as being appropriately and safely performed in an ASC. 
Paragraphs (a) and (b) of this section list the criteria HCFA uses to 
determine if a procedure is to be placed on the ASC list. Medicare 
payment of an ASC facility fee is not allowed for ASC services 
furnished in connection with procedures excluded from the ASC list in 
accordance with the criteria in paragraph (b) of this section. The ASC 
list is published in accordance with paragraph (c) of this section.
    (a) Procedures on the ASC list. Procedures on the ASC list are 
those surgical and other medical procedures that generally--
    (1) Require surgical facilities and services of the kind that are 
typically provided in a hospital inpatient setting;
    (2) Would not be expected to necessitate admission as an inpatient 
to a hospital either to perform the procedure or to recover from the 
procedure post-operatively;
    (3) Require a dedicated operating room (or suite) or procedure room 
and a room for post-operative recovery; and
    (4) Are not otherwise excluded under Sec. 411.15 of this chapter, 
or paragraph (b) of this section.
    (b) Procedures excluded from the ASC list. A procedure with any of 
the following characteristics is not considered safe or appropriate in 
an ASC setting. A procedure with any of these characteristics is not 
reasonable or medically necessary in an ASC setting. Payment of an ASC 
facility fee for procedures excluded from the ASC list in accordance 
with any of the following characteristics is not allowed. A procedure 
is excluded from the ASC list if it--
    (1) Generally results in extensive blood loss;
    (2) Requires major or prolonged invasion of body cavities;
    (3) Directly involves major blood vessels;
    (4) Is generally emergent or life-threatening in nature; or
    (5) Requires admission to a hospital on an inpatient basis in order 
to have the procedure performed or to recover from the procedure.
    (c) Publication of ASC list. HCFA publishes the ASC list in the 
Federal Register as appropriate.
    (1) HCFA automatically revises the ASC list to ensure that it 
conforms timely with coding changes resulting from the annual update of 
the Health Care Financing Administration Common Procedure Coding System 
(HCPCS). The effective date of changes to the ASC list resulting from 
HCPCS coding changes are concurrent with the effective date of the 
HCPCS revision. HCFA announces these conforming changes in the first 
Federal Register notice published thereafter, either in accordance with 
paragraph (c)(2) of this section or in accordance with Sec. 416.32.
    (2) When HCFA adds procedures to or deletes procedures from the ASC 
list in accordance with the criteria in paragraphs (a) and (b) of this 
section, HCFA publishes a notice in the Federal Register explaining the 
rationale for the proposed changes and soliciting public comments on 
both the proposed changes and the payment rates proposed for procedures 
under consideration for addition to the list. After reviewing public 
comments, HCFA publishes a notice in the Federal Register to establish 
the final revisions to the ASC list.


Sec. 416.23  Performance of procedures on the ASC list in a hospital 
inpatient setting.

    The fact that a procedure is on the ASC list does not preclude its 
coverage in a hospital inpatient setting.

Subpart C--Payment for Facility Services


Sec. 416.30  Basis for payment.

    The basis for payment for facility services depends upon the type 
of entity at which the services are furnished.
    (a) Physician's office. Payment is in accordance with part 414 of 
this chapter.
    (b) Hospital outpatient department. Payment is in accordance with 
part 413 of this chapter.

[[Page 32327]]

    (c) Hospital-operated ASC. (1) The ASC participates and is paid 
only as an ASC without the option of converting to or being paid as a 
hospital outpatient department, unless HCFA first determines there is 
good cause to do otherwise.
    (2) Costs for the ASC are treated as a nonreimbursable cost center 
on the hospital's cost report.
    (d) ASC--General rule. Payment is based on a prospectively 
determined rate.
    (1) This rate includes payment for the cost of ASC services such as 
supplies, nursing services, equipment, etc., as specified in 
Sec. 416.21. The ASC payment rate for insertion of an intraocular lens 
(IOL) during or subsequent to cataract removal includes an amount for 
the IOL that is reasonable and related to the cost of acquiring the 
lens.
    (2) The ASC payment rate does not include payment for certain 
medical and other health services that are covered but that may be 
billed and paid for separately under part 410 of this chapter, such as 
physician services, X-ray services or other diagnostic tests not 
integral to the performance of a surgical procedure, or prosthetic 
implants (other than IOLs).
    (3) Because procedures excluded from the ASC list on the basis of 
the standards in Sec. 416.22(b) are not ``reasonable and necessary,'' 
Medicare does not allow payment of an ASC facility fee for those 
procedures. (See Sec. 411.15(k)(1) of this chapter.)
    (e) Single and multiple surgical procedures. (1) If one procedure 
on the ASC list is performed in a single operative session, payment of 
the ASC facility fee is based on the prospectively determined rate for 
that one procedure.
    (2) If more than one surgical procedure is furnished in a single 
operative session, payment is based on--
    (i) The full rate for the procedure with the highest prospectively 
determined rate; and
    (ii) One half of the prospectively determined rate for each of the 
other procedures.
    (f) Deductibles and coinsurance. Part B deductible and coinsurance 
amounts apply as specified in Sec. 410.152 (a) and (i) of this chapter.


Sec. 416.31  ASC payment rates.

    (a) The payment rate for a procedure on the ASC list is based on a 
standard prospectively determined per procedure overhead amount.
    (1) The standard overhead amount represents HCFA's estimate of a 
fair per-procedure fee that takes into account the costs incurred by an 
ASC generally in providing facility services in connection with the 
performance of the procedure.
    (2) HCFA surveys ASCs as described in Sec. 416.33 to determine the 
costs incurred by ASCs generally in providing ASC services in 
connection with the performance of procedures on the ASC list.
    (3) HCFA conducts an audit of a randomly-selected sample of the 
surveys submitted in accordance with the requirements in Sec. 416.33 to 
ensure that the costs from which it derives ASC payment rates are 
reported accurately and in a manner consistent with Medicare principles 
of reasonable cost reimbursement.
    (b) The ASC payment rate must result in substantially less being 
paid under the program than would have been paid if the procedures had 
been performed on an inpatient basis in a hospital.
    (c) In setting ASC payment rates, HCFA may adopt reasonable 
classifications of facilities and may establish different rates for 
different types of surgical procedures.
    (d) For the years when HCFA does not rebase ASC payment rates using 
survey data collected in accordance with Sec. 416.33, HCFA updates the 
existing ASC payment rates by the percentage increase in the consumer 
price index for all urban consumers (U.S. city average) as estimated 
for the 12-month period ending with the midpoint of the year involved.


Sec. 416.32  Publication of revised payment rates.

    Once implemented, ASC payment rates remain in effect until HCFA 
publishes a notice in the Federal Register to change the rates.
    (a) When HCFA rebases ASC payment rates using survey data collected 
in accordance with Sec. 416.33, HCFA publishes a notice in the Federal 
Register describing the method it followed to rebase the rates and 
soliciting public comments on both the proposed new rates and the 
ratesetting method. After reviewing public comments, HCFA publishes a 
final notice in the Federal Register to establish the new, rebased 
rates.
    (b) During years when HCFA updates ASC payment rates using a 
consumer price index factor as described in Sec. 416.31(d), HCFA 
publishes a notice in the Federal Register to announce the updated 
rates.


Sec. 416.33  Surveys.

    (a) Timing, purpose, and procedures. (1) Beginning not later than 
January 1, 1995 and every 5 years thereafter, HCFA conducts a survey of 
ASCs based upon a representative sample of procedures and facilities to 
collect data for the purpose of rebasing ASC payment rates.
    (2) HCFA notifies ASCs by mail of their selection to participate in 
the ASC survey and of the form and content of the report the ASCs must 
submit.
    (3) If the facility does not submit an adequate report in response 
to HCFA's survey request, HCFA may terminate the ASC's Medicare billing 
privileges and its participation in the Medicare program.
    (4) ASCs have 90 days within which to complete and submit the 
survey. HCFA may grant a 30-day postponement of the due date for the 
survey report if it determines that the facility has demonstrated good 
cause for the delay.
    (b) Requirements for ASCs. ASCs must--
    (1) Maintain adequate financial and facility records to allow 
accurate completion of the report specified in paragraph (b)(2) of this 
section in the event they are selected to participate in the 
quinquennial ASC survey as a member of the representative sample of 
facilities.
    (2) Within 90 days of a request from HCFA for survey data submit, 
in the form and detail specified by HCFA, a report of--
    (i) Their operations, including the allowable costs actually 
incurred for the period and the actual number and a list of surgical 
procedures performed during the period; and
    (ii) Their customary charges for each surgical procedure performed 
during the period.


Sec. 416.34  Beneficiary appeals.

    A beneficiary (or ASC as his or her assignee) may request a hearing 
by a carrier (subject to the limitations and conditions set forth in 
part 405, subpart H of this chapter) if the beneficiary or the ASC--
    (a) Is dissatisfied with a carrier's denial of a request for 
payment made on his or her behalf by an ASC;
    (b) Is dissatisfied with the amount of payment; or
    (c) Believes the request for payment is not being acted upon with 
reasonable promptness.

PART 488--SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES

    B. Part 488 is amended as set forth below:
    1. The authority citation for part 488 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. 488.1 the definition of ``supplier'' is revised to read 
as follows:

[[Page 32328]]

Sec. 488.1  Definitions.

* * * * *
    Supplier means any of the following: Independent laboratory; 
portable X-ray services; physical therapist in independent practice; 
ESRD facility; rural health clinic; Federally qualified health center; 
chiropractor; or ambulatory surgical center.
* * * * *
(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)

    Dated: March 20, 1998.
Nancy-Ann Min DeParle,
Administrator, Health Care Financing Administration.

    Approved: April 28, 1998.
Donna E. Shalala,
Secretary.


   Addendum A.--Proposed Ambulatory Surgical Center (ASC) Payment Status by HCPCS Code and Related Information  
----------------------------------------------------------------------------------------------------------------
              ASC                           Current    Current               Proposed   Relative                
 CPT \1\/   payment       Description       payment    payment    Proposed   payment     value       Add \2\/   
  HCPCS    indicator                         group       rate    APC group     rate      factor       Delete    
----------------------------------------------------------------------------------------------------------------
00100....          2  Anesth, skin         .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00102....          2  Anesth, repair of    .........  .........  .........  .........  .........  ..............
                       cleft lip.                                                                               
00103....          2  Anesth,              .........  .........  .........  .........  .........  ..............
                       blepharoplasty.                                                                          
00104....          2  Anesth for           .........  .........  .........  .........  .........  ..............
                       electroshock.                                                                            
00120....          2  Anesthesia for ear   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00124....          2  Anesthesia for ear   .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
00126....          2  Anesth, tympanotomy  .........  .........  .........  .........  .........  ..............
00140....          2  Anesth, procedures   .........  .........  .........  .........  .........  ..............
                       on eye.                                                                                  
00142....          2  Anesthesia for lens  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00144....          2  Anesth, corneal      .........  .........  .........  .........  .........  ..............
                       transplant.                                                                              
00145....          2  Anesth, vitrectomy.  .........  .........  .........  .........  .........  ..............
00147....          2  Anesth, iridectomy.  .........  .........  .........  .........  .........  ..............
00148....          2  Anesthesia for eye   .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
00160....          2  Anesth, nose, sinus  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00162....          2  Anesth, nose, sinus  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00164....          2  Anesth, biopsy of    .........  .........  .........  .........  .........  ..............
                       nose.                                                                                    
00170....          2  Anesth, procedure    .........  .........  .........  .........  .........  ..............
                       on mouth.                                                                                
00172....          2  Anesth, cleft        .........  .........  .........  .........  .........  ..............
                       palate repair.                                                                           
00174....          2  Anesth, pharyngeal   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00176....          2  Anesth, pharyngeal   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00190....          2  Anesth, facial bone  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00192....          2  Anesth, facial bone  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00210....          2  Anesth, open head    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00212....          2  Anesth, skull        .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
00214....          2  Anesth, skull        .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
00215....          2  Anesth, skull        .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
00216....          2  Anesth, head vessel  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00218....          2  Anesth, special      .........  .........  .........  .........  .........  ..............
                       head surgery.                                                                            
00220....          2  Anesth, spinal       .........  .........  .........  .........  .........  ..............
                       fluid shunt.                                                                             
00222....          2  Anesth, head nerve   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00300....          2  Anesth, skin         .........  .........  .........  .........  .........  ..............
                       surgery, neck.                                                                           
00320....          2  Anesth, neck organ   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00322....          2  Anesth, biopsy of    .........  .........  .........  .........  .........  ..............
                       thyroid.                                                                                 
00350....          2  Anesth, neck vessel  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00352....          2  Anesth, neck vessel  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00400....          2  Anesth, chest skin   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00402....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       breast.                                                                                  
00404....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       breast.                                                                                  
00406....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       breast.                                                                                  
00410....          2  Anesth, correct      .........  .........  .........  .........  .........  ..............
                       heart rhythm.                                                                            
00420....          2  Anesth, skin         .........  .........  .........  .........  .........  ..............
                       surgery, back.                                                                           
00450....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       shoulder.                                                                                
00452....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       shoulder.                                                                                
00454....          2  Anesth, collar bone  .........  .........  .........  .........  .........  ..............
                       biopsy.                                                                                  
00470....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       rib.                                                                                     
00472....          2  Anesth, chest wall   .........  .........  .........  .........  .........  ..............
                       repair.                                                                                  
00474....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       rib(s).                                                                                  
00500....          2  Anesth, esophageal   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00520....          2  Anesth, chest        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
00522....          2  Anesth, chest        .........  .........  .........  .........  .........  ..............
                       lining biopsy.                                                                           
00524....          2  Anesth, chest        .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
00528....          2  Anesth, chest        .........  .........  .........  .........  .........  ..............
                       partition view.                                                                          
00530....          2  Anesth, pacemaker    .........  .........  .........  .........  .........  ..............
                       insertion.                                                                               
00532....          2  Anesth, vascular     .........  .........  .........  .........  .........  ..............
                       access.                                                                                  
00534....          2  Anesth,              .........  .........  .........  .........  .........  ..............
                       cardioverter/defib.                                                                      
00540....          2  Anesth, chest        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00542....          2  Anesth, release of   .........  .........  .........  .........  .........  ..............
                       lung.                                                                                    
00544....          2  Anesth, chest        .........  .........  .........  .........  .........  ..............
                       lining removal.                                                                          
00546....          2  Anesth, lung, chest  .........  .........  .........  .........  .........  ..............
                       wall surg.                                                                               
00548....          2  Anesth, trachea,     .........  .........  .........  .........  .........  ..............
                       bronchi surg.                                                                            
00560....          2  Anesth, open heart   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00562....          2  Anesth, open heart   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00580....          2  Anesth, heart/lung   .........  .........  .........  .........  .........  ..............
                       transplant.                                                                              
00600....          2  Anesth, spine, cord  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 

[[Page 32329]]

                                                                                                                
00604....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       vertebra.                                                                                
00620....          2  Anesth, spine, cord  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00622....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       nerves.                                                                                  
00630....          2  Anesth, spine, cord  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00632....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       nerves.                                                                                  
00634....          2  Anesth for           .........  .........  .........  .........  .........  ..............
                       chemonucleolysis.                                                                        
00670....          2  Anesth, spine, cord  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00700....          2  Anesth, abdominal    .........  .........  .........  .........  .........  ..............
                       wall surg.                                                                               
00702....          2  Anesth, for liver    .........  .........  .........  .........  .........  ..............
                       biopsy.                                                                                  
00730....          2  Anesth, abdominal    .........  .........  .........  .........  .........  ..............
                       wall surg.                                                                               
00740....          2  Anesth, gi           .........  .........  .........  .........  .........  ..............
                       visualization.                                                                           
00750....          2  Anesth, repair of    .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
00752....          2  Anesth, repair of    .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
00754....          2  Anesth, repair of    .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
00756....          2  Anesth, repair of    .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
00770....          2  Anesth, blood        .........  .........  .........  .........  .........  ..............
                       vessel repair.                                                                           
00790....          2  Anesth, surg upper   .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
00792....          2  Anesth, part liver   .........  .........  .........  .........  .........  ..............
                       removal.                                                                                 
00794....          2  Anesth, pancreas     .........  .........  .........  .........  .........  ..............
                       removal.                                                                                 
00796....          2  Anesth, for liver    .........  .........  .........  .........  .........  ..............
                       transplant.                                                                              
00800....          2  Anesth, abdominal    .........  .........  .........  .........  .........  ..............
                       wall surg.                                                                               
00802....          2  Anesth, fat layer    .........  .........  .........  .........  .........  ..............
                       removal.                                                                                 
00810....          2  Anesth, intestine    .........  .........  .........  .........  .........  ..............
                       endoscopy.                                                                               
00820....          2  Anesth, abdominal    .........  .........  .........  .........  .........  ..............
                       wall surg.                                                                               
00830....          2  Anesth, repair of    .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
00832....          2  Anesth, repair of    .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
00840....          2  Anesth, surg lower   .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
00842....          2  Anesth,              .........  .........  .........  .........  .........  ..............
                       amniocentesis.                                                                           
00844....          2  Anesth, pelvis       .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00846....          2  Anesth,              .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
00848....          2  Anesth, pelvic       .........  .........  .........  .........  .........  ..............
                       organ surg.                                                                              
00850....          2  Anesth, cesarean     .........  .........  .........  .........  .........  ..............
                       section.                                                                                 
00855....          2  Anesth,              .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
00857....          2  Analgesia, labor &   .........  .........  .........  .........  .........  ..............
                       c-section.                                                                               
00860....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
00862....          2  Anesth, kidney,      .........  .........  .........  .........  .........  ..............
                       ureter surg.                                                                             
00864....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
00865....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       prostate.                                                                                
00866....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       adrenal.                                                                                 
00868....          2  Anesth, kidney       .........  .........  .........  .........  .........  ..............
                       transplant.                                                                              
00870....          2  Anesth, bladder      .........  .........  .........  .........  .........  ..............
                       stone surg.                                                                              
00872....          2  Anesth, kidney       .........  .........  .........  .........  .........  ..............
                       stone destruct.                                                                          
00873....          2  Anesth, kidney       .........  .........  .........  .........  .........  ..............
                       stone destruct.                                                                          
00880....          2  Anesth, abdomen      .........  .........  .........  .........  .........  ..............
                       vessel surg.                                                                             
00882....          2  Anesth, major vein   .........  .........  .........  .........  .........  ..............
                       ligation.                                                                                
00884....          2  Anesth, major vein   .........  .........  .........  .........  .........  ..............
                       revision.                                                                                
00900....          2  Anesth, perineal     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
00902....          2  Anesth, anorectal    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00904....          2  Anesth, perineal     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00906....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       vulva.                                                                                   
00908....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       prostate.                                                                                
00910....          2  Anesth, bladder      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00912....          2  Anesth, bladder      .........  .........  .........  .........  .........  ..............
                       tumor surg.                                                                              
00914....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       prostate.                                                                                
00916....          2  Anesth, bleeding     .........  .........  .........  .........  .........  ..............
                       control.                                                                                 
00918....          2  Anesth, stone        .........  .........  .........  .........  .........  ..............
                       removal.                                                                                 
00920....          2  Anesth, genitalia    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00922....          2  Anesth, sperm duct   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
00924....          2  Anesth, testis       .........  .........  .........  .........  .........  ..............
                       exploration.                                                                             
00926....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       testis.                                                                                  
00928....          2  Anesth, removal of   .........  .........  .........  .........  .........  ..............
                       testis.                                                                                  
00930....          2  Anesth, testis       .........  .........  .........  .........  .........  ..............
                       suspension.                                                                              
00932....          2  Anesth, amputation   .........  .........  .........  .........  .........  ..............
                       of penis.                                                                                
00934....          2  Anesth, penis,       .........  .........  .........  .........  .........  ..............
                       nodes removal.                                                                           
00936....          2  Anesth, penis,       .........  .........  .........  .........  .........  ..............
                       nodes removal.                                                                           
00938....          2  Anesth, insert       .........  .........  .........  .........  .........  ..............
                       penis device.                                                                            
00940....          2  Anesth, vaginal      .........  .........  .........  .........  .........  ..............
                       procedures.                                                                              
00942....          2  Anesth, surgery on   .........  .........  .........  .........  .........  ..............
                       vagina.                                                                                  
00944....          2  Anesth, vaginal      .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
00946....          2  Anesth, vaginal      .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
00948....          2  Anesth, repair of    .........  .........  .........  .........  .........  ..............
                       cervix.                                                                                  
00950....          2  Anesth, vaginal      .........  .........  .........  .........  .........  ..............
                       endoscopy.                                                                               
00952....          2  Anesth, uterine      .........  .........  .........  .........  .........  ..............
                       endoscopy.                                                                               
00955....          2  Analgesia, vaginal   .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                

[[Page 32330]]

                                                                                                                
01000....          2  Anesth, skin         .........  .........  .........  .........  .........  ..............
                       surgery, pelvis.                                                                         
01110....          2  Anesth, skin         .........  .........  .........  .........  .........  ..............
                       surgery, pelvis.                                                                         
01120....          2  Anesth, pelvis       .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01130....          2  Anesth, body cast    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
01140....          2  Anesth, amputation   .........  .........  .........  .........  .........  ..............
                       at pelvis.                                                                               
01150....          2  Anesth, pelvic       .........  .........  .........  .........  .........  ..............
                       tumor surgery.                                                                           
01160....          2  Anesth, pelvis       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
01170....          2  Anesth, pelvis       .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01180....          2  Anesth, pelvis       .........  .........  .........  .........  .........  ..............
                       nerve removal.                                                                           
01190....          2  Anesth, pelvis       .........  .........  .........  .........  .........  ..............
                       nerve removal.                                                                           
01200....          2  Anesth, hip joint    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
01202....          2  Anesth, arthroscopy  .........  .........  .........  .........  .........  ..............
                       of hip.                                                                                  
01210....          2  Anesth, hip joint    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01212....          2  Anesth, hip          .........  .........  .........  .........  .........  ..............
                       disarticulation.                                                                         
01214....          2  Anesth, replacement  .........  .........  .........  .........  .........  ..............
                       of hip.                                                                                  
01220....          2  Anesth, procedure    .........  .........  .........  .........  .........  ..............
                       on femur.                                                                                
01230....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       femur.                                                                                   
01232....          2  Anesth, amputation   .........  .........  .........  .........  .........  ..............
                       of femur.                                                                                
01234....          2  Anesth, radical      .........  .........  .........  .........  .........  ..............
                       femur surg.                                                                              
01240....          2  Anesth, upper leg    .........  .........  .........  .........  .........  ..............
                       skin surg.                                                                               
01250....          2  Anesth, upper leg    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01260....          2  Anesth, upper leg    .........  .........  .........  .........  .........  ..............
                       veins surg.                                                                              
01270....          2  Anesth, thigh        .........  .........  .........  .........  .........  ..............
                       arteries surg.                                                                           
01272....          2  Anesth, femoral      .........  .........  .........  .........  .........  ..............
                       artery surg.                                                                             
01274....          2  Anesth, femoral      .........  .........  .........  .........  .........  ..............
                       embolectomy.                                                                             
01300....          2  Anesth, skin         .........  .........  .........  .........  .........  ..............
                       surgery, knee.                                                                           
01320....          2  Anesth, knee area    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01340....          2  Anesth, knee area    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
01360....          2  Anesth, knee area    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01380....          2  Anesth, knee joint   .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
01382....          2  Anesth, knee         .........  .........  .........  .........  .........  ..............
                       arthroscopy.                                                                             
01390....          2  Anesth, knee area    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
01392....          2  Anesth, knee area    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01400....          2  Anesth, knee joint   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01402....          2  Anesth, replacement  .........  .........  .........  .........  .........  ..............
                       of knee.                                                                                 
01404....          2  Anesth, amputation   .........  .........  .........  .........  .........  ..............
                       at knee.                                                                                 
01420....          2  Anesth, knee joint   .........  .........  .........  .........  .........  ..............
                       casting.                                                                                 
01430....          2  Anesth, knee veins   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01432....          2  Anesth, knee vessel  .........  .........  .........  .........  .........  ..............
                       surg.                                                                                    
01440....          2  Anesth, knee         .........  .........  .........  .........  .........  ..............
                       arteries surg.                                                                           
01442....          2  Anesth, knee artery  .........  .........  .........  .........  .........  ..............
                       surg.                                                                                    
01444....          2  Anesth, knee artery  .........  .........  .........  .........  .........  ..............
                       repair.                                                                                  
01460....          2  Anesth, lower leg    .........  .........  .........  .........  .........  ..............
                       skin surg.                                                                               
01462....          2  Anesth, lower leg    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
01464....          2  Anesth, ankle        .........  .........  .........  .........  .........  ..............
                       arthroscopy.                                                                             
01470....          2  Anesth, lower leg    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01472....          2  Anesth, achilles     .........  .........  .........  .........  .........  ..............
                       tendon surg.                                                                             
01474....          2  Anesth, lower leg    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01480....          2  Anesth, lower leg    .........  .........  .........  .........  .........  ..............
                       bone surg.                                                                               
01482....          2  Anesth, radical leg  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01484....          2  Anesth, lower leg    .........  .........  .........  .........  .........  ..............
                       revision.                                                                                
01486....          2  Anesth, ankle        .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
01490....          2  Anesth, lower leg    .........  .........  .........  .........  .........  ..............
                       casting.                                                                                 
01500....          2  Anesth, leg          .........  .........  .........  .........  .........  ..............
                       arteries surg.                                                                           
01502....          2  Anesth, lowerleg     .........  .........  .........  .........  .........  ..............
                       embolectomy.                                                                             
01520....          2  Anesth, lower leg    .........  .........  .........  .........  .........  ..............
                       vein surg.                                                                               
01522....          2  Anesth, lower leg    .........  .........  .........  .........  .........  ..............
                       vein surg.                                                                               
01600....          2  Anesth, shoulder     .........  .........  .........  .........  .........  ..............
                       skin surg.                                                                               
01610....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       shoulder.                                                                                
01620....          2  Anesth, shoulder     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
01622....          2  Anesth, shoulder     .........  .........  .........  .........  .........  ..............
                       arthroscopy.                                                                             
01630....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       shoulder.                                                                                
01632....          2  Anesth, surgery of   .........  .........  .........  .........  .........  ..............
                       shoulder.                                                                                
01634....          2  Anesth, shoulder     .........  .........  .........  .........  .........  ..............
                       joint amput.                                                                             
01636....          2  Anesth, forequarter  .........  .........  .........  .........  .........  ..............
                       amput.                                                                                   
01638....          2  Anesth, shoulder     .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
01650....          2  Anesth, shoulder     .........  .........  .........  .........  .........  ..............
                       artery surg.                                                                             
01652....          2  Anesth, shoulder     .........  .........  .........  .........  .........  ..............
                       vessel surg.                                                                             
01654....          2  Anesth, shoulder     .........  .........  .........  .........  .........  ..............
                       vessel surg.                                                                             
01656....          2  Anesth, arm-leg      .........  .........  .........  .........  .........  ..............
                       vessel surg.                                                                             
01670....          2  Anesth, shoulder     .........  .........  .........  .........  .........  ..............
                       vein surg.                                                                               
01680....          2  Anesth, shoulder     .........  .........  .........  .........  .........  ..............
                       casting.                                                                                 
01682....          2  Anesth, airplane     .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
01700....          2  Anesth, elbow area   .........  .........  .........  .........  .........  ..............
                       skin surg.                                                                               

[[Page 32331]]

                                                                                                                
01710....          2  Anesth, elbow area   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01712....          2  Anesth, upperarm     .........  .........  .........  .........  .........  ..............
                       tendon surg.                                                                             
01714....          2  Anesth, upperarm     .........  .........  .........  .........  .........  ..............
                       tendon surg.                                                                             
01716....          2  Anesth, biceps       .........  .........  .........  .........  .........  ..............
                       tendon repair.                                                                           
01730....          2  Anesth, upperarm     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
01732....          2  Anesth, elbow        .........  .........  .........  .........  .........  ..............
                       arthroscopy.                                                                             
01740....          2  Anesth, upper arm    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01742....          2  Anesth, humerus      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01744....          2  Anesth, humerus      .........  .........  .........  .........  .........  ..............
                       repair.                                                                                  
01756....          2  Anesth, radical      .........  .........  .........  .........  .........  ..............
                       humerus surg.                                                                            
01758....          2  Anesth, humeral      .........  .........  .........  .........  .........  ..............
                       lesion surg.                                                                             
01760....          2  Anesth, elbow        .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
01770....          2  Anesth, upperarm     .........  .........  .........  .........  .........  ..............
                       artery surg.                                                                             
01772....          2  Anesth, upperarm     .........  .........  .........  .........  .........  ..............
                       embolectomy.                                                                             
01780....          2  Anesth, upper arm    .........  .........  .........  .........  .........  ..............
                       vein surg.                                                                               
01782....          2  Anesth, upperarm     .........  .........  .........  .........  .........  ..............
                       vein repair.                                                                             
01784....          2  Anesth, av fistula   .........  .........  .........  .........  .........  ..............
                       repair.                                                                                  
01800....          2  Anesth, lower arm    .........  .........  .........  .........  .........  ..............
                       skin surg.                                                                               
01810....          2  Anesth, lower arm    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01820....          2  Anesth, lower arm    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
01830....          2  Anesth, lower arm    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01832....          2  Anesth, wrist        .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
01840....          2  Anesth, lowerarm     .........  .........  .........  .........  .........  ..............
                       artery surg.                                                                             
01842....          2  Anesth, lowerarm     .........  .........  .........  .........  .........  ..............
                       embolectomy.                                                                             
01844....          2  Anesth, vascular     .........  .........  .........  .........  .........  ..............
                       shunt surg.                                                                              
01850....          2  Anesth, lower arm    .........  .........  .........  .........  .........  ..............
                       vein surg.                                                                               
01852....          2  Anesth, lowerarm     .........  .........  .........  .........  .........  ..............
                       vein repair.                                                                             
01860....          2  Anesth, lower arm    .........  .........  .........  .........  .........  ..............
                       casting.                                                                                 
01900....          2  Anesth, uterus/tube  .........  .........  .........  .........  .........  ..............
                       inject.                                                                                  
01902....          2  Anesth, burr holes,  .........  .........  .........  .........  .........  ..............
                       skull.                                                                                   
01904....          2  Anesth, skull x-ray  .........  .........  .........  .........  .........  ..............
                       inject.                                                                                  
01906....          2  Anesth, lumbar       .........  .........  .........  .........  .........  ..............
                       myelography.                                                                             
01908....          2  Anesth, cervical     .........  .........  .........  .........  .........  ..............
                       myelography.                                                                             
01910....          2  Anesth, skull        .........  .........  .........  .........  .........  ..............
                       myelography.                                                                             
01912....          2  Anesth, lumbar       .........  .........  .........  .........  .........  ..............
                       discography.                                                                             
01914....          2  Anesth, cervical     .........  .........  .........  .........  .........  ..............
                       discography.                                                                             
01916....          2  Anesth, head         .........  .........  .........  .........  .........  ..............
                       arteriogram.                                                                             
01918....          2  Anesth, limb         .........  .........  .........  .........  .........  ..............
                       arteriogram.                                                                             
01920....          2  Anesth, catheterize  .........  .........  .........  .........  .........  ..............
                       heart.                                                                                   
01921....          2  Anesth, vessel       .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
01922....          2  Anesth, cat or MRI   .........  .........  .........  .........  .........  ..............
                       scan.                                                                                    
01990....          6  Support for organ    .........  .........  .........  .........  .........  ..............
                       donor.                                                                                   
01995....          2  Regional             .........  .........  .........  .........  .........  ..............
                       anesthesia, limb.                                                                        
01996....          2  Manage daily drug    .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
01999....          3  Unlisted anesth      .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
10040....          5  Acne surgery of      .........  .........  .........  .........  .........  ..............
                       skin abscess.                                                                            
10060....          5  Drainage of skin     .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
10061....          5  Drainage of skin     .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
10080....          5  Drainage of          .........  .........  .........  .........  .........  ..............
                       pilonidal cyst.                                                                          
10081....          5  Drainage of          .........  .........  .........  .........  .........  ..............
                       pilonidal cyst.                                                                          
10120....          5  Remove foreign body  .........  .........  .........  .........  .........  ..............
10121....          1  Remove foreign body  .........  .........        163       $449       0.89  Add.          
10140....          5  Drainage of          .........  .........  .........  .........  .........  ..............
                       hematoma/fluid.                                                                          
10160....          5  Puncture drainage    .........  .........  .........  .........  .........  ..............
                       of lesion.                                                                               
10180....          5  Complex drainage,            2       $422  .........  .........  .........  Delete.       
                       wound.                                                                                   
11000....          5  Debride infected     .........  .........  .........  .........  .........  ..............
                       skin.                                                                                    
11001....          5  Debride infect skin  .........  .........  .........  .........  .........  ..............
                       add.                                                                                     
11010....          1  Debride skin, fx...  .........  .........        163       $449       0.89  Add.          
11011....          1  Debride skin/        .........  .........        163       $449       0.89  Add.          
                       muscle, fx.                                                                              
11012....          1  Debride skin/muscle/ .........  .........        163       $449       0.89  Add.          
                       bone, fx.                                                                                
11040....          5  Debride skin         .........  .........  .........  .........  .........  ..............
                       partial.                                                                                 
11041....          5  Debride skin full..  .........  .........  .........  .........  .........  ..............
11042....          5  Debride skin/tissue          2       $422  .........  .........  .........  Delete.       
11043....          1  Debride tissue/              2       $422        162       $187       0.37  ..............
                       muscle.                                                                                  
11044....          1  Debride tissue/              2       $422        162       $187       0.37  ..............
                       muscle/bone.                                                                             
11055....          5  Trim skin lesion...  .........  .........  .........  .........  .........  ..............
11056....          5  Trim 2 to 4 skin     .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
11057....          5  Trim over 4 skin     .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
11100....          5  Biopsy of skin       .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11101....          5  Biopsy, each added   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11200....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       tags.                                                                                    
11201....          5  Removal of added     .........  .........  .........  .........  .........  ..............
                       skin tags.                                                                               
11300....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11301....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............

[[Page 32332]]

                                                                                                                
11302....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11303....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11305....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11306....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11307....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11308....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11310....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11311....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11312....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11313....          5  Shave skin lesion..  .........  .........  .........  .........  .........  ..............
11400....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11401....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11402....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11403....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11404....          1  Removal of skin              1       $314        162       $187       0.37  ..............
                       lesion.                                                                                  
11406....          1  Removal of skin              2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
11420....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11421....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11422....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11423....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11424....          1  Removal of skin              2       $422        162       $187       0.37  ..............
                       lesion.                                                                                  
11426....          1  Removal of skin              2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
11440....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11441....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11442....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11443....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11444....          1  Removal of skin              1       $314        162       $187       0.37  ..............
                       lesion.                                                                                  
11446....          1  Removal of skin              2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
11450....          1  Removal, sweat               2       $422        163       $449       0.89  ..............
                       gland lesion.                                                                            
11451....          1  Removal, sweat               2       $422        163       $449       0.89  ..............
                       gland lesion.                                                                            
11462....          1  Removal, sweat               2       $422        163       $449       0.89  ..............
                       gland lesion.                                                                            
11463....          1  Removal, sweat               2       $422        163       $449       0.89  ..............
                       gland lesion.                                                                            
11470....          1  Removal, sweat               2       $422        163       $449       0.89  ..............
                       gland lesion.                                                                            
11471....          1  Removal, sweat               2       $422        163       $449       0.89  ..............
                       gland lesion.                                                                            
11600....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11601....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11602....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11603....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11604....          1  Removal of skin              2       $422        162       $187       0.37  ..............
                       lesion.                                                                                  
11606....          1  Removal of skin              2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
11620....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11621....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11622....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11623....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11624....          1  Removal of skin              2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
11626....          1  Removal of skin              2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
11640....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11641....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11642....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11643....          5  Removal of skin      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
11644....          1  Removal of skin              2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
11646....          1  Removal of skin              2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
11719....          5  Trim nail(s).......  .........  .........  .........  .........  .........  ..............
11720....          5  Debride nail, 1-5..  .........  .........  .........  .........  .........  ..............
11721....          5  Debride nail, 6 or   .........  .........  .........  .........  .........  ..............
                       more.                                                                                    
11730....          5  Removal of nail      .........  .........  .........  .........  .........  ..............
                       plate.                                                                                   
11731....          5  Removal of second    .........  .........  .........  .........  .........  ..............
                       nail plate.                                                                              
11732....          5  Remove additional    .........  .........  .........  .........  .........  ..............
                       nail plate.                                                                              
11740....          5  Drain blood from     .........  .........  .........  .........  .........  ..............
                       under nail.                                                                              
11750....          5  Removal of nail bed  .........  .........  .........  .........  .........  ..............
11752....          1  Remove nail bed/     .........  .........        163       $449       0.89  Add.          
                       finger tip.                                                                              
11755....          5  Biopsy, nail unit..  .........  .........  .........  .........  .........  ..............
11760....          1  Reconstruction of    .........  .........        181       $150       0.30  Add.          
                       nail bed.                                                                                
11762....          1  Reconstruction of    .........  .........        181       $150       0.30  Add.          
                       nail bed.                                                                                
11765....          5  Excision of nail     .........  .........  .........  .........  .........  ..............
                       fold, toe.                                                                               
11770....          1  Removal of                   3       $482        162       $187       0.37  ..............
                       pilonidal lesion.                                                                        
11771....          1  Removal of                   3       $482        163       $449       0.89  ..............
                       pilonidal lesion.                                                                        
11772....          1  Removal of                   3       $482        163       $449       0.89  ..............
                       pilonidal lesion.                                                                        
11900....          5  Injection into skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
11901....          5  Add.ed skin lesions  .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
11920....          7  Correct skin color   .........  .........        181       $150       0.30  Add.          
                       defects.                                                                                 
11921....          7  Correct skin color   .........  .........        181       $150       0.30  Add.          
                       defects.                                                                                 
11922....          7  Correct skin color   .........  .........        181       $150       0.30  Add.          
                       defects.                                                                                 
11950....          7  Therapy for contour  .........  .........        181       $150       0.30  Add.          
                       defects.                                                                                 

[[Page 32333]]

                                                                                                                
11951....          7  Therapy for contour  .........  .........        181       $150       0.30  Add.          
                       defects.                                                                                 
11952....          7  Therapy for contour  .........  .........        181       $150       0.30  Add.          
                       defects.                                                                                 
11954....          7  Therapy for contour  .........  .........        181       $150       0.30  Add.          
                       defects.                                                                                 
11960....          1  Insert tissue                2       $422        183       $465       0.92  ..............
                       expander(s).                                                                             
11970....          1  Replace tissue               3       $482        183       $465       0.92  ..............
                       expander.                                                                                
11971....          1  Remove tissue                1       $314        163       $449       0.89  ..............
                       expander(s).                                                                             
11975....          9  Insert               .........  .........  .........  .........  .........  ..............
                       contraceptive cap.                                                                       
11976....          5  Removal of           .........  .........  .........  .........  .........  ..............
                       contraceptive cap.                                                                       
11977....          9  Removal/reinsert     .........  .........  .........  .........  .........  ..............
                       contra cap.                                                                              
12001....          1  Repair superficial   .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12002....          1  Repair superficial   .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12004....          1  Repair superficial   .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12005....          1  Repair superficial           2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12006....          1  Repair superficial           2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12007....          1  Repair superficial           2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12011....          1  Repair superficial   .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12013....          1  Repair superficial   .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12014....          1  Repair superficial   .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12015....          1  Repair superficial   .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12016....          1  Repair superficial           2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12017....          1  Repair superficial           2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12018....          1  Repair superficial           2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12020....          1  Closure of split             1       $314        181       $150       0.30  ..............
                       wound.                                                                                   
12021....          1  Closure of split             1       $314        181       $150       0.30  ..............
                       wound.                                                                                   
12031....          1  Layer closure of     .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12032....          1  Layer closure of     .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12034....          1  Layer closure of             2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12035....          1  Layer closure of             2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12036....          1  Layer closure of             2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12037....          1  Layer closure of             2       $422        183       $465       0.92  ..............
                       wound(s).                                                                                
12041....          1  Layer closure of     .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12042....          1  Layer closure of     .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12044....          1  Layer closure of             2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12045....          1  Layer closure of             2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12046....          1  Layer closure of             2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12047....          1  Layer closure of             2       $422        183       $465       0.92  ..............
                       wound(s).                                                                                
12051....          1  Layer closure of     .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12052....          1  Layer closure of     .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12053....          1  Layer closure of     .........  .........        181       $150       0.30  Add.          
                       wound(s).                                                                                
12054....          1  Layer closure of             2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12055....          1  Layer closure of             2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12056....          1  Layer closure of             2       $422        181       $150       0.30  ..............
                       wound(s).                                                                                
12057....          1  Layer closure of             2       $422        183       $465       0.92  ..............
                       wound(s).                                                                                
13100....          1  Repair of wound or           2       $422        182       $383       0.76  ..............
                       lesion.                                                                                  
13101....          1  Repair of wound or           3       $482        182       $383       0.76  ..............
                       lesion.                                                                                  
13120....          1  Repair of wound or           2       $422        182       $383       0.76  ..............
                       lesion.                                                                                  
13121....          1  Repair of wound or           3       $482        182       $383       0.76  ..............
                       lesion.                                                                                  
13131....          1  Repair of wound or           2       $422        182       $383       0.76  ..............
                       lesion.                                                                                  
13132....          1  Repair of wound or           3       $482        182       $383       0.76  ..............
                       lesion.                                                                                  
13150....          1  Repair of wound or           3       $482        182       $383       0.76  ..............
                       lesion.                                                                                  
13151....          1  Repair of wound or           3       $482        182       $383       0.76  ..............
                       lesion.                                                                                  
13152....          1  Repair of wound or           3       $482        182       $383       0.76  ..............
                       lesion.                                                                                  
13160....          1  Late closure of              2       $422        182       $383       0.76  ..............
                       wound.                                                                                   
13300....          1  Repair of wound or           4       $595        182       $383       0.76  ..............
                       lesion.                                                                                  
14000....          1  Skin tissue                  2       $422        183       $465       0.92  ..............
                       rearrangement.                                                                           
14001....          1  Skin tissue                  3       $482        183       $465       0.92  ..............
                       rearrangement.                                                                           
14020....          1  Skin tissue                  3       $482        183       $465       0.92  ..............
                       rearrangement.                                                                           
14021....          1  Skin tissue                  3       $482        183       $465       0.92  ..............
                       rearrangement.                                                                           
14040....          1  Skin tissue                  2       $422        183       $465       0.92  ..............
                       rearrangement.                                                                           
14041....          1  Skin tissue                  3       $482        183       $465       0.92  ..............
                       rearrangement.                                                                           
14060....          1  Skin tissue                  3       $482        183       $465       0.92  ..............
                       rearrangement.                                                                           
14061....          1  Skin tissue                  3       $482        183       $465       0.92  ..............
                       rearrangement.                                                                           
14300....          1  Skin tissue                  4       $595        183       $465       0.92  ..............
                       rearrangement.                                                                           
14350....          1  Skin tissue                  3       $482        183       $465       0.92  ..............
                       rearrangement.                                                                           
15000....          1  Skin graft                   2       $422        183       $465       0.92  ..............
                       procedure.                                                                               
15050....          1  Skin pinch graft             2       $422        183       $465       0.92  ..............
                       procedure.                                                                               
15100....          1  Skin split graft             2       $422        183       $465       0.92  ..............
                       procedure.                                                                               
15101....          1  Skin split graft             3       $482        183       $465       0.92  ..............
                       procedure.                                                                               
15120....          1  Skin split graft             2       $422        183       $465       0.92  ..............
                       procedure.                                                                               
15121....          1  Skin split graft             3       $482        183       $465       0.92  ..............
                       procedure.                                                                               
15200....          1  Skin full graft              3       $482        183       $465       0.92  ..............
                       procedure.                                                                               
15201....          1  Skin full graft              2       $422        183       $465       0.92  ..............
                       procedure.                                                                               
15220....          1  Skin full graft              2       $422        183       $465       0.92  ..............
                       procedure.                                                                               
15221....          1  Skin full graft              2       $422        183       $465       0.92  ..............
                       procedure.                                                                               

[[Page 32334]]

                                                                                                                
15240....          1  Skin full graft              3       $482        183       $465       0.92  ..............
                       procedure.                                                                               
15241....          1  Skin full graft              3       $482        183       $465       0.92  ..............
                       procedure.                                                                               
15260....          1  Skin full graft              2       $422        183       $465       0.92  ..............
                       procedure.                                                                               
15261....          1  Skin full graft              2       $422        183       $465       0.92  ..............
                       procedure.                                                                               
15350....          1  Skin homograft               2       $422        183       $465       0.92  ..............
                       procedure.                                                                               
15400....          1  Skin heterograft             2       $422        183       $465       0.92  ..............
                       procedure.                                                                               
15570....          1  Form skin pedicle            3       $482        183       $465       0.92  ..............
                       flap.                                                                                    
15572....          1  Form skin pedicle            3       $482        183       $465       0.92  ..............
                       flap.                                                                                    
15574....          1  Form skin pedicle            3       $482        183       $465       0.92  ..............
                       flap.                                                                                    
15576....          1  Form skin pedicle            3       $482        183       $465       0.92  ..............
                       flap.                                                                                    
15580....          1  Attach skin pedicle          3       $482        183       $465       0.92  ..............
                       graft.                                                                                   
15600....          1  Skin graft                   3       $482        183       $465       0.92  ..............
                       procedure.                                                                               
15610....          1  Skin graft                   3       $482        183       $465       0.92  ..............
                       procedure.                                                                               
15620....          1  Skin graft                   4       $595        183       $465       0.92  ..............
                       procedure.                                                                               
15625....          1  Skin graft                   3       $482        183       $465       0.92  ..............
                       procedure.                                                                               
15630....          1  Skin graft                   3       $482        183       $465       0.92  ..............
                       procedure.                                                                               
15650....          1  Transfer skin                5       $678        183       $465       0.92  ..............
                       pedicle flap.                                                                            
15732....          1  Muscle-skin graft,           3       $482        184       $565       1.12  ..............
                       head/neck.                                                                               
15734....          1  Muscle-skin graft,           3       $482        184       $565       1.12  ..............
                       trunk.                                                                                   
15736....          1  Muscle-skin graft,           3       $482        184       $565       1.12  ..............
                       arm.                                                                                     
15738....          1  Muscle-skin graft,           3       $482        184       $565       1.12  ..............
                       leg.                                                                                     
15740....          1  Island pedicle flap          2       $422        184       $565       1.12  ..............
                       graft.                                                                                   
15750....          1  Neurovascular                2       $422        184       $565       1.12  ..............
                       pedicle graft.                                                                           
15756....          3  Free muscle flap,            3       $482  .........  .........  .........  Delete.       
                       microvasc.                                                                               
15757....          3  Free skin flap,              3       $482  .........  .........  .........  Delete.       
                       microvasc.                                                                               
15758....          3  Free fascial flap,           3       $482  .........  .........  .........  Delete.       
                       microvasc.                                                                               
15760....          1  Composite skin               2       $422        184       $565       1.12  ..............
                       graft.                                                                                   
15770....          1  Derma-fat-fascia             3       $482        184       $565       1.12  ..............
                       graft.                                                                                   
15775....          7  Hair transplant      .........  .........        183       $465       0.92  Add.          
                       punch grafts.                                                                            
15776....          7  Hair transplant      .........  .........        183       $465       0.92  Add.          
                       punch grafts.                                                                            
15780....          1  Abrasion treatment   .........  .........        163       $449       0.89  Add.          
                       of skin.                                                                                 
15781....          1  Abrasion treatment   .........  .........        163       $449       0.89  Add.          
                       of skin.                                                                                 
15782....          1  Abrasion treatment   .........  .........        163       $449       0.89  Add.          
                       of skin.                                                                                 
15783....          5  Abrasion treatment   .........  .........  .........  .........  .........  ..............
                       of skin.                                                                                 
15786....          5  Abrasion treatment   .........  .........  .........  .........  .........  ..............
                       of lesion.                                                                               
15787....          5  Abrasion, added      .........  .........  .........  .........  .........  ..............
                       skin lesions.                                                                            
15788....          5  Chemical peel,       .........  .........  .........  .........  .........  ..............
                       face, epiderm.                                                                           
15789....          5  Chemical peel,       .........  .........  .........  .........  .........  ..............
                       face, dermal.                                                                            
15792....          5  Chemical peel,       .........  .........  .........  .........  .........  ..............
                       nonfacial.                                                                               
15793....          5  Chemical peel,       .........  .........  .........  .........  .........  ..............
                       nonfacial.                                                                               
15810....          5  Salabrasion........  .........  .........  .........  .........  .........  ..............
15811....          1  Salabrasion........  .........  .........        163       $449       0.89  Add.          
15819....          1  Plastic surgery,     .........  .........        183       $465       0.92  Add.          
                       neck.                                                                                    
15820....          1  Revision of lower    .........  .........        183       $465       0.92  Add.          
                       eyelid.                                                                                  
15821....          1  Revision of lower    .........  .........        183       $465       0.92  Add.          
                       eyelid.                                                                                  
15822....          1  Revision of upper    .........  .........        183       $465       0.92  Add.          
                       eyelid.                                                                                  
15823....          1  Revision of upper    .........  .........        183       $465       0.92  Add.          
                       eyelid.                                                                                  
15824....          7  Removal of forehead  .........  .........        184       $565       1.12  Add.          
                       wrinkles.                                                                                
15825....          7  Removal of neck      .........  .........        183       $465       0.92  Add.          
                       wrinkles.                                                                                
15826....          7  Removal of brow      .........  .........        184       $565       1.12  Add.          
                       wrinkles.                                                                                
15828....          7  Removal of face      .........  .........        184       $565       1.12  Add.          
                       wrinkles.                                                                                
15829....          7  Removal of skin      .........  .........        183       $465       0.92  Add.          
                       wrinkles.                                                                                
15831....          1  Excise excessive     .........  .........        184       $565       1.12  Add.          
                       skin tissue.                                                                             
15832....          1  Excise excessive     .........  .........        184       $565       1.12  Add.          
                       skin tissue.                                                                             
15833....          1  Excise excessive     .........  .........        184       $565       1.12  Add.          
                       skin tissue.                                                                             
15834....          1  Excise excessive     .........  .........        184       $565       1.12  Add.          
                       skin tissue.                                                                             
15835....          1  Excise excessive     .........  .........        183       $465       0.92  Add.          
                       skin tissue.                                                                             
15836....          1  Excise excessive     .........  .........        184       $565       1.12  Add.          
                       skin tissue.                                                                             
15837....          1  Excise excessive     .........  .........        184       $565       1.12  Add.          
                       skin tissue.                                                                             
15838....          1  Excise excessive     .........  .........        163       $449       0.89  Add.          
                       skin tissue.                                                                             
15839....          1  Excise excessive     .........  .........        184       $565       1.12  Add.          
                       skin tissue.                                                                             
15840....          1  Graft for face               4       $595        184       $565       1.12  ..............
                       nerve palsy.                                                                             
15841....          1  Graft for face               4       $595        184       $565       1.12  ..............
                       nerve palsy.                                                                             
15842....          1  Graft for face               4       $595        184       $565       1.12  ..............
                       nerve palsy.                                                                             
15845....          1  Skin and muscle              4       $595        184       $565       1.12  ..............
                       repair, face.                                                                            
15850....          5  Removal of sutures.  .........  .........  .........  .........  .........  ..............
15851....          5  Removal of sutures.  .........  .........  .........  .........  .........  ..............
15852....          5  Dressing change,not  .........  .........  .........  .........  .........  ..............
                       for burn.                                                                                
15860....          1  Test for blood flow  .........  .........        181       $150       0.30  Add.          
                       in graft.                                                                                
15876....          7  Suction assisted     .........  .........        184       $565       1.12  Add.          
                       lipectomy.                                                                               
15877....          7  Suction assisted     .........  .........        184       $565       1.12  Add.          
                       lipectomy.                                                                               
15878....          7  Suction assisted     .........  .........        184       $565       1.12  Add.          
                       lipectomy.                                                                               
15879....          7  Suction assisted     .........  .........        184       $565       1.12  Add.          
                       lipectomy.                                                                               
15920....          1  Removal of tail              3       $482        163       $449       0.89  ..............
                       bone ulcer.                                                                              

[[Page 32335]]

                                                                                                                
15922....          1  Removal of tail              4       $595        184       $565       1.12  ..............
                       bone ulcer.                                                                              
15931....          1  Remove sacrum                3       $482        163       $449       0.89  ..............
                       pressure sore.                                                                           
15933....          1  Remove sacrum                3       $482        163       $449       0.89  ..............
                       pressure sore.                                                                           
15934....          1  Remove sacrum                3       $482        184       $565       1.12  ..............
                       pressure sore.                                                                           
15935....          1  Remove sacrum                4       $595        184       $565       1.12  ..............
                       pressure sore.                                                                           
15936....          1  Remove sacrum                4       $595        184       $565       1.12  ..............
                       pressure sore.                                                                           
15937....          1  Remove sacrum                4       $595        184       $565       1.12  ..............
                       pressure sore.                                                                           
15940....          1  Removal of pressure          3       $482        163       $449       0.89  ..............
                       sore.                                                                                    
15941....          1  Removal of pressure          3       $482        163       $449       0.89  ..............
                       sore.                                                                                    
15944....          1  Removal of pressure          3       $482        184       $565       1.12  ..............
                       sore.                                                                                    
15945....          1  Removal of pressure          4       $595        184       $565       1.12  ..............
                       sore.                                                                                    
15946....          1  Removal of pressure          4       $595        184       $565       1.12  ..............
                       sore.                                                                                    
15950....          1  Remove thigh                 3       $482        163       $449       0.89  ..............
                       pressure sore.                                                                           
15951....          1  Remove thigh                 4       $595        163       $449       0.89  ..............
                       pressure sore.                                                                           
15952....          1  Remove thigh                 3       $482        184       $565       1.12  ..............
                       pressure sore.                                                                           
15953....          1  Remove thigh                 4       $595        184       $565       1.12  ..............
                       pressure sore.                                                                           
15956....          1  Remove thigh                 3       $482        184       $565       1.12  ..............
                       pressure sore.                                                                           
15958....          1  Remove thigh                 4       $595        184       $565       1.12  ..............
                       pressure sore.                                                                           
15999....          3  Removal of pressure  .........  .........  .........  .........  .........  ..............
                       sore.                                                                                    
16000....          5  Initial treatment    .........  .........  .........  .........  .........  ..............
                       of burn(s).                                                                              
16010....          1  Treatment of         .........  .........        152       $213       0.42  Add.          
                       burn(s).                                                                                 
16015....          1  Treatment of                 2       $422        152       $213       0.42  ..............
                       burn(s).                                                                                 
16020....          5  Treatment of         .........  .........  .........  .........  .........  ..............
                       burn(s).                                                                                 
16025....          5  Treatment of         .........  .........  .........  .........  .........  ..............
                       burn(s).                                                                                 
16030....          5  Treatment of                 1       $314  .........  .........  .........  Delete.       
                       burn(s).                                                                                 
16035....          1  Incision of burn             2       $422        162       $187       0.37  ..............
                       scab.                                                                                    
16040....          1  Burn wound excision  .........  .........        162       $187       0.37  Add.          
16041....          1  Burn wound excision  .........  .........        162       $187       0.37  Add.          
16042....          1  Burn wound excision  .........  .........        162       $187       0.37  Add.          
17000....          5  Destroy benign/      .........  .........  .........  .........  .........  ..............
                       premal lesion.                                                                           
17003....          5  Destroy 2-14         .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17004....          5  Destroy 15 & more    .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17106....          1  Destruction of skin  .........  .........        152       $213       0.42  Add.          
                       lesions.                                                                                 
17107....          1  Destruction of skin  .........  .........        152       $213       0.42  Add.          
                       lesions.                                                                                 
17108....          1  Destruction of skin  .........  .........        152       $213       0.42  Add.          
                       lesions.                                                                                 
17110....          5  Destruct lesion, 1-  .........  .........  .........  .........  .........  ..............
                       14.                                                                                      
17111....          5  Destruct lesion, 15  .........  .........  .........  .........  .........  ..............
                       or more.                                                                                 
17250....          5  Chemical cautery,    .........  .........  .........  .........  .........  ..............
                       tissue.                                                                                  
17260....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17261....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17262....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17263....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17264....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17266....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17270....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17271....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17272....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17273....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17274....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17276....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17280....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17281....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17282....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17283....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17284....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17286....          5  Destruction of skin  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
17304....          1  Chemosurgery of      .........  .........        162       $187       0.37  Add.          
                       skin lesion.                                                                             
17305....          1  2nd stage            .........  .........        162       $187       0.37  Add.          
                       chemosurgery.                                                                            
17306....          1  3rd stage            .........  .........        162       $187       0.37  Add.          
                       chemosurgery.                                                                            
17307....          1  Followup skin        .........  .........        162       $187       0.37  Add.          
                       lesion therapy.                                                                          
17310....          1  Extensive skin       .........  .........        162       $187       0.37  Add.          
                       chemosurgery.                                                                            
17340....          5  Cryotherapy of skin  .........  .........  .........  .........  .........  ..............
17360....          5  Skin peel therapy..  .........  .........  .........  .........  .........  ..............
17380....          5  Hair removal by      .........  .........  .........  .........  .........  ..............
                       electrolysis.                                                                            
17999....          3  Skin tissue          .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
19000....          5  Drainage of breast   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
19001....          5  Drain added breast   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
19020....          1  Incision of breast           2       $422        132       $162       0.32  ..............
                       lesion.                                                                                  
19030....          2  Injection for        .........  .........  .........  .........  .........  ..............
                       breast x-ray.                                                                            
19100....          1  Biopsy of breast...          1       $314        122       $186       0.37  ..............
19101....          1  Biopsy of breast...          2       $422        197       $411       0.81  ..............
19110....          1  Nipple exploration.          2       $422        197       $411       0.81  ..............
19112....          1  Excise breast duct           3       $482        197       $411       0.81  ..............
                       fistula.                                                                                 
19120....          1  Removal of breast            3       $482        197       $411       0.81  ..............
                       lesion.                                                                                  

[[Page 32336]]

                                                                                                                
19125....          1  Excision, breast             3       $482        197       $411       0.81  ..............
                       lesion.                                                                                  
19126....          1  Excision, add'l              3       $482        197       $411       0.81  ..............
                       breast lesion.                                                                           
19140....          1  Removal of breast            4       $595        197       $411       0.81  ..............
                       tissue.                                                                                  
19160....          1  Removal of breast            3       $482        198       $596       1.18  ..............
                       tissue.                                                                                  
19162....          1  Remove breast                7       $941        198       $596       1.18  ..............
                       tissue, nodes.                                                                           
19180....          1  Removal of breast..          4       $595        198       $596       1.18  ..............
19182....          1  Removal of breast..          4       $595        198       $596       1.18  ..............
19200....          3  Removal of breast..  .........  .........  .........  .........  .........  ..............
19220....          3  Removal of breast..  .........  .........  .........  .........  .........  ..............
19240....          3  Removal of breast..  .........  .........  .........  .........  .........  ..............
19260....          3  Removal of chest             5       $678  .........  .........  .........  Delete.       
                       wall lesion.                                                                             
19271....          3  Revision of chest    .........  .........  .........  .........  .........  ..............
                       wall.                                                                                    
19272....          3  Extensive chest      .........  .........  .........  .........  .........  ..............
                       wall surgery.                                                                            
19290....          1  Place needle wire,           1       $314        197       $411       0.81  ..............
                       breast.                                                                                  
19291....          1  Place needle wire,           1       $314        197       $411       0.81  ..............
                       breast.                                                                                  
19316....          1  Suspension of        .........  .........        198       $596       1.18  Add.          
                       breast.                                                                                  
19318....          1  Reduction of large           4       $595        198       $596       1.18  ..............
                       breast.                                                                                  
19324....          1  Enlarge breast.....  .........  .........        198       $596       1.18  Add.          
19325....          1  Enlarge breast with  .........  .........        198       $596       1.18  Add.          
                       implant.                                                                                 
19328....          1  Removal of breast            1       $314        198       $596       1.18  ..............
                       implant.                                                                                 
19330....          1  Removal of implant           1       $314        198       $596       1.18  ..............
                       material.                                                                                
19340....          1  Immediate breast             2       $422        198       $596       1.18  ..............
                       prosthesis.                                                                              
19342....          1  Delayed breast               3       $482        198       $596       1.18  ..............
                       prosthesis.                                                                              
19350....          1  Breast                       4       $595        198       $596       1.18  ..............
                       reconstruction.                                                                          
19355....          1  Correct inverted     .........  .........        198       $596       1.18  Add.          
                       nipple(s).                                                                               
19357....          1  Breast                       5       $678        198       $596       1.18  ..............
                       reconstruction.                                                                          
19361....          3  Breast               .........  .........  .........  .........  .........  ..............
                       reconstruction.                                                                          
19364....          3  Breast                       5       $678  .........  .........  .........  Delete.       
                       reconstruction.                                                                          
19366....          1  Breast                       5       $678        198       $596       1.18  ..............
                       reconstruction.                                                                          
19367....          3  Breast               .........  .........  .........  .........  .........  ..............
                       reconstruction.                                                                          
19368....          3  Breast               .........  .........  .........  .........  .........  ..............
                       reconstruction.                                                                          
19369....          3  Breast               .........  .........  .........  .........  .........  ..............
                       reconstruction.                                                                          
19370....          1  Surgery of breast            4       $595        198       $596       1.18  ..............
                       capsule.                                                                                 
19371....          1  Removal of breast            4       $595        198       $596       1.18  ..............
                       capsule.                                                                                 
19380....          1  Revise breast                5       $678        198       $596       1.18  ..............
                       reconstruction.                                                                          
19396....          1  Design custom        .........  .........        197       $411       0.81  Add.          
                       breast implant.                                                                          
19499....          3  Breast surgery       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
20000....          5  Incision of abscess  .........  .........  .........  .........  .........  ..............
20005....          1  Incision of deep             2       $422        251       $504       1.00  ..............
                       abscess.                                                                                 
20100....          3  Explore wound, neck  .........  .........  .........  .........  .........  ..............
20101....          3  Explore wound,       .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
20102....          3  Explore wound,       .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
20103....          3  Explore wound,       .........  .........  .........  .........  .........  ..............
                       extremity.                                                                               
20150....          3  Excise epiphyseal    .........  .........  .........  .........  .........  ..............
                       bar.                                                                                     
20200....          1  Muscle biopsy......          2       $422        162       $187       0.37  ..............
20205....          1  Deep muscle biopsy.          3       $482        162       $187       0.37  ..............
20206....          1  Needle biopsy,               1       $314        122       $186       0.37  ..............
                       muscle.                                                                                  
20220....          1  Bone biopsy, trocar/         1       $314        162       $187       0.37  ..............
                       needle.                                                                                  
20225....          1  Bone biopsy, trocar/         2       $422        162       $187       0.37  ..............
                       needle.                                                                                  
20240....          1  Bone biopsy,                 2       $422        163       $449       0.89  ..............
                       excisional.                                                                              
20245....          1  Bone biopsy,                 3       $482        163       $449       0.89  ..............
                       excisional.                                                                              
20250....          1  Open bone biopsy...          3       $482        251       $504       1.00  ..............
20251....          1  Open bone biopsy...          3       $482        251       $504       1.00  ..............
20500....          1  Injection of sinus   .........  .........        181       $150       0.30  Add.          
                       tract.                                                                                   
20501....          2  Inject sinus tract   .........  .........  .........  .........  .........  ..............
                       for x-ray.                                                                               
20520....          5  Removal of foreign   .........  .........  .........  .........  .........  ..............
                       body.                                                                                    
20525....          1  Removal of foreign           3       $482        163       $449       0.89  ..............
                       body.                                                                                    
20550....          5  Inj tendon/ligament/ .........  .........  .........  .........  .........  ..............
                       cyst.                                                                                    
20600....          5  Drain/inject joint/  .........  .........  .........  .........  .........  ..............
                       bursa.                                                                                   
20605....          5  Drain/inject joint/  .........  .........  .........  .........  .........  ..............
                       bursa.                                                                                   
20610....          5  Drain/inject joint/  .........  .........  .........  .........  .........  ..............
                       bursa.                                                                                   
20615....          5  Treatment of bone    .........  .........  .........  .........  .........  ..............
                       cyst.                                                                                    
20650....          1  Insert and remove            3       $482        251       $504       1.00  ..............
                       bone pin.                                                                                
20660....          3  Apply, remove                2       $422  .........  .........  .........  Delete.       
                       fixation device.                                                                         
20661....          3  Application of head          3       $482  .........  .........  .........  Delete.       
                       brace.                                                                                   
20662....          3  Application of               3       $482  .........  .........  .........  Delete.       
                       pelvis brace.                                                                            
20663....          3  Application of               3       $482  .........  .........  .........  Delete.       
                       thigh brace.                                                                             
20664....          3  Halo brace           .........  .........  .........  .........  .........  ..............
                       application.                                                                             
20665....          5  Removal of fixation          1       $314  .........  .........  .........  Delete.       
                       device.                                                                                  
20670....          1  Removal of support           1       $314        162       $187       0.37  ..............
                       implant.                                                                                 
20680....          1  Removal of support           3       $482        163       $449       0.89  ..............
                       implant.                                                                                 
20690....          1  Apply bone fixation          2       $422        252       $574       1.14  ..............
                       device.                                                                                  
20692....          1  Apply bone fixation  .........  .........        252       $574       1.14  Add.          
                       device.                                                                                  
20693....          1  Adjust bone          .........  .........        251       $504       1.00  Add.          
                       fixation device.                                                                         

[[Page 32337]]

                                                                                                                
20694....          1  Remove bone                  1       $314        251       $504       1.00  ..............
                       fixation device.                                                                         
20802....          3  Replantation, arm,   .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
20805....          3  Replant forearm,     .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
20808....          3  Replantation, hand,  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
20816....          3  Replantation digit,  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
20822....          3  Replantation digit,  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
20824....          3  Replantation thumb,  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
20827....          3  Replantation thumb,  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
20838....          3  Replantation, foot,  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
20900....          1  Removal of bone for          3       $482        252       $574       1.14  ..............
                       graft.                                                                                   
20902....          1  Removal of bone for          4       $595        252       $574       1.14  ..............
                       graft.                                                                                   
20910....          1  Remove cartilage             3       $482        183       $465       0.92  ..............
                       for graft.                                                                               
20912....          1  Remove cartilage             3       $482        183       $465       0.92  ..............
                       for graft.                                                                               
20920....          1  Removal of fascia            4       $595        183       $465       0.92  ..............
                       for graft.                                                                               
20922....          1  Removal of fascia            3       $482        183       $465       0.92  ..............
                       for graft.                                                                               
20924....          1  Removal of tendon            4       $595        252       $574       1.14  ..............
                       for graft.                                                                               
20926....          1  Removal of tissue            4       $595        183       $465       0.92  ..............
                       for graft.                                                                               
20930....          3  Spinal bone          .........  .........  .........  .........  .........  ..............
                       allograft.                                                                               
20931....          3  Spinal bone          .........  .........  .........  .........  .........  ..............
                       allograft.                                                                               
20936....          3  Spinal bone          .........  .........  .........  .........  .........  ..............
                       autograft.                                                                               
20937....          3  Spinal bone          .........  .........  .........  .........  .........  ..............
                       autograft.                                                                               
20938....          3  Spinal bone          .........  .........  .........  .........  .........  ..............
                       autograft.                                                                               
20950....          1  Record fluid         .........  .........        132       $162       0.32  Add.          
                       pressure,muscle.                                                                         
20955....          3  Fibula bone graft,           4       $595  .........  .........  .........  Delete.       
                       microvasc.                                                                               
20956....          3  Iliac bone graft,    .........  .........  .........  .........  .........  ..............
                       microvasc.                                                                               
20957....          3  Mt bone graft,       .........  .........  .........  .........  .........  ..............
                       microvasc.                                                                               
20962....          3  Other bone graft,            4       $595  .........  .........  .........  Delete.       
                       microvasc.                                                                               
20969....          3  Bone/skin graft,             4       $595  .........  .........  .........  Delete.       
                       microvasc.                                                                               
20970....          3  Bone/skin graft,             4       $595  .........  .........  .........  Delete.       
                       iliac crest.                                                                             
20972....          3  Bone-skin graft,             4       $595  .........  .........  .........  Delete.       
                       metatarsal.                                                                              
20973....          3  Bone-skin graft,             4       $595  .........  .........  .........  Delete.       
                       great toe.                                                                               
20974....          6  Electrical bone      .........  .........  .........  .........  .........  ..............
                       stimulation.                                                                             
20975....          1  Electrical bone              2       $422        251       $504       1.00  ..............
                       stimulation.                                                                             
20999....          3  Musculoskeletal      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
21010....          1  Incision of jaw              2       $422        232       $814       1.62  ..............
                       joint.                                                                                   
21015....          1  Resection of facial  .........  .........        231       $437       0.87  Add.          
                       tumor.                                                                                   
21025....          1  Excision of bone,            2       $422        231       $437       0.87  ..............
                       lower jaw.                                                                               
21026....          1  Excision of facial           2       $422        231       $437       0.87  ..............
                       bone(s).                                                                                 
21029....          1  Contour of face      .........  .........        231       $437       0.87  Add.          
                       bone lesion.                                                                             
21030....          1  Removal of face      .........  .........        231       $437       0.87  Add.          
                       bone lesion.                                                                             
21031....          1  Remove exostosis,    .........  .........        231       $437       0.87  Add.          
                       mandible.                                                                                
21032....          1  Remove exostosis,    .........  .........        231       $437       0.87  Add.          
                       maxilla.                                                                                 
21034....          1  Removal of face              3       $482        232       $814       1.62  ..............
                       bone lesion.                                                                             
21040....          1  Removal of jaw bone          2       $422        231       $437       0.87  ..............
                       lesion.                                                                                  
21041....          1  Removal of jaw bone          2       $422        231       $437       0.87  ..............
                       lesion.                                                                                  
21044....          1  Removal of jaw bone          2       $422        232       $814       1.62  ..............
                       lesion.                                                                                  
21045....          3  Extensive jaw        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
21050....          1  Removal of jaw               3       $482        232       $814       1.62  ..............
                       joint.                                                                                   
21060....          1  Remove jaw joint             2       $422        232       $814       1.62  ..............
                       cartilage.                                                                               
21070....          1  Remove coronoid              3       $482        232       $814       1.62  ..............
                       process.                                                                                 
21076....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21077....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21079....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21080....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21081....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21082....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21083....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21084....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21085....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21086....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21087....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21088....          6  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21089....          3  Prepare face/oral    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
21100....          1  Maxillofacial                2       $422        231       $437       0.87  ..............
                       fixation.                                                                                
21110....          1  Interdental          .........  .........        231       $437       0.87  Add.          
                       fixation.                                                                                
21116....          2  Injection, jaw       .........  .........  .........  .........  .........  ..............
                       joint x-ray.                                                                             
21120....          1  Reconstruction of    .........  .........        231       $437       0.87  Add.          
                       chin.                                                                                    
21121....          1  Reconstruction of    .........  .........        232       $814       1.62  Add.          
                       chin.                                                                                    
21122....          1  Reconstruction of    .........  .........        232       $814       1.62  Add.          
                       chin.                                                                                    
21123....          1  Reconstruction of    .........  .........        232       $814       1.62  Add.          
                       chin.                                                                                    
21125....          1  Augmentation lower   .........  .........        231       $437       0.87  Add.          
                       jaw bone.                                                                                
21127....          1  Augmentation lower   .........  .........        232       $814       1.62  Add.          
                       jaw bone.                                                                                
21137....          3  Reduction of         .........  .........  .........  .........  .........  ..............
                       forehead.                                                                                
21138....          3  Reduction of         .........  .........  .........  .........  .........  ..............
                       forehead.                                                                                

[[Page 32338]]

                                                                                                                
21139....          3  Reduction of         .........  .........  .........  .........  .........  ..............
                       forehead.                                                                                
21141....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21142....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21143....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21145....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21146....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21147....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21150....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21151....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21154....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21155....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21159....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21160....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       midface, lefort.                                                                         
21172....          3  Reconstruct orbit/   .........  .........  .........  .........  .........  ..............
                       forehead.                                                                                
21175....          3  Reconstruct orbit/   .........  .........  .........  .........  .........  ..............
                       forehead.                                                                                
21179....          3  Reconstruct entire   .........  .........  .........  .........  .........  ..............
                       forehead.                                                                                
21180....          3  Reconstruct entire   .........  .........  .........  .........  .........  ..............
                       forehead.                                                                                
21181....          1  Contour cranial      .........  .........        232       $814       1.62  Add.          
                       bone lesion.                                                                             
21182....          3  Reconstruct cranial  .........  .........  .........  .........  .........  ..............
                       bone.                                                                                    
21183....          3  Reconstruct cranial  .........  .........  .........  .........  .........  ..............
                       bone.                                                                                    
21184....          3  Reconstruct cranial  .........  .........  .........  .........  .........  ..............
                       bone.                                                                                    
21188....          3  Reconstruction of    .........  .........  .........  .........  .........  ..............
                       midface.                                                                                 
21193....          3  Reconstruct lower    .........  .........  .........  .........  .........  ..............
                       jaw bone.                                                                                
21194....          3  Reconstruct lower    .........  .........  .........  .........  .........  ..............
                       jaw bone.                                                                                
21195....          3  Reconstruct lower    .........  .........  .........  .........  .........  ..............
                       jaw bone.                                                                                
21196....          3  Reconstruct lower    .........  .........  .........  .........  .........  ..............
                       jaw bone.                                                                                
21198....          3  Reconstruct lower    .........  .........  .........  .........  .........  ..............
                       jaw bone.                                                                                
21206....          1  Reconstruct upper            5       $678        232       $814       1.62  ..............
                       jaw bone.                                                                                
21208....          1  Augmentation of              7       $941        232       $814       1.62  ..............
                       facial bones.                                                                            
21209....          1  Reduction of facial          5       $678        232       $814       1.62  ..............
                       bones.                                                                                   
21210....          1  Face bone graft....          7       $941        232       $814       1.62  ..............
21215....          1  Lower jaw bone               7       $941        232       $814       1.62  ..............
                       graft.                                                                                   
21230....          1  Rib cartilage graft          7       $941        232       $814       1.62  ..............
21235....          1  Ear cartilage graft          7       $941        232       $814       1.62  ..............
21240....          1  Reconstruction of            4       $595        232       $814       1.62  ..............
                       jaw joint.                                                                               
21242....          1  Reconstruction of            5       $678        232       $814       1.62  ..............
                       jaw joint.                                                                               
21243....          1  Reconstruction of            5       $678        218       $730       1.45  ..............
                       jaw joint.                                                                               
21244....          1  Reconstruction of            7       $941        232       $814       1.62  ..............
                       lower jaw.                                                                               
21245....          1  Reconstruction of            7       $941        232       $814       1.62  ..............
                       jaw.                                                                                     
21246....          1  Reconstruction of            7       $941        232       $814       1.62  ..............
                       jaw.                                                                                     
21247....          3  Reconstruct lower    .........  .........  .........  .........  .........  ..............
                       jaw bone.                                                                                
21248....          1  Reconstruction of            7       $941        232       $814       1.62  ..............
                       jaw.                                                                                     
21249....          1  Reconstruction of            7       $941        232       $814       1.62  ..............
                       jaw.                                                                                     
21255....          3  Reconstruct lower    .........  .........  .........  .........  .........  ..............
                       jaw bone.                                                                                
21256....          3  Reconstruction of    .........  .........  .........  .........  .........  ..............
                       orbit.                                                                                   
21260....          1  Revise eye sockets.  .........  .........        232       $814       1.62  Add.          
21261....          3  Revise eye sockets.  .........  .........  .........  .........  .........  ..............
21263....          3  Revise eye sockets.  .........  .........  .........  .........  .........  ..............
21267....          1  Revise eye sockets.          7       $941        232       $814       1.62  ..............
21268....          3  Revise eye sockets.  .........  .........  .........  .........  .........  ..............
21270....          1  Augmentation cheek           5       $678        232       $814       1.62  ..............
                       bone.                                                                                    
21275....          1  Revision                     7       $941        232       $814       1.62  ..............
                       orbitofacial bones.                                                                      
21280....          1  Revision of eyelid.          5       $678        231       $437       0.87  ..............
21282....          1  Revision of eyelid.          5       $678        231       $437       0.87  ..............
21295....          1  Revision of jaw      .........  .........        231       $437       0.87  Add.          
                       muscle/bone.                                                                             
21296....          1  Revision of jaw      .........  .........        231       $437       0.87  Add.          
                       muscle/bone.                                                                             
21299....          3  Cranio/              .........  .........  .........  .........  .........  ..............
                       maxillofacial                                                                            
                       surgery.                                                                                 
21300....          1  Treatment of skull           2       $422        231       $437       0.87  ..............
                       fracture.                                                                                
21310....          1  Treatment of nose            2       $422        231       $437       0.87  ..............
                       fracture.                                                                                
21315....          1  Treatment of nose            2       $422        231       $437       0.87  ..............
                       fracture.                                                                                
21320....          1  Treatment of nose            2       $422        231       $437       0.87  ..............
                       fracture.                                                                                
21325....          1  Repair of nose               4       $595        231       $437       0.87  ..............
                       fracture.                                                                                
21330....          1  Repair of nose               5       $678        232       $814       1.62  ..............
                       fracture.                                                                                
21335....          1  Repair of nose               7       $941        232       $814       1.62  ..............
                       fracture.                                                                                
21336....          1  Repair nasal septal  .........  .........        216       $580       1.15  Add.          
                       fracture.                                                                                
21337....          1  Repair nasal septal          2       $422        231       $437       0.87  ..............
                       fracture.                                                                                
21338....          1  Repair nasoethmoid           4       $595        232       $814       1.62  ..............
                       fracture.                                                                                
21339....          1  Repair nasoethmoid           5       $678        232       $814       1.62  ..............
                       fracture.                                                                                
21340....          1  Repair of nose               4       $595        232       $814       1.62  ..............
                       fracture.                                                                                
21343....          1  Repair of sinus              5       $678        232       $814       1.62  ..............
                       fracture.                                                                                
21344....          3  Repair of sinus      .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21345....          1  Repair of nose/jaw   .........  .........        232       $814       1.62  Add.          
                       fracture.                                                                                
21346....          3  Repair of nose/jaw   .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21347....          3  Repair of nose/jaw   .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                

[[Page 32339]]

                                                                                                                
21348....          3  Repair of nose/jaw   .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21355....          1  Repair cheek bone            3       $482        231       $437       0.87  ..............
                       fracture.                                                                                
21356....          3  Repair cheek bone    .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21360....          3  Repair cheek bone            4       $595  .........  .........  .........  Delete.       
                       fracture.                                                                                
21365....          3  Repair cheek bone            5       $678  .........  .........  .........  Delete.       
                       fracture.                                                                                
21366....          3  Repair cheek bone    .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21385....          3  Repair eye socket            5       $678  .........  .........  .........  Delete.       
                       fracture.                                                                                
21386....          3  Repair eye socket            5       $678  .........  .........  .........  Delete.       
                       fracture.                                                                                
21387....          3  Repair eye socket            5       $678  .........  .........  .........  Delete.       
                       fracture.                                                                                
21390....          3  Repair eye socket            7       $941  .........  .........  .........  Delete.       
                       fracture.                                                                                
21395....          3  Repair eye socket            7       $941  .........  .........  .........  Delete.       
                       fracture.                                                                                
21400....          1  Treat eye socket             2       $422        231       $437       0.87  ..............
                       fracture.                                                                                
21401....          1  Repair eye socket            3       $482        231       $437       0.87  ..............
                       fracture.                                                                                
21406....          3  Repair eye socket            4       $595  .........  .........  .........  Delete.       
                       fracture.                                                                                
21407....          3  Repair eye socket            5       $678  .........  .........  .........  Delete.       
                       fracture.                                                                                
21408....          3  Repair eye socket    .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21421....          1  Treat mouth roof             4       $595        232       $814       1.62  ..............
                       fracture.                                                                                
21422....          3  Repair mouth roof            5       $678  .........  .........  .........  Delete.       
                       fracture.                                                                                
21423....          3  Repair mouth roof    .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21431....          3  Treat craniofacial   .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21432....          3  Repair craniofacial  .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21433....          3  Repair craniofacial  .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21435....          3  Repair craniofacial  .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21436....          3  Repair craniofacial  .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21440....          1  Repair dental ridge          3       $482        231       $437       0.87  ..............
                       fracture.                                                                                
21445....          1  Repair dental ridge          4       $595        232       $814       1.62  ..............
                       fracture.                                                                                
21450....          1  Treat lower jaw              3       $482        232       $814       1.62  ..............
                       fracture.                                                                                
21451....          1  Treat lower jaw              4       $595        231       $437       0.87  ..............
                       fracture.                                                                                
21452....          1  Treat lower jaw              2       $422        232       $814       1.62  ..............
                       fracture.                                                                                
21453....          1  Treat lower jaw              3       $482        232       $814       1.62  ..............
                       fracture.                                                                                
21454....          1  Treat lower jaw              5       $678        232       $814       1.62  ..............
                       fracture.                                                                                
21461....          1  Repair lower jaw             4       $595        232       $814       1.62  ..............
                       fracture.                                                                                
21462....          1  Repair lower jaw             5       $678        232       $814       1.62  ..............
                       fracture.                                                                                
21465....          1  Repair lower jaw             4       $595        232       $814       1.62  ..............
                       fracture.                                                                                
21470....          3  Repair lower jaw             5       $678  .........  .........  .........  Delete.       
                       fracture.                                                                                
21480....          1  Reset dislocated             1       $314        231       $437       0.87  ..............
                       jaw.                                                                                     
21485....          1  Reset dislocated             2       $422        231       $437       0.87  ..............
                       jaw.                                                                                     
21490....          1  Repair dislocated            3       $482        232       $814       1.62  ..............
                       jaw.                                                                                     
21493....          1  Treat hyoid bone             3       $482        231       $437       0.87  ..............
                       fracture.                                                                                
21494....          1  Repair hyoid bone            4       $595        231       $437       0.87  ..............
                       fracture.                                                                                
21495....          3  Repair hyoid bone            4       $595  .........  .........  .........  Delete.       
                       fracture.                                                                                
21497....          1  Interdental wiring.          2       $422        231       $437       0.87  ..............
21499....          3  Head surgery         .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
21501....          1  Drain neck/chest             2       $422        132       $162       0.32  ..............
                       lesion.                                                                                  
21502....          1  Drain chest lesion.          2       $422        252       $574       1.14  ..............
21510....          3  Drainage of bone             3       $482  .........  .........  .........  Delete.       
                       lesion.                                                                                  
21550....          5  Biopsy of neck/              1       $314  .........  .........  .........  Delete.       
                       chest.                                                                                   
21555....          1  Remove lesion neck/          2       $422        163       $449       0.89  ..............
                       chest.                                                                                   
21556....          1  Remove lesion neck/          2       $422        163       $449       0.89  ..............
                       chest.                                                                                   
21557....          3  Remove tumor, neck   .........  .........  .........  .........  .........  ..............
                       or chest.                                                                                
21600....          1  Partial removal of           2       $422        252       $574       1.14  ..............
                       rib.                                                                                     
21610....          1  Partial removal of           2       $422        252       $574       1.14  ..............
                       rib.                                                                                     
21615....          3  Removal of rib.....  .........  .........  .........  .........  .........  ..............
21616....          3  Removal of rib and   .........  .........  .........  .........  .........  ..............
                       nerves.                                                                                  
21620....          3  Partial removal of           2       $422  .........  .........  .........  Delete.       
                       sternum.                                                                                 
21627....          3  Sternal debridement  .........  .........  .........  .........  .........  ..............
21630....          3  Extensive sternum    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
21632....          3  Extensive sternum    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
21700....          1  Revision of neck             2       $422        132       $162       0.32  ..............
                       muscle.                                                                                  
21705....          3  Revision of neck     .........  .........  .........  .........  .........  ..............
                       muscle/rib.                                                                              
21720....          1  Revision of neck             3       $482        132       $162       0.32  ..............
                       muscle.                                                                                  
21725....          1  Revision of neck             3       $482        132       $162       0.32  ..............
                       muscle.                                                                                  
21740....          3  Reconstruction of    .........  .........  .........  .........  .........  ..............
                       sternum.                                                                                 
21750....          3  Repair of sternum    .........  .........  .........  .........  .........  ..............
                       separation.                                                                              
21800....          1  Treatment of rib             1       $314        207        $53       0.11  ..............
                       fracture.                                                                                
21805....          1  Treatment of rib             2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
21810....          3  Treatment of rib             2       $422  .........  .........  .........  Delete.       
                       fracture(s).                                                                             
21820....          1  Treat sternum                1       $314        207        $53       0.11  ..............
                       fracture.                                                                                
21825....          3  Repair sternum       .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
21899....          3  Neck/chest surgery   .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
21920....          5  Biopsy soft tissue           1       $314  .........  .........  .........  Delete.       
                       of back.                                                                                 
21925....          1  Biopsy soft tissue           2       $422        163       $449       0.89  ..............
                       of back.                                                                                 
21930....          1  Remove lesion, back          2       $422        163       $449       0.89  ..............
                       or flank.                                                                                
21935....          1  Remove tumor of              3       $482        163       $449       0.89  ..............
                       back.                                                                                    

[[Page 32340]]

                                                                                                                
22100....          3  Remove part of neck          3       $482  .........  .........  .........  Delete.       
                       vertebra.                                                                                
22101....          3  Remove part, thorax          3       $482  .........  .........  .........  Delete.       
                       vertebra.                                                                                
22102....          3  Remove part, lumbar          3       $482  .........  .........  .........  Delete.       
                       vertebra.                                                                                
22103....          3  Remove extra spine           3       $482  .........  .........  .........  Delete.       
                       segment.                                                                                 
22110....          3  Remove part of neck  .........  .........  .........  .........  .........  ..............
                       vertebra.                                                                                
22112....          3  Remove part, thorax  .........  .........  .........  .........  .........  ..............
                       vertebra.                                                                                
22114....          3  Remove part, lumbar  .........  .........  .........  .........  .........  ..............
                       vertebra.                                                                                
22116....          3  Remove extra spine   .........  .........  .........  .........  .........  ..............
                       segment.                                                                                 
22210....          3  Revision of neck     .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
22212....          3  Revision of thorax   .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
22214....          3  Revision of lumbar   .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
22216....          3  Revise, extra spine  .........  .........  .........  .........  .........  ..............
                       segment.                                                                                 
22220....          3  Revision of neck     .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
22222....          3  Revision of thorax   .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
22224....          3  Revision of lumbar   .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
22226....          3  Revise, extra spine  .........  .........  .........  .........  .........  ..............
                       segment.                                                                                 
22305....          1  Treat spine process          1       $314        207        $53       0.11  ..............
                       fracture.                                                                                
22310....          1  Treat spine                  1       $314        207        $53       0.11  ..............
                       fracture.                                                                                
22315....          1  Treat spine                  2       $422        207        $53       0.11  ..............
                       fracture.                                                                                
22325....          3  Repair of spine              3       $482  .........  .........  .........  Delete.       
                       fracture.                                                                                
22326....          3  Repair neck spine            3       $482  .........  .........  .........  Delete.       
                       fracture.                                                                                
22327....          3  Repair thorax spine          3       $482  .........  .........  .........  Delete.       
                       fracture.                                                                                
22328....          3  Repair each add              3       $482  .........  .........  .........  Delete.       
                       spine fx.                                                                                
22505....          1  Manipulation of              2       $422        210       $397       0.79  ..............
                       spine.                                                                                   
22548....          3  Neck spine fusion..  .........  .........  .........  .........  .........  ..............
22554....          3  Neck spine fusion..  .........  .........  .........  .........  .........  ..............
22556....          3  Thorax spine fusion  .........  .........  .........  .........  .........  ..............
22558....          3  Lumbar spine fusion  .........  .........  .........  .........  .........  ..............
22585....          3  Add.itional spinal   .........  .........  .........  .........  .........  ..............
                       fusion.                                                                                  
22590....          3  Spine & skull        .........  .........  .........  .........  .........  ..............
                       spinal fusion.                                                                           
22595....          3  Neck spinal fusion.  .........  .........  .........  .........  .........  ..............
22600....          3  Neck spine fusion..  .........  .........  .........  .........  .........  ..............
22610....          3  Thorax spine fusion  .........  .........  .........  .........  .........  ..............
22612....          3  Lumbar spine fusion  .........  .........  .........  .........  .........  ..............
22614....          3  Spine fusion, extra  .........  .........  .........  .........  .........  ..............
                       segment.                                                                                 
22630....          3  Lumbar spine fusion  .........  .........  .........  .........  .........  ..............
22632....          3  Spine fusion, extra  .........  .........  .........  .........  .........  ..............
                       segment.                                                                                 
22800....          3  Fusion of spine....  .........  .........  .........  .........  .........  ..............
22802....          3  Fusion of spine....  .........  .........  .........  .........  .........  ..............
22804....          3  Fusion of spine....  .........  .........  .........  .........  .........  ..............
22808....          3  Fusion of spine....  .........  .........  .........  .........  .........  ..............
22810....          3  Fusion of spine....  .........  .........  .........  .........  .........  ..............
22812....          3  Fusion of spine....  .........  .........  .........  .........  .........  ..............
22818....          3  Kyphectomy, 1-2      .........  .........  .........  .........  .........  ..............
                       segments.                                                                                
22819....          3  Kyphectomy, 3 &      .........  .........  .........  .........  .........  ..............
                       more segment.                                                                            
22830....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       spinal fusion.                                                                           
22840....          3  Insert spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22841....          3  Insert spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22842....          3  Insert spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22843....          3  Insert spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22844....          3  Insert spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22845....          3  Insert spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22846....          3  Insert spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22847....          3  Insert spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22848....          3  Insert pelvic        .........  .........  .........  .........  .........  ..............
                       fixationdevice.                                                                          
22849....          3  Reinsert spinal      .........  .........  .........  .........  .........  ..............
                       fixation.                                                                                
22850....          3  Remove spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22851....          3  Apply spine prosth   .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
22852....          3  Remove spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22855....          3  Remove spine         .........  .........  .........  .........  .........  ..............
                       fixation device.                                                                         
22899....          3  Spine surgery        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
22900....          1  Remove abdominal             4       $595        163       $449       0.89  ..............
                       wall lesion.                                                                             
22999....          3  Abdomen surgery      .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
23000....          1  Removal of calcium           2       $422        162       $187       0.37  ..............
                       deposits.                                                                                
23020....          1  Release shoulder             2       $422        253       $775       1.54  ..............
                       joint.                                                                                   
23030....          1  Drain shoulder               1       $314        132       $162       0.32  ..............
                       lesion.                                                                                  
23031....          1  Drain shoulder       .........  .........        132       $162       0.32  Add.          
                       bursa.                                                                                   
23035....          3  Drain shoulder bone          3       $482  .........  .........  .........  Delete.       
                       lesion.                                                                                  
23040....          1  Exploratory                  3       $482        252       $574       1.14  ..............
                       shoulder surgery.                                                                        
23044....          1  Exploratory                  4       $595        252       $574       1.14  ..............
                       shoulder surgery.                                                                        
23065....          5  Biopsy shoulder              1       $314  .........  .........  .........  Delete.       
                       tissues.                                                                                 
23066....          1  Biopsy shoulder              2       $422        163       $449       0.89  ..............
                       tissues.                                                                                 
23075....          1  Removal of shoulder          2       $422        162       $187       0.37  ..............
                       lesion.                                                                                  
23076....          1  Removal of shoulder          2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  

[[Page 32341]]

                                                                                                                
23077....          1  Remove tumor of              3       $482        163       $449       0.89  ..............
                       shoulder.                                                                                
23100....          1  Biopsy of shoulder           2       $422        251       $504       1.00  ..............
                       joint.                                                                                   
23101....          1  Shoulder joint               7       $941        252       $574       1.14  ..............
                       surgery.                                                                                 
23105....          1  Remove shoulder              4       $595        252       $574       1.14  ..............
                       joint lining.                                                                            
23106....          1  Incision of                  4       $595        252       $574       1.14  ..............
                       collarbone joint.                                                                        
23107....          1  Explore, treat               4       $595        252       $574       1.14  ..............
                       shoulder joint.                                                                          
23120....          1  Partial removal,             5       $678        253       $775       1.54  ..............
                       collar bone.                                                                             
23125....          3  Removal of                   5       $678  .........  .........  .........  Delete.       
                       collarbone.                                                                              
23130....          1  Partial                      5       $678        253       $775       1.54  ..............
                       removal,shoulderbo                                                                       
                       ne.                                                                                      
23140....          1  Removal of bone              4       $595        251       $504       1.00  ..............
                       lesion.                                                                                  
23145....          1  Removal of bone              5       $678        252       $574       1.14  ..............
                       lesion.                                                                                  
23146....          1  Removal of bone              5       $678        252       $574       1.14  ..............
                       lesion.                                                                                  
23150....          1  Removal of humerus           4       $595        252       $574       1.14  ..............
                       lesion.                                                                                  
23155....          1  Removal of humerus           5       $678        252       $574       1.14  ..............
                       lesion.                                                                                  
23156....          1  Removal of humerus           5       $678        252       $574       1.14  ..............
                       lesion.                                                                                  
23170....          1  Remove collarbone            2       $422        252       $574       1.14  ..............
                       lesion.                                                                                  
23172....          1  Remove shoulder              2       $422        252       $574       1.14  ..............
                       blade lesion.                                                                            
23174....          1  Remove humerus               2       $422        252       $574       1.14  ..............
                       lesion.                                                                                  
23180....          1  Remove collar bone           4       $595        252       $574       1.14  ..............
                       lesion.                                                                                  
23182....          1  Remove shoulder              4       $595        252       $574       1.14  ..............
                       blade lesion.                                                                            
23184....          1  Remove humerus               4       $595        252       $574       1.14  ..............
                       lesion.                                                                                  
23190....          1  Partial removal of           4       $595        252       $574       1.14  ..............
                       scapula.                                                                                 
23195....          3  Removal of head of           5       $678  .........  .........  .........  Delete.       
                       humerus.                                                                                 
23200....          3  Removal of collar    .........  .........  .........  .........  .........  ..............
                       bone.                                                                                    
23210....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       shoulderblade.                                                                           
23220....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       humerus.                                                                                 
23221....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       humerus.                                                                                 
23222....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       humerus.                                                                                 
23330....          1  Remove shoulder              1       $314        163       $449       0.89  ..............
                       foreign body.                                                                            
23331....          1  Remove shoulder              1       $314        163       $449       0.89  ..............
                       foreign body.                                                                            
23332....          3  Remove shoulder      .........  .........  .........  .........  .........  ..............
                       foreign body.                                                                            
23350....          2  Injection for        .........  .........  .........  .........  .........  ..............
                       shoulder x-ray.                                                                          
23395....          3  Muscle transfer,             5       $678  .........  .........  .........  Delete.       
                       shoulder/arm.                                                                            
23397....          3  Muscle transfers...          7       $941  .........  .........  .........  Delete.       
23400....          3  Fixation of                  7       $941  .........  .........  .........  Delete.       
                       shoulder blade.                                                                          
23405....          1  Incision of tendon           2       $422        252       $574       1.14  ..............
                       & muscle.                                                                                
23406....          1  Incise tendon(s) &           2       $422        252       $574       1.14  ..............
                       muscle(s).                                                                               
23410....          1  Repair of tendon(s)          5       $678        254     $1,110       2.20  ..............
23412....          1  Repair of tendon(s)          7       $941        254     $1,110       2.20  ..............
23415....          1  Release of shoulder          5       $678        253       $775       1.54  ..............
                       ligament.                                                                                
23420....          1  Repair of shoulder.          7       $941        254     $1,110       2.20  ..............
23430....          1  Repair biceps                4       $595        254     $1,110       2.20  ..............
                       tendon.                                                                                  
23440....          3  Removal/transplant           4       $595  .........  .........  .........  Delete.       
                       tendon.                                                                                  
23450....          1  Repair shoulder              5       $678        254     $1,110       2.20  ..............
                       capsule.                                                                                 
23455....          1  Repair shoulder              7       $941        254     $1,110       2.20  ..............
                       capsule.                                                                                 
23460....          1  Repair shoulder              5       $678        254     $1,110       2.20  ..............
                       capsule.                                                                                 
23462....          1  Repair shoulder              7       $941        254     $1,110       2.20  ..............
                       capsule.                                                                                 
23465....          1  Repair shoulder              5       $678        254     $1,110       2.20  ..............
                       capsule.                                                                                 
23466....          1  Repair shoulder              7       $941        254     $1,110       2.20  ..............
                       capsule.                                                                                 
23470....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       shoulder joint.                                                                          
23472....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       shoulder joint.                                                                          
23480....          1  Revision of                  4       $595        253       $775       1.54  ..............
                       collarbone.                                                                              
23485....          1  Revision of collar           7       $941        253       $775       1.54  ..............
                       bone.                                                                                    
23490....          1  Reinforce clavicle.          3       $482        253       $775       1.54  ..............
23491....          1  Reinforce shoulder           3       $482        253       $775       1.54  ..............
                       bones.                                                                                   
23500....          1  Treat clavicle               1       $314        207        $53       0.11  ..............
                       fracture.                                                                                
23505....          1  Treat clavicle               1       $314        207        $53       0.11  ..............
                       fracture.                                                                                
23515....          1  Repair clavicle              3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
23520....          1  Treat clavicle               1       $314        207        $53       0.11  ..............
                       dislocation.                                                                             
23525....          1  Treat clavicle               1       $314        207        $53       0.11  ..............
                       dislocation.                                                                             
23530....          1  Repair clavicle              3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
23532....          1  Repair clavicle              4       $595        216       $580       1.15  ..............
                       dislocation.                                                                             
23540....          1  Treat clavicle               1       $314        207        $53       0.11  ..............
                       dislocation.                                                                             
23545....          1  Treat clavicle               1       $314        207        $53       0.11  ..............
                       dislocation.                                                                             
23550....          1  Repair clavicle              3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
23552....          1  Repair clavicle              4       $595        216       $580       1.15  ..............
                       dislocation.                                                                             
23570....          1  Treat shoulderblade          1       $314        207        $53       0.11  ..............
                       fracture.                                                                                
23575....          1  Treat shoulderblade          1       $314        207        $53       0.11  ..............
                       fracture.                                                                                
23585....          1  Repair scapula               3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
23600....          1  Treat humerus                1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
23605....          1  Treat humerus                2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
23615....          1  Repair humerus               4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
23616....          1  Repair humerus               4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
23620....          1  Treat humerus                1       $314        209        $71       0.14  ..............
                       fracture.                                                                                

[[Page 32342]]

                                                                                                                
23625....          1  Treat humerus                2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
23630....          1  Repair humerus               5       $678        216       $580       1.15  ..............
                       fracture.                                                                                
23650....          1  Treat shoulder               1       $314        207        $53       0.11  ..............
                       dislocation.                                                                             
23655....          1  Treat shoulder               1       $314        210       $397       0.79  ..............
                       dislocation.                                                                             
23660....          1  Repair shoulder              3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
23665....          1  Treat dislocation/           2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
23670....          1  Repair dislocation/          3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
23675....          1  Treat dislocation/           2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
23680....          1  Repair dislocation/          3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
23700....          1  Fixation of                  1       $314        210       $397       0.79  ..............
                       shoulder.                                                                                
23800....          1  Fusion of shoulder           4       $595        253       $775       1.54  ..............
                       joint.                                                                                   
23802....          1  Fusion of shoulder           7       $941        253       $775       1.54  ..............
                       joint.                                                                                   
23900....          3  Amputation of arm &  .........  .........  .........  .........  .........  ..............
                       girdle.                                                                                  
23920....          3  Amputation at        .........  .........  .........  .........  .........  ..............
                       shoulder joint.                                                                          
23921....          1  Amputation follow-           3       $482        183       $465       0.92  ..............
                       up surgery.                                                                              
23929....          3  Shoulder surgery     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
23930....          1  Drainage of arm              1       $314        132       $162       0.32  ..............
                       lesion.                                                                                  
23931....          1  Drainage of arm              2       $422        132       $162       0.32  ..............
                       bursa.                                                                                   
23935....          1  Drain arm/elbow              2       $422        251       $504       1.00  ..............
                       bone lesion.                                                                             
24000....          1  Exploratory elbow            4       $595        252       $574       1.14  ..............
                       surgery.                                                                                 
24006....          1  Release elbow joint  .........  .........        252       $574       1.14  Add.          
24065....          5  Biopsy arm/elbow             1       $314  .........  .........  .........  Delete.       
                       soft tissue.                                                                             
24066....          1  Biopsy arm/elbow             2       $422        163       $449       0.89  ..............
                       soft tissue.                                                                             
24075....          1  Remove arm/elbow             2       $422        162       $187       0.37  ..............
                       lesion.                                                                                  
24076....          1  Remove arm/elbow             2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
24077....          1  Remove tumor of arm/         3       $482        163       $449       0.89  ..............
                       elbow.                                                                                   
24100....          1  Biopsy elbow joint           1       $314        251       $504       1.00  ..............
                       lining.                                                                                  
24101....          1  Explore/treat elbow          4       $595        252       $574       1.14  ..............
                       joint.                                                                                   
24102....          1  Remove elbow joint           4       $595        252       $574       1.14  ..............
                       lining.                                                                                  
24105....          1  Removal of elbow             3       $482        251       $504       1.00  ..............
                       bursa.                                                                                   
24110....          1  Remove humerus               2       $422        251       $504       1.00  ..............
                       lesion.                                                                                  
24115....          1  Remove/graft bone            3       $482        252       $574       1.14  ..............
                       lesion.                                                                                  
24116....          1  Remove/graft bone            3       $482        252       $574       1.14  ..............
                       lesion.                                                                                  
24120....          1  Remove elbow lesion          3       $482        251       $504       1.00  ..............
24125....          1  Remove/graft bone            3       $482        252       $574       1.14  ..............
                       lesion.                                                                                  
24126....          1  Remove/graft bone            3       $482        252       $574       1.14  ..............
                       lesion.                                                                                  
24130....          1  Removal of head of           3       $482        252       $574       1.14  ..............
                       radius.                                                                                  
24134....          1  Removal of arm bone          2       $422        252       $574       1.14  ..............
                       lesion.                                                                                  
24136....          1  Remove radius bone           2       $422        252       $574       1.14  ..............
                       lesion.                                                                                  
24138....          1  Remove elbow bone            2       $422        252       $574       1.14  ..............
                       lesion.                                                                                  
24140....          1  Partial removal of           3       $482        252       $574       1.14  ..............
                       arm bone.                                                                                
24145....          1  Partial removal of           3       $482        252       $574       1.14  ..............
                       radius.                                                                                  
24147....          1  Partial removal of           2       $422        252       $574       1.14  ..............
                       elbow.                                                                                   
24149....          3  Radical resection    .........  .........  .........  .........  .........  ..............
                       of elbow.                                                                                
24150....          3  Extensive humerus            3       $482  .........  .........  .........  Delete.       
                       surgery.                                                                                 
24151....          3  Extensive humerus            4       $595  .........  .........  .........  Delete.       
                       surgery.                                                                                 
24152....          3  Extensive radius             3       $482  .........  .........  .........  Delete.       
                       surgery.                                                                                 
24153....          3  Extensive radius             4       $595  .........  .........  .........  Delete.       
                       surgery.                                                                                 
24155....          1  Removal of elbow             3       $482        253       $775       1.54  ..............
                       joint.                                                                                   
24160....          1  Remove elbow joint           2       $422        252       $574       1.14  ..............
                       implant.                                                                                 
24164....          1  Remove radius head           3       $482        252       $574       1.14  ..............
                       implant.                                                                                 
24200....          5  Removal of arm       .........  .........  .........  .........  .........  ..............
                       foreign body.                                                                            
24201....          1  Removal of arm               2       $422        163       $449       0.89  ..............
                       foreign body.                                                                            
24220....          2  Injection for elbow  .........  .........  .........  .........  .........  ..............
                       x-ray.                                                                                   
24301....          1  Muscle/tendon                4       $595        252       $574       1.14  ..............
                       transfer.                                                                                
24305....          1  Arm tendon           .........  .........        252       $574       1.14  Add.          
                       lengthening.                                                                             
24310....          1  Revision of arm              3       $482        251       $504       1.00  ..............
                       tendon.                                                                                  
24320....          1  Repair of arm                3       $482        253       $775       1.54  ..............
                       tendon.                                                                                  
24330....          1  Revision of arm              3       $482        253       $775       1.54  ..............
                       muscles.                                                                                 
24331....          1  Revision of arm              3       $482        253       $775       1.54  ..............
                       muscles.                                                                                 
24340....          1  Repair of biceps             3       $482        253       $775       1.54  ..............
                       tendon.                                                                                  
24341....          1  Repair tendon/       .........  .........        253       $775       1.54  Add.          
                       muscle arm.                                                                              
24342....          1  Repair of ruptured           3       $482        253       $775       1.54  ..............
                       tendon.                                                                                  
24350....          1  Repair of tennis             3       $482        252       $574       1.14  ..............
                       elbow.                                                                                   
24351....          1  Repair of tennis             3       $482        252       $574       1.14  ..............
                       elbow.                                                                                   
24352....          1  Repair of tennis             3       $482        252       $574       1.14  ..............
                       elbow.                                                                                   
24354....          1  Repair of tennis             3       $482        252       $574       1.14  ..............
                       elbow.                                                                                   
24356....          1  Revision of tennis           3       $482        252       $574       1.14  ..............
                       elbow.                                                                                   
24360....          1  Reconstruct elbow            5       $678        217       $695       1.38  ..............
                       joint.                                                                                   
24361....          1  Reconstruct elbow            5       $678        218       $730       1.45  ..............
                       joint.                                                                                   
24362....          1  Reconstruct elbow            5       $678        218       $730       1.45  ..............
                       joint.                                                                                   
24363....          1  Replace elbow joint          7       $941        218       $730       1.45  ..............
24365....          1  Reconstruct head of          5       $678        217       $695       1.38  ..............
                       radius.                                                                                  
24366....          1  Reconstruct head of          5       $678        218       $730       1.45  ..............
                       radius.                                                                                  

[[Page 32343]]

                                                                                                                
24400....          1  Revision of humerus          4       $595        252       $574       1.14  ..............
24410....          1  Revision of humerus          4       $595        252       $574       1.14  ..............
24420....          1  Revision of humerus          3       $482        253       $775       1.54  ..............
24430....          1  Repair of humerus..          3       $482        253       $775       1.54  ..............
24435....          1  Repair humerus with          4       $595        253       $775       1.54  ..............
                       graft.                                                                                   
24470....          1  Revision of elbow            3       $482        253       $775       1.54  ..............
                       joint.                                                                                   
24495....          1  Decompression of             2       $422        252       $574       1.14  ..............
                       forearm.                                                                                 
24498....          1  Reinforce humerus..          3       $482        253       $775       1.54  ..............
24500....          1  Treat humerus                1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
24505....          1  Treat humerus                1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
24515....          1  Repair humerus               4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
24516....          1  Repair humerus               4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
24530....          1  Treat humerus                1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
24535....          1  Treat humerus                1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
24538....          1  Treat humerus                2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
24545....          1  Repair humerus               4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
24546....          1  Repair humerus               5       $678        216       $580       1.15  ..............
                       fracture.                                                                                
24560....          1  Treat humerus                1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
24565....          1  Treat humerus                2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
24566....          1  Treat humerus                2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
24575....          1  Repair humerus               3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
24576....          1  Treat humerus                1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
24577....          1  Treat humerus                1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
24579....          1  Repair humerus               3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
24582....          1  Treat humerus                2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
24586....          1  Repair elbow                 4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
24587....          1  Repair elbow                 5       $678        216       $580       1.15  ..............
                       fracture.                                                                                
24600....          1  Treat elbow                  1       $314        209        $71       0.14  ..............
                       dislocation.                                                                             
24605....          1  Treat elbow                  2       $422        210       $397       0.79  ..............
                       dislocation.                                                                             
24615....          1  Repair elbow                 3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
24620....          1  Treat elbow                  2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
24635....          1  Repair elbow                 3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
24640....          1  Treat elbow          .........  .........        209        $71       0.14  Add.          
                       dislocation.                                                                             
24650....          1  Treat radius         .........  .........        209        $71       0.14  Add.          
                       fracture.                                                                                
24655....          1  Treat radius                 1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
24665....          1  Repair radius                4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
24666....          1  Repair radius                4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
24670....          1  Treatment of ulna            1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
24675....          1  Treatment of ulna            1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
24685....          1  Repair ulna                  3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
24800....          1  Fusion of elbow              4       $595        253       $775       1.54  ..............
                       joint.                                                                                   
24802....          1  Fusion/graft of              5       $678        253       $775       1.54  ..............
                       elbow joint.                                                                             
24900....          3  Amputation of upper  .........  .........  .........  .........  .........  ..............
                       arm.                                                                                     
24920....          3  Amputation of upper  .........  .........  .........  .........  .........  ..............
                       arm.                                                                                     
24925....          1  Amputation follow-           3       $482        251       $504       1.00  ..............
                       up surgery.                                                                              
24930....          3  Amputation follow-   .........  .........  .........  .........  .........  ..............
                       up surgery.                                                                              
24931....          3  Amputate upper arm   .........  .........  .........  .........  .........  ..............
                       & implant.                                                                               
24935....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       amputation.                                                                              
24940....          3  Revision of upper    .........  .........  .........  .........  .........  ..............
                       arm.                                                                                     
24999....          3  Upper arm/elbow      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
25000....          1  Incision of tendon           3       $482        251       $504       1.00  ..............
                       sheath.                                                                                  
25020....          1  Decompression of             3       $482        251       $504       1.00  ..............
                       forearm.                                                                                 
25023....          1  Decompression of             3       $482        252       $574       1.14  ..............
                       forearm.                                                                                 
25028....          1  Drainage of forearm          1       $314        251       $504       1.00  ..............
                       lesion.                                                                                  
25031....          1  Drainage of forearm          2       $422        251       $504       1.00  ..............
                       bursa.                                                                                   
25035....          1  Treat forearm bone           2       $422        251       $504       1.00  ..............
                       lesion.                                                                                  
25040....          1  Explore/treat wrist          5       $678        252       $574       1.14  ..............
                       joint.                                                                                   
25065....          5  Biopsy forearm soft          1       $314  .........  .........  .........  Delete.       
                       tissues.                                                                                 
25066....          1  Biopsy forearm soft          2       $422        163       $449       0.89  ..............
                       tissues.                                                                                 
25075....          1  Removal of forearm           2       $422        162       $187       0.37  ..............
                       lesion.                                                                                  
25076....          1  Removal of forearm           3       $482        163       $449       0.89  ..............
                       lesion.                                                                                  
25077....          1  Remove tumor,                3       $482        163       $449       0.89  ..............
                       forearm/wrist.                                                                           
25085....          1  Incision of wrist            3       $482        251       $504       1.00  ..............
                       capsule.                                                                                 
25100....          1  Biopsy of wrist              2       $422        251       $504       1.00  ..............
                       joint.                                                                                   
25101....          1  Explore/treat wrist          3       $482        252       $574       1.14  ..............
                       joint.                                                                                   
25105....          1  Remove wrist joint           4       $595        252       $574       1.14  ..............
                       lining.                                                                                  
25107....          1  Remove wrist joint           3       $482        252       $574       1.14  ..............
                       cartilage.                                                                               
25110....          1  Remove wrist tendon          3       $482        251       $504       1.00  ..............
                       lesion.                                                                                  
25111....          1  Remove wrist tendon          3       $482        261       $494       0.98  ..............
                       lesion.                                                                                  
25112....          1  Reremove wrist               4       $595        261       $494       0.98  ..............
                       tendon lesion.                                                                           
25115....          1  Remove wrist/                4       $595        251       $504       1.00  ..............
                       forearm lesion.                                                                          
25116....          1  Remove wrist/                4       $595        251       $504       1.00  ..............
                       forearm lesion.                                                                          
25118....          1  Excise wrist tendon          2       $422        252       $574       1.14  ..............
                       sheath.                                                                                  
25119....          1  Partial removal of           3       $482        252       $574       1.14  ..............
                       ulna.                                                                                    

[[Page 32344]]

                                                                                                                
25120....          1  Removal of forearm           3       $482        252       $574       1.14  ..............
                       lesion.                                                                                  
25125....          1  Remove/graft                 3       $482        252       $574       1.14  ..............
                       forearm lesion.                                                                          
25126....          1  Remove/graft                 3       $482        252       $574       1.14  ..............
                       forearm lesion.                                                                          
25130....          1  Removal of wrist             3       $482        252       $574       1.14  ..............
                       lesion.                                                                                  
25135....          1  Remove & graft               3       $482        252       $574       1.14  ..............
                       wrist lesion.                                                                            
25136....          1  Remove & graft               3       $482        252       $574       1.14  ..............
                       wrist lesion.                                                                            
25145....          1  Remove forearm bone          2       $422        252       $574       1.14  ..............
                       lesion.                                                                                  
25150....          1  Partial removal of           2       $422        252       $574       1.14  ..............
                       ulna.                                                                                    
25151....          1  Partial removal of           2       $422        252       $574       1.14  ..............
                       radius.                                                                                  
25170....          3  Extensive forearm            3       $482  .........  .........  .........  Delete.       
                       surgery.                                                                                 
25210....          1  Removal of wrist             3       $482        262       $543       1.08  ..............
                       bone.                                                                                    
25215....          1  Removal of wrist             4       $595        262       $543       1.08  ..............
                       bones.                                                                                   
25230....          1  Partial removal of           4       $595        252       $574       1.14  ..............
                       radius.                                                                                  
25240....          1  Partial removal of           4       $595        252       $574       1.14  ..............
                       ulna.                                                                                    
25246....          2  Injection for wrist  .........  .........  .........  .........  .........  ..............
                       x-ray.                                                                                   
25248....          1  Remove forearm               2       $422        251       $504       1.00  ..............
                       foreign body.                                                                            
25250....          1  Removal of wrist             1       $314        252       $574       1.14  ..............
                       prosthesis.                                                                              
25251....          1  Removal of wrist             1       $314        252       $574       1.14  ..............
                       prosthesis.                                                                              
25260....          1  Repair forearm               4       $595        252       $574       1.14  ..............
                       tendon/muscle.                                                                           
25263....          1  Repair forearm               2       $422        252       $574       1.14  ..............
                       tendon/muscle.                                                                           
25265....          1  Repair forearm               3       $482        252       $574       1.14  ..............
                       tendon/muscle.                                                                           
25270....          1  Repair forearm               4       $595        252       $574       1.14  ..............
                       tendon/muscle.                                                                           
25272....          1  Repair forearm               3       $482        252       $574       1.14  ..............
                       tendon/muscle.                                                                           
25274....          1  Repair forearm               4       $595        252       $574       1.14  ..............
                       tendon/muscle.                                                                           
25280....          1  Revise wrist/                4       $595        252       $574       1.14  ..............
                       forearm tendon.                                                                          
25290....          1  Incise wrist/                3       $482        252       $574       1.14  ..............
                       forearm tendon.                                                                          
25295....          1  Release wrist/               3       $482        251       $504       1.00  ..............
                       forearm tendon.                                                                          
25300....          1  Fusion of tendons            3       $482        252       $574       1.14  ..............
                       at wrist.                                                                                
25301....          1  Fusion of tendons            3       $482        252       $574       1.14  ..............
                       at wrist.                                                                                
25310....          1  Transplant forearm           3       $482        253       $775       1.54  ..............
                       tendon.                                                                                  
25312....          1  Transplant forearm           4       $595        253       $775       1.54  ..............
                       tendon.                                                                                  
25315....          1  Revise palsy hand            3       $482        253       $775       1.54  ..............
                       tendon(s).                                                                               
25316....          1  Revise palsy hand            3       $482        253       $775       1.54  ..............
                       tendon(s).                                                                               
25320....          1  Repair/revise wrist          3       $482        253       $775       1.54  ..............
                       joint.                                                                                   
25332....          1  Revise wrist joint.          5       $678        217       $695       1.38  ..............
25335....          1  Realignment of hand          3       $482        253       $775       1.54  ..............
25337....          1  Reconstruct ulna/    .........  .........        253       $775       1.54  Add.          
                       radioulnar.                                                                              
25350....          1  Revision of radius.          3       $482        253       $775       1.54  ..............
25355....          1  Revision of radius.          3       $482        253       $775       1.54  ..............
25360....          1  Revision of ulna...          3       $482        252       $574       1.14  ..............
25365....          1  Revise radius &              3       $482        252       $574       1.14  ..............
                       ulna.                                                                                    
25370....          1  Revise radius or             3       $482        253       $775       1.54  ..............
                       ulna.                                                                                    
25375....          1  Revise radius &              4       $595        253       $775       1.54  ..............
                       ulna.                                                                                    
25390....          3  Shorten radius/ulna          3       $482  .........  .........  .........  Delete.       
25391....          3  Lengthen radius/             4       $595  .........  .........  .........  Delete.       
                       ulna.                                                                                    
25392....          3  Shorten radius &             3       $482  .........  .........  .........  Delete.       
                       ulna.                                                                                    
25393....          3  Lengthen radius &            4       $595  .........  .........  .........  Delete.       
                       ulna.                                                                                    
25400....          1  Repair radius or             3       $482        252       $574       1.14  ..............
                       ulna.                                                                                    
25405....          3  Repair/graft radius          4       $595  .........  .........  .........  Delete.       
                       or ulna.                                                                                 
25415....          1  Repair radius &              3       $482        252       $574       1.14  ..............
                       ulna.                                                                                    
25420....          3  Repair/graft radius          4       $595  .........  .........  .........  Delete.       
                       & ulna.                                                                                  
25425....          1  Repair/graft radius          3       $482        253       $775       1.54  ..............
                       or ulna.                                                                                 
25426....          1  Repair/graft radius          4       $595        253       $775       1.54  ..............
                       & ulna.                                                                                  
25440....          1  Repair/graft wrist           4       $595        253       $775       1.54  ..............
                       bone.                                                                                    
25441....          1  Reconstruct wrist            5       $678        218       $730       1.45  ..............
                       joint.                                                                                   
25442....          1  Reconstruct wrist            5       $678        218       $730       1.45  ..............
                       joint.                                                                                   
25443....          1  Reconstruct wrist            5       $678        218       $730       1.45  ..............
                       joint.                                                                                   
25444....          1  Reconstruct wrist            5       $678        218       $730       1.45  ..............
                       joint.                                                                                   
25445....          1  Reconstruct wrist            5       $678        218       $730       1.45  ..............
                       joint.                                                                                   
25446....          1  Wrist replacement..          7       $941        218       $730       1.45  ..............
25447....          1  Repair wrist                 5       $678        217       $695       1.38  ..............
                       joint(s).                                                                                
25449....          1  Remove wrist joint           5       $678        217       $695       1.38  ..............
                       implant.                                                                                 
25450....          1  Revision of wrist            3       $482        253       $775       1.54  ..............
                       joint.                                                                                   
25455....          1  Revision of wrist            3       $482        253       $775       1.54  ..............
                       joint.                                                                                   
25490....          1  Reinforce radius...          3       $482        253       $775       1.54  ..............
25491....          1  Reinforce ulna.....          3       $482        253       $775       1.54  ..............
25492....          1  Reinforce radius             3       $482        253       $775       1.54  ..............
                       and ulna.                                                                                
25500....          1  Treat fracture of    .........  .........        209        $71       0.14  Add.          
                       radius.                                                                                  
25505....          1  Treat fracture of            1       $314        209        $71       0.14  ..............
                       radius.                                                                                  
25515....          1  Repair fracture of           3       $482        216       $580       1.15  ..............
                       radius.                                                                                  
25520....          1  Repair fracture of           1       $314        209        $71       0.14  ..............
                       radius.                                                                                  
25525....          1  Repair fracture of           4       $595        216       $580       1.15  ..............
                       radius.                                                                                  
25526....          1  Repair fracture of           5       $678        216       $580       1.15  ..............
                       radius.                                                                                  
25530....          1  Treat fracture of    .........  .........        209        $71       0.14  Add.          
                       ulna.                                                                                    

[[Page 32345]]

                                                                                                                
25535....          1  Treat fracture of            1       $314        209        $71       0.14  ..............
                       ulna.                                                                                    
25545....          1  Repair fracture of           3       $482        216       $580       1.15  ..............
                       ulna.                                                                                    
25560....          1  Treat fracture       .........  .........        209        $71       0.14  Add.          
                       radius & ulna.                                                                           
25565....          1  Treat fracture               2       $422        209        $71       0.14  ..............
                       radius & ulna.                                                                           
25574....          1  Treat fracture               3       $482        216       $580       1.15  ..............
                       radius & ulna.                                                                           
25575....          1  Repair fracture              3       $482        216       $580       1.15  ..............
                       radius/ulna.                                                                             
25600....          1  Treat fracture       .........  .........        209        $71       0.14  Add.          
                       radius/ulna.                                                                             
25605....          1  Treat fracture               3       $482        209        $71       0.14  ..............
                       radius/ulna.                                                                             
25611....          1  Repair fracture              3       $482        216       $580       1.15  ..............
                       radius/ulna.                                                                             
25620....          1  Repair fracture              5       $678        216       $580       1.15  ..............
                       radius/ulna.                                                                             
25622....          1  Treat wrist bone     .........  .........        209        $71       0.14  Add.          
                       fracture.                                                                                
25624....          1  Treat wrist bone             2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
25628....          1  Repair wrist bone            3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
25630....          1  Treat wrist bone     .........  .........        209        $71       0.14  Add.          
                       fracture.                                                                                
25635....          1  Treat wrist bone             1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
25645....          1  Repair wrist bone            3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
25650....          1  Repair wrist bone    .........  .........        209        $71       0.14  Add.          
                       fracture.                                                                                
25660....          1  Treat wrist                  1       $314        209        $71       0.14  ..............
                       dislocation.                                                                             
25670....          1  Repair wrist                 3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
25675....          1  Treat wrist                  1       $314        209        $71       0.14  ..............
                       dislocation.                                                                             
25676....          1  Repair wrist                 2       $422        216       $580       1.15  ..............
                       dislocation.                                                                             
25680....          1  Treat wrist                  2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
25685....          1  Repair wrist                 3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
25690....          1  Treat wrist                  1       $314        209        $71       0.14  ..............
                       dislocation.                                                                             
25695....          1  Repair wrist                 2       $422        216       $580       1.15  ..............
                       dislocation.                                                                             
25800....          1  Fusion of wrist              4       $595        253       $775       1.54  ..............
                       joint.                                                                                   
25805....          1  Fusion/graft of              5       $678        253       $775       1.54  ..............
                       wrist joint.                                                                             
25810....          1  Fusion/graft of              5       $678        253       $775       1.54  ..............
                       wrist joint.                                                                             
25820....          1  Fusion of hand               4       $595        261       $494       0.98  ..............
                       bones.                                                                                   
25825....          1  Fusion hand bones            5       $678        262       $543       1.08  ..............
                       with graft.                                                                              
25830....          1  Fusion radioulnar    .........  .........        253       $775       1.54  Add.          
                       jnt/ulna.                                                                                
25900....          3  Amputation of        .........  .........  .........  .........  .........  ..............
                       forearm.                                                                                 
25905....          3  Amputation of        .........  .........  .........  .........  .........  ..............
                       forearm.                                                                                 
25907....          1  Amputation follow-           3       $482        251       $504       1.00  ..............
                       up surgery.                                                                              
25909....          3  Amputation follow-   .........  .........  .........  .........  .........  ..............
                       up surgery.                                                                              
25915....          3  Amputation of        .........  .........  .........  .........  .........  ..............
                       forearm.                                                                                 
25920....          3  Amputate hand at     .........  .........  .........  .........  .........  ..............
                       wrist.                                                                                   
25922....          1  Amputate hand at             3       $482        251       $504       1.00  ..............
                       wrist.                                                                                   
25924....          3  Amputation follow-   .........  .........  .........  .........  .........  ..............
                       up surgery.                                                                              
25927....          3  Amputation of hand.  .........  .........  .........  .........  .........  ..............
25929....          1  Amputation follow-           3       $482        183       $465       0.92  ..............
                       up surgery.                                                                              
25931....          3  Amputation follow-   .........  .........  .........  .........  .........  ..............
                       up surgery.                                                                              
25999....          3  Forearm or wrist     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
26010....          5  Drainage of finger   .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
26011....          5  Drainage of finger           1       $314  .........  .........  .........  Delete.       
                       abscess.                                                                                 
26020....          1  Drain hand tendon            2       $422        261       $494       0.98  ..............
                       sheath.                                                                                  
26025....          1  Drainage of palm             1       $314        261       $494       0.98  ..............
                       bursa.                                                                                   
26030....          1  Drainage of palm             2       $422        261       $494       0.98  ..............
                       bursa(s).                                                                                
26034....          1  Treat hand bone              2       $422        261       $494       0.98  ..............
                       lesion.                                                                                  
26035....          1  Decompress fingers/          4       $595        261       $494       0.98  ..............
                       hand.                                                                                    
26037....          1  Decompress fingers/          4       $595        261       $494       0.98  ..............
                       hand.                                                                                    
26040....          1  Release palm                 4       $595        262       $543       1.08  ..............
                       contracture.                                                                             
26045....          1  Release palm                 3       $482        262       $543       1.08  ..............
                       contracture.                                                                             
26055....          1  Incise finger                2       $422        261       $494       0.98  ..............
                       tendon sheath.                                                                           
26060....          1  Incision of finger           2       $422        261       $494       0.98  ..............
                       tendon.                                                                                  
26070....          1  Explore/treat hand           2       $422        261       $494       0.98  ..............
                       joint.                                                                                   
26075....          1  Explore/treat                4       $595        261       $494       0.98  ..............
                       finger joint.                                                                            
26080....          1  Explore/treat                4       $595        261       $494       0.98  ..............
                       finger joint.                                                                            
26100....          1  Biopsy hand joint            2       $422        261       $494       0.98  ..............
                       lining.                                                                                  
26105....          1  Biopsy finger joint          1       $314        261       $494       0.98  ..............
                       lining.                                                                                  
26110....          1  Biopsy finger joint          1       $314        261       $494       0.98  ..............
                       lining.                                                                                  
26115....          1  Removal of hand              2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
26116....          1  Removal of hand              2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
26117....          1  Remove tumor, hand/          3       $482        163       $449       0.89  ..............
                       finger.                                                                                  
26121....          1  Release palm                 4       $595        262       $543       1.08  ..............
                       contracture.                                                                             
26123....          1  Release palm                 4       $595        262       $543       1.08  ..............
                       contracture.                                                                             
26125....          1  Release palm                 4       $595        262       $543       1.08  ..............
                       contracture.                                                                             
26130....          1  Remove wrist joint           3       $482        261       $494       0.98  ..............
                       lining.                                                                                  
26135....          1  Revise finger                4       $595        262       $543       1.08  ..............
                       joint, each.                                                                             
26140....          1  Revise finger                2       $422        261       $494       0.98  ..............
                       joint, each.                                                                             
26145....          1  Tendon excision,             3       $482        261       $494       0.98  ..............
                       palm/finger.                                                                             
26160....          1  Remove tendon                3       $482        261       $494       0.98  ..............
                       sheath lesion.                                                                           
26170....          1  Removal of palm              3       $482        261       $494       0.98  ..............
                       tendon, each.                                                                            
26180....          1  Removal of finger            3       $482        261       $494       0.98  ..............
                       tendon.                                                                                  

[[Page 32346]]

                                                                                                                
26185....          1  Remove finger bone.  .........  .........        261       $494       0.98  Add.          
26200....          1  Remove hand bone             2       $422        261       $494       0.98  ..............
                       lesion.                                                                                  
26205....          1  Remove/graft bone            3       $482        262       $543       1.08  ..............
                       lesion.                                                                                  
26210....          1  Removal of finger            2       $422        261       $494       0.98  ..............
                       lesion.                                                                                  
26215....          1  Remove/graft finger          3       $482        261       $494       0.98  ..............
                       lesion.                                                                                  
26230....          1  Partial removal of           7       $941        261       $494       0.98  ..............
                       hand bone.                                                                               
26235....          1  Partial removal,             3       $482        261       $494       0.98  ..............
                       finger bone.                                                                             
26236....          1  Partial removal,             3       $482        261       $494       0.98  ..............
                       finger bone.                                                                             
26250....          1  Extensive hand               3       $482        261       $494       0.98  ..............
                       surgery.                                                                                 
26255....          1  Extensive hand               3       $482        262       $543       1.08  ..............
                       surgery.                                                                                 
26260....          1  Extensive finger             3       $482        261       $494       0.98  ..............
                       surgery.                                                                                 
26261....          1  Extensive finger             3       $482        261       $494       0.98  ..............
                       surgery.                                                                                 
26262....          1  Partial removal of           2       $422        261       $494       0.98  ..............
                       finger.                                                                                  
26320....          1  Removal of implant           2       $422        163       $449       0.89  ..............
                       from hand.                                                                               
26350....          1  Repair finger/hand           1       $314        262       $543       1.08  ..............
                       tendon.                                                                                  
26352....          1  Repair/graft hand            4       $595        262       $543       1.08  ..............
                       tendon.                                                                                  
26356....          1  Repair finger/hand           4       $595        262       $543       1.08  ..............
                       tendon.                                                                                  
26357....          1  Repair finger/hand           4       $595        262       $543       1.08  ..............
                       tendon.                                                                                  
26358....          1  Repair/graft hand            4       $595        262       $543       1.08  ..............
                       tendon.                                                                                  
26370....          1  Repair finger/hand           4       $595        262       $543       1.08  ..............
                       tendon.                                                                                  
26372....          1  Repair/graft hand            4       $595        262       $543       1.08  ..............
                       tendon.                                                                                  
26373....          1  Repair finger/hand           3       $482        262       $543       1.08  ..............
                       tendon.                                                                                  
26390....          1  Revise hand/finger           4       $595        262       $543       1.08  ..............
                       tendon.                                                                                  
26392....          1  Repair/graft hand            3       $482        262       $543       1.08  ..............
                       tendon.                                                                                  
26410....          1  Repair hand tendon.          3       $482        261       $494       0.98  ..............
26412....          1  Repair/graft hand            3       $482        262       $543       1.08  ..............
                       tendon.                                                                                  
26415....          1  Excision, hand/              4       $595        262       $543       1.08  ..............
                       finger tendon.                                                                           
26416....          1  Graft hand or                3       $482        262       $543       1.08  ..............
                       finger tendon.                                                                           
26418....          1  Repair finger                4       $595        261       $494       0.98  ..............
                       tendon.                                                                                  
26420....          1  Repair/graft finger          4       $595        262       $543       1.08  ..............
                       tendon.                                                                                  
26426....          1  Repair finger/hand           3       $482        262       $543       1.08  ..............
                       tendon.                                                                                  
26428....          1  Repair/graft finger          3       $482        262       $543       1.08  ..............
                       tendon.                                                                                  
26432....          1  Repair finger                3       $482        261       $494       0.98  ..............
                       tendon.                                                                                  
26433....          1  Repair finger                3       $482        261       $494       0.98  ..............
                       tendon.                                                                                  
26434....          1  Repair/graft finger          3       $482        262       $543       1.08  ..............
                       tendon.                                                                                  
26437....          1  Realignment of               3       $482        261       $494       0.98  ..............
                       tendons.                                                                                 
26440....          1  Release palm/finger          3       $482        261       $494       0.98  ..............
                       tendon.                                                                                  
26442....          1  Release palm &               3       $482        262       $543       1.08  ..............
                       finger tendon.                                                                           
26445....          1  Release hand/finger          3       $482        261       $494       0.98  ..............
                       tendon.                                                                                  
26449....          1  Release forearm/             3       $482        262       $543       1.08  ..............
                       hand tendon.                                                                             
26450....          1  Incision of palm             3       $482        261       $494       0.98  ..............
                       tendon.                                                                                  
26455....          1  Incision of finger           3       $482        261       $494       0.98  ..............
                       tendon.                                                                                  
26460....          1  Incise hand/finger           3       $482        261       $494       0.98  ..............
                       tendon.                                                                                  
26471....          1  Fusion of finger             2       $422        261       $494       0.98  ..............
                       tendons.                                                                                 
26474....          1  Fusion of finger             2       $422        261       $494       0.98  ..............
                       tendons.                                                                                 
26476....          1  Tendon lengthening.          1       $314        261       $494       0.98  ..............
26477....          1  Tendon shortening..          1       $314        261       $494       0.98  ..............
26478....          1  Lengthening of hand          1       $314        261       $494       0.98  ..............
                       tendon.                                                                                  
26479....          1  Shortening of hand           1       $314        261       $494       0.98  ..............
                       tendon.                                                                                  
26480....          1  Transplant hand              3       $482        262       $543       1.08  ..............
                       tendon.                                                                                  
26483....          1  Transplant/graft             3       $482        262       $543       1.08  ..............
                       hand tendon.                                                                             
26485....          1  Transplant palm              2       $422        262       $543       1.08  ..............
                       tendon.                                                                                  
26489....          1  Transplant/graft             3       $482        262       $543       1.08  ..............
                       palm tendon.                                                                             
26490....          1  Revise thumb tendon          3       $482        262       $543       1.08  ..............
26492....          1  Tendon transfer              3       $482        262       $543       1.08  ..............
                       with graft.                                                                              
26494....          1  Hand tendon/muscle           3       $482        262       $543       1.08  ..............
                       transfer.                                                                                
26496....          1  Revise thumb tendon          3       $482        262       $543       1.08  ..............
26497....          1  Finger tendon                3       $482        262       $543       1.08  ..............
                       transfer.                                                                                
26498....          1  Finger tendon                4       $595        262       $543       1.08  ..............
                       transfer.                                                                                
26499....          1  Revision of finger.          3       $482        262       $543       1.08  ..............
26500....          1  Hand tendon                  4       $595        261       $494       0.98  ..............
                       reconstruction.                                                                          
26502....          1  Hand tendon                  4       $595        262       $543       1.08  ..............
                       reconstruction.                                                                          
26504....          1  Hand tendon                  4       $595        262       $543       1.08  ..............
                       reconstruction.                                                                          
26508....          1  Release thumb                3       $482        261       $494       0.98  ..............
                       contracture.                                                                             
26510....          1  Thumb tendon                 3       $482        262       $543       1.08  ..............
                       transfer.                                                                                
26516....          1  Fusion of knuckle            1       $314        262       $543       1.08  ..............
                       joint.                                                                                   
26517....          1  Fusion of knuckle            3       $482        262       $543       1.08  ..............
                       joints.                                                                                  
26518....          1  Fusion of knuckle            3       $482        262       $543       1.08  ..............
                       joints.                                                                                  
26520....          1  Release knuckle              3       $482        261       $494       0.98  ..............
                       contracture.                                                                             
26525....          1  Release finger               3       $482        261       $494       0.98  ..............
                       contracture.                                                                             
26530....          1  Revise knuckle               3       $482        217       $695       1.38  ..............
                       joint.                                                                                   
26531....          1  Revise knuckle with          7       $941        218       $730       1.45  ..............
                       implant.                                                                                 
26535....          1  Revise finger joint          5       $678        217       $695       1.38  ..............
26536....          1  Revise/implant               5       $678        218       $730       1.45  ..............
                       finger joint.                                                                            

[[Page 32347]]

                                                                                                                
26540....          1  Repair hand joint..          4       $595        261       $494       0.98  ..............
26541....          1  Repair hand joint            7       $941        262       $543       1.08  ..............
                       with graft.                                                                              
26542....          1  Repair hand joint            4       $595        261       $494       0.98  ..............
                       with graft.                                                                              
26545....          1  Reconstruct finger           4       $595        262       $543       1.08  ..............
                       joint.                                                                                   
26546....          1  Repair non-union     .........  .........        262       $543       1.08  Add.          
                       hand.                                                                                    
26548....          1  Reconstruct finger           4       $595        262       $543       1.08  ..............
                       joint.                                                                                   
26550....          1  Construct thumb              2       $422        262       $543       1.08  ..............
                       replacement.                                                                             
26551....          3  Great toe-hand               4       $595  .........  .........  .........  Delete.       
                       transfer.                                                                                
26553....          3  Single toe-hand              2       $422  .........  .........  .........  Delete.       
                       transfer.                                                                                
26554....          3  Double toe-hand              2       $422  .........  .........  .........  Delete.       
                       transfer.                                                                                
26555....          1  Positional change            3       $482        262       $543       1.08  ..............
                       of finger.                                                                               
26556....          3  Toe joint transfer.  .........  .........  .........  .........  .........  ..............
26560....          1  Repair of web                2       $422        261       $494       0.98  ..............
                       finger.                                                                                  
26561....          1  Repair of web                3       $482        262       $543       1.08  ..............
                       finger.                                                                                  
26562....          1  Repair of web                4       $595        262       $543       1.08  ..............
                       finger.                                                                                  
26565....          1  Correct metacarpal           5       $678        262       $543       1.08  ..............
                       flaw.                                                                                    
26567....          1  Correct finger               5       $678        262       $543       1.08  ..............
                       deformity.                                                                               
26568....          1  Lengthen metacarpal/         3       $482        262       $543       1.08  ..............
                       finger.                                                                                  
26580....          1  Repair hand                  5       $678        262       $543       1.08  ..............
                       deformity.                                                                               
26585....          1  Repair finger                5       $678        262       $543       1.08  ..............
                       deformity.                                                                               
26587....          1  Reconstruct extra            5       $678        261       $494       0.98  ..............
                       finger.                                                                                  
26590....          1  Repair finger                5       $678        262       $543       1.08  ..............
                       deformity.                                                                               
26591....          1  Repair muscles of            3       $482        262       $543       1.08  ..............
                       hand.                                                                                    
26593....          1  Release muscles of           3       $482        261       $494       0.98  ..............
                       hand.                                                                                    
26596....          1  Excision                     2       $422        262       $543       1.08  ..............
                       constricting                                                                             
                       tissue.                                                                                  
26597....          1  Release of scar              3       $482        262       $543       1.08  ..............
                       contracture.                                                                             
26600....          1  Treat metacarpal     .........  .........        209        $71       0.14  Add.          
                       fracture.                                                                                
26605....          1  Treat metacarpal             2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
26607....          1  Treat metacarpal             2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
26608....          1  Treat metacarpal     .........  .........        216       $580       1.15  Add.          
                       fracture.                                                                                
26615....          1  Repair metacarpal            4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
26641....          1  Treat thumb          .........  .........        209        $71       0.14  Add.          
                       dislocation.                                                                             
26645....          1  Treat thumb                  1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
26650....          1  Repair thumb                 2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
26665....          1  Repair thumb                 4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
26670....          1  Treat hand           .........  .........        209        $71       0.14  Add.          
                       dislocation.                                                                             
26675....          1  Treat hand                   2       $422        210       $397       0.79  ..............
                       dislocation.                                                                             
26676....          1  Pin hand                     2       $422        216       $580       1.15  ..............
                       dislocation.                                                                             
26685....          1  Repair hand                  3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
26686....          1  Repair hand                  3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
26700....          1  Treat knuckle        .........  .........        207        $53       0.11  Add.          
                       dislocation.                                                                             
26705....          1  Treat knuckle                2       $422        210       $397       0.79  ..............
                       dislocation.                                                                             
26706....          1  Pin knuckle                  2       $422        209        $71       0.14  ..............
                       dislocation.                                                                             
26715....          1  Repair knuckle               4       $595        216       $580       1.15  ..............
                       dislocation.                                                                             
26720....          1  Treat finger         .........  .........        207        $53       0.11  Add.          
                       fracture, each.                                                                          
26725....          1  Treat finger         .........  .........        207        $53       0.11  Add.          
                       fracture, each.                                                                          
26727....          1  Treat finger                 7       $941        216       $580       1.15  ..............
                       fracture, each.                                                                          
26735....          1  Repair finger                4       $595        216       $580       1.15  ..............
                       fracture, each.                                                                          
26740....          1  Treat finger         .........  .........        207        $53       0.11  Add.          
                       fracture, each.                                                                          
26742....          1  Treat finger                 2       $422        209        $71       0.14  ..............
                       fracture, each.                                                                          
26746....          1  Repair finger                5       $678        216       $580       1.15  ..............
                       fracture, each.                                                                          
26750....          1  Treat finger         .........  .........        207        $53       0.11  Add.          
                       fracture, each.                                                                          
26755....          1  Treat finger         .........  .........        207        $53       0.11  Add.          
                       fracture, each.                                                                          
26756....          1  Pin finger                   2       $422        216       $580       1.15  ..............
                       fracture, each.                                                                          
26765....          1  Repair finger                4       $595        216       $580       1.15  ..............
                       fracture, each.                                                                          
26770....          1  Treat finger         .........  .........        207        $53       0.11  Add.          
                       dislocation.                                                                             
26775....          1  Treat finger         .........  .........        210       $397       0.79  Add.          
                       dislocation.                                                                             
26776....          1  Pin finger                   2       $422        216       $580       1.15  ..............
                       dislocation.                                                                             
26785....          1  Repair finger                2       $422        216       $580       1.15  ..............
                       dislocation.                                                                             
26820....          1  Thumb fusion with            5       $678        262       $543       1.08  ..............
                       graft.                                                                                   
26841....          1  Fusion of thumb....          4       $595        262       $543       1.08  ..............
26842....          1  Thumb fusion with            4       $595        262       $543       1.08  ..............
                       graft.                                                                                   
26843....          1  Fusion of hand               3       $482        262       $543       1.08  ..............
                       joint.                                                                                   
26844....          1  Fusion/graft of              3       $482        262       $543       1.08  ..............
                       hand joint.                                                                              
26850....          1  Fusion of knuckle..          4       $595        262       $543       1.08  ..............
26852....          1  Fusion of knuckle            4       $595        262       $543       1.08  ..............
                       with graft.                                                                              
26860....          1  Fusion of finger             3       $482        262       $543       1.08  ..............
                       joint.                                                                                   
26861....          1  Fusion of finger             2       $422        262       $543       1.08  ..............
                       joint,added.                                                                             
26862....          1  Fusion/graft of              4       $595        262       $543       1.08  ..............
                       finger joint.                                                                            
26863....          1  Fuse/graft added             3       $482        262       $543       1.08  ..............
                       joint.                                                                                   
26910....          1  Amputate metacarpal          3       $482        262       $543       1.08  ..............
                       bone.                                                                                    
26951....          1  Amputation of                2       $422        261       $494       0.98  ..............
                       finger/thumb.                                                                            
26952....          1  Amputation of                4       $595        261       $494       0.98  ..............
                       finger/thumb.                                                                            
26989....          3  Hand/finger surgery  .........  .........  .........  .........  .........  ..............

[[Page 32348]]

                                                                                                                
26990....          1  Drainage of pelvis           1       $314        251       $504       1.00  ..............
                       lesion.                                                                                  
26991....          1  Drainage of pelvis           1       $314        251       $504       1.00  ..............
                       bursa.                                                                                   
26992....          3  Drainage of bone             2       $422  .........  .........  .........  Delete.       
                       lesion.                                                                                  
27000....          1  Incision of hip              2       $422        251       $504       1.00  ..............
                       tendon.                                                                                  
27001....          1  Incision of hip              3       $482        252       $574       1.14  ..............
                       tendon.                                                                                  
27003....          1  Incision of hip              3       $482        252       $574       1.14  ..............
                       tendon.                                                                                  
27005....          3  Incision of hip      .........  .........  .........  .........  .........  ..............
                       tendon.                                                                                  
27006....          3  Incision of hip      .........  .........  .........  .........  .........  ..............
                       tendons.                                                                                 
27025....          3  Incision of hip/     .........  .........  .........  .........  .........  ..............
                       thigh fascia.                                                                            
27030....          3  Drainage of hip              3       $482  .........  .........  .........  Delete.       
                       joint.                                                                                   
27033....          1  Exploration of hip           3       $482        253       $775       1.54  ..............
                       joint.                                                                                   
27035....          3  Denervation of hip           4       $595  .........  .........  .........  Delete.       
                       joint.                                                                                   
27036....          3  Excision of hip      .........  .........  .........  .........  .........  ..............
                       joint/muscle.                                                                            
27040....          1  Biopsy of soft               1       $314        162       $187       0.37  ..............
                       tissues.                                                                                 
27041....          1  Biopsy of soft               2       $422        163       $449       0.89  ..............
                       tissues.                                                                                 
27047....          1  Remove hip/pelvis            2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
27048....          1  Remove hip/pelvis            3       $482        163       $449       0.89  ..............
                       lesion.                                                                                  
27049....          1  Remove tumor, hip/           3       $482        163       $449       0.89  ..............
                       pelvis.                                                                                  
27050....          1  Biopsy of                    3       $482        251       $504       1.00  ..............
                       sacroiliac joint.                                                                        
27052....          1  Biopsy of hip joint          3       $482        251       $504       1.00  ..............
27054....          3  Removal of hip       .........  .........  .........  .........  .........  ..............
                       joint lining.                                                                            
27060....          1  Removal of ischial           5       $678        251       $504       1.00  ..............
                       bursa.                                                                                   
27062....          1  Remove femur lesion/         5       $678        251       $504       1.00  ..............
                       bursa.                                                                                   
27065....          1  Removal of hip bone          5       $678        251       $504       1.00  ..............
                       lesion.                                                                                  
27066....          1  Removal of hip bone          5       $678        252       $574       1.14  ..............
                       lesion.                                                                                  
27067....          1  Remove/graft hip     .........  .........        252       $574       1.14  Add.          
                       bone lesion.                                                                             
27070....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       hip bone.                                                                                
27071....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       hip bone.                                                                                
27075....          3  Extensive hip        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
27076....          3  Extensive hip        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
27077....          3  Extensive hip        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
27078....          3  Extensive hip        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
27079....          3  Extensive hip        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
27080....          1  Removal of tail              2       $422        252       $574       1.14  ..............
                       bone.                                                                                    
27086....          1  Remove hip foreign           1       $314        251       $504       1.00  ..............
                       body.                                                                                    
27087....          1  Remove hip foreign           3       $482        251       $504       1.00  ..............
                       body.                                                                                    
27090....          3  Removal of hip       .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
27091....          3  Removal of hip       .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
27093....          2  Injection for hip x- .........  .........  .........  .........  .........  ..............
                       ray.                                                                                     
27095....          2  Injection for hip x- .........  .........  .........  .........  .........  ..............
                       ray.                                                                                     
27097....          1  Revision of hip              3       $482        252       $574       1.14  ..............
                       tendon.                                                                                  
27098....          1  Transfer tendon to           3       $482        252       $574       1.14  ..............
                       pelvis.                                                                                  
27100....          1  Transfer of                  4       $595        253       $775       1.54  ..............
                       abdominal muscle.                                                                        
27105....          1  Transfer of spinal           4       $595        253       $775       1.54  ..............
                       muscle.                                                                                  
27110....          1  Transfer of                  4       $595        253       $775       1.54  ..............
                       iliopsoas muscle.                                                                        
27111....          1  Transfer of                  4       $595        253       $775       1.54  ..............
                       iliopsoas muscle.                                                                        
27120....          3  Reconstruction of    .........  .........  .........  .........  .........  ..............
                       hip socket.                                                                              
27122....          3  Reconstruction of    .........  .........  .........  .........  .........  ..............
                       hip socket.                                                                              
27125....          3  Partial hip          .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
27130....          3  Total hip            .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
27132....          3  Total hip            .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
27134....          3  Revise hip joint     .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
27137....          3  Revise hip joint     .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
27138....          3  Revise hip joint     .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
27140....          3  Transplant of femur  .........  .........  .........  .........  .........  ..............
                       ridge.                                                                                   
27146....          3  Incision of hip      .........  .........  .........  .........  .........  ..............
                       bone.                                                                                    
27147....          3  Revision of hip      .........  .........  .........  .........  .........  ..............
                       bone.                                                                                    
27151....          3  Incision of hip      .........  .........  .........  .........  .........  ..............
                       bones.                                                                                   
27156....          3  Revision of hip      .........  .........  .........  .........  .........  ..............
                       bones.                                                                                   
27158....          3  Revision of pelvis.  .........  .........  .........  .........  .........  ..............
27161....          3  Incision of neck of  .........  .........  .........  .........  .........  ..............
                       femur.                                                                                   
27165....          3  Incision/fixation    .........  .........  .........  .........  .........  ..............
                       of femur.                                                                                
27170....          3  Repair/graft femur   .........  .........  .........  .........  .........  ..............
                       head/neck.                                                                               
27175....          3  Treat slipped        .........  .........  .........  .........  .........  ..............
                       epiphysis.                                                                               
27176....          3  Treat slipped        .........  .........  .........  .........  .........  ..............
                       epiphysis.                                                                               
27177....          3  Repair slipped       .........  .........  .........  .........  .........  ..............
                       epiphysis.                                                                               
27178....          3  Repair slipped       .........  .........  .........  .........  .........  ..............
                       epiphysis.                                                                               
27179....          3  Revise head/neck of  .........  .........  .........  .........  .........  ..............
                       femur.                                                                                   
27181....          3  Repair slipped       .........  .........  .........  .........  .........  ..............
                       epiphysis.                                                                               
27185....          3  Revision of femur    .........  .........  .........  .........  .........  ..............
                       epiphysis.                                                                               
27187....          3  Reinforce hip bones  .........  .........  .........  .........  .........  ..............
27193....          1  Treat pelvic ring            1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27194....          1  Treat pelvic ring            2       $422        210       $397       0.79  ..............
                       fracture.                                                                                
27200....          1  Treat tail bone      .........  .........        207        $53       0.11  Add.          
                       fracture.                                                                                

[[Page 32349]]

                                                                                                                
27202....          1  Repair tail bone             2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
27215....          3  Pelvic fracture(s)   .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
27216....          3  Treat pelvic ring    .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27217....          3  Treat pelvic ring    .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27218....          3  Treat pelvic ring    .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27220....          1  Treat hip socket     .........  .........        209        $71       0.14  Add.          
                       fracture.                                                                                
27222....          3  Treat hip socket     .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27226....          3  Treat hip wall       .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27227....          3  Treat hip            .........  .........  .........  .........  .........  ..............
                       fracture(s).                                                                             
27228....          3  Treat hip            .........  .........  .........  .........  .........  ..............
                       fracture(s).                                                                             
27230....          1  Treat fracture of            1       $314        209        $71       0.14  ..............
                       thigh.                                                                                   
27232....          3  Treat fracture of    .........  .........  .........  .........  .........  ..............
                       thigh.                                                                                   
27235....          3  Repair of thigh      .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27236....          3  Repair of thigh      .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27238....          1  Treatment of thigh           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27240....          3  Treatment of thigh   .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27244....          3  Repair of thigh      .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27245....          3  Repair of thigh      .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27246....          1  Treatment of thigh           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27248....          3  Repair of thigh      .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27250....          1  Treat hip                    1       $314        209        $71       0.14  ..............
                       dislocation.                                                                             
27252....          1  Treat hip                    2       $422        210       $397       0.79  ..............
                       dislocation.                                                                             
27253....          3  Repair of hip        .........  .........  .........  .........  .........  ..............
                       dislocation.                                                                             
27254....          3  Repair of hip        .........  .........  .........  .........  .........  ..............
                       dislocation.                                                                             
27256....          1  Treatment of hip     .........  .........        209        $71       0.14  Add.          
                       dislocation.                                                                             
27257....          1  Treatment of hip     .........  .........        210       $397       0.79  Add.          
                       dislocation.                                                                             
27258....          3  Repair of hip        .........  .........  .........  .........  .........  ..............
                       dislocation.                                                                             
27259....          3  Repair of hip        .........  .........  .........  .........  .........  ..............
                       dislocation.                                                                             
27265....          1  Treatment of hip             1       $314        209        $71       0.14  ..............
                       dislocation.                                                                             
27266....          1  Treatment of hip             2       $422        217       $695       1.38  ..............
                       dislocation.                                                                             
27275....          1  Manipulation of hip          2       $422        210       $397       0.79  ..............
                       joint.                                                                                   
27280....          3  Fusion of            .........  .........  .........  .........  .........  ..............
                       sacroiliac joint.                                                                        
27282....          3  Fusion of pubic      .........  .........  .........  .........  .........  ..............
                       bones.                                                                                   
27284....          3  Fusion of hip joint  .........  .........  .........  .........  .........  ..............
27286....          3  Fusion of hip joint  .........  .........  .........  .........  .........  ..............
27290....          3  Amputation of leg    .........  .........  .........  .........  .........  ..............
                       at hip.                                                                                  
27295....          3  Amputation of leg    .........  .........  .........  .........  .........  ..............
                       at hip.                                                                                  
27299....          3  Pelvis/hip joint     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
27301....          1  Drain thigh/knee             3       $482        132       $162       0.32  ..............
                       lesion.                                                                                  
27303....          3  Drainage of bone             2       $422  .........  .........  .........  Delete.       
                       lesion.                                                                                  
27305....          1  Incise thigh tendon          2       $422        251       $504       1.00  ..............
                       & fascia.                                                                                
27306....          1  Incision of thigh            3       $482        251       $504       1.00  ..............
                       tendon.                                                                                  
27307....          1  Incision of thigh            3       $482        251       $504       1.00  ..............
                       tendons.                                                                                 
27310....          1  Exploration of knee          4       $595        252       $574       1.14  ..............
                       joint.                                                                                   
27315....          1  Partial removal,             2       $422        631       $600       1.19  ..............
                       thigh nerve.                                                                             
27320....          1  Partial removal,             2       $422        631       $600       1.19  ..............
                       thigh nerve.                                                                             
27323....          1  Biopsy thigh soft            1       $314        162       $187       0.37  ..............
                       tissues.                                                                                 
27324....          1  Biopsy thigh soft            1       $314        163       $449       0.89  ..............
                       tissues.                                                                                 
27327....          1  Removal of thigh             2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
27328....          1  Removal of thigh             3       $482        163       $449       0.89  ..............
                       lesion.                                                                                  
27329....          1  Remove tumor, thigh/ .........  .........        163       $449       0.89  Add.          
                       knee.                                                                                    
27330....          1  Biopsy knee joint            4       $595        252       $574       1.14  ..............
                       lining.                                                                                  
27331....          1  Explore/treat knee           4       $595        252       $574       1.14  ..............
                       joint.                                                                                   
27332....          1  Removal of knee              4       $595        252       $574       1.14  ..............
                       cartilage.                                                                               
27333....          1  Removal of knee              4       $595        252       $574       1.14  ..............
                       cartilage.                                                                               
27334....          1  Remove knee joint            4       $595        252       $574       1.14  ..............
                       lining.                                                                                  
27335....          1  Remove knee joint            4       $595        252       $574       1.14  ..............
                       lining.                                                                                  
27340....          1  Removal of kneecap           3       $482        251       $504       1.00  ..............
                       bursa.                                                                                   
27345....          1  Removal of knee              4       $595        251       $504       1.00  ..............
                       cyst.                                                                                    
27350....          1  Removal of kneecap.          4       $595        252       $574       1.14  ..............
27355....          1  Remove femur lesion          3       $482        252       $574       1.14  ..............
27356....          1  Remove femur lesion/         4       $595        252       $574       1.14  ..............
                       graft.                                                                                   
27357....          1  Remove femur lesion/ .........  .........        252       $574       1.14  Add.          
                       graft.                                                                                   
27358....          1  Remove femur lesion/ .........  .........        252       $574       1.14  Add.          
                       fixation.                                                                                
27360....          1  Partial removal leg          5       $678        252       $574       1.14  ..............
                       bone(s).                                                                                 
27365....          3  Extensive leg        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
27370....          2  Injection for knee   .........  .........  .........  .........  .........  ..............
                       x-ray.                                                                                   
27372....          1  Removal of foreign           7       $941        163       $449       0.89  ..............
                       body.                                                                                    
27380....          1  Repair of kneecap            1       $314        251       $504       1.00  ..............
                       tendon.                                                                                  
27381....          1  Repair/graft                 3       $482        251       $504       1.00  ..............
                       kneecap tendon.                                                                          
27385....          1  Repair of thigh              3       $482        251       $504       1.00  ..............
                       muscle.                                                                                  
27386....          1  Repair/graft of              3       $482        251       $504       1.00  ..............
                       thigh muscle.                                                                            
27390....          1  Incision of thigh            1       $314        251       $504       1.00  ..............
                       tendon.                                                                                  
27391....          1  Incision of thigh            2       $422        251       $504       1.00  ..............
                       tendons.                                                                                 

[[Page 32350]]

                                                                                                                
27392....          1  Incision of thigh            3       $482        251       $504       1.00  ..............
                       tendons.                                                                                 
27393....          1  Lengthening of               2       $422        252       $574       1.14  ..............
                       thigh tendon.                                                                            
27394....          1  Lengthening of               3       $482        252       $574       1.14  ..............
                       thigh tendons.                                                                           
27395....          1  Lengthening of               3       $482        253       $775       1.54  ..............
                       thigh tendons.                                                                           
27396....          1  Transplant of thigh          3       $482        252       $574       1.14  ..............
                       tendon.                                                                                  
27397....          1  Transplants of               3       $482        253       $775       1.54  ..............
                       thigh tendons.                                                                           
27400....          1  Revise thigh                 3       $482        253       $775       1.54  ..............
                       muscles/tendons.                                                                         
27403....          1  Repair of knee               4       $595        252       $574       1.14  ..............
                       cartilage.                                                                               
27405....          1  Repair of knee               4       $595        253       $775       1.54  ..............
                       ligament.                                                                                
27407....          1  Repair of knee               4       $595        253       $775       1.54  ..............
                       ligament.                                                                                
27409....          1  Repair of knee               4       $595        253       $775       1.54  ..............
                       ligaments.                                                                               
27418....          1  Repair degenerated           3       $482        253       $775       1.54  ..............
                       kneecap.                                                                                 
27420....          1  Revision of                  3       $482        253       $775       1.54  ..............
                       unstable kneecap.                                                                        
27422....          1  Revision of                  7       $941        253       $775       1.54  ..............
                       unstable kneecap.                                                                        
27424....          1  Revision/removal of          3       $482        253       $775       1.54  ..............
                       kneecap.                                                                                 
27425....          1  Lateral retinacular          7       $941        252       $574       1.14  ..............
                       release.                                                                                 
27427....          1  Reconstruction,              3       $482        254     $1,110       2.20  ..............
                       knee.                                                                                    
27428....          1  Reconstruction,              4       $595        254     $1,110       2.20  ..............
                       knee.                                                                                    
27429....          1  Reconstruction,              4       $595        254     $1,110       2.20  ..............
                       knee.                                                                                    
27430....          1  Revision of thigh            4       $595        253       $775       1.54  ..............
                       muscles.                                                                                 
27435....          1  Incision of knee             4       $595        253       $775       1.54  ..............
                       joint.                                                                                   
27437....          1  Revise kneecap.....          4       $595        217       $695       1.38  ..............
27438....          1  Revise kneecap with          5       $678        218       $730       1.45  ..............
                       implant.                                                                                 
27440....          1  Revision of knee             5       $678        217       $695       1.38  ..............
                       joint.                                                                                   
27441....          1  Revision of knee             5       $678        217       $695       1.38  ..............
                       joint.                                                                                   
27442....          1  Revision of knee             5       $678        217       $695       1.38  ..............
                       joint.                                                                                   
27443....          1  Revision of knee             5       $678        217       $695       1.38  ..............
                       joint.                                                                                   
27445....          3  Revision of knee     .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
27446....          3  Revision of knee     .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
27447....          3  Total knee           .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
27448....          3  Incision of thigh..  .........  .........  .........  .........  .........  ..............
27450....          3  Incision of thigh..  .........  .........  .........  .........  .........  ..............
27454....          3  Realignment of       .........  .........  .........  .........  .........  ..............
                       thigh bone.                                                                              
27455....          3  Realignment of knee  .........  .........  .........  .........  .........  ..............
27457....          3  Realignment of knee  .........  .........  .........  .........  .........  ..............
27465....          3  Shortening of thigh  .........  .........  .........  .........  .........  ..............
                       bone.                                                                                    
27466....          3  Lengthening of       .........  .........  .........  .........  .........  ..............
                       thigh bone.                                                                              
27468....          3  Shorten/lengthen     .........  .........  .........  .........  .........  ..............
                       thighs.                                                                                  
27470....          3  Repair of thigh....  .........  .........  .........  .........  .........  ..............
27472....          3  Repair/graft of      .........  .........  .........  .........  .........  ..............
                       thigh.                                                                                   
27475....          3  Surgery to stop leg  .........  .........  .........  .........  .........  ..............
                       growth.                                                                                  
27477....          3  Surgery to stop leg  .........  .........  .........  .........  .........  ..............
                       growth.                                                                                  
27479....          3  Surgery to stop leg  .........  .........  .........  .........  .........  ..............
                       growth.                                                                                  
27485....          3  Surgery to stop leg  .........  .........  .........  .........  .........  ..............
                       growth.                                                                                  
27486....          3  Revise knee joint    .........  .........  .........  .........  .........  ..............
                       replace.                                                                                 
27487....          3  Revise knee joint    .........  .........  .........  .........  .........  ..............
                       replace.                                                                                 
27488....          3  Removal of knee      .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
27495....          3  Reinforce thigh....  .........  .........  .........  .........  .........  ..............
27496....          1  Decompression of     .........  .........        251       $504       1.00  Add.          
                       thigh/knee.                                                                              
27497....          1  Decompression of     .........  .........        251       $504       1.00  Add.          
                       thigh/knee.                                                                              
27498....          1  Decompression of     .........  .........        251       $504       1.00  Add.          
                       thigh/knee.                                                                              
27499....          1  Decompression of     .........  .........        251       $504       1.00  Add.          
                       thigh/knee.                                                                              
27500....          1  Treatment of thigh           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27501....          1  Treatment of thigh           2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
27502....          1  Treatment of thigh           2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
27503....          1  Treatment of thigh           3       $482        209        $71       0.14  ..............
                       fracture.                                                                                
27506....          3  Repair of thigh      .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27507....          3  Treatment of thigh           4       $595  .........  .........  .........  Delete.       
                       fracture.                                                                                
27508....          1  Treatment of thigh           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27509....          1  Treatment of thigh           3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
27510....          1  Treatment of thigh           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27511....          3  Treatment of thigh           4       $595  .........  .........  .........  Delete.       
                       fracture.                                                                                
27513....          3  Treatment of thigh           5       $678  .........  .........  .........  Delete.       
                       fracture.                                                                                
27514....          3  Repair of thigh      .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27516....          1  Repair of thigh              1       $314        209        $71       0.14  ..............
                       growth plate.                                                                            
27517....          1  Repair of thigh              1       $314        209        $71       0.14  ..............
                       growth plate.                                                                            
27519....          3  Repair of thigh      .........  .........  .........  .........  .........  ..............
                       growth plate.                                                                            
27520....          1  Treat kneecap                1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27524....          3  Repair of kneecap            3       $482  .........  .........  .........  Delete.       
                       fracture.                                                                                
27530....          1  Treatment of knee            1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27532....          1  Treatment of knee            1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27535....          3  Treatment of knee            3       $482  .........  .........  .........  Delete.       
                       fracture.                                                                                
27536....          3  Repair of knee       .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27538....          1  Treat knee                   1       $314        209        $71       0.14  ..............
                       fracture(s).                                                                             

[[Page 32351]]

                                                                                                                
27540....          3  Repair of knee       .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
27550....          1  Treat knee                   1       $314        209        $71       0.14  ..............
                       dislocation.                                                                             
27552....          1  Treat knee                   1       $314        210       $397       0.79  ..............
                       dislocation.                                                                             
27556....          1  Repair of knee       .........  .........        216       $580       1.15  Add.          
                       dislocation.                                                                             
27557....          3  Repair of knee       .........  .........  .........  .........  .........  ..............
                       dislocation.                                                                             
27558....          3  Repair of knee       .........  .........  .........  .........  .........  ..............
                       dislocation.                                                                             
27560....          1  Treat kneecap                1       $314        209        $71       0.14  ..............
                       dislocation.                                                                             
27562....          1  Treat kneecap                1       $314        210       $397       0.79  ..............
                       dislocation.                                                                             
27566....          1  Repair kneecap               2       $422        216       $580       1.15  ..............
                       dislocation.                                                                             
27570....          1  Fixation of knee             1       $314        210       $397       0.79  ..............
                       joint.                                                                                   
27580....          3  Fusion of knee.....  .........  .........  .........  .........  .........  ..............
27590....          3  Amputate leg at      .........  .........  .........  .........  .........  ..............
                       thigh.                                                                                   
27591....          3  Amputate leg at      .........  .........  .........  .........  .........  ..............
                       thigh.                                                                                   
27592....          3  Amputate leg at      .........  .........  .........  .........  .........  ..............
                       thigh.                                                                                   
27594....          1  Amputation follow-   .........  .........        251       $504       1.00  Add.          
                       up surgery.                                                                              
27596....          3  Amputation follow-   .........  .........  .........  .........  .........  ..............
                       up surgery.                                                                              
27598....          3  Amputate lower leg   .........  .........  .........  .........  .........  ..............
                       at knee.                                                                                 
27599....          3  Leg surgery          .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
27600....          1  Decompression of     .........  .........        251       $504       1.00  Add.          
                       lower leg.                                                                               
27601....          1  Decompression of     .........  .........        251       $504       1.00  Add.          
                       lower leg.                                                                               
27602....          1  Decompression of     .........  .........        251       $504       1.00  Add.          
                       lower leg.                                                                               
27603....          1  Drain lower leg              2       $422        132       $162       0.32  ..............
                       lesion.                                                                                  
27604....          1  Drain lower leg              2       $422        251       $504       1.00  ..............
                       bursa.                                                                                   
27605....          1  Incision of                  1       $314        271       $510       1.01  ..............
                       achilles tendon.                                                                         
27606....          1  Incision of                  1       $314        251       $504       1.00  ..............
                       achilles tendon.                                                                         
27607....          1  Treat lower leg              2       $422        251       $504       1.00  ..............
                       bone lesion.                                                                             
27610....          1  Explore/treat ankle          2       $422        252       $574       1.14  ..............
                       joint.                                                                                   
27612....          1  Exploration of               3       $482        252       $574       1.14  ..............
                       ankle joint.                                                                             
27613....          5  Biopsy lower leg             1       $314  .........  .........  .........  Delete.       
                       soft tissue.                                                                             
27614....          1  Biopsy lower leg             2       $422        163       $449       0.89  ..............
                       soft tissue.                                                                             
27615....          1  Remove tumor, lower          3       $482        216       $580       1.15  ..............
                       leg.                                                                                     
27618....          1  Remove lower leg             2       $422        163       $449       0.89  ..............
                       lesion.                                                                                  
27619....          1  Remove lower leg             3       $482        163       $449       0.89  ..............
                       lesion.                                                                                  
27620....          1  Explore, treat               4       $595        252       $574       1.14  ..............
                       ankle joint.                                                                             
27625....          1  Remove ankle joint           4       $595        252       $574       1.14  ..............
                       lining.                                                                                  
27626....          1  Remove ankle joint           4       $595        252       $574       1.14  ..............
                       lining.                                                                                  
27630....          1  Removal of tendon            3       $482        251       $504       1.00  ..............
                       lesion.                                                                                  
27635....          1  Remove lower leg             3       $482        252       $574       1.14  ..............
                       bone lesion.                                                                             
27637....          1  Remove/graft leg             3       $482        252       $574       1.14  ..............
                       bone lesion.                                                                             
27638....          1  Remove/graft leg             3       $482        252       $574       1.14  ..............
                       bone lesion.                                                                             
27640....          1  Partial removal of           2       $422        253       $775       1.54  ..............
                       tibia.                                                                                   
27641....          1  Partial removal of           2       $422        252       $574       1.14  ..............
                       fibula.                                                                                  
27645....          3  Extensive lower leg  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
27646....          3  Extensive lower leg  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
27647....          1  Extensive ankle/     .........  .........        253       $775       1.54  Add.          
                       heel surgery.                                                                            
27648....          2  Injection for ankle  .........  .........  .........  .........  .........  ..............
                       x-ray.                                                                                   
27650....          1  Repair achilles              3       $482        253       $775       1.54  ..............
                       tendon.                                                                                  
27652....          1  Repair/graft                 3       $482        253       $775       1.54  ..............
                       achilles tendon.                                                                         
27654....          1  Repair of achilles           3       $482        253       $775       1.54  ..............
                       tendon.                                                                                  
27656....          1  Repair leg fascia            2       $422        251       $504       1.00  ..............
                       defect.                                                                                  
27658....          1  Repair of leg                1       $314        251       $504       1.00  ..............
                       tendon, each.                                                                            
27659....          1  Repair of leg                2       $422        251       $504       1.00  ..............
                       tendon, each.                                                                            
27664....          1  Repair of leg                2       $422        251       $504       1.00  ..............
                       tendon, each.                                                                            
27665....          1  Repair of leg                2       $422        252       $574       1.14  ..............
                       tendon, each.                                                                            
27675....          1  Repair lower leg             2       $422        251       $504       1.00  ..............
                       tendons.                                                                                 
27676....          1  Repair lower leg             3       $482        252       $574       1.14  ..............
                       tendons.                                                                                 
27680....          1  Release of lower             3       $482        252       $574       1.14  ..............
                       leg tendon.                                                                              
27681....          1  Release of lower             2       $422        252       $574       1.14  ..............
                       leg tendons.                                                                             
27685....          1  Revision of lower            3       $482        252       $574       1.14  ..............
                       leg tendon.                                                                              
27686....          1  Revise lower leg             3       $482        252       $574       1.14  ..............
                       tendons.                                                                                 
27687....          1  Revision of calf             3       $482        252       $574       1.14  ..............
                       tendon.                                                                                  
27690....          1  Revise lower leg             4       $595        253       $775       1.54  ..............
                       tendon.                                                                                  
27691....          1  Revise lower leg             4       $595        253       $775       1.54  ..............
                       tendon.                                                                                  
27692....          1  Revise additional            3       $482        253       $775       1.54  ..............
                       leg tendon.                                                                              
27695....          1  Repair of ankle              2       $422        252       $574       1.14  ..............
                       ligament.                                                                                
27696....          1  Repair of ankle              2       $422        252       $574       1.14  ..............
                       ligaments.                                                                               
27698....          1  Repair of ankle              2       $422        252       $574       1.14  ..............
                       ligament.                                                                                
27700....          1  Revision of ankle            5       $678        217       $695       1.38  ..............
                       joint.                                                                                   
27702....          3  Reconstruct ankle    .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
27703....          3  Reconstruction,      .........  .........  .........  .........  .........  ..............
                       ankle joint.                                                                             
27704....          1  Removal of ankle             2       $422        251       $504       1.00  ..............
                       implant.                                                                                 
27705....          1  Incision of tibia..          2       $422        253       $775       1.54  ..............
27707....          1  Incision of fibula.          2       $422        251       $504       1.00  ..............
27709....          1  Incision of tibia &          2       $422        252       $574       1.14  ..............
                       fibula.                                                                                  

[[Page 32352]]

                                                                                                                
27712....          3  Realignment of       .........  .........  .........  .........  .........  ..............
                       lower leg.                                                                               
27715....          3  Revision of lower            4       $595  .........  .........  .........  Delete.       
                       leg.                                                                                     
27720....          3  Repair of tibia....  .........  .........  .........  .........  .........  ..............
27722....          3  Repair/graft of      .........  .........  .........  .........  .........  ..............
                       tibia.                                                                                   
27724....          3  Repair/graft of      .........  .........  .........  .........  .........  ..............
                       tibia.                                                                                   
27725....          3  Repair of lower leg  .........  .........  .........  .........  .........  ..............
27727....          3  Repair of lower leg  .........  .........  .........  .........  .........  ..............
27730....          1  Repair of tibia              2       $422        252       $574       1.14  ..............
                       epiphysis.                                                                               
27732....          1  Repair of fibula             2       $422        252       $574       1.14  ..............
                       epiphysis.                                                                               
27734....          1  Repair lower leg             2       $422        252       $574       1.14  ..............
                       epiphyses.                                                                               
27740....          1  Repair of leg                2       $422        252       $574       1.14  ..............
                       epiphyses.                                                                               
27742....          1  Repair of leg                2       $422        253       $775       1.54  ..............
                       epiphyses.                                                                               
27745....          1  Reinforce tibia....          3       $482        253       $775       1.54  ..............
27750....          1  Treatment of tibia           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27752....          1  Treatment of tibia           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27756....          1  Repair of tibia              3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
27758....          1  Repair of tibia              4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
27759....          1  Repair of tibia              4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
27760....          1  Treatment of ankle           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27762....          1  Treatment of ankle           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27766....          1  Repair of ankle              3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
27780....          1  Treatment of fibula          1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27781....          1  Treatment of fibula          1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27784....          1  Repair of fibula             3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
27786....          1  Treatment of ankle           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27788....          1  Treatment of ankle           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27792....          1  Repair of ankle              3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
27808....          1  Treatment of ankle           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27810....          1  Treatment of ankle           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27814....          1  Repair of ankle              3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
27816....          1  Treatment of ankle           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27818....          1  Treatment of ankle           1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27822....          1  Repair of ankle              3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
27823....          1  Repair of ankle              3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
27824....          1  Treat lower leg              1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
27825....          1  Treat lower leg              2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
27826....          1  Treat lower leg              3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
27827....          1  Treat lower leg              3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
27828....          1  Treat lower leg              4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
27829....          1  Treat lower leg              2       $422        216       $580       1.15  ..............
                       joint.                                                                                   
27830....          1  Treat lower leg              1       $314        209        $71       0.14  ..............
                       dislocation.                                                                             
27831....          1  Treat lower leg              1       $314        210       $397       0.79  ..............
                       dislocation.                                                                             
27832....          1  Repair lower leg             2       $422        216       $580       1.15  ..............
                       dislocation.                                                                             
27840....          1  Treat ankle                  1       $314        209        $71       0.14  ..............
                       dislocation.                                                                             
27842....          1  Treat ankle                  1       $314        210       $397       0.79  ..............
                       dislocation.                                                                             
27846....          1  Repair ankle                 3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
27848....          1  Repair ankle                 3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
27860....          1  Fixation of ankle            1       $314        210       $397       0.79  ..............
                       joint.                                                                                   
27870....          1  Fusion of ankle              4       $595        253       $775       1.54  ..............
                       joint.                                                                                   
27871....          1  Fusion of                    4       $595        253       $775       1.54  ..............
                       tibiofibular joint.                                                                      
27880....          3  Amputation of lower  .........  .........  .........  .........  .........  ..............
                       leg.                                                                                     
27881....          3  Amputation of lower  .........  .........  .........  .........  .........  ..............
                       leg.                                                                                     
27882....          3  Amputation of lower  .........  .........  .........  .........  .........  ..............
                       leg.                                                                                     
27884....          1  Amputation follow-           3       $482        251       $504       1.00  ..............
                       up surgery.                                                                              
27886....          3  Amputation follow-   .........  .........  .........  .........  .........  ..............
                       up surgery.                                                                              
27888....          3  Amputation of foot   .........  .........  .........  .........  .........  ..............
                       at ankle.                                                                                
27889....          1  Amputation of foot   .........  .........        252       $574       1.14  Add.          
                       at ankle.                                                                                
27892....          1  Decompression of     .........  .........        251       $504       1.00  Add.          
                       leg.                                                                                     
27893....          1  Decompression of     .........  .........        251       $504       1.00  Add.          
                       leg.                                                                                     
27894....          1  Decompression of     .........  .........        251       $504       1.00  Add.          
                       leg.                                                                                     
27899....          3  Leg/ankle surgery    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
28001....          1  Drainage of bursa    .........  .........        132       $162       0.32  Add.          
                       of foot.                                                                                 
28002....          1  Treatment of foot            3       $482        251       $504       1.00  ..............
                       infection.                                                                               
28003....          1  Treatment of foot            3       $482        251       $504       1.00  ..............
                       infection.                                                                               
28005....          1  Treat foot bone              3       $482        271       $510       1.01  ..............
                       lesion.                                                                                  
28008....          1  Incision of foot             3       $482        271       $510       1.01  ..............
                       fascia.                                                                                  
28010....          1  Incision of toe      .........  .........        271       $510       1.01  Add.          
                       tendon.                                                                                  
28011....          1  Incision of toe      .........  .........        271       $510       1.01  Add.          
                       tendons.                                                                                 
28020....          1  Exploration of a             2       $422        271       $510       1.01  ..............
                       foot joint.                                                                              
28022....          1  Exploration of a     .........  .........        271       $510       1.01  Add.          
                       foot joint.                                                                              
28024....          1  Exploration of a     .........  .........        271       $510       1.01  Add.          
                       toe joint.                                                                               
28030....          1  Removal of foot              4       $595        631       $600       1.19  ..............
                       nerve.                                                                                   
28035....          1  Decompression of             4       $595        631       $600       1.19  ..............
                       tibia nerve.                                                                             
28043....          1  Excision of foot             2       $422        162       $187       0.37  ..............
                       lesion.                                                                                  

[[Page 32353]]

                                                                                                                
28045....          1  Excision of foot             3       $482        271       $510       1.01  ..............
                       lesion.                                                                                  
28046....          1  Resection of tumor,          3       $482        271       $510       1.01  ..............
                       foot.                                                                                    
28050....          1  Biopsy of foot               2       $422        271       $510       1.01  ..............
                       joint lining.                                                                            
28052....          1  Biopsy of foot       .........  .........        271       $510       1.01  Add.          
                       joint lining.                                                                            
28054....          1  Biopsy of toe joint          2       $422        271       $510       1.01  ..............
                       lining.                                                                                  
28060....          1  Partial removal              2       $422        272       $546       1.08  ..............
                       foot fascia.                                                                             
28062....          1  Removal of foot              3       $482        272       $546       1.08  ..............
                       fascia.                                                                                  
28070....          1  Removal of foot              3       $482        272       $546       1.08  ..............
                       joint lining.                                                                            
28072....          1  Removal of foot              3       $482        272       $546       1.08  ..............
                       joint lining.                                                                            
28080....          1  Removal of foot              3       $482        271       $510       1.01  ..............
                       lesion.                                                                                  
28086....          1  Excise foot tendon           2       $422        271       $510       1.01  ..............
                       sheath.                                                                                  
28088....          1  Excise foot tendon           2       $422        271       $510       1.01  ..............
                       sheath.                                                                                  
28090....          1  Removal of foot              3       $482        271       $510       1.01  ..............
                       lesion.                                                                                  
28092....          1  Removal of toe               3       $482        271       $510       1.01  ..............
                       lesions.                                                                                 
28100....          1  Removal of ankle/            2       $422        271       $510       1.01  ..............
                       heel lesion.                                                                             
28102....          1  Remove/graft foot            3       $482        272       $546       1.08  ..............
                       lesion.                                                                                  
28103....          1  Remove/graft foot            3       $482        272       $546       1.08  ..............
                       lesion.                                                                                  
28104....          1  Removal of foot              2       $422        271       $510       1.01  ..............
                       lesion.                                                                                  
28106....          1  Remove/graft foot            3       $482        272       $546       1.08  ..............
                       lesion.                                                                                  
28107....          1  Remove/graft foot            3       $482        272       $546       1.08  ..............
                       lesion.                                                                                  
28108....          1  Removal of toe       .........  .........        271       $510       1.01  Add.          
                       lesions.                                                                                 
28110....          1  Part removal of              3       $482        276       $680       1.35  ..............
                       metatarsal.                                                                              
28111....          1  Part removal of              3       $482        271       $510       1.01  ..............
                       metatarsal.                                                                              
28112....          1  Part removal of              3       $482        271       $510       1.01  ..............
                       metatarsal.                                                                              
28113....          1  Part removal of              3       $482        271       $510       1.01  ..............
                       metatarsal.                                                                              
28114....          1  Removal of                   3       $482        271       $510       1.01  ..............
                       metatarsal heads.                                                                        
28116....          1  Revision of foot...          3       $482        271       $510       1.01  ..............
28118....          1  Removal of heel              4       $595        271       $510       1.01  ..............
                       bone.                                                                                    
28119....          1  Removal of heel              4       $595        271       $510       1.01  ..............
                       spur.                                                                                    
28120....          1  Part removal of              7       $941        271       $510       1.01  ..............
                       ankle/heel.                                                                              
28122....          1  Partial removal of           3       $482        271       $510       1.01  ..............
                       foot bone.                                                                               
28124....          1  Partial removal of   .........  .........        271       $510       1.01  Add.          
                       toe.                                                                                     
28126....          1  Partial removal of   .........  .........        271       $510       1.01  Add.          
                       toe.                                                                                     
28130....          1  Removal of ankle             3       $482        271       $510       1.01  ..............
                       bone.                                                                                    
28140....          1  Removal of                   3       $482        271       $510       1.01  ..............
                       metatarsal.                                                                              
28150....          1  Removal of toe.....          3       $482        271       $510       1.01  ..............
28153....          1  Partial removal of   .........  .........        271       $510       1.01  Add.          
                       toe.                                                                                     
28160....          1  Partial removal of   .........  .........        271       $510       1.01  Add.          
                       toe.                                                                                     
28171....          1  Extensive foot               3       $482        271       $510       1.01  ..............
                       surgery.                                                                                 
28173....          1  Extensive foot               3       $482        271       $510       1.01  ..............
                       surgery.                                                                                 
28175....          1  Extensive foot               3       $482        271       $510       1.01  ..............
                       surgery.                                                                                 
28190....          5  Removal of foot      .........  .........  .........  .........  .........  ..............
                       foreign body.                                                                            
28192....          1  Removal of foot              2       $422        163       $449       0.89  ..............
                       foreign body.                                                                            
28193....          1  Removal of foot              4       $595        163       $449       0.89  ..............
                       foreign body.                                                                            
28200....          1  Repair of foot               3       $482        271       $510       1.01  ..............
                       tendon.                                                                                  
28202....          1  Repair/graft of              3       $482        272       $546       1.08  ..............
                       foot tendon.                                                                             
28208....          1  Repair of foot               3       $482        271       $510       1.01  ..............
                       tendon.                                                                                  
28210....          1  Repair/graft of              3       $482        271       $510       1.01  ..............
                       foot tendon.                                                                             
28220....          1  Release of foot      .........  .........        271       $510       1.01  Add.          
                       tendon.                                                                                  
28222....          1  Release of foot              1       $314        271       $510       1.01  ..............
                       tendons.                                                                                 
28225....          1  Release of foot              1       $314        271       $510       1.01  ..............
                       tendon.                                                                                  
28226....          1  Release of foot              1       $314        271       $510       1.01  ..............
                       tendons.                                                                                 
28230....          1  Incision of foot     .........  .........        271       $510       1.01  Add.          
                       tendon(s).                                                                               
28232....          1  Incision of toe      .........  .........        271       $510       1.01  Add.          
                       tendon.                                                                                  
28234....          1  Incision of foot     .........  .........        271       $510       1.01  Add.          
                       tendon.                                                                                  
28238....          1  Revision of foot             3       $482        272       $546       1.08  ..............
                       tendon.                                                                                  
28240....          1  Release of big toe.          2       $422        271       $510       1.01  ..............
28250....          1  Revision of foot             3       $482        272       $546       1.08  ..............
                       fascia.                                                                                  
28260....          1  Release of midfoot           3       $482        272       $546       1.08  ..............
                       joint.                                                                                   
28261....          1  Revision of foot             3       $482        272       $546       1.08  ..............
                       tendon.                                                                                  
28262....          1  Revision of foot             4       $595        272       $546       1.08  ..............
                       and ankle.                                                                               
28264....          1  Release of midfoot           1       $314        272       $546       1.08  ..............
                       joint.                                                                                   
28270....          1  Release of foot      .........  .........        271       $510       1.01  Add.          
                       contracture.                                                                             
28272....          1  Release of toe       .........  .........        271       $510       1.01  Add.          
                       joint, each.                                                                             
28280....          1  Fusion of toes.....          2       $422        271       $510       1.01  ..............
28285....          1  Repair of hammertoe          3       $482        271       $510       1.01  ..............
28286....          1  Repair of hammertoe          4       $595        271       $510       1.01  ..............
28288....          1  Partial removal of           3       $482        272       $546       1.08  ..............
                       foot bone.                                                                               
28290....          1  Correction of                2       $422        276       $680       1.35  ..............
                       bunion.                                                                                  
28292....          1  Correction of                2       $422        276       $680       1.35  ..............
                       bunion.                                                                                  
28293....          1  Correction of                3       $482        276       $680       1.35  ..............
                       bunion.                                                                                  
28294....          1  Correction of                3       $482        276       $680       1.35  ..............
                       bunion.                                                                                  
28296....          1  Correction of                3       $482        276       $680       1.35  ..............
                       bunion.                                                                                  
28297....          1  Correction of                3       $482        276       $680       1.35  ..............
                       bunion.                                                                                  

[[Page 32354]]

                                                                                                                
28298....          1  Correction of                3       $482        276       $680       1.35  ..............
                       bunion.                                                                                  
28299....          1  Correction of                5       $678        276       $680       1.35  ..............
                       bunion.                                                                                  
28300....          1  Incision of heel             2       $422        272       $546       1.08  ..............
                       bone.                                                                                    
28302....          1  Incision of ankle            2       $422        272       $546       1.08  ..............
                       bone.                                                                                    
28304....          1  Incision of midfoot          2       $422        272       $546       1.08  ..............
                       bones.                                                                                   
28305....          1  Incise/graft                 3       $482        272       $546       1.08  ..............
                       midfoot bones.                                                                           
28306....          1  Incision of                  4       $595        272       $546       1.08  ..............
                       metatarsal.                                                                              
28307....          1  Incision of                  4       $595        272       $546       1.08  ..............
                       metatarsal.                                                                              
28308....          1  Incision of                  2       $422        272       $546       1.08  ..............
                       metatarsal.                                                                              
28309....          1  Incision of                  4       $595        272       $546       1.08  ..............
                       metatarsals.                                                                             
28310....          1  Revision of big toe          3       $482        271       $510       1.01  ..............
28312....          1  Revision of toe....          3       $482        271       $510       1.01  ..............
28313....          1  Repair deformity of          2       $422        271       $510       1.01  ..............
                       toe.                                                                                     
28315....          1  Removal of sesamoid          4       $595        271       $510       1.01  ..............
                       bone.                                                                                    
28320....          1  Repair of foot               4       $595        272       $546       1.08  ..............
                       bones.                                                                                   
28322....          1  Repair of                    4       $595        272       $546       1.08  ..............
                       metatarsals.                                                                             
28340....          1  Resect enlarged toe          4       $595        271       $510       1.01  ..............
                       tissue.                                                                                  
28341....          1  Resect enlarged toe          4       $595        271       $510       1.01  ..............
28344....          1  Repair extra toe(s)          4       $595        272       $546       1.08  ..............
28345....          1  Repair webbed                4       $595        272       $546       1.08  ..............
                       toe(s).                                                                                  
28360....          1  Reconstruct cleft    .........  .........        272       $546       1.08  Add.          
                       foot.                                                                                    
28400....          1  Treatment of heel            1       $314        209        $71       0.14  ..............
                       fracture.                                                                                
28405....          1  Treatment of heel            2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
28406....          1  Treatment of heel            2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
28415....          1  Repair of heel               3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
28420....          1  Repair/graft heel            4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
28430....          1  Treatment of ankle   .........  .........        209        $71       0.14  Add.          
                       fracture.                                                                                
28435....          1  Treatment of ankle           2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
28436....          1  Treatment of ankle           2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
28445....          1  Repair of ankle              3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
28450....          1  Treat midfoot        .........  .........        209        $71       0.14  Add.          
                       fracture, each.                                                                          
28455....          1  Treat midfoot        .........  .........        209        $71       0.14  Add.          
                       fracture, each.                                                                          
28456....          1  Repair midfoot               2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
28465....          1  Repair midfoot               3       $482        216       $580       1.15  ..............
                       fracture,each.                                                                           
28470....          1  Treat metatarsal     .........  .........        209        $71       0.14  Add.          
                       fracture.                                                                                
28475....          1  Treat metatarsal     .........  .........        209        $71       0.14  Add.          
                       fracture.                                                                                
28476....          1  Repair metatarsal            2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
28485....          1  Repair metatarsal            4       $595        216       $580       1.15  ..............
                       fracture.                                                                                
28490....          1  Treat big toe        .........  .........        207        $53       0.11  Add.          
                       fracture.                                                                                
28495....          1  Treat big toe        .........  .........        207        $53       0.11  Add.          
                       fracture.                                                                                
28496....          1  Repair big toe               2       $422        216       $580       1.15  ..............
                       fracture.                                                                                
28505....          1  Repair big toe               3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
28510....          1  Treatment of toe     .........  .........        207        $53       0.11  Add.          
                       fracture.                                                                                
28515....          1  Treatment of toe     .........  .........        207        $53       0.11  Add.          
                       fracture.                                                                                
28525....          1  Repair of toe                3       $482        216       $580       1.15  ..............
                       fracture.                                                                                
28530....          1  Treat sesamoid bone  .........  .........        209        $71       0.14  Add.          
                       fracture.                                                                                
28531....          1  Treat sesamoid bone  .........  .........        216       $580       1.15  Add.          
                       fracture.                                                                                
28540....          1  Treat foot           .........  .........        209        $71       0.14  Add.          
                       dislocation.                                                                             
28545....          1  Treat foot                   1       $314        210       $397       0.79  ..............
                       dislocation.                                                                             
28546....          1  Treat foot                   2       $422        216       $580       1.15  ..............
                       dislocation.                                                                             
28555....          1  Repair foot                  2       $422        216       $580       1.15  ..............
                       dislocation.                                                                             
28570....          1  Treat foot           .........  .........        209        $71       0.14  Add.          
                       dislocation.                                                                             
28575....          1  Treat foot                   1       $314        210       $397       0.79  ..............
                       dislocation.                                                                             
28576....          1  Treat foot                   3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
28585....          1  Repair foot                  3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
28600....          1  Treat foot           .........  .........        209        $71       0.14  Add.          
                       dislocation.                                                                             
28605....          1  Treat foot                   1       $314        210       $397       0.79  ..............
                       dislocation.                                                                             
28606....          1  Treat foot                   2       $422        216       $580       1.15  ..............
                       dislocation.                                                                             
28615....          1  Repair foot                  3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
28630....          1  Treat toe            .........  .........        207        $53       0.11  Add.          
                       dislocation.                                                                             
28635....          1  Treat toe                    1       $314        210       $397       0.79  ..............
                       dislocation.                                                                             
28636....          1  Treat toe                    3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
28645....          1  Repair toe                   3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
28660....          1  Treat toe            .........  .........        207        $53       0.11  Add.          
                       dislocation.                                                                             
28665....          1  Treat toe                    1       $314        210       $397       0.79  ..............
                       dislocation.                                                                             
28666....          1  Treat toe                    3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
28675....          1  Repair of toe                3       $482        216       $580       1.15  ..............
                       dislocation.                                                                             
28705....          1  Fusion of foot               4       $595        272       $546       1.08  ..............
                       bones.                                                                                   
28715....          1  Fusion of foot               4       $595        272       $546       1.08  ..............
                       bones.                                                                                   
28725....          1  Fusion of foot               4       $595        272       $546       1.08  ..............
                       bones.                                                                                   
28730....          1  Fusion of foot               4       $595        272       $546       1.08  ..............
                       bones.                                                                                   
28735....          1  Fusion of foot               4       $595        272       $546       1.08  ..............
                       bones.                                                                                   
28737....          1  Revision of foot             5       $678        271       $510       1.01  ..............
                       bones.                                                                                   
28740....          1  Fusion of foot               4       $595        272       $546       1.08  ..............
                       bones.                                                                                   

[[Page 32355]]

                                                                                                                
28750....          1  Fusion of big toe            4       $595        271       $510       1.01  ..............
                       joint.                                                                                   
28755....          1  Fusion of big toe            4       $595        271       $510       1.01  ..............
                       joint.                                                                                   
28760....          1  Fusion of big toe            4       $595        272       $546       1.08  ..............
                       joint.                                                                                   
28800....          3  Amputation of        .........  .........  .........  .........  .........  ..............
                       midfoot.                                                                                 
28805....          3  Amputation thru      .........  .........  .........  .........  .........  ..............
                       metatarsal.                                                                              
28810....          1  Amputation toe &             2       $422        271       $510       1.01  ..............
                       metatarsal.                                                                              
28820....          1  Amputation of toe..          2       $422        271       $510       1.01  ..............
28825....          1  Partial amputation           2       $422        271       $510       1.01  ..............
                       of toe.                                                                                  
28899....          3  Foot/toes surgery    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
29000....          5  Application of body  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29010....          5  Application of body  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29015....          5  Application of body  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29020....          5  Application of body  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29025....          5  Application of body  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29035....          5  Application of body  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29040....          5  Application of body  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29044....          5  Application of body  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29046....          5  Application of body  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29049....          5  Application of       .........  .........  .........  .........  .........  ..............
                       figure eight.                                                                            
29055....          5  Application of       .........  .........  .........  .........  .........  ..............
                       shoulder cast.                                                                           
29058....          5  Application of       .........  .........  .........  .........  .........  ..............
                       shoulder cast.                                                                           
29065....          5  Application of long  .........  .........  .........  .........  .........  ..............
                       arm cast.                                                                                
29075....          5  Application of       .........  .........  .........  .........  .........  ..............
                       forearm cast.                                                                            
29085....          5  Apply hand/wrist     .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29105....          5  Apply long arm       .........  .........  .........  .........  .........  ..............
                       splint.                                                                                  
29125....          5  Apply forearm        .........  .........  .........  .........  .........  ..............
                       splint.                                                                                  
29126....          5  Apply forearm        .........  .........  .........  .........  .........  ..............
                       splint.                                                                                  
29130....          5  Application of       .........  .........  .........  .........  .........  ..............
                       finger splint.                                                                           
29131....          5  Application of       .........  .........  .........  .........  .........  ..............
                       finger splint.                                                                           
29200....          5  Strapping of chest.  .........  .........  .........  .........  .........  ..............
29220....          5  Strapping of low     .........  .........  .........  .........  .........  ..............
                       back.                                                                                    
29240....          5  Strapping of         .........  .........  .........  .........  .........  ..............
                       shoulder.                                                                                
29260....          5  Strapping of elbow   .........  .........  .........  .........  .........  ..............
                       or wrist.                                                                                
29280....          5  Strapping of hand    .........  .........  .........  .........  .........  ..............
                       or finger.                                                                               
29305....          5  Application of hip   .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29325....          5  Application of hip   .........  .........  .........  .........  .........  ..............
                       casts.                                                                                   
29345....          5  Application of long  .........  .........  .........  .........  .........  ..............
                       leg cast.                                                                                
29355....          5  Application of long  .........  .........  .........  .........  .........  ..............
                       leg cast.                                                                                
29358....          5  Apply long leg cast  .........  .........  .........  .........  .........  ..............
                       brace.                                                                                   
29365....          5  Application of long  .........  .........  .........  .........  .........  ..............
                       leg cast.                                                                                
29405....          5  Apply short leg      .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29425....          5  Apply short leg      .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29435....          5  Apply short leg      .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29440....          5  Add.ition of walker  .........  .........  .........  .........  .........  ..............
                       to cast.                                                                                 
29445....          5  Apply rigid leg      .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29450....          5  Application of leg   .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29505....          5  Application long     .........  .........  .........  .........  .........  ..............
                       leg splint.                                                                              
29515....          5  Application lower    .........  .........  .........  .........  .........  ..............
                       leg splint.                                                                              
29520....          5  Strapping of hip...  .........  .........  .........  .........  .........  ..............
29530....          5  Strapping of knee..  .........  .........  .........  .........  .........  ..............
29540....          5  Strapping of ankle.  .........  .........  .........  .........  .........  ..............
29550....          5  Strapping of toes..  .........  .........  .........  .........  .........  ..............
29580....          5  Application of       .........  .........  .........  .........  .........  ..............
                       paste boot.                                                                              
29590....          5  Application of foot  .........  .........  .........  .........  .........  ..............
                       splint.                                                                                  
29700....          5  Removal/revision of  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29705....          5  Removal/revision of  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29710....          5  Removal/revision of  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29715....          5  Removal/revision of  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29720....          5  Repair of body cast  .........  .........  .........  .........  .........  ..............
29730....          5  Windowing of cast..  .........  .........  .........  .........  .........  ..............
29740....          5  Wedging of cast....  .........  .........  .........  .........  .........  ..............
29750....          5  Wedging of clubfoot  .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
29799....          3  Casting/strapping    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
29800....          1  Jaw arthroscopy/     .........  .........        280       $675       1.34  Add.          
                       surgery.                                                                                 
29804....          1  Jaw arthroscopy/             3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29815....          1  Shoulder                     3       $482        280       $675       1.34  ..............
                       arthroscopy.                                                                             
29819....          1  Shoulder                     3       $482        281       $807       1.60  ..............
                       arthroscopy/                                                                             
                       surgery.                                                                                 
29820....          1  Shoulder                     3       $482        281       $807       1.60  ..............
                       arthroscopy/                                                                             
                       surgery.                                                                                 
29821....          1  Shoulder                     3       $482        281       $807       1.60  ..............
                       arthroscopy/                                                                             
                       surgery.                                                                                 
29822....          1  Shoulder                     3       $482        281       $807       1.60  ..............
                       arthroscopy/                                                                             
                       surgery.                                                                                 
29823....          1  Shoulder                     3       $482        281       $807       1.60  ..............
                       arthroscopy/                                                                             
                       surgery.                                                                                 
29825....          1  Shoulder                     3       $482        281       $807       1.60  ..............
                       arthroscopy/                                                                             
                       surgery.                                                                                 
29826....          1  Shoulder                     3       $482        281       $807       1.60  ..............
                       arthroscopy/                                                                             
                       surgery.                                                                                 
29830....          1  Elbow arthroscopy..          3       $482        280       $675       1.34  ..............

[[Page 32356]]

                                                                                                                
29834....          1  Elbow arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29835....          1  Elbow arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29836....          1  Elbow arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29837....          1  Elbow arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29838....          1  Elbow arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29840....          1  Wrist arthroscopy..          3       $482        280       $675       1.34  ..............
29843....          1  Wrist arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29844....          1  Wrist arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29845....          1  Wrist arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29846....          1  Wrist arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29847....          1  Wrist arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29848....          1  Wrist arthroscopy/   .........  .........        281       $807       1.60  Add.          
                       surgery.                                                                                 
29850....          1  Knee arthroscopy/            4       $595        286     $1,110       2.20  ..............
                       surgery.                                                                                 
29851....          1  Knee arthroscopy/            4       $595        286     $1,110       2.20  ..............
                       surgery.                                                                                 
29855....          1  Tibial arthroscopy/          4       $595        286     $1,110       2.20  ..............
                       surgery.                                                                                 
29856....          1  Tibial arthroscopy/          4       $595        286     $1,110       2.20  ..............
                       surgery.                                                                                 
29860....          1  Hip arthroscopy, dx  .........  .........        281       $807       1.60  Add.          
29861....          1  Hip arthroscopy/     .........  .........        281       $807       1.60  Add.          
                       surgery.                                                                                 
29862....          1  Hip arthroscopy/     .........  .........        281       $807       1.60  Add.          
                       surgery.                                                                                 
29863....          1  Hip arthroscopy/     .........  .........        281       $807       1.60  Add.          
                       surgery.                                                                                 
29870....          1  Knee arthroscopy,            3       $482        280       $675       1.34  ..............
                       diagnostic.                                                                              
29871....          1  Knee arthroscopy/            3       $482        282       $860       1.71  ..............
                       drainage.                                                                                
29874....          1  Knee arthroscopy/            3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29875....          1  Knee arthroscopy/            4       $595        281       $807       1.60  ..............
                       surgery.                                                                                 
29876....          1  Knee arthroscopy/            4       $595        282       $860       1.71  ..............
                       surgery.                                                                                 
29877....          1  Knee arthroscopy/            4       $595        281       $807       1.60  ..............
                       surgery.                                                                                 
29879....          1  Knee arthroscopy/            3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29880....          1  Knee arthroscopy/            4       $595        281       $807       1.60  ..............
                       surgery.                                                                                 
29881....          1  Knee arthroscopy/            4       $595        281       $807       1.60  ..............
                       surgery.                                                                                 
29882....          1  Knee arthroscopy/            3       $482        282       $860       1.71  ..............
                       surgery.                                                                                 
29883....          1  Knee arthroscopy/            3       $482        282       $860       1.71  ..............
                       surgery.                                                                                 
29884....          1  Knee arthroscopy/            3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29885....          1  Knee arthroscopy/            3       $482        282       $860       1.71  ..............
                       surgery.                                                                                 
29886....          1  Knee arthroscopy/            3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29887....          1  Knee arthroscopy/            3       $482        282       $860       1.71  ..............
                       surgery.                                                                                 
29888....          1  Knee arthroscopy/            3       $482        286     $1,110       2.20  ..............
                       surgery.                                                                                 
29889....          1  Knee arthroscopy/            3       $482        286     $1,110       2.20  ..............
                       surgery.                                                                                 
29891....          1  Ankle arthroscopy/   .........  .........        282       $860       1.71  Add.          
                       surgery.                                                                                 
29892....          1  Ankle arthroscopy/   .........  .........        286     $1,110       2.20  Add.          
                       surgery.                                                                                 
29893....          1  Scope, plantar       .........  .........        271       $510       1.01  Add.          
                       fasciotomy.                                                                              
29894....          1  Ankle arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29895....          1  Ankle arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29897....          1  Ankle arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29898....          1  Ankle arthroscopy/           3       $482        281       $807       1.60  ..............
                       surgery.                                                                                 
29909....          3  Arthroscopy of       .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
30000....          5  Drainage of nose     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
30020....          5  Drainage of nose     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
30100....          5  Intranasal biopsy..  .........  .........  .........  .........  .........  ..............
30110....          5  Removal of nose      .........  .........  .........  .........  .........  ..............
                       polyp(s).                                                                                
30115....          1  Removal of nose              2       $422        313       $537       1.07  ..............
                       polyp(s).                                                                                
30117....          5  Removal of                   3       $482  .........  .........  .........  Delete.       
                       intranasal lesion.                                                                       
30118....          1  Removal of                   3       $482        313       $537       1.07  ..............
                       intranasal lesion.                                                                       
30120....          1  Revision of nose...          1       $314        313       $537       1.07  ..............
30124....          5  Removal of nose              1       $314  .........  .........  .........  Delete.       
                       lesion.                                                                                  
30125....          1  Removal of nose              2       $422        313       $537       1.07  ..............
                       lesion.                                                                                  
30130....          1  Removal of                   3       $482        313       $537       1.07  ..............
                       turbinate bones.                                                                         
30140....          1  Removal of                   2       $422        313       $537       1.07  ..............
                       turbinate bones.                                                                         
30150....          1  Partial removal of           3       $482        313       $537       1.07  ..............
                       nose.                                                                                    
30160....          1  Removal of nose....          4       $595        313       $537       1.07  ..............
30200....          2  Injection treatment  .........  .........  .........  .........  .........  ..............
                       of nose.                                                                                 
30210....          5  Nasal sinus therapy  .........  .........  .........  .........  .........  ..............
30220....          5  Insert nasal septal  .........  .........  .........  .........  .........  ..............
                       button.                                                                                  
30300....          5  Remove nasal         .........  .........  .........  .........  .........  ..............
                       foreign body.                                                                            
30310....          1  Remove nasal                 1       $314        313       $537       1.07  ..............
                       foreign body.                                                                            
30320....          1  Remove nasal                 2       $422        313       $537       1.07  ..............
                       foreign body.                                                                            
30400....          7  Reconstruction of            4       $595        314       $946       1.88  ..............
                       nose.                                                                                    
30410....          7  Reconstruction of            5       $678        314       $946       1.88  ..............
                       nose.                                                                                    
30420....          7  Reconstruction of            5       $678        314       $946       1.88  ..............
                       nose.                                                                                    
30430....          7  Revision of nose...          3       $482        313       $537       1.07  ..............
30435....          7  Revision of nose...          5       $678        314       $946       1.88  ..............
30450....          7  Revision of nose...          7       $941        314       $946       1.88  ..............
30460....          1  Revision of nose...  .........  .........        314       $946       1.88  Add.          
30462....          1  Revision of nose...  .........  .........        314       $946       1.88  Add.          
30520....          1  Repair of nasal              4       $595        313       $537       1.07  ..............
                       septum.                                                                                  

[[Page 32357]]

                                                                                                                
30540....          1  Repair nasal defect          5       $678        313       $537       1.07  ..............
30545....          1  Repair nasal defect  .........  .........        314       $946       1.88  Add.          
30560....          5  Release of nasal             2       $422  .........  .........  .........  Delete.       
                       adhesions.                                                                               
30580....          1  Repair upper jaw             4       $595        313       $537       1.07  ..............
                       fistula.                                                                                 
30600....          1  Repair mouth/nose            4       $595        313       $537       1.07  ..............
                       fistula.                                                                                 
30620....          1  Intranasal                   7       $941        313       $537       1.07  ..............
                       reconstruction.                                                                          
30630....          1  Repair nasal septum          7       $941        313       $537       1.07  ..............
                       defect.                                                                                  
30801....          1  Cauterization inner          1       $314        312       $233       0.46  ..............
                       nose.                                                                                    
30802....          1  Cauterization inner          1       $314        312       $233       0.46  ..............
                       nose.                                                                                    
30901....          1  Control of           .........  .........        318        $77       0.15  Add.          
                       nosebleed.                                                                               
30903....          1  Control of                   1       $314        318        $77       0.15  ..............
                       nosebleed.                                                                               
30905....          1  Control of                   1       $314        318        $77       0.15  ..............
                       nosebleed.                                                                               
30906....          1  Repeat control of            1       $314        318        $77       0.15  ..............
                       nosebleed.                                                                               
30915....          1  Ligation nasal               2       $422        367       $682       1.35  ..............
                       sinus artery.                                                                            
30920....          1  Ligation upper jaw           3       $482        367       $682       1.35  ..............
                       artery.                                                                                  
30930....          1  Therapy fracture of  .........  .........        312       $233       0.46  Add.          
                       nose.                                                                                    
30999....          3  Nasal surgery        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
31000....          5  Irrigation           .........  .........  .........  .........  .........  ..............
                       maxillary sinus.                                                                         
31002....          5  Irrigation sphenoid  .........  .........  .........  .........  .........  ..............
                       sinus.                                                                                   
31020....          1  Exploration                  2       $422        313       $537       1.07  ..............
                       maxillary sinus.                                                                         
31030....          1  Exploration                  3       $482        313       $537       1.07  ..............
                       maxillary sinus.                                                                         
31032....          1  Explore                      4       $595        313       $537       1.07  ..............
                       sinus,remove                                                                             
                       polyps.                                                                                  
31040....          1  Exploration behind   .........  .........        314       $946       1.88  Add.          
                       upper jaw.                                                                               
31050....          1  Exploration                  2       $422        313       $537       1.07  ..............
                       sphenoid sinus.                                                                          
31051....          1  Sphenoid sinus               4       $595        313       $537       1.07  ..............
                       surgery.                                                                                 
31070....          1  Exploration of               2       $422        313       $537       1.07  ..............
                       frontal sinus.                                                                           
31075....          1  Exploration of               4       $595        314       $946       1.88  ..............
                       frontal sinus.                                                                           
31080....          1  Removal of frontal           4       $595        314       $946       1.88  ..............
                       sinus.                                                                                   
31081....          1  Removal of frontal   .........  .........        314       $946       1.88  Add.          
                       sinus.                                                                                   
31084....          1  Removal of frontal           4       $595        314       $946       1.88  ..............
                       sinus.                                                                                   
31085....          1  Removal of frontal   .........  .........        314       $946       1.88  Add.          
                       sinus.                                                                                   
31086....          1  Removal of frontal           4       $595        314       $946       1.88  ..............
                       sinus.                                                                                   
31087....          1  Removal of frontal   .........  .........        314       $946       1.88  Add.          
                       sinus.                                                                                   
31090....          1  Exploration of               5       $678        314       $946       1.88  ..............
                       sinuses.                                                                                 
31200....          1  Removal of ethmoid           2       $422        313       $537       1.07  ..............
                       sinus.                                                                                   
31201....          1  Removal of ethmoid           5       $678        314       $946       1.88  ..............
                       sinus.                                                                                   
31205....          1  Removal of ethmoid           3       $482        314       $946       1.88  ..............
                       sinus.                                                                                   
31225....          3  Removal of upper     .........  .........  .........  .........  .........  ..............
                       jaw.                                                                                     
31230....          3  Removal of upper     .........  .........  .........  .........  .........  ..............
                       jaw.                                                                                     
31231....          5  Nasal endoscopy, dx  .........  .........  .........  .........  .........  ..............
31233....          1  Nasal/sinus                  2       $422        332       $423       0.84  ..............
                       endoscopy, dx.                                                                           
31235....          1  Nasal/sinus                  1       $314        332       $423       0.84  ..............
                       endoscopy, dx.                                                                           
31237....          1  Nasal/sinus                  2       $422        332       $423       0.84  ..............
                       endoscopy, surg.                                                                         
31238....          1  Nasal/sinus                  1       $314        332       $423       0.84  ..............
                       endoscopy, surg.                                                                         
31239....          1  Nasal/sinus                  4       $595        333       $653       1.30  ..............
                       endoscopy, surg.                                                                         
31240....          1  Nasal/sinus                  2       $422        332       $423       0.84  ..............
                       endoscopy, surg.                                                                         
31254....          1  Revision of ethmoid          3       $482        333       $653       1.30  ..............
                       sinus.                                                                                   
31255....          1  Removal of ethmoid           5       $678        333       $653       1.30  ..............
                       sinus.                                                                                   
31256....          1  Exploration                  3       $482        333       $653       1.30  ..............
                       maxillary sinus.                                                                         
31267....          1  Endoscopy,                   3       $482        333       $653       1.30  ..............
                       maxillary sinus.                                                                         
31276....          1  Sinus surgical               3       $482        333       $653       1.30  ..............
                       endoscopy.                                                                               
31287....          1  Nasal/sinus                  3       $482        333       $653       1.30  ..............
                       endoscopy, surg.                                                                         
31288....          1  Nasal/sinus                  3       $482        333       $653       1.30  ..............
                       endoscopy, surg.                                                                         
31290....          3  Nasal/sinus          .........  .........  .........  .........  .........  ..............
                       endoscopy, surg.                                                                         
31291....          3  Nasal/sinus          .........  .........  .........  .........  .........  ..............
                       endoscopy, surg.                                                                         
31292....          3  Nasal/sinus          .........  .........  .........  .........  .........  ..............
                       endoscopy, surg.                                                                         
31293....          3  Nasal/sinus          .........  .........  .........  .........  .........  ..............
                       endoscopy, surg.                                                                         
31294....          3  Nasal/sinus          .........  .........  .........  .........  .........  ..............
                       endoscopy, surg.                                                                         
31299....          3  Sinus surgery        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
31300....          1  Removal of larynx            5       $678        314       $946       1.88  ..............
                       lesion.                                                                                  
31320....          1  Diagnostic incision          2       $422        313       $537       1.07  ..............
                       larynx.                                                                                  
31360....          3  Removal of larynx..  .........  .........  .........  .........  .........  ..............
31365....          3  Removal of larynx..  .........  .........  .........  .........  .........  ..............
31367....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       larynx.                                                                                  
31368....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       larynx.                                                                                  
31370....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       larynx.                                                                                  
31375....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       larynx.                                                                                  
31380....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       larynx.                                                                                  
31382....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       larynx.                                                                                  
31390....          3  Removal of larynx &  .........  .........  .........  .........  .........  ..............
                       pharynx.                                                                                 
31395....          3  Reconstruct larynx   .........  .........  .........  .........  .........  ..............
                       & pharynx.                                                                               
31400....          1  Revision of larynx.  .........  .........        314       $946       1.88  Add.          
31420....          1  Removal of           .........  .........        314       $946       1.88  Add.          
                       epiglottis.                                                                              
31500....          3  Insert emergency     .........  .........  .........  .........  .........  ..............
                       airway.                                                                                  

[[Page 32358]]

                                                                                                                
31502....          1  Change of windpipe   .........  .........        470       $119       0.24  Add.          
                       airway.                                                                                  
31505....          5  Diagnostic           .........  .........  .........  .........  .........  ..............
                       laryngoscopy.                                                                            
31510....          1  Laryngoscopy with            2       $422        332       $423       0.84  ..............
                       biopsy.                                                                                  
31511....          1  Remove foreign               2       $422        332       $423       0.84  ..............
                       body, larynx.                                                                            
31512....          1  Removal of larynx            2       $422        332       $423       0.84  ..............
                       lesion.                                                                                  
31513....          1  Injection into               2       $422        332       $423       0.84  ..............
                       vocal cord.                                                                              
31515....          1  Laryngoscopy for             1       $314        332       $423       0.84  ..............
                       aspiration.                                                                              
31520....          1  Diagnostic           .........  .........        332       $423       0.84  Add.          
                       laryngoscopy.                                                                            
31525....          1  Diagnostic                   1       $314        332       $423       0.84  ..............
                       laryngoscopy.                                                                            
31526....          1  Diagnostic                   2       $422        332       $423       0.84  ..............
                       laryngoscopy.                                                                            
31527....          1  Laryngoscopy for             1       $314        333       $653       1.30  ..............
                       treatment.                                                                               
31528....          1  Laryngoscopy and             2       $422        332       $423       0.84  ..............
                       dilatation.                                                                              
31529....          1  Laryngoscopy and             2       $422        332       $423       0.84  ..............
                       dilatation.                                                                              
31530....          1  Operative                    2       $422        333       $653       1.30  ..............
                       laryngoscopy.                                                                            
31531....          1  Operative                    3       $482        333       $653       1.30  ..............
                       laryngoscopy.                                                                            
31535....          1  Operative                    2       $422        333       $653       1.30  ..............
                       laryngoscopy.                                                                            
31536....          1  Operative                    3       $482        333       $653       1.30  ..............
                       laryngoscopy.                                                                            
31540....          1  Operative                    3       $482        333       $653       1.30  ..............
                       laryngoscopy.                                                                            
31541....          1  Operative                    4       $595        333       $653       1.30  ..............
                       laryngoscopy.                                                                            
31560....          1  Operative                    5       $678        333       $653       1.30  ..............
                       laryngoscopy.                                                                            
31561....          1  Operative                    5       $678        333       $653       1.30  ..............
                       laryngoscopy.                                                                            
31570....          1  Laryngoscopy with            2       $422        333       $653       1.30  ..............
                       injection.                                                                               
31571....          1  Laryngoscopy with            2       $422        333       $653       1.30  ..............
                       injection.                                                                               
31575....          5  Diagnostic           .........  .........  .........  .........  .........  ..............
                       laryngoscopy.                                                                            
31576....          1  Laryngoscopy with            2       $422        332       $423       0.84  ..............
                       biopsy.                                                                                  
31577....          1  Remove foreign               2       $422        332       $423       0.84  ..............
                       body, larynx.                                                                            
31578....          1  Removal of larynx            2       $422        332       $423       0.84  ..............
                       lesion.                                                                                  
31579....          5  Diagnostic           .........  .........  .........  .........  .........  ..............
                       laryngoscopy.                                                                            
31580....          3  Revision of larynx.          5       $678  .........  .........  .........  Delete.       
31582....          3  Revision of larynx.          5       $678  .........  .........  .........  Delete.       
31584....          3  Repair of larynx             4       $595  .........  .........  .........  Delete.       
                       fracture.                                                                                
31585....          1  Repair of larynx             1       $314        207        $53       0.11  ..............
                       fracture.                                                                                
31586....          1  Repair of larynx             2       $422        209        $71       0.14  ..............
                       fracture.                                                                                
31587....          3  Revision of larynx.  .........  .........  .........  .........  .........  ..............
31588....          1  Revision of larynx.          5       $678        314       $946       1.88  ..............
31590....          1  Reinnervate larynx.          5       $678        314       $946       1.88  ..............
31595....          1  Larynx nerve                 2       $422        313       $537       1.07  ..............
                       surgery.                                                                                 
31599....          3  Larynx surgery       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
31600....          3  Incision of                  2       $422  .........  .........  .........  Delete.       
                       windpipe.                                                                                
31601....          3  Incision of          .........  .........  .........  .........  .........  ..............
                       windpipe.                                                                                
31603....          3  Incision of          .........  .........  .........  .........  .........  ..............
                       windpipe.                                                                                
31605....          3  Incision of          .........  .........  .........  .........  .........  ..............
                       windpipe.                                                                                
31610....          3  Incision of          .........  .........  .........  .........  .........  ..............
                       windpipe.                                                                                
31611....          1  Surgery/speech               3       $482        313       $537       1.07  ..............
                       prosthesis.                                                                              
31612....          1  Puncture/clear               1       $314        312       $233       0.46  ..............
                       windpipe.                                                                                
31613....          1  Repair windpipe              2       $422        313       $537       1.07  ..............
                       opening.                                                                                 
31614....          1  Repair windpipe              2       $422        313       $537       1.07  ..............
                       opening.                                                                                 
31615....          1  Visualization of             1       $314        336       $407       0.81  ..............
                       windpipe.                                                                                
31622....          1  Diagnostic                   1       $314        336       $407       0.81  ..............
                       bronchoscopy.                                                                            
31625....          1  Bronchoscopy with            2       $422        336       $407       0.81  ..............
                       biopsy.                                                                                  
31628....          1  Bronchoscopy with            2       $422        336       $407       0.81  ..............
                       biopsy.                                                                                  
31629....          1  Bronchoscopy with            2       $422        336       $407       0.81  ..............
                       biopsy.                                                                                  
31630....          1  Bronchoscopy with            2       $422        336       $407       0.81  ..............
                       repair.                                                                                  
31631....          1  Bronchoscopy with            2       $422        336       $407       0.81  ..............
                       dilation.                                                                                
31635....          1  Remove foreign               2       $422        336       $407       0.81  ..............
                       body, airway.                                                                            
31640....          1  Bronchoscopy &               2       $422        336       $407       0.81  ..............
                       remove lesion.                                                                           
31641....          1  Bronchoscopy, treat          2       $422        336       $407       0.81  ..............
                       blockage.                                                                                
31645....          1  Bronchoscopy, clear          1       $314        336       $407       0.81  ..............
                       airways.                                                                                 
31646....          1  Bronchoscopy,reclea          1       $314        336       $407       0.81  ..............
                       r airways.                                                                               
31656....          2  Bronchoscopy,inject          1       $314  .........  .........  .........  Delete.       
                       for xray.                                                                                
31700....          1  Insertion of airway          1       $314        332       $423       0.84  ..............
                       catheter.                                                                                
31708....          2  Instill airway       .........  .........  .........  .........  .........  ..............
                       contrast dye.                                                                            
31710....          2  Insertion of airway          1       $314  .........  .........  .........  Delete.       
                       catheter.                                                                                
31715....          2  Injection for                1       $314  .........  .........  .........  Delete.       
                       bronchus x-ray.                                                                          
31717....          1  Bronchial brush              1       $314        332       $423       0.84  ..............
                       biopsy.                                                                                  
31720....          1  Clearance of                 1       $314        332       $423       0.84  ..............
                       airways.                                                                                 
31725....          3  Clearance of         .........  .........  .........  .........  .........  ..............
                       airways.                                                                                 
31730....          1  Intro windpipe wire/         1       $314        332       $423       0.84  ..............
                       tube.                                                                                    
31750....          1  Repair of windpipe.          5       $678        314       $946       1.88  ..............
31755....          1  Repair of windpipe.          2       $422        314       $946       1.88  ..............
31760....          3  Repair of windpipe.  .........  .........  .........  .........  .........  ..............
31766....          3  Reconstruction of    .........  .........  .........  .........  .........  ..............
                       windpipe.                                                                                
31770....          3  Repair/graft of      .........  .........  .........  .........  .........  ..............
                       bronchus.                                                                                
31775....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       bronchus.                                                                                

[[Page 32359]]

                                                                                                                
31780....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       windpipe.                                                                                
31781....          3  Reconstruct          .........  .........  .........  .........  .........  ..............
                       windpipe.                                                                                
31785....          3  Remove windpipe              4       $595  .........  .........  .........  Delete.       
                       lesion.                                                                                  
31786....          3  Remove windpipe      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
31800....          3  Repair of windpipe           2       $422  .........  .........  .........  Delete.       
                       injury.                                                                                  
31805....          3  Repair of windpipe   .........  .........  .........  .........  .........  ..............
                       injury.                                                                                  
31820....          1  Closure of windpipe          1       $314        313       $537       1.07  ..............
                       lesion.                                                                                  
31825....          1  Repair of windpipe           2       $422        313       $537       1.07  ..............
                       defect.                                                                                  
31830....          1  Revise windpipe              2       $422        313       $537       1.07  ..............
                       scar.                                                                                    
31899....          3  Airways surgical     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
32000....          1  Drainage of chest..          1       $314        320       $126       0.25  ..............
32002....          3  Treatment of                 2       $422  .........  .........  .........  Delete.       
                       collapsed lung.                                                                          
32005....          3  Treat lung lining            2       $422  .........  .........  .........  Delete.       
                       chemically.                                                                              
32020....          3  Insertion of chest           2       $422  .........  .........  .........  Delete.       
                       tube.                                                                                    
32035....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
32036....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
32095....          3  Biopsy through       .........  .........  .........  .........  .........  ..............
                       chest wall.                                                                              
32100....          3  Exploration/biopsy   .........  .........  .........  .........  .........  ..............
                       of chest.                                                                                
32110....          3  Explore/repair       .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
32120....          3  Re-exploration of    .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
32124....          3  Explore chest, free  .........  .........  .........  .........  .........  ..............
                       adhesions.                                                                               
32140....          3  Removal of lung      .........  .........  .........  .........  .........  ..............
                       lesion(s).                                                                               
32141....          3  Remove/treat lung    .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
32150....          3  Removal of lung      .........  .........  .........  .........  .........  ..............
                       lesion(s).                                                                               
32151....          3  Remove lung foreign  .........  .........  .........  .........  .........  ..............
                       body.                                                                                    
32160....          3  Open chest heart     .........  .........  .........  .........  .........  ..............
                       massage.                                                                                 
32200....          3  Open drainage, lung  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
32201....          3  Percut drainage,     .........  .........  .........  .........  .........  ..............
                       lung lesion.                                                                             
32215....          3  Treat chest lining.  .........  .........  .........  .........  .........  ..............
32220....          3  Release of lung....  .........  .........  .........  .........  .........  ..............
32225....          3  Partial release of   .........  .........  .........  .........  .........  ..............
                       lung.                                                                                    
32310....          3  Removal of chest     .........  .........  .........  .........  .........  ..............
                       lining.                                                                                  
32320....          3  Free/remove chest    .........  .........  .........  .........  .........  ..............
                       lining.                                                                                  
32400....          1  Needle biopsy chest          1       $314        122       $186       0.37  ..............
                       lining.                                                                                  
32402....          3  Open biopsy chest    .........  .........  .........  .........  .........  ..............
                       lining.                                                                                  
32405....          1  Biopsy, lung or              1       $314        122       $186       0.37  ..............
                       mediastinum.                                                                             
32420....          1  Puncture/clear lung          1       $314        320       $126       0.25  ..............
32440....          3  Removal of lung....  .........  .........  .........  .........  .........  ..............
32442....          3  Sleeve               .........  .........  .........  .........  .........  ..............
                       pneumonectomy.                                                                           
32445....          3  Removal of lung....  .........  .........  .........  .........  .........  ..............
32480....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       lung.                                                                                    
32482....          3  Bilobectomy........  .........  .........  .........  .........  .........  ..............
32484....          3  Segmentectomy......  .........  .........  .........  .........  .........  ..............
32486....          3  Sleeve lobectomy...  .........  .........  .........  .........  .........  ..............
32488....          3  Completion           .........  .........  .........  .........  .........  ..............
                       pneumonectomy.                                                                           
32491....          3  Lung volume          .........  .........  .........  .........  .........  ..............
                       reduction.                                                                               
32500....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       lung.                                                                                    
32501....          3  Repair bronchus      .........  .........  .........  .........  .........  ..............
                       (add-on).                                                                                
32520....          3  Remove lung &        .........  .........  .........  .........  .........  ..............
                       revise chest.                                                                            
32522....          3  Remove lung &        .........  .........  .........  .........  .........  ..............
                       revise chest.                                                                            
32525....          3  Remove lung &        .........  .........  .........  .........  .........  ..............
                       revise chest.                                                                            
32540....          3  Removal of lung      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
32601....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       diagnostic.                                                                              
32602....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       diagnostic.                                                                              
32603....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       diagnostic.                                                                              
32604....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       diagnostic.                                                                              
32605....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       diagnostic.                                                                              
32606....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       diagnostic.                                                                              
32650....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32651....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32652....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32653....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32654....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32655....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32656....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32657....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32658....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32659....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32660....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32661....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32662....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32663....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32664....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                
32665....          3  Thoracoscopy,        .........  .........  .........  .........  .........  ..............
                       surgical.                                                                                

[[Page 32360]]

                                                                                                                
32800....          3  Repair lung hernia.  .........  .........  .........  .........  .........  ..............
32810....          3  Close chest after    .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
32815....          3  Close bronchial      .........  .........  .........  .........  .........  ..............
                       fistula.                                                                                 
32820....          3  Reconstruct injured  .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
32850....          9  Donor pneumonectomy  .........  .........  .........  .........  .........  ..............
32851....          3  Lung transplant,     .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
32852....          3  Lung transplant w/   .........  .........  .........  .........  .........  ..............
                       bypass.                                                                                  
32853....          3  Lung transplant,     .........  .........  .........  .........  .........  ..............
                       double.                                                                                  
32854....          3  Lung transplant w/   .........  .........  .........  .........  .........  ..............
                       bypass.                                                                                  
32900....          3  Removal of rib(s)..  .........  .........  .........  .........  .........  ..............
32905....          3  Revise & repair      .........  .........  .........  .........  .........  ..............
                       chest wall.                                                                              
32906....          3  Revise & repair      .........  .........  .........  .........  .........  ..............
                       chest wall.                                                                              
32940....          3  Revision of lung...  .........  .........  .........  .........  .........  ..............
32960....          1  Therapeutic          .........  .........        320       $126       0.25  Add.          
                       pneumothorax.                                                                            
32999....          3  Chest surgery        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
33010....          1  Drainage of heart            2       $422        320       $126       0.25  ..............
                       sac.                                                                                     
33011....          1  Repeat drainage of           2       $422        320       $126       0.25  ..............
                       heart sac.                                                                               
33015....          3  Incision of heart    .........  .........  .........  .........  .........  ..............
                       sac.                                                                                     
33020....          3  Incision of heart    .........  .........  .........  .........  .........  ..............
                       sac.                                                                                     
33025....          3  Incision of heart    .........  .........  .........  .........  .........  ..............
                       sac.                                                                                     
33030....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       heart sac.                                                                               
33031....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       heart sac.                                                                               
33050....          3  Removal of heart     .........  .........  .........  .........  .........  ..............
                       sac lesion.                                                                              
33120....          3  Removal of heart     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
33130....          3  Removal of heart     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
33200....          3  Insertion of heart   .........  .........  .........  .........  .........  ..............
                       pacemaker.                                                                               
33201....          3  Insertion of heart   .........  .........  .........  .........  .........  ..............
                       pacemaker.                                                                               
33206....          3  Insertion of heart   .........  .........  .........  .........  .........  ..............
                       pacemaker.                                                                               
33207....          3  Insertion of heart   .........  .........  .........  .........  .........  ..............
                       pacemaker.                                                                               
33208....          3  Insertion of heart   .........  .........  .........  .........  .........  ..............
                       pacemaker.                                                                               
33210....          3  Insertion of heart   .........  .........  .........  .........  .........  ..............
                       electrode.                                                                               
33211....          3  Insertion of heart   .........  .........  .........  .........  .........  ..............
                       electrode.                                                                               
33212....          3  Insertion of pulse   .........  .........  .........  .........  .........  ..............
                       generator.                                                                               
33213....          3  Insertion of pulse   .........  .........  .........  .........  .........  ..............
                       generator.                                                                               
33214....          3  Upgrade of           .........  .........  .........  .........  .........  ..............
                       pacemaker system.                                                                        
33216....          3  Revision implanted   .........  .........  .........  .........  .........  ..............
                       electrode.                                                                               
33217....          3  Insert/revise        .........  .........  .........  .........  .........  ..............
                       electrode.                                                                               
33218....          3  Repair pacemaker     .........  .........  .........  .........  .........  ..............
                       electrodes.                                                                              
33220....          3  Repair pacemaker     .........  .........  .........  .........  .........  ..............
                       electrode.                                                                               
33222....          1  Pacemaker aicd       .........  .........        360       $397       0.79  Add.          
                       pocket.                                                                                  
33223....          1  Pacemaker aicd       .........  .........        360       $397       0.79  Add.          
                       pocket.                                                                                  
33233....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       pacemaker system.                                                                        
33234....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       pacemaker system.                                                                        
33235....          3  Removal pacemaker    .........  .........  .........  .........  .........  ..............
                       electrode.                                                                               
33236....          3  Remove electrode/    .........  .........  .........  .........  .........  ..............
                       thoracotomy.                                                                             
33237....          3  Remove electrode/    .........  .........  .........  .........  .........  ..............
                       thoracotomy.                                                                             
33238....          3  Remove electrode/    .........  .........  .........  .........  .........  ..............
                       thoracotomy.                                                                             
33240....          3  Insert/replace       .........  .........  .........  .........  .........  ..............
                       pulse gener.                                                                             
33241....          3  Remove pulse         .........  .........  .........  .........  .........  ..............
                       generator only.                                                                          
33242....          3  Repair pulse         .........  .........  .........  .........  .........  ..............
                       generator/leads.                                                                         
33243....          3  Remove generator/    .........  .........  .........  .........  .........  ..............
                       thoracotomy.                                                                             
33244....          3  Remove generator...  .........  .........  .........  .........  .........  ..............
33245....          3  Implant heart        .........  .........  .........  .........  .........  ..............
                       defibrillator.                                                                           
33246....          3  Implant heart        .........  .........  .........  .........  .........  ..............
                       defibrillator.                                                                           
33247....          3  Insert/replace       .........  .........  .........  .........  .........  ..............
                       leads.                                                                                   
33249....          3  Insert/replace       .........  .........  .........  .........  .........  ..............
                       leads/gener.                                                                             
33250....          3  Ablate heart         .........  .........  .........  .........  .........  ..............
                       dysrhythm focus.                                                                         
33251....          3  Ablate heart         .........  .........  .........  .........  .........  ..............
                       dysrhythm focus.                                                                         
33253....          3  Reconstruct atria..  .........  .........  .........  .........  .........  ..............
33261....          3  Ablate heart         .........  .........  .........  .........  .........  ..............
                       dysrhythm focus.                                                                         
33300....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       wound.                                                                                   
33305....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       wound.                                                                                   
33310....          3  Exploratory heart    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
33315....          3  Exploratory heart    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
33320....          3  Repair major blood   .........  .........  .........  .........  .........  ..............
                       vessel(s).                                                                               
33321....          3  Repair major vessel  .........  .........  .........  .........  .........  ..............
33322....          3  Repair major blood   .........  .........  .........  .........  .........  ..............
                       vessel(s).                                                                               
33330....          3  Insert major vessel  .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
33332....          3  Insert major vessel  .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
33335....          3  Insert major vessel  .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
33400....          3  Repair of aortic     .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33401....          3  Valvuloplasty, open  .........  .........  .........  .........  .........  ..............
33403....          3  Valvuloplasty, w/cp  .........  .........  .........  .........  .........  ..............
                       bypass.                                                                                  
33404....          3  Prepare heart-aorta  .........  .........  .........  .........  .........  ..............
                       conduit.                                                                                 

[[Page 32361]]

                                                                                                                
33405....          3  Replacement of       .........  .........  .........  .........  .........  ..............
                       aortic valve.                                                                            
33406....          3  Replacement, aortic  .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33411....          3  Replacement of       .........  .........  .........  .........  .........  ..............
                       aortic valve.                                                                            
33412....          3  Replacement of       .........  .........  .........  .........  .........  ..............
                       aortic valve.                                                                            
33413....          3  Replacement, aortic  .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33414....          3  Repair, aortic       .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33415....          3  Revision,            .........  .........  .........  .........  .........  ..............
                       subvalvular tissue.                                                                      
33416....          3  Revise ventricle     .........  .........  .........  .........  .........  ..............
                       muscle.                                                                                  
33417....          3  Repair of aortic     .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33420....          3  Revision of mitral   .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33422....          3  Revision of mitral   .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33425....          3  Repair of mitral     .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33426....          3  Repair of mitral     .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33427....          3  Repair of mitral     .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33430....          3  Replacement of       .........  .........  .........  .........  .........  ..............
                       mitral valve.                                                                            
33460....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       tricuspid valve.                                                                         
33463....          3  Valvuloplasty,       .........  .........  .........  .........  .........  ..............
                       tricuspid.                                                                               
33464....          3  Valvuloplasty,       .........  .........  .........  .........  .........  ..............
                       tricuspid.                                                                               
33465....          3  Replace tricuspid    .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
33468....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       tricuspid valve.                                                                         
33470....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       pulmonary valve.                                                                         
33471....          3  Valvotomy,           .........  .........  .........  .........  .........  ..............
                       pulmonary valve.                                                                         
33472....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       pulmonary valve.                                                                         
33474....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       pulmonary valve.                                                                         
33475....          3  Replacement,         .........  .........  .........  .........  .........  ..............
                       pulmonary valve.                                                                         
33476....          3  Revision of heart    .........  .........  .........  .........  .........  ..............
                       chamber.                                                                                 
33478....          3  Revision of heart    .........  .........  .........  .........  .........  ..............
                       chamber.                                                                                 
33496....          3  Repair, prosth       .........  .........  .........  .........  .........  ..............
                       valve clot.                                                                              
33500....          3  Repair heart vessel  .........  .........  .........  .........  .........  ..............
                       fistula.                                                                                 
33501....          3  Repair heart vessel  .........  .........  .........  .........  .........  ..............
                       fistula.                                                                                 
33502....          3  Coronary artery      .........  .........  .........  .........  .........  ..............
                       correction.                                                                              
33503....          3  Coronary artery      .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
33504....          3  Coronary artery      .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
33505....          3  Repair artery w/     .........  .........  .........  .........  .........  ..............
                       tunnel.                                                                                  
33506....          3  Repair artery,       .........  .........  .........  .........  .........  ..............
                       translocation.                                                                           
33510....          3  CABG, vein, single.  .........  .........  .........  .........  .........  ..............
33511....          3  CABG, vein, two....  .........  .........  .........  .........  .........  ..............
33512....          3  CABG, vein, three..  .........  .........  .........  .........  .........  ..............
33513....          3  CABG, vein, four...  .........  .........  .........  .........  .........  ..............
33514....          3  CABG, vein, five...  .........  .........  .........  .........  .........  ..............
33516....          3  CABG, vein, six+...  .........  .........  .........  .........  .........  ..............
33517....          3  CABG, artery-vein,   .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
33518....          3  CABG, artery-vein,   .........  .........  .........  .........  .........  ..............
                       two.                                                                                     
33519....          3  CABG, artery-vein,   .........  .........  .........  .........  .........  ..............
                       three.                                                                                   
33521....          3  CABG, artery-vein,   .........  .........  .........  .........  .........  ..............
                       four.                                                                                    
33522....          3  CABG, artery-vein,   .........  .........  .........  .........  .........  ..............
                       five.                                                                                    
33523....          3  CABG, artery-vein,   .........  .........  .........  .........  .........  ..............
                       six+.                                                                                    
33530....          3  Coronary artery,     .........  .........  .........  .........  .........  ..............
                       bypass/reop.                                                                             
33533....          3  CABG, arterial,      .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
33534....          3  CABG, arterial, two  .........  .........  .........  .........  .........  ..............
33535....          3  CABG, arterial,      .........  .........  .........  .........  .........  ..............
                       three.                                                                                   
33536....          3  CABG, arterial,      .........  .........  .........  .........  .........  ..............
                       four+.                                                                                   
33542....          3  Removal of heart     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
33545....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       damage.                                                                                  
33572....          3  Open coronary        .........  .........  .........  .........  .........  ..............
                       endarterectomy.                                                                          
33600....          3  Closure of valve...  .........  .........  .........  .........  .........  ..............
33602....          3  Closure of valve...  .........  .........  .........  .........  .........  ..............
33606....          3  Anastomosis/artery-  .........  .........  .........  .........  .........  ..............
                       aorta.                                                                                   
33608....          3  Repair anomaly w/    .........  .........  .........  .........  .........  ..............
                       conduit.                                                                                 
33610....          3  Repair by            .........  .........  .........  .........  .........  ..............
                       enlargement.                                                                             
33611....          3  Repair double        .........  .........  .........  .........  .........  ..............
                       ventricle.                                                                               
33612....          3  Repair double        .........  .........  .........  .........  .........  ..............
                       ventricle.                                                                               
33615....          3  Repair (simple       .........  .........  .........  .........  .........  ..............
                       fontan).                                                                                 
33617....          3  Repair by modified   .........  .........  .........  .........  .........  ..............
                       fontan.                                                                                  
33619....          3  Repair single        .........  .........  .........  .........  .........  ..............
                       ventricle.                                                                               
33641....          3  Repair heart septum  .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33645....          3  Revision of heart    .........  .........  .........  .........  .........  ..............
                       veins.                                                                                   
33647....          3  Repair heart septum  .........  .........  .........  .........  .........  ..............
                       defects.                                                                                 
33660....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       defects.                                                                                 
33665....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       defects.                                                                                 
33670....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       chambers.                                                                                
33681....          3  Repair heart septum  .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33684....          3  Repair heart septum  .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33688....          3  Repair heart septum  .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  

[[Page 32362]]

                                                                                                                
33690....          3  Reinforce pulmonary  .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
33692....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       defects.                                                                                 
33694....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       defects.                                                                                 
33697....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       defects.                                                                                 
33702....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       defects.                                                                                 
33710....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       defects.                                                                                 
33720....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33722....          3  Repair of heart      .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33730....          3  Repair heart-vein    .........  .........  .........  .........  .........  ..............
                       defect(s).                                                                               
33732....          3  Repair heart-vein    .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33735....          3  Revision of heart    .........  .........  .........  .........  .........  ..............
                       chamber.                                                                                 
33736....          3  Revision of heart    .........  .........  .........  .........  .........  ..............
                       chamber.                                                                                 
33737....          3  Revision of heart    .........  .........  .........  .........  .........  ..............
                       chamber.                                                                                 
33750....          3  Major vessel shunt.  .........  .........  .........  .........  .........  ..............
33755....          3  Major vessel shunt.  .........  .........  .........  .........  .........  ..............
33762....          3  Major vessel shunt.  .........  .........  .........  .........  .........  ..............
33764....          3  Major vessel shunt   .........  .........  .........  .........  .........  ..............
                       & graft.                                                                                 
33766....          3  Major vessel shunt.  .........  .........  .........  .........  .........  ..............
33767....          3  Atrial septectomy/   .........  .........  .........  .........  .........  ..............
                       septostomy.                                                                              
33770....          3  Repair great         .........  .........  .........  .........  .........  ..............
                       vessels defect.                                                                          
33771....          3  Repair great         .........  .........  .........  .........  .........  ..............
                       vessels defect.                                                                          
33774....          3  Repair great         .........  .........  .........  .........  .........  ..............
                       vessels defect.                                                                          
33775....          3  Repair great         .........  .........  .........  .........  .........  ..............
                       vessels defect.                                                                          
33776....          3  Repair great         .........  .........  .........  .........  .........  ..............
                       vessels defect.                                                                          
33777....          3  Repair great         .........  .........  .........  .........  .........  ..............
                       vessels defect.                                                                          
33778....          3  Repair great         .........  .........  .........  .........  .........  ..............
                       vessels defect.                                                                          
33779....          3  Repair great         .........  .........  .........  .........  .........  ..............
                       vessels defect.                                                                          
33780....          3  Repair great         .........  .........  .........  .........  .........  ..............
                       vessels defect.                                                                          
33781....          3  Repair great         .........  .........  .........  .........  .........  ..............
                       vessels defect.                                                                          
33786....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       trunk.                                                                                   
33788....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       pulmonary artery.                                                                        
33800....          3  Aortic suspension..  .........  .........  .........  .........  .........  ..............
33802....          3  Repair vessel        .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33803....          3  Repair vessel        .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33813....          3  Repair septal        .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33814....          3  Repair septal        .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33820....          3  Revise major vessel  .........  .........  .........  .........  .........  ..............
33822....          3  Revise major vessel  .........  .........  .........  .........  .........  ..............
33824....          3  Revise major vessel  .........  .........  .........  .........  .........  ..............
33840....          3  Remove aorta         .........  .........  .........  .........  .........  ..............
                       constriction.                                                                            
33845....          3  Remove aorta         .........  .........  .........  .........  .........  ..............
                       constriction.                                                                            
33851....          3  Remove aorta         .........  .........  .........  .........  .........  ..............
                       constriction.                                                                            
33852....          3  Repair septal        .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33853....          3  Repair septal        .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
33860....          3  Ascending aorta      .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
33861....          3  Ascending aorta      .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
33863....          3  Ascending aorta      .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
33870....          3  Transverse aortic    .........  .........  .........  .........  .........  ..............
                       arch graft.                                                                              
33875....          3  Thoracic aorta       .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
33877....          3  Thoracoabdominal     .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
33910....          3  Remove lung artery   .........  .........  .........  .........  .........  ..............
                       emboli.                                                                                  
33915....          3  Remove lung artery   .........  .........  .........  .........  .........  ..............
                       emboli.                                                                                  
33916....          3  Surgery of great     .........  .........  .........  .........  .........  ..............
                       vessel.                                                                                  
33917....          3  Repair pulmonary     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
33918....          3  Repair pulmonary     .........  .........  .........  .........  .........  ..............
                       atresia.                                                                                 
33919....          3  Repair pulmonary     .........  .........  .........  .........  .........  ..............
                       atresia.                                                                                 
33920....          3  Repair pulmonary     .........  .........  .........  .........  .........  ..............
                       atresia.                                                                                 
33922....          3  Transect pulmonary   .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
33924....          3  Remove pulmonary     .........  .........  .........  .........  .........  ..............
                       shunt.                                                                                   
33930....          9  Removal of donor     .........  .........  .........  .........  .........  ..............
                       heart/lung.                                                                              
33935....          3  Transplantation,     .........  .........  .........  .........  .........  ..............
                       heart/lung.                                                                              
33940....          9  Removal of donor     .........  .........  .........  .........  .........  ..............
                       heart.                                                                                   
33945....          3  Transplantation of   .........  .........  .........  .........  .........  ..............
                       heart.                                                                                   
33960....          3  External             .........  .........  .........  .........  .........  ..............
                       circulation assist.                                                                      
33961....          3  External             .........  .........  .........  .........  .........  ..............
                       circulation assist.                                                                      
33970....          3  Aortic circulation   .........  .........  .........  .........  .........  ..............
                       assist.                                                                                  
33971....          3  Aortic circulation   .........  .........  .........  .........  .........  ..............
                       assist.                                                                                  
33973....          3  Insert balloon       .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
33974....          3  Remove intra-aortic  .........  .........  .........  .........  .........  ..............
                       balloon.                                                                                 
33975....          3  Implant ventricular  .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
33976....          3  Implant ventricular  .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
33977....          3  Remove ventricular   .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
33978....          3  Remove ventricular   .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
33999....          3  Cardiac surgery      .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               

[[Page 32363]]

                                                                                                                
34001....          3  Removal of artery    .........  .........  .........  .........  .........  ..............
                       clot.                                                                                    
34051....          3  Removal of artery    .........  .........  .........  .........  .........  ..............
                       clot.                                                                                    
34101....          3  Removal of artery            3       $482  .........  .........  .........  Delete.       
                       clot.                                                                                    
34111....          3  Removal of arm       .........  .........  .........  .........  .........  ..............
                       artery clot.                                                                             
34151....          3  Removal of artery    .........  .........  .........  .........  .........  ..............
                       clot.                                                                                    
34201....          3  Removal of artery    .........  .........  .........  .........  .........  ..............
                       clot.                                                                                    
34203....          3  Removal of leg       .........  .........  .........  .........  .........  ..............
                       artery clot.                                                                             
34401....          3  Removal of vein      .........  .........  .........  .........  .........  ..............
                       clot.                                                                                    
34421....          3  Removal of vein      .........  .........  .........  .........  .........  ..............
                       clot.                                                                                    
34451....          3  Removal of vein      .........  .........  .........  .........  .........  ..............
                       clot.                                                                                    
34471....          3  Removal of vein      .........  .........  .........  .........  .........  ..............
                       clot.                                                                                    
34490....          3  Removal of vein      .........  .........  .........  .........  .........  ..............
                       clot.                                                                                    
34501....          3  Repair valve,        .........  .........  .........  .........  .........  ..............
                       femoral vein.                                                                            
34502....          3  Reconstruct, vena    .........  .........  .........  .........  .........  ..............
                       cava.                                                                                    
34510....          3  Transposition of     .........  .........  .........  .........  .........  ..............
                       vein valve.                                                                              
34520....          3  Cross-over vein      .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
34530....          3  Leg vein fusion....  .........  .........  .........  .........  .........  ..............
35001....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35002....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture, neck.                                                                           
35005....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35011....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35013....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture, arm.                                                                            
35021....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35022....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture, chest.                                                                          
35045....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       arm artery.                                                                              
35081....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35082....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture, aorta.                                                                          
35091....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35092....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture, aorta.                                                                          
35102....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35103....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture, groin.                                                                          
35111....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35112....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture,spleen.                                                                          
35121....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35122....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture, belly.                                                                          
35131....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35132....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture, groin.                                                                          
35141....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35142....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture, thigh.                                                                          
35151....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35152....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture, knee.                                                                           
35161....          3  Repair defect of     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35162....          3  Repair artery        .........  .........  .........  .........  .........  ..............
                       rupture.                                                                                 
35180....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35182....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35184....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35188....          1  Repair blood vessel  .........  .........        368       $841       1.67  Add.          
                       lesion.                                                                                  
35189....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35190....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35201....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35206....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35207....          1  Repair blood vessel  .........  .........        368       $841       1.67  Add.          
                       lesion.                                                                                  
35211....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35216....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35221....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35226....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35231....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35236....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35241....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35246....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35251....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35256....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35261....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35266....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35271....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35276....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35281....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35286....          3  Repair blood vessel  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
35301....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35311....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35321....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35331....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35341....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35351....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  

[[Page 32364]]

                                                                                                                
35355....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35361....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35363....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35371....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35372....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35381....          3  Rechanneling of      .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
35390....          3  Reoperation,         .........  .........  .........  .........  .........  ..............
                       carotid.                                                                                 
35400....          3  Angioscopy.........  .........  .........  .........  .........  .........  ..............
35450....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35452....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35454....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35456....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35458....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35459....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35460....          3  Repair venous        .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35470....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35471....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35472....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35473....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35474....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35475....          3  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35476....          3  Repair venous        .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
35480....          3  Atherectomy, open..  .........  .........  .........  .........  .........  ..............
35481....          3  Atherectomy, open..  .........  .........  .........  .........  .........  ..............
35482....          3  Atherectomy, open..  .........  .........  .........  .........  .........  ..............
35483....          3  Atherectomy, open..  .........  .........  .........  .........  .........  ..............
35484....          3  Atherectomy, open..  .........  .........  .........  .........  .........  ..............
35485....          3  Atherectomy, open..  .........  .........  .........  .........  .........  ..............
35490....          3  Atherectomy,         .........  .........  .........  .........  .........  ..............
                       percutaneous.                                                                            
35491....          3  Atherectomy,         .........  .........  .........  .........  .........  ..............
                       percutaneous.                                                                            
35492....          3  Atherectomy,         .........  .........  .........  .........  .........  ..............
                       percutaneous.                                                                            
35493....          3  Atherectomy,         .........  .........  .........  .........  .........  ..............
                       percutaneous.                                                                            
35494....          3  Atherectomy,         .........  .........  .........  .........  .........  ..............
                       percutaneous.                                                                            
35495....          3  Atherectomy,         .........  .........  .........  .........  .........  ..............
                       percutaneous.                                                                            
35501....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35506....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35507....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35508....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35509....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35511....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35515....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35516....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35518....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35521....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35526....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35531....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35533....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35536....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35541....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35546....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35548....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35549....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35551....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35556....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35558....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35560....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35563....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35565....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35566....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35571....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35582....          3  Vein bypass graft..  .........  .........  .........  .........  .........  ..............
35583....          3  Vein bypass graft..  .........  .........  .........  .........  .........  ..............
35585....          3  Vein bypass graft..  .........  .........  .........  .........  .........  ..............
35587....          3  Vein bypass graft..  .........  .........  .........  .........  .........  ..............
35601....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35606....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35612....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35616....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35621....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35623....          3  Bypass graft, not    .........  .........  .........  .........  .........  ..............
                       vein.                                                                                    
35626....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35631....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35636....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35641....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............

[[Page 32365]]

                                                                                                                
35642....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35645....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35646....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35650....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35651....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35654....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35656....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35661....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35663....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35665....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35666....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35671....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35681....          3  Artery bypass graft  .........  .........  .........  .........  .........  ..............
35691....          3  Arterial             .........  .........  .........  .........  .........  ..............
                       transposition.                                                                           
35693....          3  Arterial             .........  .........  .........  .........  .........  ..............
                       transposition.                                                                           
35694....          3  Arterial             .........  .........  .........  .........  .........  ..............
                       transposition.                                                                           
35695....          3  Arterial             .........  .........  .........  .........  .........  ..............
                       transposition.                                                                           
35700....          3  Reoperation, bypass  .........  .........  .........  .........  .........  ..............
                       graft.                                                                                   
35701....          3  Exploration,         .........  .........  .........  .........  .........  ..............
                       carotid artery.                                                                          
35721....          3  Exploration,         .........  .........  .........  .........  .........  ..............
                       femoral artery.                                                                          
35741....          3  Exploration          .........  .........  .........  .........  .........  ..............
                       popliteal artery.                                                                        
35761....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       artery/vein.                                                                             
35800....          3  Explore neck         .........  .........  .........  .........  .........  ..............
                       vessels.                                                                                 
35820....          3  Explore chest        .........  .........  .........  .........  .........  ..............
                       vessels.                                                                                 
35840....          3  Explore abdominal    .........  .........  .........  .........  .........  ..............
                       vessels.                                                                                 
35860....          3  Explore limb         .........  .........  .........  .........  .........  ..............
                       vessels.                                                                                 
35870....          3  Repair vessel graft  .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
35875....          1  Removal of clot in   .........  .........        368       $841       1.67  Add.          
                       graft.                                                                                   
35876....          1  Removal of clot in   .........  .........        368       $841       1.67  Add.          
                       graft.                                                                                   
35901....          3  Excision, graft,     .........  .........  .........  .........  .........  ..............
                       neck.                                                                                    
35903....          3  Excision, graft,     .........  .........  .........  .........  .........  ..............
                       extremity.                                                                               
35905....          3  Excision, graft,     .........  .........  .........  .........  .........  ..............
                       thorax.                                                                                  
35907....          3  Excision, graft,     .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
36000....          2  Place needle in      .........  .........  .........  .........  .........  ..............
                       vein.                                                                                    
36005....          2  Injection,           .........  .........  .........  .........  .........  ..............
                       venography.                                                                              
36010....          3  Place catheter in    .........  .........  .........  .........  .........  ..............
                       vein.                                                                                    
36011....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       vein.                                                                                    
36012....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       vein.                                                                                    
36013....          3  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36014....          3  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36015....          3  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36100....          2  Establish access to  .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36120....          2  Establish access to  .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36140....          2  Establish access to  .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36145....          2  Artery to vein       .........  .........  .........  .........  .........  ..............
                       shunt.                                                                                   
36160....          2  Establish access to  .........  .........  .........  .........  .........  ..............
                       aorta.                                                                                   
36200....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       aorta.                                                                                   
36215....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36216....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36217....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36218....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36245....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36246....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36247....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36248....          2  Place catheter in    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36260....          1  Insertion of         .........  .........        368       $841       1.67  Add.          
                       infusion pump.                                                                           
36261....          1  Revision of                  2       $422        360       $397       0.79  ..............
                       infusion pump.                                                                           
36262....          1  Removal of infusion          1       $314        360       $397       0.79  ..............
                       pump.                                                                                    
36299....          3  Vessel injection     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
36400....          2  Drawing blood......  .........  .........  .........  .........  .........  ..............
36405....          2  Drawing blood......  .........  .........  .........  .........  .........  ..............
36406....          2  Drawing blood......  .........  .........  .........  .........  .........  ..............
36410....          2  Drawing blood......  .........  .........  .........  .........  .........  ..............
36415....          9  Drawing blood......  .........  .........  .........  .........  .........  ..............
36420....          2  Establish access to  .........  .........  .........  .........  .........  ..............
                       vein.                                                                                    
36425....          2  Establish access to  .........  .........  .........  .........  .........  ..............
                       vein.                                                                                    
36430....          6  Blood transfusion    .........  .........  .........  .........  .........  ..............
                       service.                                                                                 
36440....          6  Blood transfusion    .........  .........  .........  .........  .........  ..............
                       service.                                                                                 
36450....          6  Exchange             .........  .........  .........  .........  .........  ..............
                       transfusion                                                                              
                       service.                                                                                 
36455....          6  Exchange             .........  .........  .........  .........  .........  ..............
                       transfusion                                                                              
                       service.                                                                                 
36460....          6  Transfusion          .........  .........  .........  .........  .........  ..............
                       service, fetal.                                                                          
36468....          5  Injection(s);        .........  .........  .........  .........  .........  ..............
                       spider veins.                                                                            
36469....          5  Injection(s);        .........  .........  .........  .........  .........  ..............
                       spider veins.                                                                            
36470....          5  Injection therapy    .........  .........  .........  .........  .........  ..............
                       of vein.                                                                                 

[[Page 32366]]

                                                                                                                
36471....          5  Injection therapy    .........  .........  .........  .........  .........  ..............
                       of veins.                                                                                
36481....          2  Insertion of         .........  .........  .........  .........  .........  ..............
                       catheter, vein.                                                                          
36488....          1  Insertion of         .........  .........        346       $195       0.39  Add.          
                       catheter, vein.                                                                          
36489....          1  Insertion of                 1       $314        346       $195       0.39  ..............
                       catheter, vein.                                                                          
36490....          1  Insertion of         .........  .........        346       $195       0.39  Add.          
                       catheter, vein.                                                                          
36491....          1  Insertion of                 1       $314        346       $195       0.39  ..............
                       catheter, vein.                                                                          
36493....          1  Repositioning of     .........  .........        346       $195       0.39  Add.          
                       cvc.                                                                                     
36500....          3  Insertion of         .........  .........  .........  .........  .........  ..............
                       catheter, vein.                                                                          
36510....          3  Insertion of         .........  .........  .........  .........  .........  ..............
                       catheter, vein.                                                                          
36520....          6  Plasma and/or cell   .........  .........  .........  .........  .........  ..............
                       exchange.                                                                                
36522....          6  Photopheresis......  .........  .........  .........  .........  .........  ..............
36530....          7  Insertion of                 3       $482        368       $841       1.67  ..............
                       infusion pump.                                                                           
36531....          7  Revision of                  2       $422        360       $397       0.79  ..............
                       infusion pump.                                                                           
36532....          7  Removal of infusion          1       $314        360       $397       0.79  ..............
                       pump.                                                                                    
36533....          1  Insertion of access          3       $482        368       $841       1.67  ..............
                       port.                                                                                    
36534....          1  Revision of access           2       $422        360       $397       0.79  ..............
                       port.                                                                                    
36535....          1  Removal of access            1       $314        360       $397       0.79  ..............
                       port.                                                                                    
36600....          2  Withdrawal of        .........  .........  .........  .........  .........  ..............
                       arterial blood.                                                                          
36620....          3  Insertion catheter,  .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36625....          3  Insertion catheter,  .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36640....          1  Insertion catheter,          1       $314        346       $195       0.39  ..............
                       artery.                                                                                  
36660....          3  Insertion catheter,  .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
36680....          6  Insert needle, bone  .........  .........  .........  .........  .........  ..............
                       cavity.                                                                                  
36800....          1  Insertion of                 3       $482        368       $841       1.67  ..............
                       cannula.                                                                                 
36810....          1  Insertion of                 3       $482        368       $841       1.67  ..............
                       cannula.                                                                                 
36815....          1  Insertion of                 3       $482        368       $841       1.67  ..............
                       cannula.                                                                                 
36821....          1  Artery-vein fusion.          3       $482        368       $841       1.67  ..............
36822....          3  Insertion of         .........  .........  .........  .........  .........  ..............
                       cannula(s).                                                                              
36825....          1  Artery-vein graft..          4       $595        368       $841       1.67  ..............
36830....          1  Artery-vein graft..          4       $595        368       $841       1.67  ..............
36832....          1  Revise artery-vein           4       $595        368       $841       1.67  ..............
                       fistula.                                                                                 
36834....          3  Repair A-V aneurysm  .........  .........  .........  .........  .........  ..............
36835....          1  Artery to vein               4       $595        368       $841       1.67  ..............
                       shunt.                                                                                   
36860....          1  Cannula declotting.          2       $422        368       $841       1.67  ..............
36861....          1  Cannula declotting.          3       $482        368       $841       1.67  ..............
37140....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       circulation.                                                                             
37145....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       circulation.                                                                             
37160....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       circulation.                                                                             
37180....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       circulation.                                                                             
37181....          3  Splice spleen/       .........  .........  .........  .........  .........  ..............
                       kidney veins.                                                                            
37195....          3  Thrombolytic         .........  .........  .........  .........  .........  ..............
                       therapy, stroke.                                                                         
37200....          3  Transcatheter        .........  .........  .........  .........  .........  ..............
                       biopsy.                                                                                  
37201....          3  Transcatheter        .........  .........  .........  .........  .........  ..............
                       therapy infuse.                                                                          
37202....          3  Transcatheter        .........  .........  .........  .........  .........  ..............
                       therapy infuse.                                                                          
37203....          3  Transcatheter        .........  .........  .........  .........  .........  ..............
                       retrieval.                                                                               
37204....          3  Transcatheter        .........  .........  .........  .........  .........  ..............
                       occlusion.                                                                               
37205....          3  Transcatheter stent  .........  .........  .........  .........  .........  ..............
37206....          3  Transcatheter stent  .........  .........  .........  .........  .........  ..............
37207....          3  Transcatheter stent  .........  .........  .........  .........  .........  ..............
37208....          3  Transcatheter stent  .........  .........  .........  .........  .........  ..............
37209....          3  Exchange arterial    .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
37250....          3  Intravascular us...  .........  .........  .........  .........  .........  ..............
37251....          3  Intravascular us...  .........  .........  .........  .........  .........  ..............
37565....          3  Ligation of neck     .........  .........  .........  .........  .........  ..............
                       vein.                                                                                    
37600....          3  Ligation of neck     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
37605....          3  Ligation of neck     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
37606....          3  Ligation of neck     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
37607....          1  Ligation of fistula  .........  .........        368       $841       1.67  Add.          
37609....          1  Temporal artery              2       $422        162       $187       0.37  ..............
                       procedure.                                                                               
37615....          3  Ligation of neck     .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
37616....          3  Ligation of chest    .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
37617....          3  Ligation of abdomen  .........  .........  .........  .........  .........  ..............
                       artery.                                                                                  
37618....          1  Ligation of          .........  .........        367       $682       1.35  Add.          
                       extremity artery.                                                                        
37620....          3  Revision of major    .........  .........  .........  .........  .........  ..............
                       vein.                                                                                    
37650....          1  Revision of major    .........  .........        367       $682       1.35  Add.          
                       vein.                                                                                    
37660....          3  Revision of major    .........  .........  .........  .........  .........  ..............
                       vein.                                                                                    
37700....          1  Revise leg vein....          2       $422        367       $682       1.35  ..............
37720....          1  Removal of leg vein          3       $482        367       $682       1.35  ..............
37730....          1  Removal of leg               3       $482        367       $682       1.35  ..............
                       veins.                                                                                   
37735....          1  Removal of leg               3       $482        367       $682       1.35  ..............
                       veins/lesion.                                                                            
37760....          1  Revision of leg              3       $482        367       $682       1.35  ..............
                       veins.                                                                                   
37780....          1  Revision of leg              3       $482        367       $682       1.35  ..............
                       vein.                                                                                    
37785....          1  Revise secondary             3       $482        367       $682       1.35  ..............
                       varicosity.                                                                              
37788....          3  Revascularization,   .........  .........  .........  .........  .........  ..............
                       penis.                                                                                   

[[Page 32367]]

                                                                                                                
37790....          1  Penile venous        .........  .........        537     $1,221       2.42  Add.          
                       occlusion.                                                                               
37799....          3  Vascular surgery     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
38100....          3  Removal of spleen,   .........  .........  .........  .........  .........  ..............
                       total.                                                                                   
38101....          3  Removal of spleen,   .........  .........  .........  .........  .........  ..............
                       partial.                                                                                 
38102....          3  Removal of spleen,   .........  .........  .........  .........  .........  ..............
                       total.                                                                                   
38115....          3  Repair of ruptured   .........  .........  .........  .........  .........  ..............
                       spleen.                                                                                  
38200....          2  Injection for        .........  .........  .........  .........  .........  ..............
                       spleen x-ray.                                                                            
38230....          6  Bone marrow          .........  .........  .........  .........  .........  ..............
                       collection.                                                                              
38231....          6  Stem cell            .........  .........  .........  .........  .........  ..............
                       collection.                                                                              
38240....          3  Bone marrow/stem     .........  .........  .........  .........  .........  ..............
                       transplant.                                                                              
38241....          3  Bone marrow/stem     .........  .........  .........  .........  .........  ..............
                       transplant.                                                                              
38300....          1  Drainage lymph node          1       $314        132       $162       0.32  ..............
                       lesion.                                                                                  
38305....          1  Drainage lymph node          2       $422        132       $162       0.32  ..............
                       lesion.                                                                                  
38308....          1  Incision of lymph            2       $422        396       $440       0.87  ..............
                       channels.                                                                                
38380....          3  Thoracic duct        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
38381....          3  Thoracic duct        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
38382....          3  Thoracic duct        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
38500....          1  Biopsy/removal,              2       $422        396       $440       0.87  ..............
                       lymph node(s).                                                                           
38505....          1  Needle biopsy,               1       $314        122       $186       0.37  ..............
                       lymph node(s).                                                                           
38510....          1  Biopsy/removal,              2       $422        396       $440       0.87  ..............
                       lymph node(s).                                                                           
38520....          1  Biopsy/removal,              2       $422        396       $440       0.87  ..............
                       lymph node(s).                                                                           
38525....          1  Biopsy/removal,              2       $422        396       $440       0.87  ..............
                       lymph node(s).                                                                           
38530....          1  Biopsy/removal,              2       $422        396       $440       0.87  ..............
                       lymph node(s).                                                                           
38542....          1  Explore deep                 2       $422        397       $630       1.25  ..............
                       node(s), neck.                                                                           
38550....          1  Removal neck/armpit          3       $482        396       $440       0.87  ..............
                       lesion.                                                                                  
38555....          1  Removal neck/armpit          4       $595        397       $630       1.25  ..............
                       lesion.                                                                                  
38562....          3  Removal, pelvic      .........  .........  .........  .........  .........  ..............
                       lymph nodes.                                                                             
38564....          3  Removal, abdomen     .........  .........  .........  .........  .........  ..............
                       lymph nodes.                                                                             
38700....          3  Removal of lymph             2       $422  .........  .........  .........  Delete.       
                       nodes, neck.                                                                             
38720....          3  Removal of lymph     .........  .........  .........  .........  .........  ..............
                       nodes, neck.                                                                             
38724....          3  Removal of lymph     .........  .........  .........  .........  .........  ..............
                       nodes, neck.                                                                             
38740....          1  Remove armpit lymph          2       $422        397       $630       1.25  ..............
                       nodes.                                                                                   
38745....          1  Remove armpits               4       $595        397       $630       1.25  ..............
                       lymph nodes.                                                                             
38746....          3  Remove thoracic      .........  .........  .........  .........  .........  ..............
                       lymph nodes.                                                                             
38747....          3  Remove abdominal     .........  .........  .........  .........  .........  ..............
                       lymph nodes.                                                                             
38760....          1  Remove groin lymph           2       $422        397       $630       1.25  ..............
                       nodes.                                                                                   
38765....          3  Remove groin lymph   .........  .........  .........  .........  .........  ..............
                       nodes.                                                                                   
38770....          3  Remove pelvis lymph  .........  .........  .........  .........  .........  ..............
                       nodes.                                                                                   
38780....          3  Remove abdomen       .........  .........  .........  .........  .........  ..............
                       lymph nodes.                                                                             
38790....          2  Injection for                1       $314  .........  .........  .........  Delete.       
                       lymphatic xray.                                                                          
38794....          2  Access thoracic      .........  .........  .........  .........  .........  ..............
                       lymph duct.                                                                              
38999....          3  Blood/lymph system   .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
39000....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
39010....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
39200....          3  Removal chest        .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
39220....          3  Removal chest        .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
39400....          3  Visualization of     .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
39499....          3  Chest procedure....  .........  .........  .........  .........  .........  ..............
39501....          3  Repair diaphragm     .........  .........  .........  .........  .........  ..............
                       laceration.                                                                              
39502....          3  Repair               .........  .........  .........  .........  .........  ..............
                       paraesophageal                                                                           
                       hernia.                                                                                  
39503....          3  Repair of diaphragm  .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
39520....          3  Repair of diaphragm  .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
39530....          3  Repair of diaphragm  .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
39531....          3  Repair of diaphragm  .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
39540....          3  Repair of diaphragm  .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
39541....          3  Repair of diaphragm  .........  .........  .........  .........  .........  ..............
                       hernia.                                                                                  
39545....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       diaphragm.                                                                               
39599....          3  Diaphragm surgery    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
40490....          5  Biopsy of lip......  .........  .........  .........  .........  .........  ..............
40500....          1  Partial excision of          2       $422        313       $537       1.07  ..............
                       lip.                                                                                     
40510....          1  Partial excision of          2       $422        313       $537       1.07  ..............
                       lip.                                                                                     
40520....          1  Partial excision of          2       $422        313       $537       1.07  ..............
                       lip.                                                                                     
40525....          1  Reconstruct lip              2       $422        313       $537       1.07  ..............
                       with flap.                                                                               
40527....          1  Reconstruct lip              2       $422        313       $537       1.07  ..............
                       with flap.                                                                               
40530....          1  Partial removal of           2       $422        313       $537       1.07  ..............
                       lip.                                                                                     
40650....          1  Repair lip.........          3       $482        313       $537       1.07  ..............
40652....          1  Repair lip.........          3       $482        313       $537       1.07  ..............
40654....          1  Repair lip.........          3       $482        313       $537       1.07  ..............
40700....          1  Repair cleft lip/    .........  .........        314       $946       1.88  Add.          
                       nasal.                                                                                   
40701....          1  Repair cleft lip/    .........  .........        314       $946       1.88  Add.          
                       nasal.                                                                                   
40702....          1  Repair cleft lip/    .........  .........        314       $946       1.88  Add.          
                       nasal.                                                                                   
40720....          1  Repair cleft lip/    .........  .........        314       $946       1.88  Add.          
                       nasal.                                                                                   
40761....          1  Repair cleft lip/    .........  .........        314       $946       1.88  Add.          
                       nasal.                                                                                   
40799....          3  Lip surgery          .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               

[[Page 32368]]

                                                                                                                
40800....          5  Drainage of mouth    .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
40801....          5  Drainage of mouth            2       $422  .........  .........  .........  Delete.       
                       lesion.                                                                                  
40804....          5  Removal foreign      .........  .........  .........  .........  .........  ..............
                       body, mouth.                                                                             
40805....          5  Removal foreign              2       $422  .........  .........  .........  Delete.       
                       body, mouth.                                                                             
40806....          5  Incision of lip              1       $314  .........  .........  .........  Delete.       
                       fold.                                                                                    
40808....          5  Biopsy of mouth      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
40810....          5  Excision of mouth    .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
40812....          5  Excise/repair mouth  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
40814....          1  Excise/repair mouth          2       $422        313       $537       1.07  ..............
                       lesion.                                                                                  
40816....          1  Excision of mouth            2       $422        313       $537       1.07  ..............
                       lesion.                                                                                  
40818....          1  Excise oral mucosa           1       $314        313       $537       1.07  ..............
                       for graft.                                                                               
40819....          1  Excise lip or cheek          1       $314        313       $537       1.07  ..............
                       fold.                                                                                    
40820....          5  Treatment of mouth           1       $314  .........  .........  .........  Delete.       
                       lesion.                                                                                  
40830....          1  Repair mouth         .........  .........        312       $233       0.46  Add.          
                       laceration.                                                                              
40831....          1  Repair mouth                 1       $314        312       $233       0.46  ..............
                       laceration.                                                                              
40840....          7  Reconstruction of            2       $422        313       $537       1.07  ..............
                       mouth.                                                                                   
40842....          7  Reconstruction of            3       $482        313       $537       1.07  ..............
                       mouth.                                                                                   
40843....          7  Reconstruction of            3       $482        314       $946       1.88  ..............
                       mouth.                                                                                   
40844....          7  Reconstruction of            5       $678        314       $946       1.88  ..............
                       mouth.                                                                                   
40845....          7  Reconstruction of            5       $678        314       $946       1.88  ..............
                       mouth.                                                                                   
40899....          3  Mouth surgery        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
41000....          5  Drainage of mouth            1       $314  .........  .........  .........  Delete.       
                       lesion.                                                                                  
41005....          5  Drainage of mouth            1       $314  .........  .........  .........  Delete.       
                       lesion.                                                                                  
41006....          1  Drainage of mouth            1       $314        313       $537       1.07  ..............
                       lesion.                                                                                  
41007....          1  Drainage of mouth            1       $314        313       $537       1.07  ..............
                       lesion.                                                                                  
41008....          1  Drainage of mouth            1       $314        313       $537       1.07  ..............
                       lesion.                                                                                  
41009....          1  Drainage of mouth            1       $314        313       $537       1.07  ..............
                       lesion.                                                                                  
41010....          1  Incision of tongue           1       $314        313       $537       1.07  ..............
                       fold.                                                                                    
41015....          1  Drainage of mouth            1       $314        313       $537       1.07  ..............
                       lesion.                                                                                  
41016....          1  Drainage of mouth            1       $314        313       $537       1.07  ..............
                       lesion.                                                                                  
41017....          1  Drainage of mouth            1       $314        313       $537       1.07  ..............
                       lesion.                                                                                  
41018....          1  Drainage of mouth            1       $314        313       $537       1.07  ..............
                       lesion.                                                                                  
41100....          5  Biopsy of tongue...  .........  .........  .........  .........  .........  ..............
41105....          5  Biopsy of tongue...          2       $422  .........  .........  .........  Delete.       
41108....          5  Biopsy of floor of   .........  .........  .........  .........  .........  ..............
                       mouth.                                                                                   
41110....          5  Excision of tongue           1       $314  .........  .........  .........  Delete.       
                       lesion.                                                                                  
41112....          1  Excision of tongue           2       $422        313       $537       1.07  ..............
                       lesion.                                                                                  
41113....          1  Excision of tongue           2       $422        313       $537       1.07  ..............
                       lesion.                                                                                  
41114....          1  Excision of tongue           2       $422        313       $537       1.07  ..............
                       lesion.                                                                                  
41115....          5  Excision of tongue           1       $314  .........  .........  .........  Delete.       
                       fold.                                                                                    
41116....          1  Excision of mouth            1       $314        313       $537       1.07  ..............
                       lesion.                                                                                  
41120....          1  Partial removal of           5       $678        313       $537       1.07  ..............
                       tongue.                                                                                  
41130....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       tongue.                                                                                  
41135....          3  Tongue and neck      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
41140....          3  Removal of tongue..  .........  .........  .........  .........  .........  ..............
41145....          3  Tongue removal;      .........  .........  .........  .........  .........  ..............
                       neck surgery.                                                                            
41150....          3  Tongue, mouth, jaw   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
41153....          3  Tongue, mouth, neck  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
41155....          3  Tongue, jaw, & neck  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
41250....          1  Repair tongue                2       $422        312       $233       0.46  ..............
                       laceration.                                                                              
41251....          1  Repair tongue                2       $422        312       $233       0.46  ..............
                       laceration.                                                                              
41252....          1  Repair tongue                2       $422        312       $233       0.46  ..............
                       laceration.                                                                              
41500....          1  Fixation of tongue.          1       $314        312       $233       0.46  ..............
41510....          1  Tongue to lip                1       $314        312       $233       0.46  ..............
                       surgery.                                                                                 
41520....          1  Reconstruction,              2       $422        313       $537       1.07  ..............
                       tongue fold.                                                                             
41599....          3  Tongue and mouth     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
41800....          1  Drainage of gum              1       $314        312       $233       0.46  ..............
                       lesion.                                                                                  
41805....          5  Removal foreign              1       $314  .........  .........  .........  Delete.       
                       body, gum.                                                                               
41806....          5  Removal foreign              1       $314  .........  .........  .........  Delete.       
                       body, jawbone.                                                                           
41820....          5  Excision, gum, each  .........  .........  .........  .........  .........  ..............
                       quadrant.                                                                                
41821....          5  Excision of gum      .........  .........  .........  .........  .........  ..............
                       flap.                                                                                    
41822....          7  Excision of gum      .........  .........        231       $437       0.87  Add.          
                       lesion.                                                                                  
41823....          7  Excision of gum      .........  .........        231       $437       0.87  Add.          
                       lesion.                                                                                  
41825....          5  Excision of gum      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
41826....          5  Excision of gum      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
41827....          1  Excision of gum              2       $422        313       $537       1.07  ..............
                       lesion.                                                                                  
41828....          5  Excision of gum      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
41830....          5  Removal of gum       .........  .........  .........  .........  .........  ..............
                       tissue.                                                                                  
41850....          5  Treatment of gum     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
41870....          5  Gum graft..........  .........  .........  .........  .........  .........  ..............
41872....          5  Repair gum.........  .........  .........  .........  .........  .........  ..............
41874....          5  Repair tooth socket  .........  .........  .........  .........  .........  ..............
41899....          3  Dental surgery       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
42000....          5  Drainage mouth roof          2       $422  .........  .........  .........  Delete.       
                       lesion.                                                                                  

[[Page 32369]]

                                                                                                                
42100....          5  Biopsy roof of       .........  .........  .........  .........  .........  ..............
                       mouth.                                                                                   
42104....          5  Excision lesion,             2       $422  .........  .........  .........  Delete.       
                       mouth roof.                                                                              
42106....          5  Excision lesion,             2       $422  .........  .........  .........  Delete.       
                       mouth roof.                                                                              
42107....          1  Excision lesion,             2       $422        313       $537       1.07  ..............
                       mouth roof.                                                                              
42120....          1  Remove palate/               4       $595        313       $537       1.07  ..............
                       lesion.                                                                                  
42140....          5  Excision of uvula..          2       $422  .........  .........  .........  Delete.       
42145....          3  Repair, palate,              5       $678  .........  .........  .........  Delete.       
                       pharynx/uvula.                                                                           
42160....          5  Treatment mouth              1       $314  .........  .........  .........  Delete.       
                       roof lesion.                                                                             
42180....          1  Repair palate......          1       $314        313       $537       1.07  ..............
42182....          1  Repair palate......          2       $422        313       $537       1.07  ..............
42200....          1  Reconstruct cleft            5       $678        313       $537       1.07  ..............
                       palate.                                                                                  
42205....          1  Reconstruct cleft            5       $678        313       $537       1.07  ..............
                       palate.                                                                                  
42210....          1  Reconstruct cleft            5       $678        314       $946       1.88  ..............
                       palate.                                                                                  
42215....          1  Reconstruct cleft            7       $941        313       $537       1.07  ..............
                       palate.                                                                                  
42220....          1  Reconstruct cleft            5       $678        313       $537       1.07  ..............
                       palate.                                                                                  
42225....          1  Reconstruct cleft            5       $678        314       $946       1.88  ..............
                       palate.                                                                                  
42226....          1  Lengthening of       .........  .........        314       $946       1.88  Add.          
                       palate.                                                                                  
42227....          1  Lengthening of       .........  .........        314       $946       1.88  Add.          
                       palate.                                                                                  
42235....          1  Repair palate......          5       $678        313       $537       1.07  ..............
42260....          1  Repair nose to lip           4       $595        313       $537       1.07  ..............
                       fistula.                                                                                 
42280....          5  Preparation, palate  .........  .........  .........  .........  .........  ..............
                       mold.                                                                                    
42281....          5  Insertion, palate            3       $482  .........  .........  .........  Delete.       
                       prosthesis.                                                                              
42299....          3  Palate/uvula         .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
42300....          1  Drainage of                  1       $314        312       $233       0.46  ..............
                       salivary gland.                                                                          
42305....          1  Drainage of                  2       $422        312       $233       0.46  ..............
                       salivary gland.                                                                          
42310....          1  Drainage of                  1       $314        312       $233       0.46  ..............
                       salivary gland.                                                                          
42320....          1  Drainage of                  1       $314        312       $233       0.46  ..............
                       salivary gland.                                                                          
42325....          1  Create salivary              2       $422        313       $537       1.07  ..............
                       cyst drain.                                                                              
42326....          1  Create salivary      .........  .........        313       $537       1.07  Add.          
                       cyst drain.                                                                              
42330....          5  Removal of salivary  .........  .........  .........  .........  .........  ..............
                       stone.                                                                                   
42335....          5  Removal of salivary          3       $482  .........  .........  .........  Delete.       
                       stone.                                                                                   
42340....          1  Removal of salivary          2       $422        313       $537       1.07  ..............
                       stone.                                                                                   
42400....          1  Biopsy of salivary   .........  .........        122       $186       0.37  Add.          
                       gland.                                                                                   
42405....          1  Biopsy of salivary           2       $422        312       $233       0.46  ..............
                       gland.                                                                                   
42408....          1  Excision of                  3       $482        313       $537       1.07  ..............
                       salivary cyst.                                                                           
42409....          1  Drainage of                  3       $482        313       $537       1.07  ..............
                       salivary cyst.                                                                           
42410....          1  Excise parotid               3       $482        313       $537       1.07  ..............
                       gland/lesion.                                                                            
42415....          1  Excise parotid       .........  .........        314       $946       1.88  Add.          
                       gland/lesion.                                                                            
42420....          1  Excise parotid               7       $941        314       $946       1.88  ..............
                       gland/lesion.                                                                            
42425....          1  Excise parotid               7       $941        314       $946       1.88  ..............
                       gland/lesion.                                                                            
42426....          3  Excise parotid       .........  .........  .........  .........  .........  ..............
                       gland/lesion.                                                                            
42440....          1  Excision                     3       $482        313       $537       1.07  ..............
                       submaxillary gland.                                                                      
42450....          1  Excision sublingual          2       $422        313       $537       1.07  ..............
                       gland.                                                                                   
42500....          1  Repair salivary              3       $482        313       $537       1.07  ..............
                       duct.                                                                                    
42505....          1  Repair salivary              4       $595        313       $537       1.07  ..............
                       duct.                                                                                    
42507....          1  Parotid duct                 3       $482        313       $537       1.07  ..............
                       diversion.                                                                               
42508....          1  Parotid duct                 4       $595        313       $537       1.07  ..............
                       diversion.                                                                               
42509....          1  Parotid duct                 4       $595        314       $946       1.88  ..............
                       diversion.                                                                               
42510....          1  Parotid duct                 4       $595        313       $537       1.07  ..............
                       diversion.                                                                               
42550....          2  Injection for        .........  .........  .........  .........  .........  ..............
                       salivary x-ray.                                                                          
42600....          1  Closure of salivary          1       $314        313       $537       1.07  ..............
                       fistula.                                                                                 
42650....          5  Dilation of          .........  .........  .........  .........  .........  ..............
                       salivary duct.                                                                           
42660....          5  Dilation of          .........  .........  .........  .........  .........  ..............
                       salivary duct.                                                                           
42665....          5  Ligation of          .........  .........  .........  .........  .........  ..............
                       salivary duct.                                                                           
42699....          3  Salivary surgery     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
42700....          1  Drainage of tonsil           1       $314        312       $233       0.46  ..............
                       abscess.                                                                                 
42720....          1  Drainage of throat           1       $314        312       $233       0.46  ..............
                       abscess.                                                                                 
42725....          1  Drainage of throat           2       $422        313       $537       1.07  ..............
                       abscess.                                                                                 
42800....          1  Biopsy of throat...  .........  .........        312       $233       0.46  Add.          
42802....          1  Biopsy of throat...          1       $314        312       $233       0.46  ..............
42804....          1  Biopsy of upper              1       $314        312       $233       0.46  ..............
                       nose/throat.                                                                             
42806....          1  Biopsy of upper              2       $422        312       $233       0.46  ..............
                       nose/throat.                                                                             
42808....          1  Excise pharynx               2       $422        312       $233       0.46  ..............
                       lesion.                                                                                  
42809....          5  Remove pharynx       .........  .........  .........  .........  .........  ..............
                       foreign body.                                                                            
42810....          1  Excision of neck             3       $482        313       $537       1.07  ..............
                       cyst.                                                                                    
42815....          1  Excision of neck             5       $678        313       $537       1.07  ..............
                       cyst.                                                                                    
42820....          1  Remove tonsils and   .........  .........        319       $648       1.29  Add.          
                       adenoids.                                                                                
42821....          1  Remove tonsils and           5       $678        319       $648       1.29  ..............
                       adenoids.                                                                                
42825....          1  Removal of tonsils.  .........  .........        319       $648       1.29  Add.          
42826....          1  Removal of tonsils.          4       $595        319       $648       1.29  ..............
42830....          1  Removal of adenoids  .........  .........        319       $648       1.29  Add.          
42831....          1  Removal of adenoids          4       $595        319       $648       1.29  ..............
42835....          1  Removal of adenoids  .........  .........        319       $648       1.29  Add.          
42836....          1  Removal of adenoids          4       $595        319       $648       1.29  ..............

[[Page 32370]]

                                                                                                                
42842....          1  Extensive surgery    .........  .........        314       $946       1.88  Add.          
                       of throat.                                                                               
42844....          1  Extensive surgery    .........  .........        314       $946       1.88  Add.          
                       of throat.                                                                               
42845....          3  Extensive surgery    .........  .........  .........  .........  .........  ..............
                       of throat.                                                                               
42860....          1  Excision of tonsil           3       $482        319       $648       1.29  ..............
                       tags.                                                                                    
42870....          1  Excision of lingual          3       $482        319       $648       1.29  ..............
                       tonsil.                                                                                  
42890....          1  Partial removal of   .........  .........        314       $946       1.88  Add.          
                       pharynx.                                                                                 
42892....          1  Revision of          .........  .........        314       $946       1.88  Add.          
                       pharyngeal walls.                                                                        
42894....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       pharyngeal walls.                                                                        
42900....          1  Repair throat wound          1       $314        313       $537       1.07  ..............
42950....          1  Reconstruction of            2       $422        313       $537       1.07  ..............
                       throat.                                                                                  
42953....          3  Repair throat,       .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
42955....          1  Surgical opening of          2       $422        313       $537       1.07  ..............
                       throat.                                                                                  
42960....          1  Control throat               1       $314        318        $77       0.15  ..............
                       bleeding.                                                                                
42961....          3  Control throat       .........  .........  .........  .........  .........  ..............
                       bleeding.                                                                                
42962....          1  Control throat               2       $422        313       $537       1.07  ..............
                       bleeding.                                                                                
42970....          1  Control nose/throat  .........  .........        318        $77       0.15  Add.          
                       bleeding.                                                                                
42971....          3  Control nose/throat  .........  .........  .........  .........  .........  ..............
                       bleeding.                                                                                
42972....          1  Control nose/throat  .........  .........        313       $537       1.07  Add.          
                       bleeding.                                                                                
42999....          3  Throat surgery       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
43020....          1  Incision of          .........  .........        313       $537       1.07  Add.          
                       esophagus.                                                                               
43030....          1  Throat muscle        .........  .........        313       $537       1.07  Add.          
                       surgery.                                                                                 
43045....          3  Incision of          .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43100....          3  Excision of          .........  .........  .........  .........  .........  ..............
                       esophagus lesion.                                                                        
43101....          3  Excision of          .........  .........  .........  .........  .........  ..............
                       esophagus lesion.                                                                        
43107....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43108....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43112....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43113....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43116....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43117....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43118....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43121....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43122....          3  Parital removal of   .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43123....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43124....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43130....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       esophagus pouch.                                                                         
43135....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       esophagus pouch.                                                                         
43200....          1  Esophagus endoscopy          1       $314        417       $327       0.65  ..............
43202....          1  Esophagus                    1       $314        417       $327       0.65  ..............
                       endoscopy, biopsy.                                                                       
43204....          1  Esophagus endoscopy          1       $314        407       $302       0.60  ..............
                       & inject.                                                                                
43205....          1  Esophagus endoscopy/ .........  .........        407       $302       0.60  Add.          
                       ligation.                                                                                
43215....          1  Esophagus endoscopy          1       $314        407       $302       0.60  ..............
43216....          1  Esophagus endoscopy/         1       $314        407       $302       0.60  ..............
                       lesion.                                                                                  
43217....          1  Esophagus endoscopy          1       $314        407       $302       0.60  ..............
43219....          1  Esophagus endoscopy          1       $314        449       $415       0.82  ..............
43220....          1  Esophagus                    1       $314        407       $302       0.60  ..............
                       endoscopy,                                                                               
                       dilation.                                                                                
43226....          1  Esophagus                    1       $314        407       $302       0.60  ..............
                       endoscopy,                                                                               
                       dilation.                                                                                
43227....          1  Esophagus                    2       $422        407       $302       0.60  ..............
                       endoscopy, repair.                                                                       
43228....          1  Esophagus                    2       $422        449       $415       0.82  ..............
                       endoscopy,                                                                               
                       ablation.                                                                                
43234....          1  Upper GI endoscopy,          1       $314        417       $327       0.65  ..............
                       exam.                                                                                    
43235....          1  Upper gi endoscopy,          1       $314        417       $327       0.65  ..............
                       diagnosis.                                                                               
43239....          1  Upper GI endoscopy,          2       $422        417       $327       0.65  ..............
                       biopsy.                                                                                  
43241....          1  Upper GI endoscopy           2       $422        418       $348       0.69  ..............
                       with tube.                                                                               
43243....          1  Upper GI endoscopy           2       $422        418       $348       0.69  ..............
                       & inject..                                                                               
43244....          1  Upper GI endoscopy/  .........  .........        418       $348       0.69  Add.          
                       ligation.                                                                                
43245....          1  Operative upper GI           2       $422        418       $348       0.69  ..............
                       endoscopy.                                                                               
43246....          1  Place gastrostomy            2       $422        418       $348       0.69  ..............
                       tube.                                                                                    
43247....          1  Operative upper GI           2       $422        418       $348       0.69  ..............
                       endoscopy.                                                                               
43248....          1  Upper GI endoscopy/          2       $422        418       $348       0.69  ..............
                       guidewire.                                                                               
43249....          1  Esophagus                    2       $422        418       $348       0.69  ..............
                       endoscopy,                                                                               
                       dilation.                                                                                
43250....          1  Upper GI endoscopy/          2       $422        418       $348       0.69  ..............
                       tumor.                                                                                   
43251....          1  Operative upper GI           2       $422        418       $348       0.69  ..............
                       endoscopy.                                                                               
43255....          1  Operative upper GI           2       $422        418       $348       0.69  ..............
                       endoscopy.                                                                               
43258....          1  Operative upper GI           3       $482        449       $415       0.82  ..............
                       endoscopy.                                                                               
43259....          1  Endoscopic                   3       $482        449       $415       0.82  ..............
                       ultrasound exam.                                                                         
43260....          1  Endoscopy, bile              2       $422        456       $473       0.94  ..............
                       duct/pancreas.                                                                           
43261....          1  Endoscopy, bile              2       $422        456       $473       0.94  ..............
                       duct/pancreas.                                                                           
43262....          1  Endoscopy, bile              2       $422        456       $473       0.94  ..............
                       duct/pancreas.                                                                           
43263....          1  Endoscopy, bile              2       $422        456       $473       0.94  ..............
                       duct/pancreas.                                                                           
43264....          1  Endoscopy, bile              2       $422        456       $473       0.94  ..............
                       duct/pancreas.                                                                           
43265....          1  Endoscopy, bile              2       $422        456       $473       0.94  ..............
                       duct/pancreas.                                                                           
43267....          1  Endoscopy, bile              2       $422        456       $473       0.94  ..............
                       duct/pancreas.                                                                           
43268....          1  Endoscopy, bile              2       $422        456       $473       0.94  ..............
                       duct/pancreas.                                                                           
43269....          1  Endoscopy, bile              2       $422        456       $473       0.94  ..............
                       duct/pancreas.                                                                           

[[Page 32371]]

                                                                                                                
43271....          1  Endoscopy, bile              2       $422        456       $473       0.94  ..............
                       duct/pancreas.                                                                           
43272....          1  Endoscopy, bile              2       $422        449       $415       0.82  ..............
                       duct/pancreas.                                                                           
43300....          3  Repair of esophagus  .........  .........  .........  .........  .........  ..............
43305....          3  Repair esophagus     .........  .........  .........  .........  .........  ..............
                       and fistula.                                                                             
43310....          3  Repair of esophagus  .........  .........  .........  .........  .........  ..............
43312....          3  Repair esophagus     .........  .........  .........  .........  .........  ..............
                       and fistula.                                                                             
43320....          3  Fuse esophagus &     .........  .........  .........  .........  .........  ..............
                       stomach.                                                                                 
43324....          3  Revise esophagus &   .........  .........  .........  .........  .........  ..............
                       stomach.                                                                                 
43325....          3  Revise esophagus &   .........  .........  .........  .........  .........  ..............
                       stomach.                                                                                 
43326....          3  Revise esophagus &   .........  .........  .........  .........  .........  ..............
                       stomach.                                                                                 
43330....          3  Repair of esophagus  .........  .........  .........  .........  .........  ..............
43331....          3  Repair of esophagus  .........  .........  .........  .........  .........  ..............
43340....          3  Fuse esophagus &     .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
43341....          3  Fuse esophagus &     .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
43350....          3  Surgical opening,    .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43351....          3  Surgical opening,    .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43352....          3  Surgical opening,    .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43360....          3  Gastrointestinal     .........  .........  .........  .........  .........  ..............
                       repair.                                                                                  
43361....          3  Gastrointestinal     .........  .........  .........  .........  .........  ..............
                       repair.                                                                                  
43400....          3  Ligate esophagus     .........  .........  .........  .........  .........  ..............
                       veins.                                                                                   
43401....          3  Esophagus surgery    .........  .........  .........  .........  .........  ..............
                       for veins.                                                                               
43405....          3  Ligate/staple        .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43410....          3  Repair esophagus     .........  .........  .........  .........  .........  ..............
                       wound.                                                                                   
43415....          3  Repair esophagus     .........  .........  .........  .........  .........  ..............
                       wound.                                                                                   
43420....          3  Repair esophagus     .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
43425....          3  Repair esophagus     .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
43450....          1  Dilate esophagus...          1       $314        406       $187       0.37  ..............
43453....          1  Dilate esophagus...          1       $314        406       $187       0.37  ..............
43456....          1  Dilate esophagus...          2       $422        406       $187       0.37  ..............
43458....          1  Dilation of                  2       $422        406       $187       0.37  ..............
                       esophagus.                                                                               
43460....          3  Pressure treatment   .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
43496....          3  Free jejunum flap,   .........  .........  .........  .........  .........  ..............
                       microvasc.                                                                               
43499....          3  Esophagus surgery    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
43500....          3  Surgical opening of  .........  .........  .........  .........  .........  ..............
                       stomach.                                                                                 
43501....          3  Surgical repair of   .........  .........  .........  .........  .........  ..............
                       stomach.                                                                                 
43502....          3  Surgical repair of   .........  .........  .........  .........  .........  ..............
                       stomach.                                                                                 
43510....          3  Surgical opening of  .........  .........  .........  .........  .........  ..............
                       stomach.                                                                                 
43520....          3  Incision of pyloric  .........  .........  .........  .........  .........  ..............
                       muscle.                                                                                  
43600....          1  Biopsy of stomach..          1       $314        417       $327       0.65  ..............
43605....          3  Biopsy of stomach..  .........  .........  .........  .........  .........  ..............
43610....          3  Excision of stomach  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
43611....          3  Excision of stomach  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
43620....          3  Removal of stomach.  .........  .........  .........  .........  .........  ..............
43621....          3  Removal of stomach.  .........  .........  .........  .........  .........  ..............
43622....          3  Removal of stomach.  .........  .........  .........  .........  .........  ..............
43631....          3  Removal of stomach,  .........  .........  .........  .........  .........  ..............
                       partial.                                                                                 
43632....          3  Removal stomach,     .........  .........  .........  .........  .........  ..............
                       partial.                                                                                 
43633....          3  Removal stomach,     .........  .........  .........  .........  .........  ..............
                       partial.                                                                                 
43634....          3  Removal stomach,     .........  .........  .........  .........  .........  ..............
                       partial.                                                                                 
43635....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       stomach.                                                                                 
43638....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       stomach.                                                                                 
43639....          3  Removal stomach,     .........  .........  .........  .........  .........  ..............
                       partial.                                                                                 
43640....          3  Vagotomy & pylorus   .........  .........  .........  .........  .........  ..............
                       repair.                                                                                  
43641....          3  Vagotomy & pylorus   .........  .........  .........  .........  .........  ..............
                       repair.                                                                                  
43750....          1  Place gastrostomy            2       $422        418       $348       0.69  ..............
                       tube.                                                                                    
43760....          1  Change gastrostomy           1       $314        470       $119       0.24  ..............
                       tube.                                                                                    
43761....          1  Reposition           .........  .........        470       $119       0.24  Add.          
                       gastrostomy tube.                                                                        
43800....          3  Reconstruction of    .........  .........  .........  .........  .........  ..............
                       pylorus.                                                                                 
43810....          3  Fusion of stomach    .........  .........  .........  .........  .........  ..............
                       and bowel.                                                                               
43820....          3  Fusion of stomach    .........  .........  .........  .........  .........  ..............
                       and bowel.                                                                               
43825....          3  Fusion of stomach    .........  .........  .........  .........  .........  ..............
                       and bowel.                                                                               
43830....          3  Place gastrostomy    .........  .........  .........  .........  .........  ..............
                       tube.                                                                                    
43831....          3  Place gastrostomy    .........  .........  .........  .........  .........  ..............
                       tube.                                                                                    
43832....          3  Place gastrostomy    .........  .........  .........  .........  .........  ..............
                       tube.                                                                                    
43840....          3  Repair of stomach    .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
43842....          3  Gastroplasty for     .........  .........  .........  .........  .........  ..............
                       obesity.                                                                                 
43843....          3  Gastroplasty for     .........  .........  .........  .........  .........  ..............
                       obesity.                                                                                 
43846....          3  Gastric bypass for   .........  .........  .........  .........  .........  ..............
                       obesity.                                                                                 
43847....          3  Gastric bypass for   .........  .........  .........  .........  .........  ..............
                       obesity.                                                                                 
43848....          3  Revision             .........  .........  .........  .........  .........  ..............
                       gastroplasty.                                                                            
43850....          3  Revise stomach-      .........  .........  .........  .........  .........  ..............
                       bowel fusion.                                                                            
43855....          3  Revise stomach-      .........  .........  .........  .........  .........  ..............
                       bowel fusion.                                                                            
43860....          3  Revise stomach-      .........  .........  .........  .........  .........  ..............
                       bowel fusion.                                                                            
43865....          3  Revise stomach-      .........  .........  .........  .........  .........  ..............
                       bowel fusion.                                                                            

[[Page 32372]]

                                                                                                                
43870....          1  Repair stomach               1       $314        182       $383       0.76  ..............
                       opening.                                                                                 
43880....          3  Repair stomach-      .........  .........  .........  .........  .........  ..............
                       bowel fistula.                                                                           
43999....          3  Stomach surgery      .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
44005....          3  Freeing of bowel     .........  .........  .........  .........  .........  ..............
                       adhesion.                                                                                
44010....          3  Incision of small    .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
44015....          3  Insert needle        .........  .........  .........  .........  .........  ..............
                       catheter,bowel.                                                                          
44020....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       small bowel.                                                                             
44021....          3  Decompress small     .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
44025....          3  Incision of large    .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
44050....          3  Reduce bowel         .........  .........  .........  .........  .........  ..............
                       obstruction.                                                                             
44055....          3  Correct malrotation  .........  .........  .........  .........  .........  ..............
                       of bowel.                                                                                
44100....          1  Biopsy of bowel....          1       $314        417       $327       0.65  ..............
44110....          3  Excision of bowel    .........  .........  .........  .........  .........  ..............
                       lesion(s).                                                                               
44111....          3  Excision of bowel    .........  .........  .........  .........  .........  ..............
                       lesion(s).                                                                               
44120....          3  Removal of small     .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
44121....          3  Removal of small     .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
44125....          3  Removal of small     .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
44130....          3  Bowel to bowel       .........  .........  .........  .........  .........  ..............
                       fusion.                                                                                  
44139....          3  Mobilization of      .........  .........  .........  .........  .........  ..............
                       colon.                                                                                   
44140....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       colon.                                                                                   
44141....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       colon.                                                                                   
44143....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       colon.                                                                                   
44144....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       colon.                                                                                   
44145....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       colon.                                                                                   
44146....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       colon.                                                                                   
44147....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       colon.                                                                                   
44150....          3  Removal of colon...  .........  .........  .........  .........  .........  ..............
44151....          3  Removal of colon/    .........  .........  .........  .........  .........  ..............
                       ileostomy.                                                                               
44152....          3  Removal of colon/    .........  .........  .........  .........  .........  ..............
                       ileostomy.                                                                               
44153....          3  Removal of colon/    .........  .........  .........  .........  .........  ..............
                       ileostomy.                                                                               
44155....          3  Removal of colon...  .........  .........  .........  .........  .........  ..............
44156....          3  Removal of colon/    .........  .........  .........  .........  .........  ..............
                       ileostomy.                                                                               
44160....          3  Removal of colon...  .........  .........  .........  .........  .........  ..............
44300....          3  Open bowel to skin.  .........  .........  .........  .........  .........  ..............
44310....          3  Ileostomy/           .........  .........  .........  .........  .........  ..............
                       jejunostomy.                                                                             
44312....          1  Revision of                  1       $314        183       $465       0.92  ..............
                       ileostomy.                                                                               
44314....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       ileostomy.                                                                               
44316....          3  Devise bowel pouch.  .........  .........  .........  .........  .........  ..............
44320....          3  Colostomy..........  .........  .........  .........  .........  .........  ..............
44322....          3  Colostomy with       .........  .........  .........  .........  .........  ..............
                       biopsies.                                                                                
44340....          1  Revision of                  3       $482        183       $465       0.92  ..............
                       colostomy.                                                                               
44345....          3  Revision of                  4       $595  .........  .........  .........  Delete.       
                       colostomy.                                                                               
44346....          3  Revision of                  4       $595  .........  .........  .........  Delete.       
                       colostomy.                                                                               
44360....          1  Small bowel                  2       $422        419       $364       0.72  ..............
                       endoscopy.                                                                               
44361....          1  Small bowel                  2       $422        419       $364       0.72  ..............
                       endoscopy,biopsy.                                                                        
44363....          1  Small bowel                  2       $422        419       $364       0.72  ..............
                       endoscopy.                                                                               
44364....          1  Small bowel                  2       $422        419       $364       0.72  ..............
                       endoscopy.                                                                               
44365....          1  Small bowel                  2       $422        419       $364       0.72  ..............
                       endoscopy.                                                                               
44366....          1  Small bowel                  2       $422        419       $364       0.72  ..............
                       endoscopy.                                                                               
44369....          1  Small bowel                  2       $422        449       $415       0.82  ..............
                       endoscopy.                                                                               
44372....          1  Small bowel                  2       $422        419       $364       0.72  ..............
                       endoscopy.                                                                               
44373....          1  Small bowel                  2       $422        419       $364       0.72  ..............
                       endoscopy.                                                                               
44376....          1  Small bowel          .........  .........        419       $364       0.72  Add.          
                       endoscopy.                                                                               
44377....          1  Small bowel          .........  .........        419       $364       0.72  Add.          
                       endoscopy.                                                                               
44378....          1  Small bowel          .........  .........        419       $364       0.72  Add.          
                       endoscopy.                                                                               
44380....          1  Small bowel                  1       $314        426       $354       0.70  ..............
                       endoscopy.                                                                               
44382....          1  Small bowel                  1       $314        426       $354       0.70  ..............
                       endoscopy.                                                                               
44385....          1  Endoscopy of bowel           1       $314        426       $354       0.70  ..............
                       pouch.                                                                                   
44386....          1  Endoscopy,bowel              1       $314        426       $354       0.70  ..............
                       pouch,biopsy.                                                                            
44388....          1  Colon endoscopy....          1       $314        426       $354       0.70  ..............
44389....          1  Colonoscopy with             1       $314        426       $354       0.70  ..............
                       biopsy.                                                                                  
44390....          1  Colonoscopy for              1       $314        427       $405       0.80  ..............
                       foreign body.                                                                            
44391....          1  Colonoscopy for              1       $314        427       $405       0.80  ..............
                       bleeding.                                                                                
44392....          1  Colonoscopy &                1       $314        427       $405       0.80  ..............
                       polypectomy.                                                                             
44393....          1  Colonoscopy, lesion          1       $314        449       $415       0.82  ..............
                       removal.                                                                                 
44394....          1  Colonoscopy w/snare          1       $314        427       $405       0.80  ..............
44500....          3  Intro,               .........  .........  .........  .........  .........  ..............
                       gastrointestinal                                                                         
                       tube.                                                                                    
44602....          3  Suture, small        .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
44603....          3  Suture, small        .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
44604....          3  Suture, large        .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
44605....          3  Repair of bowel      .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
44615....          3  Intestinal           .........  .........  .........  .........  .........  ..............
                       stricturoplasty.                                                                         
44620....          3  Repair bowel         .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
44625....          3  Repair bowel         .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 

[[Page 32373]]

                                                                                                                
44626....          3  Repair bowel         .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
44640....          3  Repair bowel-skin    .........  .........  .........  .........  .........  ..............
                       fistula.                                                                                 
44650....          3  Repair bowel         .........  .........  .........  .........  .........  ..............
                       fistula.                                                                                 
44660....          3  Repair bowel-        .........  .........  .........  .........  .........  ..............
                       bladder fistula.                                                                         
44661....          3  Repair bowel-        .........  .........  .........  .........  .........  ..............
                       bladder fistula.                                                                         
44680....          3  Surgical revision,   .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
44700....          3  Suspend bowel w/     .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
44799....          3  Intestine surgery    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
44800....          3  Excision of bowel    .........  .........  .........  .........  .........  ..............
                       pouch.                                                                                   
44820....          3  Excision of          .........  .........  .........  .........  .........  ..............
                       mesentery lesion.                                                                        
44850....          3  Repair of mesentery  .........  .........  .........  .........  .........  ..............
44899....          3  Bowel surgery        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
44900....          3  Drain, app abscess,  .........  .........  .........  .........  .........  ..............
                       open.                                                                                    
44901....          3  Drain, app abscess,  .........  .........  .........  .........  .........  ..............
                       perc.                                                                                    
44950....          3  Appendectomy.......  .........  .........  .........  .........  .........  ..............
44955....          3  Appendectomy.......  .........  .........  .........  .........  .........  ..............
44960....          3  Appendectomy.......  .........  .........  .........  .........  .........  ..............
45000....          1  Drainage of pelvic           1       $314        452       $301       0.60  ..............
                       abscess.                                                                                 
45005....          1  Drainage of rectal           2       $422        452       $301       0.60  ..............
                       abscess.                                                                                 
45020....          1  Drainage of rectal           2       $422        452       $301       0.60  ..............
                       abscess.                                                                                 
45100....          1  Biopsy of rectum...          1       $314        452       $301       0.60  ..............
45108....          1  Removal of                   2       $422        453       $631       1.25  ..............
                       anorectal lesion.                                                                        
45110....          3  Removal of rectum..  .........  .........  .........  .........  .........  ..............
45111....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       rectum.                                                                                  
45112....          3  Removal of rectum..  .........  .........  .........  .........  .........  ..............
45113....          3  Partial proctectomy  .........  .........  .........  .........  .........  ..............
45114....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       rectum.                                                                                  
45116....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       rectum.                                                                                  
45119....          3  Remove, rectum w/    .........  .........  .........  .........  .........  ..............
                       reservoir.                                                                               
45120....          3  Removal of rectum..  .........  .........  .........  .........  .........  ..............
45121....          3  Removal of rectum    .........  .........  .........  .........  .........  ..............
                       and colon.                                                                               
45123....          3  Partial proctectomy  .........  .........  .........  .........  .........  ..............
45130....          3  Excision of rectal   .........  .........  .........  .........  .........  ..............
                       prolapse.                                                                                
45135....          3  Excision of rectal   .........  .........  .........  .........  .........  ..............
                       prolapse.                                                                                
45150....          1  Excision of rectal           2       $422        453       $631       1.25  ..............
                       stricture.                                                                               
45160....          1  Excision of rectal   .........  .........        453       $631       1.25  Add.          
                       lesion.                                                                                  
45170....          1  Excision of rectal           2       $422        453       $631       1.25  ..............
                       lesion.                                                                                  
45190....          1  Destruction, rectal  .........  .........        453       $631       1.25  Add.          
                       tumor.                                                                                   
45300....          1  Proctosigmoidoscopy  .........  .........        446       $175       0.35  Add.          
45303....          1  Proctosigmoidoscopy  .........  .........        447       $210       0.42  Add.          
45305....          1  Proctosigmoidoscopy          1       $314        446       $175       0.35  ..............
                       ; biopsy.                                                                                
45307....          1  Proctosigmoidoscopy          1       $314        447       $210       0.42  ..............
45308....          1  Proctosigmoidoscopy          1       $314        447       $210       0.42  ..............
45309....          1  Proctosigmoidoscopy          1       $314        447       $210       0.42  ..............
45315....          1  Proctosigmoidoscopy          1       $314        447       $210       0.42  ..............
45317....          1  Proctosigmoidoscopy          1       $314        447       $210       0.42  ..............
45320....          1  Proctosigmoidoscopy          1       $314        447       $210       0.42  ..............
45321....          1  Proctosigmoidoscopy          1       $314        447       $210       0.42  ..............
45330....          1  Sigmoidoscopy,       .........  .........        446       $175       0.35  Add.          
                       diagnostic.                                                                              
45331....          1  Sigmoidoscopy and            1       $314        446       $175       0.35  ..............
                       biopsy.                                                                                  
45332....          1  Sigmoidoscopy......          1       $314        448       $225       0.45  ..............
45333....          1  Sigmoidoscopy &              1       $314        448       $225       0.45  ..............
                       polypectomy.                                                                             
45334....          1  Sigmoidoscopy for            1       $314        448       $225       0.45  ..............
                       bleeding.                                                                                
45337....          1  Sigmoidoscopy,               1       $314        448       $225       0.45  ..............
                       decompression.                                                                           
45338....          1  Sigmoidoscopy......          1       $314        448       $225       0.45  ..............
45339....          1  Sigmoidoscopy......          1       $314        449       $415       0.82  ..............
45355....          1  Surgical                     1       $314        427       $405       0.80  ..............
                       colonoscopy.                                                                             
45378....          1  Diagnostic                   2       $422        426       $354       0.70  ..............
                       colonoscopy.                                                                             
45379....          1  Colonoscopy........          2       $422        427       $405       0.80  ..............
45380....          1  Colonoscopy and              2       $422        426       $354       0.70  ..............
                       biopsy.                                                                                  
45382....          1  Colonoscopy,control          2       $422        427       $405       0.80  ..............
                       bleeding.                                                                                
45383....          1  Colonoscopy, lesion          2       $422        449       $415       0.82  ..............
                       removal.                                                                                 
45384....          1  Colonoscopy........          2       $422        427       $405       0.80  ..............
45385....          1  Colonoscopy, lesion          2       $422        427       $405       0.80  ..............
                       removal.                                                                                 
45500....          1  Repair of rectum...          2       $422        453       $631       1.25  ..............
45505....          1  Repair of rectum...          2       $422        453       $631       1.25  ..............
45520....          2  Treatment of rectal  .........  .........  .........  .........  .........  ..............
                       prolapse.                                                                                
45540....          3  Correct rectal       .........  .........  .........  .........  .........  ..............
                       prolapse.                                                                                
45541....          3  Correct rectal       .........  .........  .........  .........  .........  ..............
                       prolapse.                                                                                
45550....          3  Repair               .........  .........  .........  .........  .........  ..............
                       rectum;remove                                                                            
                       sigmoid.                                                                                 
45560....          1  Repair of rectocele          2       $422        453       $631       1.25  ..............
45562....          3  Exploration/repair   .........  .........  .........  .........  .........  ..............
                       of rectum.                                                                               
45563....          3  Exploration/repair   .........  .........  .........  .........  .........  ..............
                       of rectum.                                                                               
45800....          3  Repair               .........  .........  .........  .........  .........  ..............
                       rectumbladder                                                                            
                       fistula.                                                                                 

[[Page 32374]]

                                                                                                                
45805....          3  Repair fistula;      .........  .........  .........  .........  .........  ..............
                       colostomy.                                                                               
45820....          3  Repair               .........  .........  .........  .........  .........  ..............
                       rectourethral                                                                            
                       fistula.                                                                                 
45825....          3  Repair fistula;      .........  .........  .........  .........  .........  ..............
                       colostomy.                                                                               
45900....          1  Reduction of rectal          1       $314        452       $301       0.60  ..............
                       prolapse.                                                                                
45905....          1  Dilation of anal             1       $314        452       $301       0.60  ..............
                       sphincter.                                                                               
45910....          1  Dilation of rectal           1       $314        452       $301       0.60  ..............
                       narrowing.                                                                               
45915....          1  Remove rectal                1       $314        452       $301       0.60  ..............
                       obstruction.                                                                             
45999....          3  Rectum surgery       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
46030....          1  Removal of rectal            1       $314        452       $301       0.60  ..............
                       marker.                                                                                  
46040....          1  Incision of rectal           3       $482        452       $301       0.60  ..............
                       abscess.                                                                                 
46045....          1  Incision of rectal           2       $422        453       $631       1.25  ..............
                       abscess.                                                                                 
46050....          1  Incision of anal             1       $314        452       $301       0.60  ..............
                       abscess.                                                                                 
46060....          1  Incision of rectal           2       $422        453       $631       1.25  ..............
                       abscess.                                                                                 
46070....          5  Incision of anal     .........  .........  .........  .........  .........  ..............
                       septum.                                                                                  
46080....          1  Incision of anal             3       $482        452       $301       0.60  ..............
                       sphincter.                                                                               
46083....          5  Incise external      .........  .........  .........  .........  .........  ..............
                       hemorrhoid.                                                                              
46200....          1  Removal of anal              2       $422        453       $631       1.25  ..............
                       fissure.                                                                                 
46210....          1  Removal of anal              2       $422        452       $301       0.60  ..............
                       crypt.                                                                                   
46211....          1  Removal of anal              2       $422        453       $631       1.25  ..............
                       crypts.                                                                                  
46220....          5  Removal of anal tab          1       $314  .........  .........  .........  Delete.       
46221....          5  Ligation of          .........  .........  .........  .........  .........  ..............
                       hemorrhoid(s).                                                                           
46230....          5  Removal of anal      .........  .........  .........  .........  .........  ..............
                       tabs.                                                                                    
46250....          1  Hemorrhoidectomy...          3       $482        453       $631       1.25  ..............
46255....          1  Hemorrhoidectomy...          3       $482        453       $631       1.25  ..............
46257....          1  Remove hemorrhoids           3       $482        453       $631       1.25  ..............
                       & fissure.                                                                               
46258....          1  Remove hemorrhoids           3       $482        453       $631       1.25  ..............
                       & fistula.                                                                               
46260....          1  Hemorrhoidectomy...          3       $482        453       $631       1.25  ..............
46261....          1  Remove hemorrhoids           4       $595        453       $631       1.25  ..............
                       & fissure.                                                                               
46262....          1  Remove hemorrhoids           4       $595        453       $631       1.25  ..............
                       & fistula.                                                                               
46270....          1  Removal of anal              3       $482        453       $631       1.25  ..............
                       fistula.                                                                                 
46275....          1  Removal of anal              3       $482        453       $631       1.25  ..............
                       fistula.                                                                                 
46280....          1  Removal of anal              4       $595        453       $631       1.25  ..............
                       fistula.                                                                                 
46285....          1  Removal of anal              1       $314        453       $631       1.25  ..............
                       fistula.                                                                                 
46288....          1  Repair anal fistula  .........  .........        453       $631       1.25  Add.          
46320....          5  Removal of           .........  .........  .........  .........  .........  ..............
                       hemorrhoid clot.                                                                         
46500....          5  Injection into       .........  .........  .........  .........  .........  ..............
                       hemorrhoids.                                                                             
46600....          5  Diagnostic anoscopy  .........  .........  .........  .........  .........  ..............
46604....          1  Anoscopy and         .........  .........        437       $150       0.30  Add.          
                       dilation.                                                                                
46606....          5  Anoscopy and biopsy  .........  .........  .........  .........  .........  ..............
46608....          1  Anoscopy;remove              1       $314        437       $150       0.30  ..............
                       foreign body.                                                                            
46610....          1  Anoscopy; remove             1       $314        437       $150       0.30  ..............
                       lesion.                                                                                  
46611....          1  Anoscopy...........          1       $314        437       $150       0.30  ..............
46612....          1  Anoscopy; remove             1       $314        437       $150       0.30  ..............
                       lesions.                                                                                 
46614....          1  Anoscopy; control    .........  .........        437       $150       0.30  Add.          
                       bleeding.                                                                                
46615....          1  Anoscopy...........  .........  .........        437       $150       0.30  Add.          
46700....          1  Repair of anal               3       $482        453       $631       1.25  ..............
                       stricture.                                                                               
46705....          3  Repair of anal       .........  .........  .........  .........  .........  ..............
                       stricture.                                                                               
46715....          3  Repair of            .........  .........  .........  .........  .........  ..............
                       anovaginal fistula.                                                                      
46716....          3  Repair of            .........  .........  .........  .........  .........  ..............
                       anovaginal fistula.                                                                      
46730....          3  Construction of      .........  .........  .........  .........  .........  ..............
                       absent anus.                                                                             
46735....          3  Construction of      .........  .........  .........  .........  .........  ..............
                       absent anus.                                                                             
46740....          3  Construction of      .........  .........  .........  .........  .........  ..............
                       absent anus.                                                                             
46742....          3  Repair,              .........  .........  .........  .........  .........  ..............
                       imperforated anus.                                                                       
46744....          3  Repair, cloacal      .........  .........  .........  .........  .........  ..............
                       anomaly.                                                                                 
46746....          3  Repair, cloacal      .........  .........  .........  .........  .........  ..............
                       anomaly.                                                                                 
46748....          3  Repair, cloacal      .........  .........  .........  .........  .........  ..............
                       anomaly.                                                                                 
46750....          1  Repair of anal               3       $482        453       $631       1.25  ..............
                       sphincter.                                                                               
46751....          3  Repair of anal       .........  .........  .........  .........  .........  ..............
                       sphincter.                                                                               
46753....          1  Reconstruction of            3       $482        453       $631       1.25  ..............
                       anus.                                                                                    
46754....          1  Removal of suture            2       $422        452       $301       0.60  ..............
                       from anus.                                                                               
46760....          1  Repair of anal               2       $422        453       $631       1.25  ..............
                       sphincter.                                                                               
46761....          1  Repair of anal       .........  .........        453       $631       1.25  Add.          
                       sphincter.                                                                               
46762....          1  Implant artificial   .........  .........        453       $631       1.25  Add.          
                       sphincter.                                                                               
46900....          1  Destruction, anal    .........  .........        152       $213       0.42  Add.          
                       lesion(s).                                                                               
46910....          1  Destruction, anal    .........  .........        152       $213       0.42  Add.          
                       lesion(s).                                                                               
46916....          1  Cryosurgery, anal    .........  .........        152       $213       0.42  Add.          
                       lesion(s).                                                                               
46917....          1  Laser surgery, anal  .........  .........        152       $213       0.42  Add.          
                       lesion(s).                                                                               
46922....          1  Excision of anal             1       $314        152       $213       0.42  ..............
                       lesion(s).                                                                               
46924....          1  Destruction, anal            1       $314        152       $213       0.42  ..............
                       lesion(s).                                                                               
46934....          5  Destruction of       .........  .........  .........  .........  .........  ..............
                       hemorrhoids.                                                                             
46935....          5  Destruction of       .........  .........  .........  .........  .........  ..............
                       hemorrhoids.                                                                             
46936....          5  Destruction of       .........  .........  .........  .........  .........  ..............
                       hemorrhoids.                                                                             
46937....          1  Cryotherapy of               2       $422        453       $631       1.25  ..............
                       rectal lesion.                                                                           
46938....          1  Cryotherapy of               2       $422        453       $631       1.25  ..............
                       rectal lesion.                                                                           

[[Page 32375]]

                                                                                                                
46940....          5  Treatment of anal    .........  .........  .........  .........  .........  ..............
                       fissure.                                                                                 
46942....          5  Treatment of anal    .........  .........  .........  .........  .........  ..............
                       fissure.                                                                                 
46945....          5  Ligation of          .........  .........  .........  .........  .........  ..............
                       hemorrhoids.                                                                             
46946....          5  Ligation of          .........  .........  .........  .........  .........  ..............
                       hemorrhoids.                                                                             
46999....          3  Anus surgery         .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
47000....          1  Needle biopsy of             1       $314        122       $186       0.37  ..............
                       liver.                                                                                   
47001....          3  Needle biopsy,       .........  .........  .........  .........  .........  ..............
                       liver.                                                                                   
47010....          3  Open drainage,       .........  .........  .........  .........  .........  ..............
                       liver lesion.                                                                            
47011....          3  Percut drain, liver  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
47015....          3  Inject/aspirate      .........  .........  .........  .........  .........  ..............
                       liver cyst.                                                                              
47100....          3  Wedge biopsy of      .........  .........  .........  .........  .........  ..............
                       liver.                                                                                   
47120....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       liver.                                                                                   
47122....          3  Extensive removal    .........  .........  .........  .........  .........  ..............
                       of liver.                                                                                
47125....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       liver.                                                                                   
47130....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       liver.                                                                                   
47133....          9  Removal of donor     .........  .........  .........  .........  .........  ..............
                       liver.                                                                                   
47134....          3  Partial removal,     .........  .........  .........  .........  .........  ..............
                       donor liver.                                                                             
47135....          3  Transplantation of   .........  .........  .........  .........  .........  ..............
                       liver.                                                                                   
47136....          3  Transplantation of   .........  .........  .........  .........  .........  ..............
                       liver.                                                                                   
47300....          3  Surgery for liver    .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
47350....          3  Repair liver wound.  .........  .........  .........  .........  .........  ..............
47360....          3  Repair liver wound.  .........  .........  .........  .........  .........  ..............
47361....          3  Repair liver wound.  .........  .........  .........  .........  .........  ..............
47362....          3  Repair liver wound.  .........  .........  .........  .........  .........  ..............
47399....          3  Liver surgery        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
47400....          3  Incision of liver    .........  .........  .........  .........  .........  ..............
                       duct.                                                                                    
47420....          3  Incision of bile     .........  .........  .........  .........  .........  ..............
                       duct.                                                                                    
47425....          3  Incision of bile     .........  .........  .........  .........  .........  ..............
                       duct.                                                                                    
47460....          3  Incise bile duct     .........  .........  .........  .........  .........  ..............
                       sphincter.                                                                               
47480....          3  Incision of          .........  .........  .........  .........  .........  ..............
                       gallbladder.                                                                             
47490....          3  Incision of          .........  .........  .........  .........  .........  ..............
                       gallbladder.                                                                             
47500....          2  Injection for liver  .........  .........  .........  .........  .........  ..............
                       x-rays.                                                                                  
47505....          2  Injection for liver  .........  .........  .........  .........  .........  ..............
                       x-rays.                                                                                  
47510....          1  Insert catheter,             2       $422        458       $473       0.94  ..............
                       bile duct.                                                                               
47511....          1  Insert bile duct     .........  .........        458       $473       0.94  Add.          
                       drain.                                                                                   
47525....          1  Change bile duct             1       $314        470       $119       0.24  ..............
                       catheter.                                                                                
47530....          1  Revise, reinsert             1       $314        470       $119       0.24  ..............
                       bile tube.                                                                               
47550....          3  Bile duct endoscopy  .........  .........  .........  .........  .........  ..............
47552....          1  Biliary endoscopy,           2       $422        458       $473       0.94  ..............
                       thru skin.                                                                               
47553....          1  Biliary endoscopy,           3       $482        458       $473       0.94  ..............
                       thru skin.                                                                               
47554....          1  Biliary endoscopy,           3       $482        458       $473       0.94  ..............
                       thru skin.                                                                               
47555....          1  Biliary endoscopy,           3       $482        458       $473       0.94  ..............
                       thru skin.                                                                               
47556....          1  Biliary endoscopy,   .........  .........        458       $473       0.94  Add.          
                       thru skin.                                                                               
47600....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       gallbladder.                                                                             
47605....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       gallbladder.                                                                             
47610....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       gallbladder.                                                                             
47612....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       gallbladder.                                                                             
47620....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       gallbladder.                                                                             
47630....          1  Remove bile duct             3       $482        458       $473       0.94  ..............
                       stone.                                                                                   
47700....          3  Exploration of bile  .........  .........  .........  .........  .........  ..............
                       ducts.                                                                                   
47701....          3  Bile duct revision.  .........  .........  .........  .........  .........  ..............
47711....          3  Excision of bile     .........  .........  .........  .........  .........  ..............
                       duct tumor.                                                                              
47712....          3  Excision of bile     .........  .........  .........  .........  .........  ..............
                       duct tumor.                                                                              
47715....          3  Excision of bile     .........  .........  .........  .........  .........  ..............
                       duct cyst.                                                                               
47716....          3  Fusion of bile duct  .........  .........  .........  .........  .........  ..............
                       cyst.                                                                                    
47720....          3  Fuse gallbladder &   .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
47721....          3  Fuse upper gi        .........  .........  .........  .........  .........  ..............
                       structures.                                                                              
47740....          3  Fuse gallbladder &   .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
47741....          3  Fuse gallbladder &   .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
47760....          3  Fuse bile ducts and  .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
47765....          3  Fuse liver ducts &   .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
47780....          3  Fuse bile ducts and  .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
47785....          3  Fuse bile ducts and  .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
47800....          3  Reconstruction of    .........  .........  .........  .........  .........  ..............
                       bile ducts.                                                                              
47801....          3  Placement, bile      .........  .........  .........  .........  .........  ..............
                       duct support.                                                                            
47802....          3  Fuse liver duct &    .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
47900....          3  Suture bile duct     .........  .........  .........  .........  .........  ..............
                       injury.                                                                                  
47999....          3  Bile tract surgery   .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
48000....          3  Drainage of abdomen  .........  .........  .........  .........  .........  ..............
48001....          3  Placement of drain,  .........  .........  .........  .........  .........  ..............
                       pancreas.                                                                                
48005....          3  Resect/debride       .........  .........  .........  .........  .........  ..............
                       pancreas.                                                                                
48020....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       pancreatic stone.                                                                        
48100....          3  Biopsy of pancreas.  .........  .........  .........  .........  .........  ..............
48102....          1  Needle biopsy,               1       $314        122       $186       0.37  ..............
                       pancreas.                                                                                

[[Page 32376]]

                                                                                                                
48120....          3  Removal of pancreas  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
48140....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       pancreas.                                                                                
48145....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       pancreas.                                                                                
48146....          3  Pancreatectomy.....  .........  .........  .........  .........  .........  ..............
48148....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       pancreatic duct.                                                                         
48150....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       pancreas.                                                                                
48152....          3  Pancreatectomy.....  .........  .........  .........  .........  .........  ..............
48153....          3  Pancreatectomy.....  .........  .........  .........  .........  .........  ..............
48154....          3  Pancreatectomy.....  .........  .........  .........  .........  .........  ..............
48155....          3  Removal of pancreas  .........  .........  .........  .........  .........  ..............
48160....          9  Pancreas removal,    .........  .........  .........  .........  .........  ..............
                       transplant.                                                                              
48180....          3  Fuse pancreas and    .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
48400....          3  Injection,           .........  .........  .........  .........  .........  ..............
                       intraoperative.                                                                          
48500....          3  Surgery of pancreas  .........  .........  .........  .........  .........  ..............
                       cyst.                                                                                    
48510....          3  Drain pancreatic     .........  .........  .........  .........  .........  ..............
                       pseudocyst.                                                                              
48511....          3  Drain pancreatic     .........  .........  .........  .........  .........  ..............
                       pseudocyst.                                                                              
48520....          3  Fuse pancreas cyst   .........  .........  .........  .........  .........  ..............
                       and bowel.                                                                               
48540....          3  Fuse pancreas cyst   .........  .........  .........  .........  .........  ..............
                       and bowel.                                                                               
48545....          3  Pancreatorrhaphy...  .........  .........  .........  .........  .........  ..............
48547....          3  Duodenal exclusion.  .........  .........  .........  .........  .........  ..............
48550....          9  Donor                .........  .........  .........  .........  .........  ..............
                       pancreatectomy.                                                                          
48554....          9  Transplantallograft  .........  .........  .........  .........  .........  ..............
                       pancreas.                                                                                
48556....          3  Removal, allograft   .........  .........  .........  .........  .........  ..............
                       pancreas.                                                                                
48999....          3  Pancreas surgery     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
49000....          3  Exploration of               4       $595  .........  .........  .........  Delete.       
                       abdomen.                                                                                 
49002....          3  Reopening of         .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
49010....          3  Exploration behind   .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
49020....          3  Drain abdominal      .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
49021....          3  Drain abdominal      .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
49040....          3  Open drainage abdom  .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
49041....          3  Percut drain abdom   .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
49060....          3  Open drain retroper  .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
49061....          3  Percutdrain          .........  .........  .........  .........  .........  ..............
                       retroper abscess.                                                                        
49062....          3  Drain to peritoneal  .........  .........  .........  .........  .........  ..............
                       cavity.                                                                                  
49080....          1  Puncture,                    2       $422        320       $126       0.25  ..............
                       peritoneal cavity.                                                                       
49081....          1  Removal of                   2       $422        320       $126       0.25  ..............
                       abdominal fluid.                                                                         
49085....          1  Remove abdomen               2       $422        459       $611       1.21  ..............
                       foreign body.                                                                            
49180....          1  Biopsy, abdominal            1       $314        122       $186       0.37  ..............
                       mass.                                                                                    
49200....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       abdominal lesion.                                                                        
49201....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       abdominal lesion.                                                                        
49215....          3  Excise sacral spine  .........  .........  .........  .........  .........  ..............
                       tumor.                                                                                   
49220....          3  Multiple surgery,    .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
49250....          1  Excision of                  4       $595        459       $611       1.21  ..............
                       umbilicus.                                                                               
49255....          3  Removal of omentum.  .........  .........  .........  .........  .........  ..............
49400....          2  Air injection into           1       $314  .........  .........  .........  Delete.       
                       abdomen.                                                                                 
49420....          1  Insert abdominal             1       $314        459       $611       1.21  ..............
                       drain.                                                                                   
49421....          1  Insert abdominal             1       $314        459       $611       1.21  ..............
                       drain.                                                                                   
49422....          1  Remove perm cannula/ .........  .........        470       $119       0.24  Add.          
                       catheter.                                                                                
49423....          3  Exchange drainage    .........  .........  .........  .........  .........  ..............
                       cath.                                                                                    
49424....          2  Assess cyst,         .........  .........  .........  .........  .........  ..............
                       contrast inj.                                                                            
49425....          3  Insert abdomen-              2       $422  .........  .........  .........  Delete.       
                       venous drain.                                                                            
49426....          1  Revise abdomen-              2       $422        459       $611       1.21  ..............
                       venous shunt.                                                                            
49427....          2  Injection,           .........  .........  .........  .........  .........  ..............
                       abdominal shunt.                                                                         
49428....          3  Ligation of shunt..  .........  .........  .........  .........  .........  ..............
49429....          1  Removal of shunt...  .........  .........        470       $119       0.24  Add.          
49495....          1  Repair inguinal      .........  .........        466       $739       1.47  Add.          
                       hernia, init.                                                                            
49496....          1  Repair inguinal      .........  .........        466       $739       1.47  Add.          
                       hernia, init.                                                                            
49500....          1  Repair inguinal      .........  .........        466       $739       1.47  Add.          
                       hernia.                                                                                  
49501....          1  Repair inguinal      .........  .........        466       $739       1.47  Add.          
                       hernia, init.                                                                            
49505....          1  Repair inguinal              4       $595        466       $739       1.47  ..............
                       hernia.                                                                                  
49507....          1  Repair, inguinal     .........  .........        466       $739       1.47  Add.          
                       hernia.                                                                                  
49520....          1  Rerepair inguinal            7       $941        466       $739       1.47  ..............
                       hernia.                                                                                  
49521....          1  Repair inguinal      .........  .........        466       $739       1.47  Add.          
                       hernia, rec.                                                                             
49525....          1  Repair inguinal              4       $595        466       $739       1.47  ..............
                       hernia.                                                                                  
49540....          1  Repair lumbar                2       $422        466       $739       1.47  ..............
                       hernia.                                                                                  
49550....          1  Repair femoral               5       $678        466       $739       1.47  ..............
                       hernia.                                                                                  
49553....          1  Repair femoral       .........  .........        466       $739       1.47  Add.          
                       hernia, init.                                                                            
49555....          1  Repair femoral               5       $678        466       $739       1.47  ..............
                       hernia.                                                                                  
49557....          1  Repair femoral       .........  .........        466       $739       1.47  Add.          
                       hernia, recur.                                                                           
49560....          1  Repair abdominal             4       $595        466       $739       1.47  ..............
                       hernia.                                                                                  
49561....          1  Repair incisional    .........  .........        466       $739       1.47  Add.          
                       hernia.                                                                                  
49565....          1  Rerepair abdominal           4       $595        466       $739       1.47  ..............
                       hernia.                                                                                  
49566....          1  Repair incisional    .........  .........        466       $739       1.47  Add.          
                       hernia.                                                                                  
49568....          1  Hernia repair w/     .........  .........        466       $739       1.47  Add.          
                       mesh.                                                                                    

[[Page 32377]]

                                                                                                                
49570....          1  Repair epigastric            4       $595        466       $739       1.47  ..............
                       hernia.                                                                                  
49572....          1  Repair, epigastric   .........  .........        466       $739       1.47  Add.          
                       hernia.                                                                                  
49580....          1  Repair umbilical     .........  .........        466       $739       1.47  Add.          
                       hernia.                                                                                  
49582....          1  Repair umbilical     .........  .........        466       $739       1.47  Add.          
                       hernia.                                                                                  
49585....          1  Repair umbilical             4       $595        466       $739       1.47  ..............
                       hernia.                                                                                  
49587....          1  Repair umbilical     .........  .........        466       $739       1.47  Add.          
                       hernia.                                                                                  
49590....          1  Repair abdominal             3       $482        466       $739       1.47  ..............
                       hernia.                                                                                  
49600....          1  Repair umbilical     .........  .........        466       $739       1.47  Add.          
                       lesion.                                                                                  
49605....          3  Repair umbilical     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
49606....          3  Repair umbilical     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
49610....          3  Repair umbilical     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
49611....          3  Repair umbilical     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
49900....          3  Repair of abdominal  .........  .........  .........  .........  .........  ..............
                       wall.                                                                                    
49905....          3  Omental flap.......  .........  .........  .........  .........  .........  ..............
49906....          3  Free omental flap,   .........  .........  .........  .........  .........  ..............
                       microvasc.                                                                               
49999....          3  Abdomen surgery      .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
50010....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50020....          3  Open drain renal             2       $422  .........  .........  .........  Delete.       
                       abscess.                                                                                 
50021....          3  Percut drain renal   .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
50040....          3  Drainage of kidney.          3       $482  .........  .........  .........  Delete.       
50045....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50060....          3  Removal of kidney    .........  .........  .........  .........  .........  ..............
                       stone.                                                                                   
50065....          3  Incision of kidney.  .........  .........  .........  .........  .........  ..............
50070....          3  Incision of kidney.  .........  .........  .........  .........  .........  ..............
50075....          3  Removal of kidney    .........  .........  .........  .........  .........  ..............
                       stone.                                                                                   
50080....          3  Removal of kidney    .........  .........  .........  .........  .........  ..............
                       stone.                                                                                   
50081....          3  Removal of kidney    .........  .........  .........  .........  .........  ..............
                       stone.                                                                                   
50100....          3  Revise kidney blood  .........  .........  .........  .........  .........  ..............
                       vessels.                                                                                 
50120....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50125....          3  Explore and drain    .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50130....          3  Removal of kidney    .........  .........  .........  .........  .........  ..............
                       stone.                                                                                   
50135....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50200....          1  Biopsy of kidney...          1       $314        122       $186       0.37  ..............
50205....          3  Biopsy of kidney...  .........  .........  .........  .........  .........  ..............
50220....          3  Removal of kidney..  .........  .........  .........  .........  .........  ..............
50225....          3  Removal of kidney..  .........  .........  .........  .........  .........  ..............
50230....          3  Removal of kidney..  .........  .........  .........  .........  .........  ..............
50234....          3  Removal of kidney &  .........  .........  .........  .........  .........  ..............
                       ureter.                                                                                  
50236....          3  Removal of kidney &  .........  .........  .........  .........  .........  ..............
                       ureter.                                                                                  
50240....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50280....          3  Removal of kidney    .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
50290....          3  Removal of kidney    .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
50300....          9  Removal of donor     .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50320....          3  Removal of donor     .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50340....          3  Removal of kidney..  .........  .........  .........  .........  .........  ..............
50360....          3  Transplantation of   .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50365....          3  Transplantation of   .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50370....          3  Remove transplanted  .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50380....          3  Reimplantation of    .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50390....          1  Drainage of kidney           1       $314        122       $186       0.37  ..............
                       lesion.                                                                                  
50392....          2  Insert kidney drain          1       $314  .........  .........  .........  Delete.       
50393....          2  Insert ureteral              1       $314  .........  .........  .........  Delete.       
                       tube.                                                                                    
50394....          2  Injection for        .........  .........  .........  .........  .........  ..............
                       kidney x-ray.                                                                            
50395....          2  Create passage to            1       $314  .........  .........  .........  Delete.       
                       kidney.                                                                                  
50396....          6  Measure kidney               1       $314  .........  .........  .........  Delete.       
                       pressure.                                                                                
50398....          1  Change kidney tube.          1       $314        521       $212       0.42  ..............
50400....          3  Revision of kidney/  .........  .........  .........  .........  .........  ..............
                       ureter.                                                                                  
50405....          3  Revision of kidney/  .........  .........  .........  .........  .........  ..............
                       ureter.                                                                                  
50500....          3  Repair of kidney     .........  .........  .........  .........  .........  ..............
                       wound.                                                                                   
50520....          3  Close kidney-skin            1       $314  .........  .........  .........  Delete.       
                       fistula.                                                                                 
50525....          3  Repair renal-        .........  .........  .........  .........  .........  ..............
                       abdomen fistula.                                                                         
50526....          3  Repair renal-        .........  .........  .........  .........  .........  ..............
                       abdomen fistula.                                                                         
50540....          3  Revision of          .........  .........  .........  .........  .........  ..............
                       horseshoe kidney.                                                                        
50551....          1  Kidney endoscopy...          1       $314        522       $393       0.78  ..............
50553....          1  Kidney endoscopy...          1       $314        522       $393       0.78  ..............
50555....          1  Kidney endoscopy &           1       $314        522       $393       0.78  ..............
                       biopsy.                                                                                  
50557....          1  Kidney endoscopy &           1       $314        522       $393       0.78  ..............
                       treatment.                                                                               
50559....          1  Renal endoscopy;             1       $314        522       $393       0.78  ..............
                       radiotracer.                                                                             
50561....          1  Kidney endoscopy &           1       $314        522       $393       0.78  ..............
                       treatment.                                                                               
50570....          3  Kidney endoscopy...          1       $314  .........  .........  .........  Delete.       
50572....          3  Kidney endoscopy...          1       $314  .........  .........  .........  Delete.       
50574....          3  Kidney endoscopy &           1       $314  .........  .........  .........  Delete.       
                       biopsy.                                                                                  
50575....          3  Kidney endoscopy...  .........  .........  .........  .........  .........  ..............
50576....          3  Kidney endoscopy &           1       $314  .........  .........  .........  Delete.       
                       treatment.                                                                               

[[Page 32378]]

                                                                                                                
50578....          3  Renal endoscopy;             1       $314  .........  .........  .........  Delete.       
                       radiotracer.                                                                             
50580....          3  Kidney endoscopy &           1       $314  .........  .........  .........  Delete.       
                       treatment.                                                                               
50590....          1  Fragmenting of               9  .........        527     $2,107       4.18  ..............
                       kidney stone.                                                                            
50600....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       ureter.                                                                                  
50605....          3  Insert ureteral      .........  .........  .........  .........  .........  ..............
                       support.                                                                                 
50610....          3  Removal of ureter    .........  .........  .........  .........  .........  ..............
                       stone.                                                                                   
50620....          3  Removal of ureter    .........  .........  .........  .........  .........  ..............
                       stone.                                                                                   
50630....          3  Removal of ureter    .........  .........  .........  .........  .........  ..............
                       stone.                                                                                   
50650....          3  Removal of ureter..  .........  .........  .........  .........  .........  ..............
50660....          3  Removal of ureter..  .........  .........  .........  .........  .........  ..............
50684....          2  Injection for                1       $314  .........  .........  .........  Delete.       
                       ureter x-ray.                                                                            
50686....          6  Measure ureter       .........  .........  .........  .........  .........  ..............
                       pressure.                                                                                
50688....          1  Change of ureter             1       $314        470       $119       0.24  ..............
                       tube.                                                                                    
50690....          2  Injection for                1       $314  .........  .........  .........  Delete.       
                       ureter x-ray.                                                                            
50700....          3  Revision of ureter.  .........  .........  .........  .........  .........  ..............
50715....          3  Release of ureter..  .........  .........  .........  .........  .........  ..............
50722....          3  Release of ureter..  .........  .........  .........  .........  .........  ..............
50725....          3  Release/revise       .........  .........  .........  .........  .........  ..............
                       ureter.                                                                                  
50727....          3  Revise ureter......  .........  .........  .........  .........  .........  ..............
50728....          3  Revise ureter......  .........  .........  .........  .........  .........  ..............
50740....          3  Fusion of ureter &   .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50750....          3  Fusion of ureter &   .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
50760....          3  Fusion of ureters..  .........  .........  .........  .........  .........  ..............
50770....          3  Splicing of ureters  .........  .........  .........  .........  .........  ..............
50780....          3  Reimplant ureter in  .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
50782....          3  Reimplant ureter in  .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
50783....          3  Reimplant ureter in  .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
50785....          3  Reimplant ureter in  .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
50800....          3  Implant ureter in    .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
50810....          3  Fusion of ureter &   .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
50815....          3  Urine shunt to       .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
50820....          3  Construct bowel      .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
50825....          3  Construct bowel      .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
50830....          3  Revise urine flow..  .........  .........  .........  .........  .........  ..............
50840....          3  Replace ureter by    .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
50845....          3  Appendico-           .........  .........  .........  .........  .........  ..............
                       vesicostomy.                                                                             
50860....          3  Transplant ureter    .........  .........  .........  .........  .........  ..............
                       to skin.                                                                                 
50900....          3  Repair of ureter...  .........  .........  .........  .........  .........  ..............
50920....          3  Closure ureter/skin  .........  .........  .........  .........  .........  ..............
                       fistula.                                                                                 
50930....          3  Closure ureter/      .........  .........  .........  .........  .........  ..............
                       bowel fistula.                                                                           
50940....          3  Release of ureter..  .........  .........  .........  .........  .........  ..............
50951....          1  Endoscopy of ureter          1       $314        523       $504       1.00  ..............
50953....          1  Endoscopy of ureter          1       $314        523       $504       1.00  ..............
50955....          1  Ureter endoscopy &           1       $314        523       $504       1.00  ..............
                       biopsy.                                                                                  
50957....          1  Ureter endoscopy &           1       $314        523       $504       1.00  ..............
                       treatment.                                                                               
50959....          1  Ureter endoscopy &           1       $314        523       $504       1.00  ..............
                       tracer.                                                                                  
50961....          1  Ureter endoscopy &           1       $314        523       $504       1.00  ..............
                       treatment.                                                                               
50970....          3  Ureter endoscopy...          1       $314  .........  .........  .........  Delete.       
50972....          3  Ureter endoscopy &           1       $314  .........  .........  .........  Delete.       
                       catheter.                                                                                
50974....          3  Ureter endoscopy &           1       $314  .........  .........  .........  Delete.       
                       biopsy.                                                                                  
50976....          3  Ureter endoscopy &           1       $314  .........  .........  .........  Delete.       
                       treatment.                                                                               
50978....          3  Ureter endoscopy &           1       $314  .........  .........  .........  Delete.       
                       tracer.                                                                                  
50980....          3  Ureter endoscopy &           1       $314  .........  .........  .........  Delete.       
                       treatment.                                                                               
51000....          5  Drainage of bladder  .........  .........  .........  .........  .........  ..............
51005....          5  Drainage of bladder          1       $314  .........  .........  .........  Delete.       
51010....          5  Drainage of bladder          1       $314  .........  .........  .........  Delete.       
51020....          1  Incise & treat               4       $595        523       $504       1.00  ..............
                       bladder.                                                                                 
51030....          1  Incise & treat               4       $595        523       $504       1.00  ..............
                       bladder.                                                                                 
51040....          1  Incise & drain               4       $595        523       $504       1.00  ..............
                       bladder.                                                                                 
51045....          1  Incise bladder,              4       $595        523       $504       1.00  ..............
                       drain ureter.                                                                            
51050....          1  Removal of bladder   .........  .........        523       $504       1.00  Add.          
                       stone.                                                                                   
51060....          3  Removal of ureter    .........  .........  .........  .........  .........  ..............
                       stone.                                                                                   
51065....          1  Removal of ureter    .........  .........        523       $504       1.00  Add.          
                       stone.                                                                                   
51080....          1  Drainage of bladder  .........  .........        132       $162       0.32  Add.          
                       abscess.                                                                                 
51500....          1  Removal of bladder           4       $595        466       $739       1.47  ..............
                       cyst.                                                                                    
51520....          1  Removal of bladder   .........  .........        523       $504       1.00  Add.          
                       lesion.                                                                                  
51525....          3  Removal of bladder   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
51530....          3  Removal of bladder   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
51535....          3  Repair of ureter     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
51550....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
51555....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
51565....          3  Revise bladder &     .........  .........  .........  .........  .........  ..............
                       ureter(s).                                                                               
51570....          3  Removal of bladder.  .........  .........  .........  .........  .........  ..............
51575....          3  Removal of bladder   .........  .........  .........  .........  .........  ..............
                       & nodes.                                                                                 

[[Page 32379]]

                                                                                                                
51580....          3  Remove bladder;      .........  .........  .........  .........  .........  ..............
                       revise tract.                                                                            
51585....          3  Removal of bladder   .........  .........  .........  .........  .........  ..............
                       & nodes.                                                                                 
51590....          3  Remove bladder;      .........  .........  .........  .........  .........  ..............
                       revise tract.                                                                            
51595....          3  Remove bladder;      .........  .........  .........  .........  .........  ..............
                       revise tract.                                                                            
51596....          3  Remove bladder,      .........  .........  .........  .........  .........  ..............
                       create pouch.                                                                            
51597....          3  Removal of pelvic    .........  .........  .........  .........  .........  ..............
                       structures.                                                                              
51600....          2  Injection for                1       $314  .........  .........  .........  Delete.       
                       bladder x-ray.                                                                           
51605....          2  Preparation for              1       $314  .........  .........  .........  Delete.       
                       bladder xray.                                                                            
51610....          2  Injection for                1       $314  .........  .........  .........  Delete.       
                       bladder x-ray.                                                                           
51700....          5  Irrigation of        .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
51705....          1  Change of bladder    .........  .........        470       $119       0.24  Add.          
                       tube.                                                                                    
51710....          1  Change of bladder            1       $314        470       $119       0.24  ..............
                       tube.                                                                                    
51715....          1  Endoscopic           .........  .........        531       $418       0.83  Add.          
                       injection/implant.                                                                       
51720....          5  Treatment of         .........  .........  .........  .........  .........  ..............
                       bladder lesion.                                                                          
51725....          6  Simple                       1       $314  .........  .........  .........  Delete.       
                       cystometrogram.                                                                          
51726....          6  Complex                      1       $314  .........  .........  .........  Delete.       
                       cystometrogram.                                                                          
51736....          6  Urine flow           .........  .........  .........  .........  .........  ..............
                       measurement.                                                                             
51741....          6  Electro-             .........  .........  .........  .........  .........  ..............
                       uroflowmetry,                                                                            
                       first.                                                                                   
51772....          6  Urethra pressure             1       $314  .........  .........  .........  Delete.       
                       profile.                                                                                 
51784....          6  Anal/urinary muscle  .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
51785....          6  Anal/urinary muscle          1       $314  .........  .........  .........  Delete.       
                       study.                                                                                   
51792....          6  Urinary reflex       .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
51795....          6  Urine voiding        .........  .........  .........  .........  .........  ..............
                       pressure study.                                                                          
51797....          6  Intraabdominal       .........  .........  .........  .........  .........  ..............
                       pressure test.                                                                           
51800....          3  Revision of bladder/ .........  .........  .........  .........  .........  ..............
                       urethra.                                                                                 
51820....          3  Revision of urinary  .........  .........  .........  .........  .........  ..............
                       tract.                                                                                   
51840....          3  Attach bladder/      .........  .........  .........  .........  .........  ..............
                       urethra.                                                                                 
51841....          3  Attach bladder/      .........  .........  .........  .........  .........  ..............
                       urethra.                                                                                 
51845....          3  Repair bladder neck  .........  .........  .........  .........  .........  ..............
51860....          3  Repair of bladder    .........  .........  .........  .........  .........  ..............
                       wound.                                                                                   
51865....          3  Repair of bladder            4       $595  .........  .........  .........  Delete.       
                       wound.                                                                                   
51880....          1  Repair of bladder            1       $314        523       $504       1.00  ..............
                       opening.                                                                                 
51900....          3  Repair bladder/              4       $595  .........  .........  .........  Delete.       
                       vagina lesion.                                                                           
51920....          3  Close bladder-               3       $482  .........  .........  .........  Delete.       
                       uterus fistula.                                                                          
51925....          3  Hysterectomy/        .........  .........  .........  .........  .........  ..............
                       bladder repair.                                                                          
51940....          3  Correction of        .........  .........  .........  .........  .........  ..............
                       bladder defect.                                                                          
51960....          3  Revision of bladder  .........  .........  .........  .........  .........  ..............
                       & bowel.                                                                                 
51980....          3  Construct bladder    .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
52000....          1  Cystoscopy.........          1       $314        521       $212       0.42  ..............
52005....          1  Cystoscopy & ureter          2       $422        522       $393       0.78  ..............
                       catheter.                                                                                
52007....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       biopsy.                                                                                  
52010....          1  Cystoscopy & duct            2       $422        522       $393       0.78  ..............
                       catheter.                                                                                
52204....          1  Cystoscopy.........          2       $422        522       $393       0.78  ..............
52214....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52224....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52234....          1  Cystoscopy and               2       $422        523       $504       1.00  ..............
                       treatment.                                                                               
52235....          1  Cystoscopy and               3       $482        523       $504       1.00  ..............
                       treatment.                                                                               
52240....          1  Cystoscopy and               3       $482        523       $504       1.00  ..............
                       treatment.                                                                               
52250....          1  Cystoscopy &                 4       $595        523       $504       1.00  ..............
                       radiotracer.                                                                             
52260....          1  Cystoscopy &                 2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52265....          1  Cystoscopy &         .........  .........        521       $212       0.42  Add.          
                       treatment.                                                                               
52270....          1  Cystoscopy & revise          2       $422        522       $393       0.78  ..............
                       urethra.                                                                                 
52275....          1  Cystoscopy & revise          2       $422        522       $393       0.78  ..............
                       urethra.                                                                                 
52276....          1  Cystoscopy and               3       $482        522       $393       0.78  ..............
                       treatment.                                                                               
52277....          1  Cystoscopy and               2       $422        523       $504       1.00  ..............
                       treatment.                                                                               
52281....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52282....          1  Cystoscopy, implant  .........  .........        523       $504       1.00  Add.          
                       stent.                                                                                   
52283....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52285....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52290....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52300....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52301....          1  Cystoscopy and       .........  .........        522       $393       0.78  Add.          
                       treatment.                                                                               
52305....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52310....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52315....          1  Cystoscopy and               2       $422        522       $393       0.78  ..............
                       treatment.                                                                               
52317....          1  Remove bladder               1       $314        523       $504       1.00  ..............
                       stone.                                                                                   
52318....          1  Remove bladder               2       $422        523       $504       1.00  ..............
                       stone.                                                                                   
52320....          1  Cystoscopy and               5       $678        523       $504       1.00  ..............
                       treatment.                                                                               
52325....          1  Cystoscopy, stone            4       $595        523       $504       1.00  ..............
                       removal.                                                                                 
52327....          1  Cystoscopy, inject   .........  .........        522       $393       0.78  Add.          
                       material.                                                                                
52330....          1  Cystoscopy and               2       $422        523       $504       1.00  ..............
                       treatment.                                                                               
52332....          1  Cystoscopy and               2       $422        523       $504       1.00  ..............
                       treatment.                                                                               
52334....          1  Create passage to            3       $482        523       $504       1.00  ..............
                       kidney.                                                                                  
52335....          1  Endoscopy of                 3       $482        523       $504       1.00  ..............
                       urinary tract.                                                                           

[[Page 32380]]

                                                                                                                
52336....          1  Cystoscopy, stone            4       $595        523       $504       1.00  ..............
                       removal.                                                                                 
52337....          1  Cystoscopy, stone            4       $595        524     $1,131       2.24  ..............
                       removal.                                                                                 
52338....          1  Cystoscopy and               4       $595        523       $504       1.00  ..............
                       treatment.                                                                               
52339....          1  Cystoscopy and       .........  .........        523       $504       1.00  Add.          
                       treatment.                                                                               
52340....          1  Cystoscopy and               3       $482        523       $504       1.00  ..............
                       treatment.                                                                               
52450....          1  Incision of                  3       $482        523       $504       1.00  ..............
                       prostate.                                                                                
52500....          1  Revision of bladder          3       $482        523       $504       1.00  ..............
                       neck.                                                                                    
52510....          1  Dilation prostatic   .........  .........        522       $393       0.78  Add.          
                       urethra.                                                                                 
52601....          1  Prostatectomy                4       $595        524     $1,131       2.24  ..............
                       (TURP).                                                                                  
52606....          1  Control postop               1       $314        523       $504       1.00  ..............
                       bleeding.                                                                                
52612....          1  Prostatectomy,               2       $422        524     $1,131       2.24  ..............
                       first stage.                                                                             
52614....          1  Prostatectomy,               1       $314        524     $1,131       2.24  ..............
                       second stage.                                                                            
52620....          1  Remove residual              1       $314        524     $1,131       2.24  ..............
                       prostate.                                                                                
52630....          1  Remove prostate              2       $422        524     $1,131       2.24  ..............
                       regrowth.                                                                                
52640....          1  Relieve bladder              2       $422        523       $504       1.00  ..............
                       contracture.                                                                             
52647....          1  Laser surgery of     .........  .........        524     $1,131       2.24  Add.          
                       prostate.                                                                                
52648....          1  Laser surgery of     .........  .........        524     $1,131       2.24  Add.          
                       prostate.                                                                                
52700....          1  Drainage of                  2       $422        523       $504       1.00  ..............
                       prostate abscess.                                                                        
53000....          1  Incision of urethra          1       $314        531       $418       0.83  ..............
53010....          1  Incision of urethra          1       $314        531       $418       0.83  ..............
53020....          1  Incision of urethra          1       $314        531       $418       0.83  ..............
53025....          1  Incision of urethra  .........  .........        531       $418       0.83  Add.          
53040....          1  Drainage of urethra          2       $422        531       $418       0.83  ..............
                       abscess.                                                                                 
53060....          1  Drainage of urethra  .........  .........        531       $418       0.83  Add.          
                       abscess.                                                                                 
53080....          1  Drainage of urinary  .........  .........        531       $418       0.83  Add.          
                       leakage.                                                                                 
53085....          3  Drainage of urinary  .........  .........  .........  .........  .........  ..............
                       leakage.                                                                                 
53200....          1  Biopsy of urethra..          1       $314        531       $418       0.83  ..............
53210....          1  Removal of urethra.          5       $678        532       $644       1.28  ..............
53215....          1  Removal of urethra.          5       $678        532       $644       1.28  ..............
53220....          1  Treatment of                 2       $422        532       $644       1.28  ..............
                       urethra lesion.                                                                          
53230....          1  Removal of urethra           2       $422        532       $644       1.28  ..............
                       lesion.                                                                                  
53235....          1  Removal of urethra           3       $482        532       $644       1.28  ..............
                       lesion.                                                                                  
53240....          1  Surgery for urethra          2       $422        532       $644       1.28  ..............
                       pouch.                                                                                   
53250....          1  Removal of urethra           2       $422        531       $418       0.83  ..............
                       gland.                                                                                   
53260....          1  Treatment of                 2       $422        531       $418       0.83  ..............
                       urethra lesion.                                                                          
53265....          1  Treatment of                 2       $422        531       $418       0.83  ..............
                       urethra lesion.                                                                          
53270....          1  Removal of urethra   .........  .........        531       $418       0.83  Add.          
                       gland.                                                                                   
53275....          1  Repair of urethra            2       $422        531       $418       0.83  ..............
                       defect.                                                                                  
53400....          1  Revise urethra, 1st          3       $482        532       $644       1.28  ..............
                       stage.                                                                                   
53405....          1  Revise urethra, 2nd          2       $422        532       $644       1.28  ..............
                       stage.                                                                                   
53410....          1  Reconstruction of            2       $422        532       $644       1.28  ..............
                       urethra.                                                                                 
53415....          3  Reconstruction of    .........  .........  .........  .........  .........  ..............
                       urethra.                                                                                 
53420....          1  Reconstruct                  3       $482        532       $644       1.28  ..............
                       urethra, stage 1.                                                                        
53425....          1  Reconstruct                  2       $422        532       $644       1.28  ..............
                       urethra, stage 2.                                                                        
53430....          1  Reconstruction of            2       $422        532       $644       1.28  ..............
                       urethra.                                                                                 
53440....          1  Correct bladder              2       $422        538     $1,221       2.42  ..............
                       function.                                                                                
53442....          1  Remove perineal              1       $314        531       $418       0.83  ..............
                       prosthesis.                                                                              
53443....          3  Reconstruction of    .........  .........  .........  .........  .........  ..............
                       urethra.                                                                                 
53445....          1  Correct urine flow   .........  .........        538     $1,221       2.42  Add.          
                       control.                                                                                 
53447....          1  Remove artificial            1       $314        532       $644       1.28  ..............
                       sphincter.                                                                               
53449....          1  Correct artificial           1       $314        532       $644       1.28  ..............
                       sphincter.                                                                               
53450....          1  Revision of urethra          1       $314        532       $644       1.28  ..............
53460....          1  Revision of urethra          1       $314        532       $644       1.28  ..............
53502....          1  Repair of urethra            2       $422        531       $418       0.83  ..............
                       injury.                                                                                  
53505....          1  Repair of urethra            2       $422        531       $418       0.83  ..............
                       injury.                                                                                  
53510....          1  Repair of urethra            2       $422        531       $418       0.83  ..............
                       injury.                                                                                  
53515....          1  Repair of urethra            2       $422        532       $644       1.28  ..............
                       injury.                                                                                  
53520....          1  Repair of urethra            2       $422        532       $644       1.28  ..............
                       defect.                                                                                  
53600....          5  Dilate urethra       .........  .........  .........  .........  .........  ..............
                       stricture.                                                                               
53601....          5  Dilate urethra       .........  .........  .........  .........  .........  ..............
                       stricture.                                                                               
53605....          1  Dilate urethra               2       $422        522       $393       0.78  ..............
                       stricture.                                                                               
53620....          5  Dilate urethra       .........  .........  .........  .........  .........  ..............
                       stricture.                                                                               
53621....          5  Dilate urethra       .........  .........  .........  .........  .........  ..............
                       stricture.                                                                               
53660....          5  Dilation of urethra  .........  .........  .........  .........  .........  ..............
53661....          5  Dilation of urethra  .........  .........  .........  .........  .........  ..............
53665....          1  Dilation of urethra          1       $314        531       $418       0.83  ..............
53670....          5  Insert urinary       .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
53675....          5  Insert urinary       .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
53850....          1  Prostatic microwave  .........  .........        524     $1,131       2.24  Add.          
                       thermotx.                                                                                
53852....          1  Prostatic rf         .........  .........        524     $1,131       2.24  Add.          
                       thermotx.                                                                                
53899....          3  Urology surgery      .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
54000....          1  Slitting of prepuce  .........  .........        531       $418       0.83  Add.          
54001....          1  Slitting of prepuce          2       $422        531       $418       0.83  ..............
54015....          1  Drain penis lesion.          4       $595        132       $162       0.32  ..............

[[Page 32381]]

                                                                                                                
54050....          1  Destruction, penis   .........  .........        152       $213       0.42  Add.          
                       lesion(s).                                                                               
54055....          1  Destruction, penis   .........  .........        152       $213       0.42  Add.          
                       lesion(s).                                                                               
54056....          1  Cryosurgery, penis   .........  .........        152       $213       0.42  Add.          
                       lesion(s).                                                                               
54057....          1  Laser surg, penis            1       $314        152       $213       0.42  ..............
                       lesion(s).                                                                               
54060....          1  Excision of penis            1       $314        152       $213       0.42  ..............
                       lesion(s).                                                                               
54065....          1  Destruction, penis           1       $314        152       $213       0.42  ..............
                       lesion(s).                                                                               
54100....          1  Biopsy of penis....          1       $314        162       $187       0.37  ..............
54105....          1  Biopsy of penis....          1       $314        162       $187       0.37  ..............
54110....          1  Treatment of penis           2       $422        537     $1,221       2.42  ..............
                       lesion.                                                                                  
54111....          1  Treat penis lesion,  .........  .........        537     $1,221       2.42  Add.          
                       graft.                                                                                   
54112....          1  Treat penis lesion,  .........  .........        537     $1,221       2.42  Add.          
                       graft.                                                                                   
54115....          1  Treatment of penis           1       $314        132       $162       0.32  ..............
                       lesion.                                                                                  
54120....          1  Partial removal of           2       $422        537     $1,221       2.42  ..............
                       penis.                                                                                   
54125....          3  Removal of penis...          2       $422  .........  .........  .........  Delete.       
54130....          3  Remove penis &       .........  .........  .........  .........  .........  ..............
                       nodes.                                                                                   
54135....          3  Remove penis &       .........  .........  .........  .........  .........  ..............
                       nodes.                                                                                   
54150....          1  Circumcision.......  .........  .........        536       $459       0.91  Add.          
54152....          1  Circumcision.......          1       $314        536       $459       0.91  ..............
54160....          1  Circumcision.......  .........  .........        536       $459       0.91  Add.          
54161....          1  Circumcision.......          2       $422        536       $459       0.91  ..............
54200....          5  Treatment of penis   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
54205....          1  Treatment of penis           4       $595        537     $1,221       2.42  ..............
                       lesion.                                                                                  
54220....          5  Treatment of penis           1       $314  .........  .........  .........  Delete.       
                       lesion.                                                                                  
54230....          2  Prepare penis study  .........  .........  .........  .........  .........  ..............
54231....          5  Dynamic              .........  .........  .........  .........  .........  ..............
                       cavernosometry.                                                                          
54235....          5  Penile injection...  .........  .........  .........  .........  .........  ..............
54240....          6  Penis study........  .........  .........  .........  .........  .........  ..............
54250....          6  Penis study........  .........  .........  .........  .........  .........  ..............
54300....          1  Revision of penis..          3       $482        537     $1,221       2.42  ..............
54304....          1  Revision of penis..  .........  .........        537     $1,221       2.42  Add.          
54308....          1  Reconstruction of    .........  .........        537     $1,221       2.42  Add.          
                       urethra.                                                                                 
54312....          1  Reconstruction of    .........  .........        537     $1,221       2.42  Add.          
                       urethra.                                                                                 
54316....          1  Reconstruction of    .........  .........        537     $1,221       2.42  Add.          
                       urethra.                                                                                 
54318....          1  Reconstruction of    .........  .........        537     $1,221       2.42  Add.          
                       urethra.                                                                                 
54322....          1  Reconstruction of    .........  .........        537     $1,221       2.42  Add.          
                       urethra.                                                                                 
54324....          1  Reconstruction of    .........  .........        537     $1,221       2.42  Add.          
                       urethra.                                                                                 
54326....          1  Reconstruction of    .........  .........        537     $1,221       2.42  Add.          
                       urethra.                                                                                 
54328....          1  Revise penis,        .........  .........        537     $1,221       2.42  Add.          
                       urethra.                                                                                 
54332....          3  Revise penis,        .........  .........  .........  .........  .........  ..............
                       urethra.                                                                                 
54336....          3  Revise penis,        .........  .........  .........  .........  .........  ..............
                       urethra.                                                                                 
54340....          1  Secondary urethral   .........  .........        537     $1,221       2.42  Add.          
                       surgery.                                                                                 
54344....          1  Secondary urethral   .........  .........        537     $1,221       2.42  Add.          
                       surgery.                                                                                 
54348....          1  Secondary urethral   .........  .........        537     $1,221       2.42  Add.          
                       surgery.                                                                                 
54352....          1  Reconstruct          .........  .........        537     $1,221       2.42  Add.          
                       urethra, penis.                                                                          
54360....          1  Penis plastic                3       $482        537     $1,221       2.42  ..............
                       surgery.                                                                                 
54380....          1  Repair penis.......  .........  .........        537     $1,221       2.42  Add.          
54385....          1  Repair penis.......  .........  .........        537     $1,221       2.42  Add.          
54390....          3  Repair penis and     .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
54400....          1  Insert semi-rigid    .........  .........        538     $1,221       2.42  Add.          
                       prosthesis.                                                                              
54401....          1  Insert self-contd    .........  .........        538     $1,221       2.42  Add.          
                       prosthesis.                                                                              
54402....          1  Remove penis         .........  .........        537     $1,221       2.42  Add.          
                       prosthesis.                                                                              
54405....          1  Insert multi-comp    .........  .........        538     $1,221       2.42  Add.          
                       prosthesis.                                                                              
54407....          1  Remove multi-comp    .........  .........        537     $1,221       2.42  Add.          
                       prosthesis.                                                                              
54409....          1  Revise penis         .........  .........        537     $1,221       2.42  Add.          
                       prosthesis.                                                                              
54420....          1  Revision of penis..          4       $595        537     $1,221       2.42  ..............
54430....          3  Revision of penis..  .........  .........  .........  .........  .........  ..............
54435....          1  Revision of penis..          4       $595        537     $1,221       2.42  ..............
54440....          1  Repair of penis....          4       $595        537     $1,221       2.42  ..............
54450....          5  Preputial                    1       $314  .........  .........  .........  Delete.       
                       stretching.                                                                              
54500....          1  Biopsy of testis...          1       $314        122       $186       0.37  ..............
54505....          1  Biopsy of testis...          1       $314        546       $523       1.04  ..............
54510....          1  Removal of testis            2       $422        546       $523       1.04  ..............
                       lesion.                                                                                  
54520....          1  Removal of testis..          3       $482        546       $523       1.04  ..............
54530....          1  Removal of testis..          4       $595        546       $523       1.04  ..............
54535....          3  Extensive testis     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
54550....          1  Exploration for              4       $595        546       $523       1.04  ..............
                       testis.                                                                                  
54560....          3  Exploration for      .........  .........  .........  .........  .........  ..............
                       testis.                                                                                  
54600....          1  Reduce testis                4       $595        546       $523       1.04  ..............
                       torsion.                                                                                 
54620....          1  Suspension of                3       $482        546       $523       1.04  ..............
                       testis.                                                                                  
54640....          1  Suspension of                4       $595        546       $523       1.04  ..............
                       testis.                                                                                  
54650....          3  Orchiopexy (Fowler-  .........  .........  .........  .........  .........  ..............
                       Stephens).                                                                               
54660....          1  Revision of testis.          2       $422        546       $523       1.04  ..............
54670....          1  Repair testis                3       $482        546       $523       1.04  ..............
                       injury.                                                                                  
54680....          1  Relocation of                3       $482        546       $523       1.04  ..............
                       testis(es).                                                                              

[[Page 32382]]

                                                                                                                
54700....          1  Drainage of scrotum          2       $422        546       $523       1.04  ..............
54800....          1  Biopsy of                    1       $314        122       $186       0.37  ..............
                       epididymis.                                                                              
54820....          1  Exploration of               1       $314        546       $523       1.04  ..............
                       epididymis.                                                                              
54830....          1  Remove epididymis            3       $482        546       $523       1.04  ..............
                       lesion.                                                                                  
54840....          1  Remove epididymis            4       $595        546       $523       1.04  ..............
                       lesion.                                                                                  
54860....          1  Removal of                   3       $482        546       $523       1.04  ..............
                       epididymis.                                                                              
54861....          1  Removal of                   4       $595        546       $523       1.04  ..............
                       epididymis.                                                                              
54900....          1  Fusion of spermatic          4       $595        546       $523       1.04  ..............
                       ducts.                                                                                   
54901....          1  Fusion of spermatic          4       $595        546       $523       1.04  ..............
                       ducts.                                                                                   
55000....          5  Drainage of          .........  .........  .........  .........  .........  ..............
                       hydrocele.                                                                               
55040....          1  Removal of                   3       $482        466       $739       1.47  ..............
                       hydrocele.                                                                               
55041....          1  Removal of                   5       $678        466       $739       1.47  ..............
                       hydroceles.                                                                              
55060....          1  Repair of hydrocele          4       $595        546       $523       1.04  ..............
55100....          1  Drainage of scrotum          1       $314        132       $162       0.32  ..............
                       abscess.                                                                                 
55110....          1  Explore scrotum....          2       $422        546       $523       1.04  ..............
55120....          1  Removal of scrotum           2       $422        546       $523       1.04  ..............
                       lesion.                                                                                  
55150....          1  Removal of scrotum.          1       $314        546       $523       1.04  ..............
55175....          1  Revision of scrotum          1       $314        546       $523       1.04  ..............
55180....          1  Revision of scrotum          2       $422        546       $523       1.04  ..............
55200....          1  Incision of sperm            2       $422        546       $523       1.04  ..............
                       duct.                                                                                    
55250....          1  Removal of sperm     .........  .........        546       $523       1.04  Add.          
                       duct(s).                                                                                 
55300....          2  Preparation,sperm    .........  .........  .........  .........  .........  ..............
                       duct x-ray.                                                                              
55400....          1  Repair of sperm              1       $314        546       $523       1.04  ..............
                       duct.                                                                                    
55450....          1  Ligation of sperm    .........  .........        546       $523       1.04  Add.          
                       duct.                                                                                    
55500....          1  Removal of                   3       $482        546       $523       1.04  ..............
                       hydrocele.                                                                               
55520....          1  Removal of sperm             4       $595        546       $523       1.04  ..............
                       cord lesion.                                                                             
55530....          1  Revise spermatic             4       $595        546       $523       1.04  ..............
                       cord veins.                                                                              
55535....          1  Revise spermatic             4       $595        546       $523       1.04  ..............
                       cord veins.                                                                              
55540....          1  Revise hernia &              5       $678        546       $523       1.04  ..............
                       sperm veins.                                                                             
55600....          3  Incise sperm duct            1       $314  .........  .........  .........  Delete.       
                       pouch.                                                                                   
55605....          3  Incise sperm duct            1       $314  .........  .........  .........  Delete.       
                       pouch.                                                                                   
55650....          3  Remove sperm duct            1       $314  .........  .........  .........  Delete.       
                       pouch.                                                                                   
55680....          1  Remove sperm pouch           1       $314        546       $523       1.04  ..............
                       lesion.                                                                                  
55700....          1  Biopsy of prostate.          2       $422        547       $265       0.53  ..............
55705....          1  Biopsy of prostate.          2       $422        547       $265       0.53  ..............
55720....          1  Drainage of                  1       $314        523       $504       1.00  ..............
                       prostate abscess.                                                                        
55725....          1  Drainage of          .........  .........        523       $504       1.00  Add.          
                       prostate abscess.                                                                        
55801....          3  Removal of prostate  .........  .........  .........  .........  .........  ..............
55810....          3  Extensive prostate   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
55812....          3  Extensive prostate   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
55815....          3  Extensive prostate   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
55821....          3  Removal of prostate  .........  .........  .........  .........  .........  ..............
55831....          3  Removal of prostate  .........  .........  .........  .........  .........  ..............
55840....          3  Extensive prostate   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
55842....          3  Extensive prostate   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
55845....          3  Extensive prostate   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
55859....          1  Percut/needle        .........  .........        523       $504       1.00  Add.          
                       insert, pros.                                                                            
55860....          3  Surgical exposure,   .........  .........  .........  .........  .........  ..............
                       prostate.                                                                                
55862....          3  Extensive prostate   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
55865....          3  Extensive prostate   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
55870....          6  Electroejaculation.  .........  .........  .........  .........  .........  ..............
55899....          3  Genital surgery      .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
55970....          9  Sex transformation,  .........  .........  .........  .........  .........  ..............
                       M to F.                                                                                  
55980....          9  Sex transformation,  .........  .........  .........  .........  .........  ..............
                       F to M.                                                                                  
56300....          1  Laparoscopy;                 3       $482        551       $831       1.65  ..............
                       diagnostic.                                                                              
56301....          1  Laparoscopy; tubal           3       $482        551       $831       1.65  ..............
                       cautery.                                                                                 
56302....          1  Laparoscopy; tubal           3       $482        551       $831       1.65  ..............
                       block.                                                                                   
56303....          1  Laparoscopy; excise          5       $678        551       $831       1.65  ..............
                       lesions.                                                                                 
56304....          1  Laparoscopy; lysis.          5       $678        551       $831       1.65  ..............
56305....          1  Laparoscopy; biopsy          4       $595        551       $831       1.65  ..............
56306....          1  Laparoscopy;                 4       $595        551       $831       1.65  ..............
                       aspiration.                                                                              
56307....          1  Laparoscopy; remove          5       $678        552     $1,383       2.74  ..............
                       adnexa.                                                                                  
56308....          3  Laparoscopy;         .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
56309....          1  Laparoscopy; remove          5       $678        552     $1,383       2.74  ..............
                       myoma.                                                                                   
56310....          3  Laparoscopic         .........  .........  .........  .........  .........  ..............
                       enterolysis.                                                                             
56311....          1  Laparoscopic lymph   .........  .........        552     $1,383       2.74  Add.          
                       node biop.                                                                               
56312....          1  Laparoscopic         .........  .........        552     $1,383       2.74  Add.          
                       lymphadenectomy.                                                                         
56313....          1  Laparoscopic         .........  .........        552     $1,383       2.74  Add.          
                       lymphadenectomy.                                                                         
56314....          3  Lapar; drain         .........  .........  .........  .........  .........  ..............
                       lymphocele.                                                                              
56315....          3  Laparoscopic         .........  .........  .........  .........  .........  ..............
                       appendectomy.                                                                            
56316....          1  Laparoscopic hernia          4       $595        552     $1,383       2.74  ..............
                       repair.                                                                                  
56317....          1  Laparoscopic hernia          7       $941        552     $1,383       2.74  ..............
                       repair.                                                                                  
56318....          1  Laparoscopic         .........  .........        552     $1,383       2.74  Add.          
                       orchiectomy.                                                                             
56320....          1  Laparoscopy,         .........  .........        552     $1,383       2.74  Add.          
                       spermatic veins.                                                                         

[[Page 32383]]

                                                                                                                
56322....          3  Laparoscopy, vagus   .........  .........  .........  .........  .........  ..............
                       nerves.                                                                                  
56323....          3  Laparoscopy, vagus   .........  .........  .........  .........  .........  ..............
                       nerves.                                                                                  
56324....          3  Laparoscopy,         .........  .........  .........  .........  .........  ..............
                       cholecystoenter.                                                                         
56340....          3  Laparoscopic         .........  .........  .........  .........  .........  ..............
                       cholecystectomy.                                                                         
56341....          3  Laparoscopic         .........  .........  .........  .........  .........  ..............
                       cholecystectomy.                                                                         
56342....          3  Laparoscopic         .........  .........  .........  .........  .........  ..............
                       cholecystectomy.                                                                         
56343....          1  Laparoscopic                 5       $678        552     $1,383       2.74  ..............
                       salpingostomy.                                                                           
56344....          1  Laparoscopic                 5       $678        552     $1,383       2.74  ..............
                       fimbrioplasty.                                                                           
56345....          3  Laparoscopic         .........  .........  .........  .........  .........  ..............
                       splenectomy.                                                                             
56346....          1  Laparoscopic         .........  .........        551       $831       1.65  Add.          
                       gastrostomy.                                                                             
56347....          3  Laparoscopic         .........  .........  .........  .........  .........  ..............
                       jejunostomy.                                                                             
56348....          3  Laparo; resect       .........  .........  .........  .........  .........  ..............
                       intestine.                                                                               
56349....          3  Laparoscopy;         .........  .........  .........  .........  .........  ..............
                       fundoplasty.                                                                             
56350....          1  Hysteroscopy;                1       $314        562       $481       0.95  ..............
                       diagnostic.                                                                              
56351....          1  Hysteroscopy;                3       $482        550       $610       1.21  ..............
                       biopsy.                                                                                  
56352....          1  Hysteroscopy; lysis          2       $422        550       $610       1.21  ..............
56353....          1  Hysteroscopy;        .........  .........        550       $610       1.21  Add.          
                       resect septum.                                                                           
56354....          1  Hysteroscopy;                3       $482        550       $610       1.21  ..............
                       remove myoma.                                                                            
56355....          1  Hysteroscopy;        .........  .........        550       $610       1.21  Add.          
                       remove impact.                                                                           
56356....          1  Hysteroscopy;                4       $595        550       $610       1.21  ..............
                       ablation.                                                                                
56362....          1  Laparoscopy w/               3       $482        552     $1,383       2.74  ..............
                       cholangio.                                                                               
56363....          1  Laparoscopy w/               3       $482        552     $1,383       2.74  ..............
                       biopsy.                                                                                  
56399....          3  Laparoscopy          .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
56405....          5  I & D of vulva/              2       $422  .........  .........  .........  Delete.       
                       perineum.                                                                                
56420....          5  Drainage of gland    .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
56440....          1  Surgery for vulva            2       $422        562       $481       0.95  ..............
                       lesion.                                                                                  
56441....          5  Lysis of labial              1       $314  .........  .........  .........  Delete.       
                       lesion(s).                                                                               
56501....          1  Destruction, vulva   .........  .........        152       $213       0.42  Add.          
                       lesion(s).                                                                               
56515....          1  Destruction, vulva           3       $482        152       $213       0.42  ..............
                       lesion(s).                                                                               
56605....          5  Biopsy of vulva/             1       $314  .........  .........  .........  Delete.       
                       perineum.                                                                                
56606....          5  Biopsy of vulva/     .........  .........  .........  .........  .........  ..............
                       perineum.                                                                                
56620....          1  Partial removal of           5       $678        563       $601       1.19  ..............
                       vulva.                                                                                   
56625....          1  Complete removal of          7       $941        563       $601       1.19  ..............
                       vulva.                                                                                   
56630....          3  Extensive vulva      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
56631....          3  Extensive vulva      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
56632....          3  Extensive vulva      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
56633....          3  Extensive vulva      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
56634....          3  Extensive vulva      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
56637....          3  Extensive vulva      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
56640....          3  Extensive vulva      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
56700....          1  Partial removal of           1       $314        562       $481       0.95  ..............
                       hymen.                                                                                   
56720....          1  Incision of hymen..          1       $314        562       $481       0.95  ..............
56740....          1  Remove vagina gland          3       $482        562       $481       0.95  ..............
                       lesion.                                                                                  
56800....          1  Repair of vagina...          3       $482        562       $481       0.95  ..............
56805....          3  Repair clitoris....  .........  .........  .........  .........  .........  ..............
56810....          1  Repair of perineum.          5       $678        562       $481       0.95  ..............
57000....          1  Exploration of               1       $314        562       $481       0.95  ..............
                       vagina.                                                                                  
57010....          1  Drainage of pelvic           2       $422        562       $481       0.95  ..............
                       abscess.                                                                                 
57020....          1  Drainage of pelvic           2       $422        562       $481       0.95  ..............
                       fluid.                                                                                   
57061....          5  Destruction vagina   .........  .........  .........  .........  .........  ..............
                       lesion(s).                                                                               
57065....          1  Destruction vagina           1       $314        562       $481       0.95  ..............
                       lesion(s).                                                                               
57100....          5  Biopsy of vagina...  .........  .........  .........  .........  .........  ..............
57105....          1  Biopsy of vagina...          2       $422        562       $481       0.95  ..............
57108....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       vagina.                                                                                  
57110....          3  Removal of vagina..  .........  .........  .........  .........  .........  ..............
57120....          3  Closure of vagina..  .........  .........  .........  .........  .........  ..............
57130....          1  Remove vagina                2       $422        562       $481       0.95  ..............
                       lesion.                                                                                  
57135....          1  Remove vagina                2       $422        562       $481       0.95  ..............
                       lesion.                                                                                  
57150....          5  Treat vagina         .........  .........  .........  .........  .........  ..............
                       infection.                                                                               
57160....          5  Insertion of         .........  .........  .........  .........  .........  ..............
                       pessary/device.                                                                          
57170....          5  Fitting of           .........  .........  .........  .........  .........  ..............
                       diaphragm/cap.                                                                           
57180....          5  Treat vaginal                1       $314  .........  .........  .........  Delete.       
                       bleeding.                                                                                
57200....          1  Repair of vagina...          1       $314        562       $481       0.95  ..............
57210....          1  Repair vagina/               2       $422        562       $481       0.95  ..............
                       perineum.                                                                                
57220....          1  Revision of urethra          3       $482        563       $601       1.19  ..............
57230....          1  Repair of urethral           3       $482        562       $481       0.95  ..............
                       lesion.                                                                                  
57240....          1  Repair bladder &             5       $678        563       $601       1.19  ..............
                       vagina.                                                                                  
57250....          1  Repair rectum &              5       $678        563       $601       1.19  ..............
                       vagina.                                                                                  
57260....          1  Repair of vagina...          5       $678        563       $601       1.19  ..............
57265....          1  Extensive repair of          7       $941        563       $601       1.19  ..............
                       vagina.                                                                                  
57268....          1  Repair of bowel              3       $482        563       $601       1.19  ..............
                       bulge.                                                                                   
57270....          3  Repair of bowel      .........  .........  .........  .........  .........  ..............
                       pouch.                                                                                   
57280....          3  Suspension of        .........  .........  .........  .........  .........  ..............
                       vagina.                                                                                  
57282....          3  Repair of vaginal    .........  .........  .........  .........  .........  ..............
                       prolapse.                                                                                

[[Page 32384]]

                                                                                                                
57284....          1  Repair paravaginal   .........  .........        563       $601       1.19  Add.          
                       defect.                                                                                  
57288....          1  Repair bladder       .........  .........        563       $601       1.19  Add.          
                       defect.                                                                                  
57289....          1  Repair bladder &     .........  .........        563       $601       1.19  Add.          
                       vagina.                                                                                  
57291....          1  Construction of      .........  .........        563       $601       1.19  Add.          
                       vagina.                                                                                  
57292....          3  Construct vagina     .........  .........  .........  .........  .........  ..............
                       with graft.                                                                              
57300....          1  Repair rectum-               3       $482        563       $601       1.19  ..............
                       vagina fistula.                                                                          
57305....          3  Repair rectum-       .........  .........  .........  .........  .........  ..............
                       vagina fistula.                                                                          
57307....          3  Fistula repair &     .........  .........  .........  .........  .........  ..............
                       colostomy.                                                                               
57308....          3  Fistula repair,      .........  .........  .........  .........  .........  ..............
                       transperine.                                                                             
57310....          3  Repair                       3       $482  .........  .........  .........  Delete.       
                       urethrovaginal                                                                           
                       lesion.                                                                                  
57311....          3  Repair                       4       $595  .........  .........  .........  Delete.       
                       urethrovaginal                                                                           
                       lesion.                                                                                  
57320....          3  Repair bladder-              3       $482  .........  .........  .........  Delete.       
                       vagina lesion.                                                                           
57330....          3  Repair bladder-      .........  .........  .........  .........  .........  ..............
                       vagina lesion.                                                                           
57335....          3  Repair vagina......  .........  .........  .........  .........  .........  ..............
57400....          1  Dilation of vagina.          2       $422        562       $481       0.95  ..............
57410....          1  Pelvic examination.          2       $422        562       $481       0.95  ..............
57415....          1  Removal vaginal      .........  .........        562       $481       0.95  Add.          
                       foreign body.                                                                            
57452....          5  Examination of       .........  .........  .........  .........  .........  ..............
                       vagina.                                                                                  
57454....          5  Vagina examination   .........  .........  .........  .........  .........  ..............
                       & biopsy.                                                                                
57460....          1  Cervix excision....  .........  .........        562       $481       0.95  Add.          
57500....          5  Biopsy of cervix...  .........  .........  .........  .........  .........  ..............
57505....          5  Endocervical         .........  .........  .........  .........  .........  ..............
                       curettage.                                                                               
57510....          5  Cauterization of     .........  .........  .........  .........  .........  ..............
                       cervix.                                                                                  
57511....          5  Cryocautery of       .........  .........  .........  .........  .........  ..............
                       cervix.                                                                                  
57513....          5  Laser surgery of             2       $422  .........  .........  .........  Delete.       
                       cervix.                                                                                  
57520....          1  Conization of                2       $422        563       $601       1.19  ..............
                       cervix.                                                                                  
57522....          1  Conization of                2       $422        563       $601       1.19  ..............
                       cervix.                                                                                  
57530....          1  Removal of cervix..          3       $482        563       $601       1.19  ..............
57531....          3  Removal of cervix,   .........  .........  .........  .........  .........  ..............
                       radical.                                                                                 
57540....          3  Removal of residual  .........  .........  .........  .........  .........  ..............
                       cervix.                                                                                  
57545....          3  Remove cervix,       .........  .........  .........  .........  .........  ..............
                       repair pelvis.                                                                           
57550....          1  Removal of residual          3       $482        563       $601       1.19  ..............
                       cervix.                                                                                  
57555....          1  Remove cervix,       .........  .........        563       $601       1.19  Add.          
                       repair vagina.                                                                           
57556....          1  Remove cervix,       .........  .........        563       $601       1.19  Add.          
                       repair bowel.                                                                            
57700....          1  Revision of cervix.          1       $314        562       $481       0.95  ..............
57720....          1  Revision of cervix.          3       $482        562       $481       0.95  ..............
57800....          5  Dilation of                  1       $314  .........  .........  .........  Delete.       
                       cervical canal.                                                                          
57820....          1  D&c of residual              3       $482        567       $458       0.91  ..............
                       cervix.                                                                                  
58100....          5  Biopsy of uterus     .........  .........  .........  .........  .........  ..............
                       lining.                                                                                  
58120....          1  Dilation and                 2       $422        567       $458       0.91  ..............
                       curettage (D&C).                                                                         
58140....          3  Removal of uterus    .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
58145....          1  Removal of uterus            5       $678        563       $601       1.19  ..............
                       lesion.                                                                                  
58150....          3  Total hysterectomy.  .........  .........  .........  .........  .........  ..............
58152....          3  Total hysterectomy.  .........  .........  .........  .........  .........  ..............
58180....          3  Partial              .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
58200....          3  Extensive            .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
58210....          3  Extensive            .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
58240....          3  Removal of pelvis    .........  .........  .........  .........  .........  ..............
                       contents.                                                                                
58260....          3  Vaginal              .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
58262....          3  Vaginal              .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
58263....          3  Vaginal              .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
58267....          3  Hysterectomy &       .........  .........  .........  .........  .........  ..............
                       vagina repair.                                                                           
58270....          3  Hysterectomy &       .........  .........  .........  .........  .........  ..............
                       vagina repair.                                                                           
58275....          3  Hysterectomy,        .........  .........  .........  .........  .........  ..............
                       revise vagina.                                                                           
58280....          3  Hysterectomy,        .........  .........  .........  .........  .........  ..............
                       revise vagina.                                                                           
58285....          3  Extensive            .........  .........  .........  .........  .........  ..............
                       hysterectomy.                                                                            
58300....          9  Insert intrauterine  .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
58301....          5  Remove intrauterine  .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
58321....          6  Artificial           .........  .........  .........  .........  .........  ..............
                       insemination.                                                                            
58322....          6  Artificial           .........  .........  .........  .........  .........  ..............
                       insemination.                                                                            
58323....          6  Sperm washing......  .........  .........  .........  .........  .........  ..............
58340....          2  Catheter for         .........  .........  .........  .........  .........  ..............
                       hysterography.                                                                           
58345....          1  Reopen fallopian     .........  .........        562       $481       0.95  Add.          
                       tube.                                                                                    
58350....          1  Reopen fallopian     .........  .........        562       $481       0.95  Add.          
                       tube.                                                                                    
58400....          3  Suspension of        .........  .........  .........  .........  .........  ..............
                       uterus.                                                                                  
58410....          3  Suspension of        .........  .........  .........  .........  .........  ..............
                       uterus.                                                                                  
58520....          3  Repair of ruptured   .........  .........  .........  .........  .........  ..............
                       uterus.                                                                                  
58540....          3  Revision of uterus.  .........  .........  .........  .........  .........  ..............
58600....          3  Division of          .........  .........  .........  .........  .........  ..............
                       fallopian tube.                                                                          
58605....          3  Division of          .........  .........  .........  .........  .........  ..............
                       fallopian tube.                                                                          
58611....          3  Ligate oviduct(s)..  .........  .........  .........  .........  .........  ..............
58615....          3  Occlude fallopian    .........  .........  .........  .........  .........  ..............
                       tube(s).                                                                                 
58700....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       fallopian tube.                                                                          
58720....          3  Removal of ovary/    .........  .........  .........  .........  .........  ..............
                       tube(s).                                                                                 

[[Page 32385]]

                                                                                                                
58740....          3  Revise fallopian     .........  .........  .........  .........  .........  ..............
                       tube(s).                                                                                 
58750....          3  Repair oviduct.....  .........  .........  .........  .........  .........  ..............
58752....          3  Revise ovarian       .........  .........  .........  .........  .........  ..............
                       tube(s).                                                                                 
58760....          3  Remove tubal         .........  .........  .........  .........  .........  ..............
                       obstruction.                                                                             
58770....          3  Create new tubal     .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
58800....          1  Drainage of ovarian          3       $482        563       $601       1.19  ..............
                       cyst(s).                                                                                 
58805....          3  Drainage of ovarian  .........  .........  .........  .........  .........  ..............
                       cyst(s).                                                                                 
58820....          1  Open drain ovary             3       $482        563       $601       1.19  ..............
                       abscess.                                                                                 
58822....          3  Percut drain ovary   .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
58823....          3  Percut drain pelvic  .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
58825....          3  Transposition,       .........  .........  .........  .........  .........  ..............
                       ovary(s).                                                                                
58900....          3  Biopsy of ovary(s).          3       $482  .........  .........  .........  Delete.       
58920....          3  Partial removal of   .........  .........  .........  .........  .........  ..............
                       ovary(s).                                                                                
58925....          3  Removal of ovarian   .........  .........  .........  .........  .........  ..............
                       cyst(s).                                                                                 
58940....          3  Removal of ovary(s)  .........  .........  .........  .........  .........  ..............
58943....          3  Removal of ovary(s)  .........  .........  .........  .........  .........  ..............
58950....          3  Resect ovarian       .........  .........  .........  .........  .........  ..............
                       malignancy.                                                                              
58951....          3  Resect ovarian       .........  .........  .........  .........  .........  ..............
                       malignancy.                                                                              
58952....          3  Resect ovarian       .........  .........  .........  .........  .........  ..............
                       malignancy.                                                                              
58960....          3  Exploration of       .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
58970....          1  Retrieval of oocyte  .........  .........        562       $481       0.95  Add.          
58974....          6  Transfer of embryo.  .........  .........  .........  .........  .........  ..............
58976....          6  Transfer of embryo.  .........  .........  .........  .........  .........  ..............
58999....          3  Genital surgery      .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
59000....          6  Amniocentesis......  .........  .........  .........  .........  .........  ..............
59012....          6  Fetal cord           .........  .........  .........  .........  .........  ..............
                       puncture, prenatal.                                                                      
59015....          6  Chorion biopsy.....  .........  .........  .........  .........  .........  ..............
59020....          6  Fetal contract       .........  .........  .........  .........  .........  ..............
                       stress test.                                                                             
59025....          6  Fetal non-stress     .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
59030....          6  Fetal scalp blood    .........  .........  .........  .........  .........  ..............
                       sample.                                                                                  
59050....          6  Fetal monitor w/     .........  .........  .........  .........  .........  ..............
                       report.                                                                                  
59051....          6  Fetal monitor/       .........  .........  .........  .........  .........  ..............
                       interpret only.                                                                          
59100....          3  Remove uterus        .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
59120....          3  Treat ectopic        .........  .........  .........  .........  .........  ..............
                       pregnancy.                                                                               
59121....          3  Treat ectopic        .........  .........  .........  .........  .........  ..............
                       pregnancy.                                                                               
59130....          3  Treat ectopic        .........  .........  .........  .........  .........  ..............
                       pregnancy.                                                                               
59135....          3  Treat ectopic        .........  .........  .........  .........  .........  ..............
                       pregnancy.                                                                               
59136....          3  Treat ectopic        .........  .........  .........  .........  .........  ..............
                       pregnancy.                                                                               
59140....          3  Treat ectopic        .........  .........  .........  .........  .........  ..............
                       pregnancy.                                                                               
59150....          3  Treat ectopic        .........  .........  .........  .........  .........  ..............
                       pregnancy.                                                                               
59151....          3  Treat ectopic        .........  .........  .........  .........  .........  ..............
                       pregnancy.                                                                               
59160....          1  D&C after delivery.  .........  .........        567       $458       0.91  Add.          
59200....          6  Insert cervical      .........  .........  .........  .........  .........  ..............
                       dilator.                                                                                 
59300....          1  Episiotomy or        .........  .........        562       $481       0.95  Add.          
                       vaginal repair.                                                                          
59320....          1  Revision of cervix.  .........  .........        562       $481       0.95  Add.          
59325....          3  Revision of cervix.  .........  .........  .........  .........  .........  ..............
59350....          3  Repair of uterus...  .........  .........  .........  .........  .........  ..............
59400....          6  Obstetrical care...  .........  .........  .........  .........  .........  ..............
59409....          6  Obstetrical care...  .........  .........  .........  .........  .........  ..............
59410....          6  Obstetrical care...  .........  .........  .........  .........  .........  ..............
59412....          6  Antepartum           .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
59414....          6  Deliver placenta...  .........  .........  .........  .........  .........  ..............
59425....          6  Antepartum care      .........  .........  .........  .........  .........  ..............
                       only.                                                                                    
59426....          6  Antepartum care      .........  .........  .........  .........  .........  ..............
                       only.                                                                                    
59430....          6  Care after delivery  .........  .........  .........  .........  .........  ..............
59510....          6  Cesarean delivery..  .........  .........  .........  .........  .........  ..............
59514....          3  Cesarean delivery    .........  .........  .........  .........  .........  ..............
                       only.                                                                                    
59515....          6  Cesarean delivery..  .........  .........  .........  .........  .........  ..............
59525....          3  Remove uterus after  .........  .........  .........  .........  .........  ..............
                       cesarean.                                                                                
59610....          3  Vbac delivery......  .........  .........  .........  .........  .........  ..............
59612....          6  Vbac delivery only.  .........  .........  .........  .........  .........  ..............
59614....          6  Vbac care after      .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
59618....          6  Attempted vbac       .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
59620....          3  Attempted vbac       .........  .........  .........  .........  .........  ..............
                       delivery only.                                                                           
59622....          6  Attempted vbac       .........  .........  .........  .........  .........  ..............
                       after care.                                                                              
59812....          1  Treatment of         .........  .........        587       $503       1.00  Add.          
                       miscarriage.                                                                             
59820....          1  Care of miscarriage  .........  .........        587       $503       1.00  Add.          
59821....          1  Treatment of         .........  .........        587       $503       1.00  Add.          
                       miscarriage.                                                                             
59830....          3  Treat uterus         .........  .........  .........  .........  .........  ..............
                       infection.                                                                               
59840....          1  Abortion...........  .........  .........        586       $448       0.89  Add.          
59841....          1  Abortion...........  .........  .........        586       $448       0.89  Add.          
59850....          3  Abortion...........  .........  .........  .........  .........  .........  ..............
59851....          3  Abortion...........  .........  .........  .........  .........  .........  ..............
59852....          3  Abortion...........  .........  .........  .........  .........  .........  ..............

[[Page 32386]]

                                                                                                                
59855....          3  Abortion...........  .........  .........  .........  .........  .........  ..............
59856....          3  Abortion...........  .........  .........  .........  .........  .........  ..............
59857....          3  Abortion...........  .........  .........  .........  .........  .........  ..............
59866....          3  Abortion...........  .........  .........  .........  .........  .........  ..............
59870....          1  Evacuate mole of     .........  .........        587       $503       1.00  Add.          
                       uterus.                                                                                  
59871....          1  Remove cerclage      .........  .........        562       $481       0.95  Add.          
                       suture.                                                                                  
59899....          3  Maternity care       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
60000....          1  Drain thyroid/               1       $314        312       $233       0.46  ..............
                       tongue cyst.                                                                             
60001....          5  Aspirate/inject      .........  .........  .........  .........  .........  ..............
                       thyroid cyst.                                                                            
60100....          1  Biopsy of thyroid..  .........  .........        122       $186       0.37  Add.          
60200....          1  Remove thyroid               2       $422        397       $630       1.25  ..............
                       lesion.                                                                                  
60210....          1  Partial excision     .........  .........        397       $630       1.25  Add.          
                       thyroid.                                                                                 
60212....          3  Parital thyroid      .........  .........  .........  .........  .........  ..............
                       excision.                                                                                
60220....          1  Partial removal of           2       $422        397       $630       1.25  ..............
                       thyroid.                                                                                 
60225....          1  Partial removal of           3       $482        397       $630       1.25  ..............
                       thyroid.                                                                                 
60240....          1  Removal of thyroid.  .........  .........        397       $630       1.25  Add.          
60252....          3  Removal of thyroid.  .........  .........  .........  .........  .........  ..............
60254....          3  Extensive thyroid    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
60260....          3  Repeat thyroid       .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
60270....          3  Removal of thyroid.  .........  .........  .........  .........  .........  ..............
60271....          3  Removal of thyroid.  .........  .........  .........  .........  .........  ..............
60280....          1  Remove thyroid duct          4       $595        397       $630       1.25  ..............
                       lesion.                                                                                  
60281....          1  Remove thyroid duct          4       $595        397       $630       1.25  ..............
                       lesion.                                                                                  
60500....          3  Explore parathyroid  .........  .........  .........  .........  .........  ..............
                       glands.                                                                                  
60502....          3  Re-explore           .........  .........  .........  .........  .........  ..............
                       parathyroids.                                                                            
60505....          3  Explore parathyroid  .........  .........  .........  .........  .........  ..............
                       glands.                                                                                  
60512....          3  Autotransplant,      .........  .........  .........  .........  .........  ..............
                       parathyroid.                                                                             
60520....          3  Removal of thymus    .........  .........  .........  .........  .........  ..............
                       gland.                                                                                   
60521....          3  Removal of thymus    .........  .........  .........  .........  .........  ..............
                       gland.                                                                                   
60522....          3  Removal of thymus    .........  .........  .........  .........  .........  ..............
                       gland.                                                                                   
60540....          3  Explore adrenal      .........  .........  .........  .........  .........  ..............
                       gland.                                                                                   
60545....          3  Explore adrenal      .........  .........  .........  .........  .........  ..............
                       gland.                                                                                   
60600....          3  Remove carotid body  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
60605....          3  Remove carotid body  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
60699....          3  Endocrine surgery    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
61000....          1  Remove cranial       .........  .........        602       $241       0.48  Add.          
                       cavity fluid.                                                                            
61001....          1  Remove cranial       .........  .........        602       $241       0.48  Add.          
                       cavity fluid.                                                                            
61020....          1  Remove brain cavity          1       $314        602       $241       0.48  ..............
                       fluid.                                                                                   
61026....          1  Injection into               1       $314        602       $241       0.48  ..............
                       brain canal.                                                                             
61050....          1  Remove brain canal           1       $314        602       $241       0.48  ..............
                       fluid.                                                                                   
61055....          1  Injection into               1       $314        602       $241       0.48  ..............
                       brain canal.                                                                             
61070....          1  Brain canal shunt            1       $314        602       $241       0.48  ..............
                       procedure.                                                                               
61105....          3  Drill skull for      .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
61106....          3  Drill skull for      .........  .........  .........  .........  .........  ..............
                       exam/surgery.                                                                            
61107....          3  Drill skull for      .........  .........  .........  .........  .........  ..............
                       implantation.                                                                            
61108....          3  Drill skull for      .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
61120....          3  Pierce skull for     .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
61130....          3  Pierce skull, exam/  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61140....          3  Pierce skull for     .........  .........  .........  .........  .........  ..............
                       biopsy.                                                                                  
61150....          3  Pierce skull for     .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
61151....          3  Pierce skull for     .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
61154....          3  Pierce skull,        .........  .........  .........  .........  .........  ..............
                       remove clot.                                                                             
61156....          3  Pierce skull for     .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
61210....          3  Pierce skull;        .........  .........  .........  .........  .........  ..............
                       implant device.                                                                          
61215....          1  Insert brain-fluid           3       $482        618       $841       1.67  ..............
                       device.                                                                                  
61250....          3  Pierce skull &       .........  .........  .........  .........  .........  ..............
                       explore.                                                                                 
61253....          3  Pierce skull &       .........  .........  .........  .........  .........  ..............
                       explore.                                                                                 
61304....          3  Open skull for       .........  .........  .........  .........  .........  ..............
                       exploration.                                                                             
61305....          3  Open skull for       .........  .........  .........  .........  .........  ..............
                       exploration.                                                                             
61312....          3  Open skull for       .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
61313....          3  Open skull for       .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
61314....          3  Open skull for       .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
61315....          3  Open skull for       .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
61320....          3  Open skull for       .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
61321....          3  Open skull for       .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
61330....          3  Decompress eye       .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
61332....          3  Explore/biopsy eye   .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
61333....          3  Explore orbit;       .........  .........  .........  .........  .........  ..............
                       remove lesion.                                                                           
61334....          3  Explore orbit;       .........  .........  .........  .........  .........  ..............
                       remove object.                                                                           
61340....          3  Relieve cranial      .........  .........  .........  .........  .........  ..............
                       pressure.                                                                                
61343....          3  Incise skull,        .........  .........  .........  .........  .........  ..............
                       pressure relief.                                                                         
61345....          3  Relieve cranial      .........  .........  .........  .........  .........  ..............
                       pressure.                                                                                
61440....          3  Incise skull for     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61450....          3  Incise skull for     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 

[[Page 32387]]

                                                                                                                
61458....          3  Incise skull for     .........  .........  .........  .........  .........  ..............
                       brain wound.                                                                             
61460....          3  Incise skull for     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61470....          3  Incise skull for     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61480....          3  Incise skull for     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61490....          3  Incise skull for     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61500....          3  Removal of skull     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61501....          3  Remove infected      .........  .........  .........  .........  .........  ..............
                       skull bone.                                                                              
61510....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61512....          3  Remove brain lining  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61514....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
61516....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61518....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61519....          3  Remove brain lining  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61520....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61521....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61522....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
61524....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61526....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61530....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61531....          3  Implant brain        .........  .........  .........  .........  .........  ..............
                       electrodes.                                                                              
61533....          3  Implant brain        .........  .........  .........  .........  .........  ..............
                       electrodes.                                                                              
61534....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61535....          3  Remove brain         .........  .........  .........  .........  .........  ..............
                       electrodes.                                                                              
61536....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
61538....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       tissue.                                                                                  
61539....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       tissue.                                                                                  
61541....          3  Incision of brain    .........  .........  .........  .........  .........  ..............
                       tissue.                                                                                  
61542....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       tissue.                                                                                  
61543....          3  Removal of brain     .........  .........  .........  .........  .........  ..............
                       tissue.                                                                                  
61544....          3  Remove & treat       .........  .........  .........  .........  .........  ..............
                       brain lesion.                                                                            
61545....          3  Excision of brain    .........  .........  .........  .........  .........  ..............
                       tumor.                                                                                   
61546....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       pituitary gland.                                                                         
61548....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       pituitary gland.                                                                         
61550....          3  Release of skull     .........  .........  .........  .........  .........  ..............
                       seams.                                                                                   
61552....          3  Release of skull     .........  .........  .........  .........  .........  ..............
                       seams.                                                                                   
61556....          3  Incise skull/        .........  .........  .........  .........  .........  ..............
                       sutures.                                                                                 
61557....          3  Incise skull/        .........  .........  .........  .........  .........  ..............
                       sutures.                                                                                 
61558....          3  Excision of skull/   .........  .........  .........  .........  .........  ..............
                       sutures.                                                                                 
61559....          3  Excision of skull/   .........  .........  .........  .........  .........  ..............
                       sutures.                                                                                 
61563....          3  Excision of skull    .........  .........  .........  .........  .........  ..............
                       tumor.                                                                                   
61564....          3  Excision of skull    .........  .........  .........  .........  .........  ..............
                       tumor.                                                                                   
61570....          3  Remove brain         .........  .........  .........  .........  .........  ..............
                       foreign body.                                                                            
61571....          3  Incise skull for     .........  .........  .........  .........  .........  ..............
                       brain wound.                                                                             
61575....          3  Skull base/          .........  .........  .........  .........  .........  ..............
                       brainstem surgery.                                                                       
61576....          3  Skull base/          .........  .........  .........  .........  .........  ..............
                       brainstem surgery.                                                                       
61580....          3  Craniofacial         .........  .........  .........  .........  .........  ..............
                       approach, skull.                                                                         
61581....          3  Craniofacial         .........  .........  .........  .........  .........  ..............
                       approach, skull.                                                                         
61582....          3  Craniofacial         .........  .........  .........  .........  .........  ..............
                       approach, skull.                                                                         
61583....          3  Craniofacial         .........  .........  .........  .........  .........  ..............
                       approach, skull.                                                                         
61584....          3  Orbitocranial        .........  .........  .........  .........  .........  ..............
                       approach/skull.                                                                          
61585....          3  Orbitocranial        .........  .........  .........  .........  .........  ..............
                       approach/skull.                                                                          
61586....          3  Resect nasopharnyx,  .........  .........  .........  .........  .........  ..............
                       skull.                                                                                   
61590....          3  Infratemporal        .........  .........  .........  .........  .........  ..............
                       approach/skull.                                                                          
61591....          3  Infratemporal        .........  .........  .........  .........  .........  ..............
                       approach/skull.                                                                          
61592....          3  Orbitocranial        .........  .........  .........  .........  .........  ..............
                       approach/skull.                                                                          
61595....          3  Transtemporal        .........  .........  .........  .........  .........  ..............
                       approach/skull.                                                                          
61596....          3  Transcochlear        .........  .........  .........  .........  .........  ..............
                       approach/skull.                                                                          
61597....          3  Transcondylar        .........  .........  .........  .........  .........  ..............
                       approach/skull.                                                                          
61598....          3  Transpetrosal        .........  .........  .........  .........  .........  ..............
                       approach/skull.                                                                          
61600....          3  Resect/excise        .........  .........  .........  .........  .........  ..............
                       cranial lesion.                                                                          
61601....          3  Resect/excise        .........  .........  .........  .........  .........  ..............
                       cranial lesion.                                                                          
61605....          3  Resect/excise        .........  .........  .........  .........  .........  ..............
                       cranial lesion.                                                                          
61606....          3  Resect/excise        .........  .........  .........  .........  .........  ..............
                       cranial lesion.                                                                          
61607....          3  Resect/excise        .........  .........  .........  .........  .........  ..............
                       cranial lesion.                                                                          
61608....          3  Resect/excise        .........  .........  .........  .........  .........  ..............
                       cranial lesion.                                                                          
61609....          3  Transect, artery,    .........  .........  .........  .........  .........  ..............
                       sinus.                                                                                   
61610....          3  Transect, artery,    .........  .........  .........  .........  .........  ..............
                       sinus.                                                                                   
61611....          3  Transect, artery,    .........  .........  .........  .........  .........  ..............
                       sinus.                                                                                   
61612....          3  Transect, artery,    .........  .........  .........  .........  .........  ..............
                       sinus.                                                                                   
61613....          3  Remove aneurysm,     .........  .........  .........  .........  .........  ..............
                       sinus.                                                                                   
61615....          3  Resect/excise        .........  .........  .........  .........  .........  ..............
                       lesion, skull.                                                                           
61616....          3  Resect/excise        .........  .........  .........  .........  .........  ..............
                       lesion, skull.                                                                           
61618....          3  Repair dura........  .........  .........  .........  .........  .........  ..............
61619....          3  Repair dura........  .........  .........  .........  .........  .........  ..............

[[Page 32388]]

                                                                                                                
61624....          3  Occlusion/           .........  .........  .........  .........  .........  ..............
                       embolization cath.                                                                       
61626....          3  Occlusion/           .........  .........  .........  .........  .........  ..............
                       embolization cath.                                                                       
61680....          3  Intracranial vessel  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61682....          3  Intracranial vessel  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61684....          3  Intracranial vessel  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61686....          3  Intracranial vessel  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61690....          3  Intracranial vessel  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61692....          3  Intracranial vessel  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61700....          3  Inner skull vessel   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61702....          3  Inner skull vessel   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61703....          3  Clamp neck artery..  .........  .........  .........  .........  .........  ..............
61705....          3  Revise circulation   .........  .........  .........  .........  .........  ..............
                       to head.                                                                                 
61708....          3  Revise circulation   .........  .........  .........  .........  .........  ..............
                       to head.                                                                                 
61710....          3  Revise circulation   .........  .........  .........  .........  .........  ..............
                       to head.                                                                                 
61711....          3  Fusion of skull      .........  .........  .........  .........  .........  ..............
                       arteries.                                                                                
61712....          3  Skull or spine       .........  .........  .........  .........  .........  ..............
                       microsurgery.                                                                            
61720....          3  Incise skull/brain   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61735....          3  Incise skull/brain   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
61750....          3  Incise skull; brain  .........  .........  .........  .........  .........  ..............
                       biopsy.                                                                                  
61751....          3  Brain biopsy with    .........  .........  .........  .........  .........  ..............
                       cat scan.                                                                                
61760....          3  Implant brain        .........  .........  .........  .........  .........  ..............
                       electrodes.                                                                              
61770....          3  Incise skull for     .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
61790....          1  Treat trigeminal             3       $482        631       $600       1.19  ..............
                       nerve.                                                                                   
61791....          3  Treat trigeminal             3       $482  .........  .........  .........  Delete.       
                       tract.                                                                                   
61793....          3  Focus radiation      .........  .........  .........  .........  .........  ..............
                       beam.                                                                                    
61795....          3  Brain surgery using  .........  .........  .........  .........  .........  ..............
                       computer.                                                                                
61850....          3  Implant              .........  .........  .........  .........  .........  ..............
                       neuroelectrodes.                                                                         
61855....          3  Implant              .........  .........  .........  .........  .........  ..............
                       neuroelectrodes.                                                                         
61860....          3  Implant              .........  .........  .........  .........  .........  ..............
                       neuroelectrodes.                                                                         
61865....          3  Implant              .........  .........  .........  .........  .........  ..............
                       neuroelectrodes.                                                                         
61870....          3  Implant              .........  .........  .........  .........  .........  ..............
                       neuroelectrodes.                                                                         
61875....          3  Implant              .........  .........  .........  .........  .........  ..............
                       neuroelectrodes.                                                                         
61880....          3  Revise/remove        .........  .........  .........  .........  .........  ..............
                       neuroelectrode.                                                                          
61885....          1  Implant                      2       $422        618       $841       1.67  ..............
                       neuroreceiver.                                                                           
61888....          3  Revise/remove                1       $314  .........  .........  .........  Delete.       
                       neuroreceiver.                                                                           
62000....          3  Repair of skull      .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
62005....          3  Repair of skull      .........  .........  .........  .........  .........  ..............
                       fracture.                                                                                
62010....          3  Treatment of head    .........  .........  .........  .........  .........  ..............
                       injury.                                                                                  
62100....          3  Repair brain fluid   .........  .........  .........  .........  .........  ..............
                       leakage.                                                                                 
62115....          3  Reduction of skull   .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
62116....          3  Reduction of skull   .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
62117....          3  Reduction of skull   .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
62120....          3  Repair skull cavity  .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
62121....          3  Incise skull repair  .........  .........  .........  .........  .........  ..............
62140....          3  Repair of skull      .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
62141....          3  Repair of skull      .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
62142....          3  Remove skull plate/  .........  .........  .........  .........  .........  ..............
                       flap.                                                                                    
62143....          3  Replace skull plate/ .........  .........  .........  .........  .........  ..............
                       flap.                                                                                    
62145....          3  Repair of skull &    .........  .........  .........  .........  .........  ..............
                       brain.                                                                                   
62146....          3  Repair of skull      .........  .........  .........  .........  .........  ..............
                       with graft.                                                                              
62147....          3  Repair of skull      .........  .........  .........  .........  .........  ..............
                       with graft.                                                                              
62180....          3  Establish brain      .........  .........  .........  .........  .........  ..............
                       cavity shunt.                                                                            
62190....          3  Establish brain      .........  .........  .........  .........  .........  ..............
                       cavity shunt.                                                                            
62192....          3  Establish brain      .........  .........  .........  .........  .........  ..............
                       cavity shunt.                                                                            
62194....          1  Replace/irrigate             1       $314        602       $241       0.48  ..............
                       catheter.                                                                                
62200....          3  Establish brain      .........  .........  .........  .........  .........  ..............
                       cavity shunt.                                                                            
62201....          3  Establish brain      .........  .........  .........  .........  .........  ..............
                       cavity shunt.                                                                            
62220....          3  Establish brain      .........  .........  .........  .........  .........  ..............
                       cavity shunt.                                                                            
62223....          3  Establish brain      .........  .........  .........  .........  .........  ..............
                       cavity shunt.                                                                            
62225....          1  Replace/irrigate             1       $314        602       $241       0.48  ..............
                       catheter.                                                                                
62230....          1  Replace/revise               2       $422        617       $391       0.78  ..............
                       brain shunt.                                                                             
62256....          3  Remove brain cavity          2       $422  .........  .........  .........  Delete.       
                       shunt.                                                                                   
62258....          3  Replace brain        .........  .........  .........  .........  .........  ..............
                       cavity shunt.                                                                            
62268....          1  Drain spinal cord            1       $314        602       $241       0.48  ..............
                       cyst.                                                                                    
62269....          1  Needle biopsy                1       $314        122       $186       0.37  ..............
                       spinal cord.                                                                             
62270....          1  Spinal fluid tap,            1       $314        600       $101       0.20  ..............
                       diagnostic.                                                                              
62272....          1  Drain spinal fluid.          1       $314        600       $101       0.20  ..............
62273....          1  Treat lumbar spine           1       $314        602       $241       0.48  ..............
                       lesion.                                                                                  
62274....          1  Inject spinal                1       $314        602       $241       0.48  ..............
                       anesthetic.                                                                              
62275....          1  Inject spinal                1       $314        602       $241       0.48  ..............
                       anesthetic.                                                                              
62276....          1  Inject spinal                1       $314        602       $241       0.48  ..............
                       anesthetic.                                                                              
62277....          1  Inject spinal                1       $314        602       $241       0.48  ..............
                       anesthetic.                                                                              
62278....          1  Inject spinal                1       $314        602       $241       0.48  ..............
                       anesthetic.                                                                              
62279....          1  Inject spinal                1       $314        602       $241       0.48  ..............
                       anesthetic.                                                                              

[[Page 32389]]

                                                                                                                
62280....          1  Treat spinal cord            1       $314        602       $241       0.48  ..............
                       lesion.                                                                                  
62281....          1  Treat spinal cord    .........  .........        602       $241       0.48  Add.          
                       lesion.                                                                                  
62282....          1  Treat spinal canal           1       $314        602       $241       0.48  ..............
                       lesion.                                                                                  
62284....          2  Injection for        .........  .........  .........  .........  .........  ..............
                       myelogram.                                                                               
62287....          1  Percutaneous         .........  .........        631       $600       1.19  Add.          
                       diskectomy.                                                                              
62288....          1  Injection into               1       $314        602       $241       0.48  ..............
                       spinal canal.                                                                            
62289....          1  Injection into               1       $314        602       $241       0.48  ..............
                       spinal canal.                                                                            
62290....          2  Inject for spine     .........  .........  .........  .........  .........  ..............
                       disk x-ray.                                                                              
62291....          2  Inject for spine     .........  .........  .........  .........  .........  ..............
                       disk x-ray.                                                                              
62292....          1  Injection into disk  .........  .........        602       $241       0.48  Add.          
                       lesion.                                                                                  
62294....          1  Injection into               3       $482        602       $241       0.48  ..............
                       spinal artery.                                                                           
62298....          1  Injection into       .........  .........        602       $241       0.48  Add.          
                       spinal canal.                                                                            
62350....          1  Implant spinal               2       $422        617       $391       0.78  ..............
                       catheter.                                                                                
62351....          3  Implant spinal               2       $422  .........  .........  .........  Delete.       
                       catheter.                                                                                
62355....          1  Remove spinal canal  .........  .........        617       $391       0.78  Add.          
                       catheter.                                                                                
62360....          1  Insert spine                 2       $422        618       $841       1.67  ..............
                       infusion device.                                                                         
62361....          1  Implant spine                2       $422        618       $841       1.67  ..............
                       infusion pump.                                                                           
62362....          1  Implant spine                2       $422        618       $841       1.67  ..............
                       infusion pump.                                                                           
62365....          1  Remove spine                 2       $422        617       $391       0.78  ..............
                       infusion device.                                                                         
62367....          6  Analyze spine                2       $422  .........  .........  .........  Delete.       
                       infusion pump.                                                                           
62368....          6  Analyze spine                2       $422  .........  .........  .........  Delete.       
                       infusion pump.                                                                           
63001....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63003....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63005....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63011....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63012....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63015....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63016....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63017....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63020....          3  Neck spine disk      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
63030....          3  Low back disk        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
63035....          3  Added spinal disk    .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
63040....          3  Neck spine disk      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
63042....          3  Low back disk        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
63045....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63046....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63047....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63048....          3  Removal of spinal    .........  .........  .........  .........  .........  ..............
                       lamina.                                                                                  
63055....          3  Decompress spinal    .........  .........  .........  .........  .........  ..............
                       cord.                                                                                    
63056....          3  Decompress spinal    .........  .........  .........  .........  .........  ..............
                       cord.                                                                                    
63057....          3  Decompress spinal    .........  .........  .........  .........  .........  ..............
                       cord.                                                                                    
63064....          3  Decompress spinal    .........  .........  .........  .........  .........  ..............
                       cord.                                                                                    
63066....          3  Decompress spinal    .........  .........  .........  .........  .........  ..............
                       cord.                                                                                    
63075....          3  Neck spine disk      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
63076....          3  Neck spine disk      .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
63077....          3  Spine disk surgery,  .........  .........  .........  .........  .........  ..............
                       thorax.                                                                                  
63078....          3  Spine disk surgery,  .........  .........  .........  .........  .........  ..............
                       thorax.                                                                                  
63081....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63082....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63085....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63086....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63087....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63088....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63090....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63091....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63170....          3  Incise spinal cord   .........  .........  .........  .........  .........  ..............
                       tract(s).                                                                                
63172....          3  Drainage of spinal   .........  .........  .........  .........  .........  ..............
                       cyst.                                                                                    
63173....          3  Drainage of spinal   .........  .........  .........  .........  .........  ..............
                       cyst.                                                                                    
63180....          3  Revise spinal cord   .........  .........  .........  .........  .........  ..............
                       ligaments.                                                                               
63182....          3  Revise spinal cord   .........  .........  .........  .........  .........  ..............
                       ligaments.                                                                               
63185....          3  Incise spinal        .........  .........  .........  .........  .........  ..............
                       column/nerves.                                                                           
63190....          3  Incise spinal        .........  .........  .........  .........  .........  ..............
                       column/nerves.                                                                           
63191....          3  Incise spinal        .........  .........  .........  .........  .........  ..............
                       column/nerves.                                                                           
63194....          3  Incise spinal        .........  .........  .........  .........  .........  ..............
                       column & cord.                                                                           
63195....          3  Incise spinal        .........  .........  .........  .........  .........  ..............
                       column & cord.                                                                           
63196....          3  Incise spinal        .........  .........  .........  .........  .........  ..............
                       column & cord.                                                                           
63197....          3  Incise spinal        .........  .........  .........  .........  .........  ..............
                       column & cord.                                                                           
63198....          3  Incise spinal        .........  .........  .........  .........  .........  ..............
                       column & cord.                                                                           
63199....          3  Incise spinal        .........  .........  .........  .........  .........  ..............
                       column & cord.                                                                           
63200....          3  Release of spinal    .........  .........  .........  .........  .........  ..............
                       cord.                                                                                    
63250....          3  Revise spinal cord   .........  .........  .........  .........  .........  ..............
                       vessels.                                                                                 
63251....          3  Revise spinal cord   .........  .........  .........  .........  .........  ..............
                       vessels.                                                                                 
63252....          3  Revise spinal cord   .........  .........  .........  .........  .........  ..............
                       vessels.                                                                                 
63265....          3  Excise intraspinal   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  

[[Page 32390]]

                                                                                                                
63266....          3  Excise intraspinal   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
63267....          3  Excise intraspinal   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
63268....          3  Excise intraspinal   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
63270....          3  Excise intraspinal   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
63271....          3  Excise intraspinal   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
63272....          3  Excise intraspinal   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
63273....          3  Excise intraspinal   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
63275....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63276....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63277....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63278....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63280....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63281....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63282....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63283....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63285....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63286....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63287....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63290....          3  Biopsy/excise        .........  .........  .........  .........  .........  ..............
                       spinal tumor.                                                                            
63300....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63301....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63302....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63303....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63304....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63305....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63306....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63307....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63308....          3  Removal of           .........  .........  .........  .........  .........  ..............
                       vertebral body.                                                                          
63600....          1  Remove spinal cord           2       $422        631       $600       1.19  ..............
                       lesion.                                                                                  
63610....          1  Stimulation of               1       $314        631       $600       1.19  ..............
                       spinal cord.                                                                             
63615....          1  Remove lesion of     .........  .........        631       $600       1.19  Add.          
                       spinal cord.                                                                             
63650....          1  Implant                      2       $422        616       $391       0.78  ..............
                       neuroelectrodes.                                                                         
63655....          3  Implant              .........  .........  .........  .........  .........  ..............
                       neuroelectrodes.                                                                         
63660....          1  Revise/remove                1       $314        617       $391       0.78  ..............
                       neuroelectrode.                                                                          
63685....          1  Implant                      2       $422        618       $841       1.67  ..............
                       neuroreceiver.                                                                           
63688....          1  Revise/remove                1       $314        617       $391       0.78  ..............
                       neuroreceiver.                                                                           
63690....          6  Analysis of          .........  .........  .........  .........  .........  ..............
                       neuroreceiver.                                                                           
63691....          6  Analysis of          .........  .........  .........  .........  .........  ..............
                       neuroreceiver.                                                                           
63700....          3  Repair of spinal     .........  .........  .........  .........  .........  ..............
                       herniation.                                                                              
63702....          3  Repair of spinal     .........  .........  .........  .........  .........  ..............
                       herniation.                                                                              
63704....          3  Repair of spinal     .........  .........  .........  .........  .........  ..............
                       herniation.                                                                              
63706....          3  Repair of spinal     .........  .........  .........  .........  .........  ..............
                       herniation.                                                                              
63707....          3  Repair spinal fluid  .........  .........  .........  .........  .........  ..............
                       leakage.                                                                                 
63709....          3  Repair spinal fluid  .........  .........  .........  .........  .........  ..............
                       leakage.                                                                                 
63710....          3  Graft repair of      .........  .........  .........  .........  .........  ..............
                       spine defect.                                                                            
63740....          3  Install spinal       .........  .........  .........  .........  .........  ..............
                       shunt.                                                                                   
63741....          3  Install spinal       .........  .........  .........  .........  .........  ..............
                       shunt.                                                                                   
63744....          1  Revision of spinal           3       $482        617       $391       0.78  ..............
                       shunt.                                                                                   
63746....          1  Removal of spinal            2       $422        617       $391       0.78  ..............
                       shunt.                                                                                   
64400....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64402....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64405....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64408....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64410....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   
64412....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64413....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64415....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   
64417....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   
64418....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64420....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   
64421....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   
64425....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64430....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   
64435....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64440....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64441....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64442....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   
64443....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   
64445....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64450....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64505....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64508....          5  Injection for nerve  .........  .........  .........  .........  .........  ..............
                       block.                                                                                   
64510....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   
64520....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   

[[Page 32391]]

                                                                                                                
64530....          5  Injection for nerve          1       $314  .........  .........  .........  Delete.       
                       block.                                                                                   
64550....          6  Apply                .........  .........  .........  .........  .........  ..............
                       neurostimulator.                                                                         
64553....          1  Implant              .........  .........        616       $391       0.78  Add.          
                       neuroelectrodes.                                                                         
64555....          1  Implant              .........  .........        616       $391       0.78  Add.          
                       neuroelectrodes.                                                                         
64560....          1  Implant              .........  .........        616       $391       0.78  Add.          
                       neuroelectrodes.                                                                         
64565....          1  Implant              .........  .........        616       $391       0.78  Add.          
                       neuroelectrodes.                                                                         
64573....          1  Implant              .........  .........        616       $391       0.78  Add.          
                       neuroelectrodes.                                                                         
64575....          1  Implant                      1       $314        616       $391       0.78  ..............
                       neuroelectrodes.                                                                         
64577....          1  Implant              .........  .........        616       $391       0.78  Add.          
                       neuroelectrodes.                                                                         
64580....          1  Implant              .........  .........        616       $391       0.78  Add.          
                       neuroelectrodes.                                                                         
64585....          1  Revise/remove        .........  .........        617       $391       0.78  Add.          
                       neuroelectrode.                                                                          
64590....          1  Implant                      2       $422        618       $841       1.67  ..............
                       neuroreceiver.                                                                           
64595....          1  Revise/remove                1       $314        617       $391       0.78  ..............
                       neuroreceiver.                                                                           
64600....          5  Injection treatment          1       $314  .........  .........  .........  Delete.       
                       of nerve.                                                                                
64605....          5  Injection treatment          1       $314  .........  .........  .........  Delete.       
                       of nerve.                                                                                
64610....          5  Injection treatment          1       $314  .........  .........  .........  Delete.       
                       of nerve.                                                                                
64612....          5  Destroy nerve, face  .........  .........  .........  .........  .........  ..............
                       muscle.                                                                                  
64613....          5  Destroy nerve,       .........  .........  .........  .........  .........  ..............
                       spine muscle.                                                                            
64620....          5  Injection treatment          1       $314  .........  .........  .........  Delete.       
                       of nerve.                                                                                
64622....          5  Injection treatment          1       $314  .........  .........  .........  Delete.       
                       of nerve.                                                                                
64623....          5  Injection treatment          1       $314  .........  .........  .........  Delete.       
                       of nerve.                                                                                
64630....          5  Injection treatment          2       $422  .........  .........  .........  Delete.       
                       of nerve.                                                                                
64640....          5  Injection treatment  .........  .........  .........  .........  .........  ..............
                       of nerve.                                                                                
64680....          5  Injection treatment          2       $422  .........  .........  .........  Delete.       
                       of nerve.                                                                                
64702....          1  Revise finger/toe            1       $314        631       $600       1.19  ..............
                       nerve.                                                                                   
64704....          1  Revise hand/foot             1       $314        631       $600       1.19  ..............
                       nerve.                                                                                   
64708....          1  Revise arm/leg               2       $422        631       $600       1.19  ..............
                       nerve.                                                                                   
64712....          1  Revision of sciatic          2       $422        631       $600       1.19  ..............
                       nerve.                                                                                   
64713....          1  Revision of arm              2       $422        631       $600       1.19  ..............
                       nerve(s).                                                                                
64714....          1  Revise low back              2       $422        631       $600       1.19  ..............
                       nerve(s).                                                                                
64716....          1  Revision of cranial          3       $482        631       $600       1.19  ..............
                       nerve.                                                                                   
64718....          1  Revise ulnar nerve           2       $422        631       $600       1.19  ..............
                       at elbow.                                                                                
64719....          1  Revise ulnar nerve           2       $422        631       $600       1.19  ..............
                       at wrist.                                                                                
64721....          1  Carpal tunnel                2       $422        631       $600       1.19  ..............
                       surgery.                                                                                 
64722....          1  Relieve pressure on          1       $314        631       $600       1.19  ..............
                       nerve(s).                                                                                
64726....          1  Release foot/toe             1       $314        631       $600       1.19  ..............
                       nerve.                                                                                   
64727....          1  Internal nerve               1       $314        631       $600       1.19  ..............
                       revision.                                                                                
64732....          1  Incision of brow             2       $422        631       $600       1.19  ..............
                       nerve.                                                                                   
64734....          1  Incision of cheek            2       $422        631       $600       1.19  ..............
                       nerve.                                                                                   
64736....          1  Incision of chin             2       $422        631       $600       1.19  ..............
                       nerve.                                                                                   
64738....          1  Incision of jaw              2       $422        631       $600       1.19  ..............
                       nerve.                                                                                   
64740....          1  Incision of tongue           2       $422        631       $600       1.19  ..............
                       nerve.                                                                                   
64742....          1  Incision of facial           2       $422        631       $600       1.19  ..............
                       nerve.                                                                                   
64744....          1  Incise nerve, back           2       $422        631       $600       1.19  ..............
                       of head.                                                                                 
64746....          1  Incise diaphragm             2       $422        631       $600       1.19  ..............
                       nerve.                                                                                   
64752....          3  Incision of vagus    .........  .........  .........  .........  .........  ..............
                       nerve.                                                                                   
64755....          3  Incision of stomach  .........  .........  .........  .........  .........  ..............
                       nerves.                                                                                  
64760....          3  Incision of vagus    .........  .........  .........  .........  .........  ..............
                       nerve.                                                                                   
64761....          1  Incision of pelvis   .........  .........        631       $600       1.19  Add.          
                       nerve.                                                                                   
64763....          3  Incise hip/thigh     .........  .........  .........  .........  .........  ..............
                       nerve.                                                                                   
64766....          3  Incise hip/thigh     .........  .........  .........  .........  .........  ..............
                       nerve.                                                                                   
64771....          1  Sever cranial nerve          2       $422        631       $600       1.19  ..............
64772....          1  Incision of spinal           2       $422        631       $600       1.19  ..............
                       nerve.                                                                                   
64774....          1  Remove skin nerve            2       $422        631       $600       1.19  ..............
                       lesion.                                                                                  
64776....          1  Remove digit nerve           3       $482        631       $600       1.19  ..............
                       lesion.                                                                                  
64778....          1  Add.ed digit nerve           2       $422        631       $600       1.19  ..............
                       surgery.                                                                                 
64782....          1  Remove limb nerve            3       $482        631       $600       1.19  ..............
                       lesion.                                                                                  
64783....          1  Add.ed limb nerve            2       $422        631       $600       1.19  ..............
                       surgery.                                                                                 
64784....          1  Remove nerve lesion          3       $482        631       $600       1.19  ..............
64786....          1  Remove sciatic               3       $482        632       $666       1.32  ..............
                       nerve lesion.                                                                            
64787....          1  Implant nerve end..          2       $422        631       $600       1.19  ..............
64788....          1  Remove skin nerve            3       $482        631       $600       1.19  ..............
                       lesion.                                                                                  
64790....          1  Removal of nerve             3       $482        631       $600       1.19  ..............
                       lesion.                                                                                  
64792....          1  Removal of nerve             3       $482        632       $666       1.32  ..............
                       lesion.                                                                                  
64795....          1  Biopsy of nerve....          2       $422        631       $600       1.19  ..............
64802....          3  Remove sympathetic           2       $422  .........  .........  .........  Delete.       
                       nerves.                                                                                  
64804....          3  Remove sympathetic   .........  .........  .........  .........  .........  ..............
                       nerves.                                                                                  
64809....          3  Remove sympathetic   .........  .........  .........  .........  .........  ..............
                       nerves.                                                                                  
64818....          3  Remove sympathetic   .........  .........  .........  .........  .........  ..............
                       nerves.                                                                                  
64820....          3  Remove sympathetic   .........  .........  .........  .........  .........  ..............
                       nerves.                                                                                  
64830....          1  Microrepair of               5       $678        631       $600       1.19  ..............
                       nerve.                                                                                   
64831....          1  Repair of digit              4       $595        632       $666       1.32  ..............
                       nerve.                                                                                   
64832....          1  Repair additional            1       $314        632       $666       1.32  ..............
                       nerve.                                                                                   
64834....          1  Repair of hand or            2       $422        632       $666       1.32  ..............
                       foot nerve.                                                                              

[[Page 32392]]

                                                                                                                
64835....          1  Repair of hand or            3       $482        632       $666       1.32  ..............
                       foot nerve.                                                                              
64836....          1  Repair of hand or            3       $482        632       $666       1.32  ..............
                       foot nerve.                                                                              
64837....          1  Repair additional            1       $314        632       $666       1.32  ..............
                       nerve.                                                                                   
64840....          1  Repair of leg nerve          2       $422        632       $666       1.32  ..............
64856....          1  Repair/transpose             2       $422        632       $666       1.32  ..............
                       nerve.                                                                                   
64857....          1  Repair arm/leg               2       $422        632       $666       1.32  ..............
                       nerve.                                                                                   
64858....          1  Repair sciatic               2       $422        632       $666       1.32  ..............
                       nerve.                                                                                   
64859....          1  Add.itional nerve            1       $314        632       $666       1.32  ..............
                       surgery.                                                                                 
64861....          1  Repair of arm                3       $482        632       $666       1.32  ..............
                       nerves.                                                                                  
64862....          1  Repair of low back           3       $482        632       $666       1.32  ..............
                       nerves.                                                                                  
64864....          1  Repair of facial             3       $482        632       $666       1.32  ..............
                       nerve.                                                                                   
64865....          1  Repair of facial             4       $595        632       $666       1.32  ..............
                       nerve.                                                                                   
64866....          3  Fusion of facial/    .........  .........  .........  .........  .........  ..............
                       other nerve.                                                                             
64868....          3  Fusion of facial/    .........  .........  .........  .........  .........  ..............
                       other nerve.                                                                             
64870....          1  Fusion of facial/            4       $595        632       $666       1.32  ..............
                       other nerve.                                                                             
64872....          1  Subsequent repair            2       $422        632       $666       1.32  ..............
                       of nerve.                                                                                
64874....          1  Repair & revise              3       $482        632       $666       1.32  ..............
                       nerve.                                                                                   
64876....          1  Repair nerve;                3       $482        632       $666       1.32  ..............
                       shorten bone.                                                                            
64885....          1  Nerve graft, head    .........  .........        632       $666       1.32  Add.          
                       or neck.                                                                                 
64886....          1  Nerve graft, head    .........  .........        632       $666       1.32  Add.          
                       or neck.                                                                                 
64890....          1  Nerve graft, hand            2       $422        632       $666       1.32  ..............
                       or foot.                                                                                 
64891....          1  Nerve graft, hand            2       $422        632       $666       1.32  ..............
                       or foot.                                                                                 
64892....          1  Nerve graft, arm or          2       $422        632       $666       1.32  ..............
                       leg.                                                                                     
64893....          1  Nerve graft, arm or          2       $422        632       $666       1.32  ..............
                       leg.                                                                                     
64895....          1  Nerve graft, hand            3       $482        632       $666       1.32  ..............
                       or foot.                                                                                 
64896....          1  Nerve graft, hand            3       $482        632       $666       1.32  ..............
                       or foot.                                                                                 
64897....          1  Nerve graft, arm or          3       $482        632       $666       1.32  ..............
                       leg.                                                                                     
64898....          1  Nerve graft, arm or          3       $482        632       $666       1.32  ..............
                       leg.                                                                                     
64901....          1  Add.itional nerve            2       $422        632       $666       1.32  ..............
                       graft.                                                                                   
64902....          1  Add.itional nerve            2       $422        632       $666       1.32  ..............
                       graft.                                                                                   
64905....          1  Nerve pedicle                2       $422        632       $666       1.32  ..............
                       transfer.                                                                                
64907....          1  Nerve pedicle                1       $314        632       $666       1.32  ..............
                       transfer.                                                                                
64999....          3  Nervous system       .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
65091....          1  Revise eye.........          3       $482        684       $491       0.97  ..............
65093....          1  Revise eye with              3       $482        684       $491       0.97  ..............
                       implant.                                                                                 
65101....          1  Removal of eye.....          3       $482        684       $491       0.97  ..............
65103....          1  Remove eye/insert            3       $482        684       $491       0.97  ..............
                       implant.                                                                                 
65105....          1  Remove eye/attach            4       $595        684       $491       0.97  ..............
                       implant.                                                                                 
65110....          3  Removal of eye.....          5       $678  .........  .........  .........  Delete.       
65112....          3  Remove eye, revise           7       $941  .........  .........  .........  Delete.       
                       socket.                                                                                  
65114....          3  Remove eye, revise           7       $941  .........  .........  .........  Delete.       
                       socket.                                                                                  
65125....          5  Revise ocular        .........  .........  .........  .........  .........  ..............
                       implant.                                                                                 
65130....          1  Insert ocular                3       $482        684       $491       0.97  ..............
                       implant.                                                                                 
65135....          1  Insert ocular                2       $422        684       $491       0.97  ..............
                       implant.                                                                                 
65140....          1  Attach ocular                3       $482        684       $491       0.97  ..............
                       implant.                                                                                 
65150....          1  Revise ocular                2       $422        684       $491       0.97  ..............
                       implant.                                                                                 
65155....          1  Reinsert ocular              3       $482        684       $491       0.97  ..............
                       implant.                                                                                 
65175....          1  Removal of ocular            1       $314        683       $317       0.63  ..............
                       implant.                                                                                 
65205....          5  Remove foreign body  .........  .........  .........  .........  .........  ..............
                       from eye.                                                                                
65210....          5  Remove foreign body  .........  .........  .........  .........  .........  ..............
                       from eye.                                                                                
65220....          5  Remove foreign body  .........  .........  .........  .........  .........  ..............
                       from eye.                                                                                
65222....          5  Remove foreign body  .........  .........  .........  .........  .........  ..............
                       from eye.                                                                                
65235....          1  Remove foreign body          2       $422        652       $415       0.82  ..............
                       from eye.                                                                                
65260....          1  Remove foreign body          3       $482        676       $336       0.67  ..............
                       from eye.                                                                                
65265....          1  Remove foreign body          4       $595        676       $336       0.67  ..............
                       from eye.                                                                                
65270....          1  Repair of eye wound          2       $422        183       $465       0.92  ..............
65272....          1  Repair of eye wound          2       $422        651       $297       0.59  ..............
65273....          3  Repair of eye wound  .........  .........  .........  .........  .........  ..............
65275....          1  Repair of eye wound          4       $595        651       $297       0.59  ..............
65280....          1  Repair of eye wound          4       $595        652       $415       0.82  ..............
65285....          1  Repair of eye wound          4       $595        652       $415       0.82  ..............
65286....          1  Repair of eye wound  .........  .........        651       $297       0.59  Add.          
65290....          1  Repair of eye                3       $482        677       $523       1.04  ..............
                       socket wound.                                                                            
65400....          1  Removal of eye               1       $314        652       $415       0.82  ..............
                       lesion.                                                                                  
65410....          1  Biopsy of cornea...          2       $422        683       $317       0.63  ..............
65420....          1  Removal of eye               2       $422        651       $297       0.59  ..............
                       lesion.                                                                                  
65426....          1  Removal of eye               5       $678        652       $415       0.82  ..............
                       lesion.                                                                                  
65430....          5  Corneal smear......  .........  .........  .........  .........  .........  ..............
65435....          5  Curette/treat        .........  .........  .........  .........  .........  ..............
                       cornea.                                                                                  
65436....          1  Curette/treat        .........  .........        651       $297       0.59  Add.          
                       cornea.                                                                                  
65450....          1  Treatment of         .........  .........        651       $297       0.59  Add.          
                       corneal lesion.                                                                          
65600....          5  Revision of cornea.  .........  .........  .........  .........  .........  ..............
65710....          1  Corneal transplant.          7       $941        670     $1,648       3.27  ..............
65730....          1  Corneal transplant.          7       $941        670     $1,648       3.27  ..............

[[Page 32393]]

                                                                                                                
65750....          1  Corneal transplant.          7       $941        670     $1,648       3.27  ..............
65755....          1  Corneal transplant.          7       $941        670     $1,648       3.27  ..............
65760....          9  Revision of cornea.  .........  .........  .........  .........  .........  ..............
65765....          9  Revision of cornea.  .........  .........  .........  .........  .........  ..............
65767....          9  Corneal tissue       .........  .........  .........  .........  .........  ..............
                       transplant.                                                                              
65770....          1  Revise cornea with           7       $941        652       $415       0.82  ..............
                       implant.                                                                                 
65771....          9  Radial keratotomy..  .........  .........  .........  .........  .........  ..............
65772....          1  Correction of        .........  .........        651       $297       0.59  Add.          
                       astigmatism.                                                                             
65775....          1  Correction of        .........  .........        652       $415       0.82  Add.          
                       astigmatism.                                                                             
65800....          1  Drainage of eye....          1       $314        683       $317       0.63  ..............
65805....          1  Drainage of eye....          1       $314        683       $317       0.63  ..............
65810....          1  Drainage of eye....          3       $482        651       $297       0.59  ..............
65815....          1  Drainage of eye....          2       $422        651       $297       0.59  ..............
65820....          1  Relieve inner eye    .........  .........        651       $297       0.59  Add.          
                       pressure.                                                                                
65850....          1  Incision of eye....          4       $595        652       $415       0.82  ..............
65855....          1  Laser surgery of     .........  .........        649       $274       0.54  Add.          
                       eye.                                                                                     
65860....          1  Incise inner eye     .........  .........        649       $274       0.54  Add.          
                       adhesions.                                                                               
65865....          1  Incise inner eye             1       $314        652       $415       0.82  ..............
                       adhesions.                                                                               
65870....          1  Incise inner eye             4       $595        652       $415       0.82  ..............
                       adhesions.                                                                               
65875....          1  Incise inner eye             4       $595        652       $415       0.82  ..............
                       adhesions.                                                                               
65880....          1  Incise inner eye             4       $595        652       $415       0.82  ..............
                       adhesions.                                                                               
65900....          1  Remove eye lesion..          5       $678        652       $415       0.82  ..............
65920....          1  Remove implant from          7       $941        652       $415       0.82  ..............
                       eye.                                                                                     
65930....          1  Remove blood clot            5       $678        652       $415       0.82  ..............
                       from eye.                                                                                
66020....          1  Injection treatment          1       $314        683       $317       0.63  ..............
                       of eye.                                                                                  
66030....          1  Injection treatment          1       $314        683       $317       0.63  ..............
                       of eye.                                                                                  
66130....          1  Remove eye lesion..          7       $941        651       $297       0.59  ..............
66150....          1  Glaucoma surgery...          4       $595        652       $415       0.82  ..............
66155....          1  Glaucoma surgery...          4       $595        652       $415       0.82  ..............
66160....          1  Glaucoma surgery...          2       $422        652       $415       0.82  ..............
66165....          1  Glaucoma surgery...          4       $595        652       $415       0.82  ..............
66170....          1  Glaucoma surgery...          4       $595        652       $415       0.82  ..............
66172....          1  Incision of eye....          4       $595        652       $415       0.82  ..............
66180....          1  Implant eye shunt..          5       $678        652       $415       0.82  ..............
66185....          1  Revise eye shunt...          2       $422        652       $415       0.82  ..............
66220....          1  Repair eye lesion..          3       $482        676       $336       0.67  ..............
66225....          1  Repair/graft eye             4       $595        652       $415       0.82  ..............
                       lesion.                                                                                  
66250....          1  Follow-up surgery            2       $422        652       $415       0.82  ..............
                       of eye.                                                                                  
66500....          1  Incision of iris...          1       $314        651       $297       0.59  ..............
66505....          1  Incision of iris...          1       $314        651       $297       0.59  ..............
66600....          1  Remove iris and              3       $482        651       $297       0.59  ..............
                       lesion.                                                                                  
66605....          1  Removal of iris....          3       $482        652       $415       0.82  ..............
66625....          1  Removal of iris....          3       $482        651       $297       0.59  ..............
66630....          1  Removal of iris....          3       $482        651       $297       0.59  ..............
66635....          1  Removal of iris....          3       $482        652       $415       0.82  ..............
66680....          1  Repair iris &                3       $482        652       $415       0.82  ..............
                       ciliary body.                                                                            
66682....          1  Repair iris and              2       $422        652       $415       0.82  ..............
                       ciliary body.                                                                            
66700....          1  Destruction,                 2       $422        651       $297       0.59  ..............
                       ciliary body.                                                                            
66710....          1  Destruction,                 2       $422        651       $297       0.59  ..............
                       ciliary body.                                                                            
66720....          1  Destruction,                 2       $422        651       $297       0.59  ..............
                       ciliary body.                                                                            
66740....          1  Destruction,                 2       $422        652       $415       0.82  ..............
                       ciliary body.                                                                            
66761....          1  Revision of iris...  .........  .........        649       $274       0.54  Add.          
66762....          1  Revision of iris...  .........  .........        649       $274       0.54  Add.          
66770....          1  Removal of inner     .........  .........        649       $274       0.54  Add.          
                       eye lesion.                                                                              
66820....          1  Incision, secondary  .........  .........        651       $297       0.59  Add.          
                       cataract.                                                                                
66821....          1  After cataract               2       $422        649       $274       0.54  ..............
                       laser surgery.                                                                           
66825....          1  Reposition           .........  .........        651       $297       0.59  Add.          
                       intraocular lens.                                                                        
66830....          1  Removal of lens              4       $595        652       $415       0.82  ..............
                       lesion.                                                                                  
66840....          1  Removal of lens              4       $595        667       $661       1.31  ..............
                       material.                                                                                
66850....          1  Removal of lens              7       $941        667       $661       1.31  ..............
                       material.                                                                                
66852....          1  Removal of lens              4       $595        667       $661       1.31  ..............
                       material.                                                                                
66920....          1  Extraction of lens.          4       $595        667       $661       1.31  ..............
66930....          1  Extraction of lens.          5       $678        667       $661       1.31  ..............
66940....          1  Extraction of lens.          5       $678        667       $661       1.31  ..............
66983....          1  Remove cataract,             8       $928        668       $863       1.71  ..............
                       insert lens.                                                                             
66984....          1  Remove cataract,             8       $928        668       $863       1.71  ..............
                       insert lens.                                                                             
66985....          1  Insert lens                  6       $789        668       $863       1.71  ..............
                       prosthesis.                                                                              
66986....          1  Exchange lens                6       $789        668       $863       1.71  ..............
                       prosthesis.                                                                              
66999....          3  Eye surgery          .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
67005....          1  Partial removal of           4       $595        676       $336       0.67  ..............
                       eye fluid.                                                                               
67010....          1  Partial removal of           4       $595        676       $336       0.67  ..............
                       eye fluid.                                                                               
67015....          1  Release of eye               1       $314        676       $336       0.67  ..............
                       fluid.                                                                                   
67025....          1  Replace eye fluid..          1       $314        683       $317       0.63  ..............
67027....          1  Implant eye drug     .........  .........  .........  .........  .........  Add.          
                       system.                                                                                  

[[Page 32394]]

                                                                                                                
67028....          5  Injection eye drug.  .........  .........  .........  .........  .........  ..............
67030....          1  Incise inner eye             1       $314        676       $336       0.67  ..............
                       strands.                                                                                 
67031....          1  Laser surgery, eye           2       $422        649       $274       0.54  ..............
                       strands.                                                                                 
67036....          1  Removal of inner             4       $595        690       $983       1.95  ..............
                       eye fluid.                                                                               
67038....          1  Strip retinal                5       $678        690       $983       1.95  ..............
                       membrane.                                                                                
67039....          1  Laser treatment of           7       $941        690       $983       1.95  ..............
                       retina.                                                                                  
67040....          1  Laser treatment of           7       $941        690       $983       1.95  ..............
                       retina.                                                                                  
67101....          1  Repair, detached     .........  .........        676       $336       0.67  Add.          
                       retina.                                                                                  
67105....          5  Repair, detached     .........  .........  .........  .........  .........  ..............
                       retina.                                                                                  
67107....          1  Repair detached              5       $678        690       $983       1.95  ..............
                       retina.                                                                                  
67108....          1  Repair detached              7       $941        690       $983       1.95  ..............
                       retina.                                                                                  
67110....          1  Repair detached      .........  .........        676       $336       0.67  Add.          
                       retina.                                                                                  
67112....          1  Re-repair detached           7       $941        690       $983       1.95  ..............
                       retina.                                                                                  
67115....          1  Release, encircling          2       $422        676       $336       0.67  ..............
                       material.                                                                                
67120....          1  Remove eye implant           2       $422        676       $336       0.67  ..............
                       material.                                                                                
67121....          1  Remove eye implant           2       $422        676       $336       0.67  ..............
                       material.                                                                                
67141....          1  Treatment of retina          2       $422        676       $336       0.67  ..............
67145....          5  Treatment of retina  .........  .........  .........  .........  .........  ..............
67208....          1  Treatment of         .........  .........        676       $336       0.67  Add.          
                       retinal lesion.                                                                          
67210....          5  Treatment of         .........  .........  .........  .........  .........  ..............
                       retinal lesion.                                                                          
67218....          1  Treatment of                 5       $678        676       $336       0.67  ..............
                       retinal lesion.                                                                          
67227....          1  Treatment of                 1       $314        676       $336       0.67  ..............
                       retinal lesion.                                                                          
67228....          5  Treatment of         .........  .........  .........  .........  .........  ..............
                       retinal lesion.                                                                          
67250....          1  Reinforce eye wall.          3       $482        684       $491       0.97  ..............
67255....          1  Reinforce/graft eye          3       $482        684       $491       0.97  ..............
                       wall.                                                                                    
67299....          3  Eye surgery          .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
67311....          1  Revise eye muscle..          3       $482        677       $523       1.04  ..............
67312....          1  Revise two eye               4       $595        677       $523       1.04  ..............
                       muscles.                                                                                 
67314....          1  Revise eye muscle..          4       $595        677       $523       1.04  ..............
67316....          1  Revise two eye               4       $595        677       $523       1.04  ..............
                       muscles.                                                                                 
67318....          1  Revise eye                   4       $595        677       $523       1.04  ..............
                       muscle(s).                                                                               
67320....          1  Revise eye                   4       $595        677       $523       1.04  ..............
                       muscle(s).                                                                               
67331....          1  Eye surgery follow-          4       $595        677       $523       1.04  ..............
                       up.                                                                                      
67332....          1  Rerevise eye                 4       $595        677       $523       1.04  ..............
                       muscles.                                                                                 
67334....          1  Revise eye muscle w/ .........  .........        677       $523       1.04  Add.          
                       suture.                                                                                  
67335....          1  Eye suture during    .........  .........        677       $523       1.04  Add.          
                       surgery.                                                                                 
67340....          1  Revise eye muscle..          4       $595        677       $523       1.04  ..............
67343....          1  Release eye tissue.  .........  .........        677       $523       1.04  Add.          
67345....          5  Destroy nerve of     .........  .........  .........  .........  .........  ..............
                       eye muscle.                                                                              
67350....          1  Biopsy eye muscle..          1       $314        162       $187       0.37  ..............
67399....          3  Eye muscle surgery   .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
67400....          1  Explore/biopsy eye           3       $482        684       $491       0.97  ..............
                       socket.                                                                                  
67405....          1  Explore/drain eye            4       $595        684       $491       0.97  ..............
                       socket.                                                                                  
67412....          1  Explore/treat eye            5       $678        684       $491       0.97  ..............
                       socket.                                                                                  
67413....          1  Explore/treat eye            5       $678        684       $491       0.97  ..............
                       socket.                                                                                  
67414....          3  Explore/decompress   .........  .........  .........  .........  .........  ..............
                       eye socke.                                                                               
67415....          1  Aspiration orbital           1       $314        122       $186       0.37  ..............
                       contents.                                                                                
67420....          1  Explore/treat eye            5       $678        232       $814       1.62  ..............
                       socket.                                                                                  
67430....          1  Explore/treat eye            5       $678        232       $814       1.62  ..............
                       socket.                                                                                  
67440....          1  Explore/drain eye            5       $678        232       $814       1.62  ..............
                       socket.                                                                                  
67445....          3  Explore/decompress   .........  .........  .........  .........  .........  ..............
                       eye socke.                                                                               
67450....          1  Explore/biopsy eye           5       $678        232       $814       1.62  ..............
                       socket.                                                                                  
67500....          5  Inject/treat eye     .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
67505....          5  Inject/treat eye     .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
67515....          5  Inject/treat eye     .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
67550....          1  Insert eye socket            4       $595        684       $491       0.97  ..............
                       implant.                                                                                 
67560....          1  Revise eye socket            2       $422        684       $491       0.97  ..............
                       implant.                                                                                 
67570....          3  Decompress optic     .........  .........  .........  .........  .........  ..............
                       nerve.                                                                                   
67599....          3  Orbit surgery        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
67700....          5  Drainage of eyelid   .........  .........  .........  .........  .........  ..............
                       abscess.                                                                                 
67710....          5  Incision of eyelid.  .........  .........  .........  .........  .........  ..............
67715....          1  Incision of eyelid           1       $314        683       $317       0.63  ..............
                       fold.                                                                                    
67800....          5  Remove eyelid        .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
67801....          5  Remove eyelid        .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
67805....          5  Remove eyelid        .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
67808....          1  Remove eyelid                2       $422        684       $491       0.97  ..............
                       lesion(s).                                                                               
67810....          5  Biopsy of eyelid...  .........  .........  .........  .........  .........  ..............
67820....          5  Revise eyelashes...  .........  .........  .........  .........  .........  ..............
67825....          5  Revise eyelashes...  .........  .........  .........  .........  .........  ..............
67830....          1  Revise eyelashes...          2       $422        683       $317       0.63  ..............
67835....          1  Revise eyelashes...          2       $422        684       $491       0.97  ..............
67840....          5  Remove eyelid        .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
67850....          5  Treat eyelid lesion  .........  .........  .........  .........  .........  ..............
67875....          5  Closure of eyelid    .........  .........  .........  .........  .........  ..............
                       by suture.                                                                               

[[Page 32395]]

                                                                                                                
67880....          1  Revision of eyelid.          3       $482        683       $317       0.63  ..............
67882....          1  Revision of eyelid.          3       $482        684       $491       0.97  ..............
67900....          1  Repair brow defect.  .........  .........        684       $491       0.97  Add.          
67901....          1  Repair eyelid                5       $678        684       $491       0.97  ..............
                       defect.                                                                                  
67902....          1  Repair eyelid                5       $678        684       $491       0.97  ..............
                       defect.                                                                                  
67903....          1  Repair eyelid                4       $595        684       $491       0.97  ..............
                       defect.                                                                                  
67904....          1  Repair eyelid                4       $595        684       $491       0.97  ..............
                       defect.                                                                                  
67906....          1  Repair eyelid                5       $678        684       $491       0.97  ..............
                       defect.                                                                                  
67908....          1  Repair eyelid                4       $595        684       $491       0.97  ..............
                       defect.                                                                                  
67909....          1  Revise eyelid                4       $595        684       $491       0.97  ..............
                       defect.                                                                                  
67911....          1  Revise eyelid                3       $482        684       $491       0.97  ..............
                       defect.                                                                                  
67914....          1  Repair eyelid                3       $482        684       $491       0.97  ..............
                       defect.                                                                                  
67915....          5  Repair eyelid        .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
67916....          1  Repair eyelid                4       $595        684       $491       0.97  ..............
                       defect.                                                                                  
67917....          1  Repair eyelid                4       $595        684       $491       0.97  ..............
                       defect.                                                                                  
67921....          1  Repair eyelid                3       $482        684       $491       0.97  ..............
                       defect.                                                                                  
67922....          5  Repair eyelid        .........  .........  .........  .........  .........  ..............
                       defect.                                                                                  
67923....          1  Repair eyelid                4       $595        684       $491       0.97  ..............
                       defect.                                                                                  
67924....          1  Repair eyelid                4       $595        684       $491       0.97  ..............
                       defect.                                                                                  
67930....          5  Repair eyelid wound  .........  .........  .........  .........  .........  ..............
67935....          1  Repair eyelid wound          2       $422        683       $317       0.63  ..............
67938....          5  Remove eyelid        .........  .........  .........  .........  .........  ..............
                       foreign body.                                                                            
67950....          1  Revision of eyelid.          2       $422        684       $491       0.97  ..............
67961....          1  Revision of eyelid.          3       $482        684       $491       0.97  ..............
67966....          1  Revision of eyelid.          3       $482        684       $491       0.97  ..............
67971....          1  Reconstruction of            3       $482        684       $491       0.97  ..............
                       eyelid.                                                                                  
67973....          1  Reconstruction of            3       $482        684       $491       0.97  ..............
                       eyelid.                                                                                  
67974....          1  Reconstruction of            3       $482        684       $491       0.97  ..............
                       eyelid.                                                                                  
67975....          1  Reconstruction of            3       $482        684       $491       0.97  ..............
                       eyelid.                                                                                  
67999....          3  Revision of eyelid.  .........  .........  .........  .........  .........  ..............
68020....          5  Incise/drain eyelid  .........  .........  .........  .........  .........  ..............
                       lining.                                                                                  
68040....          5  Treatment of eyelid  .........  .........  .........  .........  .........  ..............
                       lesions.                                                                                 
68100....          1  Biopsy of eyelid     .........  .........        162       $187       0.37  Add.          
                       lining.                                                                                  
68110....          1  Remove eyelid        .........  .........        162       $187       0.37  Add.          
                       lining lesion.                                                                           
68115....          1  Remove eyelid        .........  .........        162       $187       0.37  Add.          
                       lining lesion.                                                                           
68130....          1  Remove eyelid                2       $422        652       $415       0.82  ..............
                       lining lesion.                                                                           
68135....          1  Remove eyelid        .........  .........        162       $187       0.37  Add.          
                       lining lesion.                                                                           
68200....          5  Treat eyelid by      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
68320....          1  Revise/graft eyelid          4       $595        684       $491       0.97  ..............
                       lining.                                                                                  
68325....          1  Revise/graft eyelid          4       $595        684       $491       0.97  ..............
                       lining.                                                                                  
68326....          1  Revise/graft eyelid          4       $595        684       $491       0.97  ..............
                       lining.                                                                                  
68328....          1  Revise/graft eyelid          4       $595        684       $491       0.97  ..............
                       lining.                                                                                  
68330....          1  Revise eyelid                4       $595        652       $415       0.82  ..............
                       lining.                                                                                  
68335....          1  Revise/graft eyelid          4       $595        684       $491       0.97  ..............
                       lining.                                                                                  
68340....          1  Separate eyelid              4       $595        684       $491       0.97  ..............
                       adhesions.                                                                               
68360....          1  Revise eyelid                2       $422        652       $415       0.82  ..............
                       lining.                                                                                  
68362....          1  Revise eyelid                2       $422        652       $415       0.82  ..............
                       lining.                                                                                  
68399....          3  Eyelid lining        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
68400....          5  Incise/drain tear    .........  .........  .........  .........  .........  ..............
                       gland.                                                                                   
68420....          5  Incise/drain tear    .........  .........  .........  .........  .........  ..............
                       sac.                                                                                     
68440....          5  Incise tear duct     .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
68500....          1  Removal of tear              3       $482        684       $491       0.97  ..............
                       gland.                                                                                   
68505....          1  Partial removal              3       $482        684       $491       0.97  ..............
                       tear gland.                                                                              
68510....          1  Biopsy of tear               1       $314        683       $317       0.63  ..............
                       gland.                                                                                   
68520....          1  Removal of tear sac          3       $482        684       $491       0.97  ..............
68525....          1  Biopsy of tear sac.          1       $314        683       $317       0.63  ..............
68530....          5  Clearance of tear    .........  .........  .........  .........  .........  ..............
                       duct.                                                                                    
68540....          1  Remove tear gland            3       $482        684       $491       0.97  ..............
                       lesion.                                                                                  
68550....          1  Remove tear gland            3       $482        684       $491       0.97  ..............
                       lesion.                                                                                  
68700....          1  Repair tear ducts..          2       $422        684       $491       0.97  ..............
68705....          5  Revise tear duct     .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
68720....          1  Create tear sac              4       $595        684       $491       0.97  ..............
                       drain.                                                                                   
68745....          1  Create tear duct             4       $595        684       $491       0.97  ..............
                       drain.                                                                                   
68750....          1  Create tear duct             4       $595        684       $491       0.97  ..............
                       drain.                                                                                   
68760....          5  Close tear duct      .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
68761....          5  Close tear duct      .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
68770....          1  Close tear system    .........  .........        684       $491       0.97  Add.          
                       fistula.                                                                                 
68801....          5  Dilate tear duct     .........  .........  .........  .........  .........  ..............
                       opening.                                                                                 
68810....          1  Probe nasolacrimal           1       $314        683       $317       0.63  ..............
                       duct.                                                                                    
68811....          1  Probe nasolacrimal           2       $422        684       $491       0.97  ..............
                       duct.                                                                                    
68815....          1  Probe nasolacrimal           2       $422        684       $491       0.97  ..............
                       duct.                                                                                    
68840....          5  Explore/irrigate     .........  .........  .........  .........  .........  ..............
                       tear ducts.                                                                              
68850....          2  Injection for tear   .........  .........  .........  .........  .........  ..............
                       sac x-ray.                                                                               
68899....          3  Tear duct system     .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 

[[Page 32396]]

                                                                                                                
69000....          5  Drain external ear   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
69005....          5  Drain external ear   .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
69020....          5  Drain outer ear      .........  .........  .........  .........  .........  ..............
                       canal lesion.                                                                            
69090....          9  Pierce earlobes....  .........  .........  .........  .........  .........  ..............
69100....          5  Biopsy of external   .........  .........  .........  .........  .........  ..............
                       ear.                                                                                     
69105....          5  Biopsy of external   .........  .........  .........  .........  .........  ..............
                       ear canal.                                                                               
69110....          1  Partial removal              1       $314        163       $449       0.89  ..............
                       external ear.                                                                            
69120....          1  Removal of external          2       $422        313       $537       1.07  ..............
                       ear.                                                                                     
69140....          1  Remove ear canal             2       $422        313       $537       1.07  ..............
                       lesion(s).                                                                               
69145....          1  Remove ear canal             2       $422        163       $449       0.89  ..............
                       lesion(s).                                                                               
69150....          1  Extensive ear canal          3       $482        314       $946       1.88  ..............
                       surgery.                                                                                 
69155....          3  Extensive ear/neck   .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
69200....          5  Clear outer ear      .........  .........  .........  .........  .........  ..............
                       canal.                                                                                   
69205....          1  Clear outer ear              1       $314        163       $449       0.89  ..............
                       canal.                                                                                   
69210....          5  Remove impacted ear  .........  .........  .........  .........  .........  ..............
                       wax.                                                                                     
69220....          5  Clean out mastoid    .........  .........  .........  .........  .........  ..............
                       cavity.                                                                                  
69222....          5  Clean out mastoid    .........  .........  .........  .........  .........  ..............
                       cavity.                                                                                  
69300....          7  Revise external ear  .........  .........        313       $537       1.07  Add.          
69310....          1  Rebuild outer ear            3       $482        314       $946       1.88  ..............
                       canal.                                                                                   
69320....          1  Rebuild outer ear            7       $941        314       $946       1.88  ..............
                       canal.                                                                                   
69399....          3  Outer ear surgery    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
69400....          5  Inflate middle ear   .........  .........  .........  .........  .........  ..............
                       canal.                                                                                   
69401....          5  Inflate middle ear   .........  .........  .........  .........  .........  ..............
                       canal.                                                                                   
69405....          5  Catheterize middle   .........  .........  .........  .........  .........  ..............
                       ear canal.                                                                               
69410....          5  Inset middle ear     .........  .........  .........  .........  .........  ..............
                       baffle.                                                                                  
69420....          5  Incision of eardrum  .........  .........  .........  .........  .........  ..............
69421....          1  Incision of eardrum          3       $482        312       $233       0.46  ..............
69424....          5  Remove ventilating           1       $314  .........  .........  .........  Delete.       
                       tube.                                                                                    
69433....          1  Create eardrum       .........  .........        312       $233       0.46  Add.          
                       opening.                                                                                 
69436....          1  Create eardrum               3       $482        312       $233       0.46  ..............
                       opening.                                                                                 
69440....          1  Exploration of               3       $482        313       $537       1.07  ..............
                       middle ear.                                                                              
69450....          1  Eardrum revision...          1       $314        313       $537       1.07  ..............
69501....          1  Mastoidectomy......          7       $941        314       $946       1.88  ..............
69502....          1  Mastoidectomy......          7       $941        314       $946       1.88  ..............
69505....          1  Remove mastoid               7       $941        314       $946       1.88  ..............
                       structures.                                                                              
69511....          1  Extensive mastoid            7       $941        314       $946       1.88  ..............
                       surgery.                                                                                 
69530....          1  Extensive mastoid            7       $941        314       $946       1.88  ..............
                       surgery.                                                                                 
69535....          3  Remove part of       .........  .........  .........  .........  .........  ..............
                       temporal bone.                                                                           
69540....          5  Remove ear lesion..  .........  .........  .........  .........  .........  ..............
69550....          1  Remove ear lesion..          5       $678        314       $946       1.88  ..............
69552....          1  Remove ear lesion..          7       $941        314       $946       1.88  ..............
69554....          3  Remove ear lesion..  .........  .........  .........  .........  .........  ..............
69601....          1  Mastoid surgery              7       $941        314       $946       1.88  ..............
                       revision.                                                                                
69602....          1  Mastoid surgery              7       $941        314       $946       1.88  ..............
                       revision.                                                                                
69603....          1  Mastoid surgery              7       $941        314       $946       1.88  ..............
                       revision.                                                                                
69604....          1  Mastoid surgery              7       $941        314       $946       1.88  ..............
                       revision.                                                                                
69605....          1  Mastoid surgery              7       $941        314       $946       1.88  ..............
                       revision.                                                                                
69610....          5  Repair of eardrum..  .........  .........  .........  .........  .........  ..............
69620....          1  Repair of eardrum..          2       $422        313       $537       1.07  ..............
69631....          1  Repair eardrum               5       $678        314       $946       1.88  ..............
                       structures.                                                                              
69632....          1  Rebuild eardrum              5       $678        314       $946       1.88  ..............
                       structures.                                                                              
69633....          1  Rebuild eardrum              5       $678        314       $946       1.88  ..............
                       structures.                                                                              
69635....          1  Repair eardrum               7       $941        314       $946       1.88  ..............
                       structures.                                                                              
69636....          1  Rebuild eardrum              7       $941        314       $946       1.88  ..............
                       structures.                                                                              
69637....          1  Rebuild eardrum              7       $941        314       $946       1.88  ..............
                       structures.                                                                              
69641....          1  Revise middle ear &          7       $941        314       $946       1.88  ..............
                       mastoid.                                                                                 
69642....          1  Revise middle ear &          7       $941        314       $946       1.88  ..............
                       mastoid.                                                                                 
69643....          1  Revise middle ear &          7       $941        314       $946       1.88  ..............
                       mastoid.                                                                                 
69644....          1  Revise middle ear &          7       $941        314       $946       1.88  ..............
                       mastoid.                                                                                 
69645....          1  Revise middle ear &          7       $941        314       $946       1.88  ..............
                       mastoid.                                                                                 
69646....          1  Revise middle ear &          7       $941        314       $946       1.88  ..............
                       mastoid.                                                                                 
69650....          1  Release middle ear           7       $941        314       $946       1.88  ..............
                       bone.                                                                                    
69660....          1  Revise middle ear            5       $678        314       $946       1.88  ..............
                       bone.                                                                                    
69661....          1  Revise middle ear            5       $678        314       $946       1.88  ..............
                       bone.                                                                                    
69662....          1  Revise middle ear            5       $678        314       $946       1.88  ..............
                       bone.                                                                                    
69666....          1  Repair middle ear            4       $595        314       $946       1.88  ..............
                       structures.                                                                              
69667....          1  Repair middle ear            4       $595        314       $946       1.88  ..............
                       structures.                                                                              
69670....          1  Remove mastoid air           3       $482        314       $946       1.88  ..............
                       cells.                                                                                   
69676....          1  Remove middle ear            3       $482        314       $946       1.88  ..............
                       nerve.                                                                                   
69700....          1  Close mastoid                3       $482        314       $946       1.88  ..............
                       fistula.                                                                                 
69710....          9  Implant/replace              3       $482  .........  .........  .........  Delete.       
                       hearing aid.                                                                             
69711....          1  Remove/repair                1       $314        314       $946       1.88  ..............
                       hearing aid.                                                                             
69720....          1  Release facial               5       $678        314       $946       1.88  ..............
                       nerve.                                                                                   
69725....          1  Release facial               5       $678        314       $946       1.88  ..............
                       nerve.                                                                                   

[[Page 32397]]

                                                                                                                
69740....          1  Repair facial nerve          5       $678        314       $946       1.88  ..............
69745....          1  Repair facial nerve          5       $678        314       $946       1.88  ..............
69799....          3  Middle ear surgery   .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
69801....          1  Incise inner ear...          5       $678        314       $946       1.88  ..............
69802....          1  Incise inner ear...          7       $941        314       $946       1.88  ..............
69805....          1  Explore inner ear..          7       $941        314       $946       1.88  ..............
69806....          1  Explore inner ear..          7       $941        314       $946       1.88  ..............
69820....          1  Establish inner ear          5       $678        314       $946       1.88  ..............
                       window.                                                                                  
69840....          1  Revise inner ear             5       $678        314       $946       1.88  ..............
                       window.                                                                                  
69905....          1  Remove inner ear...          7       $941        314       $946       1.88  ..............
69910....          1  Remove inner ear &           7       $941        314       $946       1.88  ..............
                       mastoid.                                                                                 
69915....          1  Incise inner ear             7       $941        314       $946       1.88  ..............
                       nerve.                                                                                   
69930....          1  Implant cochlear             7       $941        317       $962       1.91  ..............
                       device.                                                                                  
69949....          3  Inner ear surgery    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
69950....          3  Incise inner ear     .........  .........  .........  .........  .........  ..............
                       nerve.                                                                                   
69955....          3  Release facial       .........  .........  .........  .........  .........  ..............
                       nerve.                                                                                   
69960....          3  Release inner ear    .........  .........  .........  .........  .........  ..............
                       canal.                                                                                   
69970....          3  Remove inner ear     .........  .........  .........  .........  .........  ..............
                       lesion.                                                                                  
69979....          3  Temporal bone        .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
70010....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       brain.                                                                                   
70015....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       brain.                                                                                   
70030....          6  X-ray eye for        .........  .........  .........  .........  .........  ..............
                       foreign body.                                                                            
70100....          6  X-ray exam of jaw..  .........  .........  .........  .........  .........  ..............
70110....          6  X-ray exam of jaw..  .........  .........  .........  .........  .........  ..............
70120....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       mastoids.                                                                                
70130....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       mastoids.                                                                                
70134....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       middle ear.                                                                              
70140....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       facial bones.                                                                            
70150....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       facial bones.                                                                            
70160....          6  X-ray exam of nasal  .........  .........  .........  .........  .........  ..............
                       bones.                                                                                   
70170....          6  X-ray exam of tear   .........  .........  .........  .........  .........  ..............
                       duct.                                                                                    
70190....          6  X-ray exam of eye    .........  .........  .........  .........  .........  ..............
                       sockets.                                                                                 
70200....          6  X-ray exam of eye    .........  .........  .........  .........  .........  ..............
                       sockets.                                                                                 
70210....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       sinuses.                                                                                 
70220....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       sinuses.                                                                                 
70240....          6  X-ray exam           .........  .........  .........  .........  .........  ..............
                       pituitary saddle.                                                                        
70250....          6  X-ray exam of skull  .........  .........  .........  .........  .........  ..............
70260....          6  X-ray exam of skull  .........  .........  .........  .........  .........  ..............
70300....          6  X-ray exam of teeth  .........  .........  .........  .........  .........  ..............
70310....          6  X-ray exam of teeth  .........  .........  .........  .........  .........  ..............
70320....          6  Full mouth x-ray of  .........  .........  .........  .........  .........  ..............
                       teeth.                                                                                   
70328....          6  X-ray exam of jaw    .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
70330....          6  X-ray exam of jaw    .........  .........  .........  .........  .........  ..............
                       joints.                                                                                  
70332....          6  X-ray exam of jaw    .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
70336....          6  Magnetic image jaw   .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
70350....          6  X-ray head for       .........  .........  .........  .........  .........  ..............
                       orthodontia.                                                                             
70355....          6  Panoramic x-ray of   .........  .........  .........  .........  .........  ..............
                       jaws.                                                                                    
70360....          6  X-ray exam of neck.  .........  .........  .........  .........  .........  ..............
70370....          6  Throat x-ray &       .........  .........  .........  .........  .........  ..............
                       fluoroscopy.                                                                             
70371....          6  Speech evaluation,   .........  .........  .........  .........  .........  ..............
                       complex.                                                                                 
70373....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       larynx.                                                                                  
70380....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       salivary gland.                                                                          
70390....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       salivary duct.                                                                           
70450....          6  CAT scan of head or  .........  .........  .........  .........  .........  ..............
                       brain.                                                                                   
70460....          6  Contrast CAT scan    .........  .........  .........  .........  .........  ..............
                       of head.                                                                                 
70470....          6  Contrast CAT scans   .........  .........  .........  .........  .........  ..............
                       of head.                                                                                 
70480....          6  CAT scan of skull..  .........  .........  .........  .........  .........  ..............
70481....          6  Contrast CAT scan    .........  .........  .........  .........  .........  ..............
                       of skull.                                                                                
70482....          6  Contrast CAT scans   .........  .........  .........  .........  .........  ..............
                       of skull.                                                                                
70486....          6  CAT scan of face,    .........  .........  .........  .........  .........  ..............
                       jaw.                                                                                     
70487....          6  Contrast CAT scan,   .........  .........  .........  .........  .........  ..............
                       face/jaw.                                                                                
70488....          6  Contrast CAT scans   .........  .........  .........  .........  .........  ..............
                       face/jaw.                                                                                
70490....          6  CAT scan of neck     .........  .........  .........  .........  .........  ..............
                       tissue.                                                                                  
70491....          6  Contrast CAT of      .........  .........  .........  .........  .........  ..............
                       neck tissue.                                                                             
70492....          6  Contrast CAT of      .........  .........  .........  .........  .........  ..............
                       neck tissue.                                                                             
70540....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       face, neck.                                                                              
70541....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       head (MRA).                                                                              
70551....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       brain (MRI).                                                                             
70552....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       brain (MRI).                                                                             
70553....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       brain.                                                                                   
71010....          6  Chest x-ray........  .........  .........  .........  .........  .........  ..............
71015....          6  X-ray exam of chest  .........  .........  .........  .........  .........  ..............
71020....          6  Chest x-ray........  .........  .........  .........  .........  .........  ..............
71021....          6  Chest x-ray........  .........  .........  .........  .........  .........  ..............

[[Page 32398]]

                                                                                                                
71022....          6  Chest x-ray........  .........  .........  .........  .........  .........  ..............
71023....          6  Chest x-ray and      .........  .........  .........  .........  .........  ..............
                       fluoroscopy.                                                                             
71030....          6  Chest x-ray........  .........  .........  .........  .........  .........  ..............
71034....          6  Chest x-ray &        .........  .........  .........  .........  .........  ..............
                       fluoroscopy.                                                                             
71035....          6  Chest x-ray........  .........  .........  .........  .........  .........  ..............
71036....          6  X-ray guidance for   .........  .........  .........  .........  .........  ..............
                       biopsy.                                                                                  
71038....          6  X-ray guidance for   .........  .........  .........  .........  .........  ..............
                       biopsy.                                                                                  
71040....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       bronchi.                                                                                 
71060....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       bronchi.                                                                                 
71090....          6  X-ray & pacemaker    .........  .........  .........  .........  .........  ..............
                       insertion.                                                                               
71100....          6  X-ray exam of ribs.  .........  .........  .........  .........  .........  ..............
71101....          6  X-ray exam of ribs,  .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
71110....          6  X-ray exam of ribs.  .........  .........  .........  .........  .........  ..............
71111....          6  X-ray exam of ribs,  .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
71120....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       breastbone.                                                                              
71130....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       breastbone.                                                                              
71250....          6  Cat scan of chest..  .........  .........  .........  .........  .........  ..............
71260....          6  Contrast CAT scan    .........  .........  .........  .........  .........  ..............
                       of chest.                                                                                
71270....          6  Contrast CAT scans   .........  .........  .........  .........  .........  ..............
                       of chest.                                                                                
71550....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
71555....          9  Magnetic imaging/    .........  .........  .........  .........  .........  ..............
                       chest (MRA).                                                                             
72010....          6  X-ray exam of spine  .........  .........  .........  .........  .........  ..............
72020....          6  X-ray exam of spine  .........  .........  .........  .........  .........  ..............
72040....          6  X-ray exam of neck   .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72050....          6  X-ray exam of neck   .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72052....          6  X-ray exam of neck   .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72069....          6  X-ray exam of trunk  .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72070....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       thorax spine.                                                                            
72072....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       thoracic spine.                                                                          
72074....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       thoracic spine.                                                                          
72080....          6  X-ray exam of trunk  .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72090....          6  X-ray exam of trunk  .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72100....          6  X-ray exam of lower  .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72110....          6  X-ray exam of lower  .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72114....          6  X-ray exam of lower  .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72120....          6  X-ray exam of lower  .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72125....          6  CAT scan of neck     .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72126....          6  Contrast CAT scan    .........  .........  .........  .........  .........  ..............
                       of neck.                                                                                 
72127....          6  Contrast CAT scans   .........  .........  .........  .........  .........  ..............
                       of neck.                                                                                 
72128....          6  CAT scan of thorax   .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72129....          6  Contrast CAT scan    .........  .........  .........  .........  .........  ..............
                       of thorax.                                                                               
72130....          6  Contrast CAT scans   .........  .........  .........  .........  .........  ..............
                       of thorax.                                                                               
72131....          6  CAT scan of lower    .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72132....          6  Contrast CAT of      .........  .........  .........  .........  .........  ..............
                       lower spine.                                                                             
72133....          6  Contrast CAT scans,  .........  .........  .........  .........  .........  ..............
                       low spine.                                                                               
72141....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       neck spine.                                                                              
72142....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       neck spine.                                                                              
72146....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       chest spine.                                                                             
72147....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       chest spine.                                                                             
72148....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       lumbar spine.                                                                            
72149....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       lumbar spine.                                                                            
72156....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       neck spine.                                                                              
72157....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       chest spine.                                                                             
72158....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       lumbar spine.                                                                            
72159....          9  Magnetic imaging/    .........  .........  .........  .........  .........  ..............
                       spine (MRA).                                                                             
72170....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       pelvis.                                                                                  
72190....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       pelvis.                                                                                  
72192....          6  CAT scan of pelvis.  .........  .........  .........  .........  .........  ..............
72193....          6  Contrast CAT scan    .........  .........  .........  .........  .........  ..............
                       of pelvis.                                                                               
72194....          6  Contrast CAT scans   .........  .........  .........  .........  .........  ..............
                       of pelvis.                                                                               
72196....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       pelvis.                                                                                  
72198....          9  Magnetic imaging/    .........  .........  .........  .........  .........  ..............
                       pelvis(MRA).                                                                             
72200....          6  X-ray exam           .........  .........  .........  .........  .........  ..............
                       sacroiliac joints.                                                                       
72202....          6  X-ray exam           .........  .........  .........  .........  .........  ..............
                       sacroiliac joints.                                                                       
72220....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       tailbone.                                                                                
72240....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       neck spine.                                                                              
72255....          6  Contrast x-ray       .........  .........  .........  .........  .........  ..............
                       thorax spine.                                                                            
72265....          6  Contrast x-ray       .........  .........  .........  .........  .........  ..............
                       lower spine.                                                                             
72270....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
72285....          6  X-ray of neck spine  .........  .........  .........  .........  .........  ..............
                       disk.                                                                                    
72295....          6  X-ray of lower       .........  .........  .........  .........  .........  ..............
                       spine disk.                                                                              
73000....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       collarbone.                                                                              
73010....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       shoulder blade.                                                                          
73020....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       shoulder.                                                                                

[[Page 32399]]

                                                                                                                
73030....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       shoulder.                                                                                
73040....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       shoulder.                                                                                
73050....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       shoulders.                                                                               
73060....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       humerus.                                                                                 
73070....          6  X-ray exam of elbow  .........  .........  .........  .........  .........  ..............
73080....          6  X-ray exam of elbow  .........  .........  .........  .........  .........  ..............
73085....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       elbow.                                                                                   
73090....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       forearm.                                                                                 
73092....          6  X-ray exam of arm,   .........  .........  .........  .........  .........  ..............
                       infant.                                                                                  
73100....          6  X-ray exam of wrist  .........  .........  .........  .........  .........  ..............
73110....          6  X-ray exam of wrist  .........  .........  .........  .........  .........  ..............
73115....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       wrist.                                                                                   
73120....          6  X-ray exam of hand.  .........  .........  .........  .........  .........  ..............
73130....          6  X-ray exam of hand.  .........  .........  .........  .........  .........  ..............
73140....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       finger(s).                                                                               
73200....          6  CAT scan of arm....  .........  .........  .........  .........  .........  ..............
73201....          6  Contrast CAT scan    .........  .........  .........  .........  .........  ..............
                       of arm.                                                                                  
73202....          6  Contrast CAT scans   .........  .........  .........  .........  .........  ..............
                       of arm.                                                                                  
73220....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       arm, hand.                                                                               
73221....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       joint of arm.                                                                            
73225....          9  Magnetic imaging/    .........  .........  .........  .........  .........  ..............
                       upper (MRA).                                                                             
73500....          6  X-ray exam of hip..  .........  .........  .........  .........  .........  ..............
73510....          6  X-ray exam of hip..  .........  .........  .........  .........  .........  ..............
73520....          6  X-ray exam of hips.  .........  .........  .........  .........  .........  ..............
73525....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       hip.                                                                                     
73530....          6  X-ray exam of hip..  .........  .........  .........  .........  .........  ..............
73540....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       pelvis & hips.                                                                           
73550....          6  X-ray exam of thigh  .........  .........  .........  .........  .........  ..............
73560....          6  X-ray exam of knee.  .........  .........  .........  .........  .........  ..............
73562....          6  X-ray exam of knee.  .........  .........  .........  .........  .........  ..............
73564....          6  X-ray exam of knee.  .........  .........  .........  .........  .........  ..............
73565....          6  X-ray exam of knee.  .........  .........  .........  .........  .........  ..............
73580....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       knee joint.                                                                              
73590....          6  X-ray exam of lower  .........  .........  .........  .........  .........  ..............
                       leg.                                                                                     
73592....          6  X-ray exam of leg,   .........  .........  .........  .........  .........  ..............
                       infant.                                                                                  
73600....          6  X-ray exam of ankle  .........  .........  .........  .........  .........  ..............
73610....          6  X-ray exam of ankle  .........  .........  .........  .........  .........  ..............
73615....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       ankle.                                                                                   
73620....          6  X-ray exam of foot.  .........  .........  .........  .........  .........  ..............
73630....          6  X-ray exam of foot.  .........  .........  .........  .........  .........  ..............
73650....          6  X-ray exam of heel.  .........  .........  .........  .........  .........  ..............
73660....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       toe(s).                                                                                  
73700....          6  CAT scan of leg....  .........  .........  .........  .........  .........  ..............
73701....          6  Contrast CAT scan    .........  .........  .........  .........  .........  ..............
                       of leg.                                                                                  
73702....          6  Contrast CAT scans   .........  .........  .........  .........  .........  ..............
                       of leg.                                                                                  
73720....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       leg, foot.                                                                               
73721....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       joint of leg.                                                                            
73725....          6  Magnetic imaging/    .........  .........  .........  .........  .........  ..............
                       lower (MRA).                                                                             
74000....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
74010....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
74020....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
74022....          6  X-ray exam series,   .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
74150....          6  CAT scan of abdomen  .........  .........  .........  .........  .........  ..............
74160....          6  Contrast CAT scan    .........  .........  .........  .........  .........  ..............
                       of abdomen.                                                                              
74170....          6  Contrast CAT scans,  .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
74181....          6  Magnetic             .........  .........  .........  .........  .........  ..............
                       image,abdomen                                                                            
                       (MRI).                                                                                   
74185....          9  Magnetic image/      .........  .........  .........  .........  .........  ..............
                       abdomen (MRA).                                                                           
74190....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       peritoneum.                                                                              
74210....          6  Contrast xray exam   .........  .........  .........  .........  .........  ..............
                       of throat.                                                                               
74220....          6  Contrast xray exam,  .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
74230....          6  Cinema xray throat/  .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
74235....          6  Remove esophagus     .........  .........  .........  .........  .........  ..............
                       obstruction.                                                                             
74240....          6  X-ray exam upper GI  .........  .........  .........  .........  .........  ..............
                       tract.                                                                                   
74241....          6  X-ray exam upper GI  .........  .........  .........  .........  .........  ..............
                       tract.                                                                                   
74245....          6  X-ray exam upper GI  .........  .........  .........  .........  .........  ..............
                       tract.                                                                                   
74246....          6  Contrast xray upper  .........  .........  .........  .........  .........  ..............
                       GI tract.                                                                                
74247....          6  Contrast xray upper  .........  .........  .........  .........  .........  ..............
                       GI tract.                                                                                
74249....          6  Contrast xray upper  .........  .........  .........  .........  .........  ..............
                       GI tract.                                                                                
74250....          6  X-ray exam of small  .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
74251....          6  X-ray exam of small  .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
74260....          6  X-ray exam of small  .........  .........  .........  .........  .........  ..............
                       bowel.                                                                                   
74270....          6  Contrast x-ray exam  .........  .........  .........  .........  .........  ..............
                       of colon.                                                                                
74280....          6  Contrast x-ray exam  .........  .........  .........  .........  .........  ..............
                       of colon.                                                                                
74283....          6  Contrast x-ray exam  .........  .........  .........  .........  .........  ..............
                       of colon.                                                                                

[[Page 32400]]

                                                                                                                
74290....          6  Contrast x-ray,      .........  .........  .........  .........  .........  ..............
                       gallbladder.                                                                             
74291....          6  Contrast x-rays,     .........  .........  .........  .........  .........  ..............
                       gallbladder.                                                                             
74300....          6  X-ray bile ducts,    .........  .........  .........  .........  .........  ..............
                       pancreas.                                                                                
74301....          6  Add.itional x-rays   .........  .........  .........  .........  .........  ..............
                       at surgery.                                                                              
74305....          6  X-ray bile ducts,    .........  .........  .........  .........  .........  ..............
                       pancreas.                                                                                
74320....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       bile ducts.                                                                              
74327....          6  X-ray for bile       .........  .........  .........  .........  .........  ..............
                       stone removal.                                                                           
74328....          6  Xray for bile duct   .........  .........  .........  .........  .........  ..............
                       endoscopy.                                                                               
74329....          6  X-ray for pancreas   .........  .........  .........  .........  .........  ..............
                       endoscopy.                                                                               
74330....          6  Xray,bile/pancreas   .........  .........  .........  .........  .........  ..............
                       endoscopy.                                                                               
74340....          6  X-ray guide for GI   .........  .........  .........  .........  .........  ..............
                       tube.                                                                                    
74350....          6  X-ray guide,         .........  .........  .........  .........  .........  ..............
                       stomach tube.                                                                            
74355....          6  X-ray guide,         .........  .........  .........  .........  .........  ..............
                       intestinal tube.                                                                         
74360....          6  X-ray guide, GI      .........  .........  .........  .........  .........  ..............
                       dilation.                                                                                
74363....          6  X-ray, bile duct     .........  .........  .........  .........  .........  ..............
                       dilation.                                                                                
74400....          6  Contrast x-ray       .........  .........  .........  .........  .........  ..............
                       urinary tract.                                                                           
74405....          6  Contrast x-ray       .........  .........  .........  .........  .........  ..............
                       urinary tract.                                                                           
74410....          6  Contrast x-ray       .........  .........  .........  .........  .........  ..............
                       urinary tract.                                                                           
74415....          6  Contrast x-ray       .........  .........  .........  .........  .........  ..............
                       urinary tract.                                                                           
74420....          6  Contrast x-ray       .........  .........  .........  .........  .........  ..............
                       urinary tract.                                                                           
74425....          6  Contrast x-ray       .........  .........  .........  .........  .........  ..............
                       urinary tract.                                                                           
74430....          6  Contrast x-ray of    .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
74440....          6  Xray exam male       .........  .........  .........  .........  .........  ..............
                       genital tract.                                                                           
74445....          6  X-ray exam of penis  .........  .........  .........  .........  .........  ..............
74450....          6  X-ray exam urethra/  .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
74455....          6  X-ray exam urethra/  .........  .........  .........  .........  .........  ..............
                       bladder.                                                                                 
74470....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       kidney lesion.                                                                           
74475....          6  Xray control         .........  .........  .........  .........  .........  ..............
                       catheter insert.                                                                         
74480....          6  Xray control         .........  .........  .........  .........  .........  ..............
                       catheter insert.                                                                         
74485....          6  X-ray guide, GU      .........  .........  .........  .........  .........  ..............
                       dilation.                                                                                
74710....          6  X-ray measurement    .........  .........  .........  .........  .........  ..............
                       of pelvis.                                                                               
74740....          6  X-ray female         .........  .........  .........  .........  .........  ..............
                       genital tract.                                                                           
74742....          6  X-ray fallopian      .........  .........  .........  .........  .........  ..............
                       tube.                                                                                    
74775....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       perineum.                                                                                
75552....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       myocardium.                                                                              
75553....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       myocardium.                                                                              
75554....          6  Cardiac MRI/         .........  .........  .........  .........  .........  ..............
                       function.                                                                                
75555....          6  Cardiac MRI/limited  .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
75556....          9  Cardiac MRI/flow     .........  .........  .........  .........  .........  ..............
                       mapping.                                                                                 
75600....          6  Contrast x-ray exam  .........  .........  .........  .........  .........  ..............
                       of aorta.                                                                                
75605....          6  Contrast x-ray exam  .........  .........  .........  .........  .........  ..............
                       of aorta.                                                                                
75625....          6  Contrast x-ray exam  .........  .........  .........  .........  .........  ..............
                       of aorta.                                                                                
75630....          6  X-ray aorta, leg     .........  .........  .........  .........  .........  ..............
                       arteries.                                                                                
75650....          6  Artery x-rays, head  .........  .........  .........  .........  .........  ..............
                       & neck.                                                                                  
75658....          6  X-ray exam of arm    .........  .........  .........  .........  .........  ..............
                       arteries.                                                                                
75660....          6  Artery x-rays, head  .........  .........  .........  .........  .........  ..............
                       & neck.                                                                                  
75662....          6  Artery x-rays, head  .........  .........  .........  .........  .........  ..............
                       & neck.                                                                                  
75665....          6  Artery x-rays, head  .........  .........  .........  .........  .........  ..............
                       & neck.                                                                                  
75671....          6  Artery x-rays, head  .........  .........  .........  .........  .........  ..............
                       & neck.                                                                                  
5676.....          6  Artery x-rays, neck  .........  .........  .........  .........  .........  ..............
75680....          6  Artery x-rays, neck  .........  .........  .........  .........  .........  ..............
75685....          6  Artery x-rays,       .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
75705....          6  Artery x-rays,       .........  .........  .........  .........  .........  ..............
                       spine.                                                                                   
75710....          6  Artery x-rays, arm/  .........  .........  .........  .........  .........  ..............
                       leg.                                                                                     
75716....          6  Artery x-rays, arms/ .........  .........  .........  .........  .........  ..............
                       legs.                                                                                    
75722....          6  Artery x-rays,       .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
75724....          6  Artery x-rays,       .........  .........  .........  .........  .........  ..............
                       kidneys.                                                                                 
75726....          6  Artery x-rays,       .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
75731....          6  Artery x-rays,       .........  .........  .........  .........  .........  ..............
                       adrenal gland.                                                                           
75733....          6  Artery x-            .........  .........  .........  .........  .........  ..............
                       rays,adrenal                                                                             
                       glands.                                                                                  
75736....          6  Artery x-rays,       .........  .........  .........  .........  .........  ..............
                       pelvis.                                                                                  
75741....          6  Artery x-rays, lung  .........  .........  .........  .........  .........  ..............
75743....          6  Artery x-rays,       .........  .........  .........  .........  .........  ..............
                       lungs.                                                                                   
75746....          6  Artery x-rays, lung  .........  .........  .........  .........  .........  ..............
75756....          6  Artery x-rays,       .........  .........  .........  .........  .........  ..............
                       chest.                                                                                   
75774....          6  Artery x-ray, each   .........  .........  .........  .........  .........  ..............
                       vessel.                                                                                  
75790....          6  Visualize A-V shunt  .........  .........  .........  .........  .........  ..............
75801....          6  Lymph vessel x-ray,  .........  .........  .........  .........  .........  ..............
                       arm/leg.                                                                                 
75803....          6  Lymph vessel x-ray,  .........  .........  .........  .........  .........  ..............
                       arms/legs.                                                                               
75805....          6  Lymph vessel x-ray,  .........  .........  .........  .........  .........  ..............
                       trunk.                                                                                   
75807....          6  Lymph vessel x-ray,  .........  .........  .........  .........  .........  ..............
                       trunk.                                                                                   
75809....          6  Nonvascular shunt,   .........  .........  .........  .........  .........  ..............
                       x-ray.                                                                                   
75810....          6  Vein x-ray, spleen/  .........  .........  .........  .........  .........  ..............
                       liver.                                                                                   
75820....          6  Vein x-ray, arm/leg  .........  .........  .........  .........  .........  ..............

[[Page 32401]]

                                                                                                                
75822....          6  Vein x-ray, arms/    .........  .........  .........  .........  .........  ..............
                       legs.                                                                                    
75825....          6  Vein x-ray, trunk..  .........  .........  .........  .........  .........  ..............
75827....          6  Vein x-ray, chest..  .........  .........  .........  .........  .........  ..............
75831....          6  Vein x-ray, kidney.  .........  .........  .........  .........  .........  ..............
75833....          6  Vein x-ray, kidneys  .........  .........  .........  .........  .........  ..............
75840....          6  Vein x-ray, adrenal  .........  .........  .........  .........  .........  ..............
                       gland.                                                                                   
75842....          6  Vein x-ray, adrenal  .........  .........  .........  .........  .........  ..............
                       glands.                                                                                  
75860....          6  Vein x-ray, neck...  .........  .........  .........  .........  .........  ..............
75870....          6  Vein x-ray, skull..  .........  .........  .........  .........  .........  ..............
75872....          6  Vein x-ray, skull..  .........  .........  .........  .........  .........  ..............
75880....          6  Vein x-ray, eye      .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
75885....          6  Vein x-ray, liver..  .........  .........  .........  .........  .........  ..............
75887....          6  Vein x-ray, liver..  .........  .........  .........  .........  .........  ..............
75889....          6  Vein x-ray, liver..  .........  .........  .........  .........  .........  ..............
75891....          6  Vein x-ray, liver..  .........  .........  .........  .........  .........  ..............
75893....          6  Venous sampling by   .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
75894....          6  Xrays,               .........  .........  .........  .........  .........  ..............
                       transcatheter                                                                            
                       therapy.                                                                                 
75896....          6  Xrays,               .........  .........  .........  .........  .........  ..............
                       transcatheter                                                                            
                       therapy.                                                                                 
75898....          6  Follow-up angiogram  .........  .........  .........  .........  .........  ..............
75900....          6  Arterial catheter    .........  .........  .........  .........  .........  ..............
                       exchange.                                                                                
75940....          6  X-ray placement,     .........  .........  .........  .........  .........  ..............
                       vein filter.                                                                             
75945....          6  Intravascular us...  .........  .........  .........  .........  .........  ..............
75946....          6  Intravascular us...  .........  .........  .........  .........  .........  ..............
75960....          6  Transcatheter        .........  .........  .........  .........  .........  ..............
                       intro, stent.                                                                            
75961....          6  Retrieval, broken    .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
75962....          6  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
75964....          6  Repair artery        .........  .........  .........  .........  .........  ..............
                       blockage, each.                                                                          
75966....          6  Repair arterial      .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
75968....          6  Repair artery        .........  .........  .........  .........  .........  ..............
                       blockage, each.                                                                          
75970....          6  Vascular biopsy....  .........  .........  .........  .........  .........  ..............
75978....          6  Repair venous        .........  .........  .........  .........  .........  ..............
                       blockage.                                                                                
75980....          6  Contrast xray exam   .........  .........  .........  .........  .........  ..............
                       bile duct.                                                                               
75982....          6  Contrast xray exam   .........  .........  .........  .........  .........  ..............
                       bile duct.                                                                               
75984....          6  Xray control         .........  .........  .........  .........  .........  ..............
                       catheter change.                                                                         
75989....          6  Abscess drainage     .........  .........  .........  .........  .........  ..............
                       under x-ray.                                                                             
75992....          6  Atherectomy, x-ray   .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
75993....          6  Atherectomy, x-ray   .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
75994....          6  Atherectomy, x-ray   .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
75995....          6  Atherectomy, x-ray   .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
75996....          6  Atherectomy, x-ray   .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
76000....          6  Fluoroscope          .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
76001....          6  Fluoroscope exam,    .........  .........  .........  .........  .........  ..............
                       extensive.                                                                               
76003....          6  Needle localization  .........  .........  .........  .........  .........  ..............
                       by x-ray.                                                                                
76010....          6  X-ray, nose to       .........  .........  .........  .........  .........  ..............
                       rectum.                                                                                  
76020....          6  X-rays for bone age  .........  .........  .........  .........  .........  ..............
76040....          6  X-rays, bone         .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
76061....          6  X-rays, bone survey  .........  .........  .........  .........  .........  ..............
76062....          6  X-rays, bone survey  .........  .........  .........  .........  .........  ..............
76065....          6  X-rays, bone         .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
76066....          6  Joint(s) survey,     .........  .........  .........  .........  .........  ..............
                       single film.                                                                             
76070....          6  CT scan, bone        .........  .........  .........  .........  .........  ..............
                       density study.                                                                           
76075....          6  Dual energy x-ray    .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
76076....          6  Dual energy x-ray    .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
76078....          6  Photodensitometry..  .........  .........  .........  .........  .........  ..............
76080....          6  X-ray exam of        .........  .........  .........  .........  .........  ..............
                       fistula.                                                                                 
76086....          6  X-ray of mammary     .........  .........  .........  .........  .........  ..............
                       duct.                                                                                    
76088....          6  X-ray of mammary     .........  .........  .........  .........  .........  ..............
                       ducts.                                                                                   
76090....          6  Mammogram, one       .........  .........  .........  .........  .........  ..............
                       breast.                                                                                  
76091....          6  Mammogram, both      .........  .........  .........  .........  .........  ..............
                       breasts.                                                                                 
76092....          9  Mamm0gram,           .........  .........  .........  .........  .........  ..............
                       screening.                                                                               
76093....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       breast.                                                                                  
76094....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       both breasts.                                                                            
76095....          6  Stereotactic breast  .........  .........  .........  .........  .........  ..............
                       biopsy.                                                                                  
76096....          6  X-ray of needle      .........  .........  .........  .........  .........  ..............
                       wire, breast.                                                                            
76098....          6  X-ray exam, breast   .........  .........  .........  .........  .........  ..............
                       specimen.                                                                                
76100....          6  X-ray exam of body   .........  .........  .........  .........  .........  ..............
                       section.                                                                                 
76101....          6  Complex body         .........  .........  .........  .........  .........  ..............
                       section x-ray.                                                                           
76102....          6  Complex body         .........  .........  .........  .........  .........  ..............
                       section x-rays.                                                                          
76120....          6  Cinematic x-rays...  .........  .........  .........  .........  .........  ..............
76125....          6  Cinematic x-rays...  .........  .........  .........  .........  .........  ..............
76140....          9  X-ray consultation.  .........  .........  .........  .........  .........  ..............
76150....          6  X-ray exam, dry      .........  .........  .........  .........  .........  ..............
                       process.                                                                                 
76350....          6  Special x-ray        .........  .........  .........  .........  .........  ..............
                       contrast study.                                                                          
76355....          6  CAT scan for         .........  .........  .........  .........  .........  ..............
                       localization.                                                                            

[[Page 32402]]

                                                                                                                
76360....          6  CAT scan for needle  .........  .........  .........  .........  .........  ..............
                       biopsy.                                                                                  
76365....          6  CAT scan for cyst    .........  .........  .........  .........  .........  ..............
                       aspiration.                                                                              
76370....          6  CAT scan for         .........  .........  .........  .........  .........  ..............
                       therapy guide.                                                                           
76375....          6  3d/holograph         .........  .........  .........  .........  .........  ..............
                       reconstr add-on.                                                                         
76380....          6  CAT scan follow-up   .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
76390....          6  Mr spectroscopy....  .........  .........  .........  .........  .........  ..............
76400....          6  Magnetic image,      .........  .........  .........  .........  .........  ..............
                       bone marrow.                                                                             
76499....          6  Radiographic         .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
76506....          6  Echo exam of head..  .........  .........  .........  .........  .........  ..............
76511....          6  Echo exam of eye...  .........  .........  .........  .........  .........  ..............
76512....          6  Echo exam of eye...  .........  .........  .........  .........  .........  ..............
76513....          6  Echo exam of eye,    .........  .........  .........  .........  .........  ..............
                       water bath.                                                                              
76516....          6  Echo exam of eye...  .........  .........  .........  .........  .........  ..............
76519....          6  Echo exam of eye...  .........  .........  .........  .........  .........  ..............
76529....          6  Echo exam of eye...  .........  .........  .........  .........  .........  ..............
76536....          6  Echo exam of head    .........  .........  .........  .........  .........  ..............
                       and neck.                                                                                
76604....          6  Echo exam of chest.  .........  .........  .........  .........  .........  ..............
76645....          6  Echo exam of breast  .........  .........  .........  .........  .........  ..............
76700....          6  Echo exam of         .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
76705....          6  Echo exam of         .........  .........  .........  .........  .........  ..............
                       abdomen.                                                                                 
76770....          6  Echo exam abdomen    .........  .........  .........  .........  .........  ..............
                       back wall.                                                                               
76775....          6  Echo exam abdomen    .........  .........  .........  .........  .........  ..............
                       back wall.                                                                               
76778....          6  Echo exam kidney     .........  .........  .........  .........  .........  ..............
                       transplant.                                                                              
76800....          6  Echo exam spinal     .........  .........  .........  .........  .........  ..............
                       canal.                                                                                   
76805....          6  Echo exam of         .........  .........  .........  .........  .........  ..............
                       pregnant uterus.                                                                         
76810....          6  Echo exam of         .........  .........  .........  .........  .........  ..............
                       pregnant uterus.                                                                         
76815....          6  Echo exam of         .........  .........  .........  .........  .........  ..............
                       pregnant uterus.                                                                         
76816....          6  Echo exam followup   .........  .........  .........  .........  .........  ..............
                       or repeat.                                                                               
76818....          6  Fetal biophysical    .........  .........  .........  .........  .........  ..............
                       profile.                                                                                 
76825....          6  Echo exam of fetal   .........  .........  .........  .........  .........  ..............
                       heart.                                                                                   
76826....          6  Echo exam of fetal   .........  .........  .........  .........  .........  ..............
                       heart.                                                                                   
76827....          6  Echo exam of fetal   .........  .........  .........  .........  .........  ..............
                       heart.                                                                                   
76828....          6  Echo exam of fetal   .........  .........  .........  .........  .........  ..............
                       heart.                                                                                   
76830....          6  Echo exam,           .........  .........  .........  .........  .........  ..............
                       transvaginal.                                                                            
76831....          6  Echo exam, uterus..  .........  .........  .........  .........  .........  ..............
76856....          6  Echo exam of pelvis  .........  .........  .........  .........  .........  ..............
76857....          6  Echo exam of pelvis  .........  .........  .........  .........  .........  ..............
76870....          6  Echo exam of         .........  .........  .........  .........  .........  ..............
                       scrotum.                                                                                 
76872....          6  Echo exam,           .........  .........  .........  .........  .........  ..............
                       transrectal.                                                                             
76880....          6  Echo exam of         .........  .........  .........  .........  .........  ..............
                       extremity.                                                                               
76885....          6  Echo exam, infant    .........  .........  .........  .........  .........  ..............
                       hips.                                                                                    
76886....          6  Echo exam, infant    .........  .........  .........  .........  .........  ..............
                       hips.                                                                                    
76930....          6  Echo guide for       .........  .........  .........  .........  .........  ..............
                       heart sac tap.                                                                           
76932....          6  Echo guide for       .........  .........  .........  .........  .........  ..............
                       heart biopsy.                                                                            
76934....          6  Echo guide for       .........  .........  .........  .........  .........  ..............
                       chest tap.                                                                               
76936....          6  Echo guide for       .........  .........  .........  .........  .........  ..............
                       artery repair.                                                                           
76938....          6  Echo exam for        .........  .........  .........  .........  .........  ..............
                       drainage.                                                                                
76941....          6  Echo guide for       .........  .........  .........  .........  .........  ..............
                       transfusion.                                                                             
76942....          6  Echo guide for       .........  .........  .........  .........  .........  ..............
                       biopsy.                                                                                  
76945....          6  Echo guide, villus   .........  .........  .........  .........  .........  ..............
                       sampling.                                                                                
76946....          6  Echo guide for       .........  .........  .........  .........  .........  ..............
                       amniocentesis.                                                                           
76948....          6  Echo guide, ova      .........  .........  .........  .........  .........  ..............
                       aspiration.                                                                              
76950....          6  Echo guidance        .........  .........  .........  .........  .........  ..............
                       radiotherapy.                                                                            
76960....          6  Echo guidance        .........  .........  .........  .........  .........  ..............
                       radiotherapy.                                                                            
76965....          6  Echo guidance        .........  .........  .........  .........  .........  ..............
                       radiotherapy.                                                                            
76970....          6  Ultrasound exam      .........  .........  .........  .........  .........  ..............
                       follow-up.                                                                               
76975....          6  GI endoscopic        .........  .........  .........  .........  .........  ..............
                       ultrasound.                                                                              
76986....          6  Echo exam at         .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
76999....          6  Echo examination     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
77261....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       planning.                                                                                
77262....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       planning.                                                                                
77263....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       planning.                                                                                
77280....          6  Set radiation        .........  .........  .........  .........  .........  ..............
                       therapy field.                                                                           
77285....          6  Set radiation        .........  .........  .........  .........  .........  ..............
                       therapy field.                                                                           
77290....          6  Set radiation        .........  .........  .........  .........  .........  ..............
                       therapy field.                                                                           
77295....          6  Set radiation        .........  .........  .........  .........  .........  ..............
                       therapy field.                                                                           
77299....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       planning.                                                                                
77300....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       dose plan.                                                                               
77305....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       dose plan.                                                                               
77310....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       dose plan.                                                                               
77315....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       dose plan.                                                                               
77321....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       port plan.                                                                               
77326....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       dose plan.                                                                               
77327....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       dose plan.                                                                               

[[Page 32403]]

                                                                                                                
77328....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       dose plan.                                                                               
77331....          6  Special radiation    .........  .........  .........  .........  .........  ..............
                       dosimetry.                                                                               
77332....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       aid(s).                                                                                  
77333....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       aid(s).                                                                                  
77334....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       aid(s).                                                                                  
77336....          6  Radiation physics    .........  .........  .........  .........  .........  ..............
                       consu.                                                                                   
77370....          6  Radiation physics    .........  .........  .........  .........  .........  ..............
                       consult.                                                                                 
77399....          6  External radiation   .........  .........  .........  .........  .........  ..............
                       dosimetry.                                                                               
77401....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77402....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77403....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77404....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77406....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77407....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77408....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77409....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77411....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77412....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77413....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77414....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77416....          6  Radiation treatment  .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
77417....          6  Radiology port       .........  .........  .........  .........  .........  ..............
                       film(s).                                                                                 
77419....          6  Weekly radiation     .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
77420....          6  Weekly radiation     .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
77425....          6  Weekly radiation     .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
77430....          6  Weekly radiation     .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
77431....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       management.                                                                              
77432....          6  Stereotactic         .........  .........  .........  .........  .........  ..............
                       radiation trmt.                                                                          
77470....          6  Special radiation    .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
77499....          6  Radiation therapy    .........  .........  .........  .........  .........  ..............
                       management.                                                                              
77600....          6  Hyperthermia         .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
77605....          6  Hyperthermia         .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
77610....          6  Hyperthermia         .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
77615....          6  Hyperthermia         .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
77620....          6  Hyperthermia         .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
77750....          6  Infuse radioactive   .........  .........  .........  .........  .........  ..............
                       materials.                                                                               
77761....          6  Radioelement         .........  .........  .........  .........  .........  ..............
                       application.                                                                             
77762....          6  Radioelement         .........  .........  .........  .........  .........  ..............
                       application.                                                                             
77763....          6  Radioelement         .........  .........  .........  .........  .........  ..............
                       application.                                                                             
77776....          6  Radioelement         .........  .........  .........  .........  .........  ..............
                       application.                                                                             
77777....          6  Radioelement         .........  .........  .........  .........  .........  ..............
                       application.                                                                             
77778....          6  Radioelement         .........  .........  .........  .........  .........  ..............
                       application.                                                                             
77781....          6  High intensity       .........  .........  .........  .........  .........  ..............
                       brachytherapy.                                                                           
77782....          6  High intensity       .........  .........  .........  .........  .........  ..............
                       brachytherapy.                                                                           
77783....          6  High intensity       .........  .........  .........  .........  .........  ..............
                       brachytherapy.                                                                           
77784....          6  High intensity       .........  .........  .........  .........  .........  ..............
                       brachytherapy.                                                                           
77789....          6  Radioelement         .........  .........  .........  .........  .........  ..............
                       application.                                                                             
77790....          6  Radioelement         .........  .........  .........  .........  .........  ..............
                       handling.                                                                                
77799....          6  Radium/radioisotope  .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
78000....          6  Thyroid, single      .........  .........  .........  .........  .........  ..............
                       uptake.                                                                                  
78001....          6  Thyroid, multiple    .........  .........  .........  .........  .........  ..............
                       uptakes.                                                                                 
78003....          6  Thyroid suppress/    .........  .........  .........  .........  .........  ..............
                       stimul.                                                                                  
78006....          6  Thyroid, imaging     .........  .........  .........  .........  .........  ..............
                       with uptake.                                                                             
78007....          6  Thyroid, image,      .........  .........  .........  .........  .........  ..............
                       mult uptakes.                                                                            
78010....          6  Thyroid imaging....  .........  .........  .........  .........  .........  ..............
78011....          6  Thyroid imaging      .........  .........  .........  .........  .........  ..............
                       with flow.                                                                               
78015....          6  Thyroid met imaging  .........  .........  .........  .........  .........  ..............
78016....          6  Thyroid met imaging/ .........  .........  .........  .........  .........  ..............
                       studies.                                                                                 
78017....          6  Thyroid met          .........  .........  .........  .........  .........  ..............
                       imaging, mult.                                                                           
78018....          6  Thyroid, met         .........  .........  .........  .........  .........  ..............
                       imaging, body.                                                                           
78070....          6  Parathyroid nuclear  .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78075....          6  Adrenal nuclear      .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78099....          6  Endocrine nuclear    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
78102....          6  Bone marrow          .........  .........  .........  .........  .........  ..............
                       imaging, ltd.                                                                            
78103....          6  Bone marrow          .........  .........  .........  .........  .........  ..............
                       imaging, mult.                                                                           
78104....          6  Bone marrow          .........  .........  .........  .........  .........  ..............
                       imaging, body.                                                                           
78110....          6  Plasma volume,       .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
78111....          6  Plasma volume,       .........  .........  .........  .........  .........  ..............
                       multiple.                                                                                
78120....          6  Red cell mass,       .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
78121....          6  Red cell mass,       .........  .........  .........  .........  .........  ..............
                       multiple.                                                                                
78122....          6  Blood volume.......  .........  .........  .........  .........  .........  ..............
78130....          6  Red cell survival    .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
78135....          6  Red cell survival    .........  .........  .........  .........  .........  ..............
                       kinetics.                                                                                
78140....          6  Red cell             .........  .........  .........  .........  .........  ..............
                       sequestration.                                                                           

[[Page 32404]]

                                                                                                                
78160....          6  Plasma iron          .........  .........  .........  .........  .........  ..............
                       turnover.                                                                                
78162....          6  Iron absorption      .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
78170....          6  Red cell iron        .........  .........  .........  .........  .........  ..............
                       utilization.                                                                             
78172....          6  Total body iron      .........  .........  .........  .........  .........  ..............
                       estimation.                                                                              
78185....          6  Spleen imaging.....  .........  .........  .........  .........  .........  ..............
78190....          6  Platelet survival,   .........  .........  .........  .........  .........  ..............
                       kinetics.                                                                                
78191....          6  Platelet survival..  .........  .........  .........  .........  .........  ..............
78195....          6  Lymph system         .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78199....          6  Blood/lymph nuclear  .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
78201....          6  Liver imaging......  .........  .........  .........  .........  .........  ..............
78202....          6  Liver imaging with   .........  .........  .........  .........  .........  ..............
                       flow.                                                                                    
78205....          6  Liver imaging (3D).  .........  .........  .........  .........  .........  ..............
78215....          6  Liver and spleen     .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78216....          6  Liver & spleen       .........  .........  .........  .........  .........  ..............
                       image, flow.                                                                             
78220....          6  Liver function       .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
78223....          6  Hepatobiliary        .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78230....          6  Salivary gland       .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78231....          6  Serial salivary      .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78232....          6  Salivary gland       .........  .........  .........  .........  .........  ..............
                       function exam.                                                                           
78258....          6  Esophageal motility  .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
78261....          6  Gastric mucosa       .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78262....          6  Gastroesophageal     .........  .........  .........  .........  .........  ..............
                       reflux exam.                                                                             
78264....          6  Gastric emptying     .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
78270....          6  Vit B-12 absorption  .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
78271....          6  Vit B-12 absorp      .........  .........  .........  .........  .........  ..............
                       exam, IF.                                                                                
78272....          6  Vit B-12 absorp,     .........  .........  .........  .........  .........  ..............
                       combined.                                                                                
78278....          6  Acute GI blood loss  .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78282....          6  GI protein loss      .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
78290....          6  Meckel's divert      .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
78291....          6  Leveen/shunt         .........  .........  .........  .........  .........  ..............
                       patency exam.                                                                            
78299....          6  GI nuclear           .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
78300....          6  Bone imaging,        .........  .........  .........  .........  .........  ..............
                       limited area.                                                                            
78305....          6  Bone imaging,        .........  .........  .........  .........  .........  ..............
                       multiple areas.                                                                          
78306....          6  Bone imaging, whole  .........  .........  .........  .........  .........  ..............
                       body.                                                                                    
78315....          6  Bone imaging, 3      .........  .........  .........  .........  .........  ..............
                       phase.                                                                                   
78320....          6  Bone imaging (3D)..  .........  .........  .........  .........  .........  ..............
78350....          6  Bone mineral,        .........  .........  .........  .........  .........  ..............
                       single photon.                                                                           
78351....          9  Bone mineral, dual   .........  .........  .........  .........  .........  ..............
                       photon.                                                                                  
78399....          6  Musculoskeletal      .........  .........  .........  .........  .........  ..............
                       nuclear exam.                                                                            
78414....          6  Non-imaging heart    .........  .........  .........  .........  .........  ..............
                       function.                                                                                
78428....          6  Cardiac shunt        .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78445....          6  Vascular flow        .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78455....          6  Venous thrombosis    .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
78457....          6  Venous thrombosis    .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78458....          6  Ven thrombosis       .........  .........  .........  .........  .........  ..............
                       images, bilat.                                                                           
78459....          9  Heart muscle         .........  .........  .........  .........  .........  ..............
                       imaging (PET).                                                                           
78460....          6  Heart muscle blood   .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
78461....          6  Heart muscle blood   .........  .........  .........  .........  .........  ..............
                       multiple.                                                                                
78464....          6  Heart image (3D)     .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
78465....          6  Heart image (3D)     .........  .........  .........  .........  .........  ..............
                       multiple.                                                                                
78466....          6  Heart infarct image  .........  .........  .........  .........  .........  ..............
78468....          6  Heart infarct        .........  .........  .........  .........  .........  ..............
                       image, EF.                                                                               
78469....          6  Heart infarct image  .........  .........  .........  .........  .........  ..............
                       (3D).                                                                                    
78472....          6  Gated heart,         .........  .........  .........  .........  .........  ..............
                       resting.                                                                                 
78473....          6  Gated heart,         .........  .........  .........  .........  .........  ..............
                       multiple.                                                                                
78478....          6  Heart wall motion    .........  .........  .........  .........  .........  ..............
                       (add-on).                                                                                
78480....          6  Heart function,      .........  .........  .........  .........  .........  ..............
                       (add-on).                                                                                
78481....          6  Heart first pass     .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
78483....          6  Heart first pass     .........  .........  .........  .........  .........  ..............
                       multiple.                                                                                
78491....          9  Heart image (pet)    .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
78492....          9  Heart image (pet)    .........  .........  .........  .........  .........  ..............
                       multiple.                                                                                
78499....          6  Cardiovascular       .........  .........  .........  .........  .........  ..............
                       nuclear exam.                                                                            
78580....          6  Lung perfusion       .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78584....          6  Lung V/Q image       .........  .........  .........  .........  .........  ..............
                       single breath.                                                                           
78585....          6  Lung V/Q imaging...  .........  .........  .........  .........  .........  ..............
78586....          6  Aerosol lung image,  .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
78587....          6  Aerosol lung image,  .........  .........  .........  .........  .........  ..............
                       multiple.                                                                                
78591....          6  Vent image, 1        .........  .........  .........  .........  .........  ..............
                       breath, 1 proj.                                                                          
78593....          6  Vent image, 1 proj,  .........  .........  .........  .........  .........  ..............
                       gas.                                                                                     
78594....          6  Vent image, mult     .........  .........  .........  .........  .........  ..............
                       proj, gas.                                                                               
78596....          6  Lung differential    .........  .........  .........  .........  .........  ..............
                       function.                                                                                
78599....          6  Respiratory nuclear  .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
78600....          6  Brain imaging, ltd   .........  .........  .........  .........  .........  ..............
                       static.                                                                                  
78601....          6  Brain ltd imaging &  .........  .........  .........  .........  .........  ..............
                       flow.                                                                                    

[[Page 32405]]

                                                                                                                
78605....          6  Brain imaging,       .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
78606....          6  Brain imaging comp   .........  .........  .........  .........  .........  ..............
                       & flow.                                                                                  
78607....          6  Brain imaging (3D).  .........  .........  .........  .........  .........  ..............
78608....          9  Brain imaging (PET)  .........  .........  .........  .........  .........  ..............
78609....          9  Brain imaging (PET)  .........  .........  .........  .........  .........  ..............
78610....          6  Brain flow imaging   .........  .........  .........  .........  .........  ..............
                       only.                                                                                    
78615....          6  Cerebral blood flow  .........  .........  .........  .........  .........  ..............
                       imaging.                                                                                 
78630....          6  Cerebrospinal fluid  .........  .........  .........  .........  .........  ..............
                       scan.                                                                                    
78635....          6  CSF                  .........  .........  .........  .........  .........  ..............
                       ventriculography.                                                                        
78645....          6  CSF shunt            .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
78647....          6  Cerebrospinal fluid  .........  .........  .........  .........  .........  ..............
                       scan.                                                                                    
78650....          6  CSF leakage imaging  .........  .........  .........  .........  .........  ..............
78660....          6  Nuclear exam of      .........  .........  .........  .........  .........  ..............
                       tear flow.                                                                               
78699....          6  Nervous system       .........  .........  .........  .........  .........  ..............
                       nuclear exam.                                                                            
78700....          6  Kidney imaging,      .........  .........  .........  .........  .........  ..............
                       static.                                                                                  
78701....          6  Kidney imaging with  .........  .........  .........  .........  .........  ..............
                       flow.                                                                                    
78704....          6  Imaging renogram...  .........  .........  .........  .........  .........  ..............
78707....          6  Kidney flow &        .........  .........  .........  .........  .........  ..............
                       function image.                                                                          
78708....          6  Kidney flow &        .........  .........  .........  .........  .........  ..............
                       function image.                                                                          
78709....          6  Kidney flow &        .........  .........  .........  .........  .........  ..............
                       function image.                                                                          
78710....          6  Kidney imaging (3D)  .........  .........  .........  .........  .........  ..............
78715....          6  Renal vascular flow  .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
78725....          6  Kidney function      .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
78730....          6  Urinary bladder      .........  .........  .........  .........  .........  ..............
                       retention.                                                                               
78740....          6  Ureteral reflux      .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
78760....          6  Testicular imaging.  .........  .........  .........  .........  .........  ..............
78761....          6  Testicular imaging   .........  .........  .........  .........  .........  ..............
                       & flow.                                                                                  
78799....          6  Genitourinary        .........  .........  .........  .........  .........  ..............
                       nuclear exam.                                                                            
78800....          6  Tumor imaging,       .........  .........  .........  .........  .........  ..............
                       limited area.                                                                            
78801....          6  Tumor imaging, mult  .........  .........  .........  .........  .........  ..............
                       areas.                                                                                   
78802....          6  Tumor imaging,       .........  .........  .........  .........  .........  ..............
                       whole body.                                                                              
78803....          6  Tumor imaging (3D).  .........  .........  .........  .........  .........  ..............
78805....          6  Abscess imaging,     .........  .........  .........  .........  .........  ..............
                       ltd area.                                                                                
78806....          6  Abscess imaging,     .........  .........  .........  .........  .........  ..............
                       whole body.                                                                              
78807....          6  Nuclear              .........  .........  .........  .........  .........  ..............
                       localization/                                                                            
                       abscess.                                                                                 
78810....          9  Tumor imaging (PET)  .........  .........  .........  .........  .........  ..............
78890....          6  Nuclear medicine     .........  .........  .........  .........  .........  ..............
                       data proc.                                                                               
78891....          6  Nuclear med data     .........  .........  .........  .........  .........  ..............
                       proc.                                                                                    
78990....          9  Provide diag         .........  .........  .........  .........  .........  ..............
                       radionuclide(s).                                                                         
78999....          6  Nuclear diagnostic   .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
79000....          6  Intial hyperthyroid  .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
79001....          6  Repeat hyperthyroid  .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
79020....          6  Thyroid ablation...  .........  .........  .........  .........  .........  ..............
79030....          6  Thyroid ablation,    .........  .........  .........  .........  .........  ..............
                       carcinoma.                                                                               
79035....          6  Thyroid metastatic   .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
79100....          6  Hematopoetic         .........  .........  .........  .........  .........  ..............
                       nuclear therapy.                                                                         
79200....          6  Intracavitary nuc    .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
79300....          6  Interstitial         .........  .........  .........  .........  .........  ..............
                       nuclear therapy.                                                                         
79400....          6  Nonhemato nuclear    .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
79420....          6  Intravascular nuc    .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
79440....          6  Nuclear joint        .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
79900....          6  Provide ther         .........  .........  .........  .........  .........  ..............
                       radiopharm(s).                                                                           
79999....          6  Nuclear medicine     .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
80049....          6  Metabolic panel,     .........  .........  .........  .........  .........  ..............
                       basic.                                                                                   
80050....          9  General health       .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80051....          6  Electrolyte panel..  .........  .........  .........  .........  .........  ..............
80054....          6  Comprehen metabolic  .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80055....          9  Obstetric panel....  .........  .........  .........  .........  .........  ..............
80058....          6  Hepatic function     .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80059....          6  Hepatitis panel....  .........  .........  .........  .........  .........  ..............
80061....          2  Lipid panel........  .........  .........  .........  .........  .........  ..............
80072....          6  Arthritis panel....  .........  .........  .........  .........  .........  ..............
80090....          6  Torch antibody       .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80091....          6  Thyroid panel......  .........  .........  .........  .........  .........  ..............
80092....          6  Thyroid panel w/TSH  .........  .........  .........  .........  .........  ..............
80100....          6  Drug screen........  .........  .........  .........  .........  .........  ..............
80101....          6  Drug screen........  .........  .........  .........  .........  .........  ..............
80102....          6  Drug confirmation..  .........  .........  .........  .........  .........  ..............
80103....          6  Drug analysis,       .........  .........  .........  .........  .........  ..............
                       tissue prep.                                                                             
80150....          6  Assay of amikacin..  .........  .........  .........  .........  .........  ..............
80152....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       amitriptyline.                                                                           
80154....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       benzodiazepines.                                                                         
80156....          6  Assay carbamazepine  .........  .........  .........  .........  .........  ..............
80158....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       cyclosporine.                                                                            

[[Page 32406]]

                                                                                                                
80160....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       desipramine.                                                                             
80162....          6  Assay for digoxin..  .........  .........  .........  .........  .........  ..............
80164....          6  Assay,               .........  .........  .........  .........  .........  ..............
                       dipropylacetic                                                                           
                       acid.                                                                                    
80166....          6  Assay of doxepin...  .........  .........  .........  .........  .........  ..............
80168....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       ethosuximide.                                                                            
80170....          6  Gentamicin.........  .........  .........  .........  .........  .........  ..............
80172....          6  Assay for gold.....  .........  .........  .........  .........  .........  ..............
80174....          6  Assay of imipramine  .........  .........  .........  .........  .........  ..............
80176....          6  Assay for lidocaine  .........  .........  .........  .........  .........  ..............
80178....          6  Assay for lithium..  .........  .........  .........  .........  .........  ..............
80182....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       nortriptyline.                                                                           
80184....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       phenobarbital.                                                                           
80185....          6  Assay for phenytoin  .........  .........  .........  .........  .........  ..............
80186....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       phenytoin, free.                                                                         
80188....          6  Assay for primidone  .........  .........  .........  .........  .........  ..............
80190....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       procainamide.                                                                            
80192....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       procainamide.                                                                            
80194....          6  Assay for quinidine  .........  .........  .........  .........  .........  ..............
80196....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       salicylate.                                                                              
80197....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       tacrolimus.                                                                              
80198....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       theophylline.                                                                            
80200....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       tobramycin.                                                                              
80201....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       topiramate.                                                                              
80202....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       vancomycin.                                                                              
80299....          6  Quantitative assay,  .........  .........  .........  .........  .........  ..............
                       drug.                                                                                    
80400....          6  Acth stimulation     .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80402....          6  Acth stimulation     .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80406....          6  Acth stimulation     .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80408....          6  Aldosterone          .........  .........  .........  .........  .........  ..............
                       suppression eval.                                                                        
80410....          6  Calcitonin stimul    .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80412....          6  CRH stimulation      .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80414....          6  Testosterone         .........  .........  .........  .........  .........  ..............
                       response.                                                                                
80415....          6  Estradiol response   .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80416....          6  Renin stimulation    .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80417....          6  Renin stimulation    .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80418....          6  Pituitary            .........  .........  .........  .........  .........  ..............
                       evaluation panel.                                                                        
80420....          6  Dexamethasone panel  .........  .........  .........  .........  .........  ..............
80422....          6  Glucagon tolerance   .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80424....          6  Glucagon tolerance   .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80426....          6  Gonadotropin         .........  .........  .........  .........  .........  ..............
                       hormone panel.                                                                           
80428....          6  Growth hormone       .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80430....          6  Growth hormone       .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80432....          6  Insulin suppression  .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80434....          6  Insulin tolerance    .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80435....          6  Insulin tolerance    .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80436....          6  Metyrapone panel...  .........  .........  .........  .........  .........  ..............
80438....          6  TRH stimulation      .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80439....          6  TRH stimulation      .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80440....          6  TRH stimulation      .........  .........  .........  .........  .........  ..............
                       panel.                                                                                   
80500....          6  Lab pathology        .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
80502....          6  Lab pathology        .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
81000....          6  Urinalysis,          .........  .........  .........  .........  .........  ..............
                       nonauto, w/scope.                                                                        
81001....          6  Urinalysis, auto, w/ .........  .........  .........  .........  .........  ..............
                       scope.                                                                                   
81002....          2  Urinalysis nonauto   .........  .........  .........  .........  .........  ..............
                       w/o scope.                                                                               
81003....          6  Urinalysis, auto, w/ .........  .........  .........  .........  .........  ..............
                       o scope.                                                                                 
81005....          6  Urinalysis.........  .........  .........  .........  .........  .........  ..............
81007....          6  Urine screen for     .........  .........  .........  .........  .........  ..............
                       bacteria.                                                                                
81015....          6  Microscopic exam of  .........  .........  .........  .........  .........  ..............
                       urine.                                                                                   
81020....          6  Urinalysis, glass    .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
81025....          2  Urine pregnancy      .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
81050....          6  Urinalysis, volume   .........  .........  .........  .........  .........  ..............
                       measure.                                                                                 
81099....          6  Urinalysis test      .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
82000....          6  Assay blood          .........  .........  .........  .........  .........  ..............
                       acetaldehyde.                                                                            
82003....          6  Assay acetaminophen  .........  .........  .........  .........  .........  ..............
82009....          6  Test for acetone/    .........  .........  .........  .........  .........  ..............
                       ketones.                                                                                 
82010....          6  Acetone assay......  .........  .........  .........  .........  .........  ..............
82013....          6  Acetylcholinesteras  .........  .........  .........  .........  .........  ..............
                       e assay.                                                                                 
82024....          6  ACTH...............  .........  .........  .........  .........  .........  ..............
82030....          6  ADP & AMP..........  .........  .........  .........  .........  .........  ..............
82040....          6  Assay serum albumin  .........  .........  .........  .........  .........  ..............
82042....          6  Assay urine albumin  .........  .........  .........  .........  .........  ..............
82043....          6  Microalbumin,        .........  .........  .........  .........  .........  ..............
                       quantitative.                                                                            
82044....          2  Microalbumin,        .........  .........  .........  .........  .........  ..............
                       semiquant.                                                                               
82055....          6  Assay ethanol......  .........  .........  .........  .........  .........  ..............

[[Page 32407]]

                                                                                                                
82075....          6  Assay breath         .........  .........  .........  .........  .........  ..............
                       ethanol.                                                                                 
82085....          6  Assay of aldolase..  .........  .........  .........  .........  .........  ..............
82088....          6  Aldosterone........  .........  .........  .........  .........  .........  ..............
82101....          6  Assay of urine       .........  .........  .........  .........  .........  ..............
                       alkaloids.                                                                               
82103....          6  Alpha-1-             .........  .........  .........  .........  .........  ..............
                       antitrypsin, total.                                                                      
82104....          6  Alpha-1-             .........  .........  .........  .........  .........  ..............
                       antitrypsin, pheno.                                                                      
82105....          6  Alpha-fetoprotein,   .........  .........  .........  .........  .........  ..............
                       serum.                                                                                   
82106....          6  Alpha-fetoprotein;   .........  .........  .........  .........  .........  ..............
                       amniotic.                                                                                
82108....          6  Assay, aluminum....  .........  .........  .........  .........  .........  ..............
82128....          6  Test for amino       .........  .........  .........  .........  .........  ..............
                       acids.                                                                                   
82130....          6  Amino acids          .........  .........  .........  .........  .........  ..............
                       analysis.                                                                                
82131....          6  Amino acids........  .........  .........  .........  .........  .........  ..............
82135....          6  Assay,               .........  .........  .........  .........  .........  ..............
                       aminolevulinic                                                                           
                       acid.                                                                                    
82140....          6  Assay of ammonia...  .........  .........  .........  .........  .........  ..............
82143....          6  Amniotic fluid scan  .........  .........  .........  .........  .........  ..............
82145....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       amphetamines.                                                                            
82150....          6  Assay of amylase...  .........  .........  .........  .........  .........  ..............
82154....          6  Androstanediol       .........  .........  .........  .........  .........  ..............
                       glucuronide.                                                                             
82157....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       androstenedione.                                                                         
82160....          6  Androsterone assay.  .........  .........  .........  .........  .........  ..............
82163....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       angiotensin II.                                                                          
82164....          6  Angiotensin I        .........  .........  .........  .........  .........  ..............
                       enzyme test.                                                                             
82172....          6  Apolipoprotein.....  .........  .........  .........  .........  .........  ..............
82175....          6  Assay of arsenic...  .........  .........  .........  .........  .........  ..............
82180....          6  Assay of ascorbic    .........  .........  .........  .........  .........  ..............
                       acid.                                                                                    
82190....          6  Atomic absorption..  .........  .........  .........  .........  .........  ..............
82205....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       barbiturates.                                                                            
82232....          6  Beta-2 protein.....  .........  .........  .........  .........  .........  ..............
82239....          6  Bile acids, total..  .........  .........  .........  .........  .........  ..............
82240....          6  Bile acids,          .........  .........  .........  .........  .........  ..............
                       cholylglycine.                                                                           
82250....          6  Assay bilirubin....  .........  .........  .........  .........  .........  ..............
82251....          6  Assay bilirubin....  .........  .........  .........  .........  .........  ..............
82252....          6  Fecal bilirubin      .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
82270....          2  Test feces for       .........  .........  .........  .........  .........  ..............
                       blood.                                                                                   
82273....          2  Test for blood,      .........  .........  .........  .........  .........  ..............
                       other source.                                                                            
82286....          6  Assay of bradykinin  .........  .........  .........  .........  .........  ..............
82300....          6  Assay cadmium......  .........  .........  .........  .........  .........  ..............
82306....          6  Assay of vitamin D.  .........  .........  .........  .........  .........  ..............
82307....          6  Assay of vitamin D.  .........  .........  .........  .........  .........  ..............
82308....          6  Assay of calcitonin  .........  .........  .........  .........  .........  ..............
82310....          6  Assay calcium......  .........  .........  .........  .........  .........  ..............
82330....          6  Assay calcium......  .........  .........  .........  .........  .........  ..............
82331....          6  Calcium infusion     .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
82340....          6  Assay calcium in     .........  .........  .........  .........  .........  ..............
                       urine.                                                                                   
82355....          6  Calculus (stone)     .........  .........  .........  .........  .........  ..............
                       analysis.                                                                                
82360....          6  Calculus (stone)     .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
82365....          6  Calculus (stone)     .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
82370....          6  X-ray assay,         .........  .........  .........  .........  .........  ..............
                       calculus (stone).                                                                        
82374....          6  Assay blood carbon   .........  .........  .........  .........  .........  ..............
                       dioxide.                                                                                 
82375....          6  Assay blood carbon   .........  .........  .........  .........  .........  ..............
                       monoxide.                                                                                
82376....          6  Test for carbon      .........  .........  .........  .........  .........  ..............
                       monoxide.                                                                                
82378....          6  Carcinoembryonic     .........  .........  .........  .........  .........  ..............
                       antigen.                                                                                 
82380....          6  Assay carotene.....  .........  .........  .........  .........  .........  ..............
82382....          6  Assay urine          .........  .........  .........  .........  .........  ..............
                       catecholamines.                                                                          
82383....          6  Assay blood          .........  .........  .........  .........  .........  ..............
                       catecholamines.                                                                          
82384....          6  Assay three          .........  .........  .........  .........  .........  ..............
                       catecholamines.                                                                          
82387....          6  Cathepsin-D........  .........  .........  .........  .........  .........  ..............
82390....          6  Assay ceruloplasmin  .........  .........  .........  .........  .........  ..............
82397....          6  Chemiluminescent     .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
82415....          6  Assay                .........  .........  .........  .........  .........  ..............
                       chloramphenicol.                                                                         
82435....          6  Assay blood          .........  .........  .........  .........  .........  ..............
                       chloride.                                                                                
82436....          6  Assay urine          .........  .........  .........  .........  .........  ..............
                       chloride.                                                                                
82438....          6  Assay other fluid    .........  .........  .........  .........  .........  ..............
                       chlorides.                                                                               
82441....          6  Test for             .........  .........  .........  .........  .........  ..............
                       chlorohydrocarbons.                                                                      
82465....          2  Assay serum          .........  .........  .........  .........  .........  ..............
                       cholesterol.                                                                             
82480....          6  Assay serum          .........  .........  .........  .........  .........  ..............
                       cholinesterase.                                                                          
82482....          6  Assay rbc            .........  .........  .........  .........  .........  ..............
                       cholinesterase.                                                                          
82485....          6  Assay chondroitin    .........  .........  .........  .........  .........  ..............
                       sulfate.                                                                                 
82486....          6  Gas/liquid           .........  .........  .........  .........  .........  ..............
                       chromatography.                                                                          
82487....          6  Paper                .........  .........  .........  .........  .........  ..............
                       chromatography.                                                                          
82488....          6  Paper                .........  .........  .........  .........  .........  ..............
                       chromatography.                                                                          
82489....          6  Thin layer           .........  .........  .........  .........  .........  ..............
                       chromatography.                                                                          
82491....          6  Chromotography,      .........  .........  .........  .........  .........  ..............
                       quantitative.                                                                            
82495....          6  Assay chromium.....  .........  .........  .........  .........  .........  ..............

[[Page 32408]]

                                                                                                                
82507....          6  Assay citrate......  .........  .........  .........  .........  .........  ..............
82520....          6  Assay for cocaine..  .........  .........  .........  .........  .........  ..............
82523....          6  Collagen crosslinks  .........  .........  .........  .........  .........  ..............
82525....          6  Assay copper.......  .........  .........  .........  .........  .........  ..............
82528....          6  Assay                .........  .........  .........  .........  .........  ..............
                       corticosterone.                                                                          
82530....          6  Cortisol, free.....  .........  .........  .........  .........  .........  ..............
82533....          6  Total cortisol.....  .........  .........  .........  .........  .........  ..............
82540....          6  Assay creatine.....  .........  .........  .........  .........  .........  ..............
82550....          6  Assay CK (CPK).....  .........  .........  .........  .........  .........  ..............
82552....          6  Assay CPK in blood.  .........  .........  .........  .........  .........  ..............
82553....          6  Creatine, MB         .........  .........  .........  .........  .........  ..............
                       fraction.                                                                                
82554....          6  Creatine, isoforms.  .........  .........  .........  .........  .........  ..............
82565....          6  Assay creatinine...  .........  .........  .........  .........  .........  ..............
82570....          6  Assay urine          .........  .........  .........  .........  .........  ..............
                       creatinine.                                                                              
82575....          6  Creatinine           .........  .........  .........  .........  .........  ..............
                       clearance test.                                                                          
82585....          6  Assay                .........  .........  .........  .........  .........  ..............
                       cryofibrinogen.                                                                          
82595....          6  Assay cryoglobulin.  .........  .........  .........  .........  .........  ..............
82600....          6  Assay cyanide......  .........  .........  .........  .........  .........  ..............
82607....          6  Vitamin B-12.......  .........  .........  .........  .........  .........  ..............
82608....          6  B-12 binding         .........  .........  .........  .........  .........  ..............
                       capacity.                                                                                
82615....          6  Test for urine       .........  .........  .........  .........  .........  ..............
                       cystines.                                                                                
82626....          6  Dehydroepiandroster  .........  .........  .........  .........  .........  ..............
                       one.                                                                                     
82627....          6  Dehydroepiandroster  .........  .........  .........  .........  .........  ..............
                       one.                                                                                     
82633....          6  Desoxycorticosteron  .........  .........  .........  .........  .........  ..............
                       e.                                                                                       
82634....          6  Deoxycortisol......  .........  .........  .........  .........  .........  ..............
82638....          6  Assay dibucaine      .........  .........  .........  .........  .........  ..............
                       number.                                                                                  
82646....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       dihydrocodeinone.                                                                        
82649....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       dihydromorphinone.                                                                       
82651....          6  Dihydrotestosterone  .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
82652....          6  Assay,               .........  .........  .........  .........  .........  ..............
                       dihydroxyvitamin D.                                                                      
82654....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       dimethadione.                                                                            
82664....          6  Electrophoretic      .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
82666....          6  Epiandrosterone      .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
82668....          6  Erythropoietin.....  .........  .........  .........  .........  .........  ..............
82670....          6  Estradiol..........  .........  .........  .........  .........  .........  ..............
82671....          6  Estrogens assay....  .........  .........  .........  .........  .........  ..............
82672....          6  Estrogen assay.....  .........  .........  .........  .........  .........  ..............
82677....          6  Estriol............  .........  .........  .........  .........  .........  ..............
82679....          6  Estrone............  .........  .........  .........  .........  .........  ..............
82690....          6  Ethchlorvynol......  .........  .........  .........  .........  .........  ..............
82693....          6  Ethylene glycol....  .........  .........  .........  .........  .........  ..............
82696....          6  Etiocholanolone....  .........  .........  .........  .........  .........  ..............
82705....          6  Fats/lipids, feces,  .........  .........  .........  .........  .........  ..............
                       qualitativ.                                                                              
82710....          6  Fats/lipids, feces,  .........  .........  .........  .........  .........  ..............
                       quantitati.                                                                              
82715....          6  Fecal fat assay....  .........  .........  .........  .........  .........  ..............
82725....          6  Assay blood fatty    .........  .........  .........  .........  .........  ..............
                       acids.                                                                                   
82728....          6  Assay ferritin.....  .........  .........  .........  .........  .........  ..............
82735....          6  Assay fluoride.....  .........  .........  .........  .........  .........  ..............
82742....          6  Assay of flurazepam  .........  .........  .........  .........  .........  ..............
82746....          6  Blood folic acid     .........  .........  .........  .........  .........  ..............
                       serum.                                                                                   
82747....          6  Folic acid, RBC....  .........  .........  .........  .........  .........  ..............
82757....          6  Assay semen          .........  .........  .........  .........  .........  ..............
                       fructose.                                                                                
82759....          6  RBC galactokinase    .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
82760....          6  Assay galactose....  .........  .........  .........  .........  .........  ..............
82775....          6  Assay galactose      .........  .........  .........  .........  .........  ..............
                       transferase.                                                                             
82776....          6  Galactose            .........  .........  .........  .........  .........  ..............
                       transferase test.                                                                        
82784....          6  Assay gammaglobulin  .........  .........  .........  .........  .........  ..............
                       IgM.                                                                                     
82785....          6  Assay,               .........  .........  .........  .........  .........  ..............
                       gammaglobulin IgE.                                                                       
82787....          6  IgG1, 2, 3 and 4...  .........  .........  .........  .........  .........  ..............
82800....          6  Blood pH...........  .........  .........  .........  .........  .........  ..............
82803....          6  Blood gases: pH,     .........  .........  .........  .........  .........  ..............
                       pO2 & pCO2.                                                                              
82805....          6  Blood gases W/02     .........  .........  .........  .........  .........  ..............
                       saturation.                                                                              
82810....          6  Blood gases, O2 sat  .........  .........  .........  .........  .........  ..............
                       only.                                                                                    
82820....          6  Hemoglobin-oxygen    .........  .........  .........  .........  .........  ..............
                       affinity.                                                                                
82926....          6  Assay gastric acid.  .........  .........  .........  .........  .........  ..............
82928....          6  Assay gastric acid.  .........  .........  .........  .........  .........  ..............
82938....          6  Gastrin test.......  .........  .........  .........  .........  .........  ..............
82941....          6  Assay of gastrin...  .........  .........  .........  .........  .........  ..............
82943....          6  Assay of glucagon..  .........  .........  .........  .........  .........  ..............
82946....          6  Glucagon tolerance   .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
82947....          2  Assay quantitative,  .........  .........  .........  .........  .........  ..............
                       glucose.                                                                                 
82948....          6  Reagent strip/blood  .........  .........  .........  .........  .........  ..............
                       glucose.                                                                                 
82950....          2  Glucose test.......  .........  .........  .........  .........  .........  ..............
82951....          2  Glucose tolerance    .........  .........  .........  .........  .........  ..............
                       test (GTT).                                                                              

[[Page 32409]]

                                                                                                                
82952....          2  GTT-added samples..  .........  .........  .........  .........  .........  ..............
82953....          6  Glucose-tolbutamide  .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
82955....          6  Assay G6PD enzyme..  .........  .........  .........  .........  .........  ..............
82960....          6  Test for G6PD        .........  .........  .........  .........  .........  ..............
                       enzyme.                                                                                  
82962....          2  Glucose blood test.  .........  .........  .........  .........  .........  ..............
82963....          6  Glucosidase assay..  .........  .........  .........  .........  .........  ..............
82965....          6  Assay GDH enzyme...  .........  .........  .........  .........  .........  ..............
82975....          6  Assay glutamine....  .........  .........  .........  .........  .........  ..............
82977....          6  Assay of GGT.......  .........  .........  .........  .........  .........  ..............
82978....          6  Glutathione assay..  .........  .........  .........  .........  .........  ..............
82979....          6  Assay RBC            .........  .........  .........  .........  .........  ..............
                       glutathione enzyme.                                                                      
82980....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       glutethimide.                                                                            
82985....          6  Glycated protein...  .........  .........  .........  .........  .........  ..............
83001....          6  Gonadotropin (FSH).  .........  .........  .........  .........  .........  ..............
83002....          6  Gonadotropin (LH)..  .........  .........  .........  .........  .........  ..............
83003....          6  Assay growth         .........  .........  .........  .........  .........  ..............
                       hormone (HGH).                                                                           
83008....          6  Assay guanosine....  .........  .........  .........  .........  .........  ..............
83010....          6  Quant assay          .........  .........  .........  .........  .........  ..............
                       haptoglobin.                                                                             
83012....          6  Assay haptoglobins.  .........  .........  .........  .........  .........  ..............
83015....          6  Heavy metal screen.  .........  .........  .........  .........  .........  ..............
83018....          6  Quantitative         .........  .........  .........  .........  .........  ..............
                       screen, metals.                                                                          
83019....          6  Breath isotope test  .........  .........  .........  .........  .........  ..............
83020....          6  Assay hemoglobin...  .........  .........  .........  .........  .........  ..............
83026....          2  Hemoglobin, copper   .........  .........  .........  .........  .........  ..............
                       sulfate.                                                                                 
83030....          6  Fetal hemoglobin     .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
83033....          6  Fetal fecal          .........  .........  .........  .........  .........  ..............
                       hemoglobin assay.                                                                        
83036....          6  Glycated hemoglobin  .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
83045....          6  Blood methemoglobin  .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
83050....          6  Blood methemoglobin  .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
83051....          6  Assay plasma         .........  .........  .........  .........  .........  ..............
                       hemoglobin.                                                                              
83055....          6  Blood                .........  .........  .........  .........  .........  ..............
                       sulfhemoglobin                                                                           
                       test.                                                                                    
83060....          6  Blood                .........  .........  .........  .........  .........  ..............
                       sulfhemoglobin                                                                           
                       assay.                                                                                   
83065....          6  Hemoglobin heat      .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
83068....          6  Hemoglobin           .........  .........  .........  .........  .........  ..............
                       stability screen.                                                                        
83069....          6  Assay urine          .........  .........  .........  .........  .........  ..............
                       hemoglobin.                                                                              
83070....          6  Qualt assay          .........  .........  .........  .........  .........  ..............
                       hemosiderin.                                                                             
83071....          6  Quant assay of       .........  .........  .........  .........  .........  ..............
                       hemosiderin.                                                                             
83088....          6  Assay histamine....  .........  .........  .........  .........  .........  ..............
83150....          6  Assay for HVA......  .........  .........  .........  .........  .........  ..............
83491....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       corticosteroids.                                                                         
83497....          6  Assay 5-HIAA.......  .........  .........  .........  .........  .........  ..............
83498....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       progesterone.                                                                            
83499....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       progesterone.                                                                            
83500....          6  Assay free           .........  .........  .........  .........  .........  ..............
                       hydroxyproline.                                                                          
83505....          6  Assay total          .........  .........  .........  .........  .........  ..............
                       hydroxyproline.                                                                          
83516....          6  Immunoassay, non     .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
83518....          6  Immunoassay,         .........  .........  .........  .........  .........  ..............
                       dipstick.                                                                                
83519....          6  Immunoassay          .........  .........  .........  .........  .........  ..............
                       nonantibody.                                                                             
83520....          6  Immunoassay, RIA...  .........  .........  .........  .........  .........  ..............
83525....          6  Assay of insulin...  .........  .........  .........  .........  .........  ..............
83527....          6  Assay of insulin...  .........  .........  .........  .........  .........  ..............
83528....          6  Assay intrinsic      .........  .........  .........  .........  .........  ..............
                       factor.                                                                                  
83540....          6  Assay iron.........  .........  .........  .........  .........  .........  ..............
83550....          6  Iron binding test..  .........  .........  .........  .........  .........  ..............
83570....          6  Assay IDH enzyme...  .........  .........  .........  .........  .........  ..............
83582....          6  Assay ketogenic      .........  .........  .........  .........  .........  ..............
                       steroids.                                                                                
83586....          6  Assay 17-(17-        .........  .........  .........  .........  .........  ..............
                       KS)ketosteroids.                                                                         
83593....          6  Fractionation        .........  .........  .........  .........  .........  ..............
                       ketosteroids.                                                                            
83605....          6  Lactic acid assay..  .........  .........  .........  .........  .........  ..............
83615....          6  Lactate (LD) (LDH)   .........  .........  .........  .........  .........  ..............
                       enzyme.                                                                                  
83625....          6  Assay LDH enzymes..  .........  .........  .........  .........  .........  ..............
83632....          6  Placental lactogen.  .........  .........  .........  .........  .........  ..............
83633....          6  Test urine for       .........  .........  .........  .........  .........  ..............
                       lactose.                                                                                 
83634....          6  Assay urine for      .........  .........  .........  .........  .........  ..............
                       lactose.                                                                                 
83655....          6  Assay for lead.....  .........  .........  .........  .........  .........  ..............
83661....          6  Assay L/S ratio....  .........  .........  .........  .........  .........  ..............
83662....          6  L/S ratio, foam      .........  .........  .........  .........  .........  ..............
                       stability.                                                                               
83670....          6  Assay LAP enzyme...  .........  .........  .........  .........  .........  ..............
83690....          6  Assay lipase.......  .........  .........  .........  .........  .........  ..............
83715....          6  Assay blood          .........  .........  .........  .........  .........  ..............
                       lipoproteins.                                                                            
83717....          6  Assay blood          .........  .........  .........  .........  .........  ..............
                       lipoproteins.                                                                            
83718....          2  Blood lipoprotein    .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
83719....          6  Blood lipoprotein    .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
83721....          6  Blood lipoprotein    .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   

[[Page 32410]]

                                                                                                                
83727....          6  LRH hormone assay..  .........  .........  .........  .........  .........  ..............
83735....          6  Assay magnesium....  .........  .........  .........  .........  .........  ..............
83775....          6  Assay of md enzyme.  .........  .........  .........  .........  .........  ..............
83785....          6  Assay of manganese.  .........  .........  .........  .........  .........  ..............
83805....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       meprobamate.                                                                             
83825....          6  Assay mercury......  .........  .........  .........  .........  .........  ..............
83835....          6  Assay metanephrines  .........  .........  .........  .........  .........  ..............
83840....          6  Assay methadone....  .........  .........  .........  .........  .........  ..............
83857....          6  Assay methemalbumin  .........  .........  .........  .........  .........  ..............
83858....          6  Assay methsuximide.  .........  .........  .........  .........  .........  ..............
83864....          6  Mucopolysaccharides  .........  .........  .........  .........  .........  ..............
83866....          6  Mucopolysaccharides  .........  .........  .........  .........  .........  ..............
                       screen.                                                                                  
83872....          6  Assay synovial       .........  .........  .........  .........  .........  ..............
                       fluid mucin.                                                                             
83873....          6  Assay, CSF protein.  .........  .........  .........  .........  .........  ..............
83874....          6  Myoglobin..........  .........  .........  .........  .........  .........  ..............
83883....          6  Nephelometry, not    .........  .........  .........  .........  .........  ..............
                       specified.                                                                               
83885....          6  Assay for nickel...  .........  .........  .........  .........  .........  ..............
83887....          6  Assay nicotine.....  .........  .........  .........  .........  .........  ..............
83890....          6  Molecular            .........  .........  .........  .........  .........  ..............
                       diagnostics.                                                                             
83892....          6  Molecular            .........  .........  .........  .........  .........  ..............
                       diagnostics.                                                                             
83894....          6  Molecular            .........  .........  .........  .........  .........  ..............
                       diagnostics.                                                                             
83896....          6  Molecular            .........  .........  .........  .........  .........  ..............
                       diagnostics.                                                                             
83898....          6  Molecular            .........  .........  .........  .........  .........  ..............
                       diagnostics.                                                                             
83902....          6  Molecular            .........  .........  .........  .........  .........  ..............
                       diagnostics.                                                                             
83912....          6  Genetic examination  .........  .........  .........  .........  .........  ..............
83915....          6  Assay nucleotidase.  .........  .........  .........  .........  .........  ..............
83916....          6  Oligoclonal bands..  .........  .........  .........  .........  .........  ..............
83918....          6  Assay organic acids  .........  .........  .........  .........  .........  ..............
83925....          6  Opiates............  .........  .........  .........  .........  .........  ..............
83930....          6  Assay blood          .........  .........  .........  .........  .........  ..............
                       osmolality.                                                                              
83935....          6  Assay urine          .........  .........  .........  .........  .........  ..............
                       osmolality.                                                                              
83937....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       osteocalcin.                                                                             
83945....          6  Assay oxalate......  .........  .........  .........  .........  .........  ..............
83970....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       parathormone.                                                                            
83986....          2  Assay body fluid     .........  .........  .........  .........  .........  ..............
                       acidity.                                                                                 
83992....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       phencyclidine.                                                                           
84022....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       phenothiazine.                                                                           
84030....          6  Assay blood PKU....  .........  .........  .........  .........  .........  ..............
84035....          6  Assay phenylketones  .........  .........  .........  .........  .........  ..............
84060....          6  Assay acid           .........  .........  .........  .........  .........  ..............
                       phosphatase.                                                                             
84061....          6  Phosphatase,         .........  .........  .........  .........  .........  ..............
                       forensic exam.                                                                           
84066....          6  Assay prostate       .........  .........  .........  .........  .........  ..............
                       phosphatase.                                                                             
84075....          6  Assay alkaline       .........  .........  .........  .........  .........  ..............
                       phosphatase.                                                                             
84078....          6  Assay alkaline       .........  .........  .........  .........  .........  ..............
                       phosphatase.                                                                             
84080....          6  Assay alkaline       .........  .........  .........  .........  .........  ..............
                       phosphatases.                                                                            
84081....          6  Amniotic fluid       .........  .........  .........  .........  .........  ..............
                       enzyme test.                                                                             
84085....          6  Assay RBC PG6D       .........  .........  .........  .........  .........  ..............
                       enzyme.                                                                                  
84087....          6  Assay phosphohexose  .........  .........  .........  .........  .........  ..............
                       enzymes.                                                                                 
84100....          6  Assay phosphorus...  .........  .........  .........  .........  .........  ..............
84105....          6  Assay urine          .........  .........  .........  .........  .........  ..............
                       phosphorus.                                                                              
84106....          6  Test for             .........  .........  .........  .........  .........  ..............
                       porphobilinogen.                                                                         
84110....          6  Assay                .........  .........  .........  .........  .........  ..............
                       porphobilinogen.                                                                         
84119....          6  Test urine for       .........  .........  .........  .........  .........  ..............
                       porphyrins.                                                                              
84120....          6  Assay urine          .........  .........  .........  .........  .........  ..............
                       porphyrins.                                                                              
84126....          6  Assay feces          .........  .........  .........  .........  .........  ..............
                       porphyrins.                                                                              
84127....          6  Porphyrins, feces..  .........  .........  .........  .........  .........  ..............
84132....          6  Assay serum          .........  .........  .........  .........  .........  ..............
                       potassium.                                                                               
84133....          6  Assay urine          .........  .........  .........  .........  .........  ..............
                       potassium.                                                                               
84134....          6  Prealbumin.........  .........  .........  .........  .........  .........  ..............
84135....          6  Assay pregnanediol.  .........  .........  .........  .........  .........  ..............
84138....          6  Assay pregnanetriol  .........  .........  .........  .........  .........  ..............
84140....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       pregnenolone.                                                                            
84143....          6  Assay/17-            .........  .........  .........  .........  .........  ..............
                       hydroxypregnenolon                                                                       
                       e.                                                                                       
84144....          6  Assay progesterone.  .........  .........  .........  .........  .........  ..............
84146....          6  Assay for prolactin  .........  .........  .........  .........  .........  ..............
84150....          6  Assay of             .........  .........  .........  .........  .........  ..............
                       prostaglandin.                                                                           
84153....          6  Prostate specific    .........  .........  .........  .........  .........  ..............
                       antigen.                                                                                 
84155....          6  Assay protein......  .........  .........  .........  .........  .........  ..............
84160....          6  Assay serum protein  .........  .........  .........  .........  .........  ..............
84165....          6  Assay serum          .........  .........  .........  .........  .........  ..............
                       proteins.                                                                                
84181....          6  Western blot test..  .........  .........  .........  .........  .........  ..............
84182....          6  Protein, western     .........  .........  .........  .........  .........  ..............
                       blot test.                                                                               
84202....          6  Assay RBC            .........  .........  .........  .........  .........  ..............
                       protoporphyrin.                                                                          
84203....          6  Test RBC             .........  .........  .........  .........  .........  ..............
                       protoporphyrin.                                                                          

[[Page 32411]]

                                                                                                                
84206....          6  Assay of proinsulin  .........  .........  .........  .........  .........  ..............
84207....          6  Assay vitamin B-6..  .........  .........  .........  .........  .........  ..............
84210....          6  Assay pyruvate.....  .........  .........  .........  .........  .........  ..............
84220....          6  Assay pyruvate       .........  .........  .........  .........  .........  ..............
                       kinase.                                                                                  
84228....          6  Assay quinine......  .........  .........  .........  .........  .........  ..............
84233....          6  Assay estrogen.....  .........  .........  .........  .........  .........  ..............
84234....          6  Assay progesterone.  .........  .........  .........  .........  .........  ..............
84235....          6  Assay endocrine      .........  .........  .........  .........  .........  ..............
                       hormone.                                                                                 
84238....          6  Assay non-endocrine  .........  .........  .........  .........  .........  ..............
                       receptor.                                                                                
84244....          6  Assay of renin.....  .........  .........  .........  .........  .........  ..............
84252....          6  Assay vitamin B-2..  .........  .........  .........  .........  .........  ..............
84255....          6  Assay selenium.....  .........  .........  .........  .........  .........  ..............
84260....          6  Assay serotonin....  .........  .........  .........  .........  .........  ..............
84270....          6  Sex hormone          .........  .........  .........  .........  .........  ..............
                       globulin (SHBG).                                                                         
84275....          6  Assay sialic acid..  .........  .........  .........  .........  .........  ..............
84285....          6  Assay silica.......  .........  .........  .........  .........  .........  ..............
84295....          6  Assay serum sodium.  .........  .........  .........  .........  .........  ..............
84300....          6  Assay urine sodium.  .........  .........  .........  .........  .........  ..............
84305....          6  Somatomedin........  .........  .........  .........  .........  .........  ..............
84307....          6  Somatostatin.......  .........  .........  .........  .........  .........  ..............
84311....          6  Spectrophotometry..  .........  .........  .........  .........  .........  ..............
84315....          6  Body fluid specific  .........  .........  .........  .........  .........  ..............
                       gravity.                                                                                 
84375....          6  Chromatogram assay,  .........  .........  .........  .........  .........  ..............
                       sugars.                                                                                  
84392....          6  Assay urine sulfate  .........  .........  .........  .........  .........  ..............
84402....          6  Testosterone.......  .........  .........  .........  .........  .........  ..............
84403....          6  Assay total          .........  .........  .........  .........  .........  ..............
                       testosterone.                                                                            
84425....          6  Assay vitamin B-1..  .........  .........  .........  .........  .........  ..............
84430....          6  Assay thiocyanate..  .........  .........  .........  .........  .........  ..............
84432....          6  Thyroglobulin......  .........  .........  .........  .........  .........  ..............
84436....          6  Assay, total         .........  .........  .........  .........  .........  ..............
                       thyroxine.                                                                               
84437....          6  Assay neonatal       .........  .........  .........  .........  .........  ..............
                       thyroxine.                                                                               
84439....          6  Assay, free          .........  .........  .........  .........  .........  ..............
                       thyroxine.                                                                               
84442....          6  Thyroid activity     .........  .........  .........  .........  .........  ..............
                       (TBG) assay.                                                                             
84443....          6  Assay thyroid stim   .........  .........  .........  .........  .........  ..............
                       hormone.                                                                                 
84445....          6  Thyroid              .........  .........  .........  .........  .........  ..............
                       immunoglobulins                                                                          
                       TSI.                                                                                     
84446....          6  Assay vitamin E....  .........  .........  .........  .........  .........  ..............
84449....          6  Assay for            .........  .........  .........  .........  .........  ..............
                       transcortin.                                                                             
84450....          6  Transferase (AST)    .........  .........  .........  .........  .........  ..............
                       (SGOT).                                                                                  
84460....          6  Alanine amino (ALT)  .........  .........  .........  .........  .........  ..............
                       (SGPT).                                                                                  
84466....          6  Transferrin........  .........  .........  .........  .........  .........  ..............
84478....          2  Assay triglycerides  .........  .........  .........  .........  .........  ..............
84479....          6  Assay thyroid (t-3   .........  .........  .........  .........  .........  ..............
                       or t-4).                                                                                 
84480....          6  Assay                .........  .........  .........  .........  .........  ..............
                       triiodothyronine                                                                         
                       (t-3).                                                                                   
84481....          6  Free assay (FT-3)..  .........  .........  .........  .........  .........  ..............
84482....          6  T3 reverse.........  .........  .........  .........  .........  .........  ..............
84484....          6  Troponin, quant....  .........  .........  .........  .........  .........  ..............
84485....          6  Assay duodenal       .........  .........  .........  .........  .........  ..............
                       fluid trypsin.                                                                           
84488....          6  Test feces for       .........  .........  .........  .........  .........  ..............
                       trypsin.                                                                                 
84490....          6  Assay feces for      .........  .........  .........  .........  .........  ..............
                       trypsin.                                                                                 
84510....          6  Assay tyrosine.....  .........  .........  .........  .........  .........  ..............
84512....          6  Troponin, qual.....  .........  .........  .........  .........  .........  ..............
84520....          6  Assay urea nitrogen  .........  .........  .........  .........  .........  ..............
84525....          6  Urea nitrogen semi-  .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
84540....          6  Assay urine urea-N.  .........  .........  .........  .........  .........  ..............
84545....          6  Urea-N clearance     .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
84550....          6  Assay blood uric     .........  .........  .........  .........  .........  ..............
                       acid.                                                                                    
84560....          6  Assay urine uric     .........  .........  .........  .........  .........  ..............
                       acid.                                                                                    
84577....          6  Assay feces          .........  .........  .........  .........  .........  ..............
                       urobilinogen.                                                                            
84578....          6  Test urine           .........  .........  .........  .........  .........  ..............
                       urobilinogen.                                                                            
84580....          6  Assay urine          .........  .........  .........  .........  .........  ..............
                       urobilinogen.                                                                            
84583....          6  Assay urine          .........  .........  .........  .........  .........  ..............
                       urobilinogen.                                                                            
84585....          6  Assay urine VMA....  .........  .........  .........  .........  .........  ..............
84586....          6  VIP assay..........  .........  .........  .........  .........  .........  ..............
84588....          6  Assay vasopressin..  .........  .........  .........  .........  .........  ..............
84590....          6  Assay vitamin-A....  .........  .........  .........  .........  .........  ..............
84597....          6  Assay vitamin-K....  .........  .........  .........  .........  .........  ..............
84600....          6  Assay for volatiles  .........  .........  .........  .........  .........  ..............
84620....          6  Xylose tolerance     .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
84630....          6  Assay zinc.........  .........  .........  .........  .........  .........  ..............
84681....          6  Assay C-peptide....  .........  .........  .........  .........  .........  ..............
84702....          6  Chorionic            .........  .........  .........  .........  .........  ..............
                       gonadotropin test.                                                                       
84703....          6  Chorionic            .........  .........  .........  .........  .........  ..............
                       gonadotropin assay.                                                                      
84830....          2  Ovulation tests....  .........  .........  .........  .........  .........  ..............
84999....          6  Clinical chemistry   .........  .........  .........  .........  .........  ..............
                       test.                                                                                    

[[Page 32412]]

                                                                                                                
85002....          6  Bleeding time test.  .........  .........  .........  .........  .........  ..............
85007....          6  Differential WBC     .........  .........  .........  .........  .........  ..............
                       count.                                                                                   
85008....          6  Nondifferential WBC  .........  .........  .........  .........  .........  ..............
                       count.                                                                                   
85009....          6  Differential WBC     .........  .........  .........  .........  .........  ..............
                       count.                                                                                   
85013....          2  Hematocrit.........  .........  .........  .........  .........  .........  ..............
85014....          2  Hematocrit.........  .........  .........  .........  .........  .........  ..............
85018....          2  Hemoglobin.........  .........  .........  .........  .........  .........  ..............
85021....          6  Automated hemogram.  .........  .........  .........  .........  .........  ..............
85022....          6  Automated hemogram.  .........  .........  .........  .........  .........  ..............
85023....          6  Automated hemogram.  .........  .........  .........  .........  .........  ..............
85024....          6  Automated hemogram.  .........  .........  .........  .........  .........  ..............
85025....          6  Automated hemogram.  .........  .........  .........  .........  .........  ..............
85027....          6  Automated hemogram.  .........  .........  .........  .........  .........  ..............
85029....          6  Automated hemogram.  .........  .........  .........  .........  .........  ..............
85030....          6  Automated hemogram.  .........  .........  .........  .........  .........  ..............
85031....          6  Manual hemogram,     .........  .........  .........  .........  .........  ..............
                       complete cbc.                                                                            
85041....          6  Red blood cell       .........  .........  .........  .........  .........  ..............
                       (RBC) count.                                                                             
85044....          6  Reticulocyte count.  .........  .........  .........  .........  .........  ..............
85045....          6  Reticulocyte count.  .........  .........  .........  .........  .........  ..............
85048....          6  White blood cell     .........  .........  .........  .........  .........  ..............
                       (WBC) count.                                                                             
85060....          6  Blood smear          .........  .........  .........  .........  .........  ..............
                       interpretation.                                                                          
85095....          6  Bone marrow          .........  .........  .........  .........  .........  ..............
                       aspiration.                                                                              
85097....          6  Bone marrow          .........  .........  .........  .........  .........  ..............
                       interpretation.                                                                          
85102....          6  Bone marrow biopsy.  .........  .........  .........  .........  .........  ..............
85130....          6  Chromogenic          .........  .........  .........  .........  .........  ..............
                       substrate assay.                                                                         
85170....          6  Blood clot           .........  .........  .........  .........  .........  ..............
                       retraction.                                                                              
85175....          6  Blood clot lysis     .........  .........  .........  .........  .........  ..............
                       time.                                                                                    
85210....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       II test.                                                                                 
85220....          6  Blood clot factor V  .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
85230....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       VII test.                                                                                
85240....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       VIII test.                                                                               
85244....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       VIII test.                                                                               
85245....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       VIII test.                                                                               
85246....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       VIII test.                                                                               
85247....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       VIII test.                                                                               
85250....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       IX test.                                                                                 
85260....          6  Blood clot factor X  .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
85270....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       XI test.                                                                                 
85280....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       XII test.                                                                                
85290....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       XIII test.                                                                               
85291....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       XIII test.                                                                               
85292....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
85293....          6  Blood clot factor    .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
85300....          6  Antithrombin III     .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
85301....          6  Antithrombin III     .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
85302....          6  Blood clot           .........  .........  .........  .........  .........  ..............
                       inhibitor antigen.                                                                       
85303....          6  Blood clot           .........  .........  .........  .........  .........  ..............
                       inhibitor test.                                                                          
85305....          6  Blood clot           .........  .........  .........  .........  .........  ..............
                       inhibitor assay.                                                                         
85306....          6  Blood clot           .........  .........  .........  .........  .........  ..............
                       inhibitor test.                                                                          
85335....          6  Factor inhibitor     .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
85337....          6  Thrombomodulin.....  .........  .........  .........  .........  .........  ..............
85345....          6  Coagulation time...  .........  .........  .........  .........  .........  ..............
85347....          6  Coagulation time...  .........  .........  .........  .........  .........  ..............
85348....          6  Coagulation time...  .........  .........  .........  .........  .........  ..............
85360....          6  Euglobulin lysis...  .........  .........  .........  .........  .........  ..............
85362....          6  Fibrin degradation   .........  .........  .........  .........  .........  ..............
                       products.                                                                                
85366....          6  Fibrinogen test....  .........  .........  .........  .........  .........  ..............
85370....          6  Fibrinogen test....  .........  .........  .........  .........  .........  ..............
85378....          6  Fibrin degradation.  .........  .........  .........  .........  .........  ..............
85379....          6  Fibrin degradation.  .........  .........  .........  .........  .........  ..............
85384....          6  Fibrinogen.........  .........  .........  .........  .........  .........  ..............
85385....          6  Fibrinogen.........  .........  .........  .........  .........  .........  ..............
85390....          6  Fibrinolysins        .........  .........  .........  .........  .........  ..............
                       screen.                                                                                  
85400....          6  Fibrinolytic         .........  .........  .........  .........  .........  ..............
                       plasmin.                                                                                 
85410....          6  Fibrinolytic         .........  .........  .........  .........  .........  ..............
                       antiplasmin.                                                                             
85415....          6  Fibrinolytic         .........  .........  .........  .........  .........  ..............
                       plasminogen.                                                                             
85420....          6  Fibrinolytic         .........  .........  .........  .........  .........  ..............
                       plasminogen.                                                                             
85421....          6  Fibrinolytic         .........  .........  .........  .........  .........  ..............
                       plasminogen.                                                                             
85441....          6  Heinz bodies;        .........  .........  .........  .........  .........  ..............
                       direct.                                                                                  
85445....          6  Heinz bodies;        .........  .........  .........  .........  .........  ..............
                       induced.                                                                                 
85460....          6  Hemoglobin, fetal..  .........  .........  .........  .........  .........  ..............
85461....          6  Hemoglobin, fetal..  .........  .........  .........  .........  .........  ..............
85475....          6  Hemolysin..........  .........  .........  .........  .........  .........  ..............
85520....          6  Heparin assay......  .........  .........  .........  .........  .........  ..............

[[Page 32413]]

                                                                                                                
85525....          6  Heparin............  .........  .........  .........  .........  .........  ..............
85530....          6  Heparin-protamine    .........  .........  .........  .........  .........  ..............
                       tolerance.                                                                               
85535....          6  Iron stain, blood    .........  .........  .........  .........  .........  ..............
                       cells.                                                                                   
85540....          6  Wbc alkaline         .........  .........  .........  .........  .........  ..............
                       phosphatase.                                                                             
85547....          6  RBC mechanical       .........  .........  .........  .........  .........  ..............
                       fragility.                                                                               
85549....          6  Muramidase.........  .........  .........  .........  .........  .........  ..............
85555....          6  RBC osmotic          .........  .........  .........  .........  .........  ..............
                       fragility.                                                                               
85557....          6  RBC osmotic          .........  .........  .........  .........  .........  ..............
                       fragility.                                                                               
85576....          6  Blood platelet       .........  .........  .........  .........  .........  ..............
                       aggregation.                                                                             
85585....          6  Blood platelet       .........  .........  .........  .........  .........  ..............
                       estimation.                                                                              
85590....          6  Platelet manual      .........  .........  .........  .........  .........  ..............
                       count.                                                                                   
85595....          6  Platelet count,      .........  .........  .........  .........  .........  ..............
                       automated.                                                                               
85597....          6  Platelet             .........  .........  .........  .........  .........  ..............
                       neutralization.                                                                          
85610....          6  Prothrombin time...  .........  .........  .........  .........  .........  ..............
85611....          6  Prothrombin test...  .........  .........  .........  .........  .........  ..............
85612....          6  Viper venom          .........  .........  .........  .........  .........  ..............
                       prothrombin time.                                                                        
85613....          6  Russell viper        .........  .........  .........  .........  .........  ..............
                       venom, diluted.                                                                          
85635....          6  Reptilase test.....  .........  .........  .........  .........  .........  ..............
85651....          2  Rbc sed rate,        .........  .........  .........  .........  .........  ..............
                       nonauto.                                                                                 
85652....          6  Rbc sed rate, auto.  .........  .........  .........  .........  .........  ..............
85660....          6  RBC sickle cell      .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
85670....          6  Thrombin time,       .........  .........  .........  .........  .........  ..............
                       plasma.                                                                                  
85675....          6  Thrombin time,       .........  .........  .........  .........  .........  ..............
                       titer.                                                                                   
85705....          6  Thromboplastin       .........  .........  .........  .........  .........  ..............
                       inhibition.                                                                              
85730....          6  Thromboplastin       .........  .........  .........  .........  .........  ..............
                       time, partial.                                                                           
85732....          6  Thromboplastin       .........  .........  .........  .........  .........  ..............
                       time, partial.                                                                           
85810....          6  Blood viscosity      .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
85999....          6  Hematology           .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
86000....          6  Agglutinins;         .........  .........  .........  .........  .........  ..............
                       febrile.                                                                                 
86003....          6  Allergen specific    .........  .........  .........  .........  .........  ..............
                       IgE.                                                                                     
86005....          6  Allergen specific    .........  .........  .........  .........  .........  ..............
                       IgE.                                                                                     
86021....          6  WBC antibody         .........  .........  .........  .........  .........  ..............
                       identification.                                                                          
86022....          6  Platelet antibodies  .........  .........  .........  .........  .........  ..............
86023....          6  Immunoglobulin       .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
86038....          6  Antinuclear          .........  .........  .........  .........  .........  ..............
                       antibodies.                                                                              
86039....          6  Antinuclear          .........  .........  .........  .........  .........  ..............
                       antibodies (ANA).                                                                        
86060....          6  Antistreptolysin O   .........  .........  .........  .........  .........  ..............
                       titer.                                                                                   
86063....          6  Antistreptolysin O   .........  .........  .........  .........  .........  ..............
                       screen.                                                                                  
86077....          6  Physician blood      .........  .........  .........  .........  .........  ..............
                       bank service.                                                                            
86078....          6  Physician blood      .........  .........  .........  .........  .........  ..............
                       bank service.                                                                            
86079....          6  Physician blood      .........  .........  .........  .........  .........  ..............
                       bank service.                                                                            
86140....          6  C-reactive protein.  .........  .........  .........  .........  .........  ..............
86147....          6  Cardiolipin          .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86148....          6  Phospholipid         .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86155....          6  Chemotaxis assay...  .........  .........  .........  .........  .........  ..............
86156....          6  Cold agglutinin      .........  .........  .........  .........  .........  ..............
                       screen.                                                                                  
86157....          6  Cold agglutinin,     .........  .........  .........  .........  .........  ..............
                       titer.                                                                                   
86160....          6  Complement, antigen  .........  .........  .........  .........  .........  ..............
86161....          6  Complement/function  .........  .........  .........  .........  .........  ..............
                       activity.                                                                                
86162....          6  Complement, total    .........  .........  .........  .........  .........  ..............
                       (CH50).                                                                                  
86171....          6  Complement           .........  .........  .........  .........  .........  ..............
                       fixation, each.                                                                          
86185....          6  Counterimmunoelectr  .........  .........  .........  .........  .........  ..............
                       ophoresis.                                                                               
86215....          6  Deoxyribonuclease,   .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86225....          6  DNA antibody.......  .........  .........  .........  .........  .........  ..............
86226....          6  DNA antibody,        .........  .........  .........  .........  .........  ..............
                       single strand.                                                                           
86235....          6  Nuclear antigen      .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86243....          6  Fc receptor........  .........  .........  .........  .........  .........  ..............
86255....          6  Fluorescent          .........  .........  .........  .........  .........  ..............
                       antibody; screen.                                                                        
86256....          6  Fluorescent          .........  .........  .........  .........  .........  ..............
                       antibody; titer.                                                                         
86277....          6  Growth hormone       .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86280....          6  Hemagglutination     .........  .........  .........  .........  .........  ..............
                       inhibition.                                                                              
86308....          6  Heterophile          .........  .........  .........  .........  .........  ..............
                       antibodies.                                                                              
86309....          6  Heterophile          .........  .........  .........  .........  .........  ..............
                       antibodies.                                                                              
86310....          6  Heterophile          .........  .........  .........  .........  .........  ..............
                       antibodies.                                                                              
86316....          6  Immunoassay, tumor   .........  .........  .........  .........  .........  ..............
                       antigen.                                                                                 
86317....          6  Immunoassay,         .........  .........  .........  .........  .........  ..............
                       infectious agent.                                                                        
86318....          2  Immunoassay,         .........  .........  .........  .........  .........  ..............
                       infectious agent.                                                                        
86320....          6  Serum                .........  .........  .........  .........  .........  ..............
                       immunoelectrophore                                                                       
                       sis.                                                                                     
86325....          6  Other                .........  .........  .........  .........  .........  ..............
                       immunoelectrophore                                                                       
                       sis.                                                                                     
86327....          6  Immunoelectrophores  .........  .........  .........  .........  .........  ..............
                       is assay.                                                                                
86329....          6  Immunodiffusion....  .........  .........  .........  .........  .........  ..............
86331....          6  Immunodiffusion      .........  .........  .........  .........  .........  ..............
                       ouchterlony.                                                                             
86332....          6  Immune complex       .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
86334....          6  Immunofixation       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               

[[Page 32414]]

                                                                                                                
86337....          6  Insulin antibodies.  .........  .........  .........  .........  .........  ..............
86340....          6  Intrinsic factor     .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86341....          6  Islet cell antibody  .........  .........  .........  .........  .........  ..............
86343....          6  Leukocyte histamine  .........  .........  .........  .........  .........  ..............
                       release.                                                                                 
86344....          6  Leukocyte            .........  .........  .........  .........  .........  ..............
                       phagocytosis.                                                                            
86353....          6  Lymphocyte           .........  .........  .........  .........  .........  ..............
                       transformation.                                                                          
86359....          6  T cells, total       .........  .........  .........  .........  .........  ..............
                       count.                                                                                   
86360....          6  T cell absolute      .........  .........  .........  .........  .........  ..............
                       count/ratio.                                                                             
86361....          6  T cell absolute      .........  .........  .........  .........  .........  ..............
                       count.                                                                                   
86376....          6  Microsomal antibody  .........  .........  .........  .........  .........  ..............
86378....          6  Migration            .........  .........  .........  .........  .........  ..............
                       inhibitory factor.                                                                       
86382....          6  Neutralization       .........  .........  .........  .........  .........  ..............
                       test, viral.                                                                             
86384....          6  Nitroblue            .........  .........  .........  .........  .........  ..............
                       tetrazolium dye.                                                                         
86403....          6  Particle             .........  .........  .........  .........  .........  ..............
                       agglutination test.                                                                      
86406....          6  Particle             .........  .........  .........  .........  .........  ..............
                       agglutination test.                                                                      
86430....          6  Rheumatoid factor    .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
86431....          6  Rheumatoid factor,   .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
86485....          6  Skin test, candida.  .........  .........  .........  .........  .........  ..............
86490....          6  Coccidioidomycosis   .........  .........  .........  .........  .........  ..............
                       skin test.                                                                               
86510....          6  Histoplasmosis skin  .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
86580....          6  TB intradermal test  .........  .........  .........  .........  .........  ..............
86585....          6  TB tine test.......  .........  .........  .........  .........  .........  ..............
86586....          6  Skin test, unlisted  .........  .........  .........  .........  .........  ..............
86588....          2  Streptocollus,       .........  .........  .........  .........  .........  ..............
                       direct screen.                                                                           
86590....          6  Streptokinase,       .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86592....          6  Blood serology,      .........  .........  .........  .........  .........  ..............
                       qualitative.                                                                             
86593....          6  Blood serology,      .........  .........  .........  .........  .........  ..............
                       quantitative.                                                                            
86602....          6  Antinomyces          .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86603....          6  Adenovirus,          .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86606....          6  Aspergillus          .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86609....          6  Bacterium, antibody  .........  .........  .........  .........  .........  ..............
86612....          6  Blastomyces,         .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86615....          6  Bordetella antibody  .........  .........  .........  .........  .........  ..............
86617....          6  Lyme disease         .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86618....          6  Lyme disease         .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86619....          6  Borrelia antibody..  .........  .........  .........  .........  .........  ..............
86622....          6  Brucella, antibody.  .........  .........  .........  .........  .........  ..............
86625....          6  Campylobacter,       .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86628....          6  Candida, antibody..  .........  .........  .........  .........  .........  ..............
86631....          6  Chlamydia, antibody  .........  .........  .........  .........  .........  ..............
86632....          6  Chlamydia, IgM,      .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86635....          6  Coccidioides,        .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86638....          6  Q fever antibody...  .........  .........  .........  .........  .........  ..............
86641....          6  Cryptococcus         .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86644....          6  CMV antibody.......  .........  .........  .........  .........  .........  ..............
86645....          6  CMV antibody, IgM..  .........  .........  .........  .........  .........  ..............
86648....          6  Diphtheria antibody  .........  .........  .........  .........  .........  ..............
86651....          6  Encephalitis         .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86652....          6  Encephalitis         .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86653....          6  Encephalitis,        .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86654....          6  Encephalitis,        .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86658....          6  Enterovirus,         .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86663....          6  Epstein-barr         .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86664....          6  Epstein-barr         .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86665....          6  Epstein-barr,        .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86668....          6  Francisella          .........  .........  .........  .........  .........  ..............
                       tularensis.                                                                              
86671....          6  Fungus, antibody...  .........  .........  .........  .........  .........  ..............
86674....          6  Giardia lamblia....  .........  .........  .........  .........  .........  ..............
86677....          6  Helicobacter pylori  .........  .........  .........  .........  .........  ..............
86682....          6  Helminth, antibody.  .........  .........  .........  .........  .........  ..............
86684....          6  Hemophilus           .........  .........  .........  .........  .........  ..............
                       influenza.                                                                               
86687....          6  HTLV-I.............  .........  .........  .........  .........  .........  ..............
86688....          6  HTLV-II............  .........  .........  .........  .........  .........  ..............
86689....          6  HTLV/HIV             .........  .........  .........  .........  .........  ..............
                       confirmatory test.                                                                       
86692....          6  Hepatitis, delta     .........  .........  .........  .........  .........  ..............
                       agent.                                                                                   
86694....          6  Herpes simplex test  .........  .........  .........  .........  .........  ..............
86695....          6  Herpes simplex test  .........  .........  .........  .........  .........  ..............
86698....          6  Histoplasma........  .........  .........  .........  .........  .........  ..............
86701....          6  HIV-1..............  .........  .........  .........  .........  .........  ..............
86702....          6  HIV-2..............  .........  .........  .........  .........  .........  ..............
86703....          6  HIV-1/HIV-2, single  .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
86704....          6  Hep b core ab test,  .........  .........  .........  .........  .........  ..............
                       igg & m.                                                                                 
86705....          6  Hep b core ab test,  .........  .........  .........  .........  .........  ..............
                       igm.                                                                                     
86706....          6  Hepatitis b surface  .........  .........  .........  .........  .........  ..............
                       ab test.                                                                                 

[[Page 32415]]

                                                                                                                
86707....          6  Hepatitis be ab      .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
86708....          6  Hep a ab test, igg   .........  .........  .........  .........  .........  ..............
                       & m.                                                                                     
86709....          6  Hep a ab test, igm.  .........  .........  .........  .........  .........  ..............
86710....          6  Influenza virus....  .........  .........  .........  .........  .........  ..............
86713....          6  Legionella.........  .........  .........  .........  .........  .........  ..............
86717....          6  Leishmania.........  .........  .........  .........  .........  .........  ..............
86720....          6  Leptospira.........  .........  .........  .........  .........  .........  ..............
86723....          6  Listeria             .........  .........  .........  .........  .........  ..............
                       monocytogenes.                                                                           
86727....          6  Lymph                .........  .........  .........  .........  .........  ..............
                       choriomeningitis.                                                                        
86729....          6  Lympho venereum....  .........  .........  .........  .........  .........  ..............
86732....          6  Mucormycosis.......  .........  .........  .........  .........  .........  ..............
86735....          6  Mumps..............  .........  .........  .........  .........  .........  ..............
86738....          6  Mycoplasma.........  .........  .........  .........  .........  .........  ..............
86741....          6  Neisseria            .........  .........  .........  .........  .........  ..............
                       meningitidis.                                                                            
86744....          6  Nocardia...........  .........  .........  .........  .........  .........  ..............
86747....          6  Parvovirus.........  .........  .........  .........  .........  .........  ..............
86750....          6  Malaria............  .........  .........  .........  .........  .........  ..............
86753....          6  Protozoa, not        .........  .........  .........  .........  .........  ..............
                       elsewhere.                                                                               
86756....          6  Respiratory virus..  .........  .........  .........  .........  .........  ..............
86759....          6  Rotavirus..........  .........  .........  .........  .........  .........  ..............
86762....          6  Rubella............  .........  .........  .........  .........  .........  ..............
86765....          6  Rubeola............  .........  .........  .........  .........  .........  ..............
86768....          6  Salmonella.........  .........  .........  .........  .........  .........  ..............
86771....          6  Shigella...........  .........  .........  .........  .........  .........  ..............
86774....          6  Tetanus............  .........  .........  .........  .........  .........  ..............
86777....          6  Toxoplasma.........  .........  .........  .........  .........  .........  ..............
86778....          6  Toxoplasma, IgM....  .........  .........  .........  .........  .........  ..............
86781....          6  Treponema pallidum   .........  .........  .........  .........  .........  ..............
                       confirm.                                                                                 
86784....          6  Trichinella........  .........  .........  .........  .........  .........  ..............
86787....          6  Varicella-zoster...  .........  .........  .........  .........  .........  ..............
86790....          6  Virus, not           .........  .........  .........  .........  .........  ..............
                       specified.                                                                               
86793....          6  Yersinia...........  .........  .........  .........  .........  .........  ..............
86800....          6  Thyroglobulin        .........  .........  .........  .........  .........  ..............
                       antibody.                                                                                
86803....          6  Hepatitis c ab test  .........  .........  .........  .........  .........  ..............
86804....          6  Hep c ab test,       .........  .........  .........  .........  .........  ..............
                       confirm.                                                                                 
86805....          6  Lymphocytotoxicity   .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
86806....          6  Lymphocytotoxicity   .........  .........  .........  .........  .........  ..............
                       assay.                                                                                   
86807....          6  Cytotoxic antibody   .........  .........  .........  .........  .........  ..............
                       screening.                                                                               
86808....          6  Cytotoxic antibody   .........  .........  .........  .........  .........  ..............
                       screening.                                                                               
86812....          6  HLA typing, A, B,    .........  .........  .........  .........  .........  ..............
                       or C.                                                                                    
86813....          6  HLA typing, A, B,    .........  .........  .........  .........  .........  ..............
                       or C.                                                                                    
86816....          6  HLA typing, DR/DQ..  .........  .........  .........  .........  .........  ..............
86817....          6  HLA typing, DR/DQ..  .........  .........  .........  .........  .........  ..............
86821....          6  Lymphocyte culture,  .........  .........  .........  .........  .........  ..............
                       mixed.                                                                                   
86822....          6  Lymphocyte culture,  .........  .........  .........  .........  .........  ..............
                       primed.                                                                                  
86849....          6  Immunology           .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
86850....          6  RBC antibody screen  .........  .........  .........  .........  .........  ..............
86860....          6  RBC antibody         .........  .........  .........  .........  .........  ..............
                       elution.                                                                                 
86870....          6  RBC antibody         .........  .........  .........  .........  .........  ..............
                       identification.                                                                          
86880....          6  Coombs test........  .........  .........  .........  .........  .........  ..............
86885....          6  Coombs test........  .........  .........  .........  .........  .........  ..............
86886....          6  Coombs test........  .........  .........  .........  .........  .........  ..............
86890....          6  Autologous blood     .........  .........  .........  .........  .........  ..............
                       process.                                                                                 
86891....          6  Autologous blood,    .........  .........  .........  .........  .........  ..............
                       op salvage.                                                                              
86900....          6  Blood typing, ABO..  .........  .........  .........  .........  .........  ..............
86901....          6  Blood typing, Rh     .........  .........  .........  .........  .........  ..............
                       (D).                                                                                     
86903....          6  Blood typing,        .........  .........  .........  .........  .........  ..............
                       antigen screen.                                                                          
86904....          6  Blood typing,        .........  .........  .........  .........  .........  ..............
                       patient serum.                                                                           
86905....          6  Blood typing, RBC    .........  .........  .........  .........  .........  ..............
                       antigens.                                                                                
86906....          6  Blood typing, Rh     .........  .........  .........  .........  .........  ..............
                       phenotype.                                                                               
86910....          9  Blood typing,        .........  .........  .........  .........  .........  ..............
                       paternity test.                                                                          
86911....          9  Blood typing,        .........  .........  .........  .........  .........  ..............
                       antigen system.                                                                          
86915....          6  Bone marrow........  .........  .........  .........  .........  .........  ..............
86920....          6  Compatibility test.  .........  .........  .........  .........  .........  ..............
86921....          6  Compatibility test.  .........  .........  .........  .........  .........  ..............
86922....          6  Compatibility test.  .........  .........  .........  .........  .........  ..............
86927....          6  Plasma, fresh        .........  .........  .........  .........  .........  ..............
                       frozen.                                                                                  
86930....          6  Frozen blood prep..  .........  .........  .........  .........  .........  ..............
86931....          6  Frozen blood thaw..  .........  .........  .........  .........  .........  ..............
86932....          6  Frozen blood,        .........  .........  .........  .........  .........  ..............
                       freeze/thaw.                                                                             
86940....          6  Hemolysins/          .........  .........  .........  .........  .........  ..............
                       agglutinins auto.                                                                        
86941....          6  Hemolysins/          .........  .........  .........  .........  .........  ..............
                       agglutinins.                                                                             
86945....          6  Blood product/       .........  .........  .........  .........  .........  ..............
                       irradiation.                                                                             
86950....          6  Leukacyte            .........  .........  .........  .........  .........  ..............
                       transfusion.                                                                             

[[Page 32416]]

                                                                                                                
86965....          6  Pooling blood        .........  .........  .........  .........  .........  ..............
                       platelets.                                                                               
86970....          6  RBC pretreatment...  .........  .........  .........  .........  .........  ..............
86971....          6  RBC pretreatment...  .........  .........  .........  .........  .........  ..............
86972....          6  RBC pretreatment...  .........  .........  .........  .........  .........  ..............
86975....          6  RBC pretreatment,    .........  .........  .........  .........  .........  ..............
                       serum.                                                                                   
86976....          6  RBC pretreatment,    .........  .........  .........  .........  .........  ..............
                       serum.                                                                                   
86977....          6  RBC pretreatment,    .........  .........  .........  .........  .........  ..............
                       serum.                                                                                   
86978....          6  RBC pretreatment,    .........  .........  .........  .........  .........  ..............
                       serum.                                                                                   
86985....          6  Split blood or       .........  .........  .........  .........  .........  ..............
                       products.                                                                                
86999....          6  Transfusion          .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
87001....          6  Small animal         .........  .........  .........  .........  .........  ..............
                       inoculation.                                                                             
87003....          6  Small animal         .........  .........  .........  .........  .........  ..............
                       inoculation.                                                                             
87015....          6  Specimen             .........  .........  .........  .........  .........  ..............
                       concentration.                                                                           
87040....          6  Blood culture for    .........  .........  .........  .........  .........  ..............
                       bacteria.                                                                                
87045....          6  Stool culture for    .........  .........  .........  .........  .........  ..............
                       bacteria.                                                                                
87060....          6  Nose/throat          .........  .........  .........  .........  .........  ..............
                       culture,bacteria.                                                                        
87070....          6  Culture specimen,    .........  .........  .........  .........  .........  ..............
                       bacteria.                                                                                
87072....          2  Culture of specimen  .........  .........  .........  .........  .........  ..............
                       by kit.                                                                                  
87075....          6  Culture specimen,    .........  .........  .........  .........  .........  ..............
                       bacteria.                                                                                
87076....          6  Bacteria             .........  .........  .........  .........  .........  ..............
                       identification.                                                                          
87081....          6  Bacteria culture     .........  .........  .........  .........  .........  ..............
                       screen.                                                                                  
87082....          6  Culture of specimen  .........  .........  .........  .........  .........  ..............
                       by kit.                                                                                  
87083....          6  Culture of specimen  .........  .........  .........  .........  .........  ..............
                       by kit.                                                                                  
87084....          6  Culture of specimen  .........  .........  .........  .........  .........  ..............
                       by kit.                                                                                  
87085....          6  Culture of specimen  .........  .........  .........  .........  .........  ..............
                       by kit.                                                                                  
87086....          6  Urine culture,       .........  .........  .........  .........  .........  ..............
                       colony count.                                                                            
87087....          6  Urine bacteria       .........  .........  .........  .........  .........  ..............
                       culture.                                                                                 
87088....          6  Urine bacteria       .........  .........  .........  .........  .........  ..............
                       culture.                                                                                 
87101....          6  Skin fungus culture  .........  .........  .........  .........  .........  ..............
87102....          6  Fungus isolation     .........  .........  .........  .........  .........  ..............
                       culture.                                                                                 
87103....          6  Blood fungus         .........  .........  .........  .........  .........  ..............
                       culture.                                                                                 
87106....          6  Fungus               .........  .........  .........  .........  .........  ..............
                       identification.                                                                          
87109....          6  Mycoplasma culture.  .........  .........  .........  .........  .........  ..............
87110....          6  Culture, chlamydia.  .........  .........  .........  .........  .........  ..............
87116....          6  Mycobacteria         .........  .........  .........  .........  .........  ..............
                       culture.                                                                                 
87117....          6  Mycobacteria         .........  .........  .........  .........  .........  ..............
                       culture.                                                                                 
87118....          6  Mycobacteria         .........  .........  .........  .........  .........  ..............
                       identification.                                                                          
87140....          6  Culture typing,      .........  .........  .........  .........  .........  ..............
                       fluorescent.                                                                             
87143....          6  Culture typing, GLC  .........  .........  .........  .........  .........  ..............
                       method.                                                                                  
87145....          6  Culture typing,      .........  .........  .........  .........  .........  ..............
                       phage method.                                                                            
87147....          6  Culture typing,      .........  .........  .........  .........  .........  ..............
                       serologic.                                                                               
87151....          6  Culture typing,      .........  .........  .........  .........  .........  ..............
                       serologic.                                                                               
87155....          6  Culture typing,      .........  .........  .........  .........  .........  ..............
                       precipitin.                                                                              
87158....          6  Culture typing,      .........  .........  .........  .........  .........  ..............
                       added method.                                                                            
87163....          6  Special              .........  .........  .........  .........  .........  ..............
                       microbiology                                                                             
                       culture.                                                                                 
87164....          6  Dark field           .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
87166....          6  Dark field           .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
87174....          6  Endotoxin,           .........  .........  .........  .........  .........  ..............
                       bacterial.                                                                               
87175....          6  Assay, endotoxin,    .........  .........  .........  .........  .........  ..............
                       bacterial.                                                                               
87176....          6  Endotoxin,           .........  .........  .........  .........  .........  ..............
                       bacterial.                                                                               
87177....          6  Ova and parasites    .........  .........  .........  .........  .........  ..............
                       smears.                                                                                  
87181....          6  Antibiotic           .........  .........  .........  .........  .........  ..............
                       sensitivity, each.                                                                       
87184....          6  Antibiotic           .........  .........  .........  .........  .........  ..............
                       sensitivity, each.                                                                       
87186....          6  Antibiotic           .........  .........  .........  .........  .........  ..............
                       sensitivity, MIC.                                                                        
87187....          6  Antibiotic           .........  .........  .........  .........  .........  ..............
                       sensitivity, MBC.                                                                        
87188....          6  Antibiotic           .........  .........  .........  .........  .........  ..............
                       sensitivity, each.                                                                       
87190....          6  TB antibiotic        .........  .........  .........  .........  .........  ..............
                       sensitivity.                                                                             
87192....          6  Antibiotic           .........  .........  .........  .........  .........  ..............
                       sensitivity, each.                                                                       
87197....          6  Bactericidal level,  .........  .........  .........  .........  .........  ..............
                       serum.                                                                                   
87205....          6  Smear, stain &       .........  .........  .........  .........  .........  ..............
                       interpret.                                                                               
87206....          6  Smear, stain &       .........  .........  .........  .........  .........  ..............
                       interpret.                                                                               
87207....          6  Smear, stain &       .........  .........  .........  .........  .........  ..............
                       interpret.                                                                               
87208....          6  Smear, stain &       .........  .........  .........  .........  .........  ..............
                       interpret.                                                                               
87210....          6  Smear, stain &       .........  .........  .........  .........  .........  ..............
                       interpret.                                                                               
87211....          6  Smear, stain &       .........  .........  .........  .........  .........  ..............
                       interpret.                                                                               
87220....          6  Tissue exam for      .........  .........  .........  .........  .........  ..............
                       fungi.                                                                                   
87230....          6  Assay, toxin or      .........  .........  .........  .........  .........  ..............
                       antitoxin.                                                                               
87250....          6  Virus inoculation    .........  .........  .........  .........  .........  ..............
                       for test.                                                                                
87252....          6  Virus inoculation    .........  .........  .........  .........  .........  ..............
                       for test.                                                                                
87253....          6  Virus inoculation    .........  .........  .........  .........  .........  ..............
                       for test.                                                                                
87260....          6  Adenovirus ag, dfa.  .........  .........  .........  .........  .........  ..............
87265....          6  Pertussis ag, dfa..  .........  .........  .........  .........  .........  ..............
87270....          6  Chylmd trach ag,     .........  .........  .........  .........  .........  ..............
                       dfa.                                                                                     
87272....          6  Cryptosporidum ag,   .........  .........  .........  .........  .........  ..............
                       dfa.                                                                                     

[[Page 32417]]

                                                                                                                
87274....          6  Herpes simplex ag,   .........  .........  .........  .........  .........  ..............
                       dfa.                                                                                     
87276....          6  Influenza ag, dfa..  .........  .........  .........  .........  .........  ..............
87278....          6  Legion pneumo ag,    .........  .........  .........  .........  .........  ..............
                       dfa.                                                                                     
87280....          6  Resp syncytial ag,   .........  .........  .........  .........  .........  ..............
                       dfa.                                                                                     
87285....          6  Trepon pallidum ag,  .........  .........  .........  .........  .........  ..............
                       dfa.                                                                                     
87290....          6  Varicella ag, dfa..  .........  .........  .........  .........  .........  ..............
87299....          6  Ag detection nos,    .........  .........  .........  .........  .........  ..............
                       dfa.                                                                                     
87301....          6  Adenovirus ag, eia.  .........  .........  .........  .........  .........  ..............
87320....          6  Chylmd trach ag,     .........  .........  .........  .........  .........  ..............
                       eia.                                                                                     
87324....          6  Clostridium ag, eia  .........  .........  .........  .........  .........  ..............
87328....          6  Cryptospor ag, eia.  .........  .........  .........  .........  .........  ..............
87332....          6  Cytomegalovirus ag,  .........  .........  .........  .........  .........  ..............
                       eia.                                                                                     
87335....          6  E coli 0157 ag, eia  .........  .........  .........  .........  .........  ..............
87340....          6  Hepatitis b surface  .........  .........  .........  .........  .........  ..............
                       ag, eia.                                                                                 
87350....          6  Hepatitis b ag, eia  .........  .........  .........  .........  .........  ..............
87380....          6  Hepatitis delta ag,  .........  .........  .........  .........  .........  ..............
                       eia.                                                                                     
87385....          6  Histoplasma capsul   .........  .........  .........  .........  .........  ..............
                       ag, eia.                                                                                 
87390....          6  Hiv-1 ag, eia......  .........  .........  .........  .........  .........  ..............
87391....          6  Hiv-2 ag, eia......  .........  .........  .........  .........  .........  ..............
87420....          6  Resp syncytial ag,   .........  .........  .........  .........  .........  ..............
                       eia.                                                                                     
87425....          6  Rotavirus ag, eia..  .........  .........  .........  .........  .........  ..............
87430....          6  Strep a ag, eia....  .........  .........  .........  .........  .........  ..............
87449....          6  Ag detect nos, eia,  .........  .........  .........  .........  .........  ..............
                       mult.                                                                                    
87450....          6  Ag detect nos, eia,  .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
87470....          6  Bartonella, dna,     .........  .........  .........  .........  .........  ..............
                       dir probe.                                                                               
87471....          6  Bartonella, dna,     .........  .........  .........  .........  .........  ..............
                       amp probe.                                                                               
87472....          6  Bartonella, dna,     .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87475....          6  Lyme dis, dna, dir   .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87476....          6  Lyme dis, dna, amp   .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87477....          6  Lyme dis, dna,       .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87480....          6  Candida, dna, dir    .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87481....          6  Candida, dna, amp    .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87482....          6  Candida, dna, quant  .........  .........  .........  .........  .........  ..............
87485....          6  Chylmd pneum, dna,   .........  .........  .........  .........  .........  ..............
                       dir probe.                                                                               
87486....          6  Chylmd pneum, dna,   .........  .........  .........  .........  .........  ..............
                       amp probe.                                                                               
87487....          6  Chylmd pneum, dna,   .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87490....          6  Chylmd trach, dna,   .........  .........  .........  .........  .........  ..............
                       dir probe.                                                                               
87491....          6  Chylmd trach, dna,   .........  .........  .........  .........  .........  ..............
                       amp probe.                                                                               
87492....          6  Chylmd trach, dna,   .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87495....          6  Cytomeg, dna, dir    .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87496....          6  Cytomeg, dna, amp    .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87497....          6  Cytomeg, dna, quant  .........  .........  .........  .........  .........  ..............
87510....          6  Gardner vag, dna,    .........  .........  .........  .........  .........  ..............
                       dir probe.                                                                               
87511....          6  Gardner vag, dna,    .........  .........  .........  .........  .........  ..............
                       amp probe.                                                                               
87512....          6  Gardner vag, dna,    .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87515....          6  Hepatitis b, dna,    .........  .........  .........  .........  .........  ..............
                       dir probe.                                                                               
87516....          6  Hepatitis b, dna,    .........  .........  .........  .........  .........  ..............
                       amp probe.                                                                               
87517....          6  Hepatitis b, dna,    .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87520....          6  Hepatitis c, rna,    .........  .........  .........  .........  .........  ..............
                       dir probe.                                                                               
87521....          6  Hepatitis c, rna,    .........  .........  .........  .........  .........  ..............
                       amp probe.                                                                               
87522....          6  Hepatitis c, rna,    .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87525....          6  Hepatitis g, dna,    .........  .........  .........  .........  .........  ..............
                       dir probe.                                                                               
87526....          6  Hepatitis g, dna,    .........  .........  .........  .........  .........  ..............
                       amp probe.                                                                               
87527....          6  Hepatitis g, dna,    .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87528....          6  Hsv, dna, dir probe  .........  .........  .........  .........  .........  ..............
87529....          6  Hsv, dna, amp probe  .........  .........  .........  .........  .........  ..............
87530....          6  Hsv, dna, quant....  .........  .........  .........  .........  .........  ..............
87531....          6  Hhv-6, dna, dir      .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87532....          6  Hhv-6, dna, amp      .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87533....          6  Hhv-6, dna, quant..  .........  .........  .........  .........  .........  ..............
87534....          6  Hiv-1, dna, dir      .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87535....          6  Hiv-1, dna, amp      .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87536....          6  Hiv-1, dna, quant..  .........  .........  .........  .........  .........  ..............
87537....          6  Hiv-2, dna, dir      .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87538....          6  Hiv-2, dna, amp      .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87539....          6  Hiv-2, dna, quant..  .........  .........  .........  .........  .........  ..............
87540....          6  Legion pneumo, dna,  .........  .........  .........  .........  .........  ..............
                       dir prob.                                                                                
87541....          6  Legion pneumo, dna,  .........  .........  .........  .........  .........  ..............
                       amp prob.                                                                                
87542....          6  Legion pneumo, dna,  .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87550....          6  Mycobacteria, dna,   .........  .........  .........  .........  .........  ..............
                       dir probe.                                                                               
87551....          6  Mycobacteria, dna,   .........  .........  .........  .........  .........  ..............
                       amp probe.                                                                               
87552....          6  Mycobacteria, dna,   .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87555....          6  M.tuberculo, dna,    .........  .........  .........  .........  .........  ..............
                       dir probe.                                                                               
87556....          6  M.tuberculo, dna,    .........  .........  .........  .........  .........  ..............
                       amp probe.                                                                               

[[Page 32418]]

                                                                                                                
87557....          6  M.tuberculo, dna,    .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87560....          6  M.avium-intra, dna,  .........  .........  .........  .........  .........  ..............
                       dir prob.                                                                                
87561....          6  M.avium-intra, dna,  .........  .........  .........  .........  .........  ..............
                       amp prob.                                                                                
87562....          6  M.avium-intra, dna,  .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87580....          6  M.pneumon, dna, dir  .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87581....          6  M.pneumon, dna, amp  .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87582....          6  M.pneumon, dna,      .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87590....          6  N.gonorrhoeae, dna,  .........  .........  .........  .........  .........  ..............
                       dir prob.                                                                                
87591....          6  N.gonorrhoeae, dna,  .........  .........  .........  .........  .........  ..............
                       amp prob.                                                                                
87592....          6  N.gonorrhoeae, dna,  .........  .........  .........  .........  .........  ..............
                       quant.                                                                                   
87620....          6  Hpv, dna, dir probe  .........  .........  .........  .........  .........  ..............
87621....          6  Hpv, dna, amp probe  .........  .........  .........  .........  .........  ..............
87622....          6  Hpv, dna, quant....  .........  .........  .........  .........  .........  ..............
87650....          6  Strep a, dna, dir    .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87651....          6  Strep a, dna, amp    .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
87652....          6  Strep a, dna, quant  .........  .........  .........  .........  .........  ..............
87797....          6  Detect agent nos,    .........  .........  .........  .........  .........  ..............
                       dna, dir.                                                                                
87798....          6  Detect agent nos,    .........  .........  .........  .........  .........  ..............
                       dna, amp.                                                                                
87799....          6  Detect agent nos,    .........  .........  .........  .........  .........  ..............
                       dna, quant.                                                                              
87810....          6  Chylmd trach assay   .........  .........  .........  .........  .........  ..............
                       w/optic.                                                                                 
87850....          6  N. gonorrhoeae       .........  .........  .........  .........  .........  ..............
                       assay w/optic.                                                                           
87880....          6  Strep a assay w/     .........  .........  .........  .........  .........  ..............
                       optic.                                                                                   
87899....          6  Agent nos assay w/   .........  .........  .........  .........  .........  ..............
                       optic.                                                                                   
87999....          6  Microbiology         .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
88000....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       gross.                                                                                   
88005....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       gross.                                                                                   
88007....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       gross.                                                                                   
88012....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       gross.                                                                                   
88014....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       gross.                                                                                   
88016....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       gross.                                                                                   
88020....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
88025....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
88027....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
88028....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
88029....          9  Autopsy (necropsy),  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
88036....          9  Limited autopsy....  .........  .........  .........  .........  .........  ..............
88037....          9  Limited autopsy....  .........  .........  .........  .........  .........  ..............
88040....          9  Forensic autopsy     .........  .........  .........  .........  .........  ..............
                       (necropsy).                                                                              
88045....          9  Coroner's autopsy    .........  .........  .........  .........  .........  ..............
                       (necropsy).                                                                              
88099....          9  Necropsy (autopsy)   .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
88104....          6  Cytopathology,       .........  .........  .........  .........  .........  ..............
                       fluids.                                                                                  
88106....          6  Cytopathology,       .........  .........  .........  .........  .........  ..............
                       fluids.                                                                                  
88107....          6  Cytopathology,       .........  .........  .........  .........  .........  ..............
                       fluids.                                                                                  
88108....          6  Cytopath,            .........  .........  .........  .........  .........  ..............
                       concentrate tech.                                                                        
88125....          6  Forensic             .........  .........  .........  .........  .........  ..............
                       cytopathology.                                                                           
88130....          6  Sex chromatin        .........  .........  .........  .........  .........  ..............
                       identification.                                                                          
88140....          6  Sex chromatin        .........  .........  .........  .........  .........  ..............
                       identification.                                                                          
88141....          6  Cytopath cerv/vag    .........  .........  .........  .........  .........  ..............
                       interpret.                                                                               
88142....          6  Cytopath cerv/vag    .........  .........  .........  .........  .........  ..............
                       thin layer.                                                                              
88150....          6  Cytopath cerv/vag..  .........  .........  .........  .........  .........  ..............
88152....          6  Cytopath cerv/vag    .........  .........  .........  .........  .........  ..............
                       auto.                                                                                    
88155....          6  Cytopath cerv/vag    .........  .........  .........  .........  .........  ..............
                       index.                                                                                   
88156....          6  Cytopath cerv/vag    .........  .........  .........  .........  .........  ..............
                       tbs.                                                                                     
88158....          6  Cytopath cerv/vag    .........  .........  .........  .........  .........  ..............
                       tbs auto.                                                                                
88160....          6  Cytopath smear,      .........  .........  .........  .........  .........  ..............
                       other source.                                                                            
88161....          6  Cytopath smear,      .........  .........  .........  .........  .........  ..............
                       other source.                                                                            
88162....          6  Cytopath smear,      .........  .........  .........  .........  .........  ..............
                       other source.                                                                            
88170....          6  Fine needle          .........  .........  .........  .........  .........  ..............
                       aspiration.                                                                              
88171....          6  Fine needle          .........  .........  .........  .........  .........  ..............
                       aspiration.                                                                              
88172....          6  Evaluation of smear  .........  .........  .........  .........  .........  ..............
88173....          6  Interpretation of    .........  .........  .........  .........  .........  ..............
                       smear.                                                                                   
88180....          6  Cell marker study..  .........  .........  .........  .........  .........  ..............
88182....          6  Cell marker study..  .........  .........  .........  .........  .........  ..............
88199....          6  Cytopathology        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
88230....          6  Tissue culture,      .........  .........  .........  .........  .........  ..............
                       lymphocyte.                                                                              
88233....          6  Tissue culture,      .........  .........  .........  .........  .........  ..............
                       skin/biopsy.                                                                             
88235....          6  Tissue culture,      .........  .........  .........  .........  .........  ..............
                       placenta.                                                                                
88237....          6  Tissue culture,      .........  .........  .........  .........  .........  ..............
                       bone marrow.                                                                             
88239....          6  Tissue culture,      .........  .........  .........  .........  .........  ..............
                       other.                                                                                   
88245....          6  Chromosome analysis  .........  .........  .........  .........  .........  ..............
88248....          6  Chromosome analysis  .........  .........  .........  .........  .........  ..............
88250....          6  Chromosome analysis  .........  .........  .........  .........  .........  ..............
88260....          6  Chromosome           .........  .........  .........  .........  .........  ..............
                       analysis: 5 cells.                                                                       
88261....          6  Chromosome           .........  .........  .........  .........  .........  ..............
                       analysis: 5 cells.                                                                       

[[Page 32419]]

                                                                                                                
88262....          6  Chromosome count:    .........  .........  .........  .........  .........  ..............
                       15-20 cells.                                                                             
88263....          6  Chromosome           .........  .........  .........  .........  .........  ..............
                       analysis: 45 cells.                                                                      
88267....          6  Chromosome           .........  .........  .........  .........  .........  ..............
                       analysis: placenta.                                                                      
88269....          6  Chromosome           .........  .........  .........  .........  .........  ..............
                       analysis: amniotic.                                                                      
88280....          6  Chromosome           .........  .........  .........  .........  .........  ..............
                       karyotype study.                                                                         
88283....          6  Chromosome banding   .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
88285....          6  Chromosome count:    .........  .........  .........  .........  .........  ..............
                       additional.                                                                              
88289....          6  Chromosome study:    .........  .........  .........  .........  .........  ..............
                       additional.                                                                              
88299....          6  Cytogenetic study..  .........  .........  .........  .........  .........  ..............
88300....          6  Surg path, gross...  .........  .........  .........  .........  .........  ..............
88302....          6  Tissue exam by       .........  .........  .........  .........  .........  ..............
                       pathologist.                                                                             
88304....          6  Tissue exam by       .........  .........  .........  .........  .........  ..............
                       pathologist.                                                                             
88305....          6  Tissue exam by       .........  .........  .........  .........  .........  ..............
                       pathologist.                                                                             
88307....          6  Tissue exam by       .........  .........  .........  .........  .........  ..............
                       pathologist.                                                                             
88309....          6  Tissue exam by       .........  .........  .........  .........  .........  ..............
                       pathologist.                                                                             
88311....          6  Decalcify tissue...  .........  .........  .........  .........  .........  ..............
88312....          6  Special stains.....  .........  .........  .........  .........  .........  ..............
88313....          6  Special stains.....  .........  .........  .........  .........  .........  ..............
88314....          6  Histochemical stain  .........  .........  .........  .........  .........  ..............
88318....          6  Chemical             .........  .........  .........  .........  .........  ..............
                       histochemistry.                                                                          
88319....          6  Enzyme               .........  .........  .........  .........  .........  ..............
                       histochemistry.                                                                          
88321....          6  Microslide           .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
88323....          6  Microslide           .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
88325....          6  Comprehensive        .........  .........  .........  .........  .........  ..............
                       review of data.                                                                          
88329....          6  Pathology consult    .........  .........  .........  .........  .........  ..............
                       in surgery.                                                                              
88331....          6  Pathology consult    .........  .........  .........  .........  .........  ..............
                       in surgery.                                                                              
88332....          6  Pathology consult    .........  .........  .........  .........  .........  ..............
                       in surgery.                                                                              
88342....          6  Immunocytochemistry  .........  .........  .........  .........  .........  ..............
88346....          6  Immunofluorescent    .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
88347....          6  Immunofluorescent    .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
88348....          6  Electron microscopy  .........  .........  .........  .........  .........  ..............
88349....          6  Scanning electron    .........  .........  .........  .........  .........  ..............
                       microscopy.                                                                              
88355....          6  Analysis, skeletal   .........  .........  .........  .........  .........  ..............
                       muscle.                                                                                  
88356....          6  Analysis, nerve....  .........  .........  .........  .........  .........  ..............
88358....          6  Analysis, tumor....  .........  .........  .........  .........  .........  ..............
88362....          6  Nerve teasing        .........  .........  .........  .........  .........  ..............
                       preparations.                                                                            
88365....          6  Tissue               .........  .........  .........  .........  .........  ..............
                       hybridization.                                                                           
88371....          6  Protein, western     .........  .........  .........  .........  .........  ..............
                       blot tissue.                                                                             
88372....          6  Protein analysis w/  .........  .........  .........  .........  .........  ..............
                       probe.                                                                                   
88399....          6  Surgical pathology   .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
89050....          6  Body fluid cell      .........  .........  .........  .........  .........  ..............
                       count.                                                                                   
89051....          6  Body fluid cell      .........  .........  .........  .........  .........  ..............
                       count.                                                                                   
89060....          6  Exam, synovial       .........  .........  .........  .........  .........  ..............
                       fluid crystals.                                                                          
89100....          6  Sample intestinal    .........  .........  .........  .........  .........  ..............
                       contents.                                                                                
89105....          6  Sample intestinal    .........  .........  .........  .........  .........  ..............
                       contents.                                                                                
89125....          6  Specimen fat stain.  .........  .........  .........  .........  .........  ..............
89130....          6  Sample stomach       .........  .........  .........  .........  .........  ..............
                       contents.                                                                                
89132....          6  Sample stomach       .........  .........  .........  .........  .........  ..............
                       contents.                                                                                
89135....          6  Sample stomach       .........  .........  .........  .........  .........  ..............
                       contents.                                                                                
89136....          6  Sample stomach       .........  .........  .........  .........  .........  ..............
                       contents.                                                                                
89140....          6  Sample stomach       .........  .........  .........  .........  .........  ..............
                       contents.                                                                                
89141....          6  Sample stomach       .........  .........  .........  .........  .........  ..............
                       contents.                                                                                
89160....          6  Exam feces for meat  .........  .........  .........  .........  .........  ..............
                       fibers.                                                                                  
89190....          6  Nasal smear for      .........  .........  .........  .........  .........  ..............
                       eosinophils.                                                                             
89250....          6  Fertilization of     .........  .........  .........  .........  .........  ..............
                       oocyte.                                                                                  
89251....          6  Culture oocyte w/    .........  .........  .........  .........  .........  ..............
                       embryos.                                                                                 
89252....          6  Assist oocyte        .........  .........  .........  .........  .........  ..............
                       fertilization.                                                                           
89253....          6  Embryo hatching....  .........  .........  .........  .........  .........  ..............
89254....          6  Oocyte               .........  .........  .........  .........  .........  ..............
                       identification.                                                                          
89255....          6  Prepare embryo for   .........  .........  .........  .........  .........  ..............
                       transfer.                                                                                
89256....          6  Prepare              .........  .........  .........  .........  .........  ..............
                       cryopreserved                                                                            
                       embryo.                                                                                  
89257....          6  Sperm                .........  .........  .........  .........  .........  ..............
                       identification.                                                                          
89258....          6  Cryopreservation,    .........  .........  .........  .........  .........  ..............
                       embryo.                                                                                  
89259....          6  Cryopreservation,    .........  .........  .........  .........  .........  ..............
                       sperm.                                                                                   
89260....          6  Sperm isolation,     .........  .........  .........  .........  .........  ..............
                       simple.                                                                                  
89261....          6  Sperm isolation,     .........  .........  .........  .........  .........  ..............
                       complex.                                                                                 
89300....          6  Semen analysis.....  .........  .........  .........  .........  .........  ..............
89310....          6  Semen analysis.....  .........  .........  .........  .........  .........  ..............
89320....          6  Semen analysis.....  .........  .........  .........  .........  .........  ..............
89325....          6  Sperm antibody test  .........  .........  .........  .........  .........  ..............
89329....          6  Sperm evaluation     .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
89330....          6  Evaluation,          .........  .........  .........  .........  .........  ..............
                       cervical mucus.                                                                          
89350....          6  Sputum specimen      .........  .........  .........  .........  .........  ..............
                       collection.                                                                              
89355....          6  Exam feces for       .........  .........  .........  .........  .........  ..............
                       starch.                                                                                  

[[Page 32420]]

                                                                                                                
89360....          6  Collect sweat for    .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
89365....          6  Water load test....  .........  .........  .........  .........  .........  ..............
89399....          6  Pathology lab        .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
90700....          9  DTaP immunization..  .........  .........  .........  .........  .........  ..............
90701....          9  DTP immunization...  .........  .........  .........  .........  .........  ..............
90702....          9  DT immunization....  .........  .........  .........  .........  .........  ..............
90703....          9  Tetanus              .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90704....          9  Mumps immunization.  .........  .........  .........  .........  .........  ..............
90705....          9  Measles              .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90706....          9  Rubella              .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90707....          9  MMR virus            .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90708....          9  Measles-rubella      .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90709....          9  Rubella & mumps      .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90710....          9  Combined vaccine...  .........  .........  .........  .........  .........  ..............
90711....          9  Combined vaccine...  .........  .........  .........  .........  .........  ..............
90712....          9  Oral poliovirus      .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90713....          9  Poliomyelitis        .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90714....          9  Typhoid              .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90716....          9  Chicken pox vaccine  .........  .........  .........  .........  .........  ..............
90717....          9  Yellow fever         .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90718....          9  Td immunization....  .........  .........  .........  .........  .........  ..............
90719....          9  Diphtheria           .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90720....          9  DTP/HIB vaccine....  .........  .........  .........  .........  .........  ..............
90721....          9  Dtap/hib vaccine...  .........  .........  .........  .........  .........  ..............
90724....          6  Influenza            .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90725....          9  Cholera              .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90726....          9  Rabies immunization  .........  .........  .........  .........  .........  ..............
90727....          9  Plague immunization  .........  .........  .........  .........  .........  ..............
90728....          9  BCG immunization...  .........  .........  .........  .........  .........  ..............
90730....          9  Hepatitis A vaccine  .........  .........  .........  .........  .........  ..............
90732....          6  Pneumococcal         .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90733....          9  Meningococcal        .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90735....          9  Encephalitis virus   .........  .........  .........  .........  .........  ..............
                       vaccine.                                                                                 
90737....          9  Influenza B          .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90741....          9  Passive              .........  .........  .........  .........  .........  ..............
                       immunization, ISG.                                                                       
90742....          9  Special passive      .........  .........  .........  .........  .........  ..............
                       immunization.                                                                            
90744....          6  Hepatitis B          .........  .........  .........  .........  .........  ..............
                       vaccine, under 11.                                                                       
90745....          6  Hepatitis B          .........  .........  .........  .........  .........  ..............
                       vaccine, 11-19.                                                                          
90746....          6  Hepatitis B          .........  .........  .........  .........  .........  ..............
                       vaccine, over 20.                                                                        
90747....          6  Hepatitis B          .........  .........  .........  .........  .........  ..............
                       vaccine, ill pat.                                                                        
90748....          6  Hepatitis b/hib      .........  .........  .........  .........  .........  ..............
                       vaccine.                                                                                 
90749....          6  Immunization         .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
90780....          6  IV infusion          .........  .........  .........  .........  .........  ..............
                       therapy, 1 hour.                                                                         
90781....          6  IV infusion,         .........  .........  .........  .........  .........  ..............
                       additional hour.                                                                         
90782....          6  Injection (SC)/(IM)  .........  .........  .........  .........  .........  ..............
90783....          6  Injection (IA).....  .........  .........  .........  .........  .........  ..............
90784....          6  Injection (IV).....  .........  .........  .........  .........  .........  ..............
90788....          6  Injection of         .........  .........  .........  .........  .........  ..............
                       antibiotic.                                                                              
90799....          6  Therapeutic/diag     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
90801....          6  Psy dx interview...  .........  .........  .........  .........  .........  ..............
90802....          6  Intac psy dx         .........  .........  .........  .........  .........  ..............
                       interview.                                                                               
90804....          6  Psytx, office (20-   .........  .........  .........  .........  .........  ..............
                       30).                                                                                     
90805....          6  Psytx, office (20-   .........  .........  .........  .........  .........  ..............
                       30) w/e&m.                                                                               
90806....          6  Psytx, office (45-   .........  .........  .........  .........  .........  ..............
                       50).                                                                                     
90807....          6  Psytx, office (45-   .........  .........  .........  .........  .........  ..............
                       50) w/e&m.                                                                               
90808....          6  Psytx, office (75-   .........  .........  .........  .........  .........  ..............
                       80).                                                                                     
90809....          6  Psytx, office (75-   .........  .........  .........  .........  .........  ..............
                       80) w/e&m.                                                                               
90810....          6  Intac psytx, office  .........  .........  .........  .........  .........  ..............
                       (20-30).                                                                                 
90811....          6  Intac psytx, off 20- .........  .........  .........  .........  .........  ..............
                       30 w/e&m.                                                                                
90812....          6  Intac psytx, office  .........  .........  .........  .........  .........  ..............
                       (45-50).                                                                                 
90813....          6  Intac psytx, off 45- .........  .........  .........  .........  .........  ..............
                       50 w/e&m.                                                                                
90814....          6  Intac psytx, office  .........  .........  .........  .........  .........  ..............
                       (75-80).                                                                                 
90815....          6  Intac psytx, off 75- .........  .........  .........  .........  .........  ..............
                       80 w/e&m.                                                                                
90816....          6  Psytx, hosp (20-30)  .........  .........  .........  .........  .........  ..............
90817....          6  Psytx, hosp (20-30)  .........  .........  .........  .........  .........  ..............
                       w/e&m.                                                                                   
90818....          6  Psytx, hosp (45-50)  .........  .........  .........  .........  .........  ..............
90819....          6  Psytx, hosp (45-50)  .........  .........  .........  .........  .........  ..............
                       w/e&m.                                                                                   
90821....          6  Psytx, hosp (75-80)  .........  .........  .........  .........  .........  ..............
90822....          6  Psytx, hosp (75-80)  .........  .........  .........  .........  .........  ..............
                       w/e&m.                                                                                   
90823....          6  Intac psytx, hosp    .........  .........  .........  .........  .........  ..............
                       (20-30).                                                                                 
90824....          6  Intac psytx, hsp 20- .........  .........  .........  .........  .........  ..............
                       30 w/e&m.                                                                                
90826....          6  Intac psytx, hosp    .........  .........  .........  .........  .........  ..............
                       (45-50).                                                                                 
90827....          6  Intac psytx, hsp 45- .........  .........  .........  .........  .........  ..............
                       50 w/e&m.                                                                                
90828....          6  Intac psytx, hosp    .........  .........  .........  .........  .........  ..............
                       (75-80).                                                                                 

[[Page 32421]]

                                                                                                                
90829....          6  Intac psytx, hsp 75- .........  .........  .........  .........  .........  ..............
                       80 w/e&m.                                                                                
90845....          6  Psychoanalysis.....  .........  .........  .........  .........  .........  ..............
90846....          6  Family psytx w/o     .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
90847....          6  Family psytx w/      .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
90849....          6  Multiple family      .........  .........  .........  .........  .........  ..............
                       group psytx.                                                                             
90853....          6  Group psychotherapy  .........  .........  .........  .........  .........  ..............
90857....          6  Intac group psytx..  .........  .........  .........  .........  .........  ..............
90862....          6  Medication           .........  .........  .........  .........  .........  ..............
                       management.                                                                              
90865....          6  Narcosynthesis.....  .........  .........  .........  .........  .........  ..............
90870....          6  Electroconvulsive    .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
90871....          6  Electroconvulsive    .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
90875....          9  Psychophysiological  .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
90876....          9  Psychophysiological  .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
90880....          6  Hypnotherapy.......  .........  .........  .........  .........  .........  ..............
90882....          9  Environmental        .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
90885....          6  Psy evaluation of    .........  .........  .........  .........  .........  ..............
                       records.                                                                                 
90887....          6  Consultation with    .........  .........  .........  .........  .........  ..............
                       family.                                                                                  
90889....          6  Preparation of       .........  .........  .........  .........  .........  ..............
                       report.                                                                                  
90899....          6  Psychiatric service/ .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
90901....          6  Biofeedback, any     .........  .........  .........  .........  .........  ..............
                       method.                                                                                  
90911....          6  Biofeedback peri/    .........  .........  .........  .........  .........  ..............
                       uro/rectal.                                                                              
90918....          6  ESRD related         .........  .........  .........  .........  .........  ..............
                       services, month.                                                                         
90919....          6  ESRD related         .........  .........  .........  .........  .........  ..............
                       services, month.                                                                         
90920....          6  ESRD related         .........  .........  .........  .........  .........  ..............
                       services, month.                                                                         
90921....          6  ESRD related         .........  .........  .........  .........  .........  ..............
                       services, month.                                                                         
90922....          6  ESRD related         .........  .........  .........  .........  .........  ..............
                       services, day.                                                                           
90923....          6  Esrd related         .........  .........  .........  .........  .........  ..............
                       services, day.                                                                           
90924....          6  Esrd related         .........  .........  .........  .........  .........  ..............
                       services, day.                                                                           
90925....          6  Esrd related         .........  .........  .........  .........  .........  ..............
                       services, day.                                                                           
90935....          6  Hemodialysis, one    .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
90937....          6  Hemodialysis,        .........  .........  .........  .........  .........  ..............
                       repeated eval..                                                                          
90945....          6  Dialysis, one        .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
90947....          6  Dialysis, repeated   .........  .........  .........  .........  .........  ..............
                       eval..                                                                                   
90989....          6  Dialysis training/   .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
90993....          6  Dialysis training/   .........  .........  .........  .........  .........  ..............
                       incomplete.                                                                              
90997....          6  Hemoperfusion......  .........  .........  .........  .........  .........  ..............
90999....          6  Dialysis procedure.  .........  .........  .........  .........  .........  ..............
91000....          6  Esophageal           .........  .........  .........  .........  .........  ..............
                       intubation.                                                                              
91010....          6  Esophagus motility   .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
91011....          6  Esophagus motility   .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
91012....          6  Esophagus motility   .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
91020....          6  Gastric motility...  .........  .........  .........  .........  .........  ..............
91030....          6  Acid perfusion of    .........  .........  .........  .........  .........  ..............
                       esophagus.                                                                               
91032....          6  Esophagus, acid      .........  .........  .........  .........  .........  ..............
                       reflux test.                                                                             
91033....          6  Prolonged acid       .........  .........  .........  .........  .........  ..............
                       reflux test.                                                                             
91052....          6  Gastric analysis     .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
91055....          6  Gastric intubation   .........  .........  .........  .........  .........  ..............
                       for smear.                                                                               
91060....          6  Gastric saline load  .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
91065....          6  Breath hydrogen      .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
91100....          6  Pass intestine       .........  .........  .........  .........  .........  ..............
                       bleeding tube.                                                                           
91105....          6  Gastric intubation   .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
91122....          6  Anal pressure        .........  .........  .........  .........  .........  ..............
                       record.                                                                                  
91299....          6  Gastroenterology     .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
92002....          6  Eye exam, new        .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
92004....          6  Eye exam, new        .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
92012....          6  Eye exam             .........  .........  .........  .........  .........  ..............
                       established pt.                                                                          
92014....          6  Eye exam &           .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
92015....          9  Refraction.........  .........  .........  .........  .........  .........  ..............
92018....          6  New eye exam &       .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
92019....          6  Eye exam &           .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
92020....          6  Special eye          .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
92060....          6  Special eye          .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
92065....          6  Orthoptic/pleoptic   .........  .........  .........  .........  .........  ..............
                       training.                                                                                
92070....          6  Fitting of contact   .........  .........  .........  .........  .........  ..............
                       lens.                                                                                    
92081....          6  Visual field         .........  .........  .........  .........  .........  ..............
                       examination(s).                                                                          
92082....          6  Visual field         .........  .........  .........  .........  .........  ..............
                       examination(s).                                                                          
92083....          6  Visual field         .........  .........  .........  .........  .........  ..............
                       examination(s).                                                                          
92100....          6  Serial tonometry     .........  .........  .........  .........  .........  ..............
                       exam(s).                                                                                 
92120....          6  Tonography & eye     .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
92130....          6  Water provocation    .........  .........  .........  .........  .........  ..............
                       tonography.                                                                              
92140....          6  Glaucoma             .........  .........  .........  .........  .........  ..............
                       provocative tests.                                                                       
92225....          6  Special eye exam,    .........  .........  .........  .........  .........  ..............
                       initial.                                                                                 
92226....          6  Special eye exam,    .........  .........  .........  .........  .........  ..............
                       subsequent.                                                                              
92230....          6  Eye exam with        .........  .........  .........  .........  .........  ..............
                       photos.                                                                                  

[[Page 32422]]

                                                                                                                
92235....          6  Eye exam with        .........  .........  .........  .........  .........  ..............
                       photos.                                                                                  
92240....          6  Icg angiography....  .........  .........  .........  .........  .........  ..............
92250....          6  Eye exam with        .........  .........  .........  .........  .........  ..............
                       photos.                                                                                  
92260....          6  Ophthalmoscopy/      .........  .........  .........  .........  .........  ..............
                       dynamometry.                                                                             
92265....          6  Eye muscle           .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
92270....          6  Electro-oculography  .........  .........  .........  .........  .........  ..............
92275....          6  Electroretinography  .........  .........  .........  .........  .........  ..............
92283....          6  Color vision         .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
92284....          6  Dark adaptation eye  .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
92285....          6  Eye photography....  .........  .........  .........  .........  .........  ..............
92286....          6  Internal eye         .........  .........  .........  .........  .........  ..............
                       photography.                                                                             
92287....          6  Internal eye         .........  .........  .........  .........  .........  ..............
                       photography.                                                                             
92310....          9  Contact lens         .........  .........  .........  .........  .........  ..............
                       fitting.                                                                                 
92311....          6  Contact lens         .........  .........  .........  .........  .........  ..............
                       fitting.                                                                                 
92312....          6  Contact lens         .........  .........  .........  .........  .........  ..............
                       fitting.                                                                                 
92313....          6  Contact lens         .........  .........  .........  .........  .........  ..............
                       fitting.                                                                                 
92314....          9  Prescription of      .........  .........  .........  .........  .........  ..............
                       contact lens.                                                                            
92315....          6  Prescription of      .........  .........  .........  .........  .........  ..............
                       contact lens.                                                                            
92316....          6  Prescription of      .........  .........  .........  .........  .........  ..............
                       contact lens.                                                                            
92317....          6  Prescription of      .........  .........  .........  .........  .........  ..............
                       contact lens.                                                                            
92325....          6  Modification of      .........  .........  .........  .........  .........  ..............
                       contact lens.                                                                            
92326....          6  Replacement of       .........  .........  .........  .........  .........  ..............
                       contact lens.                                                                            
92330....          6  Fitting of           .........  .........  .........  .........  .........  ..............
                       artificial eye.                                                                          
92335....          6  Fitting of           .........  .........  .........  .........  .........  ..............
                       artificial eye.                                                                          
92340....          9  Fitting of           .........  .........  .........  .........  .........  ..............
                       spectacles.                                                                              
92341....          9  Fitting of           .........  .........  .........  .........  .........  ..............
                       spectacles.                                                                              
92342....          9  Fitting of           .........  .........  .........  .........  .........  ..............
                       spectacles.                                                                              
92352....          6  Special spectacles   .........  .........  .........  .........  .........  ..............
                       fitting.                                                                                 
92353....          6  Special spectacles   .........  .........  .........  .........  .........  ..............
                       fitting.                                                                                 
92354....          6  Special spectacles   .........  .........  .........  .........  .........  ..............
                       fitting.                                                                                 
92355....          6  Special spectacles   .........  .........  .........  .........  .........  ..............
                       fitting.                                                                                 
92358....          6  Eye prosthesis       .........  .........  .........  .........  .........  ..............
                       service.                                                                                 
92370....          9  Repair & adjust      .........  .........  .........  .........  .........  ..............
                       spectacles.                                                                              
92371....          6  Repair & adjust      .........  .........  .........  .........  .........  ..............
                       spectacles.                                                                              
92390....          9  Supply of            .........  .........  .........  .........  .........  ..............
                       spectacles.                                                                              
92391....          9  Supply of contact    .........  .........  .........  .........  .........  ..............
                       lenses.                                                                                  
92392....          9  Supply of low        .........  .........  .........  .........  .........  ..............
                       vision aids.                                                                             
92393....          9  Supply of            .........  .........  .........  .........  .........  ..............
                       artificial eye.                                                                          
92395....          9  Supply of            .........  .........  .........  .........  .........  ..............
                       spectacles.                                                                              
92396....          9  Supply of contact    .........  .........  .........  .........  .........  ..............
                       lenses.                                                                                  
92499....          6  Eye service or       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
92502....          6  Ear and throat       .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
92504....          6  Ear microscopy       .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
92506....          6  Speech & hearing     .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
92507....          6  Speech/hearing       .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
92508....          6  Speech/hearing       .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
92510....          6  Rehab for ear        .........  .........  .........  .........  .........  ..............
                       implant.                                                                                 
92511....          6  Nasopharyngoscopy..  .........  .........  .........  .........  .........  ..............
92512....          6  Nasal function       .........  .........  .........  .........  .........  ..............
                       studies.                                                                                 
92516....          6  Facial nerve         .........  .........  .........  .........  .........  ..............
                       function test.                                                                           
92520....          6  Laryngeal function   .........  .........  .........  .........  .........  ..............
                       studies.                                                                                 
92525....          6  Oral function        .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
92526....          6  Oral function        .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
92531....          6  Spontaneous          .........  .........  .........  .........  .........  ..............
                       nystagmus study.                                                                         
92532....          6  Positional           .........  .........  .........  .........  .........  ..............
                       nystagmus study.                                                                         
92533....          6  Caloric vestibular   .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
92534....          6  Optokinetic          .........  .........  .........  .........  .........  ..............
                       nystagmus.                                                                               
92541....          6  Spontaneous          .........  .........  .........  .........  .........  ..............
                       nystagmus test.                                                                          
92542....          6  Positional           .........  .........  .........  .........  .........  ..............
                       nystagmus test.                                                                          
92543....          6  Caloric vestibular   .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
92544....          6  Optokinetic          .........  .........  .........  .........  .........  ..............
                       nystagmus test.                                                                          
92545....          6  Oscillating          .........  .........  .........  .........  .........  ..............
                       tracking test.                                                                           
92546....          6  Sinusoidal           .........  .........  .........  .........  .........  ..............
                       rotational test.                                                                         
92547....          6  Supplemental         .........  .........  .........  .........  .........  ..............
                       electrical test.                                                                         
92548....          6  Posturography......  .........  .........  .........  .........  .........  ..............
92551....          9  Pure tone hearing    .........  .........  .........  .........  .........  ..............
                       test, air.                                                                               
92552....          6  Pure tone            .........  .........  .........  .........  .........  ..............
                       audiometry, air.                                                                         
92553....          6  Audiometry, air &    .........  .........  .........  .........  .........  ..............
                       bone.                                                                                    
92555....          6  Speech threshold     .........  .........  .........  .........  .........  ..............
                       audiometry.                                                                              
92556....          6  Speech audiometry,   .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
92557....          6  Comprehensive        .........  .........  .........  .........  .........  ..............
                       hearing test.                                                                            
92559....          9  Group audiometric    .........  .........  .........  .........  .........  ..............
                       testing.                                                                                 
92560....          9  Bekesy audiometry,   .........  .........  .........  .........  .........  ..............
                       screen.                                                                                  
92561....          6  Bekesy audiometry,   .........  .........  .........  .........  .........  ..............
                       diagnosis.                                                                               

[[Page 32423]]

                                                                                                                
92562....          6  Loudness balance     .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
92563....          6  Tone decay hearing   .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
92564....          6  Sisi hearing test..  .........  .........  .........  .........  .........  ..............
92565....          6  Stenger test, pure   .........  .........  .........  .........  .........  ..............
                       tone.                                                                                    
92567....          6  Tympanometry.......  .........  .........  .........  .........  .........  ..............
92568....          6  Acoustic reflex      .........  .........  .........  .........  .........  ..............
                       testing.                                                                                 
92569....          6  Acoustic reflex      .........  .........  .........  .........  .........  ..............
                       decay test.                                                                              
92571....          6  Filtered speech      .........  .........  .........  .........  .........  ..............
                       hearing test.                                                                            
92572....          6  Staggered spondaic   .........  .........  .........  .........  .........  ..............
                       word test.                                                                               
92573....          6  Lombard test.......  .........  .........  .........  .........  .........  ..............
92575....          6  Sensorineural        .........  .........  .........  .........  .........  ..............
                       acuity test.                                                                             
92576....          6  Synthetic sentence   .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
92577....          6  Stenger test,        .........  .........  .........  .........  .........  ..............
                       speech.                                                                                  
92579....          6  Visual audiometry    .........  .........  .........  .........  .........  ..............
                       (vra).                                                                                   
92582....          6  Conditioning play    .........  .........  .........  .........  .........  ..............
                       audiometry.                                                                              
92583....          6  Select picture       .........  .........  .........  .........  .........  ..............
                       audiometry.                                                                              
92584....          6  Electrocochleograph  .........  .........  .........  .........  .........  ..............
                       y.                                                                                       
92585....          6  Auditory evoked      .........  .........  .........  .........  .........  ..............
                       potential.                                                                               
92587....          6  Evoked auditory      .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
92588....          6  Evoked auditory      .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
92589....          6  Auditory function    .........  .........  .........  .........  .........  ..............
                       test(s).                                                                                 
92590....          9  Hearing aid exam,    .........  .........  .........  .........  .........  ..............
                       one ear.                                                                                 
92591....          9  Hearing aid exam,    .........  .........  .........  .........  .........  ..............
                       both ears.                                                                               
92592....          9  Hearing aid check,   .........  .........  .........  .........  .........  ..............
                       one ear.                                                                                 
92593....          9  Hearing aid check,   .........  .........  .........  .........  .........  ..............
                       both ears.                                                                               
92594....          9  Electro hearing aid  .........  .........  .........  .........  .........  ..............
                       test,one.                                                                                
92595....          9  Electro hearingaid   .........  .........  .........  .........  .........  ..............
                       test,both.                                                                               
92596....          6  Ear protector        .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
92597....          6  Oral speech device   .........  .........  .........  .........  .........  ..............
                       eval.                                                                                    
92598....          6  Modify oral speech   .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
92599....          6  ENT procedure/       .........  .........  .........  .........  .........  ..............
                       service.                                                                                 
92950....          6  Heart/lung           .........  .........  .........  .........  .........  ..............
                       resuscitation(CPR.                                                                       
92953....          6  Temporary external   .........  .........  .........  .........  .........  ..............
                       pacing.                                                                                  
92960....          6  Heart                .........  .........  .........  .........  .........  ..............
                       electroconversion.                                                                       
92970....          6  Cardioassist,        .........  .........  .........  .........  .........  ..............
                       internal.                                                                                
92971....          6  Cardioassist,        .........  .........  .........  .........  .........  ..............
                       external.                                                                                
92975....          6  Dissolve clot,       .........  .........  .........  .........  .........  ..............
                       heart vessel.                                                                            
92977....          6  Dissolve clot,       .........  .........  .........  .........  .........  ..............
                       heart vessel.                                                                            
92978....          6  Intravas us, heart   .........  .........  .........  .........  .........  ..............
                       (add-on).                                                                                
92979....          6  Intravas us, heart   .........  .........  .........  .........  .........  ..............
                       (add-on).                                                                                
92980....          6  Insert               .........  .........  .........  .........  .........  ..............
                       intracoronary                                                                            
                       stent.                                                                                   
92981....          6  Insert               .........  .........  .........  .........  .........  ..............
                       intracoronary                                                                            
                       stent.                                                                                   
92982....          6  Coronary artery      .........  .........  .........  .........  .........  ..............
                       dilation.                                                                                
92984....          6  Coronary artery      .........  .........  .........  .........  .........  ..............
                       dilation.                                                                                
92986....          6  Revision of aortic   .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
92987....          6  Revision of mitral   .........  .........  .........  .........  .........  ..............
                       valve.                                                                                   
92990....          6  Revision of          .........  .........  .........  .........  .........  ..............
                       pulmonary valve.                                                                         
92992....          6  Revision of heart    .........  .........  .........  .........  .........  ..............
                       chamber.                                                                                 
92993....          6  Revision of heart    .........  .........  .........  .........  .........  ..............
                       chamber.                                                                                 
92995....          6  Coronary             .........  .........  .........  .........  .........  ..............
                       atherectomy.                                                                             
92996....          6  Coronary             .........  .........  .........  .........  .........  ..............
                       atherectomy.                                                                             
92997....          6  Pul art balloon      .........  .........  .........  .........  .........  ..............
                       repair, perc.                                                                            
92998....          6  Pul art balloon      .........  .........  .........  .........  .........  ..............
                       repair, perc.                                                                            
93000....          6  Electrocardiogram,   .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
93005....          6  Electrocardiogram,   .........  .........  .........  .........  .........  ..............
                       tracing.                                                                                 
93010....          6  Electrocardiogram    .........  .........  .........  .........  .........  ..............
                       report.                                                                                  
93012....          6  Transmission of ecg  .........  .........  .........  .........  .........  ..............
93014....          6  Report on            .........  .........  .........  .........  .........  ..............
                       transmitted ecg.                                                                         
93015....          6  Cardiovascular       .........  .........  .........  .........  .........  ..............
                       stress test.                                                                             
93016....          6  Cardiovascular       .........  .........  .........  .........  .........  ..............
                       stress test.                                                                             
93017....          6  Cardiovascular       .........  .........  .........  .........  .........  ..............
                       stress test.                                                                             
93018....          6  Cardiovascular       .........  .........  .........  .........  .........  ..............
                       stress test.                                                                             
93024....          6  Cardiac drug stress  .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
93040....          6  Rhythm ECG with      .........  .........  .........  .........  .........  ..............
                       report.                                                                                  
93041....          6  Rhythm ECG, tracing  .........  .........  .........  .........  .........  ..............
93042....          6  Rhythm ECG, report.  .........  .........  .........  .........  .........  ..............
93224....          6  ECG monitor/report,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  
93225....          6  ECG monitor/record,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  
93226....          6  ECG monitor/report,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  
93227....          6  ECG monitor/review,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  
93230....          6  ECG monitor/report,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  
93231....          6  Ecg monitor/record,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  
93232....          6  ECG monitor/report,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  
93233....          6  ECG monitor/review,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  

[[Page 32424]]

                                                                                                                
93235....          6  ECG monitor/report,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  
93236....          6  ECG monitor/report,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  
93237....          6  ECG monitor/review,  .........  .........  .........  .........  .........  ..............
                       24 hrs.                                                                                  
93268....          6  ECG record/review..  .........  .........  .........  .........  .........  ..............
93270....          6  ECG recording......  .........  .........  .........  .........  .........  ..............
93271....          6  Ecg/monitoring and   .........  .........  .........  .........  .........  ..............
                       anaylysis.                                                                               
93272....          6  Ecg/review,          .........  .........  .........  .........  .........  ..............
                       interpret only.                                                                          
93278....          6  ECG/signal-averaged  .........  .........  .........  .........  .........  ..............
93303....          6  Echo transthoracic.  .........  .........  .........  .........  .........  ..............
93304....          6  Echo transthoracic.  .........  .........  .........  .........  .........  ..............
93307....          6  Echo exam of heart.  .........  .........  .........  .........  .........  ..............
93308....          6  Echo exam of heart.  .........  .........  .........  .........  .........  ..............
93312....          6  Echo                 .........  .........  .........  .........  .........  ..............
                       transesophageal.                                                                         
93313....          6  Echo                 .........  .........  .........  .........  .........  ..............
                       transesophageal.                                                                         
93314....          6  Echo                 .........  .........  .........  .........  .........  ..............
                       transesophageal.                                                                         
93315....          6  Echo                 .........  .........  .........  .........  .........  ..............
                       transesophageal.                                                                         
93316....          6  Echo                 .........  .........  .........  .........  .........  ..............
                       transesophageal.                                                                         
93317....          6  Echo                 .........  .........  .........  .........  .........  ..............
                       transesophageal.                                                                         
93320....          6  Doppler echo exam,   .........  .........  .........  .........  .........  ..............
                       heart.                                                                                   
93321....          6  Doppler echo exam,   .........  .........  .........  .........  .........  ..............
                       heart.                                                                                   
93325....          6  Doppler color flow.  .........  .........  .........  .........  .........  ..............
93350....          6  Echo transthoracic.  .........  .........  .........  .........  .........  ..............
93501....          6  Right heart          .........  .........  .........  .........  .........  ..............
                       catheterization.                                                                         
93503....          6  Insert/place heart   .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
93505....          6  Biopsy of heart      .........  .........  .........  .........  .........  ..............
                       lining.                                                                                  
93508....          6  Cath placement,      .........  .........  .........  .........  .........  ..............
                       angiography.                                                                             
93510....          6  Left heart           .........  .........  .........  .........  .........  ..............
                       catheterization.                                                                         
93511....          6  Left heart           .........  .........  .........  .........  .........  ..............
                       catheterization.                                                                         
93514....          6  Left heart           .........  .........  .........  .........  .........  ..............
                       catheterization.                                                                         
93524....          6  Left heart           .........  .........  .........  .........  .........  ..............
                       catheterization.                                                                         
93526....          6  Rt & Lt heart        .........  .........  .........  .........  .........  ..............
                       catheters.                                                                               
93527....          6  Rt & Lt heart        .........  .........  .........  .........  .........  ..............
                       catheters.                                                                               
93528....          6  Rt & Lt heart        .........  .........  .........  .........  .........  ..............
                       catheters.                                                                               
93529....          6  Rt, Lt heart         .........  .........  .........  .........  .........  ..............
                       catheterization.                                                                         
93530....          6  Rt heart cath,       .........  .........  .........  .........  .........  ..............
                       congenital.                                                                              
93531....          6  R & l heart cath,    .........  .........  .........  .........  .........  ..............
                       congenital.                                                                              
93532....          6  R & l heart cath,    .........  .........  .........  .........  .........  ..............
                       congenital.                                                                              
93533....          6  R & l heart cath,    .........  .........  .........  .........  .........  ..............
                       congenital.                                                                              
93536....          6  Insert circulation   .........  .........  .........  .........  .........  ..............
                       assi.                                                                                    
93539....          6  Injection, cardiac   .........  .........  .........  .........  .........  ..............
                       cath.                                                                                    
93540....          6  Injection, cardiac   .........  .........  .........  .........  .........  ..............
                       cath.                                                                                    
93541....          6  Injection for lung   .........  .........  .........  .........  .........  ..............
                       angiogram.                                                                               
93542....          6  Injection for heart  .........  .........  .........  .........  .........  ..............
                       x-rays.                                                                                  
93543....          6  Injection for heart  .........  .........  .........  .........  .........  ..............
                       x-rays.                                                                                  
93544....          6  Injection for        .........  .........  .........  .........  .........  ..............
                       aortography.                                                                             
93545....          6  Injection for        .........  .........  .........  .........  .........  ..............
                       coronary xrays.                                                                          
93555....          6  Imaging, cardiac     .........  .........  .........  .........  .........  ..............
                       cath.                                                                                    
93556....          6  Imaging, cardiac     .........  .........  .........  .........  .........  ..............
                       cath.                                                                                    
93561....          6  Cardiac output       .........  .........  .........  .........  .........  ..............
                       measurement.                                                                             
93562....          6  Cardiac output       .........  .........  .........  .........  .........  ..............
                       measurement.                                                                             
93600....          6  Bundle of His        .........  .........  .........  .........  .........  ..............
                       recording.                                                                               
93602....          6  Intra-atrial         .........  .........  .........  .........  .........  ..............
                       recording.                                                                               
93603....          6  Right ventricular    .........  .........  .........  .........  .........  ..............
                       recording.                                                                               
93607....          6  Right ventricular    .........  .........  .........  .........  .........  ..............
                       recording.                                                                               
93609....          6  Mapping of           .........  .........  .........  .........  .........  ..............
                       tachycardia.                                                                             
93610....          6  Intra-atrial pacing  .........  .........  .........  .........  .........  ..............
93612....          6  Intraventricular     .........  .........  .........  .........  .........  ..............
                       pacing.                                                                                  
93615....          6  Esophageal           .........  .........  .........  .........  .........  ..............
                       recording.                                                                               
93616....          6  Esophageal           .........  .........  .........  .........  .........  ..............
                       recording.                                                                               
93618....          6  Heart rhythm pacing  .........  .........  .........  .........  .........  ..............
93619....          6  Electrophysiology    .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
93620....          6  Electrophysiology    .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
93621....          6  Electrophysiology    .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
93622....          6  Electrophysiology    .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
93623....          6  Stimulation, pacing  .........  .........  .........  .........  .........  ..............
                       heart.                                                                                   
93624....          6  Electrophysiologic   .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
93631....          6  Heart pacing,        .........  .........  .........  .........  .........  ..............
                       mapping.                                                                                 
93640....          6  Evaluation heart     .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
93641....          6  Electrophysiology    .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
93642....          6  Electrophysiology    .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
93650....          6  Ablate heart         .........  .........  .........  .........  .........  ..............
                       dysrhythm focus.                                                                         
93651....          6  Ablate heart         .........  .........  .........  .........  .........  ..............
                       dysrhythm focus.                                                                         
93652....          6  Ablate heart         .........  .........  .........  .........  .........  ..............
                       dysrhythm focus.                                                                         
93660....          6  Tilt table           .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              

[[Page 32425]]

                                                                                                                
93720....          6  Total body           .........  .........  .........  .........  .........  ..............
                       plethysmography.                                                                         
93721....          6  Plethysmography      .........  .........  .........  .........  .........  ..............
                       tracing.                                                                                 
93722....          6  Plethysmography      .........  .........  .........  .........  .........  ..............
                       report.                                                                                  
93724....          6  Analyze pacemaker    .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
93731....          6  Analyze pacemaker    .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
93732....          6  Analyze pacemaker    .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
93733....          6  Telephone analysis,  .........  .........  .........  .........  .........  ..............
                       pacemaker.                                                                               
93734....          6  Analyze pacemaker    .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
93735....          6  Analyze pacemaker    .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
93736....          6  Telephone analysis,  .........  .........  .........  .........  .........  ..............
                       pacemaker.                                                                               
93737....          6  Analyze cardio/      .........  .........  .........  .........  .........  ..............
                       defibrillator.                                                                           
93738....          6  Analyze cardio/      .........  .........  .........  .........  .........  ..............
                       defibrillator.                                                                           
93740....          6  Temperature          .........  .........  .........  .........  .........  ..............
                       gradient studies.                                                                        
93760....          9  Cephalic thermogram  .........  .........  .........  .........  .........  ..............
93762....          9  Peripheral           .........  .........  .........  .........  .........  ..............
                       thermogram.                                                                              
93770....          6  Measure venous       .........  .........  .........  .........  .........  ..............
                       pressure.                                                                                
93784....          9  Ambulatory BP        .........  .........  .........  .........  .........  ..............
                       monitoring.                                                                              
93786....          9  Ambulatory BP        .........  .........  .........  .........  .........  ..............
                       recording.                                                                               
93788....          9  Ambulatory BP        .........  .........  .........  .........  .........  ..............
                       analysis.                                                                                
93790....          9  Review/report BP     .........  .........  .........  .........  .........  ..............
                       recording.                                                                               
93797....          6  Cardiac rehab......  .........  .........  .........  .........  .........  ..............
93798....          6  Cardiac rehab/       .........  .........  .........  .........  .........  ..............
                       monitor.                                                                                 
93799....          6  Cardiovascular       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
93875....          6  Extracranial study.  .........  .........  .........  .........  .........  ..............
93880....          6  Extracranial study.  .........  .........  .........  .........  .........  ..............
93882....          6  Extracranial study.  .........  .........  .........  .........  .........  ..............
93886....          6  Intracranial study.  .........  .........  .........  .........  .........  ..............
93888....          6  Intracranial study.  .........  .........  .........  .........  .........  ..............
93922....          6  Extremity study....  .........  .........  .........  .........  .........  ..............
93923....          6  Extremity study....  .........  .........  .........  .........  .........  ..............
93924....          6  Extremity study....  .........  .........  .........  .........  .........  ..............
93925....          6  Lower extremity      .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
93926....          6  Lower extremity      .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
93930....          6  Upper extremity      .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
93931....          6  Upper extremity      .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
93965....          6  Extremity study....  .........  .........  .........  .........  .........  ..............
93970....          6  Extremity study....  .........  .........  .........  .........  .........  ..............
93971....          6  Extremity study....  .........  .........  .........  .........  .........  ..............
93975....          6  Vascular study.....  .........  .........  .........  .........  .........  ..............
93976....          6  Vascular study.....  .........  .........  .........  .........  .........  ..............
93978....          6  Vascular study.....  .........  .........  .........  .........  .........  ..............
93979....          6  Vascular study.....  .........  .........  .........  .........  .........  ..............
93980....          6  Penile vascular      .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
93981....          6  Penile vascular      .........  .........  .........  .........  .........  ..............
                       study.                                                                                   
93990....          6  Doppler flow         .........  .........  .........  .........  .........  ..............
                       testing.                                                                                 
94010....          6  Breathing capacity   .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
94060....          6  Evaluation of        .........  .........  .........  .........  .........  ..............
                       wheezing.                                                                                
94070....          6  Evaluation of        .........  .........  .........  .........  .........  ..............
                       wheezing.                                                                                
94150....          6  Vital capacity test  .........  .........  .........  .........  .........  ..............
94200....          6  Lung function test   .........  .........  .........  .........  .........  ..............
                       (MBC/MVV).                                                                               
94240....          6  Residual lung        .........  .........  .........  .........  .........  ..............
                       capacity.                                                                                
94250....          6  Expired gas          .........  .........  .........  .........  .........  ..............
                       collection.                                                                              
94260....          6  Thoracic gas volume  .........  .........  .........  .........  .........  ..............
94350....          6  Lung nitrogen        .........  .........  .........  .........  .........  ..............
                       washout curve.                                                                           
94360....          6  Measure airflow      .........  .........  .........  .........  .........  ..............
                       resistance.                                                                              
94370....          6  Breath airway        .........  .........  .........  .........  .........  ..............
                       closing volume.                                                                          
94375....          6  Respiratory flow     .........  .........  .........  .........  .........  ..............
                       volume loop.                                                                             
94400....          6  CO2 breathing        .........  .........  .........  .........  .........  ..............
                       response curve.                                                                          
94450....          6  Hypoxia response     .........  .........  .........  .........  .........  ..............
                       curve.                                                                                   
94620....          6  Pulmonary stress     .........  .........  .........  .........  .........  ..............
                       testing.                                                                                 
94640....          6  Airway inhalation    .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
94642....          6  Aerosol inhalation   .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
94650....          6  Pressure breathing   .........  .........  .........  .........  .........  ..............
                       (IPPB).                                                                                  
94651....          6  Pressure breathing   .........  .........  .........  .........  .........  ..............
                       (IPPB).                                                                                  
94652....          6  Pressure breathing   .........  .........  .........  .........  .........  ..............
                       (IPPB).                                                                                  
94656....          6  Initial ventilator   .........  .........  .........  .........  .........  ..............
                       mgmt.                                                                                    
94657....          6  Cont. ventilator...  .........  .........  .........  .........  .........  ..............
94660....          6  Pos airway           .........  .........  .........  .........  .........  ..............
                       pressure, CPAP.                                                                          
94662....          6  Neg pressure         .........  .........  .........  .........  .........  ..............
                       ventilation,cnp.                                                                         
94664....          6  Aerosol or vapor     .........  .........  .........  .........  .........  ..............
                       inhalations.                                                                             
94665....          6  Aerosol or vapor     .........  .........  .........  .........  .........  ..............
                       inhalations.                                                                             
94667....          6  Chest wall           .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
94668....          6  Chest wall           .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
94680....          6  Exhaled air          .........  .........  .........  .........  .........  ..............
                       analysis: O2.                                                                            

[[Page 32426]]

                                                                                                                
94681....          6  Exhaled air          .........  .........  .........  .........  .........  ..............
                       analysis: O2,CO2.                                                                        
94690....          6  Exhaled air          .........  .........  .........  .........  .........  ..............
                       analysis.                                                                                
94720....          6  Monoxide diffusing   .........  .........  .........  .........  .........  ..............
                       capacity.                                                                                
94725....          6  Membrane diffusion   .........  .........  .........  .........  .........  ..............
                       capacity.                                                                                
94750....          6  Pulmonary            .........  .........  .........  .........  .........  ..............
                       compliance study.                                                                        
94760....          6  Measure blood        .........  .........  .........  .........  .........  ..............
                       oxygen level.                                                                            
94761....          6  Measure blood        .........  .........  .........  .........  .........  ..............
                       oxygen level.                                                                            
94762....          6  Measure blood        .........  .........  .........  .........  .........  ..............
                       oxygen level.                                                                            
94770....          6  Exhaled carbon       .........  .........  .........  .........  .........  ..............
                       dioxide test.                                                                            
94772....          6  Breath recording,    .........  .........  .........  .........  .........  ..............
                       infant.                                                                                  
94799....          6  Pulmonary service/   .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
95004....          6  Allergy skin tests.  .........  .........  .........  .........  .........  ..............
95010....          6  Sensitivity skin     .........  .........  .........  .........  .........  ..............
                       tests.                                                                                   
95015....          6  Sensitivity skin     .........  .........  .........  .........  .........  ..............
                       tests.                                                                                   
95024....          6  Allergy skin tests.  .........  .........  .........  .........  .........  ..............
95027....          6  Skin end point       .........  .........  .........  .........  .........  ..............
                       titration.                                                                               
95028....          6  Allergy skin tests.  .........  .........  .........  .........  .........  ..............
95044....          6  Allergy patch tests  .........  .........  .........  .........  .........  ..............
95052....          6  Photo patch test...  .........  .........  .........  .........  .........  ..............
95056....          6  Photosensitivity     .........  .........  .........  .........  .........  ..............
                       tests.                                                                                   
95060....          6  Eye allergy tests..  .........  .........  .........  .........  .........  ..............
95065....          6  Nose allergy test..  .........  .........  .........  .........  .........  ..............
95070....          6  Bronchial allergy    .........  .........  .........  .........  .........  ..............
                       tests.                                                                                   
95071....          6  Bronchial allergy    .........  .........  .........  .........  .........  ..............
                       tests.                                                                                   
95075....          6  Ingestion challenge  .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
95078....          6  Provocative testing  .........  .........  .........  .........  .........  ..............
95115....          6  Immunotherapy, one   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
95117....          6  Immunotherapy        .........  .........  .........  .........  .........  ..............
                       injections.                                                                              
95120....          9  Immunotherapy, one   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
95125....          9  Immunotherapy, many  .........  .........  .........  .........  .........  ..............
                       antigens.                                                                                
95130....          9  Immunotherapy,       .........  .........  .........  .........  .........  ..............
                       insect venom.                                                                            
95131....          9  Immunotherapy,       .........  .........  .........  .........  .........  ..............
                       insect venoms.                                                                           
95132....          9  Immunotherapy,       .........  .........  .........  .........  .........  ..............
                       insect venoms.                                                                           
95133....          9  Immunotherapy,       .........  .........  .........  .........  .........  ..............
                       insect venoms.                                                                           
95134....          9  Immunotherapy,       .........  .........  .........  .........  .........  ..............
                       insect venoms.                                                                           
95144....          6  Antigen therapy      .........  .........  .........  .........  .........  ..............
                       services.                                                                                
95145....          6  Antigen therapy      .........  .........  .........  .........  .........  ..............
                       services.                                                                                
95146....          6  Antigen therapy      .........  .........  .........  .........  .........  ..............
                       services.                                                                                
95147....          6  Antigen therapy      .........  .........  .........  .........  .........  ..............
                       services.                                                                                
95148....          6  Antigen therapy      .........  .........  .........  .........  .........  ..............
                       services.                                                                                
95149....          6  Antigen therapy      .........  .........  .........  .........  .........  ..............
                       services.                                                                                
95165....          6  Antigen therapy      .........  .........  .........  .........  .........  ..............
                       services.                                                                                
95170....          6  Antigen therapy      .........  .........  .........  .........  .........  ..............
                       services.                                                                                
95180....          6  Rapid                .........  .........  .........  .........  .........  ..............
                       desensitization.                                                                         
95199....          6  Allergy immunology   .........  .........  .........  .........  .........  ..............
                       services.                                                                                
95805....          6  Multiple sleep       .........  .........  .........  .........  .........  ..............
                       latency test.                                                                            
95806....          6  Sleep study,         .........  .........  .........  .........  .........  ..............
                       unattended.                                                                              
95807....          6  Sleep study,         .........  .........  .........  .........  .........  ..............
                       attended.                                                                                
95808....          6  Polysomnography, 1-  .........  .........  .........  .........  .........  ..............
                       3.                                                                                       
95810....          6  Polysomnography, 4   .........  .........  .........  .........  .........  ..............
                       or more.                                                                                 
95811....          6  Polysomnography w/   .........  .........  .........  .........  .........  ..............
                       cpap.                                                                                    
95812....          6  Electroencephalogra  .........  .........  .........  .........  .........  ..............
                       m (EEG).                                                                                 
95813....          6  Electroencephalogra  .........  .........  .........  .........  .........  ..............
                       m (EEG).                                                                                 
95816....          6  Electroencephalogra  .........  .........  .........  .........  .........  ..............
                       m (EEG).                                                                                 
95819....          6  Electroencephalogra  .........  .........  .........  .........  .........  ..............
                       m (EEG).                                                                                 
95822....          6  Sleep                .........  .........  .........  .........  .........  ..............
                       electroencephalogr                                                                       
                       am.                                                                                      
95824....          6  Electroencephalogra  .........  .........  .........  .........  .........  ..............
                       phy.                                                                                     
95827....          6  Night                .........  .........  .........  .........  .........  ..............
                       electroencephalogr                                                                       
                       am.                                                                                      
95829....          6  Surgery              .........  .........  .........  .........  .........  ..............
                       electrocorticogram.                                                                      
95830....          6  Insert electrodes    .........  .........  .........  .........  .........  ..............
                       for EEG.                                                                                 
95831....          6  Limb muscle          .........  .........  .........  .........  .........  ..............
                       testing, manual.                                                                         
95832....          6  Hand muscle          .........  .........  .........  .........  .........  ..............
                       testing, manual.                                                                         
95833....          6  Body muscle          .........  .........  .........  .........  .........  ..............
                       testing, manual.                                                                         
95834....          6  Body muscle          .........  .........  .........  .........  .........  ..............
                       testing, manual.                                                                         
95851....          6  Range of motion      .........  .........  .........  .........  .........  ..............
                       measurements.                                                                            
95852....          6  Range of motion      .........  .........  .........  .........  .........  ..............
                       measurements.                                                                            
95857....          6  Tensilon test......  .........  .........  .........  .........  .........  ..............
95858....          6  Tensilon test &      .........  .........  .........  .........  .........  ..............
                       myogram.                                                                                 
95860....          6  Muscle test, one     .........  .........  .........  .........  .........  ..............
                       limb.                                                                                    
95861....          6  Muscle test, two     .........  .........  .........  .........  .........  ..............
                       limbs.                                                                                   
95863....          6  Muscle test, 3       .........  .........  .........  .........  .........  ..............
                       limbs.                                                                                   
95864....          6  Muscle test, 4       .........  .........  .........  .........  .........  ..............
                       limbs.                                                                                   
95867....          6  Muscle test, head    .........  .........  .........  .........  .........  ..............
                       or neck.                                                                                 
95868....          6  Muscle test, head    .........  .........  .........  .........  .........  ..............
                       or neck.                                                                                 

[[Page 32427]]

                                                                                                                
95869....          6  Muscle test, thor    .........  .........  .........  .........  .........  ..............
                       paraspinal.                                                                              
95870....          6  Muscle test, non-    .........  .........  .........  .........  .........  ..............
                       paraspinal.                                                                              
95872....          6  Muscle test, one     .........  .........  .........  .........  .........  ..............
                       fiber.                                                                                   
95875....          6  Limb exercise test.  .........  .........  .........  .........  .........  ..............
95900....          6  Motor nerve          .........  .........  .........  .........  .........  ..............
                       conduction test.                                                                         
95903....          6  Motor nerve          .........  .........  .........  .........  .........  ..............
                       conduction test.                                                                         
95904....          6  Sense nerve          .........  .........  .........  .........  .........  ..............
                       conduction test.                                                                         
95920....          6  Intraoperative       .........  .........  .........  .........  .........  ..............
                       nerve testing.                                                                           
95921....          6  Autonomic nervous    .........  .........  .........  .........  .........  ..............
                       func test.                                                                               
95922....          6  Autonomic nervous    .........  .........  .........  .........  .........  ..............
                       func test.                                                                               
95923....          6  Autonomic nervous    .........  .........  .........  .........  .........  ..............
                       func test.                                                                               
95925....          6  Somatosensory        .........  .........  .........  .........  .........  ..............
                       testing.                                                                                 
95926....          6  Somatosensory        .........  .........  .........  .........  .........  ..............
                       testing.                                                                                 
95927....          6  Somatosensory        .........  .........  .........  .........  .........  ..............
                       testing.                                                                                 
95930....          6  Visual evoked        .........  .........  .........  .........  .........  ..............
                       potential test.                                                                          
95933....          6  Blink reflex test..  .........  .........  .........  .........  .........  ..............
95934....          6  `h' reflex test....  .........  .........  .........  .........  .........  ..............
95936....          6  `h' reflex test....  .........  .........  .........  .........  .........  ..............
95937....          6  Neuromuscular        .........  .........  .........  .........  .........  ..............
                       junction test.                                                                           
95950....          6  Ambulatory eeg       .........  .........  .........  .........  .........  ..............
                       monitoring.                                                                              
95951....          6  EEG monitoring/      .........  .........  .........  .........  .........  ..............
                       videorecord.                                                                             
95953....          6  EEG monitoring/      .........  .........  .........  .........  .........  ..............
                       computer.                                                                                
95954....          6  EEG monitoring/      .........  .........  .........  .........  .........  ..............
                       giving drugs.                                                                            
95955....          6  EEG during surgery.  .........  .........  .........  .........  .........  ..............
95956....          6  EEG monitoring/      .........  .........  .........  .........  .........  ..............
                       cable/radio.                                                                             
95957....          6  EEG digital          .........  .........  .........  .........  .........  ..............
                       analysis.                                                                                
95958....          6  EEG monitoring/      .........  .........  .........  .........  .........  ..............
                       function test.                                                                           
95961....          6  Electrode            .........  .........  .........  .........  .........  ..............
                       stimulation, brain.                                                                      
95962....          6  Electrode            .........  .........  .........  .........  .........  ..............
                       stimulation, brain.                                                                      
95999....          6  Neurological         .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
96100....          6  Psychological        .........  .........  .........  .........  .........  ..............
                       testing.                                                                                 
96105....          6  Assessment of        .........  .........  .........  .........  .........  ..............
                       aphasia.                                                                                 
96110....          6  Developmental test,  .........  .........  .........  .........  .........  ..............
                       lim.                                                                                     
96111....          6  Developmental test,  .........  .........  .........  .........  .........  ..............
                       extend.                                                                                  
96115....          6  Neurobehavior        .........  .........  .........  .........  .........  ..............
                       status exam.                                                                             
96117....          6  Neuropsych test      .........  .........  .........  .........  .........  ..............
                       battery.                                                                                 
96400....          6  Chemotherapy, (SC)/  .........  .........  .........  .........  .........  ..............
                       (IM).                                                                                    
96405....          6  Intralesional chemo  .........  .........  .........  .........  .........  ..............
                       admin.                                                                                   
96406....          6  Intralesional chemo  .........  .........  .........  .........  .........  ..............
                       admin.                                                                                   
96408....          6  Chemotherapy, push   .........  .........  .........  .........  .........  ..............
                       technique.                                                                               
96410....          6  Chemotherapy,        .........  .........  .........  .........  .........  ..............
                       infusion method.                                                                         
96412....          6  Chemotherapy,        .........  .........  .........  .........  .........  ..............
                       infusion method.                                                                         
96414....          6  Chemotherapy,        .........  .........  .........  .........  .........  ..............
                       infusion method.                                                                         
96420....          6  Chemotherapy, push   .........  .........  .........  .........  .........  ..............
                       technique.                                                                               
96422....          6  Chemotherapy,        .........  .........  .........  .........  .........  ..............
                       infusion method.                                                                         
96423....          6  Chemotherapy,        .........  .........  .........  .........  .........  ..............
                       infusion method.                                                                         
96425....          6  Chemotherapy,        .........  .........  .........  .........  .........  ..............
                       infusion method.                                                                         
96440....          6  Chemotherapy,        .........  .........  .........  .........  .........  ..............
                       intracavitary.                                                                           
96445....          6  Chemotherapy,        .........  .........  .........  .........  .........  ..............
                       intracavitary.                                                                           
96450....          6  Chemotherapy, into   .........  .........  .........  .........  .........  ..............
                       CNS.                                                                                     
96520....          6  Pump refilling,      .........  .........  .........  .........  .........  ..............
                       maintenance.                                                                             
96530....          6  Pump refilling,      .........  .........  .........  .........  .........  ..............
                       maintenance.                                                                             
96542....          6  Chemotherapy         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
96545....          6  Provide              .........  .........  .........  .........  .........  ..............
                       chemotherapy agent.                                                                      
96549....          6  Chemotherapy,        .........  .........  .........  .........  .........  ..............
                       unspecified.                                                                             
96900....          6  Ultraviolet light    .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
96902....          6  Trichogram.........  .........  .........  .........  .........  .........  ..............
96910....          6  Photochemotherapy    .........  .........  .........  .........  .........  ..............
                       with UV-B.                                                                               
96912....          6  Photochemotherapy    .........  .........  .........  .........  .........  ..............
                       with UV-A.                                                                               
96913....          6  Photochemotherapy,   .........  .........  .........  .........  .........  ..............
                       UV-A or B.                                                                               
96999....          6  Dermatological       .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
97001....          6  Pt evaluation......  .........  .........  .........  .........  .........  ..............
97002....          6  Pt re-evaluation...  .........  .........  .........  .........  .........  ..............
97003....          6  Ot evaluation......  .........  .........  .........  .........  .........  ..............
97004....          6  Ot re-evaluation...  .........  .........  .........  .........  .........  ..............
97010....          6  Hot or cold packs    .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
97012....          6  Mechanical traction  .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
97014....          6  Electric             .........  .........  .........  .........  .........  ..............
                       stimulation                                                                              
                       therapy.                                                                                 
97016....          6  Vasopneumatic        .........  .........  .........  .........  .........  ..............
                       device therapy.                                                                          
97018....          6  Paraffin bath        .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
97020....          6  Microwave therapy..  .........  .........  .........  .........  .........  ..............
97022....          6  Whirlpool therapy..  .........  .........  .........  .........  .........  ..............
97024....          6  Diathermy treatment  .........  .........  .........  .........  .........  ..............
97026....          6  Infrared therapy...  .........  .........  .........  .........  .........  ..............

[[Page 32428]]

                                                                                                                
97028....          6  Ultraviolet therapy  .........  .........  .........  .........  .........  ..............
97032....          6  Electrical           .........  .........  .........  .........  .........  ..............
                       stimulation.                                                                             
97033....          6  Electric current     .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
97034....          6  Contrast bath        .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
97035....          6  Ultrasound therapy.  .........  .........  .........  .........  .........  ..............
97036....          6  Hydrotherapy.......  .........  .........  .........  .........  .........  ..............
97039....          6  Physical therapy     .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
97110....          6  Therapeutic          .........  .........  .........  .........  .........  ..............
                       exercises.                                                                               
97112....          6  Neuromuscular        .........  .........  .........  .........  .........  ..............
                       reeducation.                                                                             
97113....          6  Aquatic therapy/     .........  .........  .........  .........  .........  ..............
                       exercises.                                                                               
97116....          6  Gait training        .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
97122....          6  Manual traction      .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
97124....          6  Massage therapy....  .........  .........  .........  .........  .........  ..............
97139....          6  Physical medicine    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
97150....          6  Group therapeutic    .........  .........  .........  .........  .........  ..............
                       procedures.                                                                              
97250....          6  Myofascial release.  .........  .........  .........  .........  .........  ..............
97260....          6  Regional             .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
97261....          6  Supplemental         .........  .........  .........  .........  .........  ..............
                       manipulations.                                                                           
97265....          6  Joint mobilization.  .........  .........  .........  .........  .........  ..............
97504....          6  Orthotic training..  .........  .........  .........  .........  .........  ..............
97520....          6  Prosthetic training  .........  .........  .........  .........  .........  ..............
97530....          6  Therapeutic          .........  .........  .........  .........  .........  ..............
                       activities.                                                                              
97535....          6  Self care mngment    .........  .........  .........  .........  .........  ..............
                       training.                                                                                
97537....          6  Community/work       .........  .........  .........  .........  .........  ..............
                       reintegration.                                                                           
97542....          6  Wheelchair mngement  .........  .........  .........  .........  .........  ..............
                       training.                                                                                
97545....          6  Work hardening.....  .........  .........  .........  .........  .........  ..............
97546....          6  Work hardening.....  .........  .........  .........  .........  .........  ..............
97703....          6  Prosthetic checkout  .........  .........  .........  .........  .........  ..............
97750....          6  Physical             .........  .........  .........  .........  .........  ..............
                       performance test.                                                                        
97770....          6  Cognitive skills     .........  .........  .........  .........  .........  ..............
                       development.                                                                             
97780....          9  Acupuncture w/o      .........  .........  .........  .........  .........  ..............
                       stim.                                                                                    
97781....          9  Acupuncture w/stim.  .........  .........  .........  .........  .........  ..............
97799....          6  Physical medicine    .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
98925....          6  Osteopathic          .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
98926....          6  Osteopathic          .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
98927....          6  Osteopathic          .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
98928....          6  Osteopathic          .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
98929....          6  Osteopathic          .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
98940....          6  Chiropractic         .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
98941....          6  Chiropractic         .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
98942....          6  Chiropractic         .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
98943....          9  Chiropractic         .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
99000....          6  Specimen handling..  .........  .........  .........  .........  .........  ..............
99001....          6  Specimen handling..  .........  .........  .........  .........  .........  ..............
99002....          6  Device handling....  .........  .........  .........  .........  .........  ..............
99024....          6  Post-op follow-up    .........  .........  .........  .........  .........  ..............
                       visit.                                                                                   
99025....          6  Initial surgical     .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
99050....          6  Medical services     .........  .........  .........  .........  .........  ..............
                       after hrs.                                                                               
99052....          6  Medical services at  .........  .........  .........  .........  .........  ..............
                       night.                                                                                   
99054....          6  Medical              .........  .........  .........  .........  .........  ..............
                       services,unusual                                                                         
                       hrs.                                                                                     
99056....          6  Non-office medical   .........  .........  .........  .........  .........  ..............
                       services.                                                                                
99058....          6  Office emergency     .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99070....          6  Special supplies...  .........  .........  .........  .........  .........  ..............
99071....          6  Patient education    .........  .........  .........  .........  .........  ..............
                       materials.                                                                               
99075....          9  Medical testimony..  .........  .........  .........  .........  .........  ..............
99078....          6  Group health         .........  .........  .........  .........  .........  ..............
                       education.                                                                               
99080....          6  Special reports or   .........  .........  .........  .........  .........  ..............
                       forms.                                                                                   
99082....          6  Unusual physician    .........  .........  .........  .........  .........  ..............
                       travel.                                                                                  
99090....          6  Computer data        .........  .........  .........  .........  .........  ..............
                       analysis.                                                                                
99100....          6  Special anesthesia   .........  .........  .........  .........  .........  ..............
                       service.                                                                                 
99116....          6  Anesthesia with      .........  .........  .........  .........  .........  ..............
                       hypothermia.                                                                             
99135....          6  Special anesthesia   .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
99140....          6  Emergency            .........  .........  .........  .........  .........  ..............
                       anesthesia.                                                                              
99141....          6  Sedation, iv/im or   .........  .........  .........  .........  .........  ..............
                       inhalant.                                                                                
99142....          6  Sedation, oral/      .........  .........  .........  .........  .........  ..............
                       rectal/nasal.                                                                            
99175....          6  Induction of         .........  .........  .........  .........  .........  ..............
                       vomiting.                                                                                
99183....          6  Hyperbaric oxygen    .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
99185....          6  Regional             .........  .........  .........  .........  .........  ..............
                       hypothermia.                                                                             
99186....          6  Total body           .........  .........  .........  .........  .........  ..............
                       hypothermia.                                                                             
99190....          6  Special pump         .........  .........  .........  .........  .........  ..............
                       services.                                                                                
99191....          6  Special pump         .........  .........  .........  .........  .........  ..............
                       services.                                                                                
99192....          6  Special pump         .........  .........  .........  .........  .........  ..............
                       services.                                                                                
99195....          6  Phlebotomy.........  .........  .........  .........  .........  .........  ..............
99199....          6  Special service or   .........  .........  .........  .........  .........  ..............
                       report.                                                                                  

[[Page 32429]]

                                                                                                                
99201....          6  Office/outpatient    .........  .........  .........  .........  .........  ..............
                       visit, new.                                                                              
99202....          6  Office/outpatient    .........  .........  .........  .........  .........  ..............
                       visit, new.                                                                              
99203....          6  Office/outpatient    .........  .........  .........  .........  .........  ..............
                       visit, new.                                                                              
99204....          6  Office/outpatient    .........  .........  .........  .........  .........  ..............
                       visit, new.                                                                              
99205....          6  Office/outpatient    .........  .........  .........  .........  .........  ..............
                       visit, new.                                                                              
99211....          6  Office/outpatient    .........  .........  .........  .........  .........  ..............
                       visit, est.                                                                              
99212....          6  Office/outpatient    .........  .........  .........  .........  .........  ..............
                       visit, est.                                                                              
99213....          6  Office/outpatient    .........  .........  .........  .........  .........  ..............
                       visit, est.                                                                              
99214....          6  Office/outpatient    .........  .........  .........  .........  .........  ..............
                       visit, est.                                                                              
99215....          6  Office/outpatient    .........  .........  .........  .........  .........  ..............
                       visit, est.                                                                              
99217....          6  Observation care     .........  .........  .........  .........  .........  ..............
                       discharge.                                                                               
99218....          6  Observation care...  .........  .........  .........  .........  .........  ..............
99219....          6  Observation care...  .........  .........  .........  .........  .........  ..............
99220....          6  Observation care...  .........  .........  .........  .........  .........  ..............
99221....          6  Initial hospital     .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99222....          6  Initial hospital     .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99223....          6  Initial hospital     .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99231....          6  Subsequent hospital  .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99232....          6  Subsequent hospital  .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99233....          6  Subsequent hospital  .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99234....          6  Observ/hosp same     .........  .........  .........  .........  .........  ..............
                       date.                                                                                    
99235....          6  Observ/hosp same     .........  .........  .........  .........  .........  ..............
                       date.                                                                                    
99236....          6  Observ/hosp same     .........  .........  .........  .........  .........  ..............
                       date.                                                                                    
99238....          6  Hospital discharge   .........  .........  .........  .........  .........  ..............
                       day.                                                                                     
99239....          6  Hospital discharge   .........  .........  .........  .........  .........  ..............
                       day.                                                                                     
99241....          6  Office consultation  .........  .........  .........  .........  .........  ..............
99242....          6  Office consultation  .........  .........  .........  .........  .........  ..............
99243....          6  Office consultation  .........  .........  .........  .........  .........  ..............
99244....          6  Office consultation  .........  .........  .........  .........  .........  ..............
99245....          6  Office consultation  .........  .........  .........  .........  .........  ..............
99251....          6  Initial inpatient    .........  .........  .........  .........  .........  ..............
                       consult.                                                                                 
99252....          6  Initial inpatient    .........  .........  .........  .........  .........  ..............
                       consult.                                                                                 
99253....          6  Initial inpatient    .........  .........  .........  .........  .........  ..............
                       consult.                                                                                 
99254....          6  Initial inpatient    .........  .........  .........  .........  .........  ..............
                       consult.                                                                                 
99255....          6  Initial inpatient    .........  .........  .........  .........  .........  ..............
                       consult.                                                                                 
99261....          6  Follow-up inpatient  .........  .........  .........  .........  .........  ..............
                       consult.                                                                                 
99262....          6  Follow-up inpatient  .........  .........  .........  .........  .........  ..............
                       consult.                                                                                 
99263....          6  Follow-up inpatient  .........  .........  .........  .........  .........  ..............
                       consult.                                                                                 
99271....          6  Confirmatory         .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
99272....          6  Confirmatory         .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
99273....          6  Confirmatory         .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
99274....          6  Confirmatory         .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
99275....          6  Confirmatory         .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
99281....          6  Emergency dept       .........  .........  .........  .........  .........  ..............
                       visit.                                                                                   
99282....          6  Emergency dept       .........  .........  .........  .........  .........  ..............
                       visit.                                                                                   
99283....          6  Emergency dept       .........  .........  .........  .........  .........  ..............
                       visit.                                                                                   
99284....          6  Emergency dept       .........  .........  .........  .........  .........  ..............
                       visit.                                                                                   
99285....          6  Emergency dept       .........  .........  .........  .........  .........  ..............
                       visit.                                                                                   
99288....          6  Direct advanced      .........  .........  .........  .........  .........  ..............
                       life support.                                                                            
99291....          6  Critical care,       .........  .........  .........  .........  .........  ..............
                       first hour.                                                                              
99292....          6  Critical care, addl  .........  .........  .........  .........  .........  ..............
                       30 min.                                                                                  
99295....          6  Neonatal critical    .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99296....          6  Neonatal critical    .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99297....          6  Neonatal critical    .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99301....          6  Nursing facility     .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99302....          6  Nursing facility     .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99303....          6  Nursing facility     .........  .........  .........  .........  .........  ..............
                       care.                                                                                    
99311....          6  Nursing facility     .........  .........  .........  .........  .........  ..............
                       care, subseq.                                                                            
99312....          6  Nursing facility     .........  .........  .........  .........  .........  ..............
                       care, subseq.                                                                            
99313....          6  Nursing facility     .........  .........  .........  .........  .........  ..............
                       care, subseq.                                                                            
99315....          6  Nursing fac          .........  .........  .........  .........  .........  ..............
                       discharge day.                                                                           
99316....          6  Nursing fac          .........  .........  .........  .........  .........  ..............
                       discharge day.                                                                           
99321....          6  Rest home visit,     .........  .........  .........  .........  .........  ..............
                       new patient.                                                                             
99322....          6  Rest home visit,     .........  .........  .........  .........  .........  ..............
                       new patient.                                                                             
99323....          6  Rest home visit,     .........  .........  .........  .........  .........  ..............
                       new patient.                                                                             
99331....          6  Rest home visit,     .........  .........  .........  .........  .........  ..............
                       estab pat.                                                                               
99332....          6  Rest home visit,     .........  .........  .........  .........  .........  ..............
                       estab pat.                                                                               
99333....          6  Rest home visit,     .........  .........  .........  .........  .........  ..............
                       estab pat.                                                                               
99341....          6  Home visit, new      .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
99342....          6  Home visit, new      .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
99343....          6  Home visit, new      .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
99344....          6  Home visit, new      .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
99345....          6  Home visit, new      .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
99347....          6  Home visit, estab    .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 

[[Page 32430]]

                                                                                                                
99348....          6  Home visit, estab    .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
99349....          6  Home visit, estab    .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
99350....          6  Home visit, estab    .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
99354....          6  Prolonged service,   .........  .........  .........  .........  .........  ..............
                       office.                                                                                  
99355....          6  Prolonged service,   .........  .........  .........  .........  .........  ..............
                       office.                                                                                  
99356....          6  Prolonged service,   .........  .........  .........  .........  .........  ..............
                       inpatient.                                                                               
99357....          6  Prolonged service,   .........  .........  .........  .........  .........  ..............
                       inpatient.                                                                               
99358....          6  Prolonged serv, w/o  .........  .........  .........  .........  .........  ..............
                       contact.                                                                                 
99359....          6  Prolonged serv, w/o  .........  .........  .........  .........  .........  ..............
                       contact.                                                                                 
99360....          6  Physician standby    .........  .........  .........  .........  .........  ..............
                       services.                                                                                
99361....          6  Physician/team       .........  .........  .........  .........  .........  ..............
                       conference.                                                                              
99362....          6  Physician/team       .........  .........  .........  .........  .........  ..............
                       conference.                                                                              
99371....          6  Physician phone      .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
99372....          6  Physician phone      .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
99373....          6  Physician phone      .........  .........  .........  .........  .........  ..............
                       consultation.                                                                            
99374....          6  Home health care     .........  .........  .........  .........  .........  ..............
                       supervision.                                                                             
99375....          6  Home health care     .........  .........  .........  .........  .........  ..............
                       supervision.                                                                             
99377....          6  Hospice care         .........  .........  .........  .........  .........  ..............
                       supervision.                                                                             
99378....          6  Hospice care         .........  .........  .........  .........  .........  ..............
                       supervision.                                                                             
99379....          6  Nursing fac care     .........  .........  .........  .........  .........  ..............
                       supervision.                                                                             
99380....          6  Nursing fac care     .........  .........  .........  .........  .........  ..............
                       supervision.                                                                             
99381....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       new, infant.                                                                             
99382....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       new, age 1-4.                                                                            
99383....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       new, age 5-11.                                                                           
99384....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       new, 12-17.                                                                              
99385....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       new, 18-39.                                                                              
99386....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       new, 40-64.                                                                              
99387....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       new, 65 & over.                                                                          
99391....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       est, infant.                                                                             
99392....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       est, age 1-4.                                                                            
99393....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       est, age 5-11.                                                                           
99394....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       est, 12-17.                                                                              
99395....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       est, 18-39.                                                                              
99396....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       est, 40-64.                                                                              
99397....          9  Preventive visit,    .........  .........  .........  .........  .........  ..............
                       est, 65 & over.                                                                          
99401....          9  Preventive           .........  .........  .........  .........  .........  ..............
                       counseling, indiv.                                                                       
99402....          9  Preventive           .........  .........  .........  .........  .........  ..............
                       counseling, indiv.                                                                       
99403....          9  Preventive           .........  .........  .........  .........  .........  ..............
                       counseling, indiv.                                                                       
99404....          9  Preventive           .........  .........  .........  .........  .........  ..............
                       counseling, indiv.                                                                       
99411....          9  Preventive           .........  .........  .........  .........  .........  ..............
                       counseling, group.                                                                       
99412....          9  Preventive           .........  .........  .........  .........  .........  ..............
                       counseling, group.                                                                       
99420....          9  Health risk          .........  .........  .........  .........  .........  ..............
                       assessment test.                                                                         
99429....          9  Unlisted preventive  .........  .........  .........  .........  .........  ..............
                       service.                                                                                 
99431....          6  Initial care,        .........  .........  .........  .........  .........  ..............
                       normal newborn.                                                                          
99432....          6  Newborn care not in  .........  .........  .........  .........  .........  ..............
                       hospital.                                                                                
99433....          6  Normal newborn       .........  .........  .........  .........  .........  ..............
                       care,hospital.                                                                           
99435....          6  Hospital NB          .........  .........  .........  .........  .........  ..............
                       discharge day.                                                                           
99436....          6  Attendance, birth..  .........  .........  .........  .........  .........  ..............
99440....          6  Newborn              .........  .........  .........  .........  .........  ..............
                       resuscitation.                                                                           
99450....          9  Life/disability      .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
99455....          6  Disability           .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
99456....          6  Disability           .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
99499....          6  Unlisted E/M         .........  .........  .........  .........  .........  ..............
                       service.                                                                                 
A0021....          9  Outside state        .........  .........  .........  .........  .........  ..............
                       ambulance serv.                                                                          
A0030....          6  Air ambulance        .........  .........  .........  .........  .........  ..............
                       service.                                                                                 
A0040....          6  Helicopter           .........  .........  .........  .........  .........  ..............
                       ambulance service.                                                                       
A0050....          6  Water amb service    .........  .........  .........  .........  .........  ..............
                       emergency.                                                                               
A0080....          9  Noninterest escort   .........  .........  .........  .........  .........  ..............
                       in non er.                                                                               
A0090....          9  Interest escort in   .........  .........  .........  .........  .........  ..............
                       non er.                                                                                  
A0100....          9  Nonemergency         .........  .........  .........  .........  .........  ..............
                       transport taxi.                                                                          
A0110....          9  Nonemergency         .........  .........  .........  .........  .........  ..............
                       transport bus.                                                                           
A0120....          9  Noner transport      .........  .........  .........  .........  .........  ..............
                       mini-bus.                                                                                
A0130....          9  Noner transport      .........  .........  .........  .........  .........  ..............
                       wheelch van.                                                                             
A0140....          9  Nonemergency         .........  .........  .........  .........  .........  ..............
                       transport air.                                                                           
A0160....          9  Noner transport      .........  .........  .........  .........  .........  ..............
                       case worker.                                                                             
A0170....          9  Noner transport      .........  .........  .........  .........  .........  ..............
                       parking fees.                                                                            
A0180....          9  Noner transport      .........  .........  .........  .........  .........  ..............
                       lodgng recip.                                                                            
A0190....          9  Noner transport      .........  .........  .........  .........  .........  ..............
                       meals recip.                                                                             
A0200....          9  Noner transport      .........  .........  .........  .........  .........  ..............
                       lodgng escrt.                                                                            
A0210....          9  Noner transport      .........  .........  .........  .........  .........  ..............
                       meals escort.                                                                            
A0225....          6  Neonatal emergency   .........  .........  .........  .........  .........  ..............
                       transport.                                                                               
A0300....          6  Ambulance basic non- .........  .........  .........  .........  .........  ..............
                       emer all.                                                                                
A0302....          6  Ambulance basic      .........  .........  .........  .........  .........  ..............
                       emergeny all.                                                                            
A0304....          6  Amb adv non-er no    .........  .........  .........  .........  .........  ..............
                       serv all.                                                                                

[[Page 32431]]

                                                                                                                
A0306....          6  Amb adv non-er spec  .........  .........  .........  .........  .........  ..............
                       serv all.                                                                                
A0308....          6  Amb adv er no spec   .........  .........  .........  .........  .........  ..............
                       serv all.                                                                                
A0310....          6  Amb adv er spec      .........  .........  .........  .........  .........  ..............
                       serv all.                                                                                
A0320....          6  Amb basic non-er +   .........  .........  .........  .........  .........  ..............
                       supplies.                                                                                
A0322....          6  Amb basic emerg +    .........  .........  .........  .........  .........  ..............
                       supplies.                                                                                
A0324....          6  Adv non-er serv sep  .........  .........  .........  .........  .........  ..............
                       mileage.                                                                                 
A0326....          6  Adv non-er no serv   .........  .........  .........  .........  .........  ..............
                       sep mile.                                                                                
A0328....          6  Adv er no serv sep   .........  .........  .........  .........  .........  ..............
                       mileage.                                                                                 
A0330....          6  Adv er spec serv     .........  .........  .........  .........  .........  ..............
                       sep mile.                                                                                
A0340....          6  Amb basic non-er +   .........  .........  .........  .........  .........  ..............
                       mileage.                                                                                 
A0342....          6  Ambul basic emer +   .........  .........  .........  .........  .........  ..............
                       mileage.                                                                                 
A0344....          6  Amb adv non-er no    .........  .........  .........  .........  .........  ..............
                       serv +mile.                                                                              
A0346....          6  Amb adv non-er serv  .........  .........  .........  .........  .........  ..............
                       + mile.                                                                                  
A0348....          6  Adv emer no spec     .........  .........  .........  .........  .........  ..............
                       serv + mile.                                                                             
A0350....          6  Adv emer spec serv   .........  .........  .........  .........  .........  ..............
                       + mileage.                                                                               
A0360....          6  Basic non-er sep     .........  .........  .........  .........  .........  ..............
                       mile & supp.                                                                             
A0362....          6  Basic emer sep mile  .........  .........  .........  .........  .........  ..............
                       & supply.                                                                                
A0364....          6  Adv non-er no serv   .........  .........  .........  .........  .........  ..............
                       sep mi&su.                                                                               
A0366....          6  Adv non-er serv sep  .........  .........  .........  .........  .........  ..............
                       mil&supp.                                                                                
A0368....          6  Adv er no serv sep   .........  .........  .........  .........  .........  ..............
                       mile&supp.                                                                               
A0370....          6  Adv er spec serv     .........  .........  .........  .........  .........  ..............
                       sep mi&supp.                                                                             
A0380....          6  Basic life support   .........  .........  .........  .........  .........  ..............
                       mileage.                                                                                 
A0382....          6  Basic support        .........  .........  .........  .........  .........  ..............
                       routine suppls.                                                                          
A0384....          6  Bls defibrillation   .........  .........  .........  .........  .........  ..............
                       supplies.                                                                                
A0390....          6  Advanced life        .........  .........  .........  .........  .........  ..............
                       support mileag.                                                                          
A0392....          6  Als defibrillation   .........  .........  .........  .........  .........  ..............
                       supplies.                                                                                
A0394....          6  Als IV drug therapy  .........  .........  .........  .........  .........  ..............
                       supplies.                                                                                
A0396....          6  Als esophageal       .........  .........  .........  .........  .........  ..............
                       intub suppls.                                                                            
A0398....          6  Als routine          .........  .........  .........  .........  .........  ..............
                       disposble suppls.                                                                        
A0420....          6  Ambulance waiting    .........  .........  .........  .........  .........  ..............
                       \1/2\ hr.                                                                                
A0422....          6  Ambulance 02 life    .........  .........  .........  .........  .........  ..............
                       sustaining.                                                                              
A0424....          6  Extra ambulance      .........  .........  .........  .........  .........  ..............
                       attendant.                                                                               
A0888....          9  Noncovered           .........  .........  .........  .........  .........  ..............
                       ambulance mileage.                                                                       
A0999....          6  Unlisted ambulance   .........  .........  .........  .........  .........  ..............
                       service.                                                                                 
A4206....          2  1 CC sterile         .........  .........  .........  .........  .........  ..............
                       syringe&needle.                                                                          
A4207....          2  2 CC sterile         .........  .........  .........  .........  .........  ..............
                       syringe&needle.                                                                          
A4208....          2  3 CC sterile         .........  .........  .........  .........  .........  ..............
                       syringe&needle.                                                                          
A4209....          2  5+ CC sterile        .........  .........  .........  .........  .........  ..............
                       syringe&needle.                                                                          
A4210....          9  Nonneedle injection  .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
A4211....          2  Supp for self-adm    .........  .........  .........  .........  .........  ..............
                       injections.                                                                              
A4212....          2  Non coring needle    .........  .........  .........  .........  .........  ..............
                       or stylet.                                                                               
A4213....          2  20+ CC syringe only  .........  .........  .........  .........  .........  ..............
A4214....          2  30 CC sterile water/ .........  .........  .........  .........  .........  ..............
                       saline.                                                                                  
A4215....          2  Sterile needle.....  .........  .........  .........  .........  .........  ..............
A4220....          2  Infusion pump        .........  .........  .........  .........  .........  ..............
                       refill kit.                                                                              
A4221....          2  Maint drug infus     .........  .........  .........  .........  .........  ..............
                       cath per wk.                                                                             
A4222....          2  Drug infusion pump   .........  .........  .........  .........  .........  ..............
                       supplies.                                                                                
A4230....          9  Infus insulin pump   .........  .........  .........  .........  .........  ..............
                       non needl.                                                                               
A4231....          9  Infusion insulin     .........  .........  .........  .........  .........  ..............
                       pump needle.                                                                             
A4232....          9  Syringe w/needle     .........  .........  .........  .........  .........  ..............
                       insulin 3cc.                                                                             
A4244....          2  Alcohol or peroxide  .........  .........  .........  .........  .........  ..............
                       per pint.                                                                                
A4245....          2  Alcohol wipes per    .........  .........  .........  .........  .........  ..............
                       box.                                                                                     
A4246....          2  Betadine/phisohex    .........  .........  .........  .........  .........  ..............
                       solution.                                                                                
A4247....          2  Betadine/iodine      .........  .........  .........  .........  .........  ..............
                       swabs/wipes.                                                                             
A4250....          9  Urine reagent        .........  .........  .........  .........  .........  ..............
                       strips/tablets.                                                                          
A4253....          2  Blood glucose/       .........  .........  .........  .........  .........  ..............
                       reagent strips.                                                                          
A4254....          2  Battery for glucose  .........  .........  .........  .........  .........  ..............
                       monitor.                                                                                 
A4255....          2  Glucose monitor      .........  .........  .........  .........  .........  ..............
                       platforms.                                                                               
A4256....          2  Calibrator solution/ .........  .........  .........  .........  .........  ..............
                       chips.                                                                                   
A4258....          2  Lancet device each.  .........  .........  .........  .........  .........  ..............
A4259....          2  Lancets per box....  .........  .........  .........  .........  .........  ..............
A4260....          9  Levonorgestrel       .........  .........  .........  .........  .........  ..............
                       implant.                                                                                 
A4262....          2  Temporary tear duct  .........  .........  .........  .........  .........  ..............
                       plug.                                                                                    
A4263....          2  Permanent tear duct  .........  .........  .........  .........  .........  ..............
                       plug.                                                                                    
A4265....          2  Paraffin...........  .........  .........  .........  .........  .........  ..............
A4270....          2  Disposable           .........  .........  .........  .........  .........  ..............
                       endoscope sheath.                                                                        
A4300....          2  Cath impl vasc       .........  .........  .........  .........  .........  ..............
                       access portal.                                                                           
A4301....          2  Implantable access   .........  .........  .........  .........  .........  ..............
                       syst perc.                                                                               
A4305....          2  Drug delivery        .........  .........  .........  .........  .........  ..............
                       system >=50 ML.                                                                          
A4306....          2  Drug delivery        .........  .........  .........  .........  .........  ..............
                       system <=5 ML.                                                                           
A4310....          6  Insert tray w/o bag/ .........  .........  .........  .........  .........  ..............
                       cath.                                                                                    
A4311....          6  Catheter w/o bag 2-  .........  .........  .........  .........  .........  ..............
                       way latex.                                                                               
A4312....          6  Cath w/o bag 2-way   .........  .........  .........  .........  .........  ..............
                       silicone.                                                                                
A4313....          6  Catheter w/bag 3-    .........  .........  .........  .........  .........  ..............
                       way.                                                                                     

[[Page 32432]]

                                                                                                                
A4314....          6  Cath w/drainage 2-   .........  .........  .........  .........  .........  ..............
                       way latex.                                                                               
A4315....          6  Cath w/drainage 2-   .........  .........  .........  .........  .........  ..............
                       way silcne.                                                                              
A4316....          6  Cath w/drainage 3-   .........  .........  .........  .........  .........  ..............
                       way.                                                                                     
A4320....          6  Irrigation tray....  .........  .........  .........  .........  .........  ..............
A4321....          6  Cath therapeutic     .........  .........  .........  .........  .........  ..............
                       irrig agent.                                                                             
A4322....          6  Irrigation syringe.  .........  .........  .........  .........  .........  ..............
A4323....          6  Saline irrigation    .........  .........  .........  .........  .........  ..............
                       solution.                                                                                
A4326....          6  Male external        .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
A4327....          6  Fem urinary collect  .........  .........  .........  .........  .........  ..............
                       dev cup.                                                                                 
A4328....          6  Fem urinary collect  .........  .........  .........  .........  .........  ..............
                       pouch.                                                                                   
A4329....          6  External catheter    .........  .........  .........  .........  .........  ..............
                       start set.                                                                               
A4330....          6  Stool collection     .........  .........  .........  .........  .........  ..............
                       pouch.                                                                                   
A4335....          6  Incontinence supply  .........  .........  .........  .........  .........  ..............
A4338....          6  Indwelling catheter  .........  .........  .........  .........  .........  ..............
                       latex.                                                                                   
A4340....          6  Indwelling catheter  .........  .........  .........  .........  .........  ..............
                       special.                                                                                 
A4344....          6  Cath indw foley 2    .........  .........  .........  .........  .........  ..............
                       way silicn.                                                                              
A4346....          6  Cath indw foley 3    .........  .........  .........  .........  .........  ..............
                       way.                                                                                     
A4347....          6  Male external        .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
A4351....          6  Straight tip urine   .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
A4352....          6  Coude tip urinary    .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
A4353....          6  Intermittent         .........  .........  .........  .........  .........  ..............
                       urinary cath.                                                                            
A4354....          6  Cath insertion tray  .........  .........  .........  .........  .........  ..............
                       w/bag.                                                                                   
A4355....          6  Bladder irrigation   .........  .........  .........  .........  .........  ..............
                       tubing.                                                                                  
A4356....          6  Ext ureth clmp or    .........  .........  .........  .........  .........  ..............
                       compr dvc.                                                                               
A4357....          6  Bedside drainage     .........  .........  .........  .........  .........  ..............
                       bag.                                                                                     
A4358....          6  Urinary leg bag....  .........  .........  .........  .........  .........  ..............
A4359....          6  Urinary suspensory   .........  .........  .........  .........  .........  ..............
                       w/o leg b.                                                                               
A4361....          6  Ostomy face plate..  .........  .........  .........  .........  .........  ..............
A4362....          6  Solid skin barrier.  .........  .........  .........  .........  .........  ..............
A4363....          6  Liquid skin barrier  .........  .........  .........  .........  .........  ..............
A4364....          6  Ostomy/cath          .........  .........  .........  .........  .........  ..............
                       adhesive.                                                                                
A4365....          6  Ostomy adhesive      .........  .........  .........  .........  .........  ..............
                       remover wipe.                                                                            
A4367....          6  Ostomy belt........  .........  .........  .........  .........  .........  ..............
A4368....          6  Ostomy filter......  .........  .........  .........  .........  .........  ..............
A4397....          6  Irrigation supply    .........  .........  .........  .........  .........  ..............
                       sleeve.                                                                                  
A4398....          6  Ostomy irrigation    .........  .........  .........  .........  .........  ..............
                       bag.                                                                                     
A4399....          6  Ostomy irrig cone/   .........  .........  .........  .........  .........  ..............
                       cath w brs.                                                                              
A4400....          6  Ostomy irrigation    .........  .........  .........  .........  .........  ..............
                       set.                                                                                     
A4402....          6  Lubricant per ounce  .........  .........  .........  .........  .........  ..............
A4404....          6  Ostomy ring each...  .........  .........  .........  .........  .........  ..............
A4421....          6  Ostomy supply misc.  .........  .........  .........  .........  .........  ..............
A4454....          6  Tape all types all   .........  .........  .........  .........  .........  ..............
                       sizes.                                                                                   
A4455....          6  Adhesive remover     .........  .........  .........  .........  .........  ..............
                       per ounce.                                                                               
A4460....          6  Elastic compression  .........  .........  .........  .........  .........  ..............
                       bandage.                                                                                 
A4462....          6  Abdmnl drssng        .........  .........  .........  .........  .........  ..............
                       holder/binder.                                                                           
A4465....          6  Non-elastic          .........  .........  .........  .........  .........  ..............
                       extremity binder.                                                                        
A4470....          6  Gravlee jet washer.  .........  .........  .........  .........  .........  ..............
A4480....          6  Vabra aspirator....  .........  .........  .........  .........  .........  ..............
A4481....          6  Tracheostoma filter  .........  .........  .........  .........  .........  ..............
A4490....          9  Above knee surgical  .........  .........  .........  .........  .........  ..............
                       stocking.                                                                                
A4495....          9  Thigh length surg    .........  .........  .........  .........  .........  ..............
                       stocking.                                                                                
A4500....          9  Below knee surgical  .........  .........  .........  .........  .........  ..............
                       stocking.                                                                                
A4510....          9  Full length surg     .........  .........  .........  .........  .........  ..............
                       stocking.                                                                                
A4550....          2  Surgical trays.....  .........  .........  .........  .........  .........  ..............
A4554....          9  Disposable           .........  .........  .........  .........  .........  ..............
                       underpads.                                                                               
A4556....          2  Electrodes.........  .........  .........  .........  .........  .........  ..............
A4557....          2  Lead wires.........  .........  .........  .........  .........  .........  ..............
A4558....          2  Conductive paste or  .........  .........  .........  .........  .........  ..............
                       gel.                                                                                     
A4560....          2  Pessary............  .........  .........  .........  .........  .........  ..............
A4565....          2  Slings.............  .........  .........  .........  .........  .........  ..............
A4570....          2  Splint.............  .........  .........  .........  .........  .........  ..............
A4572....          2  Rib belt...........  .........  .........  .........  .........  .........  ..............
A4575....          9  Hyperbaric o2        .........  .........  .........  .........  .........  ..............
                       chamber disps.                                                                           
A4580....          2  Cast supplies        .........  .........  .........  .........  .........  ..............
                       (plaster).                                                                               
A4590....          2  Special casting      .........  .........  .........  .........  .........  ..............
                       material.                                                                                
A4595....          6  TENS suppl 2 lead    .........  .........  .........  .........  .........  ..............
                       per month.                                                                               
A4611....          6  Heavy duty battery.  .........  .........  .........  .........  .........  ..............
A4612....          6  Battery cables.....  .........  .........  .........  .........  .........  ..............
A4613....          6  Battery charger....  .........  .........  .........  .........  .........  ..............
A4615....          2  Cannula nasal......  .........  .........  .........  .........  .........  ..............
A4616....          2  Tubing (oxygen) per  .........  .........  .........  .........  .........  ..............
                       foot.                                                                                    
A4617....          2  Mouth piece........  .........  .........  .........  .........  .........  ..............
A4618....          2  Breathing circuits.  .........  .........  .........  .........  .........  ..............
A4619....          2  Face tent..........  .........  .........  .........  .........  .........  ..............

[[Page 32433]]

                                                                                                                
A4620....          2  Variable             .........  .........  .........  .........  .........  ..............
                       concentration mask.                                                                      
A4621....          2  Tracheotomy mask or  .........  .........  .........  .........  .........  ..............
                       collar.                                                                                  
A4622....          2  Tracheostomy or      .........  .........  .........  .........  .........  ..............
                       larngectomy.                                                                             
A4623....          2  Tracheostomy inner   .........  .........  .........  .........  .........  ..............
                       cannula.                                                                                 
A4624....          2  Tracheal suction     .........  .........  .........  .........  .........  ..............
                       tube.                                                                                    
A4625....          2  Trach care kit for   .........  .........  .........  .........  .........  ..............
                       new trach.                                                                               
A4626....          2  Tracheostomy         .........  .........  .........  .........  .........  ..............
                       cleaning brush.                                                                          
A4627....          9  Spacer bag/          .........  .........  .........  .........  .........  ..............
                       reservoir.                                                                               
A4628....          2  Oropharyngeal        .........  .........  .........  .........  .........  ..............
                       suction cath.                                                                            
A4629....          2  Tracheostomy care    .........  .........  .........  .........  .........  ..............
                       kit.                                                                                     
A4630....          6  Repl bat t.e.n.s.    .........  .........  .........  .........  .........  ..............
                       own by pt.                                                                               
A4631....          6  Wheelchair battery.  .........  .........  .........  .........  .........  ..............
A4635....          6  Underarm crutch pad  .........  .........  .........  .........  .........  ..............
A4636....          6  Handgrip for cane    .........  .........  .........  .........  .........  ..............
                       etc.                                                                                     
A4637....          6  Repl tip cane/       .........  .........  .........  .........  .........  ..............
                       crutch/walker.                                                                           
A4640....          6  Alternating          .........  .........  .........  .........  .........  ..............
                       pressure pad.                                                                            
A4641....          9  Diagnostic imaging   .........  .........  .........  .........  .........  ..............
                       agent.                                                                                   
A4642....          9  Satumomab pendetide  .........  .........  .........  .........  .........  ..............
                       per dose.                                                                                
A4643....          9  High dose contrast   .........  .........  .........  .........  .........  ..............
                       MRI.                                                                                     
A4644....          9  Contrast 100-199     .........  .........  .........  .........  .........  ..............
                       MGs iodine.                                                                              
A4645....          9  Contrast 200-299     .........  .........  .........  .........  .........  ..............
                       MGs iodine.                                                                              
A4646....          9  Contrast 300-399     .........  .........  .........  .........  .........  ..............
                       MGs iodine.                                                                              
A4647....          2  Supp- paramagnetic   .........  .........  .........  .........  .........  ..............
                       contr mat.                                                                               
A4649....          2  Surgical supplies..  .........  .........  .........  .........  .........  ..............
A4650....          2  Supp esrd            .........  .........  .........  .........  .........  ..............
                       centrifuge.                                                                              
A4655....          6  Esrd syringe/needle  .........  .........  .........  .........  .........  ..............
A4660....          6  Esrd blood pressure  .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
A4663....          6  Esrd blood pressure  .........  .........  .........  .........  .........  ..............
                       cuff.                                                                                    
A4670....          9  Auto blood pressure  .........  .........  .........  .........  .........  ..............
                       monitor.                                                                                 
A4680....          6  Activated carbon     .........  .........  .........  .........  .........  ..............
                       filters.                                                                                 
A4690....          6  Dialyzers..........  .........  .........  .........  .........  .........  ..............
A4700....          6  Standard dialysate   .........  .........  .........  .........  .........  ..............
                       solution.                                                                                
A4705....          6  Bicarb dialysate     .........  .........  .........  .........  .........  ..............
                       solution.                                                                                
A4712....          6  Sterile water......  .........  .........  .........  .........  .........  ..............
A4714....          6  Treated water for    .........  .........  .........  .........  .........  ..............
                       dialysis.                                                                                
A4730....          6  Fistula cannulation  .........  .........  .........  .........  .........  ..............
                       set dial.                                                                                
A4735....          6  Local/topical        .........  .........  .........  .........  .........  ..............
                       anesthetics.                                                                             
A4740....          6  Esrd shunt           .........  .........  .........  .........  .........  ..............
                       accessory.                                                                               
A4750....          2  Arterial or venous   .........  .........  .........  .........  .........  ..............
                       tubing.                                                                                  
A4755....          2  Arterial and venous  .........  .........  .........  .........  .........  ..............
                       tubing.                                                                                  
A4760....          6  Standard testing     .........  .........  .........  .........  .........  ..............
                       solution.                                                                                
A4765....          6  Dialysate            .........  .........  .........  .........  .........  ..............
                       concentrate.                                                                             
A4770....          2  Blood testing        .........  .........  .........  .........  .........  ..............
                       supplies.                                                                                
A4771....          2  Blood clotting time  .........  .........  .........  .........  .........  ..............
                       tube.                                                                                    
A4772....          2  Dextrostick/glucose  .........  .........  .........  .........  .........  ..............
                       strips.                                                                                  
A4773....          2  Hemostix...........  .........  .........  .........  .........  .........  ..............
A4774....          2  Ammonia test paper.  .........  .........  .........  .........  .........  ..............
A4780....          6  Esrd sterilizing     .........  .........  .........  .........  .........  ..............
                       agent.                                                                                   
A4790....          6  Esrd cleansing       .........  .........  .........  .........  .........  ..............
                       agents.                                                                                  
A4800....          6  Heparin/antidote     .........  .........  .........  .........  .........  ..............
                       dialysis.                                                                                
A4820....          6  Supplies             .........  .........  .........  .........  .........  ..............
                       hemodialysis kit.                                                                        
A4850....          6  Rubber tipped        .........  .........  .........  .........  .........  ..............
                       hemostats.                                                                               
A4860....          2  Disposable catheter  .........  .........  .........  .........  .........  ..............
                       caps.                                                                                    
A4870....          6  Plumbing/electrical  .........  .........  .........  .........  .........  ..............
                       work.                                                                                    
A4880....          6  Water storage tanks  .........  .........  .........  .........  .........  ..............
A4890....          6  Contracts/repair/    .........  .........  .........  .........  .........  ..............
                       maintenance.                                                                             
A4900....          6  Capd supply kit....  .........  .........  .........  .........  .........  ..............
A4901....          6  Ccpd supply kit....  .........  .........  .........  .........  .........  ..............
A4905....          6  Ipd supply kit.....  .........  .........  .........  .........  .........  ..............
A4910....          6  Esrd nonmedical      .........  .........  .........  .........  .........  ..............
                       supplies.                                                                                
A4912....          2  Gomco drain bottle.  .........  .........  .........  .........  .........  ..............
A4913....          6  Esrd supply........  .........  .........  .........  .........  .........  ..............
A4914....          2  Preparation kit....  .........  .........  .........  .........  .........  ..............
A4918....          2  Venous pressure      .........  .........  .........  .........  .........  ..............
                       clamp.                                                                                   
A4919....          6  Supp dialysis        .........  .........  .........  .........  .........  ..............
                       dialyzer holde.                                                                          
A4920....          2  Harvard pressure     .........  .........  .........  .........  .........  ..............
                       clamp.                                                                                   
A4921....          2  Measuring cylinder.  .........  .........  .........  .........  .........  ..............
A4927....          2  Gloves.............  .........  .........  .........  .........  .........  ..............
A5051....          6  Pouch clsd w barr    .........  .........  .........  .........  .........  ..............
                       attached.                                                                                
A5052....          6  Clsd ostomy pouch w/ .........  .........  .........  .........  .........  ..............
                       o barr.                                                                                  
A5053....          6  Clsd ostomy pouch    .........  .........  .........  .........  .........  ..............
                       faceplate.                                                                               
A5054....          6  Clsd ostomy pouch w/ .........  .........  .........  .........  .........  ..............
                       flange.                                                                                  
A5055....          6  Stoma cap..........  .........  .........  .........  .........  .........  ..............
A5061....          6  Pouch drainable w    .........  .........  .........  .........  .........  ..............
                       barrier at.                                                                              

[[Page 32434]]

                                                                                                                
A5062....          6  Drnble ostomy pouch  .........  .........  .........  .........  .........  ..............
                       w/o barr.                                                                                
A5063....          6  Drain ostomy pouch   .........  .........  .........  .........  .........  ..............
                       w/flange.                                                                                
A5064....          9  Drain ostomy pouch   .........  .........  .........  .........  .........  ..............
                       w/fceplte.                                                                               
A5065....          9  Drain ostomy pouch   .........  .........  .........  .........  .........  ..............
                       on fcplte.                                                                               
A5071....          6  Urinary pouch w/     .........  .........  .........  .........  .........  ..............
                       barrier.                                                                                 
A5072....          6  Urinary pouch w/o    .........  .........  .........  .........  .........  ..............
                       barrier.                                                                                 
A5073....          6  Urinary pouch on     .........  .........  .........  .........  .........  ..............
                       barr w/flng.                                                                             
A5074....          9  Urinary pouch w/     .........  .........  .........  .........  .........  ..............
                       faceplate.                                                                               
A5075....          9  Urinary pouch on     .........  .........  .........  .........  .........  ..............
                       faceplate.                                                                               
A5081....          6  Continent stoma      .........  .........  .........  .........  .........  ..............
                       plug.                                                                                    
A5082....          6  Continent stoma      .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
A5093....          6  Ostomy accessory     .........  .........  .........  .........  .........  ..............
                       convex inse.                                                                             
A5102....          6  Bedside drain btl w/ .........  .........  .........  .........  .........  ..............
                       wo tube.                                                                                 
A5105....          6  Urinary suspensory.  .........  .........  .........  .........  .........  ..............
A5112....          6  Urinary leg bag....  .........  .........  .........  .........  .........  ..............
A5113....          6  Latex leg strap....  .........  .........  .........  .........  .........  ..............
A5114....          6  Foam/fabric leg      .........  .........  .........  .........  .........  ..............
                       strap.                                                                                   
A5119....          2  Skin barrier wipes   .........  .........  .........  .........  .........  ..............
                       box pr 50.                                                                               
A5121....          2  Solid skin barrier   .........  .........  .........  .........  .........  ..............
                       6x6.                                                                                     
A5122....          2  Solid skin barrier   .........  .........  .........  .........  .........  ..............
                       8x8.                                                                                     
A5123....          2  Skin barrier with    .........  .........  .........  .........  .........  ..............
                       flange.                                                                                  
A5126....          2  Adhesive disc/foam   .........  .........  .........  .........  .........  ..............
                       pad.                                                                                     
A5131....          2  Appliance cleaner..  .........  .........  .........  .........  .........  ..............
A5149....          2  Incontinence/ostomy  .........  .........  .........  .........  .........  ..............
                       supply.                                                                                  
A5500....          6  Diab shoe for        .........  .........  .........  .........  .........  ..............
                       density insert.                                                                          
A5501....          6  Diabetic custom      .........  .........  .........  .........  .........  ..............
                       molded shoe.                                                                             
A5502....          6  Diabetic shoe        .........  .........  .........  .........  .........  ..............
                       density insert.                                                                          
A5503....          6  Diabetic shoe w/     .........  .........  .........  .........  .........  ..............
                       roller/rockr.                                                                            
A5504....          6  Diabetic shoe with   .........  .........  .........  .........  .........  ..............
                       wedge.                                                                                   
A5505....          6  Diab shoe w/         .........  .........  .........  .........  .........  ..............
                       metatarsal bar.                                                                          
A5506....          6  Diabetic shoe w/off  .........  .........  .........  .........  .........  ..............
                       set heel.                                                                                
A5507....          6  Modification         .........  .........  .........  .........  .........  ..............
                       diabetic shoe.                                                                           
A6020....          2  Collagen dressing    .........  .........  .........  .........  .........  ..............
                       cover ea.                                                                                
A6025....          9  Silicone gel sheet,  .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
A6154....          2  Wound pouch each...  .........  .........  .........  .........  .........  ..............
A6196....          2  Alginate dressing    .........  .........  .........  .........  .........  ..............
                       <=16 sq in.                                                                              
A6197....          2  Alginate drsg >16    .........  .........  .........  .........  .........  ..............
                       <=48 sq in.                                                                              
A6198....          2  alginate dressing    .........  .........  .........  .........  .........  ..............
                       >48 sq in.                                                                               
A6199....          2  Alginate drsg wound  .........  .........  .........  .........  .........  ..............
                       filler.                                                                                  
A6203....          2  Composite drsg <=    .........  .........  .........  .........  .........  ..............
                       16 sq in.                                                                                
A6204....          2  Composite drsg >16   .........  .........  .........  .........  .........  ..............
                       <=48 sq in.                                                                              
A6205....          2  Composite drsg > 48  .........  .........  .........  .........  .........  ..............
                       sq in.                                                                                   
A6206....          2  Contact layer <= 16  .........  .........  .........  .........  .........  ..............
                       sq in.                                                                                   
A6207....          2  Contact layer >16<=  .........  .........  .........  .........  .........  ..............
                       48 sq in.                                                                                
A6208....          2  Contact layer > 48   .........  .........  .........  .........  .........  ..............
                       sq in.                                                                                   
A6209....          2  Foam drsg <=16 sq    .........  .........  .........  .........  .........  ..............
                       in w/o bdr.                                                                              
A6210....          2  Foam drg >16<=48 sq  .........  .........  .........  .........  .........  ..............
                       in w/o b.                                                                                
A6211....          2  Foam drg > 48 sq in  .........  .........  .........  .........  .........  ..............
                       w/o brdr.                                                                                
A6212....          2  Foam drg <=16 sq in  .........  .........  .........  .........  .........  ..............
                       w/border.                                                                                
A6213....          2  Foam drg 16<=48 sq in w/                                                                       
                       bdr.                                                                                     
A6214....          2  Foam drg  48 sq in w/                                                                          
                       border.                                                                                  
A6215....          2  Foam dressing wound  .........  .........  .........  .........  .........  ..............
                       filler.                                                                                  
A6216....          2  Non-sterile          .........  .........  .........  .........  .........  ..............
                       gauze<=16 sq in.                                                                         
A6217....          2  Non-sterile          .........  .........  .........  .........  .........  ..............
                       gauze>16<=48 sq.                                                                         
A6218....          2  Non-sterile gauze >  .........  .........  .........  .........  .........  ..............
                       48 sq in.                                                                                
A6219....          2  Gauze >= 16 sq in w/ .........  .........  .........  .........  .........  ..............
                       border.                                                                                  
A6220....          2  Gauze >16 <=48 sq    .........  .........  .........  .........  .........  ..............
                       in w/bordr.                                                                              
A6221....          2  Gauze > 48 sq in w/  .........  .........  .........  .........  .........  ..............
                       border.                                                                                  
A6222....          2  Gauze <=16 in no w/  .........  .........  .........  .........  .........  ..............
                       sal w/o b.                                                                               
A6223....          2  Gauze >16<=48 no w/  .........  .........  .........  .........  .........  ..............
                       sal w/o b.                                                                               
A6224....          2  Gauze > 48 in no w/  .........  .........  .........  .........  .........  ..............
                       sal w/o b.                                                                               
A6228....          2  Gauze <= 16 sq in    .........  .........  .........  .........  .........  ..............
                       water/sal.                                                                               
A6229....          2  Gauze >16 <=48 sq    .........  .........  .........  .........  .........  ..............
                       in watr/sal.                                                                             
A6230....          2  Gauze     .........  .........  .........  .........  .........  ..............
                       48 sq in water/                                                                          
                       salne.                                                                                   
A6234....          2  Hydrocolld drg =16 w/o bdr.                                                                      
A6235....          2  Hydrocolld drg >16   .........  .........  .........  .........  .........  ..............
                       =48 w/o                                                                       
                       b.                                                                                       
A6236....          2  Hydrocolld drg > 48  .........  .........  .........  .........  .........  ..............
                       in w/o b.                                                                                
A6237....          2  Hydrocolld drg <=16  .........  .........  .........  .........  .........  ..............
                       in w/bdr.                                                                                
A6238....          2  Hydrocolld drg >16   .........  .........  .........  .........  .........  ..............
                       <=48 w/bdr.                                                                              
A6239....          2  Hydrocolld drg > 48  .........  .........  .........  .........  .........  ..............
                       in w/bdr.                                                                                
A6240....          2  Hydrocolld drg       .........  .........  .........  .........  .........  ..............
                       filler paste.                                                                            
A6241....          2  Hydrocolloid drg     .........  .........  .........  .........  .........  ..............
                       filler dry.                                                                              
A6242....          2  Hydrogel drg <=16    .........  .........  .........  .........  .........  ..............
                       in w/o bdr.                                                                              
A6243....          2  Hydrogel drg         .........  .........  .........  .........  .........  ..............
                       >16<=48 w/o bdr.                                                                         

[[Page 32435]]

                                                                                                                
A6244....          2  Hydrogel drg >48 in  .........  .........  .........  .........  .........  ..............
                       w/o bdr.                                                                                 
A6245....          2  Hydrogel drg <= 16   .........  .........  .........  .........  .........  ..............
                       in w/bdr.                                                                                
A6246....          2  Hydrogel drg         .........  .........  .........  .........  .........  ..............
                       >16<=48 in w/b.                                                                          
A6247....          2  Hydrogel drg > 48    .........  .........  .........  .........  .........  ..............
                       sq in w/b.                                                                               
A6248....          2  Hydrogel drsg gel    .........  .........  .........  .........  .........  ..............
                       filler.                                                                                  
A6250....          2  Skin seal protect    .........  .........  .........  .........  .........  ..............
                       moisturizr.                                                                              
A6251....          2  Absorpt drg <=16 sq  .........  .........  .........  .........  .........  ..............
                       in w/o b.                                                                                
A6252....          2  Absorpt drg >16      .........  .........  .........  .........  .........  ..............
                       <=48 w/o bdr.                                                                            
A6253....          2  Absorpt drg > 48 sq  .........  .........  .........  .........  .........  ..............
                       in w/o b.                                                                                
A6254....          2  Absorpt drg <=16 sq  .........  .........  .........  .........  .........  ..............
                       in w/bdr.                                                                                
A6255....          2  Absorpt drg >16<=48  .........  .........  .........  .........  .........  ..............
                       in w/bdr.                                                                                
A6256....          2  Absorpt drg > 48 sq  .........  .........  .........  .........  .........  ..............
                       in w/bdr.                                                                                
A6257....          2  Transparent film <=  .........  .........  .........  .........  .........  ..............
                       16 sq in.                                                                                
A6258....          2  Transparent film     .........  .........  .........  .........  .........  ..............
                       >16<=48 in.                                                                              
A6259....          2  Transparent film >   .........  .........  .........  .........  .........  ..............
                       48 sq in.                                                                                
A6260....          2  Wound cleanser any   .........  .........  .........  .........  .........  ..............
                       type/size.                                                                               
A6261....          2  Wound filler gel/    .........  .........  .........  .........  .........  ..............
                       paste /oz.                                                                               
A6262....          2  Wound filler dry     .........  .........  .........  .........  .........  ..............
                       form / gram.                                                                             
A6263....          2  Non-sterile elastic  .........  .........  .........  .........  .........  ..............
                       gauze/yd.                                                                                
A6264....          2  Non-sterile no       .........  .........  .........  .........  .........  ..............
                       elastic gauze.                                                                           
A6265....          2  Tape per 18 sq       .........  .........  .........  .........  .........  ..............
                       inches.                                                                                  
A6266....          2  Impreg gauze no h20/ .........  .........  .........  .........  .........  ..............
                       sal/yard.                                                                                
A6402....          2  Sterile gauze <= 16  .........  .........  .........  .........  .........  ..............
                       sq in.                                                                                   
A6403....          2  Sterile gauze >16    .........  .........  .........  .........  .........  ..............
                       <= 48 sq in.                                                                             
A6404....          2  Sterile gauze > 48   .........  .........  .........  .........  .........  ..............
                       sq in.                                                                                   
A6405....          2  Sterile elastic      .........  .........  .........  .........  .........  ..............
                       gauze /yd.                                                                               
A6406....          2  Sterile non-elastic  .........  .........  .........  .........  .........  ..............
                       gauze/yd.                                                                                
A9150....          9  Misc/exper non-      .........  .........  .........  .........  .........  ..............
                       prescript dru.                                                                           
A9160....          9  Podiatrist non-      .........  .........  .........  .........  .........  ..............
                       covered servi.                                                                           
A9170....          9  Chiropractor non-    .........  .........  .........  .........  .........  ..............
                       covered ser.                                                                             
A9190....          9  Misc/expe personal   .........  .........  .........  .........  .........  ..............
                       comfort i.                                                                               
A9270....          9  Non-covered item or  .........  .........  .........  .........  .........  ..............
                       service.                                                                                 
A9300....          9  Exercise equipment.  .........  .........  .........  .........  .........  ..............
A9500....          9  Technetium TC 99m    .........  .........  .........  .........  .........  ..............
                       sestamibi.                                                                               
A9502....          6  Technetium TC99M     .........  .........  .........  .........  .........  ..............
                       tetrofosmin.                                                                             
A9503....          9  Technetium TC 99m    .........  .........  .........  .........  .........  ..............
                       medronate.                                                                               
A9505....          9  Thallous chloride    .........  .........  .........  .........  .........  ..............
                       TL 201/mci.                                                                              
A9600....          6  Strontium-89         .........  .........  .........  .........  .........  ..............
                       chloride.                                                                                
B4034....          6  Enter feed supkit    .........  .........  .........  .........  .........  ..............
                       syr by day.                                                                              
B4035....          6  Enteral feed supp    .........  .........  .........  .........  .........  ..............
                       pump per d.                                                                              
B4036....          6  Enteral feed sup     .........  .........  .........  .........  .........  ..............
                       kit grav by.                                                                             
B4081....          6  Enteral ng tubing w/ .........  .........  .........  .........  .........  ..............
                        stylet.                                                                                 
B4082....          6  Enteral ng tubing w/ .........  .........  .........  .........  .........  ..............
                       o stylet.                                                                                
B4083....          6  Enteral stomach      .........  .........  .........  .........  .........  ..............
                       tube levine.                                                                             
B4084....          6  Gastrostomy/         .........  .........  .........  .........  .........  ..............
                       jejunostomy tubi.                                                                        
B4085....          6  Gastrostomy tube w/  .........  .........  .........  .........  .........  ..............
                       ring each.                                                                               
B4150....          6  Enteral formulae     .........  .........  .........  .........  .........  ..............
                       category i.                                                                              
B4151....          6  Enteral formulae     .........  .........  .........  .........  .........  ..............
                       category i-.                                                                             
B4152....          6  Enteral formulae     .........  .........  .........  .........  .........  ..............
                       category ii.                                                                             
B4153....          6  Enteral formulae     .........  .........  .........  .........  .........  ..............
                       category ii.                                                                             
B4154....          6  Enteral formulae     .........  .........  .........  .........  .........  ..............
                       category IV.                                                                             
B4155....          6  Enteral formulae     .........  .........  .........  .........  .........  ..............
                       category v.                                                                              
B4156....          6  Enteral formulae     .........  .........  .........  .........  .........  ..............
                       category vi.                                                                             
B4164....          6  Parenteral 50%       .........  .........  .........  .........  .........  ..............
                       dextrose solu.                                                                           
B4168....          6  Parenteral sol       .........  .........  .........  .........  .........  ..............
                       amino acid 3..                                                                           
B4172....          6  Parenteral sol       .........  .........  .........  .........  .........  ..............
                       amino acid 5..                                                                           
B4176....          6  Parenteral sol       .........  .........  .........  .........  .........  ..............
                       amino acid 7-.                                                                           
B4178....          6  Parenteral sol       .........  .........  .........  .........  .........  ..............
                       amino acid >.                                                                            
B4180....          6  Parenteral sol carb  .........  .........  .........  .........  .........  ..............
                       > 50%.                                                                                   
B4184....          6  Parenteral sol       .........  .........  .........  .........  .........  ..............
                       lipids 10%.                                                                              
B4186....          6  Parenteral sol       .........  .........  .........  .........  .........  ..............
                       lipids 20%.                                                                              
B4189....          6  Parenteral sol       .........  .........  .........  .........  .........  ..............
                       amino acid &.                                                                            
B4193....          6  Parenteral sol 52-   .........  .........  .........  .........  .........  ..............
                       73 gm prot.                                                                              
B4197....          6  Parenteral sol 74-   .........  .........  .........  .........  .........  ..............
                       100 gm pro.                                                                              
B4199....          6  Parenteral sol  100gm                                                                            
                       prote.                                                                                   
B4216....          6  Parenteral           .........  .........  .........  .........  .........  ..............
                       nutrition additiv.                                                                       
B4220....          6  Parenteral supply    .........  .........  .........  .........  .........  ..............
                       kit premix.                                                                              
B4222....          6  Parenteral supply    .........  .........  .........  .........  .........  ..............
                       kit homemi.                                                                              
B4224....          6  Parenteral           .........  .........  .........  .........  .........  ..............
                       administration ki.                                                                       
B5000....          6  Parenteral sol       .........  .........  .........  .........  .........  ..............
                       renal-amirosy.                                                                           
B5100....          6  Parenteral sol       .........  .........  .........  .........  .........  ..............
                       hepatic-fream.                                                                           
B5200....          6  Parenteral sol       .........  .........  .........  .........  .........  ..............
                       stres-brnch c.                                                                           
B9000....          6  Enter infusion pump  .........  .........  .........  .........  .........  ..............
                       w/o alrm.                                                                                
B9002....          6  Enteral infusion     .........  .........  .........  .........  .........  ..............
                       pump w/ ala.                                                                             

[[Page 32436]]

                                                                                                                
B9004....          6  Parenteral infus     .........  .........  .........  .........  .........  ..............
                       pump portab.                                                                             
B9006....          6  Parenteral infus     .........  .........  .........  .........  .........  ..............
                       pump statio.                                                                             
B9998....          6  Enteral supp not     .........  .........  .........  .........  .........  ..............
                       otherwise c.                                                                             
B9999....          6  Parenteral supp not  .........  .........  .........  .........  .........  ..............
                       othrws c.                                                                                
D0120....          9  Periodic oral        .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
D0140....          9  Limit oral eval      .........  .........  .........  .........  .........  ..............
                       problm focus.                                                                            
D0150....          6  Comprehensve oral    .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
D0160....          9  Extensv oral eval    .........  .........  .........  .........  .........  ..............
                       prob focus.                                                                              
D0210....          9  Intraor complete     .........  .........  .........  .........  .........  ..............
                       film series.                                                                             
D0220....          9  Intraoral            .........  .........  .........  .........  .........  ..............
                       periapical first f.                                                                      
D0230....          9  Intraoral            .........  .........  .........  .........  .........  ..............
                       periapical ea add.                                                                       
D0240....          6  Intraoral occlusal   .........  .........  .........  .........  .........  ..............
                       film.                                                                                    
D0250....          6  Extraoral first      .........  .........  .........  .........  .........  ..............
                       film.                                                                                    
D0260....          6  Extraoral ea         .........  .........  .........  .........  .........  ..............
                       additional film.                                                                         
D0270....          6  Dental bitewing      .........  .........  .........  .........  .........  ..............
                       single film.                                                                             
D0272....          6  Dental bitewings     .........  .........  .........  .........  .........  ..............
                       two films.                                                                               
D0274....          6  Dental bitewings     .........  .........  .........  .........  .........  ..............
                       four films.                                                                              
D0290....          9  Dental film skull/   .........  .........  .........  .........  .........  ..............
                       facial bon.                                                                              
D0310....          9  Dental saliography.  .........  .........  .........  .........  .........  ..............
D0320....          9  Dental tmj           .........  .........  .........  .........  .........  ..............
                       arthrogram incl i.                                                                       
D0321....          9  Dental other tmj     .........  .........  .........  .........  .........  ..............
                       films.                                                                                   
D0322....          9  Dental tomographic   .........  .........  .........  .........  .........  ..............
                       survey.                                                                                  
D0330....          9  Dental panoramic     .........  .........  .........  .........  .........  ..............
                       film.                                                                                    
D0340....          9  Dental               .........  .........  .........  .........  .........  ..............
                       cephalometric film.                                                                      
D0415....          9  Bacteriologic study  .........  .........  .........  .........  .........  ..............
D0425....          9  Caries               .........  .........  .........  .........  .........  ..............
                       susceptibility                                                                           
                       test.                                                                                    
D0460....          6  Pulp vitality test.  .........  .........  .........  .........  .........  ..............
D0470....          9  Diagnostic casts...  .........  .........  .........  .........  .........  ..............
D0471....          6  Diagnostic           .........  .........  .........  .........  .........  ..............
                       photographs.                                                                             
D0501....          6  Histopathologic      .........  .........  .........  .........  .........  ..............
                       examinations.                                                                            
D0502....          6  Other oral           .........  .........  .........  .........  .........  ..............
                       pathology procedu.                                                                       
D0999....          6  Unspecified          .........  .........  .........  .........  .........  ..............
                       diagnostic proce.                                                                        
D1110....          9  Dental prophylaxis   .........  .........  .........  .........  .........  ..............
                       adult.                                                                                   
D1120....          9  Dental prophylaxis   .........  .........  .........  .........  .........  ..............
                       child.                                                                                   
D1201....          9  Topical fluor w      .........  .........  .........  .........  .........  ..............
                       prophy child.                                                                            
D1203....          9  Topical fluor w/o    .........  .........  .........  .........  .........  ..............
                       prophy chi.                                                                              
D1204....          9  Topical fluor w/o    .........  .........  .........  .........  .........  ..............
                       prophy adu.                                                                              
D1205....          9  Topical fluoride w/  .........  .........  .........  .........  .........  ..............
                       prophy a.                                                                                
D1310....          9  Nutri counsel-       .........  .........  .........  .........  .........  ..............
                       control caries.                                                                          
D1320....          9  Tobacco counseling.  .........  .........  .........  .........  .........  ..............
D1330....          9  Oral hygiene         .........  .........  .........  .........  .........  ..............
                       instruction.                                                                             
D1351....          9  Dental sealant per   .........  .........  .........  .........  .........  ..............
                       tooth.                                                                                   
D1510....          6  Space maintainer     .........  .........  .........  .........  .........  ..............
                       fxd unilat.                                                                              
D1515....          6  Fixed bilat space    .........  .........  .........  .........  .........  ..............
                       maintainer.                                                                              
D1520....          6  Remove unilat space  .........  .........  .........  .........  .........  ..............
                       maintain.                                                                                
D1525....          6  Remove bilat space   .........  .........  .........  .........  .........  ..............
                       maintain.                                                                                
D1550....          6  Recement space       .........  .........  .........  .........  .........  ..............
                       maintainer.                                                                              
D2110....          9  Amalgam one surface  .........  .........  .........  .........  .........  ..............
                       primary.                                                                                 
D2120....          9  Amalgam two          .........  .........  .........  .........  .........  ..............
                       surfaces primary.                                                                        
D2130....          9  Amalgam three        .........  .........  .........  .........  .........  ..............
                       surfaces prima.                                                                          
D2131....          9  Amalgam four/more    .........  .........  .........  .........  .........  ..............
                       surf prima.                                                                              
D2140....          9  Amalgam one surface  .........  .........  .........  .........  .........  ..............
                       permanen.                                                                                
D2150....          9  Amalgam two          .........  .........  .........  .........  .........  ..............
                       surfaces permane.                                                                        
D2160....          9  Amalgam three        .........  .........  .........  .........  .........  ..............
                       surfaces perma.                                                                          
D2161....          9  Amalgam 4 or  surfaces                                                                         
                       perm.                                                                                    
D2210....          9  Silcate cement per   .........  .........  .........  .........  .........  ..............
                       restorat.                                                                                
D2330....          9  Resin one surface-   .........  .........  .........  .........  .........  ..............
                       anterior.                                                                                
D2331....          9  Resin two surfaces-  .........  .........  .........  .........  .........  ..............
                       anterior.                                                                                
D2332....          9  Resin three          .........  .........  .........  .........  .........  ..............
                       surfaces-anterio.                                                                        
D2335....          9  Resin 4/  .........  .........  .........  .........  .........  ..............
                       surf or w incis an.                                                                      
D2336....          9  Composite resin      .........  .........  .........  .........  .........  ..............
                       crown.                                                                                   
D2380....          9  Resin one surf       .........  .........  .........  .........  .........  ..............
                       poster primar.                                                                           
D2381....          9  Resin two surf       .........  .........  .........  .........  .........  ..............
                       poster primar.                                                                           
D2382....          9  Resin three/more     .........  .........  .........  .........  .........  ..............
                       surf post p.                                                                             
D2385....          9  Resin one surf       .........  .........  .........  .........  .........  ..............
                       poster perman.                                                                           
D2386....          9  Resin two surf       .........  .........  .........  .........  .........  ..............
                       poster perman.                                                                           
D2387....          9  Resin three/more     .........  .........  .........  .........  .........  ..............
                       surf post p.                                                                             
D2410....          9  Dental gold foil     .........  .........  .........  .........  .........  ..............
                       one surface.                                                                             
D2420....          9  Dental gold foil     .........  .........  .........  .........  .........  ..............
                       two surface.                                                                             
D2430....          9  Dental gold foil     .........  .........  .........  .........  .........  ..............
                       three surfa.                                                                             
D2510....          9  Dental inlay         .........  .........  .........  .........  .........  ..............
                       metalic 1 surf.                                                                          
D2520....          9  Dental inlay         .........  .........  .........  .........  .........  ..............
                       metallic 2 surf.                                                                         
D2530....          9  Dental inlay metl 3/ .........  .........  .........  .........  .........  ..............
                       more sur.                                                                                
D2543....          9  Dental onlay         .........  .........  .........  .........  .........  ..............
                       metallic 3 surf.                                                                         

[[Page 32437]]

                                                                                                                
D2544....          9  Dental onlay metl 4/ .........  .........  .........  .........  .........  ..............
                       more sur.                                                                                
D2610....          9  Inlay porcelain/     .........  .........  .........  .........  .........  ..............
                       ceramic 1 su.                                                                            
D2620....          9  Inlay porcelain/     .........  .........  .........  .........  .........  ..............
                       ceramic 2 su.                                                                            
D2630....          9  Dental onlay porc 3/ .........  .........  .........  .........  .........  ..............
                       more sur.                                                                                
D2642....          9  Dental onlay         .........  .........  .........  .........  .........  ..............
                       porcelin 2 surf.                                                                         
D2643....          9  Dental onlay         .........  .........  .........  .........  .........  ..............
                       porcelin 3 surf.                                                                         
D2644....          9  Dental onlay porc 4/ .........  .........  .........  .........  .........  ..............
                       more sur.                                                                                
D2650....          9  Inlay composite/     .........  .........  .........  .........  .........  ..............
                       resin one su.                                                                            
D2651....          9  Inlay composite/     .........  .........  .........  .........  .........  ..............
                       resin two su.                                                                            
D2652....          9  Dental inlay resin   .........  .........  .........  .........  .........  ..............
                       3/mre sur.                                                                               
D2662....          9  Dental onlay resin   .........  .........  .........  .........  .........  ..............
                       2 surface.                                                                               
D2663....          9  Dental onlay resin   .........  .........  .........  .........  .........  ..............
                       3 surface.                                                                               
D2664....          9  Dental onlay resin   .........  .........  .........  .........  .........  ..............
                       4/mre sur.                                                                               
D2710....          9  Crown resin          .........  .........  .........  .........  .........  ..............
                       laboratory.                                                                              
D2720....          9  Crown resin w/high   .........  .........  .........  .........  .........  ..............
                       noble me.                                                                                
D2721....          9  Crown resin w/base   .........  .........  .........  .........  .........  ..............
                       metal.                                                                                   
D2722....          9  Crown resin w/noble  .........  .........  .........  .........  .........  ..............
                       metal.                                                                                   
D2740....          9  Crown porcelain/     .........  .........  .........  .........  .........  ..............
                       ceramic subs.                                                                            
D2750....          9  Crown porcelain w/h  .........  .........  .........  .........  .........  ..............
                       noble m.                                                                                 
D2751....          9  Crown porcelain      .........  .........  .........  .........  .........  ..............
                       fused base m.                                                                            
D2752....          9  Crown porcelain w/   .........  .........  .........  .........  .........  ..............
                       noble met.                                                                               
D2790....          9  Crown full cast      .........  .........  .........  .........  .........  ..............
                       high noble m.                                                                            
D2791....          9  Crown full cast      .........  .........  .........  .........  .........  ..............
                       base metal.                                                                              
D2792....          9  Crown full cast      .........  .........  .........  .........  .........  ..............
                       noble metal.                                                                             
D2810....          9  Crown \3/4\ cast     .........  .........  .........  .........  .........  ..............
                       metallic.                                                                                
D2910....          9  Dental recement      .........  .........  .........  .........  .........  ..............
                       inlay.                                                                                   
D2920....          9  Dental recement      .........  .........  .........  .........  .........  ..............
                       crown.                                                                                   
D2930....          9  Prefab stnlss steel  .........  .........  .........  .........  .........  ..............
                       crwn pri.                                                                                
D2931....          9  Prefab stnlss steel  .........  .........  .........  .........  .........  ..............
                       crown pe.                                                                                
D2932....          9  Prefabricated resin  .........  .........  .........  .........  .........  ..............
                       crown.                                                                                   
D2933....          9  Prefab stainless     .........  .........  .........  .........  .........  ..............
                       steel crown.                                                                             
D2940....          9  Dental sedative      .........  .........  .........  .........  .........  ..............
                       filling.                                                                                 
D2950....          9  Core build-up incl   .........  .........  .........  .........  .........  ..............
                       any pins.                                                                                
D2951....          9  Tooth pin retention  .........  .........  .........  .........  .........  ..............
D2952....          9  Post and core cast   .........  .........  .........  .........  .........  ..............
                       + crown.                                                                                 
D2954....          9  Prefab post/core +   .........  .........  .........  .........  .........  ..............
                       crown.                                                                                   
D2955....          9  Post removal.......  .........  .........  .........  .........  .........  ..............
D2960....          9  Laminate labial      .........  .........  .........  .........  .........  ..............
                       veneer.                                                                                  
D2961....          9  Lab labial veneer    .........  .........  .........  .........  .........  ..............
                       resin.                                                                                   
D2962....          9  Lab labial veneer    .........  .........  .........  .........  .........  ..............
                       porcelain.                                                                               
D2970....          6  Temporary-fractured  .........  .........  .........  .........  .........  ..............
                       tooth.                                                                                   
D2980....          9  Crown repair.......  .........  .........  .........  .........  .........  ..............
D2999....          6  Dental unspec        .........  .........  .........  .........  .........  ..............
                       restorative pr.                                                                          
D3110....          9  Pulp cap direct....  .........  .........  .........  .........  .........  ..............
D3120....          9  Pulp cap indirect..  .........  .........  .........  .........  .........  ..............
D3220....          9  Therapeutic          .........  .........  .........  .........  .........  ..............
                       pulpotomy.                                                                               
D3230....          9  Pulpal therapy       .........  .........  .........  .........  .........  ..............
                       anterior prim.                                                                           
D3240....          9  Pulpal therapy       .........  .........  .........  .........  .........  ..............
                       posterior pri.                                                                           
D3310....          9  Anterior...........  .........  .........  .........  .........  .........  ..............
D3320....          9  Root canal therapy   .........  .........  .........  .........  .........  ..............
                       2 canals.                                                                                
D3330....          9  Root canal therapy   .........  .........  .........  .........  .........  ..............
                       3 canals.                                                                                
D3346....          9  Retreat root canal   .........  .........  .........  .........  .........  ..............
                       anterior.                                                                                
D3347....          9  Retreat root canal   .........  .........  .........  .........  .........  ..............
                       bicuspid.                                                                                
D3348....          9  Retreat root canal   .........  .........  .........  .........  .........  ..............
                       molar.                                                                                   
D3351....          9  Apexification/       .........  .........  .........  .........  .........  ..............
                       recalc initial.                                                                          
D3352....          9  Apexification/       .........  .........  .........  .........  .........  ..............
                       recalc interim.                                                                          
D3353....          9  Apexification/       .........  .........  .........  .........  .........  ..............
                       recalc final.                                                                            
D3410....          9  Apicoect/perirad     .........  .........  .........  .........  .........  ..............
                       surg anter.                                                                              
D3421....          9  Root surgery         .........  .........  .........  .........  .........  ..............
                       bicuspid.                                                                                
D3425....          9  Root surgery molar.  .........  .........  .........  .........  .........  ..............
D3426....          9  Root surgery ea add  .........  .........  .........  .........  .........  ..............
                       root.                                                                                    
D3430....          9  Retrograde filling.  .........  .........  .........  .........  .........  ..............
D3450....          9  Root amputation....  .........  .........  .........  .........  .........  ..............
D3460....          6  Endodontic           .........  .........  .........  .........  .........  ..............
                       endosseous implan.                                                                       
D3470....          9  Intentional          .........  .........  .........  .........  .........  ..............
                       replantation.                                                                            
D3910....          9  Isolation-tooth w    .........  .........  .........  .........  .........  ..............
                       rubb dam.                                                                                
D3920....          9  Tooth splitting....  .........  .........  .........  .........  .........  ..............
D3950....          9  Canal prep/fitting   .........  .........  .........  .........  .........  ..............
                       of dowel.                                                                                
D3960....          9  Bleaching of         .........  .........  .........  .........  .........  ..............
                       discolored tooth.                                                                        
D3999....          6  Endodontic           .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
D4210....          9  Gingivectomy/plasty  .........  .........  .........  .........  .........  ..............
                       per quad.                                                                                
D4211....          9  Gingivectomy/plasty  .........  .........  .........  .........  .........  ..............
                       per tooth.                                                                               
D4220....          9  Gingival curettage   .........  .........  .........  .........  .........  ..............
                       per quadr.                                                                               
D4240....          9  Gingival flap proc   .........  .........  .........  .........  .........  ..............
                       w/planin.                                                                                

[[Page 32438]]

                                                                                                                
D4249....          9  Crown lengthen hard  .........  .........  .........  .........  .........  ..............
                       tissue.                                                                                  
D4250....          6  Mucogingival surg    .........  .........  .........  .........  .........  ..............
                       per quadra.                                                                              
D4260....          6  Osseous surgery per  .........  .........  .........  .........  .........  ..............
                       quadrant.                                                                                
D4263....          6  Bone replce graft    .........  .........  .........  .........  .........  ..............
                       first site.                                                                              
D4264....          6  Bone replce graft    .........  .........  .........  .........  .........  ..............
                       each add.                                                                                
D4266....          9  Guided tiss regen    .........  .........  .........  .........  .........  ..............
                       resorble.                                                                                
D4267....          9  Guided tiss regen    .........  .........  .........  .........  .........  ..............
                       nonresorb.                                                                               
D4270....          6  Pedicle soft tissue  .........  .........  .........  .........  .........  ..............
                       graft pr.                                                                                
D4271....          6  Free soft tissue     .........  .........  .........  .........  .........  ..............
                       graft proc.                                                                              
D4273....          6  Subepithelial        .........  .........  .........  .........  .........  ..............
                       tissue graft.                                                                            
D4274....          9  Distal/proximal      .........  .........  .........  .........  .........  ..............
                       wedge proc.                                                                              
D4320....          9  Provision splnt      .........  .........  .........  .........  .........  ..............
                       intracoronal.                                                                            
D4321....          9  Provisional splint   .........  .........  .........  .........  .........  ..............
                       extracoro.                                                                               
D4341....          9  Periodontal scaling  .........  .........  .........  .........  .........  ..............
                       & root.                                                                                  
D4355....          6  Full mouth           .........  .........  .........  .........  .........  ..............
                       debridement.                                                                             
D4381....          6  Localized chemo      .........  .........  .........  .........  .........  ..............
                       delivery.                                                                                
D4910....          9  Periodontal maint    .........  .........  .........  .........  .........  ..............
                       procedures.                                                                              
D4920....          9  Unscheduled          .........  .........  .........  .........  .........  ..............
                       dressing change.                                                                         
D4999....          9  Unspecified          .........  .........  .........  .........  .........  ..............
                       periodontal proc.                                                                        
D5110....          9  Dentures complete    .........  .........  .........  .........  .........  ..............
                       maxillary.                                                                               
D5120....          9  Dentures complete    .........  .........  .........  .........  .........  ..............
                       mandible.                                                                                
D5130....          9  Dentures immediat    .........  .........  .........  .........  .........  ..............
                       maxillary.                                                                               
D5140....          9  Dentures immediat    .........  .........  .........  .........  .........  ..............
                       mandible.                                                                                
D5211....          9  Dentures maxill      .........  .........  .........  .........  .........  ..............
                       part resin.                                                                              
D5212....          9  Dentures mand part   .........  .........  .........  .........  .........  ..............
                       resin.                                                                                   
D5213....          9  Dentures maxill      .........  .........  .........  .........  .........  ..............
                       part metal.                                                                              
D5214....          9  Dentures mandibl     .........  .........  .........  .........  .........  ..............
                       part metal.                                                                              
D5281....          9  Removable partial    .........  .........  .........  .........  .........  ..............
                       denture.                                                                                 
D5410....          9  Dentures adjust      .........  .........  .........  .........  .........  ..............
                       cmplt maxil.                                                                             
D5411....          9  Dentures adjust      .........  .........  .........  .........  .........  ..............
                       cmplt mand.                                                                              
D5421....          9  Dentures adjust      .........  .........  .........  .........  .........  ..............
                       part maxill.                                                                             
D5422....          9  Dentures adjust      .........  .........  .........  .........  .........  ..............
                       part mandbl.                                                                             
D5510....          9  Dentur repr broken   .........  .........  .........  .........  .........  ..............
                       compl bas.                                                                               
D5520....          9  Replace denture      .........  .........  .........  .........  .........  ..............
                       teeth complt.                                                                            
D5610....          9  Dentures repair      .........  .........  .........  .........  .........  ..............
                       resin base.                                                                              
D5620....          9  Rep part denture     .........  .........  .........  .........  .........  ..............
                       cast frame.                                                                              
D5630....          9  Rep partial denture  .........  .........  .........  .........  .........  ..............
                       clasp.                                                                                   
D5640....          9  Replace part         .........  .........  .........  .........  .........  ..............
                       denture teeth.                                                                           
D5650....          9  Add. tooth to        .........  .........  .........  .........  .........  ..............
                       partial denture.                                                                         
D5660....          9  Add. clasp to        .........  .........  .........  .........  .........  ..............
                       partial denture.                                                                         
D5710....          9  Dentures rebase      .........  .........  .........  .........  .........  ..............
                       cmplt maxil.                                                                             
D5711....          9  Dentures rebase      .........  .........  .........  .........  .........  ..............
                       cmplt mand.                                                                              
D5720....          9  Dentures rebase      .........  .........  .........  .........  .........  ..............
                       part maxill.                                                                             
D5721....          9  Dentures rebase      .........  .........  .........  .........  .........  ..............
                       part mandbl.                                                                             
D5730....          9  Denture reln cmplt   .........  .........  .........  .........  .........  ..............
                       maxil ch.                                                                                
D5731....          9  Denture reln cmplt   .........  .........  .........  .........  .........  ..............
                       mand chr.                                                                                
D5740....          9  Denture reln part    .........  .........  .........  .........  .........  ..............
                       maxil chr.                                                                               
D5741....          9  Denture reln part    .........  .........  .........  .........  .........  ..............
                       mand chr.                                                                                
D5750....          9  Denture reln cmplt   .........  .........  .........  .........  .........  ..............
                       max lab.                                                                                 
D5751....          9  Denture reln cmplt   .........  .........  .........  .........  .........  ..............
                       mand lab.                                                                                
D5760....          9  Denture reln part    .........  .........  .........  .........  .........  ..............
                       maxil lab.                                                                               
D5761....          9  Denture reln part    .........  .........  .........  .........  .........  ..............
                       mand lab.                                                                                
D5810....          9  Denture interm       .........  .........  .........  .........  .........  ..............
                       cmplt maxill.                                                                            
D5811....          9  Denture interm       .........  .........  .........  .........  .........  ..............
                       cmplt mandbl.                                                                            
D5820....          9  Denture interm part  .........  .........  .........  .........  .........  ..............
                       maxill.                                                                                  
D5821....          9  Denture interm part  .........  .........  .........  .........  .........  ..............
                       mandbl.                                                                                  
D5850....          9  Denture tiss         .........  .........  .........  .........  .........  ..............
                       conditn maxill.                                                                          
D5851....          9  Denture tiss         .........  .........  .........  .........  .........  ..............
                       condtin mandbl.                                                                          
D5860....          9  Overdenture          .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
D5861....          9  Overdenture partial  .........  .........  .........  .........  .........  ..............
D5862....          9  Precision            .........  .........  .........  .........  .........  ..............
                       attachment.                                                                              
D5899....          9  Removable            .........  .........  .........  .........  .........  ..............
                       prosthodontic proc.                                                                      
D5911....          6  Facial moulage       .........  .........  .........  .........  .........  ..............
                       sectional.                                                                               
D5912....          6  Facial moulage       .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
D5913....          9  Nasal prosthesis...  .........  .........  .........  .........  .........  ..............
D5914....          9  Auricular            .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
D5915....          9  Orbital prosthesis.  .........  .........  .........  .........  .........  ..............
D5916....          9  Ocular prosthesis..  .........  .........  .........  .........  .........  ..............
D5919....          9  Facial prosthesis..  .........  .........  .........  .........  .........  ..............
D5922....          9  Nasal septal         .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
D5923....          9  Ocular prosthesis    .........  .........  .........  .........  .........  ..............
                       interim.                                                                                 
D5924....          9  Cranial prosthesis.  .........  .........  .........  .........  .........  ..............
D5925....          9  Facial augmentation  .........  .........  .........  .........  .........  ..............
                       implant.                                                                                 
D5926....          9  Replacement nasal    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              

[[Page 32439]]

                                                                                                                
D5927....          9  Auricular            .........  .........  .........  .........  .........  ..............
                       replacement.                                                                             
D5928....          9  Orbital replacement  .........  .........  .........  .........  .........  ..............
D5929....          9  Facial replacement.  .........  .........  .........  .........  .........  ..............
D5931....          9  Surgical obturator.  .........  .........  .........  .........  .........  ..............
D5932....          9  Postsurgical         .........  .........  .........  .........  .........  ..............
                       obturator.                                                                               
D5933....          9  Refitting of         .........  .........  .........  .........  .........  ..............
                       obturator.                                                                               
D5934....          9  Mandibular flange    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
D5935....          9  Mandibular denture   .........  .........  .........  .........  .........  ..............
                       prosth.                                                                                  
D5936....          9  Temp obturator       .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
D5937....          9  Trismus appliance..  .........  .........  .........  .........  .........  ..............
D5951....          6  Feeding aid........  .........  .........  .........  .........  .........  ..............
D5952....          9  Pediatric speech     .........  .........  .........  .........  .........  ..............
                       aid.                                                                                     
D5953....          9  Adult speech aid...  .........  .........  .........  .........  .........  ..............
D5954....          9  Superimposed         .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
D5955....          9  Palatal lift         .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
D5958....          9  Intraoral con def    .........  .........  .........  .........  .........  ..............
                       inter plt.                                                                               
D5959....          9  Intraoral con def    .........  .........  .........  .........  .........  ..............
                       mod palat.                                                                               
D5960....          9  Modify speech aid    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
D5982....          9  Surgical stent.....  .........  .........  .........  .........  .........  ..............
D5983....          6  Radiation            .........  .........  .........  .........  .........  ..............
                       applicator.                                                                              
D5984....          6  Radiation shield...  .........  .........  .........  .........  .........  ..............
D5985....          6  Radiation cone       .........  .........  .........  .........  .........  ..............
                       locator.                                                                                 
D5986....          9  Fluoride applicator  .........  .........  .........  .........  .........  ..............
D5987....          6  Commissure splint..  .........  .........  .........  .........  .........  ..............
D5988....          9  Surgical splint....  .........  .........  .........  .........  .........  ..............
D5999....          9  Maxillofacial        .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
D6010....          9  Odontics endosteal   .........  .........  .........  .........  .........  ..............
                       implant.                                                                                 
D6020....          9  Odontics abutment    .........  .........  .........  .........  .........  ..............
                       placement.                                                                               
D6040....          9  Odontics eposteal    .........  .........  .........  .........  .........  ..............
                       implant.                                                                                 
D6050....          9  Odontics             .........  .........  .........  .........  .........  ..............
                       transosteal implnt.                                                                      
D6055....          9  Implant connecting   .........  .........  .........  .........  .........  ..............
                       bar.                                                                                     
D6080....          9  Implant maintenance  .........  .........  .........  .........  .........  ..............
D6090....          9  Repair implant.....  .........  .........  .........  .........  .........  ..............
D6095....          9  Odontics repr        .........  .........  .........  .........  .........  ..............
                       abutment.                                                                                
D6100....          9  Removal of implant.  .........  .........  .........  .........  .........  ..............
D6199....          9  Implant procedure..  .........  .........  .........  .........  .........  ..............
D6210....          9  Prosthodont high     .........  .........  .........  .........  .........  ..............
                       noble metal.                                                                             
D6211....          9  Bridge base metal    .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
D6212....          9  Bridge noble metal   .........  .........  .........  .........  .........  ..............
                       cast.                                                                                    
D6240....          9  Bridge porcelain     .........  .........  .........  .........  .........  ..............
                       high noble.                                                                              
D6241....          9  Bridge porcelain     .........  .........  .........  .........  .........  ..............
                       base metal.                                                                              
D6242....          9  Bridge porcelain     .........  .........  .........  .........  .........  ..............
                       nobel metal.                                                                             
D6250....          9  Bridge resin w/high  .........  .........  .........  .........  .........  ..............
                       noble.                                                                                   
D6251....          9  Bridge resin base    .........  .........  .........  .........  .........  ..............
                       metal.                                                                                   
D6252....          9  Bridge resin w/      .........  .........  .........  .........  .........  ..............
                       noble metal.                                                                             
D6520....          9  Dental retainer two  .........  .........  .........  .........  .........  ..............
                       surfaces.                                                                                
D6530....          9  Retainer metallic    .........  .........  .........  .........  .........  ..............
                       3+ surface.                                                                              
D6543....          9  Dental retainr       .........  .........  .........  .........  .........  ..............
                       onlay 3 surf.                                                                            
D6544....          9  Dental retainr       .........  .........  .........  .........  .........  ..............
                       onlay 4/more.                                                                            
D6545....          9  Dental retainr cast  .........  .........  .........  .........  .........  ..............
                       metl.                                                                                    
D6720....          9  Retain crown resin   .........  .........  .........  .........  .........  ..............
                       w hi nble.                                                                               
D6721....          9  Crown resin w/base   .........  .........  .........  .........  .........  ..............
                       metal.                                                                                   
D6722....          9  Crown resin w/noble  .........  .........  .........  .........  .........  ..............
                       metal.                                                                                   
D6750....          9  Crown porcelain      .........  .........  .........  .........  .........  ..............
                       high noble.                                                                              
D6751....          9  Crown porcelain      .........  .........  .........  .........  .........  ..............
                       base metal.                                                                              
D6752....          9  Crown porcelain      .........  .........  .........  .........  .........  ..............
                       noble metal.                                                                             
D6780....          9  Crown \3/4\ high     .........  .........  .........  .........  .........  ..............
                       noble metal.                                                                             
D6790....          9  Crown full high      .........  .........  .........  .........  .........  ..............
                       noble metal.                                                                             
D6791....          9  Crown full base      .........  .........  .........  .........  .........  ..............
                       metal cast.                                                                              
D6792....          9  Crown full noble     .........  .........  .........  .........  .........  ..............
                       metal cast.                                                                              
D6920....          6  Dental connector     .........  .........  .........  .........  .........  ..............
                       bar.                                                                                     
D6930....          9  Dental recement      .........  .........  .........  .........  .........  ..............
                       bridge.                                                                                  
D6940....          9  Stress breaker.....  .........  .........  .........  .........  .........  ..............
D6950....          9  Precision            .........  .........  .........  .........  .........  ..............
                       attachment.                                                                              
D6970....          9  Post & core plus     .........  .........  .........  .........  .........  ..............
                       retainer.                                                                                
D6971....          9  Cast post bridge     .........  .........  .........  .........  .........  ..............
                       retainer.                                                                                
D6972....          9  Prefab post & core   .........  .........  .........  .........  .........  ..............
                       plus reta.                                                                               
D6973....          9  Core build up for    .........  .........  .........  .........  .........  ..............
                       retainer.                                                                                
D6975....          9  Coping metal.......  .........  .........  .........  .........  .........  ..............
D6980....          9  Bridge repair......  .........  .........  .........  .........  .........  ..............
D6999....          9  Fixed prosthodontic  .........  .........  .........  .........  .........  ..............
                       proc.                                                                                    
D7110....          6  Oral surgery single  .........  .........  .........  .........  .........  ..............
                       tooth.                                                                                   
D7120....          6  Each add tooth       .........  .........  .........  .........  .........  ..............
                       extraction.                                                                              
D7130....          6  Tooth root removal.  .........  .........  .........  .........  .........  ..............

[[Page 32440]]

                                                                                                                
D7210....          6  Rem imp tooth w      .........  .........  .........  .........  .........  ..............
                       mucoper flp.                                                                             
D7220....          6  Impact tooth remov   .........  .........  .........  .........  .........  ..............
                       soft tiss.                                                                               
D7230....          6  Impact tooth remov   .........  .........  .........  .........  .........  ..............
                       part bony.                                                                               
D7240....          6  Impact tooth remov   .........  .........  .........  .........  .........  ..............
                       comp bony.                                                                               
D7241....          6  Impact tooth rem     .........  .........  .........  .........  .........  ..............
                       bony w/comp.                                                                             
D7250....          6  Tooth root removal.  .........  .........  .........  .........  .........  ..............
D7260....          6  Oral antral fistula  .........  .........  .........  .........  .........  ..............
                       closure.                                                                                 
D7270....          9  Tooth                .........  .........  .........  .........  .........  ..............
                       reimplantation.                                                                          
D7272....          9  Tooth                .........  .........  .........  .........  .........  ..............
                       transplantation.                                                                         
D7280....          9  Exposure impact      .........  .........  .........  .........  .........  ..............
                       tooth orthod.                                                                            
D7281....          9  Exposure tooth aid   .........  .........  .........  .........  .........  ..............
                       eruption.                                                                                
D7285....          9  Biopsy of oral       .........  .........  .........  .........  .........  ..............
                       tissue hard.                                                                             
D7286....          9  Biopsy of oral       .........  .........  .........  .........  .........  ..............
                       tissue soft.                                                                             
D7290....          9  Repositioning of     .........  .........  .........  .........  .........  ..............
                       teeth.                                                                                   
D7291....          6  Transseptal          .........  .........  .........  .........  .........  ..............
                       fiberotomy.                                                                              
D7310....          9  Alveoplasty w/       .........  .........  .........  .........  .........  ..............
                       extraction.                                                                              
D7320....          9  Alveoplasty w/o      .........  .........  .........  .........  .........  ..............
                       extraction.                                                                              
D7340....          9  Vestibuloplasty      .........  .........  .........  .........  .........  ..............
                       ridge extens.                                                                            
D7350....          9  Vestibuloplasty      .........  .........  .........  .........  .........  ..............
                       exten graft.                                                                             
D7410....          9  Rad exc lesion up    .........  .........  .........  .........  .........  ..............
                       to 1.25 cm.                                                                              
D7420....          9  Lesion > 1.25 cm...  .........  .........  .........  .........  .........  ..............
D7430....          9  Exc benign tumor to  .........  .........  .........  .........  .........  ..............
                       1.25 cm.                                                                                 
D7431....          9  Benign tumor exc >   .........  .........  .........  .........  .........  ..............
                       1.25 cm.                                                                                 
D7440....          9  Malig tumor exc to   .........  .........  .........  .........  .........  ..............
                       1.25 cm.                                                                                 
D7441....          9  Malig tumor > 1.25   .........  .........  .........  .........  .........  ..............
                       cm.                                                                                      
D7450....          9  Rem odontogen cyst   .........  .........  .........  .........  .........  ..............
                       to 1.25cm.                                                                               
D7451....          9  Rem odontogen cyst   .........  .........  .........  .........  .........  ..............
                       > 1.25 cm.                                                                               
D7460....          9  Rem nonodonto cyst   .........  .........  .........  .........  .........  ..............
                       to 1.25cm.                                                                               
D7461....          9  Rem nonodonto cyst   .........  .........  .........  .........  .........  ..............
                       > 1.25 cm.                                                                               
D7465....          9  Lesion destruction.  .........  .........  .........  .........  .........  ..............
D7470....          9  Rem exostosis        .........  .........  .........  .........  .........  ..............
                       maxilla/mandib.                                                                          
D7480....          9  Partial ostectomy..  .........  .........  .........  .........  .........  ..............
D7490....          9  Mandible resection.  .........  .........  .........  .........  .........  ..............
D7510....          9  I&d absc intraoral   .........  .........  .........  .........  .........  ..............
                       soft tiss.                                                                               
D7520....          9  I&d abscess          .........  .........  .........  .........  .........  ..............
                       extraoral.                                                                               
D7530....          9  Removal fb skin/     .........  .........  .........  .........  .........  ..............
                       areolar tiss.                                                                            
D7540....          9  Removal of fb        .........  .........  .........  .........  .........  ..............
                       reaction.                                                                                
D7550....          9  Removal of sloughed  .........  .........  .........  .........  .........  ..............
                       off bone.                                                                                
D7560....          9  Maxillary            .........  .........  .........  .........  .........  ..............
                       sinusotomy.                                                                              
D7610....          9  Maxilla open reduct  .........  .........  .........  .........  .........  ..............
                       simple.                                                                                  
D7620....          9  Clsd reduct simpl    .........  .........  .........  .........  .........  ..............
                       maxilla fx.                                                                              
D7630....          9  Open red simpl       .........  .........  .........  .........  .........  ..............
                       mandible fx.                                                                             
D7640....          9  Clsd red simpl       .........  .........  .........  .........  .........  ..............
                       mandible fx.                                                                             
D7650....          9  Open red simp malar/ .........  .........  .........  .........  .........  ..............
                       zygom fx.                                                                                
D7660....          9  Clsd red simp malar/ .........  .........  .........  .........  .........  ..............
                       zygom fx.                                                                                
D7670....          9  Open red simple      .........  .........  .........  .........  .........  ..............
                       alveolus fx.                                                                             
D7680....          9  Reduct simple        .........  .........  .........  .........  .........  ..............
                       facial bone fx.                                                                          
D7710....          9  Maxilla open reduct  .........  .........  .........  .........  .........  ..............
                       compound.                                                                                
D7720....          9  Clsd reduct compd    .........  .........  .........  .........  .........  ..............
                       maxilla fx.                                                                              
D7730....          9  Open reduct compd    .........  .........  .........  .........  .........  ..............
                       mandble fx.                                                                              
D7740....          9  Clsd reduct compd    .........  .........  .........  .........  .........  ..............
                       mandble fx.                                                                              
D7750....          9  Open red comp malar/ .........  .........  .........  .........  .........  ..............
                       zygma fx.                                                                                
D7760....          9  Clsd red comp malar/ .........  .........  .........  .........  .........  ..............
                       zygma fx.                                                                                
D7770....          9  Open reduc compd     .........  .........  .........  .........  .........  ..............
                       alveolus fx.                                                                             
D7780....          9  Reduct compnd        .........  .........  .........  .........  .........  ..............
                       facial bone fx.                                                                          
D7810....          9  Tmj open reduct-     .........  .........  .........  .........  .........  ..............
                       dislocation.                                                                             
D7820....          9  Closed tmp           .........  .........  .........  .........  .........  ..............
                       manipulation.                                                                            
D7830....          9  Tmj manipulation     .........  .........  .........  .........  .........  ..............
                       under anest.                                                                             
D7840....          9  Removal of tmj       .........  .........  .........  .........  .........  ..............
                       condyle.                                                                                 
D7850....          9  Tmj meniscectomy...  .........  .........  .........  .........  .........  ..............
D7852....          9  Tmj repair of joint  .........  .........  .........  .........  .........  ..............
                       disc.                                                                                    
D7854....          9  Tmj excisn of joint  .........  .........  .........  .........  .........  ..............
                       membrane.                                                                                
D7856....          9  Tmj cutting of a     .........  .........  .........  .........  .........  ..............
                       muscle.                                                                                  
D7858....          9  Tmj reconstruction.  .........  .........  .........  .........  .........  ..............
D7860....          9  Tmj cutting into     .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
D7865....          9  Tmj reshaping        .........  .........  .........  .........  .........  ..............
                       components.                                                                              
D7870....          9  Tmj aspiration       .........  .........  .........  .........  .........  ..............
                       joint fluid.                                                                             
D7872....          9  Tmj diagnostic       .........  .........  .........  .........  .........  ..............
                       arthroscopy.                                                                             
D7873....          9  Tmj arthroscopy      .........  .........  .........  .........  .........  ..............
                       lysis adhesn.                                                                            
D7874....          9  Tmj arthroscopy      .........  .........  .........  .........  .........  ..............
                       disc reposit.                                                                            
D7875....          9  Tmj arthroscopy      .........  .........  .........  .........  .........  ..............
                       synovectomy.                                                                             
D7876....          9  Tmj arthroscopy      .........  .........  .........  .........  .........  ..............
                       discectomy.                                                                              
D7877....          9  Tmj arthroscopy      .........  .........  .........  .........  .........  ..............
                       debridement.                                                                             
D7880....          9  Occlusal orthotic    .........  .........  .........  .........  .........  ..............
                       appliance.                                                                               

[[Page 32441]]

                                                                                                                
D7899....          9  Tmj unspecified      .........  .........  .........  .........  .........  ..............
                       therapy.                                                                                 
D7910....          9  Dent sutur recent    .........  .........  .........  .........  .........  ..............
                       wnd to 5cm.                                                                              
D7911....          9  Dental suture wound  .........  .........  .........  .........  .........  ..............
                       to 5 cm.                                                                                 
D7912....          9  Suture complicate    .........  .........  .........  .........  .........  ..............
                       wnd > 5 cm.                                                                              
D7920....          9  Dental skin graft..  .........  .........  .........  .........  .........  ..............
D7940....          6  Reshaping bone       .........  .........  .........  .........  .........  ..............
                       orthognathic.                                                                            
D7941....          9  Bone cutting ramus   .........  .........  .........  .........  .........  ..............
                       closed.                                                                                  
D7942....          9  Bone cutting ramus   .........  .........  .........  .........  .........  ..............
                       open.                                                                                    
D7943....          9  Cutting ramus open   .........  .........  .........  .........  .........  ..............
                       w/graft.                                                                                 
D7944....          9  Bone cutting         .........  .........  .........  .........  .........  ..............
                       segmented.                                                                               
D7945....          9  Bone cutting body    .........  .........  .........  .........  .........  ..............
                       mandible.                                                                                
D7946....          9  Reconstruction       .........  .........  .........  .........  .........  ..............
                       maxilla total.                                                                           
D7947....          9  Reconstruct maxilla  .........  .........  .........  .........  .........  ..............
                       segment.                                                                                 
D7948....          9  Reconstruct midface  .........  .........  .........  .........  .........  ..............
                       no graft.                                                                                
D7949....          9  Reconstruct midface  .........  .........  .........  .........  .........  ..............
                       w/graft.                                                                                 
D7950....          9  Mandible graft.....  .........  .........  .........  .........  .........  ..............
D7955....          9  Repair               .........  .........  .........  .........  .........  ..............
                       maxillofacial                                                                            
                       defects.                                                                                 
D7960....          9  Frenulectomy/        .........  .........  .........  .........  .........  ..............
                       frenulotomy.                                                                             
D7970....          9  Excision             .........  .........  .........  .........  .........  ..............
                       hyperplastic                                                                             
                       tissue.                                                                                  
D7971....          9  Excision             .........  .........  .........  .........  .........  ..............
                       pericoronal                                                                              
                       gingiva.                                                                                 
D7980....          9  Sialolithotomy.....  .........  .........  .........  .........  .........  ..............
D7981....          9  Excision of          .........  .........  .........  .........  .........  ..............
                       salivary gland.                                                                          
D7982....          9  Sialodochoplasty...  .........  .........  .........  .........  .........  ..............
D7983....          9  Closure of salivary  .........  .........  .........  .........  .........  ..............
                       fistula.                                                                                 
D7990....          9  Emergency            .........  .........  .........  .........  .........  ..............
                       tracheotomy.                                                                             
D7991....          9  Dental               .........  .........  .........  .........  .........  ..............
                       coronoidectomy.                                                                          
D7995....          9  Synthetic graft      .........  .........  .........  .........  .........  ..............
                       facial bones.                                                                            
D7996....          9  Implant mandible     .........  .........  .........  .........  .........  ..............
                       for augment.                                                                             
D7999....          9  Oral surgery         .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
D8010....          9  Limited dental tx    .........  .........  .........  .........  .........  ..............
                       primary.                                                                                 
D8020....          9  Limited dental tx    .........  .........  .........  .........  .........  ..............
                       transition.                                                                              
D8030....          9  Limited dental tx    .........  .........  .........  .........  .........  ..............
                       adolescent.                                                                              
D8040....          9  Limited dental tx    .........  .........  .........  .........  .........  ..............
                       adult.                                                                                   
D8050....          9  Intercep dental tx   .........  .........  .........  .........  .........  ..............
                       primary.                                                                                 
D8060....          9  Intercep dental tx   .........  .........  .........  .........  .........  ..............
                       transitn.                                                                                
D8070....          9  Compre dental tx     .........  .........  .........  .........  .........  ..............
                       transition.                                                                              
D8080....          9  Compre dental tx     .........  .........  .........  .........  .........  ..............
                       adolescent.                                                                              
D8090....          9  Compre dental tx     .........  .........  .........  .........  .........  ..............
                       adult.                                                                                   
D8210....          9  Orthodontic rem      .........  .........  .........  .........  .........  ..............
                       appliance tx.                                                                            
D8220....          9  Fixed appliance      .........  .........  .........  .........  .........  ..............
                       therapy habt.                                                                            
D8660....          9  Preorthodontic tx    .........  .........  .........  .........  .........  ..............
                       visit.                                                                                   
D8670....          9  Periodic orthodontc  .........  .........  .........  .........  .........  ..............
                       tx visit.                                                                                
D8680....          9  Orthodontic          .........  .........  .........  .........  .........  ..............
                       retention.                                                                               
D8690....          9  Orthodontic          .........  .........  .........  .........  .........  ..............
                       treatment.                                                                               
D8999....          9  Orthodontic          .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
D9110....          6  Tx dental pain       .........  .........  .........  .........  .........  ..............
                       minor proc.                                                                              
D9210....          9  Dent anesthesia w/o  .........  .........  .........  .........  .........  ..............
                       surgery.                                                                                 
D9211....          9  Regional block       .........  .........  .........  .........  .........  ..............
                       anesthesia.                                                                              
D9212....          9  Trigeminal block     .........  .........  .........  .........  .........  ..............
                       anesthesia.                                                                              
D9215....          9  Local anesthesia...  .........  .........  .........  .........  .........  ..............
D9220....          9  General anesthesia.  .........  .........  .........  .........  .........  ..............
D9221....          9  General anesthesia   .........  .........  .........  .........  .........  ..............
                       ea ad 15m.                                                                               
D9230....          6  Analgesia..........  .........  .........  .........  .........  .........  ..............
D9240....          9  Intravenous          .........  .........  .........  .........  .........  ..............
                       sedation.                                                                                
D9310....          9  Dental consultation  .........  .........  .........  .........  .........  ..............
D9410....          9  Dental house call..  .........  .........  .........  .........  .........  ..............
D9420....          9  Hospital call......  .........  .........  .........  .........  .........  ..............
D9430....          9  Office visit during  .........  .........  .........  .........  .........  ..............
                       hours.                                                                                   
D9440....          9  Office visit after   .........  .........  .........  .........  .........  ..............
                       hours.                                                                                   
D9610....          9  Dent therapeutic     .........  .........  .........  .........  .........  ..............
                       drug inject.                                                                             
D9630....          6  Other drugs/         .........  .........  .........  .........  .........  ..............
                       medicaments.                                                                             
D9910....          9  Dent appl            .........  .........  .........  .........  .........  ..............
                       desensitizing med.                                                                       
D9920....          9  Behavior management  .........  .........  .........  .........  .........  ..............
D9930....          6  Treatment of         .........  .........  .........  .........  .........  ..............
                       complications.                                                                           
D9940....          6  Dental occlusal      .........  .........  .........  .........  .........  ..............
                       guard.                                                                                   
D9941....          9  Fabrication          .........  .........  .........  .........  .........  ..............
                       athletic guard.                                                                          
D9950....          6  Occlusion analysis.  .........  .........  .........  .........  .........  ..............
D9951....          6  Limited occlusal     .........  .........  .........  .........  .........  ..............
                       adjustment.                                                                              
D9952....          6  Complete occlusal    .........  .........  .........  .........  .........  ..............
                       adjustment.                                                                              
D9970....          9  Enamel               .........  .........  .........  .........  .........  ..............
                       microabrasion.                                                                           
D9999....          9  Adjunctive           .........  .........  .........  .........  .........  ..............
                       procedure.                                                                               
E0100....          6  Cane adjust/fixed    .........  .........  .........  .........  .........  ..............
                       with tip.                                                                                
E0105....          6  Cane adjust/fixed    .........  .........  .........  .........  .........  ..............
                       quad/3 pro.                                                                              
E0110....          6  Crutch forearm pair  .........  .........  .........  .........  .........  ..............

[[Page 32442]]

                                                                                                                
E0111....          6  Crutch forearm each  .........  .........  .........  .........  .........  ..............
E0112....          6  Crutch underarm      .........  .........  .........  .........  .........  ..............
                       pair wood.                                                                               
E0113....          6  Crutch underarm      .........  .........  .........  .........  .........  ..............
                       each wood.                                                                               
E0114....          6  Crutch underarm      .........  .........  .........  .........  .........  ..............
                       pair no wood.                                                                            
E0116....          6  Crutch underarm      .........  .........  .........  .........  .........  ..............
                       each no wood.                                                                            
E0130....          6  Walker rigid adjust/ .........  .........  .........  .........  .........  ..............
                       fixed ht.                                                                                
E0135....          6  Walker folding       .........  .........  .........  .........  .........  ..............
                       adjust/fixed.                                                                            
E0141....          6  Rigid walker         .........  .........  .........  .........  .........  ..............
                       wheeled wo seat.                                                                         
E0142....          6  Walker rigid         .........  .........  .........  .........  .........  ..............
                       wheeled with se.                                                                         
E0143....          6  Walker folding       .........  .........  .........  .........  .........  ..............
                       wheeled w/o s.                                                                           
E0145....          6  Walker whled seat/   .........  .........  .........  .........  .........  ..............
                       crutch att.                                                                              
E0146....          6  Folding walker       .........  .........  .........  .........  .........  ..............
                       wheels w seat.                                                                           
E0147....          6  Walker variable      .........  .........  .........  .........  .........  ..............
                       wheel resist.                                                                            
E0153....          6  Forearm crutch       .........  .........  .........  .........  .........  ..............
                       platform atta.                                                                           
E0154....          6  Walker platform      .........  .........  .........  .........  .........  ..............
                       attachment.                                                                              
E0155....          6  Walker rigd pick-up/ .........  .........  .........  .........  .........  ..............
                       wheel at.                                                                                
E0156....          6  Walker seat          .........  .........  .........  .........  .........  ..............
                       attachment.                                                                              
E0157....          6  Walker crutch        .........  .........  .........  .........  .........  ..............
                       attachment.                                                                              
E0158....          6  Walker leg           .........  .........  .........  .........  .........  ..............
                       extensions.                                                                              
E0159....          6  Brake for wheeled    .........  .........  .........  .........  .........  ..............
                       walker.                                                                                  
E0160....          6  Sitz type bath or    .........  .........  .........  .........  .........  ..............
                       equipment.                                                                               
E0161....          6  Sitz bath/equipment  .........  .........  .........  .........  .........  ..............
                       w/faucet.                                                                                
E0162....          6  Sitz bath chair....  .........  .........  .........  .........  .........  ..............
E0163....          6  Commode chair        .........  .........  .........  .........  .........  ..............
                       stationry fxd.                                                                           
E0164....          6  Commode chair        .........  .........  .........  .........  .........  ..............
                       mobile fixed a.                                                                          
E0165....          6  Commode chair        .........  .........  .........  .........  .........  ..............
                       stationry det.                                                                           
E0166....          6  Commode chair        .........  .........  .........  .........  .........  ..............
                       mobile detach.                                                                           
E0167....          6  Commode chair pail   .........  .........  .........  .........  .........  ..............
                       or pan.                                                                                  
E0175....          6  Commode chair foot   .........  .........  .........  .........  .........  ..............
                       rest.                                                                                    
E0176....          6  Air pressre pad/     .........  .........  .........  .........  .........  ..............
                       cushion nonp.                                                                            
E0177....          6  Water press pad/     .........  .........  .........  .........  .........  ..............
                       cushion nonp.                                                                            
E0178....          6  Gel pressre pad/     .........  .........  .........  .........  .........  ..............
                       cushion nonp.                                                                            
E0179....          6  Dry pressre pad/     .........  .........  .........  .........  .........  ..............
                       cushion nonp.                                                                            
E0180....          6  Press pad            .........  .........  .........  .........  .........  ..............
                       alternating w pump.                                                                      
E0181....          6  Press pad            .........  .........  .........  .........  .........  ..............
                       alternating w/ pum.                                                                      
E0182....          6  Pressure pad         .........  .........  .........  .........  .........  ..............
                       alternating pum.                                                                         
E0184....          6  Dry pressure         .........  .........  .........  .........  .........  ..............
                       mattress.                                                                                
E0185....          6  Gel pressure         .........  .........  .........  .........  .........  ..............
                       mattress pad.                                                                            
E0186....          6  Air pressure         .........  .........  .........  .........  .........  ..............
                       mattress.                                                                                
E0187....          6  Water pressure       .........  .........  .........  .........  .........  ..............
                       mattress.                                                                                
E0188....          6  Synthetic sheepskin  .........  .........  .........  .........  .........  ..............
                       pad.                                                                                     
E0189....          6  Lambswool sheepskin  .........  .........  .........  .........  .........  ..............
                       pad.                                                                                     
E0191....          6  Protector heel or    .........  .........  .........  .........  .........  ..............
                       elbow.                                                                                   
E0192....          6  Pad wheelchr low     .........  .........  .........  .........  .........  ..............
                       press/posit.                                                                             
E0193....          6  Powered air          .........  .........  .........  .........  .........  ..............
                       flotation bed.                                                                           
E0194....          6  Air fluidized bed..  .........  .........  .........  .........  .........  ..............
E0196....          6  Gel pressure         .........  .........  .........  .........  .........  ..............
                       mattress.                                                                                
E0197....          6  Air pressure pad     .........  .........  .........  .........  .........  ..............
                       for mattres.                                                                             
E0198....          6  Water pressure pad   .........  .........  .........  .........  .........  ..............
                       for mattr.                                                                               
E0199....          6  Dry pressure pad     .........  .........  .........  .........  .........  ..............
                       for mattres.                                                                             
E0200....          6  Heat lamp without    .........  .........  .........  .........  .........  ..............
                       stand.                                                                                   
E0202....          6  Phototherapy light   .........  .........  .........  .........  .........  ..............
                       w/ photom.                                                                               
E0205....          6  Heat lamp with       .........  .........  .........  .........  .........  ..............
                       stand.                                                                                   
E0210....          6  Electric heat pad    .........  .........  .........  .........  .........  ..............
                       standard.                                                                                
E0215....          6  Electric heat pad    .........  .........  .........  .........  .........  ..............
                       moist.                                                                                   
E0217....          6  Water circ heat pad  .........  .........  .........  .........  .........  ..............
                       w pump.                                                                                  
E0218....          6  Water circ cold pad  .........  .........  .........  .........  .........  ..............
                       w pump.                                                                                  
E0220....          6  Hot water bottle...  .........  .........  .........  .........  .........  ..............
E0225....          6  Hydrocollator unit.  .........  .........  .........  .........  .........  ..............
E0230....          6  Ice cap or collar..  .........  .........  .........  .........  .........  ..............
E0235....          6  Paraffin bath unit   .........  .........  .........  .........  .........  ..............
                       portable.                                                                                
E0236....          6  Pump for water       .........  .........  .........  .........  .........  ..............
                       circulating p.                                                                           
E0238....          6  Heat pad non-        .........  .........  .........  .........  .........  ..............
                       electric moist.                                                                          
E0239....          6  Hydrocollator unit   .........  .........  .........  .........  .........  ..............
                       portable.                                                                                
E0241....          6  Bath tub wall rail.  .........  .........  .........  .........  .........  ..............
E0242....          6  Bath tub rail floor  .........  .........  .........  .........  .........  ..............
E0243....          6  Toilet rail........  .........  .........  .........  .........  .........  ..............
E0244....          6  Toilet seat raised.  .........  .........  .........  .........  .........  ..............
E0245....          6  Tub stool or bench.  .........  .........  .........  .........  .........  ..............
E0246....          6  Transfer tub rail    .........  .........  .........  .........  .........  ..............
                       attachment.                                                                              
E0249....          6  Pad water            .........  .........  .........  .........  .........  ..............
                       circulating heat u.                                                                      
E0250....          6  Hosp bed fixed ht w/ .........  .........  .........  .........  .........  ..............
                        mattres.                                                                                
E0251....          6  Hosp bed fixd ht w/  .........  .........  .........  .........  .........  ..............
                       o mattres.                                                                               
E0255....          6  Hospital bed var ht  .........  .........  .........  .........  .........  ..............
                       w/ mattr.                                                                                

[[Page 32443]]

                                                                                                                
E0256....          6  Hospital bed var ht  .........  .........  .........  .........  .........  ..............
                       w/o matt.                                                                                
E0260....          6  Hosp bed semi-       .........  .........  .........  .........  .........  ..............
                       electr w/ matt.                                                                          
E0261....          6  Hosp bed semi-       .........  .........  .........  .........  .........  ..............
                       electr w/o mat.                                                                          
E0265....          6  Hosp bed total       .........  .........  .........  .........  .........  ..............
                       electr w/ mat.                                                                           
E0266....          6  Hosp bed total elec  .........  .........  .........  .........  .........  ..............
                       w/o matt.                                                                                
E0270....          6  Hospital bed         .........  .........  .........  .........  .........  ..............
                       institutional t.                                                                         
E0271....          6  Mattress             .........  .........  .........  .........  .........  ..............
                       innerspring.                                                                             
E0272....          6  Mattress foam        .........  .........  .........  .........  .........  ..............
                       rubber.                                                                                  
E0273....          6  Bed board..........  .........  .........  .........  .........  .........  ..............
E0274....          6  Over-bed table.....  .........  .........  .........  .........  .........  ..............
E0275....          6  Bed pan standard...  .........  .........  .........  .........  .........  ..............
E0276....          6  Bed pan fracture...  .........  .........  .........  .........  .........  ..............
E0277....          6  Powered pres-redu    .........  .........  .........  .........  .........  ..............
                       air mattrs.                                                                              
E0280....          6  Bed cradle.........  .........  .........  .........  .........  .........  ..............
E0290....          6  Hosp bed fx ht w/o   .........  .........  .........  .........  .........  ..............
                       rails w/m.                                                                               
E0291....          6  Hosp bed fx ht w/o   .........  .........  .........  .........  .........  ..............
                       rail w/o.                                                                                
E0292....          6  Hosp bed var ht w/o  .........  .........  .........  .........  .........  ..............
                       rail w/o.                                                                                
E0293....          6  Hosp bed var ht w/o  .........  .........  .........  .........  .........  ..............
                       rail w/.                                                                                 
E0294....          6  Hosp bed semi-elect  .........  .........  .........  .........  .........  ..............
                       w/ mattr.                                                                                
E0295....          6  Hosp bed semi-elect  .........  .........  .........  .........  .........  ..............
                       w/o matt.                                                                                
E0296....          6  Hosp bed total       .........  .........  .........  .........  .........  ..............
                       elect w/ matt.                                                                           
E0297....          6  Hosp bed total       .........  .........  .........  .........  .........  ..............
                       elect w/o mat.                                                                           
E0305....          6  Rails bed side half  .........  .........  .........  .........  .........  ..............
                       length.                                                                                  
E0310....          6  Rails bed side full  .........  .........  .........  .........  .........  ..............
                       length.                                                                                  
E0315....          6  Bed accessory brd/   .........  .........  .........  .........  .........  ..............
                       tbl/supprt.                                                                              
E0325....          6  Urinal male jug-     .........  .........  .........  .........  .........  ..............
                       type.                                                                                    
E0326....          6  Urinal female jug-   .........  .........  .........  .........  .........  ..............
                       type.                                                                                    
E0350....          6  Control unit bowel   .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
E0352....          6  Disposable pack w/   .........  .........  .........  .........  .........  ..............
                       bowel syst.                                                                              
E0370....          6  Air elevator for     .........  .........  .........  .........  .........  ..............
                       heel.                                                                                    
E0371....          6  Nonpower mattress    .........  .........  .........  .........  .........  ..............
                       overlay.                                                                                 
E0372....          6  Powered air          .........  .........  .........  .........  .........  ..............
                       mattress overlay.                                                                        
E0373....          6  Nonpowered pressure  .........  .........  .........  .........  .........  ..............
                       mattress.                                                                                
E0424....          6  Stationary           .........  .........  .........  .........  .........  ..............
                       compressed gas 02.                                                                       
E0425....          6  Gas system           .........  .........  .........  .........  .........  ..............
                       stationary compre.                                                                       
E0430....          6  Oxygen system gas    .........  .........  .........  .........  .........  ..............
                       portable.                                                                                
E0431....          6  Portable gaseous 02  .........  .........  .........  .........  .........  ..............
E0434....          6  Portable liquid 02.  .........  .........  .........  .........  .........  ..............
E0435....          6  Oxygen system        .........  .........  .........  .........  .........  ..............
                       liquid portabl.                                                                          
E0439....          6  Stationary liquid    .........  .........  .........  .........  .........  ..............
                       02.                                                                                      
E0440....          6  Oxygen system        .........  .........  .........  .........  .........  ..............
                       liquid station.                                                                          
E0441....          6  Oxygen contents gas  .........  .........  .........  .........  .........  ..............
                       per/unit.                                                                                
E0442....          6  Oxygen contents liq  .........  .........  .........  .........  .........  ..............
                       per/unit.                                                                                
E0443....          6  Port 02 contents     .........  .........  .........  .........  .........  ..............
                       gas/unit.                                                                                
E0444....          6  Port 02 contents     .........  .........  .........  .........  .........  ..............
                       liq/unit.                                                                                
E0450....          6  Volume vent          .........  .........  .........  .........  .........  ..............
                       stationary/porta.                                                                        
E0452....          6  Intermit assis       .........  .........  .........  .........  .........  ..............
                       device w cpap.                                                                           
E0453....          6  Ventilator 12 hrs/   .........  .........  .........  .........  .........  ..............
                       less per d.                                                                              
E0455....          6  Oxygen tent excl     .........  .........  .........  .........  .........  ..............
                       croup/ped t.                                                                             
E0457....          6  Chest shell........  .........  .........  .........  .........  .........  ..............
E0459....          6  Chest wrap.........  .........  .........  .........  .........  .........  ..............
E0460....          6  Neg press vent       .........  .........  .........  .........  .........  ..............
                       portabl/statn.                                                                           
E0462....          6  Rocking bed w/ or w/ .........  .........  .........  .........  .........  ..............
                       o side r.                                                                                
E0480....          6  Percussor elect/     .........  .........  .........  .........  .........  ..............
                       pneum home m.                                                                            
E0500....          6  Ippb all types.....  .........  .........  .........  .........  .........  ..............
E0550....          6  Humidif extens       .........  .........  .........  .........  .........  ..............
                       supple w ippb.                                                                           
E0555....          6  Humidifier for use   .........  .........  .........  .........  .........  ..............
                       w/ regula.                                                                               
E0560....          6  Humidifier           .........  .........  .........  .........  .........  ..............
                       supplemental w/ i.                                                                       
E0565....          6  Compressor air       .........  .........  .........  .........  .........  ..............
                       power source.                                                                            
E0570....          6  Nebulizer with       .........  .........  .........  .........  .........  ..............
                       compression.                                                                             
E0575....          6  Nebulizer            .........  .........  .........  .........  .........  ..............
                       ultrasonic.                                                                              
E0580....          6  Nebulizer for use w/ .........  .........  .........  .........  .........  ..............
                        regulat.                                                                                
E0585....          6  Nebulizer w/         .........  .........  .........  .........  .........  ..............
                       compressor & he.                                                                         
E0600....          6  Suction pump portab  .........  .........  .........  .........  .........  ..............
                       hom modl.                                                                                
E0601....          6  Cont airway          .........  .........  .........  .........  .........  ..............
                       pressure device.                                                                         
E0605....          6  Vaporizer room type  .........  .........  .........  .........  .........  ..............
E0606....          6  Drainage board       .........  .........  .........  .........  .........  ..............
                       postural.                                                                                
E0607....          6  Blood glucose        .........  .........  .........  .........  .........  ..............
                       monitor home.                                                                            
E0608....          6  Apnea monitor......  .........  .........  .........  .........  .........  ..............
E0609....          6  Blood gluc mon w/    .........  .........  .........  .........  .........  ..............
                       special fea.                                                                             
E0610....          6  Pacemaker monitr     .........  .........  .........  .........  .........  ..............
                       audible/vis.                                                                             
E0615....          6  Pacemaker monitr     .........  .........  .........  .........  .........  ..............
                       digital/vis.                                                                             
E0621....          6  Patient lift sling   .........  .........  .........  .........  .........  ..............
                       or seat.                                                                                 
E0625....          6  Patient lift         .........  .........  .........  .........  .........  ..............
                       bathroom or toi.                                                                         

[[Page 32444]]

                                                                                                                
E0627....          6  Seat lift incorp     .........  .........  .........  .........  .........  ..............
                       lift-chair.                                                                              
E0628....          6  Seat lift for pt     .........  .........  .........  .........  .........  ..............
                       furn-electr.                                                                             
E0629....          6  Seat lift for pt     .........  .........  .........  .........  .........  ..............
                       furn-non-el.                                                                             
E0630....          6  Patient lift         .........  .........  .........  .........  .........  ..............
                       hydraulic.                                                                               
E0635....          6  Patient lift         .........  .........  .........  .........  .........  ..............
                       electric.                                                                                
E0650....          6  Pneuma compresor     .........  .........  .........  .........  .........  ..............
                       non-segment.                                                                             
E0651....          6  Pneum compressor     .........  .........  .........  .........  .........  ..............
                       segmental.                                                                               
E0652....          6  Pneum compres w/cal  .........  .........  .........  .........  .........  ..............
                       pressure.                                                                                
E0655....          6  Pneumatic appliance  .........  .........  .........  .........  .........  ..............
                       half arm.                                                                                
E0660....          6  Pneumatic appliance  .........  .........  .........  .........  .........  ..............
                       full leg.                                                                                
E0665....          6  Pneumatic appliance  .........  .........  .........  .........  .........  ..............
                       full arm.                                                                                
E0666....          6  Pneumatic appliance  .........  .........  .........  .........  .........  ..............
                       half leg.                                                                                
E0667....          6  Seg pneumatic appl   .........  .........  .........  .........  .........  ..............
                       full leg.                                                                                
E0668....          6  Seg pneumatic appl   .........  .........  .........  .........  .........  ..............
                       full arm.                                                                                
E0669....          6  Seg pneumatic appli  .........  .........  .........  .........  .........  ..............
                       half leg.                                                                                
E0671....          6  Pressure pneum appl  .........  .........  .........  .........  .........  ..............
                       full leg.                                                                                
E0672....          6  Pressure pneum appl  .........  .........  .........  .........  .........  ..............
                       full arm.                                                                                
E0673....          6  Pressure pneum appl  .........  .........  .........  .........  .........  ..............
                       half leg.                                                                                
E0690....          6  Ultraviolet cabinet  .........  .........  .........  .........  .........  ..............
E0700....          6  Safety equipment...  .........  .........  .........  .........  .........  ..............
E0710....          6  Restraints any type  .........  .........  .........  .........  .........  ..............
E0720....          6  Tens two lead......  .........  .........  .........  .........  .........  ..............
E0730....          6  Tens four lead.....  .........  .........  .........  .........  .........  ..............
E0731....          6  Conductive garment   .........  .........  .........  .........  .........  ..............
                       for tens/.                                                                               
E0740....          6  Incontinence         .........  .........  .........  .........  .........  ..............
                       treatment systm.                                                                         
E0744....          6  Neuromuscular stim   .........  .........  .........  .........  .........  ..............
                       for scoli.                                                                               
E0745....          6  Neuromuscular stim   .........  .........  .........  .........  .........  ..............
                       for shock.                                                                               
E0746....          6  Electromyograph      .........  .........  .........  .........  .........  ..............
                       biofeedback.                                                                             
E0747....          6  Elec osteogen stim   .........  .........  .........  .........  .........  ..............
                       not spine.                                                                               
E0748....          6  Elec osteogen stim   .........  .........  .........  .........  .........  ..............
                       spinal.                                                                                  
E0749....          6  Elec osteogen stim   .........  .........  .........  .........  .........  ..............
                       implanted.                                                                               
E0751....          6  Pulse generator or   .........  .........  .........  .........  .........  ..............
                       receiver.                                                                                
E0753....          6  Neurostimul          .........  .........  .........  .........  .........  ..............
                       electrodes/leads.                                                                        
E0755....          6  Electronic salivary  .........  .........  .........  .........  .........  ..............
                       reflex s.                                                                                
E0760....          6  Osteogen ultrasound  .........  .........  .........  .........  .........  ..............
                       stimltor.                                                                                
E0776....          6  Iv pole............  .........  .........  .........  .........  .........  ..............
E0781....          6  External ambulatory  .........  .........  .........  .........  .........  ..............
                       infus pu.                                                                                
E0782....          6  Non-programble       .........  .........  .........  .........  .........  ..............
                       infusion pump.                                                                           
E0783....          6  Programmable         .........  .........  .........  .........  .........  ..............
                       infusion pump.                                                                           
E0784....          6  Ext amb infusn pump  .........  .........  .........  .........  .........  ..............
                       insulin.                                                                                 
E0791....          6  Parenteral infusion  .........  .........  .........  .........  .........  ..............
                       pump sta.                                                                                
E0840....          6  Tract frame attach   .........  .........  .........  .........  .........  ..............
                       headboard.                                                                               
E0850....          6  Traction stand free  .........  .........  .........  .........  .........  ..............
                       standing.                                                                                
E0855....          6  Cervical traction    .........  .........  .........  .........  .........  ..............
                       equipment.                                                                               
E0860....          6  Tract equip          .........  .........  .........  .........  .........  ..............
                       cervical tract.                                                                          
E0870....          6  Tract frame attach   .........  .........  .........  .........  .........  ..............
                       footboard.                                                                               
E0880....          6  Trac stand free      .........  .........  .........  .........  .........  ..............
                       stand extrem.                                                                            
E0890....          6  Traction frame       .........  .........  .........  .........  .........  ..............
                       attach pelvic.                                                                           
E0900....          6  Trac stand free      .........  .........  .........  .........  .........  ..............
                       stand pelvic.                                                                            
E0910....          6  Trapeze bar          .........  .........  .........  .........  .........  ..............
                       attached to bed.                                                                         
E0920....          6  Fracture frame       .........  .........  .........  .........  .........  ..............
                       attached to b.                                                                           
E0930....          6  Fracture frame free  .........  .........  .........  .........  .........  ..............
                       standing.                                                                                
E0935....          6  Exercise device      .........  .........  .........  .........  .........  ..............
                       passive moti.                                                                            
E0940....          6  Trapeze bar free     .........  .........  .........  .........  .........  ..............
                       standing.                                                                                
E0941....          6  Gravity assisted     .........  .........  .........  .........  .........  ..............
                       traction de.                                                                             
E0942....          6  Cervical head        .........  .........  .........  .........  .........  ..............
                       harness/halter.                                                                          
E0943....          6  Cervical pillow....  .........  .........  .........  .........  .........  ..............
E0944....          6  Pelvic belt/harness/ .........  .........  .........  .........  .........  ..............
                       boot.                                                                                    
E0945....          6  Belt/harness         .........  .........  .........  .........  .........  ..............
                       extremity.                                                                               
E0946....          6  Fracture frame dual  .........  .........  .........  .........  .........  ..............
                       w cross.                                                                                 
E0947....          6  Fracture frame       .........  .........  .........  .........  .........  ..............
                       attachmnts pe.                                                                           
E0948....          6  Fracture frame       .........  .........  .........  .........  .........  ..............
                       attachmnts ce.                                                                           
E0950....          6  Tray...............  .........  .........  .........  .........  .........  ..............
E0951....          6  Loop heel..........  .........  .........  .........  .........  .........  ..............
E0952....          6  Loop tie...........  .........  .........  .........  .........  .........  ..............
E0953....          6  Pneumatic tire.....  .........  .........  .........  .........  .........  ..............
E0954....          6  Wheelchair semi-     .........  .........  .........  .........  .........  ..............
                       pneumatic ca.                                                                            
E0958....          6  Whlchr att- conv 1   .........  .........  .........  .........  .........  ..............
                       arm drive.                                                                               
E0959....          6  Amputee adapter....  .........  .........  .........  .........  .........  ..............
E0961....          6  Wheelchair brake     .........  .........  .........  .........  .........  ..............
                       extension.                                                                               
E0962....          6  Wheelchair 1 inch    .........  .........  .........  .........  .........  ..............
                       cushion.                                                                                 
E0963....          6  Wheelchair 2 inch    .........  .........  .........  .........  .........  ..............
                       cushion.                                                                                 
E0964....          6  Wheelchair 3 inch    .........  .........  .........  .........  .........  ..............
                       cushion.                                                                                 
E0965....          6  Wheelchair 4 inch    .........  .........  .........  .........  .........  ..............
                       cushion.                                                                                 

[[Page 32445]]

                                                                                                                
E0966....          6  Wheelchair head      .........  .........  .........  .........  .........  ..............
                       rest extensi.                                                                            
E0967....          6  Wheelchair hand      .........  .........  .........  .........  .........  ..............
                       rims.                                                                                    
E0968....          6  Wheelchair commode   .........  .........  .........  .........  .........  ..............
                       seat.                                                                                    
E0969....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       narrowing device.                                                                        
E0970....          6  Wheelchair no. 2     .........  .........  .........  .........  .........  ..............
                       footplates.                                                                              
E0971....          6  Wheelchair anti-     .........  .........  .........  .........  .........  ..............
                       tipping devi.                                                                            
E0972....          6  Transfer board or    .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
E0973....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       adjustabl height.                                                                        
E0974....          6  Wheelchair grade-    .........  .........  .........  .........  .........  ..............
                       aid.                                                                                     
E0975....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       reinforced seat u.                                                                       
E0976....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       reinforced back u.                                                                       
E0977....          6  Wheelchair wedge     .........  .........  .........  .........  .........  ..............
                       cushion.                                                                                 
E0978....          6  Wheelchair belt w/   .........  .........  .........  .........  .........  ..............
                       airplane b.                                                                              
E0979....          6  Wheelchair belt      .........  .........  .........  .........  .........  ..............
                       with velcro.                                                                             
E0980....          6  Wheelchair safety    .........  .........  .........  .........  .........  ..............
                       vest.                                                                                    
E0990....          6  Whellchair           .........  .........  .........  .........  .........  ..............
                       elevating leg res.                                                                       
E0991....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       upholstry seat.                                                                          
E0992....          6  Wheelchair solid     .........  .........  .........  .........  .........  ..............
                       seat insert.                                                                             
E0993....          6  Wheelchair back      .........  .........  .........  .........  .........  ..............
                       upholstery.                                                                              
E0994....          6  Wheelchair arm rest  .........  .........  .........  .........  .........  ..............
E0995....          6  Wheelchair calf      .........  .........  .........  .........  .........  ..............
                       rest.                                                                                    
E0996....          6  Wheelchair tire      .........  .........  .........  .........  .........  ..............
                       solid.                                                                                   
E0997....          6  Wheelchair caster w/ .........  .........  .........  .........  .........  ..............
                        a fork.                                                                                 
E0998....          6  Wheelchair caster w/ .........  .........  .........  .........  .........  ..............
                       o a fork.                                                                                
E0999....          6  Wheelchr pneumatic   .........  .........  .........  .........  .........  ..............
                       tire w/wh.                                                                               
E1000....          6  Wheelchair tire      .........  .........  .........  .........  .........  ..............
                       pneumatic ca.                                                                            
E1001....          6  Wheelchair wheel...  .........  .........  .........  .........  .........  ..............
E1031....          6  Rollabout chair      .........  .........  .........  .........  .........  ..............
                       with casters.                                                                            
E1050....          6  Whelchr fxd full     .........  .........  .........  .........  .........  ..............
                       length arms.                                                                             
E1060....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       detachable arms.                                                                         
E1065....          6  Wheelchair power     .........  .........  .........  .........  .........  ..............
                       attachment.                                                                              
E1066....          6  Wheelchair battery   .........  .........  .........  .........  .........  ..............
                       charger.                                                                                 
E1069....          6  Wheelchair deep      .........  .........  .........  .........  .........  ..............
                       cycle batter.                                                                            
E1070....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       detachable foot r.                                                                       
E1083....          6  Hemi-wheelchair      .........  .........  .........  .........  .........  ..............
                       fixed arms.                                                                              
E1084....          6  Hemi-wheelchair      .........  .........  .........  .........  .........  ..............
                       detachable a.                                                                            
E1085....          6  Hemi-wheelchair      .........  .........  .........  .........  .........  ..............
                       fixed arms.                                                                              
E1086....          6  Hemi-wheelchair      .........  .........  .........  .........  .........  ..............
                       detachable a.                                                                            
E1087....          6  Wheelchair lightwt   .........  .........  .........  .........  .........  ..............
                       fixed arm.                                                                               
E1088....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       lightweight det a.                                                                       
E1089....          6  Wheelchair lightwt   .........  .........  .........  .........  .........  ..............
                       fixed arm.                                                                               
E1090....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       lightweight det a.                                                                       
E1091....          6  Wheelchair youth...  .........  .........  .........  .........  .........  ..............
E1092....          6  Wheelchair wide w/   .........  .........  .........  .........  .........  ..............
                       leg rests.                                                                               
E1093....          6  Wheelchair wide w/   .........  .........  .........  .........  .........  ..............
                       foot rest.                                                                               
E1100....          6  Whchr s-recl fxd     .........  .........  .........  .........  .........  ..............
                       arm leg res.                                                                             
E1110....          6  Wheelchair semi-     .........  .........  .........  .........  .........  ..............
                       recl detach.                                                                             
E1130....          6  Whlchr stand fxd     .........  .........  .........  .........  .........  ..............
                       arm ft rest.                                                                             
E1140....          6  Wheelchair standard  .........  .........  .........  .........  .........  ..............
                       detach a.                                                                                
E1150....          6  Wheelchair standard  .........  .........  .........  .........  .........  ..............
                       w/ leg r.                                                                                
E1160....          6  Wheelchair fixed     .........  .........  .........  .........  .........  ..............
                       arms.                                                                                    
E1170....          6  Whlchr ampu fxd arm  .........  .........  .........  .........  .........  ..............
                       leg rest.                                                                                
E1171....          6  Wheelchair amputee   .........  .........  .........  .........  .........  ..............
                       w/o leg r.                                                                               
E1172....          6  Wheelchair amputee   .........  .........  .........  .........  .........  ..............
                       detach ar.                                                                               
E1180....          6  Wheelchair amputee   .........  .........  .........  .........  .........  ..............
                       w/ foot r.                                                                               
E1190....          6  Wheelchair amputee   .........  .........  .........  .........  .........  ..............
                       w/ leg re.                                                                               
E1195....          6  Wheelchair amputee   .........  .........  .........  .........  .........  ..............
                       heavy dut.                                                                               
E1200....          6  Wheelchair amputee   .........  .........  .........  .........  .........  ..............
                       fixed arm.                                                                               
E1210....          6  Whlchr moto ful arm  .........  .........  .........  .........  .........  ..............
                       leg rest.                                                                                
E1211....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       motorized w/ det.                                                                        
E1212....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       motorized w full.                                                                        
E1213....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       motorized w/ det.                                                                        
E1220....          6  Whlchr special size/ .........  .........  .........  .........  .........  ..............
                       constrc.                                                                                 
E1221....          6  Wheelchair spec      .........  .........  .........  .........  .........  ..............
                       size w foot.                                                                             
E1222....          6  Wheelchair spec      .........  .........  .........  .........  .........  ..............
                       size w/ leg.                                                                             
E1223....          6  Wheelchair spec      .........  .........  .........  .........  .........  ..............
                       size w foot.                                                                             
E1224....          6  Wheelchair spec      .........  .........  .........  .........  .........  ..............
                       size w/ leg.                                                                             
E1225....          6  Wheelchair spec sz   .........  .........  .........  .........  .........  ..............
                       semi-recl.                                                                               
E1226....          6  Wheelchair spec sz   .........  .........  .........  .........  .........  ..............
                       full-recl.                                                                               
E1227....          6  Wheelchair spec sz   .........  .........  .........  .........  .........  ..............
                       spec ht a.                                                                               
E1228....          6  Wheelchair spec sz   .........  .........  .........  .........  .........  ..............
                       spec ht b.                                                                               
E1230....          6  Power operated       .........  .........  .........  .........  .........  ..............
                       vehicle.                                                                                 
E1240....          6  Whchr litwt det arm  .........  .........  .........  .........  .........  ..............
                       leg rest.                                                                                
E1250....          6  Wheelchair lightwt   .........  .........  .........  .........  .........  ..............
                       fixed arm.                                                                               

[[Page 32446]]

                                                                                                                
E1260....          6  Wheelchair lightwt   .........  .........  .........  .........  .........  ..............
                       foot rest.                                                                               
E1270....          6  Wheelchair           .........  .........  .........  .........  .........  ..............
                       lightweight leg r.                                                                       
E1280....          6  Whchr h-duty det     .........  .........  .........  .........  .........  ..............
                       arm leg res.                                                                             
E1285....          6  Wheelchair heavy     .........  .........  .........  .........  .........  ..............
                       duty fixed.                                                                              
E1290....          6  Wheelchair hvy duty  .........  .........  .........  .........  .........  ..............
                       detach a.                                                                                
E1295....          6  Wheelchair heavy     .........  .........  .........  .........  .........  ..............
                       duty fixed.                                                                              
E1296....          6  Wheelchair special   .........  .........  .........  .........  .........  ..............
                       seat heig.                                                                               
E1297....          6  Wheelchair special   .........  .........  .........  .........  .........  ..............
                       seat dept.                                                                               
E1298....          6  Wheelchair spec      .........  .........  .........  .........  .........  ..............
                       seat depth/w.                                                                            
E1300....          6  Whirlpool portable.  .........  .........  .........  .........  .........  ..............
E1310....          6  Whirlpool non-       .........  .........  .........  .........  .........  ..............
                       portable.                                                                                
E1340....          6  Repair for DME, per  .........  .........  .........  .........  .........  ..............
                       15 min.                                                                                  
E1353....          6  Oxygen supplies      .........  .........  .........  .........  .........  ..............
                       regulator.                                                                               
E1355....          6  Oxygen supplies      .........  .........  .........  .........  .........  ..............
                       stand/rack.                                                                              
E1372....          6  Oxy suppl heater     .........  .........  .........  .........  .........  ..............
                       for nebuliz.                                                                             
E1375....          6  Oxygen suppl         .........  .........  .........  .........  .........  ..............
                       nebulizer porta.                                                                         
E1377....          6  Oxygen concentrator  .........  .........  .........  .........  .........  ..............
                       to 244 c.                                                                                
E1378....          6  Oxygen concentrator  .........  .........  .........  .........  .........  ..............
                       to 488 c.                                                                                
E1379....          6  Oxygen concentrator  .........  .........  .........  .........  .........  ..............
                       to 732 c.                                                                                
E1380....          6  Oxygen concentrator  .........  .........  .........  .........  .........  ..............
                       to 976 c.                                                                                
E1381....          6  Oxygen concentrat    .........  .........  .........  .........  .........  ..............
                       to 1220 cu.                                                                              
E1382....          6  Oxygen concentrat    .........  .........  .........  .........  .........  ..............
                       to 1464 cu.                                                                              
E1383....          6  Oxygen concentrat    .........  .........  .........  .........  .........  ..............
                       to 1708 cu.                                                                              
E1384....          6  Oxygen concentrat    .........  .........  .........  .........  .........  ..............
                       to 1952 cu.                                                                              
E1385....          6  Oxygen concentrator  .........  .........  .........  .........  .........  ..............
                       >1952 c.                                                                                 
E1399....          6  Durable medical      .........  .........  .........  .........  .........  ..............
                       equipment mi.                                                                            
E1400....          6  Oxygen concentrator  .........  .........  .........  .........  .........  ..............
                       < 2 lite.                                                                                
E1401....          6  Oxygen concentrator  .........  .........  .........  .........  .........  ..............
                       2-3 lite.                                                                                
E1402....          6  Oxygen concentrator  .........  .........  .........  .........  .........  ..............
                       3-4 lite.                                                                                
E1403....          6  Oxygen concentrator  .........  .........  .........  .........  .........  ..............
                       4-5 lite.                                                                                
E1404....          6  Oxygen concentrator  .........  .........  .........  .........  .........  ..............
                       >5 lite.                                                                                 
E1405....          6  O2/water vapor       .........  .........  .........  .........  .........  ..............
                       enrich w/heat.                                                                           
E1406....          6  O2/water vapor       .........  .........  .........  .........  .........  ..............
                       enrich w/o he.                                                                           
E1510....          6  Kidney dialysate     .........  .........  .........  .........  .........  ..............
                       delivry sys.                                                                             
E1520....          6  Heparin infusion     .........  .........  .........  .........  .........  ..............
                       pump for di.                                                                             
E1530....          6  Air bubble detector  .........  .........  .........  .........  .........  ..............
                       for dial.                                                                                
E1540....          6  Pressure alarm for   .........  .........  .........  .........  .........  ..............
                       dialysis.                                                                                
E1550....          6  Bath conductivity    .........  .........  .........  .........  .........  ..............
                       meter.                                                                                   
E1560....          6  Blood leak detector  .........  .........  .........  .........  .........  ..............
                       for dial.                                                                                
E1570....          6  Adjustable chair     .........  .........  .........  .........  .........  ..............
                       for esrd pt.                                                                             
E1575....          6  Transducer           .........  .........  .........  .........  .........  ..............
                       protector/fluid b.                                                                       
E1580....          6  Unipuncture control  .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
E1590....          6  Hemodialysis         .........  .........  .........  .........  .........  ..............
                       machine.                                                                                 
E1592....          6  Auto interm          .........  .........  .........  .........  .........  ..............
                       peritoneal dialy.                                                                        
E1594....          6  Cycler dialysis      .........  .........  .........  .........  .........  ..............
                       machine.                                                                                 
E1600....          6  Deliv/install equip  .........  .........  .........  .........  .........  ..............
                       for dial.                                                                                
E1610....          6  Reverse osmosis      .........  .........  .........  .........  .........  ..............
                       water purifi.                                                                            
E1615....          6  Deionizer water      .........  .........  .........  .........  .........  ..............
                       purification.                                                                            
E1620....          6  Blood pump for       .........  .........  .........  .........  .........  ..............
                       dialysis.                                                                                
E1625....          6  Water softening      .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
E1630....          6  Reciprocating        .........  .........  .........  .........  .........  ..............
                       peritoneal dia.                                                                          
E1632....          6  Wearable artificial  .........  .........  .........  .........  .........  ..............
                       kidney.                                                                                  
E1635....          6  Compact travel       .........  .........  .........  .........  .........  ..............
                       hemodialyzer.                                                                            
E1636....          6  Sorbent cartridges   .........  .........  .........  .........  .........  ..............
                       for dialy.                                                                               
E1640....          6  Replacement          .........  .........  .........  .........  .........  ..............
                       components for d.                                                                        
E1699....          6  Dialysis equipment   .........  .........  .........  .........  .........  ..............
                       unspecifi.                                                                               
E1700....          6  Jaw motion rehab     .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
E1701....          6  Repl cushions for    .........  .........  .........  .........  .........  ..............
                       jaw motion.                                                                              
E1702....          6  Repl measr scales    .........  .........  .........  .........  .........  ..............
                       jaw motion.                                                                              
E1800....          6  Adjust elbow ext/    .........  .........  .........  .........  .........  ..............
                       flex device.                                                                             
E1805....          6  Adjust wrist ext/    .........  .........  .........  .........  .........  ..............
                       flex device.                                                                             
E1810....          6  Adjust knee ext/     .........  .........  .........  .........  .........  ..............
                       flex device.                                                                             
E1815....          6  Adjust ankle ext/    .........  .........  .........  .........  .........  ..............
                       flex device.                                                                             
E1820....          6  Soft interface       .........  .........  .........  .........  .........  ..............
                       material.                                                                                
E1825....          6  Adjust finger ext/   .........  .........  .........  .........  .........  ..............
                       flex devc.                                                                               
E1830....          6  Adjust toe ext/flex  .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
G0001....          2  Drawing blood for    .........  .........  .........  .........  .........  ..............
                       specimen.                                                                                
G0002....          2  Temporary urinary    .........  .........  .........  .........  .........  ..............
                       catheter.                                                                                
G0004....          2  ECG transm phys      .........  .........  .........  .........  .........  ..............
                       review & int.                                                                            
G0005....          2  ECG 24 hour          .........  .........  .........  .........  .........  ..............
                       recording.                                                                               
G0006....          2  ECG transmission &   .........  .........  .........  .........  .........  ..............
                       analysis.                                                                                
G0007....          2  ECG phy review &     .........  .........  .........  .........  .........  ..............
                       interpret.                                                                               
G0008....          6  Admin influenza      .........  .........  .........  .........  .........  ..............
                       virus vac.                                                                               
G0009....          6  Admin pneumococcal   .........  .........  .........  .........  .........  ..............
                       vaccine.                                                                                 

[[Page 32447]]

                                                                                                                
G0010....          6  Admin hepatitis b    .........  .........  .........  .........  .........  ..............
                       vaccine.                                                                                 
G0015....          2  Post symptom ECG     .........  .........  .........  .........  .........  ..............
                       tracing.                                                                                 
G0016....          2  Post symptom ECG md  .........  .........  .........  .........  .........  ..............
                       review.                                                                                  
G0025....          2  Collagen skin test   .........  .........  .........  .........  .........  ..............
                       kit.                                                                                     
G0026....          6  Fecal leukocyte      .........  .........  .........  .........  .........  ..............
                       examination.                                                                             
G0027....          6  Semen analysis.....  .........  .........  .........  .........  .........  ..............
G0030....          6  PET imaging prev     .........  .........  .........  .........  .........  ..............
                       PET single.                                                                              
G0031....          6  PET imaging prev     .........  .........  .........  .........  .........  ..............
                       PET multple.                                                                             
G0032....          6  PET follow SPECT     .........  .........  .........  .........  .........  ..............
                       78464 singl.                                                                             
G0033....          6  PET follow SPECT     .........  .........  .........  .........  .........  ..............
                       78464 mult.                                                                              
G0034....          6  PET follow SPECT     .........  .........  .........  .........  .........  ..............
                       76865 singl.                                                                             
G0035....          6  PET follow SPECT     .........  .........  .........  .........  .........  ..............
                       78465 mult.                                                                              
G0036....          6  PET follow cornry    .........  .........  .........  .........  .........  ..............
                       angio sing.                                                                              
G0037....          6  PET follow cornry    .........  .........  .........  .........  .........  ..............
                       angio mult.                                                                              
G0038....          6  PET follow myocard   .........  .........  .........  .........  .........  ..............
                       perf sing.                                                                               
G0039....          6  PET follow myocard   .........  .........  .........  .........  .........  ..............
                       perf mult.                                                                               
G0040....          6  PET follow stress    .........  .........  .........  .........  .........  ..............
                       echo singl.                                                                              
G0041....          6  PET follow stress    .........  .........  .........  .........  .........  ..............
                       echo mult.                                                                               
G0042....          6  PET follow           .........  .........  .........  .........  .........  ..............
                       ventriculogm sing.                                                                       
G0043....          6  PET follow           .........  .........  .........  .........  .........  ..............
                       ventriculogm mult.                                                                       
G0044....          6  PET following rest   .........  .........  .........  .........  .........  ..............
                       ECG singl.                                                                               
G0045....          6  PET following rest   .........  .........  .........  .........  .........  ..............
                       ECG mult.                                                                                
G0046....          6  PET follow stress    .........  .........  .........  .........  .........  ..............
                       ECG singl.                                                                               
G0047....          6  PET follow stress    .........  .........  .........  .........  .........  ..............
                       ECG mult.                                                                                
G0050....          6  Residual urine by    .........  .........  .........  .........  .........  ..............
                       ultrasound.                                                                              
G0101....          6  CA screen; pelvic/   .........  .........  .........  .........  .........  ..............
                       breast exam.                                                                             
G0104....          1  CA screen; flexi     .........  .........        446       $175       0.35  Add.          
                       sigmoidscope.                                                                            
G0105....          1  Colorectal scrn; hi  .........  .........        426       $354       0.70  Add.          
                       risk ind.                                                                                
G0106....          6  Colon CA screen;     .........  .........  .........  .........  .........  ..............
                       barium enema.                                                                            
G0107....          6  CA screen; fecal     .........  .........  .........  .........  .........  ..............
                       blood test.                                                                              
G0110....          6  Nett pulm-rehab      .........  .........  .........  .........  .........  ..............
                       educ; ind.                                                                               
G0111....          6  Nett pulm-rehab      .........  .........  .........  .........  .........  ..............
                       educ; group.                                                                             
G0112....          6  Nett; nutrition      .........  .........  .........  .........  .........  ..............
                       guid, initial.                                                                           
G0113....          6  Nett; nutrition      .........  .........  .........  .........  .........  ..............
                       guid,subseqnt.                                                                           
G0114....          6  Nett; psychosocial   .........  .........  .........  .........  .........  ..............
                       consult.                                                                                 
G0115....          6  Nett; psychological  .........  .........  .........  .........  .........  ..............
                       testing.                                                                                 
G0116....          6  Nett; psychosocial   .........  .........  .........  .........  .........  ..............
                       counsel.                                                                                 
G0120....          6  Colon ca scrn;       .........  .........  .........  .........  .........  ..............
                       barium enema.                                                                            
G0121....          9  Colon ca scrn;       .........  .........  .........  .........  .........  ..............
                       barium enema.                                                                            
G0122....          9  Colon ca scrn;       .........  .........  .........  .........  .........  ..............
                       barium enema.                                                                            
J0120....          9  Tetracyclin          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0150....          9  Injection adenosine  .........  .........  .........  .........  .........  ..............
                       6 MG.                                                                                    
J0170....          9  Adrenalin            .........  .........  .........  .........  .........  ..............
                       epinephrin inject.                                                                       
J0190....          9  Inj biperiden        .........  .........  .........  .........  .........  ..............
                       lactate/5 mg.                                                                            
J0205....          9  Alglucerase          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0207....          9  Amifostine.........  .........  .........  .........  .........  .........  ..............
J0210....          9  Methyldopate hcl     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0256....          9  Alpha 1-proteinase   .........  .........  .........  .........  .........  ..............
                       500 MG.                                                                                  
J0270....          9  Alprostadil for      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0280....          9  Aminophyllin 250 MG  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J0290....          9  Ampicillin 500 MG    .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J0295....          9  Ampicillin sodium    .........  .........  .........  .........  .........  ..............
                       per 1.5 gm.                                                                              
J0300....          9  Amobarbital 125 MG   .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J0330....          9  Succinycholine       .........  .........  .........  .........  .........  ..............
                       chloride inj.                                                                            
J0340....          9  Nandrolon            .........  .........  .........  .........  .........  ..............
                       phenpropionate inj.                                                                      
J0350....          9  Injection            .........  .........  .........  .........  .........  ..............
                       anistreplase 30 u.                                                                       
J0360....          9  Hydralazine hcl      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0380....          9  Inj metaraminol      .........  .........  .........  .........  .........  ..............
                       bitartrate.                                                                              
J0390....          9  Chloroquine          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0400....          9  Inj trimethaphan     .........  .........  .........  .........  .........  ..............
                       camsylate.                                                                               
J0460....          9  Atropine sulfate     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0470....          9  Dimecaprol           .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0475....          9  Baclofen 10 MG       .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0500....          9  Dicyclomine          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0510....          9  Benzquinamide        .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0515....          9  Inj benztropine      .........  .........  .........  .........  .........  ..............
                       mesylate.                                                                                
J0520....          9  Bethanechol          .........  .........  .........  .........  .........  ..............
                       chloride inject.                                                                         
J0530....          9  Penicillin g         .........  .........  .........  .........  .........  ..............
                       benzathine inj.                                                                          
J0540....          9  Penicillin g         .........  .........  .........  .........  .........  ..............
                       benzathine inj.                                                                          
J0550....          9  Penicillin g         .........  .........  .........  .........  .........  ..............
                       benzathine inj.                                                                          
J0560....          9  Penicillin g         .........  .........  .........  .........  .........  ..............
                       benzathine inj.                                                                          
J0570....          9  Penicillin g         .........  .........  .........  .........  .........  ..............
                       benzathine inj.                                                                          
J0580....          9  Penicillin g         .........  .........  .........  .........  .........  ..............
                       benzathine inj.                                                                          
J0585....          9  Botulinum toxin a    .........  .........  .........  .........  .........  ..............
                       per unit.                                                                                

[[Page 32448]]

                                                                                                                
J0590....          9  Ethylnorepinephrine  .........  .........  .........  .........  .........  ..............
                       hcl inj.                                                                                 
J0600....          9  Edetate calcium      .........  .........  .........  .........  .........  ..............
                       disodium inj.                                                                            
J0610....          9  Calcium gluconate    .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0620....          9  Calcium glycer &     .........  .........  .........  .........  .........  ..............
                       lact/10 ML.                                                                              
J0630....          9  Calcitonin salmon    .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0635....          9  Calcitriol           .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0640....          9  Leucovorin calcium   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0670....          9  Inj mepivacaine HCL/ .........  .........  .........  .........  .........  ..............
                       10 ml.                                                                                   
J0690....          9  Cefazolin sodium     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0694....          9  Cefoxitin sodium     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0695....          9  Cefonocid sodium     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0696....          9  Ceftriaxone sodium   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0697....          9  Sterile cefuroxime   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0698....          9  Cefotaxime sodium    .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0702....          9  Betamethasone        .........  .........  .........  .........  .........  ..............
                       acet&sod phosp.                                                                          
J0704....          9  Betamethasone sod    .........  .........  .........  .........  .........  ..............
                       phosp/4 MG.                                                                              
J0710....          9  Cephapirin sodium    .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0713....          9  Inj ceftazidime per  .........  .........  .........  .........  .........  ..............
                       500 mg.                                                                                  
J0715....          9  Ceftizoxime sodium / .........  .........  .........  .........  .........  ..............
                        500 MG.                                                                                 
J0720....          9  Chloramphenicol      .........  .........  .........  .........  .........  ..............
                       sodium injec.                                                                            
J0725....          9  Chorionic            .........  .........  .........  .........  .........  ..............
                       gonadotropin/1000u.                                                                      
J0730....          9  Chlorpheniramin      .........  .........  .........  .........  .........  ..............
                       maleate inj.                                                                             
J0735....          9  Clonidine            .........  .........  .........  .........  .........  ..............
                       hydrochloride.                                                                           
J0740....          9  Cidofovir injection  .........  .........  .........  .........  .........  ..............
J0743....          9  Cilastatin sodium    .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0745....          9  Inj codeine          .........  .........  .........  .........  .........  ..............
                       phosphate /30 MG.                                                                        
J0760....          9  Colchicine           .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0770....          9  Colistimethate       .........  .........  .........  .........  .........  ..............
                       sodium inj.                                                                              
J0780....          9  Prochlorperazine     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0800....          9  Corticotropin        .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J0810....          9  Cortisone injection  .........  .........  .........  .........  .........  ..............
J0835....          9  Inj cosyntropin per  .........  .........  .........  .........  .........  ..............
                       0.25 MG.                                                                                 
J0850....          9  Cytomegalovirus imm  .........  .........  .........  .........  .........  ..............
                       IV /vial.                                                                                
J0895....          9  Deferoxamine         .........  .........  .........  .........  .........  ..............
                       mesylate inj.                                                                            
J0900....          9  Testosterone         .........  .........  .........  .........  .........  ..............
                       enanthate inj.                                                                           
J0945....          9  Brompheniramine      .........  .........  .........  .........  .........  ..............
                       maleate inj.                                                                             
J0970....          9  Estradiol valerate   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1000....          9  Depo-estradiol       .........  .........  .........  .........  .........  ..............
                       cypionate inj.                                                                           
J1020....          9  Methylprednisolone   .........  .........  .........  .........  .........  ..............
                       20 MG inj.                                                                               
J1030....          9  Methylprednisolone   .........  .........  .........  .........  .........  ..............
                       40 MG inj.                                                                               
J1040....          9  Methylprednisolone   .........  .........  .........  .........  .........  ..............
                       80 MG inj.                                                                               
J1050....          9  Medroxyprogesterone  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1055....          9  Medrxyprogester      .........  .........  .........  .........  .........  ..............
                       acetate inj.                                                                             
J1060....          9  Testosterone         .........  .........  .........  .........  .........  ..............
                       cypionate 1 ML.                                                                          
J1070....          9  Testosterone         .........  .........  .........  .........  .........  ..............
                       cypionat 100 MG.                                                                         
J1080....          9  Testosterone         .........  .........  .........  .........  .........  ..............
                       cypionat 200 MG.                                                                         
J1090....          9  Testosterone         .........  .........  .........  .........  .........  ..............
                       cypionate 50 MG.                                                                         
J1095....          9  Inj dexamethasone    .........  .........  .........  .........  .........  ..............
                       acetate.                                                                                 
J1100....          9  Dexamethosone        .........  .........  .........  .........  .........  ..............
                       sodium phos.                                                                             
J1110....          9  Inj                  .........  .........  .........  .........  .........  ..............
                       dihydroergotamine                                                                        
                       mesylt.                                                                                  
J1120....          9  Acetazolamid sodium  .........  .........  .........  .........  .........  ..............
                       injectio.                                                                                
J1160....          9  Digoxin injection..  .........  .........  .........  .........  .........  ..............
J1165....          9  Phenytoin sodium     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1170....          9  Hydromorphone        .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1180....          9  Dyphylline           .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1190....          9  Dexrazoxane HCl      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1200....          9  Diphenhydramine hcl  .........  .........  .........  .........  .........  ..............
                       injectio.                                                                                
J1205....          9  Chlorothiazide       .........  .........  .........  .........  .........  ..............
                       sodium inj.                                                                              
J1212....          9  Dimethyl sulfoxide   .........  .........  .........  .........  .........  ..............
                       50% 50 ML.                                                                               
J1230....          9  Methadone injection  .........  .........  .........  .........  .........  ..............
J1240....          9  Dimenhydrinate       .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1245....          9  Dipyridamole         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1250....          9  Inj dobutamine HCL/  .........  .........  .........  .........  .........  ..............
                       250 mg.                                                                                  
J1320....          9  Amitriptyline        .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1325....          9  Epoprostenol         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1330....          9  Ergonovine maleate   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1362....          9  Erythromycin glucep  .........  .........  .........  .........  .........  ..............
                       / 250 MG.                                                                                
J1364....          9  Erythro              .........  .........  .........  .........  .........  ..............
                       lactobionate /500                                                                        
                       MG.                                                                                      
J1380....          9  Estradiol valerate   .........  .........  .........  .........  .........  ..............
                       10 MG inj.                                                                               
J1390....          9  Estradiol valerate   .........  .........  .........  .........  .........  ..............
                       20 MG inj.                                                                               
J1410....          9  Inj estrogen         .........  .........  .........  .........  .........  ..............
                       conjugate 25 MG.                                                                         
J1435....          9  Injection estrone    .........  .........  .........  .........  .........  ..............
                       per 1 MG.                                                                                
J1436....          9  Etidronate disodium  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1440....          9  Filgrastim 300 mcg   .........  .........  .........  .........  .........  ..............
                       injeciton.                                                                               

[[Page 32449]]

                                                                                                                
J1441....          9  Filgrastim 480 mcg   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1455....          9  Foscarnet sodium     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1460....          9  Gamma globulin 1 CC  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1470....          9  Gamma globulin 2 CC  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1480....          9  Gamma globulin 3 CC  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1490....          9  Gamma globulin 4 CC  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1500....          9  Gamma globulin 5 CC  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1510....          9  Gamma globulin 6 CC  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1520....          9  Gamma globulin 7 CC  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1530....          9  Gamma globulin 8 CC  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1540....          9  Gamma globulin 9 CC  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1550....          9  Gamma globulin 10    .........  .........  .........  .........  .........  ..............
                       CC inj.                                                                                  
J1560....          9  Gamma globulin >10   .........  .........  .........  .........  .........  ..............
                       CC inj.                                                                                  
J1561....          9  Immune globulin 500  .........  .........  .........  .........  .........  ..............
                       mg.                                                                                      
J1562....          9  Immune globulin 5    .........  .........  .........  .........  .........  ..............
                       gms.                                                                                     
J1565....          9  RSV-ivig...........  .........  .........  .........  .........  .........  ..............
J1570....          9  Ganciclovir sodium   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1580....          9  Garamycin            .........  .........  .........  .........  .........  ..............
                       gentamicin inj.                                                                          
J1600....          9  Gold sodium          .........  .........  .........  .........  .........  ..............
                       thiomaleate inj.                                                                         
J1610....          9  Glucagon             .........  .........  .........  .........  .........  ..............
                       hydrochloride/1 MG.                                                                      
J1620....          9  Gonadorelin hydroch/ .........  .........  .........  .........  .........  ..............
                        100 mcg.                                                                                
J1626....          9  Granisetron HCl      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1630....          9  Haloperidol          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1631....          9  Haloperidol          .........  .........  .........  .........  .........  ..............
                       decanoate inj.                                                                           
J1642....          9  Inj heparin sodium   .........  .........  .........  .........  .........  ..............
                       per 10 u.                                                                                
J1644....          9  Inj heparin sodium   .........  .........  .........  .........  .........  ..............
                       per 1000u.                                                                               
J1645....          9  Dalteparin sodium..  .........  .........  .........  .........  .........  ..............
J1650....          9  Inj enoxaparin       .........  .........  .........  .........  .........  ..............
                       sodium 30 mg.                                                                            
J1670....          9  Tetanus immune       .........  .........  .........  .........  .........  ..............
                       globulin inj.                                                                            
J1690....          9  Prednisolone         .........  .........  .........  .........  .........  ..............
                       tebutate inj.                                                                            
J1700....          9  Hydrocortisone       .........  .........  .........  .........  .........  ..............
                       acetate inj.                                                                             
J1710....          9  Hydrocortisone       .........  .........  .........  .........  .........  ..............
                       sodium ph inj.                                                                           
J1720....          9  Hydrocortisone       .........  .........  .........  .........  .........  ..............
                       sodium succ i.                                                                           
J1730....          9  Diazoxide injection  .........  .........  .........  .........  .........  ..............
J1739....          9  Hydroxyprogesterone  .........  .........  .........  .........  .........  ..............
                       cap 125.                                                                                 
J1741....          9  Hydroxyprogesterone  .........  .........  .........  .........  .........  ..............
                       cap 250.                                                                                 
J1742....          9  Ibutilide fumarate   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1760....          9  Iron dextran 2 CC    .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1770....          9  Iron dextran 5 CC    .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1780....          9  Iron dextran 10 CC   .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1785....          9  Injection            .........  .........  .........  .........  .........  ..............
                       imiglucerase /unit.                                                                      
J1790....          9  Droperidol           .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1800....          9  Propranolol          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1810....          9  Droperidol/fentanyl  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1820....          9  Insulin injection..  .........  .........  .........  .........  .........  ..............
J1825....          9  Interferon beta-1a.  .........  .........  .........  .........  .........  ..............
J1830....          9  Interferon beta-1b / .........  .........  .........  .........  .........  ..............
                        .25 MG.                                                                                 
J1840....          9  Kanamycin sulfate    .........  .........  .........  .........  .........  ..............
                       500 MG inj.                                                                              
J1850....          9  Kanamycin sulfate    .........  .........  .........  .........  .........  ..............
                       75 MG inj.                                                                               
J1885....          9  Ketorolac            .........  .........  .........  .........  .........  ..............
                       tromethamine inj.                                                                        
J1890....          9  Cephalothin sodium   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1910....          9  Kutapressin          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1930....          9  Propiomazine         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1940....          9  Furosemide           .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1950....          9  Leuprolide acetate / .........  .........  .........  .........  .........  ..............
                       3.75 MG.                                                                                 
J1955....          9  Inj levocarnitine    .........  .........  .........  .........  .........  ..............
                       per 1 gm.                                                                                
J1960....          9  Levorphanol          .........  .........  .........  .........  .........  ..............
                       tartrate inj.                                                                            
J1970....          9  Methotrimeprazine    .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J1980....          9  Hyoscyamine sulfate  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J1990....          9  Chlordiazepoxide     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2000....          9  Lidocaine injection  .........  .........  .........  .........  .........  ..............
J2010....          9  Lincomycin           .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2060....          9  Lorazepam injection  .........  .........  .........  .........  .........  ..............
J2150....          9  Mannitol injection.  .........  .........  .........  .........  .........  ..............
J2175....          9  Meperidine hydrochl  .........  .........  .........  .........  .........  ..............
                       /100 MG.                                                                                 
J2180....          9  Meperidine/          .........  .........  .........  .........  .........  ..............
                       promethazine inj.                                                                        
J2210....          9  Methylergonovin      .........  .........  .........  .........  .........  ..............
                       maleate inj.                                                                             
J2240....          9  Metocurine iodide    .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2250....          9  Inj midazolam        .........  .........  .........  .........  .........  ..............
                       hydrochloride.                                                                           
J2260....          9  Inj milrinone        .........  .........  .........  .........  .........  ..............
                       lactate/5 ML.                                                                            
J2270....          9  Morphine sulfate     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2275....          9  Morphine sulfate     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2300....          9  Inj nalbuphine       .........  .........  .........  .........  .........  ..............
                       hydrochloride.                                                                           
J2310....          9  Inj naloxone         .........  .........  .........  .........  .........  ..............
                       hydrochloride.                                                                           

[[Page 32450]]

                                                                                                                
J2320....          9  Nandrolone           .........  .........  .........  .........  .........  ..............
                       decanoate 50 MG.                                                                         
J2321....          9  Nandrolone           .........  .........  .........  .........  .........  ..............
                       decanoate 100 MG.                                                                        
J2322....          9  Nandrolone           .........  .........  .........  .........  .........  ..............
                       decanoate 200 MG.                                                                        
J2330....          9  Thiothixene          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2350....          9  Niacinamide/niacin   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2360....          9  Orphenadrine         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2370....          9  Phenylephrine hcl    .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2400....          9  Chloroprocaine hcl   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2405....          9  Ondansetron hcl      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2410....          9  Oxymorphone hcl      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2430....          9  Pamidronate          .........  .........  .........  .........  .........  ..............
                       disodium /30 MG.                                                                         
J2440....          9  Papaverin hcl        .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2460....          9  Oxytetracycline      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2480....          9  Hydrochlorides of    .........  .........  .........  .........  .........  ..............
                       opium inj.                                                                               
J2510....          9  Penicillin g         .........  .........  .........  .........  .........  ..............
                       procaine inj.                                                                            
J2512....          9  Inj pentagastrin     .........  .........  .........  .........  .........  ..............
                       per 2 ML.                                                                                
J2515....          9  Pentobarbital        .........  .........  .........  .........  .........  ..............
                       sodium inj.                                                                              
J2540....          9  Penicillin g         .........  .........  .........  .........  .........  ..............
                       potassium inj.                                                                           
J2545....          9  Pentamidine          .........  .........  .........  .........  .........  ..............
                       isethionte/300mg.                                                                        
J2550....          9  Promethazine hcl     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2560....          9  Phenobarbital        .........  .........  .........  .........  .........  ..............
                       sodium inj.                                                                              
J2590....          9  Oxytocin injection.  .........  .........  .........  .........  .........  ..............
J2597....          9  Inj desmopressin     .........  .........  .........  .........  .........  ..............
                       acetate.                                                                                 
J2640....          9  Prednisolone sodium  .........  .........  .........  .........  .........  ..............
                       ph inj.                                                                                  
J2650....          9  Prednisolone         .........  .........  .........  .........  .........  ..............
                       acetate inj.                                                                             
J2670....          9  Totazoline hcl       .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2675....          9  Inj progesterone     .........  .........  .........  .........  .........  ..............
                       per 50 MG.                                                                               
J2680....          9  Fluphenazine         .........  .........  .........  .........  .........  ..............
                       decanoate 25 MG.                                                                         
J2690....          9  Procainamide hcl     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2700....          9  Oxacillin sodium     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2710....          9  Neostigmine          .........  .........  .........  .........  .........  ..............
                       methylslfte inj.                                                                         
J2720....          9  Inj protamine        .........  .........  .........  .........  .........  ..............
                       sulfate/10 MG.                                                                           
J2725....          9  Inj protirelin per   .........  .........  .........  .........  .........  ..............
                       250 mcg.                                                                                 
J2730....          9  Pralidoxime          .........  .........  .........  .........  .........  ..............
                       chloride inj.                                                                            
J2760....          9  Phentolaine          .........  .........  .........  .........  .........  ..............
                       mesylate inj.                                                                            
J2765....          9  Metoclopramide hcl   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2790....          9  Rho d immune         .........  .........  .........  .........  .........  ..............
                       globulin inj.                                                                            
J2800....          9  Methocarbamol        .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2810....          9  Inj theophylline     .........  .........  .........  .........  .........  ..............
                       per 40 MG.                                                                               
J2820....          9  Sargramostim         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2860....          9  Secobarbital sodium  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J2910....          9  Aurothioglucose      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2912....          9  Sodium chloride      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2920....          9  Methylprednisolone   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2930....          9  Methylprednisolone   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2950....          9  Promazine hcl        .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2970....          9  Methicillin sodium   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J2995....          9  Inj streptokinase /  .........  .........  .........  .........  .........  ..............
                       250000 IU.                                                                               
J2996....          9  Alteplase            .........  .........  .........  .........  .........  ..............
                       recombinant inj.                                                                         
J3000....          9  Streptomycin         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3010....          9  Fentanyl citrate     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3030....          9  Sumatriptan          .........  .........  .........  .........  .........  ..............
                       succinate / 6 MG.                                                                        
J3070....          9  Pentazocine hcl      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3080....          9  Chlorprothixene      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3105....          9  Terbutaline sulfate  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J3120....          9  Testosterone         .........  .........  .........  .........  .........  ..............
                       enanthate inj.                                                                           
J3130....          9  Testosterone         .........  .........  .........  .........  .........  ..............
                       enanthate inj.                                                                           
J3140....          9  Testosterone         .........  .........  .........  .........  .........  ..............
                       suspension inj.                                                                          
J3150....          9  Testosteron          .........  .........  .........  .........  .........  ..............
                       propionate inj.                                                                          
J3230....          9  Chlorpromazine hcl   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3240....          9  Thyrotropin          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3250....          9  Trimethobenzamide    .........  .........  .........  .........  .........  ..............
                       hcl inj.                                                                                 
J3260....          9  Tobramycin sulfate   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3265....          9  Injection torsemide  .........  .........  .........  .........  .........  ..............
                       10 mg/ml.                                                                                
J3270....          9  Imipramine hcl       .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3280....          9  Thiethylperazine     .........  .........  .........  .........  .........  ..............
                       maleate inj.                                                                             
J3301....          9  Triamcinolone        .........  .........  .........  .........  .........  ..............
                       acetonide inj.                                                                           
J3302....          9  Triamcinolone        .........  .........  .........  .........  .........  ..............
                       diacetate inj.                                                                           
J3303....          9  Triamcinolone        .........  .........  .........  .........  .........  ..............
                       hexacetonl inj.                                                                          
J3305....          9  Inj trimetrexate     .........  .........  .........  .........  .........  ..............
                       glucoronate.                                                                             
J3310....          9  Perphenazine         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3320....          9  Spectinomycn di-hcl  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J3350....          9  Urea injection.....  .........  .........  .........  .........  .........  ..............
J3360....          9  Diazepam injection.  .........  .........  .........  .........  .........  ..............

[[Page 32451]]

                                                                                                                
J3364....          9  Urokinase 5000 IU    .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3365....          9  Urokinase 250,000    .........  .........  .........  .........  .........  ..............
                       IU inj.                                                                                  
J3370....          2  Vancomycin hcl       .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3390....          9  Methoxamine          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3400....          9  Triflupromazine hcl  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J3410....          9  Hydroxyzine hcl      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3420....          9  Vitamin b12          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3430....          9  Vitamin k            .........  .........  .........  .........  .........  ..............
                       phytonadione inj.                                                                        
J3450....          9  Mephentermine        .........  .........  .........  .........  .........  ..............
                       sulfate inj.                                                                             
J3470....          9  Hyaluronidase        .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3475....          9  Inj magnesium        .........  .........  .........  .........  .........  ..............
                       sulfate.                                                                                 
J3480....          9  Inj potassium        .........  .........  .........  .........  .........  ..............
                       chloride.                                                                                
J3490....          9  Drugs unclassified   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J3520....          9  Edetate disodium     .........  .........  .........  .........  .........  ..............
                       per 150 mg.                                                                              
J3530....          9  Nasal vaccine        .........  .........  .........  .........  .........  ..............
                       inhalation.                                                                              
J3535....          9  Metered dose         .........  .........  .........  .........  .........  ..............
                       inhaler drug.                                                                            
J3570....          9  Laetrile amygdalin   .........  .........  .........  .........  .........  ..............
                       vit B17.                                                                                 
J7030....          9  Normal saline        .........  .........  .........  .........  .........  ..............
                       solution infus.                                                                          
J7040....          9  Normal saline        .........  .........  .........  .........  .........  ..............
                       solution infus.                                                                          
J7042....          9  5% dextrose/normal   .........  .........  .........  .........  .........  ..............
                       saline.                                                                                  
J7050....          9  Normal saline        .........  .........  .........  .........  .........  ..............
                       solution infus.                                                                          
J7051....          9  Sterile saline/      .........  .........  .........  .........  .........  ..............
                       water.                                                                                   
J7060....          9  5% dextrose/water..  .........  .........  .........  .........  .........  ..............
J7070....          9  D5w infusion.......  .........  .........  .........  .........  .........  ..............
J7100....          9  Dextran 40 infusion  .........  .........  .........  .........  .........  ..............
J7110....          9  Dextran 75 infusion  .........  .........  .........  .........  .........  ..............
J7120....          9  Ringers lactate      .........  .........  .........  .........  .........  ..............
                       infusion.                                                                                
J7130....          9  Hypertonic saline    .........  .........  .........  .........  .........  ..............
                       solution.                                                                                
J7190....          6  Factor viii........  .........  .........  .........  .........  .........  ..............
J7191....          6  Factor VIII          .........  .........  .........  .........  .........  ..............
                       (porcine).                                                                               
J7192....          6  Factor viii          .........  .........  .........  .........  .........  ..............
                       recombinant.                                                                             
J7194....          6  Factor ix complex..  .........  .........  .........  .........  .........  ..............
J7196....          6  Othr hemophilia      .........  .........  .........  .........  .........  ..............
                       clot factors.                                                                            
J7197....          6  Antithrombin iii     .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J7300....          9  Intraut copper       .........  .........  .........  .........  .........  ..............
                       contraceptive.                                                                           
J7310....          9  Ganciclovir long     .........  .........  .........  .........  .........  ..............
                       act implant.                                                                             
J7500....          6  Azathiop po tab      .........  .........  .........  .........  .........  ..............
                       50mg 100s ea.                                                                            
J7501....          6  Azathioprine         .........  .........  .........  .........  .........  ..............
                       parenteral.                                                                              
J7503....          6  Cyclosporine         .........  .........  .........  .........  .........  ..............
                       parenteral.                                                                              
J7504....          6  Lymphocyte immune    .........  .........  .........  .........  .........  ..............
                       globulin.                                                                                
J7505....          6  Monoclonal           .........  .........  .........  .........  .........  ..............
                       antibodies.                                                                              
J7506....          6  Prednisone oral....  .........  .........  .........  .........  .........  ..............
J7507....          9  Tacrolimus oral per  .........  .........  .........  .........  .........  ..............
                       1 MG.                                                                                    
J7508....          9  Tacrolimus oral per  .........  .........  .........  .........  .........  ..............
                       5 MG.                                                                                    
J7509....          6  Methylprednisolone   .........  .........  .........  .........  .........  ..............
                       oral.                                                                                    
J7510....          6  Prednisolone oral    .........  .........  .........  .........  .........  ..............
                       per 5 mg.                                                                                
J7599....          6  Immunosuppressive    .........  .........  .........  .........  .........  ..............
                       drug noc.                                                                                
J7610....          9  Acetylcysteine 10%   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J7615....          9  Acetylcysteine 20%   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J7620....          9  Albuterol sulfate    .........  .........  .........  .........  .........  ..............
                       .083%/ml.                                                                                
J7625....          9  Albuterol sulfate    .........  .........  .........  .........  .........  ..............
                       .5% inj.                                                                                 
J7627....          9  Bitolterolmesylate   .........  .........  .........  .........  .........  ..............
                       inhal sol.                                                                               
J7630....          9  Cromolyn sodium      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J7640....          9  Epinephrine          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J7645....          9  Ipratropium bromide  .........  .........  .........  .........  .........  ..............
                       .02%/ml.                                                                                 
J7650....          9  Isoetharine hcl .1%  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J7651....          9  Isoetharine hcl      .........  .........  .........  .........  .........  ..............
                       .125% inj.                                                                               
J7652....          9  Isoetharine hcl      .........  .........  .........  .........  .........  ..............
                       .167% inj.                                                                               
J7653....          9  Isoetharine hcl .2%/ .........  .........  .........  .........  .........  ..............
                        inj.                                                                                    
J7654....          9  Isoetharine hcl      .........  .........  .........  .........  .........  ..............
                       .25% inj.                                                                                
J7655....          9  Isoetharine hcl 1%   .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J7660....          9  Isoproterenol hcl    .........  .........  .........  .........  .........  ..............
                       .5% inj.                                                                                 
J7665....          9  Isoproterenol hcl    .........  .........  .........  .........  .........  ..............
                       1% inj.                                                                                  
J7670....          9  Metaproterenol       .........  .........  .........  .........  .........  ..............
                       sulfate .4%.                                                                             
J7672....          9  Metaproterenol       .........  .........  .........  .........  .........  ..............
                       sulfate .6%.                                                                             
J7675....          9  Metaproterenol       .........  .........  .........  .........  .........  ..............
                       sulfate 5%.                                                                              
J7699....          9  Inhalation solution  .........  .........  .........  .........  .........  ..............
                       for DME.                                                                                 
J7799....          9  Non-inhalation drug  .........  .........  .........  .........  .........  ..............
                       for DME.                                                                                 
J8499....          9  Oral prescrip drug   .........  .........  .........  .........  .........  ..............
                       non chemo.                                                                               
J8530....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       oral 25 MG.                                                                              
J8560....          9  Etoposide oral 50    .........  .........  .........  .........  .........  ..............
                       MG.                                                                                      
J8600....          9  Melphalan oral 2 MG  .........  .........  .........  .........  .........  ..............
J8610....          9  Methotrexate oral    .........  .........  .........  .........  .........  ..............
                       2.5 MG.                                                                                  
J8999....          9  Oral prescription    .........  .........  .........  .........  .........  ..............
                       drug chemo.                                                                              

[[Page 32452]]

                                                                                                                
J9000....          9  Doxorubic hcl 10 MG  .........  .........  .........  .........  .........  ..............
                       vl chemo.                                                                                
J9015....          9  Aldesleukin/single   .........  .........  .........  .........  .........  ..............
                       use vial.                                                                                
J9020....          9  Asparaginase         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9031....          9  Bcg live             .........  .........  .........  .........  .........  ..............
                       intravesical vac.                                                                        
J9040....          9  Bleomycin sulfate    .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9045....          9  Carboplatin          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9050....          9  Carmus bischl nitro  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9060....          9  Cisplatin 10 MG      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9062....          9  Cisplatin 50 MG      .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9065....          9  Inj cladribine per   .........  .........  .........  .........  .........  ..............
                       1 MG.                                                                                    
J9070....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       100 MG inj.                                                                              
J9080....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       200 MG inj.                                                                              
J9090....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       500 MG inj.                                                                              
J9091....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       1.0 grm inj.                                                                             
J9092....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       2.0 grm inj.                                                                             
J9093....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       lyophilized.                                                                             
J9094....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       lyophilized.                                                                             
J9095....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       lyophilized.                                                                             
J9096....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       lyophilized.                                                                             
J9097....          9  Cyclophosphamide     .........  .........  .........  .........  .........  ..............
                       lyophilized.                                                                             
J9100....          9  Cytarabine hcl 100   .........  .........  .........  .........  .........  ..............
                       MG inj.                                                                                  
J9110....          9  Cytarabine hcl 500   .........  .........  .........  .........  .........  ..............
                       MG inj.                                                                                  
J9120....          9  Dactinomycin         .........  .........  .........  .........  .........  ..............
                       actinomycin d.                                                                           
J9130....          9  Dacarbazine 10 MG    .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9140....          9  Dacarbazine 200 MG   .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9150....          9  Daunorubicin.......  .........  .........  .........  .........  .........  ..............
J9165....          9  Diethylstilbestrol   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9170....          9  Docetaxel..........  .........  .........  .........  .........  .........  ..............
J9181....          9  Etoposide 10 MG inj  .........  .........  .........  .........  .........  ..............
J9182....          9  Etoposide 100 MG     .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9185....          9  Fludarabine          .........  .........  .........  .........  .........  ..............
                       phosphate inj.                                                                           
J9190....          9  Fluorouracil         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9200....          9  Floxuridine          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9201....          9  Gemcitabine HCl....  .........  .........  .........  .........  .........  ..............
J9202....          9  Goserelin acetate    .........  .........  .........  .........  .........  ..............
                       implant.                                                                                 
J9206....          9  Irinotecan           .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9208....          9  Ifosfomide           .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9209....          9  Mesna injection....  .........  .........  .........  .........  .........  ..............
J9211....          9  Idarubicin hcl       .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9213....          9  Interferon alfa-2a   .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9214....          9  Interferon alfa-2b   .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9215....          9  Interferon alfa-n3   .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9216....          9  Interferon gamma 1-  .........  .........  .........  .........  .........  ..............
                       b inj.                                                                                   
J9217....          9  Leuprolide acetate   .........  .........  .........  .........  .........  ..............
                       suspnsion.                                                                               
J9218....          9  Leuprolide acetate   .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9230....          9  Mechlorethamine hcl  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9245....          9  Inj melphalan        .........  .........  .........  .........  .........  ..............
                       hydrochl 50 MG.                                                                          
J9250....          9  Methotrexate sodium  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9260....          9  Methotrexate sodium  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9265....          9  Paclitaxel           .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9266....          9  Pegaspargase/singl   .........  .........  .........  .........  .........  ..............
                       dose vial.                                                                               
J9268....          9  Pentostatin          .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9270....          9  Plicamycin           .........  .........  .........  .........  .........  ..............
                       (mithramycin) inj.                                                                       
J9280....          9  Mitomycin 5 MG inj.  .........  .........  .........  .........  .........  ..............
J9290....          9  Mitomycin 20 MG inj  .........  .........  .........  .........  .........  ..............
J9291....          9  Mitomycin 40 MG inj  .........  .........  .........  .........  .........  ..............
J9293....          9  Mitoxantrone         .........  .........  .........  .........  .........  ..............
                       hydrochl / 5 MG.                                                                         
J9320....          9  Streptozocin         .........  .........  .........  .........  .........  ..............
                       injection.                                                                               
J9340....          9  Thiotepa injection.  .........  .........  .........  .........  .........  ..............
J9350....          9  Topotecan..........  .........  .........  .........  .........  .........  ..............
J9360....          9  Vinblastine sulfate  .........  .........  .........  .........  .........  ..............
                       inj.                                                                                     
J9370....          9  Vincristine sulfate  .........  .........  .........  .........  .........  ..............
                       1 MG inj.                                                                                
J9375....          9  Vincristine sulfate  .........  .........  .........  .........  .........  ..............
                       2 MG inj.                                                                                
J9380....          9  Vincristine sulfate  .........  .........  .........  .........  .........  ..............
                       5 MG inj.                                                                                
J9390....          9  Vinorelbine          .........  .........  .........  .........  .........  ..............
                       tartrate/10 mg.                                                                          
J9600....          9  Porfimer sodium....  .........  .........  .........  .........  .........  ..............
J9999....          9  Chemotherapy drug..  .........  .........  .........  .........  .........  ..............
K0001....          6  Standard wheelchair  .........  .........  .........  .........  .........  ..............
K0002....          6  Stnd hemi (low       .........  .........  .........  .........  .........  ..............
                       seat) whlchr.                                                                            
K0003....          6  Lightweight          .........  .........  .........  .........  .........  ..............
                       wheelchair.                                                                              
K0004....          6  High strength ltwt   .........  .........  .........  .........  .........  ..............
                       whlchr.                                                                                  
K0005....          6  Ultralightweight     .........  .........  .........  .........  .........  ..............
                       wheelchair.                                                                              
K0006....          6  Heavy duty           .........  .........  .........  .........  .........  ..............
                       wheelchair.                                                                              
K0007....          6  Extra heavy duty     .........  .........  .........  .........  .........  ..............
                       wheelchair.                                                                              

[[Page 32453]]

                                                                                                                
K0008....          6  Cstm manual          .........  .........  .........  .........  .........  ..............
                       wheelchair/base.                                                                         
K0009....          6  Other manual         .........  .........  .........  .........  .........  ..............
                       wheelchair/base.                                                                         
K0010....          6  Stnd wt frame power  .........  .........  .........  .........  .........  ..............
                       whlchr.                                                                                  
K0011....          6  Stnd wt pwr whlchr   .........  .........  .........  .........  .........  ..............
                       w control.                                                                               
K0012....          6  Ltwt portbl power    .........  .........  .........  .........  .........  ..............
                       whlchr.                                                                                  
K0013....          6  Custom power whlchr  .........  .........  .........  .........  .........  ..............
                       base.                                                                                    
K0014....          6  Other power whlchr   .........  .........  .........  .........  .........  ..............
                       base.                                                                                    
K0015....          6  Detach non-adjus     .........  .........  .........  .........  .........  ..............
                       hght armrst.                                                                             
K0016....          6  Detach adjust        .........  .........  .........  .........  .........  ..............
                       armrst cmplete.                                                                          
K0017....          6  Detach adjust        .........  .........  .........  .........  .........  ..............
                       armrest base.                                                                            
K0018....          6  Detach adjust        .........  .........  .........  .........  .........  ..............
                       armrst upper.                                                                            
K0019....          6  Arm pad each.......  .........  .........  .........  .........  .........  ..............
K0020....          6  Fixed adjust         .........  .........  .........  .........  .........  ..............
                       armrest pair.                                                                            
K0021....          6  Anti-tipping device  .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
K0022....          6  Reinforced back      .........  .........  .........  .........  .........  ..............
                       upholstery.                                                                              
K0023....          6  Planr back insrt     .........  .........  .........  .........  .........  ..............
                       foam w/strp.                                                                             
K0024....          6  Plnr back insrt      .........  .........  .........  .........  .........  ..............
                       foam w/hrdwr.                                                                            
K0025....          6  Hook-on headrest     .........  .........  .........  .........  .........  ..............
                       extension.                                                                               
K0026....          6  Back upholst lgtwt   .........  .........  .........  .........  .........  ..............
                       whlchr.                                                                                  
K0027....          6  Back upholst other   .........  .........  .........  .........  .........  ..............
                       whlchr.                                                                                  
K0028....          6  Fully reclining      .........  .........  .........  .........  .........  ..............
                       back.                                                                                    
K0029....          6  Reinforced seat      .........  .........  .........  .........  .........  ..............
                       upholstery.                                                                              
K0030....          6  Solid plnr seat      .........  .........  .........  .........  .........  ..............
                       sngl dnsfoam.                                                                            
K0031....          6  Safety belt/pelvic   .........  .........  .........  .........  .........  ..............
                       strap.                                                                                   
K0032....          6  Seat uphols lgtwt    .........  .........  .........  .........  .........  ..............
                       whlchr.                                                                                  
K0033....          6  Seat upholstery      .........  .........  .........  .........  .........  ..............
                       other whlchr.                                                                            
K0034....          6  Heel loop each.....  .........  .........  .........  .........  .........  ..............
K0035....          6  Heel loop with       .........  .........  .........  .........  .........  ..............
                       ankle strap.                                                                             
K0036....          6  Toe loop each......  .........  .........  .........  .........  .........  ..............
K0037....          6  High mount flip-up   .........  .........  .........  .........  .........  ..............
                       footrest.                                                                                
K0038....          6  Leg strap each.....  .........  .........  .........  .........  .........  ..............
K0039....          6  Leg strap h style    .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
K0040....          6  Adjustable angle     .........  .........  .........  .........  .........  ..............
                       footplate.                                                                               
K0041....          6  Large size           .........  .........  .........  .........  .........  ..............
                       footplate each.                                                                          
K0042....          6  Standard size        .........  .........  .........  .........  .........  ..............
                       footplate each.                                                                          
K0043....          6  Ftrst lower          .........  .........  .........  .........  .........  ..............
                       extension tube.                                                                          
K0044....          6  Ftrst upper hanger   .........  .........  .........  .........  .........  ..............
                       bracket.                                                                                 
K0045....          6  Footrest complete    .........  .........  .........  .........  .........  ..............
                       assembly.                                                                                
K0046....          6  Elevat legrst low    .........  .........  .........  .........  .........  ..............
                       extension.                                                                               
K0047....          6  Elevat legrst up     .........  .........  .........  .........  .........  ..............
                       hangr brack.                                                                             
K0048....          6  Elevate legrest      .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
K0049....          6  Calf pad each......  .........  .........  .........  .........  .........  ..............
K0050....          6  Ratchet assembly...  .........  .........  .........  .........  .........  ..............
K0051....          6  Cam relese assem     .........  .........  .........  .........  .........  ..............
                       ftrst/lgrst.                                                                             
K0052....          6  Swingaway detach     .........  .........  .........  .........  .........  ..............
                       footrest.                                                                                
K0053....          6  Elevate footrest     .........  .........  .........  .........  .........  ..............
                       articulate.                                                                              
K0054....          6  Seat wdth 10-12/15/  .........  .........  .........  .........  .........  ..............
                       17/20 wc.                                                                                
K0055....          6  Seat dpth 15/17/18   .........  .........  .........  .........  .........  ..............
                       ltwt wc.                                                                                 
K0056....          6  Seat ht <17 or <=21  .........  .........  .........  .........  .........  ..............
                       ltwt wc.                                                                                 
K0057....          6  Seat wdth 19/20 hvy  .........  .........  .........  .........  .........  ..............
                       dty wc.                                                                                  
K0058....          6  Seat dpth 17/18      .........  .........  .........  .........  .........  ..............
                       power wc.                                                                                
K0059....          6  Plastic coated       .........  .........  .........  .........  .........  ..............
                       handrim each.                                                                            
K0060....          6  Steel handrim each.  .........  .........  .........  .........  .........  ..............
K0061....          6  Aluminum handrim     .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
K0062....          6  Handrim 8-10 vert/   .........  .........  .........  .........  .........  ..............
                       obliq proj.                                                                              
K0063....          6  Hndrm 12-16 vert/    .........  .........  .........  .........  .........  ..............
                       obliq proj.                                                                              
K0064....          6  Zero pressure tube   .........  .........  .........  .........  .........  ..............
                       flat free.                                                                               
K0065....          6  Spoke protectors...  .........  .........  .........  .........  .........  ..............
K0066....          6  Solid tire any size  .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
K0067....          6  Pneumatic tire any   .........  .........  .........  .........  .........  ..............
                       size each.                                                                               
K0068....          6  Pneumatic tire tube  .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
K0069....          6  Rear whl complete    .........  .........  .........  .........  .........  ..............
                       solid tire.                                                                              
K0070....          6  Rear whl compl       .........  .........  .........  .........  .........  ..............
                       pneum tire.                                                                              
K0071....          6  Front castr compl    .........  .........  .........  .........  .........  ..............
                       pneum tire.                                                                              
K0072....          6  Frnt cstr cmpl sem-  .........  .........  .........  .........  .........  ..............
                       pneum tir.                                                                               
K0073....          6  Caster pin lock      .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
K0074....          6  Pneumatic caster     .........  .........  .........  .........  .........  ..............
                       tire each.                                                                               
K0075....          6  Semi-pneumatic       .........  .........  .........  .........  .........  ..............
                       caster tire.                                                                             
K0076....          6  Solid caster tire    .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
K0077....          6  Front caster assem   .........  .........  .........  .........  .........  ..............
                       complete.                                                                                
K0078....          6  Pneumatic caster     .........  .........  .........  .........  .........  ..............
                       tire tube.                                                                               
K0079....          6  Wheel lock           .........  .........  .........  .........  .........  ..............
                       extension pair.                                                                          
K0080....          6  Anti-rollback        .........  .........  .........  .........  .........  ..............
                       device pair.                                                                             
K0081....          6  Wheel lock assembly  .........  .........  .........  .........  .........  ..............
                       complete.                                                                                

[[Page 32454]]

                                                                                                                
K0082....          6  22 nf deep cycl      .........  .........  .........  .........  .........  ..............
                       acid battery.                                                                            
K0083....          6  22 nf gel cell       .........  .........  .........  .........  .........  ..............
                       battery each.                                                                            
K0084....          6  Grp 24 deep cycl     .........  .........  .........  .........  .........  ..............
                       acid battry.                                                                             
K0085....          6  Group 24 gel cell    .........  .........  .........  .........  .........  ..............
                       battery.                                                                                 
K0086....          6  U-1 lead acid        .........  .........  .........  .........  .........  ..............
                       battery each.                                                                            
K0087....          6  U-1 gel cell         .........  .........  .........  .........  .........  ..............
                       battery each.                                                                            
K0088....          6  Battry chrgr acid/   .........  .........  .........  .........  .........  ..............
                       gel cell.                                                                                
K0089....          6  Battery charger      .........  .........  .........  .........  .........  ..............
                       dual mode.                                                                               
K0090....          6  Rear tire power      .........  .........  .........  .........  .........  ..............
                       wheelchair.                                                                              
K0091....          6  Rear tire tube       .........  .........  .........  .........  .........  ..............
                       power whlchr.                                                                            
K0092....          6  Rear assem cmplt     .........  .........  .........  .........  .........  ..............
                       powr whlchr.                                                                             
K0093....          6  Rear zero pressure   .........  .........  .........  .........  .........  ..............
                       tire tube.                                                                               
K0094....          6  Wheel tire for       .........  .........  .........  .........  .........  ..............
                       power base.                                                                              
K0095....          6  Wheel tire tube      .........  .........  .........  .........  .........  ..............
                       each base.                                                                               
K0096....          6  Wheel assem powr     .........  .........  .........  .........  .........  ..............
                       base complt.                                                                             
K0097....          6  Wheel zero presure   .........  .........  .........  .........  .........  ..............
                       tire tube.                                                                               
K0098....          6  Drive belt power     .........  .........  .........  .........  .........  ..............
                       wheelchair.                                                                              
K0099....          6  Front caster power   .........  .........  .........  .........  .........  ..............
                       whelchair.                                                                               
K0100....          6  Amputee adapter      .........  .........  .........  .........  .........  ..............
                       pair.                                                                                    
K0101....          6  One-arm drive        .........  .........  .........  .........  .........  ..............
                       attachment.                                                                              
K0102....          6  Crutch and cane      .........  .........  .........  .........  .........  ..............
                       holder.                                                                                  
K0103....          6  Transfer board <     .........  .........  .........  .........  .........  ..............
                       25''.                                                                                    
K0104....          6  Cylinder tank        .........  .........  .........  .........  .........  ..............
                       carrier.                                                                                 
K0105....          6  Iv hanger..........  .........  .........  .........  .........  .........  ..............
K0106....          6  Arm trough each....  .........  .........  .........  .........  .........  ..............
K0107....          6  Wheelchair tray....  .........  .........  .........  .........  .........  ..............
K0108....          6  Other accessories..  .........  .........  .........  .........  .........  ..............
K0109....          6  Customize whlchr     .........  .........  .........  .........  .........  ..............
                       base frame.                                                                              
K0112....          6  Trunk vest supprt    .........  .........  .........  .........  .........  ..............
                       innr frame.                                                                              
K0113....          6  Trunk vest suprt w/  .........  .........  .........  .........  .........  ..............
                       o inr frm.                                                                               
K0114....          6  Whlchr back suprt    .........  .........  .........  .........  .........  ..............
                       inr frame.                                                                               
K0115....          6  Back module          .........  .........  .........  .........  .........  ..............
                       orthotic system.                                                                         
K0116....          6  Back & seat modul    .........  .........  .........  .........  .........  ..............
                       orthot sys.                                                                              
K0119....          6  Azathioprine oral    .........  .........  .........  .........  .........  ..............
                       tab 50 MG.                                                                               
K0120....          6  Azathioprine         .........  .........  .........  .........  .........  ..............
                       prentrl 100 MG.                                                                          
K0121....          6  Cyclosporine oral    .........  .........  .........  .........  .........  ..............
                       25 MG.                                                                                   
K0122....          6  Cyclosporine         .........  .........  .........  .........  .........  ..............
                       prentrl 250 MG.                                                                          
K0123....          6  Imun/antitymocyt     .........  .........  .........  .........  .........  ..............
                       glob 250 MG.                                                                             
K0137....          6  Skin barrier liquid  .........  .........  .........  .........  .........  ..............
                       per oz.                                                                                  
K0138....          6  Skin barrier paste   .........  .........  .........  .........  .........  ..............
                       per oz.                                                                                  
K0139....          6  Skin barrier powder  .........  .........  .........  .........  .........  ..............
                       per oz.                                                                                  
K0168....          6  Disposable           .........  .........  .........  .........  .........  ..............
                       nebulizer set.                                                                           
K0169....          6  Disposable           .........  .........  .........  .........  .........  ..............
                       nebulizer small.                                                                         
K0170....          6  Non disposable       .........  .........  .........  .........  .........  ..............
                       nebulizer set.                                                                           
K0171....          6  Filtered nebulizer   .........  .........  .........  .........  .........  ..............
                       set.                                                                                     
K0172....          6  Disposable           .........  .........  .........  .........  .........  ..............
                       nebulizer unfill.                                                                        
K0173....          6  Disposable           .........  .........  .........  .........  .........  ..............
                       nebulizer prefill.                                                                       
K0174....          6  Reservoir bottle w   .........  .........  .........  .........  .........  ..............
                       nebulizer.                                                                               
K0175....          6  Disposable           .........  .........  .........  .........  .........  ..............
                       corrugated tubing.                                                                       
K0176....          6  Non dispos           .........  .........  .........  .........  .........  ..............
                       corrugated tubing.                                                                       
K0177....          6  Water collec dev w   .........  .........  .........  .........  .........  ..............
                       nebulizer.                                                                               
K0178....          6  Disposbl filter w    .........  .........  .........  .........  .........  ..............
                       compressor.                                                                              
K0179....          6  Non-dispos filter w/ .........  .........  .........  .........  .........  ..............
                       compress.                                                                                
K0180....          6  Aerosol mask with    .........  .........  .........  .........  .........  ..............
                       nebulizer.                                                                               
K0181....          6  Dome & mouthpiece w/ .........  .........  .........  .........  .........  ..............
                        nebuliz.                                                                                
K0182....          6  Water distilled w/   .........  .........  .........  .........  .........  ..............
                       nebulizer.                                                                               
K0183....          6  Nasal application    .........  .........  .........  .........  .........  ..............
                       with cpap.                                                                               
K0184....          6  Nasal pillows/seals  .........  .........  .........  .........  .........  ..............
                       pair.                                                                                    
K0185....          6  Headgear with cpap   .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
K0186....          6  Chin strap with      .........  .........  .........  .........  .........  ..............
                       cpap device.                                                                             
K0187....          6  Tubing with cpap     .........  .........  .........  .........  .........  ..............
                       device.                                                                                  
K0188....          6  Filter disposable    .........  .........  .........  .........  .........  ..............
                       with cpap.                                                                               
K0189....          6  Filter non-          .........  .........  .........  .........  .........  ..............
                       disposable w/cpap.                                                                       
K0190....          6  Disposable canister  .........  .........  .........  .........  .........  ..............
                       w/pump.                                                                                  
K0191....          6  Non-disposbl         .........  .........  .........  .........  .........  ..............
                       canister w/pump.                                                                         
K0192....          6  Tubing used w/       .........  .........  .........  .........  .........  ..............
                       suction pump.                                                                            
K0193....          6  Airway pressure dev/ .........  .........  .........  .........  .........  ..............
                       w hmdfer.                                                                                
K0194....          6  Assist device w/     .........  .........  .........  .........  .........  ..............
                       humidifier.                                                                              
K0195....          6  Elevating whlchair   .........  .........  .........  .........  .........  ..............
                       leg rests.                                                                               
K0268....          6  Humidifier with      .........  .........  .........  .........  .........  ..............
                       cpap device.                                                                             
K0269....          6  Aerosol compressor   .........  .........  .........  .........  .........  ..............
                       cpap dev.                                                                                
K0270....          6  Ultrasonic           .........  .........  .........  .........  .........  ..............
                       generator w nebul.                                                                       
K0277....          6  Skin barrier solid   .........  .........  .........  .........  .........  ..............
                       4x4 equiv.                                                                               
K0278....          6  Skin barrier with    .........  .........  .........  .........  .........  ..............
                       flange.                                                                                  

[[Page 32455]]

                                                                                                                
K0279....          6  Skin barrier         .........  .........  .........  .........  .........  ..............
                       extended wear.                                                                           
K0280....          6  Extension drainage   .........  .........  .........  .........  .........  ..............
                       tubing.                                                                                  
K0281....          6  Lubricant catheter   .........  .........  .........  .........  .........  ..............
                       insertion.                                                                               
K0283....          6  Saline solution      .........  .........  .........  .........  .........  ..............
                       dispenser.                                                                               
K0284....          6  External infusion    .........  .........  .........  .........  .........  ..............
                       pump reuse.                                                                              
K0400....          6  Skin support         .........  .........  .........  .........  .........  ..............
                       attachment each.                                                                         
K0401....          6  Diabetic deluxe      .........  .........  .........  .........  .........  ..............
                       shoe.                                                                                    
K0407....          6  Urinary cath skin    .........  .........  .........  .........  .........  ..............
                       attachment.                                                                              
K0408....          6  Urinary cath leg     .........  .........  .........  .........  .........  ..............
                       strap.                                                                                   
K0409....          6  Sterile H2O          .........  .........  .........  .........  .........  ..............
                       irrigation solut.                                                                        
K0410....          6  Male ext cath w/adh  .........  .........  .........  .........  .........  ..............
                       coating.                                                                                 
K0411....          6  Male ext cath w/adh  .........  .........  .........  .........  .........  ..............
                       strip.                                                                                   
K0412....          6  Mycophenolate        .........  .........  .........  .........  .........  ..............
                       mofetil 25o mg.                                                                          
K0415....          6  RX antiemetic drg,   .........  .........  .........  .........  .........  ..............
                       oral NOS.                                                                                
K0416....          6  Rx antiemetic drg,   .........  .........  .........  .........  .........  ..............
                       rectal NOS.                                                                              
K0417....          6  Mech infus pump sht  .........  .........  .........  .........  .........  ..............
                       trm drug.                                                                                
K0418....          6  Oral cyclosporin...  .........  .........  .........  .........  .........  ..............
K0419....          6  Drainable plstic     .........  .........  .........  .........  .........  ..............
                       pch w fcplt.                                                                             
K0420....          6  Drainable rubber     .........  .........  .........  .........  .........  ..............
                       pch w fcplt.                                                                             
K0421....          6  drainable plstic     .........  .........  .........  .........  .........  ..............
                       pch w/o fp.                                                                              
K0422....          6  Drainable rubber     .........  .........  .........  .........  .........  ..............
                       pch w/o fp.                                                                              
K0423....          6  Urinary plstic       .........  .........  .........  .........  .........  ..............
                       pouch w fcplt.                                                                           
K0424....          6  Urinary rubber       .........  .........  .........  .........  .........  ..............
                       pouch w fcplt.                                                                           
K0425....          6  Urinary plstic       .........  .........  .........  .........  .........  ..............
                       pouch w/o fp.                                                                            
K0426....          6  Urinary hvy plstc    .........  .........  .........  .........  .........  ..............
                       pch w/o fp.                                                                              
K0427....          6  Urinary rubber       .........  .........  .........  .........  .........  ..............
                       pouch w/o fp.                                                                            
K0428....          6  Ostomy faceplt/      .........  .........  .........  .........  .........  ..............
                       silicone ring.                                                                           
K0429....          6  Skin barrier solid   .........  .........  .........  .........  .........  ..............
                       ext wear.                                                                                
K0430....          6  Skin barrier w       .........  .........  .........  .........  .........  ..............
                       flang ex wear.                                                                           
K0431....          6  Closed pouch w st    .........  .........  .........  .........  .........  ..............
                       wear bar.                                                                                
K0432....          6  Drainable pch w ex   .........  .........  .........  .........  .........  ..............
                       wear bar.                                                                                
K0433....          6  Drainable pch w st   .........  .........  .........  .........  .........  ..............
                       wear bar.                                                                                
K0434....          6  Drainable pch ex     .........  .........  .........  .........  .........  ..............
                       wear convex.                                                                             
K0435....          6  Urinary pouch w ex   .........  .........  .........  .........  .........  ..............
                       wear bar.                                                                                
K0436....          6  Urinary pouch w st   .........  .........  .........  .........  .........  ..............
                       wear bar.                                                                                
K0437....          6  Urine pch w ex wear  .........  .........  .........  .........  .........  ..............
                       bar conv.                                                                                
K0438....          6  Ostomy pouch liq     .........  .........  .........  .........  .........  ..............
                       deodorant.                                                                               
K0439....          6  Ostomy pouch solid   .........  .........  .........  .........  .........  ..............
                       deodorant.                                                                               
K0440....          6  Nasal prosthesis...  .........  .........  .........  .........  .........  ..............
K0441....          6  Midfacial            .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
K0442....          6  Orbital prosthesis.  .........  .........  .........  .........  .........  ..............
K0443....          6  Upper facial         .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
K0444....          6  Hemi-facial          .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
K0445....          6  Auricular            .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
K0446....          6  Partial facial       .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
K0447....          6  Nasal septal         .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
K0448....          6  Unspec               .........  .........  .........  .........  .........  ..............
                       maxillofacial                                                                            
                       prosth.                                                                                  
K0449....          6  Repair               .........  .........  .........  .........  .........  ..............
                       maxillofacial                                                                            
                       prosth.                                                                                  
K0450....          6  Liq adhes for        .........  .........  .........  .........  .........  ..............
                       facial prosth.                                                                           
K0451....          6  Adhesive remover     .........  .........  .........  .........  .........  ..............
                       wipes.                                                                                   
K0452....          6  Wheelchair bearings  .........  .........  .........  .........  .........  ..............
K0453....          6  Amphotericin B.....  .........  .........  .........  .........  .........  ..............
K0455....          6  Pump uninterrupted   .........  .........  .........  .........  .........  ..............
                       infusion.                                                                                
K0501....          6  Aerosol compressor   .........  .........  .........  .........  .........  ..............
                       for svneb.                                                                               
K0503....          6  Acetylcysteine inh   .........  .........  .........  .........  .........  ..............
                       sol u d.                                                                                 
K0504....          6  Albuterol inh sol    .........  .........  .........  .........  .........  ..............
                       con.                                                                                     
K0505....          6  Albuterol inh sol u  .........  .........  .........  .........  .........  ..............
                       d.                                                                                       
K0506....          6  Atropine inh sol     .........  .........  .........  .........  .........  ..............
                       con.                                                                                     
K0507....          6  Atropine inh sol u   .........  .........  .........  .........  .........  ..............
                       d.                                                                                       
K0508....          6  Bitolterol mes inh   .........  .........  .........  .........  .........  ..............
                       sol con.                                                                                 
K0509....          6  Bitolterol mes inh   .........  .........  .........  .........  .........  ..............
                       sol u d.                                                                                 
K0511....          6  Cromolyn sodium inh  .........  .........  .........  .........  .........  ..............
                       sol u d.                                                                                 
K0512....          6  Dexamethasone inh    .........  .........  .........  .........  .........  ..............
                       sol con.                                                                                 
K0513....          6  Dexamethasone inh    .........  .........  .........  .........  .........  ..............
                       sol u d.                                                                                 
K0514....          6  Domase alpha inh     .........  .........  .........  .........  .........  ..............
                       sol u d.                                                                                 
K0515....          6  Glycopyrrolate inh   .........  .........  .........  .........  .........  ..............
                       sol con.                                                                                 
K0516....          6  Glycopyrrolate inh   .........  .........  .........  .........  .........  ..............
                       sol u d.                                                                                 
K0518....          6  Ipratropium brom     .........  .........  .........  .........  .........  ..............
                       inh sol u d.                                                                             
K0519....          6  Isoetharine HCl inh  .........  .........  .........  .........  .........  ..............
                       sol con.                                                                                 
K0520....          6  Isoetharine HCl inh  .........  .........  .........  .........  .........  ..............
                       sol u d.                                                                                 
K0521....          6  IsoproterenolHCl     .........  .........  .........  .........  .........  ..............
                       inh sol con.                                                                             
K0522....          6  IsoproterenolHCl     .........  .........  .........  .........  .........  ..............
                       inh sol u d.                                                                             
K0523....          6  Metaproterenol inh   .........  .........  .........  .........  .........  ..............
                       sol con.                                                                                 
K0524....          6  Metaproterenol inh   .........  .........  .........  .........  .........  ..............
                       sol u d.                                                                                 

[[Page 32456]]

                                                                                                                
K0525....          6  Terbutaline SO4 inh  .........  .........  .........  .........  .........  ..............
                       sol con.                                                                                 
K0526....          6  Terbutaline SO4 inh  .........  .........  .........  .........  .........  ..............
                       sol u d.                                                                                 
K0527....          6  Triamcinolone inh    .........  .........  .........  .........  .........  ..............
                       sol con.                                                                                 
K0528....          6  Triamcinolone inh    .........  .........  .........  .........  .........  ..............
                       sol u d.                                                                                 
K0529....          6  Sterile H20 or nss   .........  .........  .........  .........  .........  ..............
                       w lv neb.                                                                                
K0530....          6  Nebulizer not used   .........  .........  .........  .........  .........  ..............
                       w oxygen.                                                                                
L0100....          6  Cerv craniosten      .........  .........  .........  .........  .........  ..............
                       helmet mold.                                                                             
L0110....          6  Cerv craniostenosis  .........  .........  .........  .........  .........  ..............
                       hel non-.                                                                                
L0120....          6  Cerv flexible non-   .........  .........  .........  .........  .........  ..............
                       adjustable.                                                                              
L0130....          6  Flex thermoplastic   .........  .........  .........  .........  .........  ..............
                       collar mo.                                                                               
L0140....          6  Cervical semi-rigid  .........  .........  .........  .........  .........  ..............
                       adjustab.                                                                                
L0150....          6  Cerv semi-rig adj    .........  .........  .........  .........  .........  ..............
                       molded chn.                                                                              
L0160....          6  Cerv semi-rig wire   .........  .........  .........  .........  .........  ..............
                       occ/mand.                                                                                
L0170....          6  Cervical collar      .........  .........  .........  .........  .........  ..............
                       molded to pt.                                                                            
L0172....          6  Cerv col thermplas   .........  .........  .........  .........  .........  ..............
                       foam 2 pi.                                                                               
L0174....          6  Cerv col foam 2      .........  .........  .........  .........  .........  ..............
                       piece w thor.                                                                            
L0180....          6  Cer post col occ/    .........  .........  .........  .........  .........  ..............
                       man sup adj.                                                                             
L0190....          6  Cerv collar supp     .........  .........  .........  .........  .........  ..............
                       adj cerv ba.                                                                             
L0200....          6  Cerv col supp adj    .........  .........  .........  .........  .........  ..............
                       bar & thor.                                                                              
L0210....          6  Thoracic rib belt..  .........  .........  .........  .........  .........  ..............
L0220....          6  Thor rib belt        .........  .........  .........  .........  .........  ..............
                       custom fabrica.                                                                          
L0300....          6  TLSO flex surgical   .........  .........  .........  .........  .........  ..............
                       support.                                                                                 
L0310....          6  Tlso flexible        .........  .........  .........  .........  .........  ..............
                       custom fabrica.                                                                          
L0315....          6  Tlso flex elas       .........  .........  .........  .........  .........  ..............
                       rigid post pa.                                                                           
L0317....          6  Tlso flex hypext     .........  .........  .........  .........  .........  ..............
                       elas post p.                                                                             
L0320....          6  Tlso a-p contrl w    .........  .........  .........  .........  .........  ..............
                       apron frnt.                                                                              
L0330....          6  Tlso ant-pos-        .........  .........  .........  .........  .........  ..............
                       lateral control.                                                                         
L0340....          6  Tlso a-p-l-rotary    .........  .........  .........  .........  .........  ..............
                       with apron.                                                                              
L0350....          6  Tlso flex compress   .........  .........  .........  .........  .........  ..............
                       jacket cu.                                                                               
L0360....          6  Tlso flex compress   .........  .........  .........  .........  .........  ..............
                       jacket mo.                                                                               
L0370....          6  Tlso a-p-l-rotary    .........  .........  .........  .........  .........  ..............
                       hyperexten.                                                                              
L0380....          6  Tlso a-p-l-rot w/    .........  .........  .........  .........  .........  ..............
                       pos extens.                                                                              
L0390....          6  Tlso a-p-l control   .........  .........  .........  .........  .........  ..............
                       molded.                                                                                  
L0400....          6  Tlso a-p-l w         .........  .........  .........  .........  .........  ..............
                       interface mater.                                                                         
L0410....          6  Tlso a-p-l two       .........  .........  .........  .........  .........  ..............
                       piece constr.                                                                            
L0420....          6  Tlso a-p-l 2 piece   .........  .........  .........  .........  .........  ..............
                       w interfa.                                                                               
L0430....          6  Tlso a-p-l w         .........  .........  .........  .........  .........  ..............
                       interface custm.                                                                         
L0440....          6  Tlso a-p-l overlap   .........  .........  .........  .........  .........  ..............
                       frnt cust.                                                                               
L0500....          6  Lso flex surgical    .........  .........  .........  .........  .........  ..............
                       support.                                                                                 
L0510....          6  Lso flexible custom  .........  .........  .........  .........  .........  ..............
                       fabricat.                                                                                
L0515....          6  Lso flex elas w/     .........  .........  .........  .........  .........  ..............
                       rig post pa.                                                                             
L0520....          6  Lso a-p-l control    .........  .........  .........  .........  .........  ..............
                       with apron.                                                                              
L0530....          6  Lso ant-pos control  .........  .........  .........  .........  .........  ..............
                       w apron.                                                                                 
L0540....          6  Lso lumbar flexion   .........  .........  .........  .........  .........  ..............
                       a-p-l.                                                                                   
L0550....          6  Lso a-p-l control    .........  .........  .........  .........  .........  ..............
                       molded.                                                                                  
L0560....          6  Lso a-p-l w          .........  .........  .........  .........  .........  ..............
                       interface.                                                                               
L0565....          6  Lso a-p-l control    .........  .........  .........  .........  .........  ..............
                       custom.                                                                                  
L0600....          6  Sacroiliac flex      .........  .........  .........  .........  .........  ..............
                       surg support.                                                                            
L0610....          6  Sacroiliac flexible  .........  .........  .........  .........  .........  ..............
                       custm fa.                                                                                
L0620....          6  Sacroiliac semi-rig  .........  .........  .........  .........  .........  ..............
                       w apron.                                                                                 
L0700....          6  Ctlso a-p-l control  .........  .........  .........  .........  .........  ..............
                       molded.                                                                                  
L0710....          6  Ctlso a-p-l control  .........  .........  .........  .........  .........  ..............
                       w/ inter.                                                                                
L0810....          6  Halo cervical into   .........  .........  .........  .........  .........  ..............
                       jckt vest.                                                                               
L0820....          6  Halo cervical into   .........  .........  .........  .........  .........  ..............
                       body jack.                                                                               
L0830....          6  Halo cerv into       .........  .........  .........  .........  .........  ..............
                       milwaukee typ.                                                                           
L0860....          6  Magnetic resonanc    .........  .........  .........  .........  .........  ..............
                       image comp.                                                                              
L0900....          6  Torso/ptosis         .........  .........  .........  .........  .........  ..............
                       support.                                                                                 
L0910....          6  Torso & ptosis supp  .........  .........  .........  .........  .........  ..............
                       custm fa.                                                                                
L0920....          6  Torso/pendulous abd  .........  .........  .........  .........  .........  ..............
                       support.                                                                                 
L0930....          6  Pendulous abdomen    .........  .........  .........  .........  .........  ..............
                       supp custm.                                                                              
L0940....          6  Torso/postsurgical   .........  .........  .........  .........  .........  ..............
                       support.                                                                                 
L0950....          6  Post surg support    .........  .........  .........  .........  .........  ..............
                       custom fab.                                                                              
L0960....          6  Post surgical        .........  .........  .........  .........  .........  ..............
                       support pads.                                                                            
L0970....          6  Tlso corset front..  .........  .........  .........  .........  .........  ..............
L0972....          6  Lso corset front...  .........  .........  .........  .........  .........  ..............
L0974....          6  Tlso full corset...  .........  .........  .........  .........  .........  ..............
L0976....          6  Lso full corset....  .........  .........  .........  .........  .........  ..............
L0978....          6  Axillary crutch      .........  .........  .........  .........  .........  ..............
                       extension.                                                                               
L0980....          6  Peroneal straps      .........  .........  .........  .........  .........  ..............
                       pair.                                                                                    
L0982....          6  Stocking supp grips  .........  .........  .........  .........  .........  ..............
                       set of f.                                                                                
L0984....          6  Protective body      .........  .........  .........  .........  .........  ..............
                       sock each.                                                                               
L0999....          6  Add to spinal        .........  .........  .........  .........  .........  ..............
                       orthosis NOS.                                                                            
L1000....          6  Ctlso milwauke       .........  .........  .........  .........  .........  ..............
                       initial model.                                                                           
L1010....          6  Ctlso axilla sling.  .........  .........  .........  .........  .........  ..............

[[Page 32457]]

                                                                                                                
L1020....          6  Kyphosis pad.......  .........  .........  .........  .........  .........  ..............
L1025....          6  Kyphosis pad         .........  .........  .........  .........  .........  ..............
                       floating.                                                                                
L1030....          6  Lumbar bolster pad.  .........  .........  .........  .........  .........  ..............
L1040....          6  Lumbar or lumbar     .........  .........  .........  .........  .........  ..............
                       rib pad.                                                                                 
L1050....          6  Sternal pad........  .........  .........  .........  .........  .........  ..............
L1060....          6  Thoracic pad.......  .........  .........  .........  .........  .........  ..............
L1070....          6  Trapezius sling....  .........  .........  .........  .........  .........  ..............
L1080....          6  Outrigger..........  .........  .........  .........  .........  .........  ..............
L1085....          6  Outrigger bil w/     .........  .........  .........  .........  .........  ..............
                       vert extens.                                                                             
L1090....          6  Lumbar sling.......  .........  .........  .........  .........  .........  ..............
L1100....          6  Ring flange plastic/ .........  .........  .........  .........  .........  ..............
                       leather.                                                                                 
L1110....          6  Ring flange plas/    .........  .........  .........  .........  .........  ..............
                       leather mol.                                                                             
L1120....          6  Covers for upright   .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
L1200....          6  Furnsh initial       .........  .........  .........  .........  .........  ..............
                       orthosis only.                                                                           
L1210....          6  Lateral thoracic     .........  .........  .........  .........  .........  ..............
                       extension.                                                                               
L1220....          6  Anterior thoracic    .........  .........  .........  .........  .........  ..............
                       extension.                                                                               
L1230....          6  Milwaukee type       .........  .........  .........  .........  .........  ..............
                       superstructur.                                                                           
L1240....          6  Lumbar derotation    .........  .........  .........  .........  .........  ..............
                       pad.                                                                                     
L1250....          6  Anterior asis pad..  .........  .........  .........  .........  .........  ..............
L1260....          6  Anterior thoracic    .........  .........  .........  .........  .........  ..............
                       derotation.                                                                              
L1270....          6  Abdominal pad......  .........  .........  .........  .........  .........  ..............
L1280....          6  Rib gusset           .........  .........  .........  .........  .........  ..............
                       (elastic) each.                                                                          
L1290....          6  Lateral              .........  .........  .........  .........  .........  ..............
                       trochanteric pad.                                                                        
L1300....          6  Body jacket mold to  .........  .........  .........  .........  .........  ..............
                       patient.                                                                                 
L1310....          6  Post-operative body  .........  .........  .........  .........  .........  ..............
                       jacket.                                                                                  
L1499....          6  Spinal orthosis NOS  .........  .........  .........  .........  .........  ..............
L1500....          6  Thkao mobility       .........  .........  .........  .........  .........  ..............
                       frame.                                                                                   
L1510....          6  Thkao standing       .........  .........  .........  .........  .........  ..............
                       frame.                                                                                   
L1520....          6  Thkao swivel walker  .........  .........  .........  .........  .........  ..............
L1600....          6  Abduct hip flex      .........  .........  .........  .........  .........  ..............
                       frejka w cvr.                                                                            
L1610....          6  Abduct hip flex      .........  .........  .........  .........  .........  ..............
                       frejka covr.                                                                             
L1620....          6  Abduct hip flex      .........  .........  .........  .........  .........  ..............
                       pavlik harne.                                                                            
L1630....          6  Abduct control hip   .........  .........  .........  .........  .........  ..............
                       semi-flex.                                                                               
L1640....          6  Pelv band/spread     .........  .........  .........  .........  .........  ..............
                       bar thigh c.                                                                             
L1650....          6  HO abduction hip     .........  .........  .........  .........  .........  ..............
                       adjustable.                                                                              
L1660....          6  HO abduction static  .........  .........  .........  .........  .........  ..............
                       plastic.                                                                                 
L1680....          6  Pelvic & hip         .........  .........  .........  .........  .........  ..............
                       control thigh c.                                                                         
L1685....          6  Post-op hip abduct   .........  .........  .........  .........  .........  ..............
                       custom fa.                                                                               
L1686....          6  HO post-op hip       .........  .........  .........  .........  .........  ..............
                       abduction.                                                                               
L1700....          6  Leg perthes orth     .........  .........  .........  .........  .........  ..............
                       toronto typ.                                                                             
L1710....          6  Legg perthes orth    .........  .........  .........  .........  .........  ..............
                       newington.                                                                               
L1720....          6  Legg perthes         .........  .........  .........  .........  .........  ..............
                       orthosis trilat.                                                                         
L1730....          6  Legg perthes orth    .........  .........  .........  .........  .........  ..............
                       scottish r.                                                                              
L1750....          6  Legg perthes sling.  .........  .........  .........  .........  .........  ..............
L1755....          6  Legg perthes patten  .........  .........  .........  .........  .........  ..............
                       bottom t.                                                                                
L1800....          6  Knee orthoses elas   .........  .........  .........  .........  .........  ..............
                       w stays.                                                                                 
L1810....          6  Ko elastic with      .........  .........  .........  .........  .........  ..............
                       joints.                                                                                  
L1815....          6  Elastic with         .........  .........  .........  .........  .........  ..............
                       condylar pads.                                                                           
L1820....          6  Ko elas w/ condyle   .........  .........  .........  .........  .........  ..............
                       pads & jo.                                                                               
L1825....          6  Ko elastic knee cap  .........  .........  .........  .........  .........  ..............
L1830....          6  Ko immobilizer       .........  .........  .........  .........  .........  ..............
                       canvas longit.                                                                           
L1832....          6  KO adj jnt pos       .........  .........  .........  .........  .........  ..............
                       rigid support.                                                                           
L1834....          6  Ko w/0 joint rigid   .........  .........  .........  .........  .........  ..............
                       molded to.                                                                               
L1840....          6  Ko derot ant         .........  .........  .........  .........  .........  ..............
                       cruciate custom.                                                                         
L1843....          6  KO single upright    .........  .........  .........  .........  .........  ..............
                       custom fit.                                                                              
L1844....          6  Ko w/adj jt rot      .........  .........  .........  .........  .........  ..............
                       cntrl molded.                                                                            
L1845....          6  Ko w/ adj flex/ext   .........  .........  .........  .........  .........  ..............
                       rotat cus.                                                                               
L1846....          6  Ko w adj flex/ext    .........  .........  .........  .........  .........  ..............
                       rotat mold.                                                                              
L1850....          6  Ko swedish type....  .........  .........  .........  .........  .........  ..............
L1855....          6  Ko plas doub         .........  .........  .........  .........  .........  ..............
                       upright jnt mol.                                                                         
L1858....          6  Ko polycentric       .........  .........  .........  .........  .........  ..............
                       pneumatic pad.                                                                           
L1860....          6  Ko supracondylar     .........  .........  .........  .........  .........  ..............
                       socket mold.                                                                             
L1870....          6  Ko doub upright      .........  .........  .........  .........  .........  ..............
                       lacers molde.                                                                            
L1880....          6  Ko doub upright      .........  .........  .........  .........  .........  ..............
                       cuffs/lacers.                                                                            
L1885....          6  Knee upright w/      .........  .........  .........  .........  .........  ..............
                       resistance.                                                                              
L1900....          6  Afo sprng wir        .........  .........  .........  .........  .........  ..............
                       drsflx calf bd.                                                                          
L1902....          6  Afo ankle gauntlet.  .........  .........  .........  .........  .........  ..............
L1904....          6  Afo molded ankle     .........  .........  .........  .........  .........  ..............
                       gauntlet.                                                                                
L1906....          6  Afo multiligamentus  .........  .........  .........  .........  .........  ..............
                       ankle su.                                                                                
L1910....          6  Afo sing bar clasp   .........  .........  .........  .........  .........  ..............
                       attach sh.                                                                               
L1920....          6  Afo sing upright w/  .........  .........  .........  .........  .........  ..............
                       adjust s.                                                                                
L1930....          6  Afo plastic........  .........  .........  .........  .........  .........  ..............
L1940....          6  Afo molded to        .........  .........  .........  .........  .........  ..............
                       patient plasti.                                                                          
L1945....          6  Afo molded plas rig  .........  .........  .........  .........  .........  ..............
                       ant tib.                                                                                 

[[Page 32458]]

                                                                                                                
L1950....          6  Afo spiral molded    .........  .........  .........  .........  .........  ..............
                       to pt plas.                                                                              
L1960....          6  Afo pos solid ank    .........  .........  .........  .........  .........  ..............
                       plastic mo.                                                                              
L1970....          6  Afo plastic molded   .........  .........  .........  .........  .........  ..............
                       w/ankle j.                                                                               
L1980....          6  Afo sing solid       .........  .........  .........  .........  .........  ..............
                       stirrup calf.                                                                            
L1990....          6  Afo doub solid       .........  .........  .........  .........  .........  ..............
                       stirrup calf.                                                                            
L2000....          6  Kafo sing fre stirr  .........  .........  .........  .........  .........  ..............
                       thi/calf.                                                                                
L2010....          6  Kafo sng solid       .........  .........  .........  .........  .........  ..............
                       stirrup w/o j.                                                                           
L2020....          6  Kafo dbl solid       .........  .........  .........  .........  .........  ..............
                       stirrup band/.                                                                           
L2030....          6  Kafo dbl solid       .........  .........  .........  .........  .........  ..............
                       stirrup w/o j.                                                                           
L2035....          6  KAFO plastic         .........  .........  .........  .........  .........  ..............
                       pediatric size.                                                                          
L2036....          6  Kafo plas doub free  .........  .........  .........  .........  .........  ..............
                       knee mol.                                                                                
L2037....          6  Kafo plas sing free  .........  .........  .........  .........  .........  ..............
                       knee mol.                                                                                
L2038....          6  Kafo w/o joint       .........  .........  .........  .........  .........  ..............
                       multi-axis an.                                                                           
L2039....          6  KAFO, plstic,        .........  .........  .........  .........  .........  ..............
                       medlat rotat con.                                                                        
L2040....          6  Hkafo torsion bil    .........  .........  .........  .........  .........  ..............
                       rot straps.                                                                              
L2050....          6  Hkafo torsion cable  .........  .........  .........  .........  .........  ..............
                       hip pelv.                                                                                
L2060....          6  Hkafo torsion ball   .........  .........  .........  .........  .........  ..............
                       bearing j.                                                                               
L2070....          6  Hkafo torsion        .........  .........  .........  .........  .........  ..............
                       unilat rot str.                                                                          
L2080....          6  Hkafo unilat         .........  .........  .........  .........  .........  ..............
                       torsion cable.                                                                           
L2090....          6  Hkafo unilat         .........  .........  .........  .........  .........  ..............
                       torsion ball br.                                                                         
L2102....          6  Afo tibial fx cast   .........  .........  .........  .........  .........  ..............
                       plstr mol.                                                                               
L2104....          6  Afo tib fx cast      .........  .........  .........  .........  .........  ..............
                       synthetic mo.                                                                            
L2106....          6  Afo tib fx cast      .........  .........  .........  .........  .........  ..............
                       plaster mold.                                                                            
L2108....          6  Afo tib fx cast      .........  .........  .........  .........  .........  ..............
                       molded to pt.                                                                            
L2112....          6  Afo tibial fracture  .........  .........  .........  .........  .........  ..............
                       soft.                                                                                    
L2114....          6  Afo tib fx semi-     .........  .........  .........  .........  .........  ..............
                       rigid.                                                                                   
L2116....          6  Afo tibial fracture  .........  .........  .........  .........  .........  ..............
                       rigid.                                                                                   
L2122....          6  Kafo fem fx cast     .........  .........  .........  .........  .........  ..............
                       plaster mol.                                                                             
L2124....          6  Kafo fem fx cast     .........  .........  .........  .........  .........  ..............
                       synthet mol.                                                                             
L2126....          6  Kafo fem fx cast     .........  .........  .........  .........  .........  ..............
                       thermoplas.                                                                              
L2128....          6  Kafo fem fx cast     .........  .........  .........  .........  .........  ..............
                       molded to p.                                                                             
L2132....          6  Kafo femoral fx      .........  .........  .........  .........  .........  ..............
                       cast soft.                                                                               
L2134....          6  Kafo fem fx cast     .........  .........  .........  .........  .........  ..............
                       semi-rigid.                                                                              
L2136....          6  Kafo femoral fx      .........  .........  .........  .........  .........  ..............
                       cast rigid.                                                                              
L2180....          6  Plas shoe insert w   .........  .........  .........  .........  .........  ..............
                       ank joint.                                                                               
L2182....          6  Drop lock knee.....  .........  .........  .........  .........  .........  ..............
L2184....          6  Limited motion knee  .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
L2186....          6  Adj motion knee jnt  .........  .........  .........  .........  .........  ..............
                       lerman t.                                                                                
L2188....          6  Quadrilateral brim.  .........  .........  .........  .........  .........  ..............
L2190....          6  Waist belt.........  .........  .........  .........  .........  .........  ..............
L2192....          6  Pelvic band & belt   .........  .........  .........  .........  .........  ..............
                       thigh fla.                                                                               
L2200....          6  Limited ankle        .........  .........  .........  .........  .........  ..............
                       motion ea jnt.                                                                           
L2210....          6  Dorsiflexion assist  .........  .........  .........  .........  .........  ..............
                       each joi.                                                                                
L2220....          6  Dorsi & plantar      .........  .........  .........  .........  .........  ..............
                       flex ass/res.                                                                            
L2230....          6  Split flat caliper   .........  .........  .........  .........  .........  ..............
                       stirr & p.                                                                               
L2240....          6  Round caliper and    .........  .........  .........  .........  .........  ..............
                       plate atta.                                                                              
L2250....          6  Foot plate molded    .........  .........  .........  .........  .........  ..............
                       stirrup at.                                                                              
L2260....          6  Reinforced solid     .........  .........  .........  .........  .........  ..............
                       stirrup.                                                                                 
L2265....          6  Long tongue stirrup  .........  .........  .........  .........  .........  ..............
L2270....          6  Varus/valgus strap   .........  .........  .........  .........  .........  ..............
                       padded/li.                                                                               
L2275....          6  Plastic mod low ext  .........  .........  .........  .........  .........  ..............
                       pad/line.                                                                                
L2280....          6  Molded inner boot..  .........  .........  .........  .........  .........  ..............
L2300....          6  Abduction bar        .........  .........  .........  .........  .........  ..............
                       jointed adjust.                                                                          
L2310....          6  Abduction bar-       .........  .........  .........  .........  .........  ..............
                       straight.                                                                                
L2320....          6  Non-molded lacer...  .........  .........  .........  .........  .........  ..............
L2330....          6  Lacer molded to      .........  .........  .........  .........  .........  ..............
                       patient mode.                                                                            
L2335....          6  Anterior swing band  .........  .........  .........  .........  .........  ..............
L2340....          6  Pre-tibial shell     .........  .........  .........  .........  .........  ..............
                       molded to p.                                                                             
L2350....          6  Prosthetic type      .........  .........  .........  .........  .........  ..............
                       socket molde.                                                                            
L2360....          6  Extended steel       .........  .........  .........  .........  .........  ..............
                       shank.                                                                                   
L2370....          6  Patten bottom......  .........  .........  .........  .........  .........  ..............
L2375....          6  Torsion ank & half   .........  .........  .........  .........  .........  ..............
                       solid sti.                                                                               
L2380....          6  Torsion straight     .........  .........  .........  .........  .........  ..............
                       knee joint.                                                                              
L2385....          6  Straight knee joint  .........  .........  .........  .........  .........  ..............
                       heavy du.                                                                                
L2390....          6  Offset knee joint    .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
L2395....          6  Offset knee joint    .........  .........  .........  .........  .........  ..............
                       heavy duty.                                                                              
L2397....          6  Suspension sleeve    .........  .........  .........  .........  .........  ..............
                       lower ext.                                                                               
L2405....          6  Knee joint drop      .........  .........  .........  .........  .........  ..............
                       lock ea jnt.                                                                             
L2415....          6  Knee joint cam lock  .........  .........  .........  .........  .........  ..............
                       each joi.                                                                                
L2425....          6  Knee disc/dial lock/ .........  .........  .........  .........  .........  ..............
                       adj flex.                                                                                
L2430....          6  Knee jnt ratchet     .........  .........  .........  .........  .........  ..............
                       lock ea jnt.                                                                             
L2435....          6  Knee joint           .........  .........  .........  .........  .........  ..............
                       polycentric joint.                                                                       
L2492....          6  Knee lift loop drop  .........  .........  .........  .........  .........  ..............
                       lock rin.                                                                                
L2500....          6  Thi/glut/ischia wgt  .........  .........  .........  .........  .........  ..............
                       bearing.                                                                                 

[[Page 32459]]

                                                                                                                
L2510....          6  Th/wght bear quad-   .........  .........  .........  .........  .........  ..............
                       lat brim m.                                                                              
L2520....          6  Th/wght bear quad-   .........  .........  .........  .........  .........  ..............
                       lat brim c.                                                                              
L2525....          6  Th/wght bear nar m-  .........  .........  .........  .........  .........  ..............
                       l brim mo.                                                                               
L2526....          6  Th/wght bear nar m-  .........  .........  .........  .........  .........  ..............
                       l brim cu.                                                                               
L2530....          6  Thigh/wght bear      .........  .........  .........  .........  .........  ..............
                       lacer non-mo.                                                                            
L2540....          6  Thigh/wght bear      .........  .........  .........  .........  .........  ..............
                       lacer molded.                                                                            
L2550....          6  Thigh/wght bear      .........  .........  .........  .........  .........  ..............
                       high roll cu.                                                                            
L2570....          6  Hip clevis type 2    .........  .........  .........  .........  .........  ..............
                       posit jnt.                                                                               
L2580....          6  Pelvic control       .........  .........  .........  .........  .........  ..............
                       pelvic sling.                                                                            
L2600....          6  Hip clevis/thrust    .........  .........  .........  .........  .........  ..............
                       bearing fr.                                                                              
L2610....          6  Hip clevis/thrust    .........  .........  .........  .........  .........  ..............
                       bearing lo.                                                                              
L2620....          6  Pelvic control hip   .........  .........  .........  .........  .........  ..............
                       heavy dut.                                                                               
L2622....          6  Hip joint            .........  .........  .........  .........  .........  ..............
                       adjustable flexion.                                                                      
L2624....          6  Hip adj flex ext     .........  .........  .........  .........  .........  ..............
                       abduct cont.                                                                             
L2627....          6  Plastic mold         .........  .........  .........  .........  .........  ..............
                       recipro hip & c.                                                                         
L2628....          6  Metal frame recipro  .........  .........  .........  .........  .........  ..............
                       hip & ca.                                                                                
L2630....          6  Pelvic control band  .........  .........  .........  .........  .........  ..............
                       & belt u.                                                                                
L2640....          6  Pelvic control band  .........  .........  .........  .........  .........  ..............
                       & belt b.                                                                                
L2650....          6  Pelv & thor control  .........  .........  .........  .........  .........  ..............
                       gluteal.                                                                                 
L2660....          6  Thoracic control     .........  .........  .........  .........  .........  ..............
                       thoracic ba.                                                                             
L2670....          6  Thorac cont          .........  .........  .........  .........  .........  ..............
                       paraspinal uprig.                                                                        
L2680....          6  Thorac cont lat      .........  .........  .........  .........  .........  ..............
                       support upri.                                                                            
L2750....          6  Plating chrome/      .........  .........  .........  .........  .........  ..............
                       nickel pr bar.                                                                           
L2755....          6  Carbon graphite      .........  .........  .........  .........  .........  ..............
                       lamination.                                                                              
L2760....          6  Extension per        .........  .........  .........  .........  .........  ..............
                       extension per.                                                                           
L2770....          6  Low ext orthosis     .........  .........  .........  .........  .........  ..............
                       per bar/jnt.                                                                             
L2780....          6  Non-corrosive        .........  .........  .........  .........  .........  ..............
                       finish.                                                                                  
L2785....          6  Drop lock retainer   .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
L2795....          6  Knee control full    .........  .........  .........  .........  .........  ..............
                       kneecap.                                                                                 
L2800....          6  Knee cap medial or   .........  .........  .........  .........  .........  ..............
                       lateral p.                                                                               
L2810....          6  Knee control         .........  .........  .........  .........  .........  ..............
                       condylar pad.                                                                            
L2820....          6  Soft interface       .........  .........  .........  .........  .........  ..............
                       below knee se.                                                                           
L2830....          6  Soft interface       .........  .........  .........  .........  .........  ..............
                       above knee se.                                                                           
L2840....          6  Tibial length sock   .........  .........  .........  .........  .........  ..............
                       fx or equ.                                                                               
L2850....          6  Femoral lgth sock    .........  .........  .........  .........  .........  ..............
                       fx or equa.                                                                              
L2860....          6  Torsion mechanism    .........  .........  .........  .........  .........  ..............
                       knee/ankle.                                                                              
L2999....          6  Lower extremity      .........  .........  .........  .........  .........  ..............
                       orthosis NOS.                                                                            
L3000....          6  Ft insert ucb        .........  .........  .........  .........  .........  ..............
                       berkeley shell.                                                                          
L3001....          6  Foot insert remov    .........  .........  .........  .........  .........  ..............
                       molded spe.                                                                              
L3002....          6  Foot insert          .........  .........  .........  .........  .........  ..............
                       plastazote or eq.                                                                        
L3003....          6  Foot insert          .........  .........  .........  .........  .........  ..............
                       silicone gel eac.                                                                        
L3010....          6  Foot longitudinal    .........  .........  .........  .........  .........  ..............
                       arch suppo.                                                                              
L3020....          6  Foot longitud/       .........  .........  .........  .........  .........  ..............
                       metatarsal sup.                                                                          
L3030....          6  Foot arch support    .........  .........  .........  .........  .........  ..............
                       remov prem.                                                                              
L3040....          6  Ft arch suprt        .........  .........  .........  .........  .........  ..............
                       premold longit.                                                                          
L3050....          6  Foot arch supp       .........  .........  .........  .........  .........  ..............
                       premold metat.                                                                           
L3060....          6  Foot arch supp       .........  .........  .........  .........  .........  ..............
                       longitud/meta.                                                                           
L3070....          6  Arch suprt att to    .........  .........  .........  .........  .........  ..............
                       sho longit.                                                                              
L3080....          6  Arch supp att to     .........  .........  .........  .........  .........  ..............
                       shoe metata.                                                                             
L3090....          6  Arch supp att to     .........  .........  .........  .........  .........  ..............
                       shoe long/m.                                                                             
L3100....          6  Hallus-valgus nght   .........  .........  .........  .........  .........  ..............
                       dynamic s.                                                                               
L3140....          6  Abduction rotation   .........  .........  .........  .........  .........  ..............
                       bar shoe.                                                                                
L3150....          6  Abduct rotation bar  .........  .........  .........  .........  .........  ..............
                       w/o shoe.                                                                                
L3160....          6  Shoe styled          .........  .........  .........  .........  .........  ..............
                       positioning dev.                                                                         
L3170....          6  Foot plastic heel    .........  .........  .........  .........  .........  ..............
                       stabilizer.                                                                              
L3201....          6  Oxford w supinat/    .........  .........  .........  .........  .........  ..............
                       pronat inf.                                                                              
L3202....          6  Oxford w/ supinat/   .........  .........  .........  .........  .........  ..............
                       pronator c.                                                                              
L3203....          6  Oxford w/ supinator/ .........  .........  .........  .........  .........  ..............
                       pronator.                                                                                
L3204....          6  Hightop w/ supp/     .........  .........  .........  .........  .........  ..............
                       pronator inf.                                                                            
L3206....          6  Hightop w/ supp/     .........  .........  .........  .........  .........  ..............
                       pronator chi.                                                                            
L3207....          6  Hightop w/ supp/     .........  .........  .........  .........  .........  ..............
                       pronator jun.                                                                            
L3208....          6  Surgical boot each   .........  .........  .........  .........  .........  ..............
                       infant.                                                                                  
L3209....          6  Surgical boot each   .........  .........  .........  .........  .........  ..............
                       child.                                                                                   
L3211....          6  Surgical boot each   .........  .........  .........  .........  .........  ..............
                       junior.                                                                                  
L3212....          6  Benesch boot pair    .........  .........  .........  .........  .........  ..............
                       infant.                                                                                  
L3213....          6  Benesch boot pair    .........  .........  .........  .........  .........  ..............
                       child.                                                                                   
L3214....          6  Benesch boot pair    .........  .........  .........  .........  .........  ..............
                       junior.                                                                                  
L3215....          6  Orthopedic ftwear    .........  .........  .........  .........  .........  ..............
                       ladies oxf.                                                                              
L3216....          6  Orthoped ladies      .........  .........  .........  .........  .........  ..............
                       shoes dpth i.                                                                            
L3217....          6  Ladies shoes         .........  .........  .........  .........  .........  ..............
                       hightop depth i.                                                                         
L3218....          6  Ladies surgical      .........  .........  .........  .........  .........  ..............
                       boot each.                                                                               
L3219....          6  Orthopedic mens      .........  .........  .........  .........  .........  ..............
                       shoes oxford.                                                                            
L3221....          6  Orthopedic mens      .........  .........  .........  .........  .........  ..............
                       shoes dpth i.                                                                            
L3222....          6  Mens shoes hightop   .........  .........  .........  .........  .........  ..............
                       depth inl.                                                                               

[[Page 32460]]

                                                                                                                
L3223....          6  Mens surgical boot   .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
L3224....          6  Woman's shoe oxford  .........  .........  .........  .........  .........  ..............
                       brace.                                                                                   
L3225....          6  Man's shoe oxford    .........  .........  .........  .........  .........  ..............
                       brace.                                                                                   
L3230....          6  Custom shoes depth   .........  .........  .........  .........  .........  ..............
                       inlay.                                                                                   
L3250....          6  Custom mold shoe     .........  .........  .........  .........  .........  ..............
                       remov prost.                                                                             
L3251....          6  Shoe molded to pt    .........  .........  .........  .........  .........  ..............
                       silicone s.                                                                              
L3252....          6  Shoe molded          .........  .........  .........  .........  .........  ..............
                       plastazote cust.                                                                         
L3253....          6  Shoe molded          .........  .........  .........  .........  .........  ..............
                       plastazote cust.                                                                         
L3254....          6  Orth foot non-       .........  .........  .........  .........  .........  ..............
                       stndard size/w.                                                                          
L3255....          6  Orth foot non-       .........  .........  .........  .........  .........  ..............
                       standard size/.                                                                          
L3257....          6  Orth foot add        .........  .........  .........  .........  .........  ..............
                       charge split s.                                                                          
L3260....          6  Ambulatory surgical  .........  .........  .........  .........  .........  ..............
                       boot eac.                                                                                
L3265....          6  Plastazote sandal    .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
L3300....          6  Sho lift taper to    .........  .........  .........  .........  .........  ..............
                       metatarsal.                                                                              
L3310....          6  Shoe lift elev heel/ .........  .........  .........  .........  .........  ..............
                       sole neo.                                                                                
L3320....          6  Shoe lift elev heel/ .........  .........  .........  .........  .........  ..............
                       sole cor.                                                                                
L3330....          6  Lifts elevation      .........  .........  .........  .........  .........  ..............
                       metal extens.                                                                            
L3332....          6  Shoe lifts tapered   .........  .........  .........  .........  .........  ..............
                       to one-ha.                                                                               
L3334....          6  Shoe lifts           .........  .........  .........  .........  .........  ..............
                       elevation heel /i.                                                                       
L3340....          6  Shoe wedge sach....  .........  .........  .........  .........  .........  ..............
L3350....          6  Shoe heel wedge....  .........  .........  .........  .........  .........  ..............
L3360....          6  Shoe sole wedge      .........  .........  .........  .........  .........  ..............
                       outside sole.                                                                            
L3370....          6  Shoe sole wedge      .........  .........  .........  .........  .........  ..............
                       between sole.                                                                            
L3380....          6  Shoe clubfoot wedge  .........  .........  .........  .........  .........  ..............
L3390....          6  Shoe outflare wedge  .........  .........  .........  .........  .........  ..............
L3400....          6  Shoe metatarsal bar  .........  .........  .........  .........  .........  ..............
                       wedge ro.                                                                                
L3410....          6  Shoe metatarsal bar  .........  .........  .........  .........  .........  ..............
                       between.                                                                                 
L3420....          6  Full sole/heel       .........  .........  .........  .........  .........  ..............
                       wedge btween.                                                                            
L3430....          6  Sho heel count       .........  .........  .........  .........  .........  ..............
                       plast reinfor.                                                                           
L3440....          6  Heel leather         .........  .........  .........  .........  .........  ..............
                       reinforced.                                                                              
L3450....          6  Shoe heel sach       .........  .........  .........  .........  .........  ..............
                       cushion type.                                                                            
L3455....          6  Shoe heel new        .........  .........  .........  .........  .........  ..............
                       leather standa.                                                                          
L3460....          6  Shoe heel new        .........  .........  .........  .........  .........  ..............
                       rubber standar.                                                                          
L3465....          6  Shoe heel thomas     .........  .........  .........  .........  .........  ..............
                       with wedge.                                                                              
L3470....          6  Shoe heel thomas     .........  .........  .........  .........  .........  ..............
                       extend to b.                                                                             
L3480....          6  Shoe heel pad &      .........  .........  .........  .........  .........  ..............
                       depress for.                                                                             
L3485....          6  Shoe heel pad        .........  .........  .........  .........  .........  ..............
                       removable for.                                                                           
L3500....          6  Shoe misc add        .........  .........  .........  .........  .........  ..............
                       insole leather.                                                                          
L3510....          6  Shoe misc addition   .........  .........  .........  .........  .........  ..............
                       insole ru.                                                                               
L3520....          6  Shoe insole felt     .........  .........  .........  .........  .........  ..............
                       cver w/ lea.                                                                             
L3530....          6  Shoe misc additions  .........  .........  .........  .........  .........  ..............
                       sole hal.                                                                                
L3540....          6  Shoe misc additions  .........  .........  .........  .........  .........  ..............
                       sole ful.                                                                                
L3550....          6  Shoe misc add toe    .........  .........  .........  .........  .........  ..............
                       tap standa.                                                                              
L3560....          6  Shoe misc add toe    .........  .........  .........  .........  .........  ..............
                       tap horses.                                                                              
L3570....          6  Shoe special         .........  .........  .........  .........  .........  ..............
                       extension to in.                                                                         
L3580....          6  Shoe convert instep  .........  .........  .........  .........  .........  ..............
                       velcro c.                                                                                
L3590....          6  Shoe convert firm    .........  .........  .........  .........  .........  ..............
                       to soft cn.                                                                              
L3595....          6  Shoe misc additions  .........  .........  .........  .........  .........  ..............
                       march ba.                                                                                
L3600....          6  Trans shoe calip     .........  .........  .........  .........  .........  ..............
                       plate exist.                                                                             
L3610....          6  Trans shoe caliper   .........  .........  .........  .........  .........  ..............
                       plate new.                                                                               
L3620....          6  Trans shoe solid     .........  .........  .........  .........  .........  ..............
                       stirrup exi.                                                                             
L3630....          6  Trans shoe solid     .........  .........  .........  .........  .........  ..............
                       stirrup new.                                                                             
L3640....          6  Shoe dennis browne   .........  .........  .........  .........  .........  ..............
                       splint bo.                                                                               
L3649....          6  Unlist proc orth     .........  .........  .........  .........  .........  ..............
                       shoe modif/.                                                                             
L3650....          6  Shlder fig 8 abduct  .........  .........  .........  .........  .........  ..............
                       restrain.                                                                                
L3660....          6  Abduct restrainer    .........  .........  .........  .........  .........  ..............
                       canvas&web.                                                                              
L3670....          6  Acromio/clavicular   .........  .........  .........  .........  .........  ..............
                       canvas&we.                                                                               
L3700....          6  Elbow orthoses elas  .........  .........  .........  .........  .........  ..............
                       w stays.                                                                                 
L3710....          6  Elbow elastic with   .........  .........  .........  .........  .........  ..............
                       metal joi.                                                                               
L3720....          6  Forearm/arm cuffs    .........  .........  .........  .........  .........  ..............
                       free motio.                                                                              
L3730....          6  Forearm/arm cuffs    .........  .........  .........  .........  .........  ..............
                       ext/flex a.                                                                              
L3740....          6  Cuffs adj lock w/    .........  .........  .........  .........  .........  ..............
                       active con.                                                                              
L3800....          6  Whfo short opponen   .........  .........  .........  .........  .........  ..............
                       no attach.                                                                               
L3805....          6  Whfo long opponens   .........  .........  .........  .........  .........  ..............
                       no attach.                                                                               
L3810....          6  Whfo thumb           .........  .........  .........  .........  .........  ..............
                       abduction bar.                                                                           
L3815....          6  Whfo second m.p.     .........  .........  .........  .........  .........  ..............
                       abduction a.                                                                             
L3820....          6  Whfo ip ext asst w/  .........  .........  .........  .........  .........  ..............
                       mp ext s.                                                                                
L3825....          6  Whfo m.p. extension  .........  .........  .........  .........  .........  ..............
                       stop.                                                                                    
L3830....          6  Whfo m.p. extension  .........  .........  .........  .........  .........  ..............
                       assist.                                                                                  
L3835....          6  Whfo m.p. spring     .........  .........  .........  .........  .........  ..............
                       extension a.                                                                             
L3840....          6  Whfo spring swivel   .........  .........  .........  .........  .........  ..............
                       thumb.                                                                                   
L3845....          6  Whfo thumb ip ext    .........  .........  .........  .........  .........  ..............
                       ass w/ mp.                                                                               
L3850....          6  Action wrist w/      .........  .........  .........  .........  .........  ..............
                       dorsiflex as.                                                                            
L3855....          6  Whfo adj m.p.        .........  .........  .........  .........  .........  ..............
                       flexion contro.                                                                          

[[Page 32461]]

                                                                                                                
L3860....          6  Whfo adj m.p. flex   .........  .........  .........  .........  .........  ..............
                       ctrl & i..                                                                               
L3890....          6  Torsion mechanism    .........  .........  .........  .........  .........  ..............
                       wrist/elbo.                                                                              
L3900....          6  Hinge extension/     .........  .........  .........  .........  .........  ..............
                       flex wrist/f.                                                                            
L3901....          6  Hinge ext/flex       .........  .........  .........  .........  .........  ..............
                       wrist finger.                                                                            
L3902....          6  Whfo ext power       .........  .........  .........  .........  .........  ..............
                       compress gas.                                                                            
L3904....          6  Whfo electric        .........  .........  .........  .........  .........  ..............
                       custom fitted.                                                                           
L3906....          6  Wrist gauntlet       .........  .........  .........  .........  .........  ..............
                       molded to pt.                                                                            
L3907....          6  Whfo wrst gauntlt    .........  .........  .........  .........  .........  ..............
                       thmb spica.                                                                              
L3908....          6  Wrist cock-up non-   .........  .........  .........  .........  .........  ..............
                       molded.                                                                                  
L3910....          6  Whfo swanson design  .........  .........  .........  .........  .........  ..............
L3912....          6  Flex glove w/        .........  .........  .........  .........  .........  ..............
                       elastic finger.                                                                          
L3914....          6  WHO wrist extension  .........  .........  .........  .........  .........  ..............
                       cock-up.                                                                                 
L3916....          6  Whfo wrist extens w/ .........  .........  .........  .........  .........  ..............
                        outrigg.                                                                                
L3918....          6  HFO knuckle bender.  .........  .........  .........  .........  .........  ..............
L3920....          6  Knuckle bender with  .........  .........  .........  .........  .........  ..............
                       outrigge.                                                                                
L3922....          6  Knuckle bend 2 seg   .........  .........  .........  .........  .........  ..............
                       to flex j.                                                                               
L3924....          6  Oppenheimer........  .........  .........  .........  .........  .........  ..............
L3926....          6  Thomas suspension..  .........  .........  .........  .........  .........  ..............
L3928....          6  Finger extension w/  .........  .........  .........  .........  .........  ..............
                       clock sp.                                                                                
L3930....          6  Finger extension     .........  .........  .........  .........  .........  ..............
                       with wrist.                                                                              
L3932....          6  Safety pin spring    .........  .........  .........  .........  .........  ..............
                       wire.                                                                                    
L3934....          6  Safety pin modified  .........  .........  .........  .........  .........  ..............
L3936....          6  Palmer.............  .........  .........  .........  .........  .........  ..............
L3938....          6  Dorsal wrist.......  .........  .........  .........  .........  .........  ..............
L3940....          6  Dorsal wrist w/      .........  .........  .........  .........  .........  ..............
                       outrigger at.                                                                            
L3942....          6  Reverse knuckle      .........  .........  .........  .........  .........  ..............
                       bender.                                                                                  
L3944....          6  Reverse knuckle      .........  .........  .........  .........  .........  ..............
                       bend w/ outr.                                                                            
L3946....          6  HFO composite        .........  .........  .........  .........  .........  ..............
                       elastic.                                                                                 
L3948....          6  Finger knuckle       .........  .........  .........  .........  .........  ..............
                       bender.                                                                                  
L3950....          6  Oppenheimer w/       .........  .........  .........  .........  .........  ..............
                       knuckle bend.                                                                            
L3952....          6  Oppenheimer w/ rev   .........  .........  .........  .........  .........  ..............
                       knuckle 2.                                                                               
L3954....          6  Spreading hand.....  .........  .........  .........  .........  .........  ..............
L3956....          6  Add. joint upper     .........  .........  .........  .........  .........  ..............
                       ext orthosis.                                                                            
L3960....          6  Sewho airplan desig  .........  .........  .........  .........  .........  ..............
                       abdu pos.                                                                                
L3962....          6  Sewho erbs palsey    .........  .........  .........  .........  .........  ..............
                       design abd.                                                                              
L3963....          6  Molded w/            .........  .........  .........  .........  .........  ..............
                       articulating elbow.                                                                      
L3964....          6  Seo mobile arm sup   .........  .........  .........  .........  .........  ..............
                       att to wc.                                                                               
L3965....          6  Arm supp att to wc   .........  .........  .........  .........  .........  ..............
                       rancho ty.                                                                               
L3966....          6  Mobile arm supports  .........  .........  .........  .........  .........  ..............
                       reclinin.                                                                                
L3968....          6  Friction dampening   .........  .........  .........  .........  .........  ..............
                       arm supp.                                                                                
L3969....          6  Monosuspension arm/  .........  .........  .........  .........  .........  ..............
                       hand supp.                                                                               
L3970....          6  Elevat proximal arm  .........  .........  .........  .........  .........  ..............
                       support.                                                                                 
L3972....          6  Offset/lat rocker    .........  .........  .........  .........  .........  ..............
                       arm w/ ela.                                                                              
L3974....          6  Mobile arm support   .........  .........  .........  .........  .........  ..............
                       supinator.                                                                               
L3980....          6  Upp ext fx orthosis  .........  .........  .........  .........  .........  ..............
                       humeral.                                                                                 
L3982....          6  Upper ext fx         .........  .........  .........  .........  .........  ..............
                       orthosis rad/ul.                                                                         
L3984....          6  Upper ext fx         .........  .........  .........  .........  .........  ..............
                       orthosis wrist.                                                                          
L3985....          6  Forearm hand fx      .........  .........  .........  .........  .........  ..............
                       orth w/ wr h.                                                                            
L3986....          6  Humeral rad/ulna     .........  .........  .........  .........  .........  ..............
                       wrist fx or.                                                                             
L3995....          6  Sock fracture or     .........  .........  .........  .........  .........  ..............
                       equal each.                                                                              
L3999....          6  Upper limb orthosis  .........  .........  .........  .........  .........  ..............
                       NOS.                                                                                     
L4000....          6  Repl girdle          .........  .........  .........  .........  .........  ..............
                       milwaukee orth.                                                                          
L4010....          6  Replace trilateral   .........  .........  .........  .........  .........  ..............
                       socket br.                                                                               
L4020....          6  Replace quadlat      .........  .........  .........  .........  .........  ..............
                       socket brim.                                                                             
L4030....          6  Replace socket brim  .........  .........  .........  .........  .........  ..............
                       cust fit.                                                                                
L4040....          6  Replace molded       .........  .........  .........  .........  .........  ..............
                       thigh lacer.                                                                             
L4045....          6  Replace non-molded   .........  .........  .........  .........  .........  ..............
                       thigh lac.                                                                               
L4050....          6  Replace molded calf  .........  .........  .........  .........  .........  ..............
                       lacer.                                                                                   
L4055....          6  Replace non-molded   .........  .........  .........  .........  .........  ..............
                       calf lace.                                                                               
L4060....          6  Replace high roll    .........  .........  .........  .........  .........  ..............
                       cuff.                                                                                    
L4070....          6  Replace prox & dist  .........  .........  .........  .........  .........  ..............
                       upright.                                                                                 
L4080....          6  Repl met band kafo-  .........  .........  .........  .........  .........  ..............
                       afo prox.                                                                                
L4090....          6  Repl met band kafo-  .........  .........  .........  .........  .........  ..............
                       afo calf/.                                                                               
L4100....          6  Repl leath cuff      .........  .........  .........  .........  .........  ..............
                       kafo prox th.                                                                            
L4110....          6  Repl leath cuff      .........  .........  .........  .........  .........  ..............
                       kafo-afo cal.                                                                            
L4130....          6  Replace pretibial    .........  .........  .........  .........  .........  ..............
                       shell.                                                                                   
L4205....          6  Ortho dvc repair     .........  .........  .........  .........  .........  ..............
                       per 15 min.                                                                              
L4210....          6  Orth dev repair/     .........  .........  .........  .........  .........  ..............
                       repl minor p.                                                                            
L4310....          6  Mult-podus/eq orth   .........  .........  .........  .........  .........  ..............
                       prep mgmt.                                                                               
L4320....          6  Low ext mgmt sys ft  .........  .........  .........  .........  .........  ..............
                       pos afo.                                                                                 
L4350....          6  Pneumatic ankle      .........  .........  .........  .........  .........  ..............
                       cntrl splint.                                                                            
L4360....          6  Pneumatic walking    .........  .........  .........  .........  .........  ..............
                       splint.                                                                                  
L4370....          6  Pneumatic full leg   .........  .........  .........  .........  .........  ..............
                       splint.                                                                                  
L4380....          6  Pneumatic knee       .........  .........  .........  .........  .........  ..............
                       splint.                                                                                  

[[Page 32462]]

                                                                                                                
L4390....          6  Replace multi-podus  .........  .........  .........  .........  .........  ..............
                       splint.                                                                                  
L4392....          6  Replace ankle        .........  .........  .........  .........  .........  ..............
                       contrac splint.                                                                          
L4394....          6  Replace foot drop    .........  .........  .........  .........  .........  ..............
                       splint.                                                                                  
L4396....          6  Ankle contracture    .........  .........  .........  .........  .........  ..............
                       splint.                                                                                  
L4398....          6  Foot drop splint     .........  .........  .........  .........  .........  ..............
                       recumbent.                                                                               
L5000....          6  Sho insert w arch    .........  .........  .........  .........  .........  ..............
                       toe filler.                                                                              
L5010....          6  Mold socket ank hgt  .........  .........  .........  .........  .........  ..............
                       w/ toe f.                                                                                
L5020....          6  Tibial tubercle hgt  .........  .........  .........  .........  .........  ..............
                       w/ toe f.                                                                                
L5050....          6  Ank symes mold sckt  .........  .........  .........  .........  .........  ..............
                       sach ft.                                                                                 
L5060....          6  Symes met fr leath   .........  .........  .........  .........  .........  ..............
                       socket ar.                                                                               
L5100....          6  Molded socket shin   .........  .........  .........  .........  .........  ..............
                       sach foot.                                                                               
L5105....          6  Plast socket jts/    .........  .........  .........  .........  .........  ..............
                       thgh lacer.                                                                              
L5150....          6  Mold sckt ext knee   .........  .........  .........  .........  .........  ..............
                       shin sach.                                                                               
L5160....          6  Mold socket bent     .........  .........  .........  .........  .........  ..............
                       knee shin s.                                                                             
L5200....          6  Kne sing axis fric   .........  .........  .........  .........  .........  ..............
                       shin sach.                                                                               
L5210....          6  No knee/ankle        .........  .........  .........  .........  .........  ..............
                       joints w/ ft b.                                                                          
L5220....          6  No knee joint with   .........  .........  .........  .........  .........  ..............
                       artic ali.                                                                               
L5230....          6  Fem focal defic      .........  .........  .........  .........  .........  ..............
                       constant fri.                                                                            
L5250....          6  Hip canad sing axi   .........  .........  .........  .........  .........  ..............
                       cons fric.                                                                               
L5270....          6  Tilt table locking   .........  .........  .........  .........  .........  ..............
                       hip sing.                                                                                
L5280....          6  Hemipelvect canad    .........  .........  .........  .........  .........  ..............
                       sing axis.                                                                               
L5300....          6  Bk sach soft cover   .........  .........  .........  .........  .........  ..............
                       & finish.                                                                                
L5310....          6  Knee disart sach     .........  .........  .........  .........  .........  ..............
                       soft cv/fin.                                                                             
L5320....          6  Ak open end sach     .........  .........  .........  .........  .........  ..............
                       soft cv/fin.                                                                             
L5330....          6  Hip canadian sach    .........  .........  .........  .........  .........  ..............
                       sft cv/fin.                                                                              
L5340....          6  Hemipelvectomy       .........  .........  .........  .........  .........  ..............
                       canad cv/fin.                                                                            
L5400....          6  Postop dress & 1     .........  .........  .........  .........  .........  ..............
                       cast chg bk.                                                                             
L5410....          6  Postop dsg bk ea     .........  .........  .........  .........  .........  ..............
                       add cast ch.                                                                             
L5420....          6  Postop dsg & 1 cast  .........  .........  .........  .........  .........  ..............
                       chg ak/d.                                                                                
L5430....          6  Postop dsg ak ea     .........  .........  .........  .........  .........  ..............
                       add cast ch.                                                                             
L5450....          6  Postop app non-wgt   .........  .........  .........  .........  .........  ..............
                       bear dsg.                                                                                
L5460....          6  Postop app non-wgt   .........  .........  .........  .........  .........  ..............
                       bear dsg.                                                                                
L5500....          6  Init bk ptb plaster  .........  .........  .........  .........  .........  ..............
                       direct.                                                                                  
L5505....          6  Init ak ischal       .........  .........  .........  .........  .........  ..............
                       plstr direct.                                                                            
L5510....          6  Prep BK ptb plaster  .........  .........  .........  .........  .........  ..............
                       molded.                                                                                  
L5520....          6  Perp BK ptb          .........  .........  .........  .........  .........  ..............
                       thermopls direct.                                                                        
L5530....          6  Prep BK ptb          .........  .........  .........  .........  .........  ..............
                       thermopls molded.                                                                        
L5535....          6  Prep BK ptb open     .........  .........  .........  .........  .........  ..............
                       end socket.                                                                              
L5540....          6  Prep BK ptb          .........  .........  .........  .........  .........  ..............
                       laminated socket.                                                                        
L5560....          6  Prep AK ischial      .........  .........  .........  .........  .........  ..............
                       plast molded.                                                                            
L5570....          6  Prep AK ischial      .........  .........  .........  .........  .........  ..............
                       direct form.                                                                             
L5580....          6  Prep AK ischial      .........  .........  .........  .........  .........  ..............
                       thermo mold.                                                                             
L5585....          6  Prep AK ischial      .........  .........  .........  .........  .........  ..............
                       open end.                                                                                
L5590....          6  Prep AK ischial      .........  .........  .........  .........  .........  ..............
                       laminated.                                                                               
L5595....          6  Hip disartic sach    .........  .........  .........  .........  .........  ..............
                       thermopls.                                                                               
L5600....          6  Hip disart sach      .........  .........  .........  .........  .........  ..............
                       laminat mold.                                                                            
L5610....          6  Above knee           .........  .........  .........  .........  .........  ..............
                       hydracadence.                                                                            
L5611....          6  Ak 4 bar link w/     .........  .........  .........  .........  .........  ..............
                       fric swing.                                                                              
L5613....          6  Ak 4 bar ling w/     .........  .........  .........  .........  .........  ..............
                       hydraul swig.                                                                            
L5614....          6  4-bar link above     .........  .........  .........  .........  .........  ..............
                       knee w/swng.                                                                             
L5616....          6  Ak univ multiplex    .........  .........  .........  .........  .........  ..............
                       sys frict.                                                                               
L5617....          6  AK/BK self-aligning  .........  .........  .........  .........  .........  ..............
                       unit ea.                                                                                 
L5618....          6  Test socket symes..  .........  .........  .........  .........  .........  ..............
L5620....          6  Test socket below    .........  .........  .........  .........  .........  ..............
                       knee.                                                                                    
L5622....          6  Test socket knee     .........  .........  .........  .........  .........  ..............
                       disarticula.                                                                             
L5624....          6  Test socket above    .........  .........  .........  .........  .........  ..............
                       knee.                                                                                    
L5626....          6  Test socket hip      .........  .........  .........  .........  .........  ..............
                       disarticulat.                                                                            
L5628....          6  Test socket          .........  .........  .........  .........  .........  ..............
                       hemipelvectomy.                                                                          
L5629....          6  Below knee acrylic   .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
L5630....          6  Syme typ expandabl   .........  .........  .........  .........  .........  ..............
                       wall sckt.                                                                               
L5631....          6  Ak/knee disartic     .........  .........  .........  .........  .........  ..............
                       acrylic soc.                                                                             
L5632....          6  Symes type ptb brim  .........  .........  .........  .........  .........  ..............
                       design s.                                                                                
L5634....          6  Symes type poster    .........  .........  .........  .........  .........  ..............
                       opening so.                                                                              
L5636....          6  Symes type medial    .........  .........  .........  .........  .........  ..............
                       opening so.                                                                              
L5637....          6  Below knee total     .........  .........  .........  .........  .........  ..............
                       contact.                                                                                 
L5638....          6  Below knee leather   .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
L5639....          6  Below knee wood      .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
L5640....          6  Knee disarticulat    .........  .........  .........  .........  .........  ..............
                       leather so.                                                                              
L5642....          6  Above knee leather   .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
L5643....          6  Hip flex inner       .........  .........  .........  .........  .........  ..............
                       socket ext fr.                                                                           
L5644....          6  Above knee wood      .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  
L5645....          6  Ak flexibl inner     .........  .........  .........  .........  .........  ..............
                       socket ext.                                                                              
L5646....          6  Below knee air       .........  .........  .........  .........  .........  ..............
                       cushion socke.                                                                           
L5647....          6  Below knee suction   .........  .........  .........  .........  .........  ..............
                       socket.                                                                                  

[[Page 32463]]

                                                                                                                
L5648....          6  Above knee air       .........  .........  .........  .........  .........  ..............
                       cushion socke.                                                                           
L5649....          6  Isch containmt/      .........  .........  .........  .........  .........  ..............
                       narrow m-l so.                                                                           
L5650....          6  Tot contact ak/knee  .........  .........  .........  .........  .........  ..............
                       disart s.                                                                                
L5651....          6  Ak flex inner        .........  .........  .........  .........  .........  ..............
                       socket ext fra.                                                                          
L5652....          6  Suction susp ak/     .........  .........  .........  .........  .........  ..............
                       knee disart.                                                                             
L5653....          6  Knee disart expand   .........  .........  .........  .........  .........  ..............
                       wall sock.                                                                               
L5654....          6  Socket insert symes  .........  .........  .........  .........  .........  ..............
L5655....          6  Socket insert below  .........  .........  .........  .........  .........  ..............
                       knee.                                                                                    
L5656....          6  Socket insert knee   .........  .........  .........  .........  .........  ..............
                       articulat.                                                                               
L5658....          6  Socket insert above  .........  .........  .........  .........  .........  ..............
                       knee.                                                                                    
L5660....          6  Sock insrt syme      .........  .........  .........  .........  .........  ..............
                       silicone gel.                                                                            
L5661....          6  Multi-durometer      .........  .........  .........  .........  .........  ..............
                       symes.                                                                                   
L5662....          6  Socket insert bk     .........  .........  .........  .........  .........  ..............
                       silicone ge.                                                                             
L5663....          6  Sock knee disartic   .........  .........  .........  .........  .........  ..............
                       silicone.                                                                                
L5664....          6  Socket insert ak     .........  .........  .........  .........  .........  ..............
                       silicone ge.                                                                             
L5665....          6  Multi-durometer      .........  .........  .........  .........  .........  ..............
                       below knee.                                                                              
L5666....          6  Below knee cuff      .........  .........  .........  .........  .........  ..............
                       suspension.                                                                              
L5667....          6  Socket insert w      .........  .........  .........  .........  .........  ..............
                       lock lower.                                                                              
L5668....          6  Socket insert w/o    .........  .........  .........  .........  .........  ..............
                       lock lower.                                                                              
L5669....          6  Below knee socket w/ .........  .........  .........  .........  .........  ..............
                       o lock.                                                                                  
L5670....          6  Bk molded            .........  .........  .........  .........  .........  ..............
                       supracondylar susp.                                                                      
L5672....          6  Bk removable medial  .........  .........  .........  .........  .........  ..............
                       brim sus.                                                                                
L5674....          6  Bk latex sleeve      .........  .........  .........  .........  .........  ..............
                       suspension/e.                                                                            
L5675....          6  Bk latex sleeve      .........  .........  .........  .........  .........  ..............
                       susp/eq hvy.                                                                             
L5676....          6  Bk knee joints       .........  .........  .........  .........  .........  ..............
                       single axis p.                                                                           
L5677....          6  Bk knee joints       .........  .........  .........  .........  .........  ..............
                       polycentric p.                                                                           
L5678....          6  Bk joint covers      .........  .........  .........  .........  .........  ..............
                       pair.                                                                                    
L5680....          6  Bk thigh lacer non-  .........  .........  .........  .........  .........  ..............
                       molded.                                                                                  
L5682....          6  Bk thigh lacer glut/ .........  .........  .........  .........  .........  ..............
                       ischia m.                                                                                
L5684....          6  Bk fork strap......  .........  .........  .........  .........  .........  ..............
L5686....          6  Bk back check......  .........  .........  .........  .........  .........  ..............
L5688....          6  Bk waist belt        .........  .........  .........  .........  .........  ..............
                       webbing.                                                                                 
L5690....          6  Bk waist belt        .........  .........  .........  .........  .........  ..............
                       padded and lin.                                                                          
L5692....          6  Ak pelvic control    .........  .........  .........  .........  .........  ..............
                       belt light.                                                                              
L5694....          6  Ak pelvic control    .........  .........  .........  .........  .........  ..............
                       belt pad/l.                                                                              
L5695....          6  Ak sleeve susp       .........  .........  .........  .........  .........  ..............
                       neoprene/equa.                                                                           
L5696....          6  Ak/knee disartic     .........  .........  .........  .........  .........  ..............
                       pelvic join.                                                                             
L5697....          6  Ak/knee disartic     .........  .........  .........  .........  .........  ..............
                       pelvic band.                                                                             
L5698....          6  Ak/knee disartic     .........  .........  .........  .........  .........  ..............
                       silesian ba.                                                                             
L5699....          6  Shoulder harness...  .........  .........  .........  .........  .........  ..............
L5700....          6  Replace socket       .........  .........  .........  .........  .........  ..............
                       below knee.                                                                              
L5701....          6  Replace socket       .........  .........  .........  .........  .........  ..............
                       above knee.                                                                              
L5702....          6  Replace socket hip.  .........  .........  .........  .........  .........  ..............
L5704....          6  Custom shape covr    .........  .........  .........  .........  .........  ..............
                       below knee.                                                                              
L5705....          6  Custm shape cover    .........  .........  .........  .........  .........  ..............
                       above knee.                                                                              
L5706....          6  Custm shape cvr      .........  .........  .........  .........  .........  ..............
                       knee disart.                                                                             
L5707....          6  Custm shape cover    .........  .........  .........  .........  .........  ..............
                       hip disart.                                                                              
L5710....          6  Kne-shin exo sng     .........  .........  .........  .........  .........  ..............
                       axi mnl loc.                                                                             
L5711....          6  Knee-shin exo mnl    .........  .........  .........  .........  .........  ..............
                       lock ultra.                                                                              
L5712....          6  Knee-shin exo frict  .........  .........  .........  .........  .........  ..............
                       swg & st.                                                                                
L5714....          6  Knee-shin exo        .........  .........  .........  .........  .........  ..............
                       variable frict.                                                                          
L5716....          6  Knee-shin exo mech   .........  .........  .........  .........  .........  ..............
                       stance ph.                                                                               
L5718....          6  Knee-shin exo frct   .........  .........  .........  .........  .........  ..............
                       swg & sta.                                                                               
L5722....          6  Knee-shin pneum swg  .........  .........  .........  .........  .........  ..............
                       frct exo.                                                                                
L5724....          6  Knee-shin exo fluid  .........  .........  .........  .........  .........  ..............
                       swing ph.                                                                                
L5726....          6  Knee-shin ext jnts   .........  .........  .........  .........  .........  ..............
                       fld swg e.                                                                               
L5728....          6  Knee-shin fluid swg  .........  .........  .........  .........  .........  ..............
                       & stance.                                                                                
L5780....          6  Knee-shin pneum/     .........  .........  .........  .........  .........  ..............
                       hydra pneum.                                                                             
L5785....          6  Exoskeletal bk       .........  .........  .........  .........  .........  ..............
                       ultralt mater.                                                                           
L5790....          6  Exoskeletal ak       .........  .........  .........  .........  .........  ..............
                       ultra-light m.                                                                           
L5795....          6  Exoskel hip ultra-   .........  .........  .........  .........  .........  ..............
                       light mate.                                                                              
L5810....          6  Endoskel knee-shin   .........  .........  .........  .........  .........  ..............
                       mnl lock.                                                                                
L5811....          6  Endo knee-shin mnl   .........  .........  .........  .........  .........  ..............
                       lck ultra.                                                                               
L5812....          6  Endo knee-shin frct  .........  .........  .........  .........  .........  ..............
                       swg & st.                                                                                
L5814....          6  Endo knee-shin       .........  .........  .........  .........  .........  ..............
                       hydral swg ph.                                                                           
L5816....          6  Endo knee-shin       .........  .........  .........  .........  .........  ..............
                       polyc mch sta.                                                                           
L5818....          6  Endo knee-shin frct  .........  .........  .........  .........  .........  ..............
                       swg & st.                                                                                
L5822....          6  Endo knee-shin       .........  .........  .........  .........  .........  ..............
                       pneum swg frc.                                                                           
L5824....          6  Endo knee-shin       .........  .........  .........  .........  .........  ..............
                       fluid swing p.                                                                           
L5826....          6  Pediatric knee       .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
L5828....          6  Endo knee-shin       .........  .........  .........  .........  .........  ..............
                       fluid swg/sta.                                                                           
L5830....          6  Endo knee-shin       .........  .........  .........  .........  .........  ..............
                       pneum/swg pha.                                                                           
L5840....          6  Multi-axial knee/    .........  .........  .........  .........  .........  ..............
                       shin system.                                                                             
L5845....          6  Knee-shin sys        .........  .........  .........  .........  .........  ..............
                       stance flexion.                                                                          

[[Page 32464]]

                                                                                                                
L5846....          6  Knee-shin sys        .........  .........  .........  .........  .........  ..............
                       microprocessor.                                                                          
L5850....          6  Endo ak/hip knee     .........  .........  .........  .........  .........  ..............
                       extens assi.                                                                             
L5855....          6  Mech hip extension   .........  .........  .........  .........  .........  ..............
                       assist.                                                                                  
L5910....          6  Endo below knee      .........  .........  .........  .........  .........  ..............
                       alignable sy.                                                                            
L5920....          6  Endo ak/hip          .........  .........  .........  .........  .........  ..............
                       alignable system.                                                                        
L5925....          6  Above knee manual    .........  .........  .........  .........  .........  ..............
                       lock.                                                                                    
L5930....          6  High activity knee   .........  .........  .........  .........  .........  ..............
                       frame.                                                                                   
L5940....          6  Endo bk ultra-light  .........  .........  .........  .........  .........  ..............
                       material.                                                                                
L5950....          6  Endo ak ultra-light  .........  .........  .........  .........  .........  ..............
                       material.                                                                                
L5960....          6  Endo hip ultra-      .........  .........  .........  .........  .........  ..............
                       light materia.                                                                           
L5962....          6  Below knee flex      .........  .........  .........  .........  .........  ..............
                       cover system.                                                                            
L5964....          6  Above knee flex      .........  .........  .........  .........  .........  ..............
                       cover system.                                                                            
L5966....          6  Hip flexible cover   .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
L5970....          6  Foot external keel   .........  .........  .........  .........  .........  ..............
                       sach foot.                                                                               
L5972....          6  Flexible keel foot.  .........  .........  .........  .........  .........  ..............
L5974....          6  Foot single axis     .........  .........  .........  .........  .........  ..............
                       ankle/foot.                                                                              
L5976....          6  Energy storing foot  .........  .........  .........  .........  .........  ..............
L5978....          6  Ft prosth            .........  .........  .........  .........  .........  ..............
                       multiaxial ankl/ft.                                                                      
L5979....          6  Multi-axial ankle/   .........  .........  .........  .........  .........  ..............
                       ft prosth.                                                                               
L5980....          6  Flex foot system...  .........  .........  .........  .........  .........  ..............
L5981....          6  Flex-walk sys low    .........  .........  .........  .........  .........  ..............
                       ext prosth.                                                                              
L5982....          6  Exoskeletal axial    .........  .........  .........  .........  .........  ..............
                       rotation u.                                                                              
L5984....          6  Endoskeletal axial   .........  .........  .........  .........  .........  ..............
                       rotation.                                                                                
L5985....          6  Lwr ext dynamic      .........  .........  .........  .........  .........  ..............
                       prosth pylon.                                                                            
L5986....          6  Multi-axial          .........  .........  .........  .........  .........  ..............
                       rotation unit.                                                                           
L5987....          6  Shank ft w vert      .........  .........  .........  .........  .........  ..............
                       load pylon.                                                                              
L5999....          6  Lowr extremity       .........  .........  .........  .........  .........  ..............
                       prosthes NOS.                                                                            
L6000....          6  Par hand robin-aids  .........  .........  .........  .........  .........  ..............
                       thum rem.                                                                                
L6010....          6  Hand robin-aids      .........  .........  .........  .........  .........  ..............
                       little/ring.                                                                             
L6020....          6  Part hand robin-     .........  .........  .........  .........  .........  ..............
                       aids no fing.                                                                            
L6050....          6  Wrst MLd sck flx     .........  .........  .........  .........  .........  ..............
                       hng tri pad.                                                                             
L6055....          6  Wrst mold sock w/    .........  .........  .........  .........  .........  ..............
                       exp interfa.                                                                             
L6100....          6  Elb mold sock flex   .........  .........  .........  .........  .........  ..............
                       hinge pad.                                                                               
L6110....          6  Elbow mold sock      .........  .........  .........  .........  .........  ..............
                       suspension t.                                                                            
L6120....          6  Elbow mold doub      .........  .........  .........  .........  .........  ..............
                       splt soc ste.                                                                            
L6130....          6  Elbow stump          .........  .........  .........  .........  .........  ..............
                       activated lock h.                                                                        
L6200....          6  Elbow mold outsid    .........  .........  .........  .........  .........  ..............
                       lock hinge.                                                                              
L6205....          6  Elbow molded w/      .........  .........  .........  .........  .........  ..............
                       expand inter.                                                                            
L6250....          6  Elbow inter loc      .........  .........  .........  .........  .........  ..............
                       elbow forarm.                                                                            
L6300....          6  Shlder disart int    .........  .........  .........  .........  .........  ..............
                       lock elbow.                                                                              
L6310....          6  Shoulder passive     .........  .........  .........  .........  .........  ..............
                       restor comp.                                                                             
L6320....          6  Shoulder passive     .........  .........  .........  .........  .........  ..............
                       restor cap.                                                                              
L6350....          6  Thoracic intern      .........  .........  .........  .........  .........  ..............
                       lock elbow.                                                                              
L6360....          6  Thoracic passive     .........  .........  .........  .........  .........  ..............
                       restor comp.                                                                             
L6370....          6  Thoracic passive     .........  .........  .........  .........  .........  ..............
                       restor cap.                                                                              
L6380....          6  Postop dsg cast chg  .........  .........  .........  .........  .........  ..............
                       wrst/elb.                                                                                
L6382....          6  Postop dsg cast chg  .........  .........  .........  .........  .........  ..............
                       elb dis/.                                                                                
L6384....          6  Postop dsg cast chg  .........  .........  .........  .........  .........  ..............
                       shlder/t.                                                                                
L6386....          6  Postop ea cast chg   .........  .........  .........  .........  .........  ..............
                       & realign.                                                                               
L6388....          6  Postop applicat      .........  .........  .........  .........  .........  ..............
                       rigid dsg on.                                                                            
L6400....          6  Below elbow prosth   .........  .........  .........  .........  .........  ..............
                       tiss shap.                                                                               
L6450....          6  Elb disart prosth    .........  .........  .........  .........  .........  ..............
                       tiss shap.                                                                               
L6500....          6  Above elbow prosth   .........  .........  .........  .........  .........  ..............
                       tiss shap.                                                                               
L6550....          6  Shldr disar prosth   .........  .........  .........  .........  .........  ..............
                       tiss shap.                                                                               
L6570....          6  Scap thorac prosth   .........  .........  .........  .........  .........  ..............
                       tiss shap.                                                                               
L6580....          6  Wrist/elbow bowden   .........  .........  .........  .........  .........  ..............
                       cable mol.                                                                               
L6582....          6  Wrist/elbow bowden   .........  .........  .........  .........  .........  ..............
                       cbl dir f.                                                                               
L6584....          6  Elbow fair lead      .........  .........  .........  .........  .........  ..............
                       cable molded.                                                                            
L6586....          6  Elbow fair lead      .........  .........  .........  .........  .........  ..............
                       cable dir fo.                                                                            
L6588....          6  Shdr fair lead       .........  .........  .........  .........  .........  ..............
                       cable molded.                                                                            
L6590....          6  Shdr fair lead       .........  .........  .........  .........  .........  ..............
                       cable direct.                                                                            
L6600....          6  Polycentric hinge    .........  .........  .........  .........  .........  ..............
                       pair.                                                                                    
L6605....          6  Single pivot hinge   .........  .........  .........  .........  .........  ..............
                       pair.                                                                                    
L6610....          6  Flexible metal       .........  .........  .........  .........  .........  ..............
                       hinge pair.                                                                              
L6615....          6  Disconnect locking   .........  .........  .........  .........  .........  ..............
                       wrist uni.                                                                               
L6616....          6  Disconnect insert    .........  .........  .........  .........  .........  ..............
                       locking wr.                                                                              
L6620....          6  Flexion-friction     .........  .........  .........  .........  .........  ..............
                       wrist unit.                                                                              
L6623....          6  Spring-ass rot wrst  .........  .........  .........  .........  .........  ..............
                       w/ latch.                                                                                
L6625....          6  Rotation wrst w/     .........  .........  .........  .........  .........  ..............
                       cable lock.                                                                              
L6628....          6  Quick disconn hook   .........  .........  .........  .........  .........  ..............
                       adapter o.                                                                               
L6629....          6  Lamination collar w/ .........  .........  .........  .........  .........  ..............
                        couplin.                                                                                
L6630....          6  Stainless steel any  .........  .........  .........  .........  .........  ..............
                       wrist.                                                                                   
L6632....          6  Latex suspension     .........  .........  .........  .........  .........  ..............
                       sleeve each.                                                                             
L6635....          6  Lift assist for      .........  .........  .........  .........  .........  ..............
                       elbow.                                                                                   

[[Page 32465]]

                                                                                                                
L6637....          6  Nudge control elbow  .........  .........  .........  .........  .........  ..............
                       lock.                                                                                    
L6640....          6  Shoulder abduction   .........  .........  .........  .........  .........  ..............
                       joint pai.                                                                               
L6641....          6  Excursion amplifier  .........  .........  .........  .........  .........  ..............
                       pulley t.                                                                                
L6642....          6  Excursion amplifier  .........  .........  .........  .........  .........  ..............
                       lever ty.                                                                                
L6645....          6  Shoulder flexion-    .........  .........  .........  .........  .........  ..............
                       abduction j.                                                                             
L6650....          6  Shoulder universal   .........  .........  .........  .........  .........  ..............
                       joint.                                                                                   
L6655....          6  Standard control     .........  .........  .........  .........  .........  ..............
                       cable extra.                                                                             
L6660....          6  Heavy duty control   .........  .........  .........  .........  .........  ..............
                       cable.                                                                                   
L6665....          6  Teflon or equal      .........  .........  .........  .........  .........  ..............
                       cable lining.                                                                            
L6670....          6  Hook to hand cable   .........  .........  .........  .........  .........  ..............
                       adapter.                                                                                 
L6672....          6  Harness chest/       .........  .........  .........  .........  .........  ..............
                       shlder saddle.                                                                           
L6675....          6  Harness figure of 8  .........  .........  .........  .........  .........  ..............
                       sing con.                                                                                
L6676....          6  Harness figure of 8  .........  .........  .........  .........  .........  ..............
                       dual con.                                                                                
L6680....          6  Test sock wrist      .........  .........  .........  .........  .........  ..............
                       disart/bel e.                                                                            
L6682....          6  Test sock elbw       .........  .........  .........  .........  .........  ..............
                       disart/above.                                                                            
L6684....          6  Test socket shldr    .........  .........  .........  .........  .........  ..............
                       disart/tho.                                                                              
L6686....          6  Suction socket.....  .........  .........  .........  .........  .........  ..............
L6687....          6  Frame typ socket     .........  .........  .........  .........  .........  ..............
                       bel elbow/w.                                                                             
L6688....          6  Frame typ sock       .........  .........  .........  .........  .........  ..............
                       above elb/dis.                                                                           
L6689....          6  Frame typ socket     .........  .........  .........  .........  .........  ..............
                       shoulder di.                                                                             
L6690....          6  Frame typ sock       .........  .........  .........  .........  .........  ..............
                       interscap-tho.                                                                           
L6691....          6  Removable insert     .........  .........  .........  .........  .........  ..............
                       each.                                                                                    
L6692....          6  Silicone gel insert  .........  .........  .........  .........  .........  ..............
                       or equal.                                                                                
L6700....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #3.                                                                                
L6705....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #5.                                                                                
L6710....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #5x.                                                                               
L6715....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #5xa.                                                                              
L6720....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #6.                                                                                
L6725....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #7.                                                                                
L6730....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #7lo.                                                                              
L6735....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #8.                                                                                
L6740....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #8x.                                                                               
L6745....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #88x.                                                                              
L6750....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #10p.                                                                              
L6755....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #10x.                                                                              
L6765....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #12p.                                                                              
L6770....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #99x.                                                                              
L6775....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #555.                                                                              
L6780....          6  Terminal device      .........  .........  .........  .........  .........  ..............
                       model #ss555.                                                                            
L6790....          6  Hooks-accu hook or   .........  .........  .........  .........  .........  ..............
                       equal.                                                                                   
L6795....          6  Hooks-2 load or      .........  .........  .........  .........  .........  ..............
                       equal.                                                                                   
L6800....          6  Hooks-aprl vc or     .........  .........  .........  .........  .........  ..............
                       equal.                                                                                   
L6805....          6  Modifier wrist       .........  .........  .........  .........  .........  ..............
                       flexion unit.                                                                            
L6806....          6  Trs grip vc or       .........  .........  .........  .........  .........  ..............
                       equal.                                                                                   
L6807....          6  Term device grip \1/ .........  .........  .........  .........  .........  ..............
                       2\ or equal.                                                                             
L6808....          6  Term device infant   .........  .........  .........  .........  .........  ..............
                       or child.                                                                                
L6809....          6  Trs super sport      .........  .........  .........  .........  .........  ..............
                       passive.                                                                                 
L6810....          6  Pincher tool otto    .........  .........  .........  .........  .........  ..............
                       bock or eq.                                                                              
L6825....          6  Hands dorrance vo..  .........  .........  .........  .........  .........  ..............
L6830....          6  Hand aprl vc.......  .........  .........  .........  .........  .........  ..............
L6835....          6  Hand sierra vo.....  .........  .........  .........  .........  .........  ..............
L6840....          6  Hand becker          .........  .........  .........  .........  .........  ..............
                       imperial.                                                                                
L6845....          6  Hand becker lock     .........  .........  .........  .........  .........  ..............
                       grip.                                                                                    
L6850....          6  Term dvc-hand        .........  .........  .........  .........  .........  ..............
                       becker plylite.                                                                          
L6855....          6  Hand robin-aids vo.  .........  .........  .........  .........  .........  ..............
L6860....          6  Hand robin-aids vo   .........  .........  .........  .........  .........  ..............
                       soft.                                                                                    
L6865....          6  Hand passive hand..  .........  .........  .........  .........  .........  ..............
L6867....          6  Hand detroit infant  .........  .........  .........  .........  .........  ..............
                       hand.                                                                                    
L6868....          6  Passive inf hand     .........  .........  .........  .........  .........  ..............
                       steeper/hos.                                                                             
L6870....          6  Hand child mitt....  .........  .........  .........  .........  .........  ..............
L6872....          6  Hand nyu child hand  .........  .........  .........  .........  .........  ..............
L6873....          6  Hand mech inf        .........  .........  .........  .........  .........  ..............
                       steeper or equ.                                                                          
L6875....          6  Hand bock vc.......  .........  .........  .........  .........  .........  ..............
L6880....          6  Hand bock vo.......  .........  .........  .........  .........  .........  ..............
L6890....          6  Production glove...  .........  .........  .........  .........  .........  ..............
L6895....          6  Custom glove.......  .........  .........  .........  .........  .........  ..............
L6900....          6  Hand restorat thumb/ .........  .........  .........  .........  .........  ..............
                       1 finger.                                                                                
L6905....          6  Hand restoration     .........  .........  .........  .........  .........  ..............
                       multiple fi.                                                                             
L6910....          6  Hand restoration no  .........  .........  .........  .........  .........  ..............
                       fingers.                                                                                 
L6915....          6  Hand restoration     .........  .........  .........  .........  .........  ..............
                       replacmnt g.                                                                             
L6920....          6  Wrist disarticul     .........  .........  .........  .........  .........  ..............
                       switch ctrl.                                                                             
L6925....          6  Wrist disart         .........  .........  .........  .........  .........  ..............
                       myoelectronic c.                                                                         
L6930....          6  Below elbow switch   .........  .........  .........  .........  .........  ..............
                       control.                                                                                 
L6935....          6  Below elbow          .........  .........  .........  .........  .........  ..............
                       myoelectronic ct.                                                                        

[[Page 32466]]

                                                                                                                
L6940....          6  Elbow                .........  .........  .........  .........  .........  ..............
                       disarticulation                                                                          
                       switch.                                                                                  
L6945....          6  Elbow disart         .........  .........  .........  .........  .........  ..............
                       myoelectronic c.                                                                         
L6950....          6  Above elbow switch   .........  .........  .........  .........  .........  ..............
                       control.                                                                                 
L6955....          6  Above elbow          .........  .........  .........  .........  .........  ..............
                       myoelectronic ct.                                                                        
L6960....          6  Shldr disartic       .........  .........  .........  .........  .........  ..............
                       switch contro.                                                                           
L6965....          6  Shldr disartic       .........  .........  .........  .........  .........  ..............
                       myoelectronic.                                                                           
L6970....          6  Interscapular-thor   .........  .........  .........  .........  .........  ..............
                       switch ct.                                                                               
L6975....          6  Interscap-thor       .........  .........  .........  .........  .........  ..............
                       myoelectronic.                                                                           
L7010....          6  Hand otto back       .........  .........  .........  .........  .........  ..............
                       steeper/eq sw.                                                                           
L7015....          6  Hand sys teknik      .........  .........  .........  .........  .........  ..............
                       village swit.                                                                            
L7020....          6  Electronic greifer   .........  .........  .........  .........  .........  ..............
                       switch ct.                                                                               
L7025....          6  Electron hand        .........  .........  .........  .........  .........  ..............
                       myoelectronic.                                                                           
L7030....          6  Hand sys teknik      .........  .........  .........  .........  .........  ..............
                       vill myoelec.                                                                            
L7035....          6  Electron greifer     .........  .........  .........  .........  .........  ..............
                       myoelectro.                                                                              
L7040....          6  Prehensile actuator  .........  .........  .........  .........  .........  ..............
                       hosmer s.                                                                                
L7045....          6  Electron hook child  .........  .........  .........  .........  .........  ..............
                       michigan.                                                                                
L7170....          6  Electronic elbow     .........  .........  .........  .........  .........  ..............
                       hosmer swit.                                                                             
L7180....          6  Electronic elbow     .........  .........  .........  .........  .........  ..............
                       utah myoele.                                                                             
L7185....          6  Electron elbow       .........  .........  .........  .........  .........  ..............
                       adolescent sw.                                                                           
L7186....          6  Electron elbow       .........  .........  .........  .........  .........  ..............
                       child switch.                                                                            
L7190....          6  Elbow adolescent     .........  .........  .........  .........  .........  ..............
                       myoelectron.                                                                             
L7191....          6  Elbow child          .........  .........  .........  .........  .........  ..............
                       myoelectronic ct.                                                                        
L7260....          6  Electron wrist       .........  .........  .........  .........  .........  ..............
                       rotator otto.                                                                            
L7261....          6  Electron wrist       .........  .........  .........  .........  .........  ..............
                       rotator utah.                                                                            
L7266....          6  Servo control        .........  .........  .........  .........  .........  ..............
                       steeper or equ.                                                                          
L7272....          6  Analogue control     .........  .........  .........  .........  .........  ..............
                       unb or equa.                                                                             
L7274....          6  Proportional ctl 12  .........  .........  .........  .........  .........  ..............
                       volt uta.                                                                                
L7360....          6  Six volt bat otto    .........  .........  .........  .........  .........  ..............
                       bock/eq ea.                                                                              
L7362....          6  Battery chrgr six    .........  .........  .........  .........  .........  ..............
                       volt otto.                                                                               
L7364....          6  Twelve volt battery  .........  .........  .........  .........  .........  ..............
                       utah/equ.                                                                                
L7366....          6  Battery chrgr 12     .........  .........  .........  .........  .........  ..............
                       volt utah/e.                                                                             
L7499....          6  Upper extremity      .........  .........  .........  .........  .........  ..............
                       prosthes NOS.                                                                            
L7500....          6  Prosthetic dvc       .........  .........  .........  .........  .........  ..............
                       repair hourly.                                                                           
L7510....          6  Prosthetic device    .........  .........  .........  .........  .........  ..............
                       repair rep.                                                                              
L7520....          6  Repair prosthesis    .........  .........  .........  .........  .........  ..............
                       per 15 min.                                                                              
L7900....          6  Vacuum erection      .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
L8000....          6  Mastectomy bra.....  .........  .........  .........  .........  .........  ..............
L8010....          6  Mastectomy sleeve..  .........  .........  .........  .........  .........  ..............
L8020....          6  Mastectomy form....  .........  .........  .........  .........  .........  ..............
L8030....          6  Breast prosthesis    .........  .........  .........  .........  .........  ..............
                       silicone/e.                                                                              
L8039....          6  Breast prosthesis    .........  .........  .........  .........  .........  ..............
                       NOS.                                                                                     
L8100....          6  Elas suprt stock bk  .........  .........  .........  .........  .........  ..............
                       med wgt.                                                                                 
L8110....          6  Elastic supp         .........  .........  .........  .........  .........  ..............
                       stocking bk hvy.                                                                         
L8120....          6  Elastic supp         .........  .........  .........  .........  .........  ..............
                       stockng bk surg.                                                                         
L8130....          6  Elastic supp         .........  .........  .........  .........  .........  ..............
                       stocking ak med.                                                                         
L8140....          6  Elastic supp         .........  .........  .........  .........  .........  ..............
                       stocking ak hvy.                                                                         
L8150....          6  Elastic supp         .........  .........  .........  .........  .........  ..............
                       stockng ak surg.                                                                         
L8160....          6  Supp stocking full   .........  .........  .........  .........  .........  ..............
                       lgth med.                                                                                
L8170....          6  Supp stocking full   .........  .........  .........  .........  .........  ..............
                       lgth hvy.                                                                                
L8180....          6  Supp stocking heavy  .........  .........  .........  .........  .........  ..............
                       surg wei.                                                                                
L8190....          6  Elas stocking        .........  .........  .........  .........  .........  ..............
                       leotards med w.                                                                          
L8200....          6  Elas stocking        .........  .........  .........  .........  .........  ..............
                       leotards surg.                                                                           
L8210....          6  Elastic stocking     .........  .........  .........  .........  .........  ..............
                       custom made.                                                                             
L8220....          6  Elastic stocking     .........  .........  .........  .........  .........  ..............
                       lymphedema.                                                                              
L8230....          6  Elastic stocking     .........  .........  .........  .........  .........  ..............
                       garter belt.                                                                             
L8239....          6  Elastic support NOS  .........  .........  .........  .........  .........  ..............
L8300....          6  Truss single w/      .........  .........  .........  .........  .........  ..............
                       standard pad.                                                                            
L8310....          6  Truss double w/      .........  .........  .........  .........  .........  ..............
                       standard pad.                                                                            
L8320....          6  Truss addition to    .........  .........  .........  .........  .........  ..............
                       std pad wa.                                                                              
L8330....          6  Truss add to std     .........  .........  .........  .........  .........  ..............
                       pad scrotal.                                                                             
L8400....          6  Sheath below knee..  .........  .........  .........  .........  .........  ..............
L8410....          6  Sheath above knee..  .........  .........  .........  .........  .........  ..............
L8415....          6  Sheath upper limb..  .........  .........  .........  .........  .........  ..............
L8417....          6  Pros sheath/sock w   .........  .........  .........  .........  .........  ..............
                       gel cushn.                                                                               
L8420....          6  Sock wool below      .........  .........  .........  .........  .........  ..............
                       knee.                                                                                    
L8430....          6  Sock wool above      .........  .........  .........  .........  .........  ..............
                       knee.                                                                                    
L8435....          6  Sock wool upper      .........  .........  .........  .........  .........  ..............
                       limb.                                                                                    
L8440....          6  Shrinker below knee  .........  .........  .........  .........  .........  ..............
L8460....          6  Shrinker above knee  .........  .........  .........  .........  .........  ..............
L8465....          6  Shrinker upper limb  .........  .........  .........  .........  .........  ..............
L8470....          6  Stump sock single    .........  .........  .........  .........  .........  ..............
                       below knee.                                                                              
L8480....          6  Stump sock single    .........  .........  .........  .........  .........  ..............
                       above knee.                                                                              
L8485....          6  Stump sock fitting   .........  .........  .........  .........  .........  ..............
                       uppr limb.                                                                               
L8490....          6  Air seal suction     .........  .........  .........  .........  .........  ..............
                       reten systm.                                                                             

[[Page 32467]]

                                                                                                                
L8499....          6  Unlisted misc        .........  .........  .........  .........  .........  ..............
                       prosthetic ser.                                                                          
L8500....          6  Artificial larynx..  .........  .........  .........  .........  .........  ..............
L8501....          6  Tracheostomy         .........  .........  .........  .........  .........  ..............
                       speaking valve.                                                                          
L8600....          6  Implant breast       .........  .........  .........  .........  .........  ..............
                       silicone/eq.                                                                             
L8603....          6  Collagen imp         .........  .........  .........  .........  .........  ..............
                       urinary 2.5 CC.                                                                          
L8610....          6  Ocular implant.....  .........  .........  .........  .........  .........  ..............
L8612....          6  Aqueous shunt        .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
L8613....          6  Ossicular implant..  .........  .........  .........  .........  .........  ..............
L8614....          6  Cochlear device/     .........  .........  .........  .........  .........  ..............
                       system.                                                                                  
L8619....          6  Replace cochlear     .........  .........  .........  .........  .........  ..............
                       processor.                                                                               
L8630....          6  Metacarpophalangeal  .........  .........  .........  .........  .........  ..............
                       implant.                                                                                 
L8641....          6  Metatarsal joint     .........  .........  .........  .........  .........  ..............
                       implant.                                                                                 
L8642....          6  Hallux implant.....  .........  .........  .........  .........  .........  ..............
L8658....          6  Interphalangeal      .........  .........  .........  .........  .........  ..............
                       joint implnt.                                                                            
L8670....          6  Vascular graft,      .........  .........  .........  .........  .........  ..............
                       synthetic.                                                                               
L8699....          6  Prosthetic implant   .........  .........  .........  .........  .........  ..............
                       NOS.                                                                                     
M0064....          6  Visit for drug       .........  .........  .........  .........  .........  ..............
                       monitoring.                                                                              
M0075....          9  Cellular therapy...  .........  .........  .........  .........  .........  ..............
M0076....          9  Prolotherapy.......  .........  .........  .........  .........  .........  ..............
M0100....          9  Intragastric         .........  .........  .........  .........  .........  ..............
                       hypothermia.                                                                             
M0101....          4  Foot care hygienic/  .........  .........  .........  .........  .........  ..............
                       pm.                                                                                      
M0300....          9  IV chelationtherapy  .........  .........  .........  .........  .........  ..............
M0301....          9  Fabric wrapping of   .........  .........  .........  .........  .........  ..............
                       aneurysm.                                                                                
M0302....          9  Assessment of        .........  .........  .........  .........  .........  ..............
                       cardiac output.                                                                          
P2028....          6  Cephalin             .........  .........  .........  .........  .........  ..............
                       floculation test.                                                                        
P2029....          6  Congo red blood      .........  .........  .........  .........  .........  ..............
                       test.                                                                                    
P2031....          9  Hair analysis......  .........  .........  .........  .........  .........  ..............
P2033....          6  Blood thymol         .........  .........  .........  .........  .........  ..............
                       turbidity.                                                                               
P2038....          6  Blood mucoprotein..  .........  .........  .........  .........  .........  ..............
P3000....          6  Screen pap by tech   .........  .........  .........  .........  .........  ..............
                       w md supv.                                                                               
P3001....          6  Screening pap smear  .........  .........  .........  .........  .........  ..............
                       by phys.                                                                                 
P7001....          9  Culture bacterial    .........  .........  .........  .........  .........  ..............
                       urine.                                                                                   
P9010....          9  Whole blood for      .........  .........  .........  .........  .........  ..............
                       transfusion.                                                                             
P9011....          9  Blood split unit...  .........  .........  .........  .........  .........  ..............
P9012....          9  Cryoprecipitate      .........  .........  .........  .........  .........  ..............
                       each unit.                                                                               
P9013....          9  Unit/s blood         .........  .........  .........  .........  .........  ..............
                       fibrinogen.                                                                              
P9014....          9  Gamma globulin 1 ML  .........  .........  .........  .........  .........  ..............
P9015....          9  Rh immune globulin   .........  .........  .........  .........  .........  ..............
                       1 ML.                                                                                    
P9016....          9  Leukocyte poor       .........  .........  .........  .........  .........  ..............
                       blood, unit.                                                                             
P9017....          9  One donor fresh      .........  .........  .........  .........  .........  ..............
                       frozn plasma.                                                                            
P9018....          9  Plasma protein       .........  .........  .........  .........  .........  ..............
                       fract, unit.                                                                             
P9019....          9  Platelet             .........  .........  .........  .........  .........  ..............
                       concentrate unit.                                                                        
P9020....          9  Plaelet rich plasma  .........  .........  .........  .........  .........  ..............
                       unit.                                                                                    
P9021....          9  Red blood cells      .........  .........  .........  .........  .........  ..............
                       unit.                                                                                    
P9022....          9  Washed red blood     .........  .........  .........  .........  .........  ..............
                       cells unit.                                                                              
P9603....          6  One-way allow        .........  .........  .........  .........  .........  ..............
                       prorated miles.                                                                          
P9604....          6  One-way allow        .........  .........  .........  .........  .........  ..............
                       prorated trip.                                                                           
P9610....          6  Urine specimen       .........  .........  .........  .........  .........  ..............
                       collect singl.                                                                           
P9615....          6  Urine specimen       .........  .........  .........  .........  .........  ..............
                       collect mult.                                                                            
Q0034....          6  Admin of influenza   .........  .........  .........  .........  .........  ..............
                       vaccine.                                                                                 
Q0035....          6  Cardiokymography...  .........  .........  .........  .........  .........  ..............
Q0068....          6  Extracorpeal         .........  .........  .........  .........  .........  ..............
                       plasmapheresis.                                                                          
Q0081....          6  Infusion ther other  .........  .........  .........  .........  .........  ..............
                       than che.                                                                                
Q0082....          6  Activity therapy w/  .........  .........  .........  .........  .........  ..............
                       partial h.                                                                               
Q0083....          6  Chemo by other than  .........  .........  .........  .........  .........  ..............
                       infusion.                                                                                
Q0084....          6  Chemotherapy by      .........  .........  .........  .........  .........  ..............
                       infusion.                                                                                
Q0085....          6  Chemo by both        .........  .........  .........  .........  .........  ..............
                       infusion and o.                                                                          
Q0086....          6  Physical therapy     .........  .........  .........  .........  .........  ..............
                       evaluation/.                                                                             
Q0091....          6  Obtaining screen     .........  .........  .........  .........  .........  ..............
                       pap smear.                                                                               
Q0092....          6  Set up port xray     .........  .........  .........  .........  .........  ..............
                       equipment.                                                                               
Q0111....          6  Wet mounts/ w        .........  .........  .........  .........  .........  ..............
                       preparations.                                                                            
Q0112....          6  Potassium hydroxide  .........  .........  .........  .........  .........  ..............
                       preps.                                                                                   
Q0113....          6  Pinworm              .........  .........  .........  .........  .........  ..............
                       examinations.                                                                            
Q0114....          6  Fern test..........  .........  .........  .........  .........  .........  ..............
Q0115....          6  Post-coital mucous   .........  .........  .........  .........  .........  ..............
                       exam.                                                                                    
Q0132....          6  Dispensing fee DME   .........  .........  .........  .........  .........  ..............
                       neb drug.                                                                                
Q0136....          6  Non esrd epoetin     .........  .........  .........  .........  .........  ..............
                       alpha inj.                                                                               
Q0144....          9  Azithromycin         .........  .........  .........  .........  .........  ..............
                       dihydrate, oral.                                                                         
Q0156....          6  Human albumin 5%...  .........  .........  .........  .........  .........  ..............
Q0157....          6  Human albumin 25%..  .........  .........  .........  .........  .........  ..............
Q9920....          9  Epoetin with hct <=  .........  .........  .........  .........  .........  ..............
                       20.                                                                                      
Q9921....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       21.                                                                                      
Q9922....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       22.                                                                                      
Q9923....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       23.                                                                                      

[[Page 32468]]

                                                                                                                
Q9924....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       24.                                                                                      
Q9925....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       25.                                                                                      
Q9926....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       26.                                                                                      
Q9927....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       27.                                                                                      
Q9928....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       28.                                                                                      
Q9929....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       29.                                                                                      
Q9930....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       30.                                                                                      
Q9931....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       31.                                                                                      
Q9932....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       32.                                                                                      
Q9933....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       33.                                                                                      
Q9934....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       34.                                                                                      
Q9935....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       35.                                                                                      
Q9936....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       36.                                                                                      
Q9937....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       37.                                                                                      
Q9938....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       38.                                                                                      
Q9939....          9  Epoetin with hct =   .........  .........  .........  .........  .........  ..............
                       39.                                                                                      
Q9940....          9  Epoetin with hct     .........  .........  .........  .........  .........  ..............
                       = 40.                                                                         
R0070....          6  Transport portable   .........  .........  .........  .........  .........  ..............
                       x-ray.                                                                                   
R0075....          6  Transport port x-    .........  .........  .........  .........  .........  ..............
                       ray multipl.                                                                             
R0076....          6  Transport portable   .........  .........  .........  .........  .........  ..............
                       EKG.                                                                                     
V2020....          6  Vision svcs frames   .........  .........  .........  .........  .........  ..............
                       purchases.                                                                               
V2025....          9  Eyeglasses delux     .........  .........  .........  .........  .........  ..............
                       frames.                                                                                  
V2100....          6  Lens spher single    .........  .........  .........  .........  .........  ..............
                       plano 4.00.                                                                              
V2101....          6  Single visn sphere   .........  .........  .........  .........  .........  ..............
                       4.12-7.00.                                                                               
V2102....          6  Singl visn sphere    .........  .........  .........  .........  .........  ..............
                       7.12-20.00.                                                                              
V2103....          6  Spherocylindr 4.00d/ .........  .........  .........  .........  .........  ..............
                       12-2.00d.                                                                                
V2104....          6  Spherocylindr 4.00d/ .........  .........  .........  .........  .........  ..............
                       2.12-4d.                                                                                 
V2105....          6  Spherocylinder       .........  .........  .........  .........  .........  ..............
                       4.00d/4.25-6d.                                                                           
V2106....          6  Spherocylinder       .........  .........  .........  .........  .........  ..............
                       4.00d/>6.00d.                                                                            
V2107....          6  Spherocylinder       .........  .........  .........  .........  .........  ..............
                       4.25d/12-2d.                                                                             
V2108....          6  Spherocylinder       .........  .........  .........  .........  .........  ..............
                       4.25d/2.12-4d.                                                                           
V2109....          6  Spherocylinder       .........  .........  .........  .........  .........  ..............
                       4.25d/4.25-6d.                                                                           
V2110....          6  Spherocylinder       .........  .........  .........  .........  .........  ..............
                       4.25d/over 6d.                                                                           
V2111....          6  Spherocylindr 7.25d/ .........  .........  .........  .........  .........  ..............
                       .25-2.25.                                                                                
V2112....          6  Spherocylindr 7.25d/ .........  .........  .........  .........  .........  ..............
                       2.25-4d.                                                                                 
V2113....          6  Spherocylindr 7.25d/ .........  .........  .........  .........  .........  ..............
                       4.25-6d.                                                                                 
V2114....          6  Spherocylinder over  .........  .........  .........  .........  .........  ..............
                       12.00d.                                                                                  
V2115....          6  Lens lenticular      .........  .........  .........  .........  .........  ..............
                       bifocal.                                                                                 
V2116....          6  Nonaspheric lens     .........  .........  .........  .........  .........  ..............
                       bifocal.                                                                                 
V2117....          6  Aspheric lens        .........  .........  .........  .........  .........  ..............
                       bifocal.                                                                                 
V2118....          6  Lens aniseikonic     .........  .........  .........  .........  .........  ..............
                       single.                                                                                  
V2199....          6  Lens single vision   .........  .........  .........  .........  .........  ..............
                       not oth c.                                                                               
V2200....          6  Lens spher bifoc     .........  .........  .........  .........  .........  ..............
                       plano 4.00d.                                                                             
V2201....          6  Lens sphere bifocal  .........  .........  .........  .........  .........  ..............
                       4.12-7.0.                                                                                
V2202....          6  Lens sphere bifocal  .........  .........  .........  .........  .........  ..............
                       7.12-20..                                                                                
V2203....          6  Lens sphcyl bifocal  .........  .........  .........  .........  .........  ..............
                       4.00d/.1.                                                                                
V2204....          6  Lens sphcy bifocal   .........  .........  .........  .........  .........  ..............
                       4.00d/2.1.                                                                               
V2205....          6  Lens sphcy bifocal   .........  .........  .........  .........  .........  ..............
                       4.00d/4.2.                                                                               
V2206....          6  Lens sphcy bifocal   .........  .........  .........  .........  .........  ..............
                       4.00d/ove.                                                                               
V2207....          6  Lens sphcy bifocal   .........  .........  .........  .........  .........  ..............
                       4.25-7d/..                                                                               
V2208....          6  Lens sphcy bifocal   .........  .........  .........  .........  .........  ..............
                       4.25-7/2..                                                                               
V2209....          6  Lens sphcy bifocal   .........  .........  .........  .........  .........  ..............
                       4.25-7/4..                                                                               
V2210....          6  Lens sphcy bifocal   .........  .........  .........  .........  .........  ..............
                       4.25-7/ov.                                                                               
V2211....          6  Lens sphcy bifo      .........  .........  .........  .........  .........  ..............
                       7.25-12/.25-.                                                                            
V2212....          6  Lens sphcyl bifo     .........  .........  .........  .........  .........  ..............
                       7.25-12/2.2.                                                                             
V2213....          6  Lens sphcyl bifo     .........  .........  .........  .........  .........  ..............
                       7.25-12/4.2.                                                                             
V2214....          6  Lens sphcyl bifocal  .........  .........  .........  .........  .........  ..............
                       over 12..                                                                                
V2215....          6  Lens lenticular      .........  .........  .........  .........  .........  ..............
                       bifocal.                                                                                 
V2216....          6  Lens lenticular      .........  .........  .........  .........  .........  ..............
                       nonaspheric.                                                                             
V2217....          6  Lens lenticular      .........  .........  .........  .........  .........  ..............
                       aspheric bif.                                                                            
V2218....          6  Lens aniseikonic     .........  .........  .........  .........  .........  ..............
                       bifocal.                                                                                 
V2219....          6  Lens bifocal seg     .........  .........  .........  .........  .........  ..............
                       width over.                                                                              
V2220....          6  Lens bifocal add     .........  .........  .........  .........  .........  ..............
                       over 3.25d.                                                                              
V2299....          6  Lens bifocal         .........  .........  .........  .........  .........  ..............
                       speciality.                                                                              
V2300....          6  Lens sphere          .........  .........  .........  .........  .........  ..............
                       trifocal 4.00d.                                                                          
V2301....          6  Lens sphere          .........  .........  .........  .........  .........  ..............
                       trifocal 4.12-7..                                                                        
V2302....          6  Lens sphere          .........  .........  .........  .........  .........  ..............
                       trifocal 7.12-20.                                                                        
V2303....          6  Lens sphcy trifocal  .........  .........  .........  .........  .........  ..............
                       4.0/.12-.                                                                                
V2304....          6  Lens sphcy trifocal  .........  .........  .........  .........  .........  ..............
                       4.0/2.25.                                                                                
V2305....          6  Lens sphcy trifocal  .........  .........  .........  .........  .........  ..............
                       4.0/4.25.                                                                                
V2306....          6  Lens sphcyl          .........  .........  .........  .........  .........  ..............
                       trifocal 4.00/>6.                                                                        
V2307....          6  Lens sphcy trifocal  .........  .........  .........  .........  .........  ..............
                       4.25-7/..                                                                                
V2308....          6  Lens sphc trifocal   .........  .........  .........  .........  .........  ..............
                       4.25-7/2..                                                                               
V2309....          6  Lens sphc trifocal   .........  .........  .........  .........  .........  ..............
                       4.25-7/4..                                                                               

[[Page 32469]]

                                                                                                                
V2310....          6  Lens sphc trifocal   .........  .........  .........  .........  .........  ..............
                       4.25-7/>6.                                                                               
V2311....          6  Lens sphc trifo      .........  .........  .........  .........  .........  ..............
                       7.25-12/.25-.                                                                            
V2312....          6  Lens sphc trifo      .........  .........  .........  .........  .........  ..............
                       7.25-12/2.25.                                                                            
V2313....          6  Lens sphc trifo      .........  .........  .........  .........  .........  ..............
                       7.25-12/4.25.                                                                            
V2314....          6  Lens sphcyl          .........  .........  .........  .........  .........  ..............
                       trifocal over 12.                                                                        
V2315....          6  Lens lenticular      .........  .........  .........  .........  .........  ..............
                       trifocal.                                                                                
V2316....          6  Lens lenticular      .........  .........  .........  .........  .........  ..............
                       nonaspheric.                                                                             
V2317....          6  Lens lenticular      .........  .........  .........  .........  .........  ..............
                       aspheric tri.                                                                            
V2318....          6  Lens aniseikonic     .........  .........  .........  .........  .........  ..............
                       trifocal.                                                                                
V2319....          6  Lens trifocal seg    .........  .........  .........  .........  .........  ..............
                       width > 28.                                                                              
V2320....          6  Lens trifocal add    .........  .........  .........  .........  .........  ..............
                       over 3.25d.                                                                              
V2399....          6  Lens trifocal        .........  .........  .........  .........  .........  ..............
                       speciality.                                                                              
V2410....          6  Lens variab          .........  .........  .........  .........  .........  ..............
                       asphericity sing.                                                                        
V2430....          6  Lens variable        .........  .........  .........  .........  .........  ..............
                       asphericity bi.                                                                          
V2499....          6  Variable             .........  .........  .........  .........  .........  ..............
                       asphericity lens.                                                                        
V2500....          6  Contact lens pmma    .........  .........  .........  .........  .........  ..............
                       spherical.                                                                               
V2501....          6  Cntct lens pmma-     .........  .........  .........  .........  .........  ..............
                       toric/prism.                                                                             
V2502....          6  Contact lens pmma    .........  .........  .........  .........  .........  ..............
                       bifocal.                                                                                 
V2503....          6  Cntct lens pmma      .........  .........  .........  .........  .........  ..............
                       color vision.                                                                            
V2510....          6  Cntct gas permeable  .........  .........  .........  .........  .........  ..............
                       sphericl.                                                                                
V2511....          6  Cntct toric prism    .........  .........  .........  .........  .........  ..............
                       ballast.                                                                                 
V2512....          6  Cntct lens gas       .........  .........  .........  .........  .........  ..............
                       permbl bifocl.                                                                           
V2513....          6  Contact lens         .........  .........  .........  .........  .........  ..............
                       extended wear.                                                                           
V2520....          6  Contact lens         .........  .........  .........  .........  .........  ..............
                       hydrophilic.                                                                             
V2521....          6  Cntct lens           .........  .........  .........  .........  .........  ..............
                       hydrophilic toric.                                                                       
V2522....          6  Cntct lens           .........  .........  .........  .........  .........  ..............
                       hydrophil bifocl.                                                                        
V2523....          6  Cntct lens           .........  .........  .........  .........  .........  ..............
                       hydrophil extend.                                                                        
V2530....          6  Contact lens gas     .........  .........  .........  .........  .........  ..............
                       impermeable.                                                                             
V2531....          6  Contact lens gas     .........  .........  .........  .........  .........  ..............
                       permeable.                                                                               
V2599....          6  Contact lens/es      .........  .........  .........  .........  .........  ..............
                       other type.                                                                              
V2600....          6  Hand held low        .........  .........  .........  .........  .........  ..............
                       vision aids.                                                                             
V2610....          6  Single lens          .........  .........  .........  .........  .........  ..............
                       spectacle mount.                                                                         
V2615....          6  Telescop/othr        .........  .........  .........  .........  .........  ..............
                       compound lens.                                                                           
V2623....          6  Plastic eye prosth   .........  .........  .........  .........  .........  ..............
                       custom.                                                                                  
V2624....          6  Polishing artifical  .........  .........  .........  .........  .........  ..............
                       eye.                                                                                     
V2625....          6  Enlargemnt of eye    .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
V2626....          6  Reduction of eye     .........  .........  .........  .........  .........  ..............
                       prosthesis.                                                                              
V2627....          6  Scleral cover shell  .........  .........  .........  .........  .........  ..............
V2628....          6  Fabrication &        .........  .........  .........  .........  .........  ..............
                       fitting.                                                                                 
V2629....          6  Prosthetic eye       .........  .........  .........  .........  .........  ..............
                       other type.                                                                              
V2630....          2  Anter chamber        .........  .........  .........  .........  .........  ..............
                       intraocul lens.                                                                          
V2631....          2  Iris support         .........  .........  .........  .........  .........  ..............
                       intraoclr lens.                                                                          
V2632....          2  Post chmbr           .........  .........  .........  .........  .........  ..............
                       intraocular lens.                                                                        
V2700....          6  Balance lens.......  .........  .........  .........  .........  .........  ..............
V2710....          6  Glass/plastic slab   .........  .........  .........  .........  .........  ..............
                       off prism.                                                                               
V2715....          6  Prism lens/es......  .........  .........  .........  .........  .........  ..............
V2718....          6  Fresnell prism       .........  .........  .........  .........  .........  ..............
                       press-on lens.                                                                           
V2730....          6  Special base curve.  .........  .........  .........  .........  .........  ..............
V2740....          6  Rose tint plastic..  .........  .........  .........  .........  .........  ..............
V2741....          6  Non-rose tint        .........  .........  .........  .........  .........  ..............
                       plastic.                                                                                 
V2742....          6  Rose tint glass....  .........  .........  .........  .........  .........  ..............
V2743....          6  Non-rose tint glass  .........  .........  .........  .........  .........  ..............
V2744....          6  Tint photochromatic  .........  .........  .........  .........  .........  ..............
                       lens/es.                                                                                 
V2750....          6  Anti-reflective      .........  .........  .........  .........  .........  ..............
                       coating.                                                                                 
V2755....          6  UV lens/es.........  .........  .........  .........  .........  .........  ..............
V2760....          6  Scratch resistant    .........  .........  .........  .........  .........  ..............
                       coating.                                                                                 
V2770....          6  Occluder lens/es...  .........  .........  .........  .........  .........  ..............
V2780....          6  Oversize lens/es...  .........  .........  .........  .........  .........  ..............
V2781....          6  Progressive lens     .........  .........  .........  .........  .........  ..............
                       per lens.                                                                                
V2785....          2  Corneal tissue       .........  .........  .........  .........  .........  ..............
                       processing.                                                                              
V2799....          6  Miscellaneous        .........  .........  .........  .........  .........  ..............
                       vision service.                                                                          
V5008....          9  Hearing screening..  .........  .........  .........  .........  .........  ..............
V5010....          9  Assessment for       .........  .........  .........  .........  .........  ..............
                       hearing aid.                                                                             
V5011....          9  Hearing aid fitting/ .........  .........  .........  .........  .........  ..............
                       checking.                                                                                
V5014....          9  Hearing aid repair/  .........  .........  .........  .........  .........  ..............
                       modifying.                                                                               
V5020....          9  Conformity           .........  .........  .........  .........  .........  ..............
                       evaluation.                                                                              
V5030....          9  Body-worn hearing    .........  .........  .........  .........  .........  ..............
                       aid air.                                                                                 
V5040....          9  Body-worn hearing    .........  .........  .........  .........  .........  ..............
                       aid bone.                                                                                
V5050....          9  Body-worn hearing    .........  .........  .........  .........  .........  ..............
                       aid in ear.                                                                              
V5060....          9  Behind ear hearing   .........  .........  .........  .........  .........  ..............
                       aid.                                                                                     
V5070....          9  Glasses air          .........  .........  .........  .........  .........  ..............
                       conduction.                                                                              
V5080....          9  Glasses bone         .........  .........  .........  .........  .........  ..............
                       conduction.                                                                              
V5090....          9  Hearing aid          .........  .........  .........  .........  .........  ..............
                       dispensing fee.                                                                          
V5100....          9  Body-worn bilat      .........  .........  .........  .........  .........  ..............
                       hearing aid.                                                                             

[[Page 32470]]

                                                                                                                
V5110....          9  Hearing aid          .........  .........  .........  .........  .........  ..............
                       dispensing fee.                                                                          
V5120....          9  Body-worn binaur     .........  .........  .........  .........  .........  ..............
                       hearing aid.                                                                             
V5130....          9  In ear binaural      .........  .........  .........  .........  .........  ..............
                       hearing aid.                                                                             
V5140....          9  Behind ear binaur    .........  .........  .........  .........  .........  ..............
                       hearing ai.                                                                              
V5150....          9  Glasses binaural     .........  .........  .........  .........  .........  ..............
                       hearing aid.                                                                             
V5160....          9  Dispensing fee       .........  .........  .........  .........  .........  ..............
                       binaural.                                                                                
V5170....          9  Within ear cros      .........  .........  .........  .........  .........  ..............
                       hearing aid.                                                                             
V5180....          9  Behind ear cros      .........  .........  .........  .........  .........  ..............
                       hearing aid.                                                                             
V5190....          9  Glasses cros         .........  .........  .........  .........  .........  ..............
                       hearing aid.                                                                             
V5200....          9  Cros hearing aid     .........  .........  .........  .........  .........  ..............
                       dispens fee.                                                                             
V5210....          9  In ear bicros        .........  .........  .........  .........  .........  ..............
                       hearing aid.                                                                             
V5220....          9  Behind ear bicros    .........  .........  .........  .........  .........  ..............
                       hearing ai.                                                                              
V5230....          9  Glasses bicros       .........  .........  .........  .........  .........  ..............
                       hearing aid.                                                                             
V5240....          9  Dispensing fee       .........  .........  .........  .........  .........  ..............
                       bicros.                                                                                  
V5299....          6  Hearing service....  .........  .........  .........  .........  .........  ..............
V5336....          9  Repair               .........  .........  .........  .........  .........  ..............
                       communication                                                                            
                       device.                                                                                  
V5362....          6  Speech screening...  .........  .........  .........  .........  .........  ..............
V5363....          6  Language screening.  .........  .........  .........  .........  .........  ..............
V5364....          6  Dysphagia screening  .........  .........  .........  .........  .........  ..............
----------------------------------------------------------------------------------------------------------------

          

  

  


     Addendum B.--Proposed Ambulatory Surgical Center (ASC) List by     
 Ambulatory Payment Classification (APC) Groups and Related Information 
------------------------------------------------------------------------
                  CPT \1\/                                              
   APC group        HCPCS                    Description                
------------------------------------------------------------------------
122............       19100  BIOPSY OF BREAST; NEEDLE CORE (SEPARATE    
                              PROCEDURE)                                
122............       20206  BIOPSY, MUSCLE, PERCUTANEOUS NEEDLE        
122............       32400  BIOPSY, PLEURA; PERCUTANEOUS NEEDLE        
122............       32405  BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS  
                              NEEDLE                                    
122............       38505  BIOPSY OR EXCISION OF LYMPH NODE(S); BY    
                              NEEDLE, SUPERFICIAL (EG, CERVICAL,        
                              INGUINAL, AXILLARY)                       
122............       42400  BIOPSY OF SALIVARY GLAND; NEEDLE           
122............       47000  BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS      
122............       48102  BIOPSY OF PANCREAS, PERCUTANEOUS NEEDLE    
122............       49180  BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS, 
                              PERCUTANEOUS NEEDLE                       
122............       50200  RENAL BIOPSY; PERCUTANEOUS, BY TROCAR OR   
                              NEEDLE                                    
122............       50390  ASPIRATION AND/OR INJECTION OF RENAL CYST  
                              OR PELVIS BY NEEDLE, PERCUTANEOUS         
122............       54500  BIOPSY OF TESTIS, NEEDLE (SEPARATE         
                              PROCEDURE)                                
122............       54800  BIOPSY OF EPIDIDYMIS, NEEDLE               
122............       60100  BIOPSY THYROID, PERCUTANEOUS CORE NEEDLE   
122............       62269  BIOPSY OF SPINAL CORD, PERCUTANEOUS NEEDLE 
122............       67415  FINE NEEDLE ASPIRATION OF ORBITAL CONTENTS 
132............       19020  MASTOTOMY WITH EXPLORATION OR DRAINAGE OF  
                              ABSCESS, DEEP                             
132............       20950  MONITORING OF INTERSTITIAL FLUID PRESSURE  
                              (INCLUDES INSERTION OF DEVICE, EG, WICK   
                              CATHETER TECHNIQUE, NEEDLE MANOMETER      
                              TECHNIQUE) IN DETECTION OF MUSCLE         
                              COMPARTMENT SYNDROME                      
132............       21501  INCISION AND DRAINAGE, DEEP ABSCESS OR     
                              HEMATOMA, SOFT TISSUES OF NECK OR THORAX; 
132............       21700  DIVISION OF SCALENUS ANTICUS; WITHOUT      
                              RESECTION OF CERVICAL RIB                 
132............       21720  DIVISION OF STERNOCLEIDOMASTOID FOR        
                              TORTICOLLIS, OPEN OPERATION; WITHOUT CAST 
                              APPLICATION                               
132............       21725  DIVISION OF STERNOCLEIDOMASTOID FOR        
                              TORTICOLLIS, OPEN OPERATION; WITH CAST    
                              APPLICATION                               
132............       23030  INCISION AND DRAINAGE, SHOULDER AREA; DEEP 
                              ABSCESS OR HEMATOMA                       
132............       23031  INCISION AND DRAINAGE, SHOULDER AREA;      
                              INFECTED BURSA                            
132............       23930  INCISION AND DRAINAGE, UPPER ARM OR ELBOW  
                              AREA; DEEP ABSCESS OR HEMATOMA            
132............       23931  INCISION AND DRAINAGE, UPPER ARM OR ELBOW  
                              AREA; INFECTED BURSA                      
132............       27301  INCISION AND DRAINAGE OF DEEP ABSCESS,     
                              INFECTED BURSA, OR HEMATOMA, THIGH OR KNEE
                              REGION                                    
132............       27603  INCISION AND DRAINAGE, LEG OR ANKLE; DEEP  
                              ABSCESS OR HEMATOMA                       
132............       28001  INCISION AND DRAINAGE, INFECTED BURSA, FOOT
132............       38300  DRAINAGE OF LYMPH NODE ABSCESS OR          
                              LYMPHADENITIS; SIMPLE                     
132............       38305  DRAINAGE OF LYMPH NODE ABSCESS OR          
                              LYMPHADENITIS; EXTENSIVE                  
132............       51080  DRAINAGE OF PERIVESICAL OR PREVESICAL SPACE
                              ABSCESS                                   
132............       54015  INCISION AND DRAINAGE OF PENIS, DEEP       
132............       54115  REMOVAL FOREIGN BODY FROM DEEP PENILE      
                              TISSUE (EG, PLASTIC IMPLANT)              
132............       55100  DRAINAGE OF SCROTAL WALL ABSCESS           
152............       16010  DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR   
                              SUBSEQUENT; UNDER ANESTHESIA, SMALL       
152............       16015  DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR   
                              SUBSEQUENT; UNDER ANESTHESIA, MEDIUM OR   
                              LARGE, OR WITH MAJOR DEBRIDEMENT          
152............       17106  DESTRUCTION OF CUTANEOUS VASCULAR          
                              PROLIFERATIVE LESIONS (EG, LASER          
                              TECHNIQUE); LESS THAN 10 SQ CM            
152............       17107  DESTRUCTION OF CUTANEOUS VASCULAR          
                              PROLIFERATIVE LESIONS (EG, LASER          
                              TECHNIQUE); 10.0-50.0 SQ CM               
152............       17108  DESTRUCTION OF CUTANEOUS VASCULAR          
                              PROLIFERATIVE LESIONS (EG, LASER          
                              TECHNIQUE); OVER 50.0 SQ CM               
152............       46900  DESTRUCTION OF LESION(S), ANUS (EG,        
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;   
                              CHEMICAL                                  
152............       46910  DESTRUCTION OF LESION(S), ANUS (EG,        
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;   
                              ELECTRODESICCATION                        

[[Page 32471]]

                                                                        
152............       46916  DESTRUCTION OF LESION(S), ANUS (EG,        
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;   
                              CRYOSURGERY                               
152............       46917  DESTRUCTION OF LESION(S), ANUS (EG,        
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;   
                              LASER SURGERY                             
152............       46922  DESTRUCTION OF LESION(S), ANUS (EG,        
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;   
                              SURGICAL EXCISION                         
152............       46924  DESTRUCTION OF LESION(S), ANUS (EG,        
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), EXTENSIVE,
                              ANY METHOD                                
152............       54050  DESTRUCTION OF LESION(S), PENIS (EG,       
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;   
                              CHEMICAL                                  
152............       54055  DESTRUCTION OF LESION(S), PENIS (EG,       
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;   
                              ELECTRODESICCATION                        
152............       54056  DESTRUCTION OF LESION(S), PENIS (EG,       
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;   
                              CRYOSURGERY                               
152............       54057  DESTRUCTION OF LESION(S), PENIS (EG,       
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;   
                              LASER SURGERY                             
152............       54060  DESTRUCTION OF LESION(S), PENIS (EG,       
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;   
                              SURGICAL EXCISION                         
152............       54065  DESTRUCTION OF LESION(S), PENIS (EG,       
                              CONDYLOMA, PAPILLOMA, MOLLUSCUM           
                              CONTAGIOSUM, HERPETIC VESICLE), EXTENSIVE,
                              ANY METHOD                                
152............       56501  DESTRUCTION OF LESION(S), VULVA; SIMPLE,   
                              ANY METHOD                                
152............       56515  DESTRUCTION OF LESION(S), VULVA; EXTENSIVE,
                              ANY METHOD                                
162............       11043  DEBRIDEMENT; SKIN, SUBCUTANEOUS TISSUE, AND
                              MUSCLE                                    
162............       11044  DEBRIDEMENT; SKIN, SUBCUTANEOUS TISSUE,    
                              MUSCLE, AND BONE                          
162............       11404  EXCISION, BENIGN LESION, EXCEPT SKIN TAG   
                              (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR 
                              LEGS; LESION DIAMETER 3.1 TO 4.0 CM       
162............       11424  EXCISION, BENIGN LESION, EXCEPT SKIN TAG   
                              (UNLESS LISTED ELSEWHERE), SCALP, NECK,   
                              HANDS, FEET, GENITALIA; LESION DIAMETER   
                              3.1 TO 4.0 CM                             
162............       11444  EXCISION, OTHER BENIGN LESION (UNLESS      
                              LISTED ELSEWHERE), FACE, EARS, EYELIDS,   
                              NOSE, LIPS, MUCOUS MEMBRANE; LESION       
                              DIAMETER 3.1 TO 4.0 CM                    
162............       11604  EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR
                              LEGS; LESION DIAMETER 3.1 TO 4.0 CM       
162............       11770  EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE
162............       16035  ESCHAROTOMY                                
162............       16040  EXCISION BURN WOUND, WITHOUT SKIN GRAFTING,
                              EMPLOYING ALLOPLASTIC DRESSING (EG,       
                              SYNTHETIC MESH), ANY ANATOMIC SITE; UP TO 
                              ONE PERCENT TOTAL BODY SURFACE AREA       
162............       16041  EXCISION BURN WOUND, WITHOUT SKIN GRAFTING,
                              EMPLOYING ALLOPLASTIC DRESSING (EG,       
                              SYNTHETIC MESH), ANY ANATOMIC SITE;       
                              GREATER THAN ONE PERCENT AND UP TO NINE   
                              PERCENT TOTAL BODY SURFACE AREA           
162............       16042  EXCISION BURN WOUND, WITHOUT SKIN GRAFTING,
                              EMPLOYING ALLOPLASTIC DRESSING (EG,       
                              SYNTHETIC MESH), ANY ANATOMIC SITE; EACH  
                              ADDITIONAL NINE PERCENT TOTAL BODY SURFACE
                              AREA, OR PART THEREOF                     
162............       17304  CHEMOSURGERY (MOHS' MICROGRAPHIC           
                              TECHNIQUE), INCLUDING REMOVAL OF ALL GROSS
                              TUMOR, SURGICAL EXCISION OF TISSUE        
                              SPECIMENS, MAPPING, COLOR CODING OF       
                              SPECIMENS, MICROSCOPIC EXAMINATION OF     
                              SPECIMENS BY THE SURGEON, AND COMPLETE    
                              HISTOPATHOLOGIC PREPARATION; FIRST STAGE, 
                              FRESH TISSUE TECHNIQUE, UP TO 5 SPECIMENS 
162............       17305  CHEMOSURGERY (MOHS' MICROGRAPHIC           
                              TECHNIQUE), INCLUDING REMOVAL OF ALL GROSS
                              TUMOR, SURGICAL EXCISION OF TISSUE        
                              SPECIMENS, MAPPING, COLOR CODING OF       
                              SPECIMENS, MICROSCOPIC EXAMINATION OF     
                              SPECIMENS BY THE SURGEON, AND COMPLETE    
                              HISTOPATHOLOGIC PREPARATION; SECOND STAGE,
                              FIXED OR FRESH TISSUE, UP TO 5 SPECIMENS  
162............       17306  CHEMOSURGERY (MOHS' MICROGRAPHIC           
                              TECHNIQUE), INCLUDING REMOVAL OF ALL GROSS
                              TUMOR, SURGICAL EXCISION OF TISSUE        
                              SPECIMENS, MAPPING, COLOR CODING OF       
                              SPECIMENS, MICROSCOPIC EXAMINATION OF     
                              SPECIMENS BY THE SURGEON, AND COMPLETE    
                              HISTOPATHOLOGIC PREPARATION; THIRD STAGE, 
                              FIXED OR FRESH TISSUE, UP TO 5 SPECIMENS  
162............       17307  CHEMOSURGERY (MOHS' MICROGRAPHIC           
                              TECHNIQUE), INCLUDING REMOVAL OF ALL GROSS
                              TUMOR, SURGICAL EXCISION OF TISSUE        
                              SPECIMENS, MAPPING, COLOR CODING OF       
                              SPECIMENS, MICROSCOPIC EXAMINATION OF     
                              SPECIMENS BY THE SURGEON, AND COMPLETE    
                              HISTOPATHOLOGIC PREPARATION; ADDITIONAL   
                              STAGE(S), UP TO 5 SPECIMENS, EACH STAGE   
162............       17310  CHEMOSURGERY (MOHS' MICROGRAPHIC           
                              TECHNIQUE), INCLUDING REMOVAL OF ALL GROSS
                              TUMOR, SURGICAL EXCISION OF TISSUE        
                              SPECIMENS, MAPPING, COLOR CODING OF       
                              SPECIMENS, MICROSCOPIC EXAMINATION OF     
                              SPECIMENS BY THE SURGEON, AND COMPLETE    
                              HISTOPATHOLOGIC PREPARATION; MORE THAN 5  
                              SPECIMENS, FIXED OR FRESH TISSUE, ANY     
                              STAGE                                     
162............       20200  BIOPSY, MUSCLE; SUPERFICIAL                
162............       20205  BIOPSY, MUSCLE; DEEP                       
162............       20220  BIOPSY, BONE, TROCAR, OR NEEDLE;           
                              SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS  
                              PROCESS, RIBS)                            
162............       20225  BIOPSY, BONE, TROCAR, OR NEEDLE; DEEP      
                              (VERTEBRAL BODY, FEMUR)                   
162............       20670  REMOVAL OF IMPLANT; SUPERFICIAL, (EG,      
                              BURIED WIRE, PIN OR ROD) (SEPARATE        
                              PROCEDURE)                                
162............       23000  REMOVAL OF SUBDELTOID (OR INTRATENDINOUS)  
                              CALCAREOUS DEPOSITS, OPEN METHOD          
162............       23075  EXCISION, TUMOR, SHOULDER AREA;            
                              SUBCUTANEOUS                              
162............       24075  EXCISION, TUMOR, UPPER ARM OR ELBOW AREA;  
                              SUBCUTANEOUS                              
162............       25075  EXCISION, TUMOR, FOREARM AND/OR WRIST AREA;
                              SUBCUTANEOUS                              
162............       27040  BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA;
                              SUPERFICIAL                               
162............       27323  BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; 
                              SUPERFICIAL                               
162............       28043  EXCISION, TUMOR, FOOT; SUBCUTANEOUS        
162............       37609  LIGATION OR BIOPSY, TEMPORAL ARTERY        
162............       54100  BIOPSY OF PENIS; CUTANEOUS (SEPARATE       
                              PROCEDURE)                                
162............       54105  BIOPSY OF PENIS; DEEP STRUCTURES           
162............       67350  BIOPSY OF EXTRAOCULAR MUSCLE               
162............       68100  BIOPSY OF CONJUNCTIVA                      

[[Page 32472]]

                                                                        
162............       68110  EXCISION OF LESION, CONJUNCTIVA; UP TO 1 CM
162............       68115  EXCISION OF LESION, CONJUNCTIVA; OVER 1 CM 
162............       68135  DESTRUCTION OF LESION, CONJUNCTIVA         
163............       10121  INCISION AND REMOVAL OF FOREIGN BODY,      
                              SUBCUTANEOUS TISSUES; COMPLICATED         
163............       11010  DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN   
                              MATERIAL ASSOCIATED WITH OPEN FRACTURE(S) 
                              AND/OR DISLOCATION(S); SKIN AND           
                              SUBCUTANEOUS TISSUES                      
163............       11011  DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN   
                              MATERIAL ASSOCIATED WITH OPEN FRACTURE(S) 
                              AND/OR DISLOCATION(S); SKIN, SUBCUTANEOUS 
                              TISSUE, MUSCLE FASCIA, AND MUSCLE         
163............       11012  DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN   
                              MATERIAL ASSOCIATED WITH OPEN FRACTURE(S) 
                              AND/OR DISLOCATION(S); SKIN, SUBCUTANEOUS 
                              TISSUE, MUSCLE FASCIA, MUSCLE, AND BONE   
163............       11406  EXCISION, BENIGN LESION, EXCEPT SKIN TAG   
                              (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR 
                              LEGS; LESION DIAMETER OVER 4.0 CM         
163............       11426  EXCISION, BENIGN LESION, EXCEPT SKIN TAG   
                              (UNLESS LISTED ELSEWHERE), SCALP, NECK,   
                              HANDS, FEET, GENITALIA; LESION DIAMETER   
                              OVER 4.0 CM                               
163............       11446  EXCISION, OTHER BENIGN LESION (UNLESS      
                              LISTED ELSEWHERE), FACE, EARS, EYELIDS,   
                              NOSE, LIPS, MUCOUS MEMBRANE; LESION       
                              DIAMETER OVER 4.0 CM                      
163............       11450  EXCISION OF SKIN AND SUBCUTANEOUS TISSUE   
                              FOR HIDRADENITIS, AXILLARY; WITH SIMPLE OR
                              INTERMEDIATE REPAIR                       
163............       11451  EXCISION OF SKIN AND SUBCUTANEOUS TISSUE   
                              FOR HIDRADENITIS, AXILLARY; WITH COMPLEX  
                              REPAIR                                    
163............       11462  EXCISION OF SKIN AND SUBCUTANEOUS TISSUE   
                              FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR
                              INTERMEDIATE REPAIR                       
163............       11463  EXCISION OF SKIN AND SUBCUTANEOUS TISSUE   
                              FOR HIDRADENITIS, INGUINAL; WITH COMPLEX  
                              REPAIR                                    
163............       11470  EXCISION OF SKIN AND SUBCUTANEOUS TISSUE   
                              FOR HIDRADENITIS, PERIANAL, PERINEAL, OR  
                              UMBILICAL; WITH SIMPLE OR INTERMEDIATE    
                              REPAIR                                    
163............       11471  EXCISION OF SKIN AND SUBCUTANEOUS TISSUE   
                              FOR HIDRADENITIS, PERIANAL, PERINEAL, OR  
                              UMBILICAL; WITH COMPLEX REPAIR            
163............       11606  EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR
                              LEGS; LESION DIAMETER OVER 4.0 CM         
163............       11624  EXCISION, MALIGNANT LESION, SCALP, NECK,   
                              HANDS, FEET, GENITALIA; LESION DIAMETER   
                              3.1 TO 4.0 CM                             
163............       11626  EXCISION, MALIGNANT LESION, SCALP, NECK,   
                              HANDS, FEET, GENITALIA; LESION DIAMETER   
                              OVER 4.0 CM                               
163............       11644  EXCISION, MALIGNANT LESION, FACE, EARS,    
                              EYELIDS, NOSE, LIPS; LESION DIAMETER 3.1  
                              TO 4.0 CM                                 
163............       11646  EXCISION, MALIGNANT LESION, FACE, EARS,    
                              EYELIDS, NOSE, LIPS; LESION DIAMETER OVER 
                              4.0 CM                                    
163............       11752  EXCISION OF NAIL AND NAIL MATRIX, PARTIAL  
                              OR COMPLETE, (EG, INGROWN OR DEFORMED     
                              NAIL) FOR PERMANENT REMOVAL; WITH         
                              AMPUTATION OF TUFT OF DISTAL PHALANX      
163............       11771  EXCISION OF PILONIDAL CYST OR SINUS;       
                              EXTENSIVE                                 
163............       11772  EXCISION OF PILONIDAL CYST OR SINUS;       
                              COMPLICATED                               
163............       11971  REMOVAL OF TISSUE EXPANDER(S) WITHOUT      
                              INSERTION OF PROSTHESIS                   
163............       15780  DERMABRASION; TOTAL FACE (EG, FOR ACNE     
                              SCARRING, FINE WRINKLING, RHYTIDS, GENERAL
                              KERATOSIS)                                
163............       15781  DERMABRASION; SEGMENTAL, FACE              
163............       15782  DERMABRASION; REGIONAL, OTHER THAN FACE    
163............       15811  SALABRASION; OVER 20 SQ CM                 
163............       15838  EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS  
                              TISSUE (INCLUDING LIPECTOMY); SUBMENTAL   
                              FAT PAD                                   
163............       15920  EXCISION, COCCYGEAL PRESSURE ULCER, WITH   
                              COCCYGECTOMY; WITH PRIMARY SUTURE         
163............       15931  EXCISION, SACRAL PRESSURE ULCER, WITH      
                              PRIMARY SUTURE;                           
163............       15933  EXCISION, SACRAL PRESSURE ULCER, WITH      
                              PRIMARY SUTURE; WITH OSTECTOMY            
163............       15940  EXCISION, ISCHIAL PRESSURE ULCER, WITH     
                              PRIMARY SUTURE;                           
163............       15941  EXCISION, ISCHIAL PRESSURE ULCER, WITH     
                              PRIMARY SUTURE; WITH OSTECTOMY            
                              (ISCHIECTOMY)                             
163............       15950  EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
                              PRIMARY SUTURE;                           
163............       15951  EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
                              PRIMARY SUTURE; WITH OSTECTOMY            
163............       20240  BIOPSY, EXCISIONAL; SUPERFICIAL (EG, ILIUM,
                              STERNUM, SPINOUS PROCESS, RIBS, TROCHANTER
                              OF FEMUR)                                 
163............       20245  BIOPSY, EXCISIONAL; DEEP (EG, HUMERUS,     
                              ISCHIUM, FEMUR)                           
163............       20525  REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON
                              SHEATH; DEEP OR COMPLICATED               
163............       20680  REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE, 
                              PIN, SCREW, METAL BAND, NAIL, ROD OR      
                              PLATE)                                    
163............       21555  EXCISION TUMOR, SOFT TISSUE OF NECK OR     
                              THORAX; SUBCUTANEOUS                      
163............       21556  EXCISION TUMOR, SOFT TISSUE OF NECK OR     
                              THORAX; DEEP, SUBFASCIAL, INTRAMUSCULAR   
163............       21925  BIOPSY, SOFT TISSUE OF BACK OR FLANK; DEEP 
163............       21930  EXCISION, TUMOR, SOFT TISSUE OF BACK OR    
                              FLANK                                     
163............       21935  RADICAL RESECTION OF TUMOR (EG, MALIGNANT  
                              NEOPLASM), SOFT TISSUE OF BACK OR FLANK   
163............       22900  EXCISION, ABDOMINAL WALL TUMOR, SUBFASCIAL 
                              (EG, DESMOID)                             
163............       23066  BIOPSY, SOFT TISSUE OF SHOULDER AREA; DEEP 
163............       23076  EXCISION, TUMOR, SHOULDER AREA; DEEP,      
                              SUBFASCIAL, OR INTRAMUSCULAR              
163............       23077  RADICAL RESECTION OF TUMOR (EG, MALIGNANT  
                              NEOPLASM), SOFT TISSUE OF SHOULDER AREA   
163............       23330  REMOVAL OF FOREIGN BODY, SHOULDER;         
                              SUBCUTANEOUS                              
163............       23331  REMOVAL OF FOREIGN BODY, SHOULDER; DEEP    
                              (EG, NEER PROSTHESIS REMOVAL)             
163............       24066  BIOPSY, SOFT TISSUE OF UPPER ARM OR ELBOW  
                              AREA; DEEP                                
163............       24076  EXCISION, TUMOR, UPPER ARM OR ELBOW AREA;  
                              DEEP, SUBFASCIAL OR INTRAMUSCULAR         
163............       24077  RADICAL RESECTION OF TUMOR (EG, MALIGNANT  
                              NEOPLASM), SOFT TISSUE OF UPPER ARM OR    
                              ELBOW AREA                                
163............       24201  REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW
                              AREA; DEEP                                
163............       25066  BIOPSY, SOFT TISSUE OF FOREARM AND/OR      
                              WRIST; DEEP                               
163............       25076  EXCISION, TUMOR, FOREARM AND/OR WRIST AREA;
                              DEEP, SUBFASCIAL OR INTRAMUSCULAR         
163............       25077  RADICAL RESECTION OF TUMOR (EG, MALIGNANT  
                              NEOPLASM), SOFT TISSUE OF FOREARM AND/OR  
                              WRIST AREA                                
163............       26115  EXCISION, TUMOR OR VASCULAR MALFORMATION,  
                              HAND OR FINGER; SUBCUTANEOUS              
163............       26116  EXCISION, TUMOR OR VASCULAR MALFORMATION,  
                              HAND OR FINGER; DEEP, SUBFASCIAL,         
                              INTRAMUSCULAR                             
163............       26117  RADICAL RESECTION OF TUMOR (EG, MALIGNANT  
                              NEOPLASM), SOFT TISSUE OF HAND OR FINGER  
163............       26320  REMOVAL OF IMPLANT FROM FINGER OR HAND     
163............       27041  BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA;
                              DEEP                                      
163............       27047  EXCISION, TUMOR, PELVIS AND HIP AREA;      
                              SUBCUTANEOUS                              
163............       27048  EXCISION, TUMOR, PELVIS AND HIP AREA; DEEP,
                              SUBFASCIAL, INTRAMUSCULAR                 

[[Page 32473]]

                                                                        
163............       27049  RADICAL RESECTION OF TUMOR (EG, MALIGNANT  
                              NEOPLASM), SOFT TISSUE OF PELVIS AND HIP  
                              AREA                                      
163............       27324  BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; 
                              DEEP                                      
163............       27327  EXCISION, TUMOR, THIGH OR KNEE AREA;       
                              SUBCUTANEOUS                              
163............       27328  EXCISION, TUMOR, THIGH OR KNEE AREA; DEEP, 
                              SUBFASCIAL, OR INTRAMUSCULAR              
163............       27329  RADICAL RESECTION OF TUMOR (EG, MALIGNANT  
                              NEOPLASM), SOFT TISSUE OF THIGH OR KNEE   
                              AREA                                      
163............       27372  REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION
                              OR KNEE AREA                              
163............       27614  BIOPSY, SOFT TISSUE OF LEG OR ANKLE AREA;  
                              DEEP                                      
163............       27618  EXCISION, TUMOR, LEG OR ANKLE AREA;        
                              SUBCUTANEOUS                              
163............       27619  EXCISION, TUMOR, LEG OR ANKLE AREA; DEEP,  
                              SUBFASCIAL OR INTRAMUSCULAR               
163............       28192  REMOVAL OF FOREIGN BODY, FOOT; DEEP        
163............       28193  REMOVAL OF FOREIGN BODY, FOOT; COMPLICATED 
163............       69110  EXCISION EXTERNAL EAR; PARTIAL, SIMPLE     
                              REPAIR                                    
163............       69145  EXCISION SOFT TISSUE LESION, EXTERNAL      
                              AUDITORY CANAL                            
163............       69205  REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY
                              CANAL; WITH GENERAL ANESTHESIA            
181............       11760  REPAIR OF NAIL BED                         
181............       11762  RECONSTRUCTION OF NAIL BED WITH GRAFT      
181............       11920  TATTOOING, INTRADERMAL INTRODUCTION OF     
                              INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR
                              DEFECTS OF SKIN, INCLUDING                
                              MICROPIGMENTATION; 6.0 SQ CM OR LESS      
181............       11921  TATTOOING, INTRADERMAL INTRODUCTION OF     
                              INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR
                              DEFECTS OF SKIN, INCLUDING                
                              MICROPIGMENTATION; 6.1 TO 20.0 SQ CM      
181............       11922  TATTOOING, INTRADERMAL INTRODUCTION OF     
                              INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR
                              DEFECTS OF SKIN, INCLUDING                
                              MICROPIGMENTATION; EACH ADDITIONAL 20.0 SQ
                              CM                                        
181............       11950  SUBCUTANEOUS INJECTION OF ``FILLING''      
                              MATERIAL (EG, COLLAGEN); 1 CC OR LESS     
181............       11951  SUBCUTANEOUS INJECTION OF ``FILLING''      
                              MATERIAL (EG, COLLAGEN); 1.1 TO 5.0 CC    
181............       11952  SUBCUTANEOUS INJECTION OF ``FILLING''      
                              MATERIAL (EG, COLLAGEN); 5.1 TO 10.0 CC   
181............       11954  SUBCUTANEOUS INJECTION OF ``FILLING''      
                              MATERIAL (EG, COLLAGEN); OVER 10.0 CC     
181............       12001  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, 
                              TRUNK AND/OR EXTREMITIES (INCLUDING HANDS 
                              AND FEET); 2.5 CM OR LESS                 
181............       12002  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, 
                              TRUNK AND/OR EXTREMITIES (INCLUDING HANDS 
                              AND FEET); 2.6 CM TO 7.5 CM               
181............       12004  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, 
                              TRUNK AND/OR EXTREMITIES (INCLUDING HANDS 
                              AND FEET); 7.6 CM TO 12.5 CM              
181............       12005  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, 
                              TRUNK AND/OR EXTREMITIES (INCLUDING HANDS 
                              AND FEET); 12.6 CM TO 20.0 CM             
181............       12006  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, 
                              TRUNK AND/OR EXTREMITIES (INCLUDING HANDS 
                              AND FEET); 20.1 CM TO 30.0 CM             
181............       12007  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, 
                              TRUNK AND/OR EXTREMITIES (INCLUDING HANDS 
                              AND FEET); OVER 30.0 CM                   
181............       12011  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              FACE, EARS, EYELIDS, NOSE, LIPS AND/OR    
                              MUCOUS MEMBRANES; 2.5 CM OR LESS          
181............       12013  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              FACE, EARS, EYELIDS, NOSE, LIPS AND/OR    
                              MUCOUS MEMBRANES; 2.6 CM TO 5.0 CM        
181............       12014  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              FACE, EARS, EYELIDS, NOSE, LIPS AND/OR    
                              MUCOUS MEMBRANES; 5.1 CM TO 7.5 CM        
181............       12015  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              FACE, EARS, EYELIDS, NOSE, LIPS AND/OR    
                              MUCOUS MEMBRANES; 7.6 CM TO 12.5 CM       
181............       12016  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              FACE, EARS, EYELIDS, NOSE, LIPS AND/OR    
                              MUCOUS MEMBRANES; 12.6 CM TO 20.0 CM      
181............       12017  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              FACE, EARS, EYELIDS, NOSE, LIPS AND/OR    
                              MUCOUS MEMBRANES; 20.1 CM TO 30.0 CM      
181............       12018  SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF     
                              FACE, EARS, EYELIDS, NOSE, LIPS AND/OR    
                              MUCOUS MEMBRANES; OVER 30.0 CM            
181............       12020  TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; 
                              SIMPLE CLOSURE                            
181............       12021  TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; 
                              WITH PACKING                              
181............       12031  LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, 
                              TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS 
                              AND FEET); 2.5 CM OR LESS                 
181............       12032  LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, 
                              TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS 
                              AND FEET); 2.6 CM TO 7.5 CM               
181............       12034  LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, 
                              TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS 
                              AND FEET); 7.6 CM TO 12.5 CM              
181............       12035  LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, 
                              TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS 
                              AND FEET); 12.6 CM TO 20.0 CM             
181............       12036  LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, 
                              TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS 
                              AND FEET); 20.1 CM TO 30.0 CM             
181............       12041  LAYER CLOSURE OF WOUNDS OF NECK, HANDS,    
                              FEET AND/OR EXTERNAL GENITALIA; 2.5 CM OR 
                              LESS                                      
181............       12042  LAYER CLOSURE OF WOUNDS OF NECK, HANDS,    
                              FEET AND/OR EXTERNAL GENITALIA; 2.6 CM TO 
                              7.5 CM                                    
181............       12044  LAYER CLOSURE OF WOUNDS OF NECK, HANDS,    
                              FEET AND/OR EXTERNAL GENITALIA; 7.6 CM TO 
                              12.5 CM                                   
181............       12045  LAYER CLOSURE OF WOUNDS OF NECK, HANDS,    
                              FEET AND/OR EXTERNAL GENITALIA; 12.6 CM TO
                              20.0 CM                                   
181............       12046  LAYER CLOSURE OF WOUNDS OF NECK, HANDS,    
                              FEET AND/OR EXTERNAL GENITALIA; 20.1 CM TO
                              30.0 CM                                   
181............       12051  LAYER CLOSURE OF WOUNDS OF FACE, EARS,     
                              EYELIDS, NOSE, LIPS AND/OR MUCOUS         
                              MEMBRANES; 2.5 CM OR LESS                 
181............       12052  LAYER CLOSURE OF WOUNDS OF FACE, EARS,     
                              EYELIDS, NOSE, LIPS AND/OR MUCOUS         
                              MEMBRANES; 2.6 CM TO 5.0 CM               
181............       12053  LAYER CLOSURE OF WOUNDS OF FACE, EARS,     
                              EYELIDS, NOSE, LIPS AND/OR MUCOUS         
                              MEMBRANES; 5.1 CM TO 7.5 CM               
181............       12054  LAYER CLOSURE OF WOUNDS OF FACE, EARS,     
                              EYELIDS, NOSE, LIPS AND/OR MUCOUS         
                              MEMBRANES; 7.6 CM TO 12.5 CM              
181............       12055  LAYER CLOSURE OF WOUNDS OF FACE, EARS,     
                              EYELIDS, NOSE, LIPS AND/OR MUCOUS         
                              MEMBRANES; 12.6 CM TO 20.0 CM             
181............       12056  LAYER CLOSURE OF WOUNDS OF FACE, EARS,     
                              EYELIDS, NOSE, LIPS AND/OR MUCOUS         
                              MEMBRANES; 20.1 CM TO 30.0 CM             

[[Page 32474]]

                                                                        
181............       15860  INTRAVENOUS INJECTION OF AGENT (EG,        
                              FLUORESCEIN) TO TEST BLOOD FLOW IN FLAP OR
                              GRAFT                                     
181............       20500  INJECTION OF SINUS TRACT; THERAPEUTIC      
                              (SEPARATE PROCEDURE)                      
182............       13100  REPAIR, COMPLEX, TRUNK; 1.1 CM TO 2.5 CM   
182............       13101  REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM   
182............       13120  REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 
                              1.1 CM TO 2.5 CM                          
182............       13121  REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 
                              2.6 CM TO 7.5 CM                          
182............       13131  REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN,   
                              MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/
                              OR FEET; 1.1 CM TO 2.5 CM                 
182............       13132  REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN,   
                              MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/
                              OR FEET; 2.6 CM TO 7.5 CM                 
182............       13150  REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR
                              LIPS; 1.0 CM OR LESS                      
182............       13151  REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR
                              LIPS; 1.1 CM TO 2.5 CM                    
182............       13152  REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR
                              LIPS; 2.6 CM TO 7.5 CM                    
182............       13160  SECONDARY CLOSURE OF SURGICAL WOUND OR     
                              DEHISCENCE, EXTENSIVE OR COMPLICATED      
182............       13300  REPAIR, UNUSUAL, COMPLICATED, OVER 7.5 CM, 
                              ANY AREA                                  
182............       43870  CLOSURE OF GASTROSTOMY, SURGICAL           
183............       11960  INSERTION OF TISSUE EXPANDER(S) FOR OTHER  
                              THAN BREAST, INCLUDING SUBSEQUENT         
                              EXPANSION                                 
183............       11970  REPLACEMENT OF TISSUE EXPANDER WITH        
                              PERMANENT PROSTHESIS                      
183............       12037  LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE, 
                              TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS 
                              AND FEET); OVER 30.0 CM                   
183............       12047  LAYER CLOSURE OF WOUNDS OF NECK, HANDS,    
                              FEET AND/OR EXTERNAL GENITALIA; OVER 30.0 
                              CM                                        
183............       12057  LAYER CLOSURE OF WOUNDS OF FACE, EARS,     
                              EYELIDS, NOSE, LIPS AND/OR MUCOUS         
                              MEMBRANES; OVER 30.0 CM                   
183............       14000  ADJACENT TISSUE TRANSFER OR REARRANGEMENT, 
                              TRUNK; DEFECT 10 SQ CM OR LESS            
183............       14001  ADJACENT TISSUE TRANSFER OR REARRANGEMENT, 
                              TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ CM    
183............       14020  ADJACENT TISSUE TRANSFER OR REARRANGEMENT, 
                              SCALP, ARMS AND/ OR LEGS; DEFECT 10 SQ CM 
                              OR LESS                                   
183............       14021  ADJACENT TISSUE TRANSFER OR REARRANGEMENT, 
                              SCALP, ARMS AND/ OR LEGS; DEFECT 10.1 SQ  
                              CM TO 30.0 SQ CM                          
183............       14040  ADJACENT TISSUE TRANSFER OR REARRANGEMENT, 
                              FOREHEAD, CHEEKS, CHIN, MOUTH, NECK,      
                              AXILLAE, GENITALIA, HANDS AND/OR FEET;    
                              DEFECT 10 SQ CM OR LESS                   
183............       14041  ADJACENT TISSUE TRANSFER OR REARRANGEMENT, 
                              FOREHEAD, CHEEKS, CHIN, MOUTH, NECK,      
                              AXILLAE, GENITALIA, HANDS AND/OR FEET;    
                              DEFECT 10.1 SQ CM TO 30.0 SQ CM           
183............       14060  ADJACENT TISSUE TRANSFER OR REARRANGEMENT, 
                              EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10
                              SQ CM OR LESS                             
183............       14061  ADJACENT TISSUE TRANSFER OR REARRANGEMENT, 
                              EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT   
                              10.1 SQ CM TO 30.0 SQ CM                  
183............       14300  ADJACENT TISSUE TRANSFER OR REARRANGEMENT, 
                              MORE THAN 30 SQ CM, UNUSUAL OR            
                              COMPLICATED, ANY AREA                     
183............       14350  FILLETED FINGER OR TOE FLAP, INCLUDING     
                              PREPARATION OF RECIPIENT SITE             
183............       15000  EXCISIONAL PREPARATION OR CREATION OF      
                              RECIPIENT SITE BY EXCISION OF ESSENTIALLY 
                              INTACT SKIN (INCLUDING SUBCUTANEOUS       
                              TISSUES), SCAR, OR OTHER LESION PRIOR TO  
                              REPAIR WITH FREE SKIN GRAFT (LIST AS      
                              SEPARATE SERVICE IN ADDITION TO SKIN      
                              GRAFT)                                    
183............       15050  PINCH GRAFT, SINGLE OR MULTIPLE, TO COVER  
                              SMALL ULCER, TIP OF DIGIT, OR OTHER       
                              MINIMAL OPEN AREA (EXCEPT ON FACE), UP TO 
                              DEFECT SIZE 2 CM DIAMETER                 
183............       15100  SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS,     
                              HANDS, AND/OR FEET (EXCEPT MULTIPLE       
                              DIGITS); 100 SQ CM OR LESS, OR EACH ONE   
                              PERCENT OF BODY AREA OF INFANTS AND       
                              CHILDREN (EXCEPT 15050)                   
183............       15101  SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS,     
                              HANDS, AND/OR FEET (EXCEPT MULTIPLE       
                              DIGITS); EACH ADDITIONAL 100 SQ CM, OR    
                              EACH ONE PERCENT OF BODY AREA OF INFANTS  
                              AND CHILDREN, OR PART THEREOF             
183............       15120  SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK,   
                              EARS, ORBITS, GENITALIA, AND/OR MULTIPLE  
                              DIGITS; 100 SQ CM OR LESS, OR EACH ONE    
                              PERCENT OF BODY AREA OF INFANTS AND       
                              CHILDREN (EXCEPT 15050)                   
183............       15121  SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK,   
                              EARS, ORBITS, GENITALIA, AND/OR MULTIPLE  
                              DIGITS; EACH ADDITIONAL 100 SQ CM, OR EACH
                              ONE PERCENT OF BODY AREA OF INFANTS AND   
                              CHILDREN, OR PART THEREOF                 
183............       15200  FULL THICKNESS GRAFT, FREE, INCLUDING      
                              DIRECT CLOSURE OF DONOR SITE, TRUNK; 20 SQ
                              CM OR LESS                                
183............       15201  FULL THICKNESS GRAFT, FREE, INCLUDING      
                              DIRECT CLOSURE OF DONOR SITE, TRUNK; EACH 
                              ADDITIONAL 20 SQ CM                       
183............       15220  FULL THICKNESS GRAFT, FREE, INCLUDING      
                              DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS,
                              AND/OR LEGS; 20 SQ CM OR LESS             
183............       15221  FULL THICKNESS GRAFT, FREE, INCLUDING      
                              DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS,
                              AND/OR LEGS; EACH ADDITIONAL 20 SQ CM     
183............       15240  FULL THICKNESS GRAFT, FREE, INCLUDING      
                              DIRECT CLOSURE OF DONOR SITE, FOREHEAD,   
                              CHEEKS, CHIN, MOUTH, NECK, AXILLAE,       
                              GENITALIA, HANDS, AND/OR FEET; 20 SQ CM OR
                              LESS                                      
183............       15241  FULL THICKNESS GRAFT, FREE, INCLUDING      
                              DIRECT CLOSURE OF DONOR SITE, FOREHEAD,   
                              CHEEKS, CHIN, MOUTH, NECK, AXILLAE,       
                              GENITALIA, HANDS, AND/OR FEET; EACH       
                              ADDITIONAL 20 SQ CM                       
183............       15260  FULL THICKNESS GRAFT, FREE, INCLUDING      
                              DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, 
                              EYELIDS, AND/OR LIPS; 20 SQ CM OR LESS    
183............       15261  FULL THICKNESS GRAFT, FREE, INCLUDING      
                              DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, 
                              EYELIDS, AND/OR LIPS; EACH ADDITIONAL 20  
                              SQ CM                                     
183............       15350  APPLICATION OF ALLOGRAFT, SKIN             
183............       15400  APPLICATION OF XENOGRAFT, SKIN             
183............       15570  FORMATION OF DIRECT OR TUBED PEDICLE, WITH 
                              OR WITHOUT TRANSFER; TRUNK                
183............       15572  FORMATION OF DIRECT OR TUBED PEDICLE, WITH 
                              OR WITHOUT TRANSFER; SCALP, ARMS, OR LEGS 
183............       15574  FORMATION OF DIRECT OR TUBED PEDICLE, WITH 
                              OR WITHOUT TRANSFER; FOREHEAD, CHEEKS,    
                              CHIN, MOUTH, NECK, AXILLAE, GENITALIA,    
                              HANDS OR FEET                             
183............       15576  FORMATION OF DIRECT OR TUBED PEDICLE, WITH 
                              OR WITHOUT TRANSFER; EYELIDS, NOSE, EARS, 
                              LIPS, OR INTRAORAL                        
183............       15580  CROSS FINGER FLAP, INCLUDING FREE GRAFT TO 
                              DONOR SITE                                
183............       15600  DELAY OF FLAP OR SECTIONING OF FLAP        
                              (DIVISION AND INSET); AT TRUNK            
183............       15610  DELAY OF FLAP OR SECTIONING OF FLAP        
                              (DIVISION AND INSET); AT SCALP, ARMS, OR  
                              LEGS                                      
183............       15620  DELAY OF FLAP OR SECTIONING OF FLAP        
                              (DIVISION AND INSET); AT FOREHEAD, CHEEKS,
                              CHIN, NECK, AXILLAE, GENITALIA, HANDS     
                              (EXCEPT 15625), OR FEET                   
183............       15625  DELAY OF FLAP OR SECTIONING OF FLAP        
                              (DIVISION AND INSET); SECTION PEDICLE OF  
                              CROSS FINGER FLAP                         

[[Page 32475]]

                                                                        
183............       15630  DELAY OF FLAP OR SECTIONING OF FLAP        
                              (DIVISION AND INSET); AT EYELIDS, NOSE,   
                              EARS, OR LIPS                             
183............       15650  TRANSFER, INTERMEDIATE, OF ANY PEDICLE FLAP
                              (EG, ABDOMEN TO WRIST, ``WALKING'' TUBE), 
                              ANY LOCATION                              
183............       15775  PUNCH GRAFT FOR HAIR TRANSPLANT; 1 TO 15   
                              PUNCH GRAFTS                              
183............       15776  PUNCH GRAFT FOR HAIR TRANSPLANT; MORE THAN 
                              15 PUNCH GRAFTS                           
183............       15819  CERVICOPLASTY                              
183............       15820  BLEPHAROPLASTY, LOWER EYELID;              
183............       15821  BLEPHAROPLASTY, LOWER EYELID; WITH         
                              EXTENSIVE HERNIATED FAT PAD               
183............       15822  BLEPHAROPLASTY, UPPER EYELID;              
183............       15823  BLEPHAROPLASTY, UPPER EYELID; WITH         
                              EXCESSIVE SKIN WEIGHTING DOWN LID         
183............       15825  RHYTIDECTOMY; NECK WITH PLATYSMAL          
                              TIGHTENING (PLATYSMAL FLAP, ``P-FLAP'')   
183............       15829  RHYTIDECTOMY; SUPERFICIAL                  
                              MUSCULOAPONEUROTIC SYSTEM (SMAS) FLAP     
183............       15835  EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS  
                              TISSUE (INCLUDING LIPECTOMY); BUTTOCK     
183............       20910  CARTILAGE GRAFT; COSTOCHONDRAL             
183............       20912  CARTILAGE GRAFT; NASAL SEPTUM              
183............       20920  FASCIA LATA GRAFT; BY STRIPPER             
183............       20922  FASCIA LATA GRAFT; BY INCISION AND AREA    
                              EXPOSURE, COMPLEX OR SHEET                
183............       20926  TISSUE GRAFTS, OTHER (EG, PARATENON, FAT,  
                              DERMIS)                                   
183............       23921  DISARTICULATION OF SHOULDER; SECONDARY     
                              CLOSURE OR SCAR REVISION                  
183............       25929  TRANSMETACARPAL AMPUTATION; SECONDARY      
                              CLOSURE OR SCAR REVISION                  
183............       44312  REVISION OF ILEOSTOMY; SIMPLE (RELEASE OF  
                              SUPERFICIAL SCAR) (SEPARATE PROCEDURE)    
183............       44340  REVISION OF COLOSTOMY; SIMPLE (RELEASE OF  
                              SUPERFICIAL SCAR) (SEPARATE PROCEDURE)    
183............       65270  REPAIR OF LACERATION; CONJUNCTIVA, WITH OR 
                              WITHOUT NONPERFORATING LACERATION SCLERA, 
                              DIRECT CLOSURE                            
184............       15732  MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS   
                              FLAP; HEAD AND NECK (EG, TEMPORALIS,      
                              MASSETER, STERNOCLEIDOMASTOID, LEVATOR    
                              SCAPULAE)                                 
184............       15734  MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS   
                              FLAP; TRUNK                               
184............       15736  MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS   
                              FLAP; UPPER EXTREMITY                     
184............       15738  MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS   
                              FLAP; LOWER EXTREMITY                     
184............       15740  FLAP; ISLAND PEDICLE                       
184............       15750  FLAP; NEUROVASCULAR PEDICLE                
184............       15760  GRAFT; COMPOSITE (EG, FULL THICKNESS OF    
                              EXTERNAL EAR OR NASAL ALA), INCLUDING     
                              PRIMARY CLOSURE, DONOR AREA               
184............       15770  GRAFT; DERMA-FAT-FASCIA                    
184............       15824  RHYTIDECTOMY; FOREHEAD                     
184............       15826  RHYTIDECTOMY; GLABELLAR FROWN LINES        
184............       15828  RHYTIDECTOMY; CHEEK, CHIN, AND NECK        
184............       15831  EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS  
                              TISSUE (INCLUDING LIPECTOMY); ABDOMEN     
                              (ABDOMINOPLASTY)                          
184............       15832  EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS  
                              TISSUE (INCLUDING LIPECTOMY); THIGH       
184............       15833  EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS  
                              TISSUE (INCLUDING LIPECTOMY); LEG         
184............       15834  EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS  
                              TISSUE (INCLUDING LIPECTOMY); HIP         
184............       15836  EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS  
                              TISSUE (INCLUDING LIPECTOMY); ARM         
184............       15837  EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS  
                              TISSUE (INCLUDING LIPECTOMY); FOREARM OR  
                              HAND                                      
184............       15839  EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS  
                              TISSUE (INCLUDING LIPECTOMY); OTHER AREA  
184............       15840  GRAFT FOR FACIAL NERVE PARALYSIS; FREE     
                              FASCIA GRAFT (INCLUDING OBTAINING FASCIA) 
184............       15841  GRAFT FOR FACIAL NERVE PARALYSIS; FREE     
                              MUSCLE GRAFT (INCLUDING OBTAINING GRAFT)  
184............       15842  GRAFT FOR FACIAL NERVE PARALYSIS; FREE     
                              MUSCLE GRAFT BY MICROSURGICAL TECHNIQUE   
184............       15845  GRAFT FOR FACIAL NERVE PARALYSIS; REGIONAL 
                              MUSCLE TRANSFER                           
184............       15876  SUCTION ASSISTED LIPECTOMY; HEAD AND NECK  
184............       15877  SUCTION ASSISTED LIPECTOMY; TRUNK          
184............       15878  SUCTION ASSISTED LIPECTOMY; UPPER EXTREMITY
184............       15879  SUCTION ASSISTED LIPECTOMY; LOWER EXTREMITY
184............       15922  EXCISION, COCCYGEAL PRESSURE ULCER, WITH   
                              COCCYGECTOMY; WITH FLAP CLOSURE           
184............       15934  EXCISION, SACRAL PRESSURE ULCER, WITH SKIN 
                              FLAP CLOSURE;                             
184............       15935  EXCISION, SACRAL PRESSURE ULCER, WITH SKIN 
                              FLAP CLOSURE; WITH OSTECTOMY              
184............       15936  EXCISION, SACRAL PRESSURE ULCER, WITH      
                              MUSCLE OR MYOCUTANEOUS FLAP CLOSURE;      
184............       15937  EXCISION, SACRAL PRESSURE ULCER, WITH      
                              MUSCLE OR MYOCUTANEOUS FLAP CLOSURE; WITH 
                              OSTECTOMY                                 
184............       15944  EXCISION, ISCHIAL PRESSURE ULCER, WITH SKIN
                              FLAP CLOSURE;                             
184............       15945  EXCISION, ISCHIAL PRESSURE ULCER, WITH SKIN
                              FLAP CLOSURE; WITH OSTECTOMY              
184............       15946  EXCISION, ISCHIAL PRESSURE ULCER, WITH     
                              OSTECTOMY, WITH MUSCLE OR MYOCUTANEOUS    
                              FLAP CLOSURE                              
184............       15952  EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
                              SKIN FLAP CLOSURE;                        
184............       15953  EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
                              SKIN FLAP CLOSURE; WITH OSTECTOMY         
184............       15956  EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
                              MUSCLE OR MYOCUTANEOUS FLAP CLOSURE;      
184............       15958  EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
                              MUSCLE OR MYOCUTANEOUS FLAP CLOSURE; WITH 
                              OSTECTOMY                                 
197............       19101  BIOPSY OF BREAST; INCISIONAL               
197............       19110  NIPPLE EXPLORATION, WITH OR WITHOUT        
                              EXCISION OF A SOLITARY LACTIFEROUS DUCT OR
                              A PAPILLOMA LACTIFEROUS DUCT              
197............       19112  EXCISION OF LACTIFEROUS DUCT FISTULA       
197............       19120  EXCISION OF CYST, FIBROADENOMA, OR OTHER   
                              BENIGN OR MALIGNANT TUMOR ABERRANT BREAST 
                              TISSUE, DUCT LESION, NIPPLE OR AREOLAR    
                              LESION (EXCEPT 19140), MALE OR FEMALE, ONE
                              OR MORE LESIONS                           
197............       19125  EXCISION OF BREAST LESION IDENTIFIED BY    
                              PREOPERATIVE PLACEMENT OF RADIOLOGICAL    
                              MARKER; SINGLE LESION                     
197............       19126  EXCISION OF BREAST LESION IDENTIFIED BY    
                              PREOPERATIVE PLACEMENT OF RADIOLOGICAL    
                              MARKER; EACH ADDITIONAL LESION SEPARATELY 
                              IDENTIFIED BY A RADIOLOGICAL MARKER       
197............       19140  MASTECTOMY FOR GYNECOMASTIA                
197............       19290  PREOPERATIVE PLACEMENT OF NEEDLE           
                              LOCALIZATION WIRE, BREAST;                
197............       19291  PREOPERATIVE PLACEMENT OF NEEDLE           
                              LOCALIZATION WIRE, BREAST; EACH ADDITIONAL
                              LESION                                    
197............       19396  PREPARATION OF MOULAGE FOR CUSTOM BREAST   
                              IMPLANT                                   

[[Page 32476]]

                                                                        
198............       19160  MASTECTOMY, PARTIAL;                       
198............       19162  MASTECTOMY, PARTIAL; WITH AXILLARY         
                              LYMPHADENECTOMY                           
198............       19180  MASTECTOMY, SIMPLE, COMPLETE               
198............       19182  MASTECTOMY, SUBCUTANEOUS                   
198............       19316  MASTOPEXY                                  
198............       19318  REDUCTION MAMMAPLASTY                      
198............       19324  MAMMAPLASTY, AUGMENTATION; WITHOUT         
                              PROSTHETIC IMPLANT                        
198............       19325  MAMMAPLASTY, AUGMENTATION; WITH PROSTHETIC 
                              IMPLANT                                   
198............       19328  REMOVAL OF INTACT MAMMARY IMPLANT          
198............       19330  REMOVAL OF MAMMARY IMPLANT MATERIAL        
198............       19340  IMMEDIATE INSERTION OF BREAST PROSTHESIS   
                              FOLLOWING MASTOPEXY, MASTECTOMY OR IN     
                              RECONSTRUCTION                            
198............       19342  DELAYED INSERTION OF BREAST PROSTHESIS     
                              FOLLOWING MASTOPEXY, MASTECTOMY OR IN     
                              RECONSTRUCTION                            
198............       19350  NIPPLE/AREOLA RECONSTRUCTION               
198............       19355  CORRECTION OF INVERTED NIPPLES             
198............       19357  BREAST RECONSTRUCTION, IMMEDIATE OR        
                              DELAYED, WITH TISSUE EXPANDER, INCLUDING  
                              SUBSEQUENT EXPANSION                      
198............       19366  BREAST RECONSTRUCTION WITH OTHER TECHNIQUE 
198............       19370  OPEN PERIPROSTHETIC CAPSULOTOMY, BREAST    
198............       19371  PERIPROSTHETIC CAPSULECTOMY, BREAST        
198............       19380  REVISION OF RECONSTRUCTED BREAST           
207............       21800  CLOSED TREATMENT OF RIB FRACTURE,          
                              UNCOMPLICATED, EACH                       
207............       21820  CLOSED TREATMENT OF STERNUM FRACTURE       
207............       22305  CLOSED TREATMENT OF VERTEBRAL PROCESS      
                              FRACTURE(S)                               
207............       22310  CLOSED TREATMENT OF VERTEBRAL BODY         
                              FRACTURE(S), WITHOUT MANIPULATION,        
                              REQUIRING AND INCLUDING CASTING OR BRACING
207............       22315  CLOSED TREATMENT OF VERTEBRAL FRACTURE(S)  
                              AND/OR DISLOCATION(S) REQUIRING CASTING OR
                              BRACING, WITH AND INCLUDING CASTING AND/  
                              OR BRACING, WITH OR WITHOUT ANESTHESIA, BY
                              MANIPULATION OR TRACTION                  
207............       23500  CLOSED TREATMENT OF CLAVICULAR FRACTURE;   
                              WITHOUT MANIPULATION                      
207............       23505  CLOSED TREATMENT OF CLAVICULAR FRACTURE;   
                              WITH MANIPULATION                         
207............       23520  CLOSED TREATMENT OF STERNOCLAVICULAR       
                              DISLOCATION; WITHOUT MANIPULATION         
207............       23525  CLOSED TREATMENT OF STERNOCLAVICULAR       
                              DISLOCATION; WITH MANIPULATION            
207............       23540  CLOSED TREATMENT OF ACROMIOCLAVICULAR      
                              DISLOCATION; WITHOUT MANIPULATION         
207............       23545  CLOSED TREATMENT OF ACROMIOCLAVICULAR      
                              DISLOCATION; WITH MANIPULATION            
207............       23570  CLOSED TREATMENT OF SCAPULAR FRACTURE;     
                              WITHOUT MANIPULATION                      
207............       23575  CLOSED TREATMENT OF SCAPULAR FRACTURE; WITH
                              MANIPULATION, WITH OR WITHOUT SKELETAL    
                              TRACTION (WITH OR WITHOUT SHOULDER JOINT  
                              INVOLVEMENT)                              
207............       23650  CLOSED TREATMENT OF SHOULDER DISLOCATION,  
                              WITH MANIPULATION; WITHOUT ANESTHESIA     
207............       26700  CLOSED TREATMENT OF METACARPOPHALANGEAL    
                              DISLOCATION, SINGLE, WITH MANIPULATION;   
                              WITHOUT ANESTHESIA                        
207............       26720  CLOSED TREATMENT OF PHALANGEAL SHAFT       
                              FRACTURE, PROXIMAL OR MIDDLE PHALANX,     
                              FINGER OR THUMB; WITHOUT MANIPULATION,    
                              EACH                                      
207............       26725  CLOSED TREATMENT OF PHALANGEAL SHAFT       
                              FRACTURE, PROXIMAL OR MIDDLE PHALANX,     
                              FINGER OR THUMB; WITH MANIPULATION, WITH  
                              OR WITHOUT SKIN OR SKELETAL TRACTION, EACH
207............       26740  CLOSED TREATMENT OF ARTICULAR FRACTURE,    
                              INVOLVING METACARPOPHALANGEAL OR          
                              INTERPHALANGEAL JOINT; WITHOUT            
                              MANIPULATION, EACH                        
207............       26750  CLOSED TREATMENT OF DISTAL PHALANGEAL      
                              FRACTURE, FINGER OR THUMB; WITHOUT        
                              MANIPULATION, EACH                        
207............       26755  CLOSED TREATMENT OF DISTAL PHALANGEAL      
                              FRACTURE, FINGER OR THUMB; WITH           
                              MANIPULATION, EACH                        
207............       26770  CLOSED TREATMENT OF INTERPHALANGEAL JOINT  
                              DISLOCATION, SINGLE, WITH MANIPULATION;   
                              WITHOUT ANESTHESIA                        
207............       27200  CLOSED TREATMENT OF COCCYGEAL FRACTURE     
207............       28490  CLOSED TREATMENT OF FRACTURE GREAT TOE,    
                              PHALANX OR PHALANGES; WITHOUT MANIPULATION
207............       28495  CLOSED TREATMENT OF FRACTURE GREAT TOE,    
                              PHALANX OR PHALANGES; WITH MANIPULATION   
207............       28510  CLOSED TREATMENT OF FRACTURE, PHALANX OR   
                              PHALANGES, OTHER THAN GREAT TOE; WITHOUT  
                              MANIPULATION, EACH                        
207............       28515  CLOSED TREATMENT OF FRACTURE, PHALANX OR   
                              PHALANGES, OTHER THAN GREAT TOE; WITH     
                              MANIPULATION, EACH                        
207............       28630  CLOSED TREATMENT OF METATARSOPHALANGEAL    
                              JOINT DISLOCATION; WITHOUT ANESTHESIA     
207............       28660  CLOSED TREATMENT OF INTERPHALANGEAL JOINT  
                              DISLOCATION; WITHOUT ANESTHESIA           
207............       31585  TREATMENT OF CLOSED LARYNGEAL FRACTURE;    
                              WITHOUT MANIPULATION                      
209............       23600  CLOSED TREATMENT OF PROXIMAL HUMERAL       
                              (SURGICAL OR ANATOMICAL NECK) FRACTURE;   
                              WITHOUT MANIPULATION                      
209............       23605  CLOSED TREATMENT OF PROXIMAL HUMERAL       
                              (SURGICAL OR ANATOMICAL NECK) FRACTURE;   
                              WITH MANIPULATION, WITH OR WITHOUT        
                              SKELETAL TRACTION                         
209............       23620  CLOSED TREATMENT OF GREATER TUBEROSITY     
                              FRACTURE; WITHOUT MANIPULATION            
209............       23625  CLOSED TREATMENT OF GREATER TUBEROSITY     
                              FRACTURE; WITH MANIPULATION               
209............       23665  CLOSED TREATMENT OF SHOULDER DISLOCATION,  
                              WITH FRACTURE OF GREATER TUBEROSITY, WITH 
                              MANIPULATION                              
209............       23675  CLOSED TREATMENT OF SHOULDER DISLOCATION,  
                              WITH SURGICAL OR ANATOMICAL NECK FRACTURE,
                              WITH MANIPULATION                         
209............       24500  CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE;
                              WITHOUT MANIPULATION                      
209............       24505  CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE;
                              WITH MANIPULATION, WITH OR WITHOUT        
                              SKELETAL TRACTION                         
209............       24530  CLOSED TREATMENT OF SUPRACONDYLAR OR       
                              TRANSCONDYLAR HUMERAL FRACTURE, WITH OR   
                              WITHOUT INTERCONDYLAR EXTENSION; WITHOUT  
                              MANIPULATION                              
209............       24535  CLOSED TREATMENT OF SUPRACONDYLAR OR       
                              TRANSCONDYLAR HUMERAL FRACTURE, WITH OR   
                              WITHOUT INTERCONDYLAR EXTENSION; WITH     
                              MANIPULATION, WITH OR WITHOUT SKIN OR     
                              SKELETAL TRACTION                         
209............       24560  CLOSED TREATMENT OF HUMERAL EPICONDYLAR    
                              FRACTURE, MEDIAL OR LATERAL; WITHOUT      
                              MANIPULATION                              
209............       24565  CLOSED TREATMENT OF HUMERAL EPICONDYLAR    
                              FRACTURE, MEDIAL OR LATERAL; WITH         
                              MANIPULATION                              
209............       24576  CLOSED TREATMENT OF HUMERAL CONDYLAR       
                              FRACTURE, MEDIAL OR LATERAL; WITHOUT      
                              MANIPULATION                              
209............       24577  CLOSED TREATMENT OF HUMERAL CONDYLAR       
                              FRACTURE, MEDIAL OR LATERAL; WITH         
                              MANIPULATION                              
209............       24600  TREATMENT OF CLOSED ELBOW DISLOCATION;     
                              WITHOUT ANESTHESIA                        
209............       24620  CLOSED TREATMENT OF MONTEGGIA TYPE OF      
                              FRACTURE DISLOCATION AT ELBOW (FRACTURE   
                              PROXIMAL END OF ULNA WITH DISLOCATION OF  
                              RADIAL HEAD), WITH MANIPULATION           

[[Page 32477]]

                                                                        
209............       24640  CLOSED TREATMENT OF RADIAL HEAD SUBLUXATION
                              IN CHILD, ``NURSEMAID ELBOW'', WITH       
                              MANIPULATION                              
209............       24650  CLOSED TREATMENT OF RADIAL HEAD OR NECK    
                              FRACTURE; WITHOUT MANIPULATION            
209............       24655  CLOSED TREATMENT OF RADIAL HEAD OR NECK    
                              FRACTURE; WITH MANIPULATION               
209............       24670  CLOSED TREATMENT OF ULNAR FRACTURE,        
                              PROXIMAL END (OLECRANON PROCESS); WITHOUT 
                              MANIPULATION                              
209............       24675  CLOSED TREATMENT OF ULNAR FRACTURE,        
                              PROXIMAL END (OLECRANON PROCESS); WITH    
                              MANIPULATION                              
209............       25500  CLOSED TREATMENT OF RADIAL SHAFT FRACTURE; 
                              WITHOUT MANIPULATION                      
209............       25505  CLOSED TREATMENT OF RADIAL SHAFT FRACTURE; 
                              WITH MANIPULATION                         
209............       25520  CLOSED TREATMENT OF RADIAL SHAFT FRACTURE, 
                              WITH DISLOCATION OF DISTAL RADIO-ULNAR    
                              JOINT (GALEAZZI FRACTURE/DISLOCATION)     
209............       25530  CLOSED TREATMENT OF ULNAR SHAFT FRACTURE;  
                              WITHOUT MANIPULATION                      
209............       25535  CLOSED TREATMENT OF ULNAR SHAFT FRACTURE;  
                              WITH MANIPULATION                         
209............       25560  CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT 
                              FRACTURES; WITHOUT MANIPULATION           
209............       25565  CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT 
                              FRACTURES; WITH MANIPULATION              
209............       25600  CLOSED TREATMENT OF DISTAL RADIAL FRACTURE 
                              (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL  
                              SEPARATION, WITH OR WITHOUT FRACTURE OF   
                              ULNAR STYLOID; WITHOUT MANIPULATION       
209............       25605  CLOSED TREATMENT OF DISTAL RADIAL FRACTURE 
                              (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL  
                              SEPARATION, WITH OR WITHOUT FRACTURE OF   
                              ULNAR STYLOID; WITH MANIPULATION          
209............       25622  CLOSED TREATMENT OF CARPAL SCAPHOID        
                              (NAVICULAR) FRACTURE; WITHOUT MANIPULATION
209............       25624  CLOSED TREATMENT OF CARPAL SCAPHOID        
                              (NAVICULAR) FRACTURE; WITH MANIPULATION   
209............       25630  CLOSED TREATMENT OF CARPAL BONE FRACTURE   
                              (EXCLUDING CARPAL SCAPHOID (NAVICULAR));  
                              WITHOUT MANIPULATION, EACH BONE           
209............       25635  CLOSED TREATMENT OF CARPAL BONE FRACTURE   
                              (EXCLUDING CARPAL SCAPHOID (NAVICULAR));  
                              WITH MANIPULATION, EACH BONE              
209............       25650  CLOSED TREATMENT OF ULNAR STYLOID FRACTURE 
209............       25660  CLOSED TREATMENT OF RADIOCARPAL OR         
                              INTERCARPAL DISLOCATION, ONE OR MORE      
                              BONES, WITH MANIPULATION                  
209............       25675  CLOSED TREATMENT OF DISTAL RADIOULNAR      
                              DISLOCATION WITH MANIPULATION             
209............       25680  CLOSED TREATMENT OF TRANS-SCAPHOPERILUNAR  
                              TYPE OF FRACTURE DISLOCATION, WITH        
                              MANIPULATION                              
209............       25690  CLOSED TREATMENT OF LUNATE DISLOCATION,    
                              WITH MANIPULATION                         
209............       26600  CLOSED TREATMENT OF METACARPAL FRACTURE,   
                              SINGLE; WITHOUT MANIPULATION, EACH BONE   
209............       26605  CLOSED TREATMENT OF METACARPAL FRACTURE,   
                              SINGLE; WITH MANIPULATION, EACH BONE      
209............       26607  CLOSED TREATMENT OF METACARPAL FRACTURE,   
                              WITH MANIPULATION, WITH INTERNAL OR       
                              EXTERNAL FIXATION, EACH BONE              
209............       26641  CLOSED TREATMENT OF CARPOMETACARPAL        
                              DISLOCATION, THUMB, WITH MANIPULATION     
209............       26645  CLOSED TREATMENT OF CARPOMETACARPAL        
                              FRACTURE DISLOCATION, THUMB (BENNETT      
                              FRACTURE), WITH MANIPULATION              
209............       26670  CLOSED TREATMENT OF CARPOMETACARPAL        
                              DISLOCATION, OTHER THAN THUMB (BENNETT    
                              FRACTURE), SINGLE, WITH MANIPULATION;     
                              WITHOUT ANESTHESIA                        
209............       26706  PERCUTANEOUS SKELETAL FIXATION OF          
                              METACARPOPHALANGEAL DISLOCATION, SINGLE,  
                              WITH MANIPULATION                         
209............       26742  CLOSED TREATMENT OF ARTICULAR FRACTURE,    
                              INVOLVING METACARPOPHALANGEAL OR          
                              INTERPHALANGEAL JOINT; WITH MANIPULATION, 
                              EACH                                      
209............       27193  CLOSED TREATMENT OF PELVIC RING FRACTURE,  
                              DISLOCATION, DIASTASIS OR SUBLUXATION;    
                              WITHOUT MANIPULATION                      
209............       27220  CLOSED TREATMENT OF ACETABULUM (HIP SOCKET)
                              FRACTURE(S); WITHOUT MANIPULATION         
209............       27230  CLOSED TREATMENT OF FEMORAL FRACTURE,      
                              PROXIMAL END, NECK; WITHOUT MANIPULATION  
209............       27238  CLOSED TREATMENT OF INTERTROCHANTERIC,     
                              PERTROCHANTERIC, OR SUBTROCHANTERIC       
                              FEMORAL FRACTURE; WITHOUT MANIPULATION    
209............       27246  CLOSED TREATMENT OF GREATER TROCHANTERIC   
                              FRACTURE, WITHOUT MANIPULATION            
209............       27250  CLOSED TREATMENT OF HIP DISLOCATION,       
                              TRAUMATIC; WITHOUT ANESTHESIA             
209............       27256  TREATMENT OF SPONTANEOUS HIP DISLOCATION   
                              (DEVELOPMENTAL, INCLUDING CONGENITAL OR   
                              PATHOLOGICAL), BY ABDUCTION, SPLINT OR    
                              TRACTION; WITHOUT ANESTHESIA, WITHOUT     
                              MANIPULATION                              
209............       27265  CLOSED TREATMENT OF POST HIP ARTHROPLASTY  
                              DISLOCATION; WITHOUT ANESTHESIA           
209............       27500  CLOSED TREATMENT OF FEMORAL SHAFT FRACTURE,
                              WITHOUT MANIPULATION                      
209............       27501  CLOSED TREATMENT OF SUPRACONDYLAR OR       
                              TRANSCONDYLAR FEMORAL FRACTURE WITH OR    
                              WITHOUT INTERCONDYLAR EXTENSION, WITHOUT  
                              MANIPULATION                              
209............       27502  CLOSED TREATMENT OF FEMORAL SHAFT FRACTURE,
                              WITH MANIPULATION, WITH OR WITHOUT SKIN OR
                              SKELETAL TRACTION                         
209............       27503  CLOSED TREATMENT OF SUPRACONDYLAR OR       
                              TRANSCONDYLAR FEMORAL FRACTURE WITH OR    
                              WITHOUT INTERCONDYLAR EXTENSION, WITH     
                              MANIPULATION, WITH OR WITHOUT SKIN OR     
                              SKELETAL TRACTION                         
209............       27508  CLOSED TREATMENT OF FEMORAL FRACTURE,      
                              DISTAL END, MEDIAL OR LATERAL CONDYLE,    
                              WITHOUT MANIPULATION                      
209............       27510  CLOSED TREATMENT OF FEMORAL FRACTURE,      
                              DISTAL END, MEDIAL OR LATERAL CONDYLE,    
                              WITH MANIPULATION                         
209............       27516  CLOSED TREATMENT OF DISTAL FEMORAL         
                              EPIPHYSEAL SEPARATION; WITHOUT            
                              MANIPULATION                              
209............       27517  CLOSED TREATMENT OF DISTAL FEMORAL         
                              EPIPHYSEAL SEPARATION; WITH MANIPULATION, 
                              WITH OR WITHOUT SKIN OR SKELETAL TRACTION 
209............       27520  CLOSED TREATMENT OF PATELLAR FRACTURE,     
                              WITHOUT MANIPULATION                      
209............       27530  CLOSED TREATMENT OF TIBIAL FRACTURE,       
                              PROXIMAL (PLATEAU); WITHOUT MANIPULATION  
209............       27532  CLOSED TREATMENT OF TIBIAL FRACTURE,       
                              PROXIMAL (PLATEAU); WITH OR WITHOUT       
                              MANIPULATION, WITH SKELETAL TRACTION      
209............       27538  CLOSED TREATMENT OF INTERCONDYLAR SPINE(S) 
                              AND/OR TUBEROSITY FRACTURE(S) OF KNEE,    
                              WITH OR WITHOUT MANIPULATION              
209............       27550  CLOSED TREATMENT OF KNEE DISLOCATION;      
                              WITHOUT ANESTHESIA                        
209............       27560  CLOSED TREATMENT OF PATELLAR DISLOCATION;  
                              WITHOUT ANESTHESIA                        
209............       27750  CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE  
                              (WITH OR WITHOUT FIBULAR FRACTURE);       
                              WITHOUT MANIPULATION                      
209............       27752  CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE  
                              (WITH OR WITHOUT FIBULAR FRACTURE); WITH  
                              MANIPULATION, WITH OR WITHOUT SKELETAL    
                              TRACTION                                  
209............       27760  CLOSED TREATMENT OF MEDIAL MALLEOLUS       
                              FRACTURE; WITHOUT MANIPULATION            
209............       27762  CLOSED TREATMENT OF MEDIAL MALLEOLUS       
                              FRACTURE; WITH MANIPULATION, WITH OR      
                              WITHOUT SKIN OR SKELETAL TRACTION         

[[Page 32478]]

                                                                        
209............       27780  CLOSED TREATMENT OF PROXIMAL FIBULA OR     
                              SHAFT FRACTURE; WITHOUT MANIPULATION      
209............       27781  CLOSED TREATMENT OF PROXIMAL FIBULA OR     
                              SHAFT FRACTURE; WITH MANIPULATION         
209............       27786  CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE
                              (LATERAL MALLEOLUS); WITHOUT MANIPULATION 
209............       27788  CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE
                              (LATERAL MALLEOLUS); WITH MANIPULATION    
209............       27808  CLOSED TREATMENT OF BIMALLEOLAR ANKLE      
                              FRACTURE, (INCLUDING POTTS); WITHOUT      
                              MANIPULATION                              
209............       27810  CLOSED TREATMENT OF BIMALLEOLAR ANKLE      
                              FRACTURE, (INCLUDING POTTS); WITH         
                              MANIPULATION                              
209............       27816  CLOSED TREATMENT OF TRIMALLEOLAR ANKLE     
                              FRACTURE; WITHOUT MANIPULATION            
209............       27818  CLOSED TREATMENT OF TRIMALLEOLAR ANKLE     
                              FRACTURE; WITH MANIPULATION               
209............       27824  CLOSED TREATMENT OF FRACTURE OF WEIGHT     
                              BEARING ARTICULAR PORTION OF DISTAL TIBIA 
                              (EG, PILON OR TIBIAL PLAFOND), WITH OR    
                              WITHOUT ANESTHESIA; WITHOUT MANIPULATION  
209............       27825  CLOSED TREATMENT OF FRACTURE OF WEIGHT     
                              BEARING ARTICULAR PORTION OF DISTAL TIBIA 
                              (EG, PILON OR TIBIAL PLAFOND), WITH OR    
                              WITHOUT ANESTHESIA; WITH SKELETAL TRACTION
                              AND/OR REQUIRING MANIPULATION             
209............       27830  CLOSED TREATMENT OF PROXIMAL TIBIOFIBULAR  
                              JOINT DISLOCATION; WITHOUT ANESTHESIA     
209............       27840  CLOSED TREATMENT OF ANKLE DISLOCATION;     
                              WITHOUT ANESTHESIA                        
209............       28400  CLOSED TREATMENT OF CALCANEAL FRACTURE;    
                              WITHOUT MANIPULATION                      
209............       28405  CLOSED TREATMENT OF CALCANEAL FRACTURE;    
                              WITH MANIPULATION                         
209............       28430  CLOSED TREATMENT OF TALUS FRACTURE; WITHOUT
                              MANIPULATION                              
209............       28435  CLOSED TREATMENT OF TALUS FRACTURE; WITH   
                              MANIPULATION                              
209............       28450  TREATMENT OF TARSAL BONE FRACTURE (EXCEPT  
                              TALUS AND CALCANEUS); WITHOUT             
                              MANIPULATION, EACH                        
209............       28455  TREATMENT OF TARSAL BONE FRACTURE (EXCEPT  
                              TALUS AND CALCANEUS); WITH MANIPULATION,  
                              EACH                                      
209............       28470  CLOSED TREATMENT OF METATARSAL FRACTURE;   
                              WITHOUT MANIPULATION, EACH                
209............       28475  CLOSED TREATMENT OF METATARSAL FRACTURE;   
                              WITH MANIPULATION, EACH                   
209............       28530  CLOSED TREATMENT OF SESAMOID FRACTURE      
209............       28540  CLOSED TREATMENT OF TARSAL BONE            
                              DISLOCATION, OTHER THAN TALOTARSAL;       
                              WITHOUT ANESTHESIA                        
209............       28570  CLOSED TREATMENT OF TALOTARSAL JOINT       
                              DISLOCATION; WITHOUT ANESTHESIA           
209............       28600  CLOSED TREATMENT OF TARSOMETATARSAL JOINT  
                              DISLOCATION; WITHOUT ANESTHESIA           
209............       31586  TREATMENT OF CLOSED LARYNGEAL FRACTURE;    
                              WITH CLOSED MANIPULATIVE REDUCTION        
210............       22505  MANIPULATION OF SPINE REQUIRING ANESTHESIA,
                              ANY REGION                                
210............       23655  CLOSED TREATMENT OF SHOULDER DISLOCATION,  
                              WITH MANIPULATION; REQUIRING ANESTHESIA   
210............       23700  MANIPULATION UNDER ANESTHESIA, SHOULDER    
                              JOINT, INCLUDING APPLICATION OF FIXATION  
                              APPARATUS (DISLOCATION EXCLUDED)          
210............       24605  TREATMENT OF CLOSED ELBOW DISLOCATION;     
                              REQUIRING ANESTHESIA                      
210............       26675  CLOSED TREATMENT OF CARPOMETACARPAL        
                              DISLOCATION, OTHER THAN THUMB (BENNETT    
                              FRACTURE), SINGLE, WITH MANIPULATION;     
                              REQUIRING ANESTHESIA                      
210............       26705  CLOSED TREATMENT OF METACARPOPHALANGEAL    
                              DISLOCATION, SINGLE, WITH MANIPULATION;   
                              REQUIRING ANESTHESIA                      
210............       26775  CLOSED TREATMENT OF INTERPHALANGEAL JOINT  
                              DISLOCATION, SINGLE, WITH MANIPULATION;   
                              REQUIRING ANESTHESIA                      
210............       27194  CLOSED TREATMENT OF PELVIC RING FRACTURE,  
                              DISLOCATION, DIASTASIS OR SUBLUXATION;    
                              WITH MANIPULATION, REQUIRING MORE THAN    
                              LOCAL ANESTHESIA                          
210............       27252  CLOSED TREATMENT OF HIP DISLOCATION,       
                              TRAUMATIC; REQUIRING ANESTHESIA           
210............       27257  TREATMENT OF SPONTANEOUS HIP DISLOCATION   
                              (DEVELOPMENTAL, INCLUDING CONGENITAL OR   
                              PATHOLOGICAL), BY ABDUCTION, SPLINT OR    
                              TRACTION; WITH MANIPULATION, REQUIRING    
                              ANESTHESIA                                
210............       27275  MANIPULATION, HIP JOINT, REQUIRING GENERAL 
                              ANESTHESIA                                
210............       27552  CLOSED TREATMENT OF KNEE DISLOCATION;      
                              REQUIRING ANESTHESIA                      
210............       27562  CLOSED TREATMENT OF PATELLAR DISLOCATION;  
                              REQUIRING ANESTHESIA                      
210............       27570  MANIPULATION OF KNEE JOINT UNDER GENERAL   
                              ANESTHESIA (INCLUDES APPLICATION OF       
                              TRACTION OR OTHER FIXATION DEVICES)       
210............       27831  CLOSED TREATMENT OF PROXIMAL TIBIOFIBULAR  
                              JOINT DISLOCATION; REQUIRING ANESTHESIA   
210............       27842  CLOSED TREATMENT OF ANKLE DISLOCATION;     
                              REQUIRING ANESTHESIA, WITH OR WITHOUT     
                              PERCUTANEOUS SKELETAL FIXATION            
210............       27860  MANIPULATION OF ANKLE UNDER GENERAL        
                              ANESTHESIA (INCLUDES APPLICATION OF       
                              TRACTION OR OTHER FIXATION APPARATUS)     
210............       28545  CLOSED TREATMENT OF TARSAL BONE            
                              DISLOCATION, OTHER THAN TALOTARSAL;       
                              REQUIRING ANESTHESIA                      
210............       28575  CLOSED TREATMENT OF TALOTARSAL JOINT       
                              DISLOCATION; REQUIRING ANESTHESIA         
210............       28605  CLOSED TREATMENT OF TARSOMETATARSAL JOINT  
                              DISLOCATION; REQUIRING ANESTHESIA         
210............       28635  CLOSED TREATMENT OF METATARSOPHALANGEAL    
                              JOINT DISLOCATION; REQUIRING ANESTHESIA   
210............       28665  CLOSED TREATMENT OF INTERPHALANGEAL JOINT  
                              DISLOCATION; REQUIRING ANESTHESIA         
216............       21336  OPEN TREATMENT OF NASAL SEPTAL FRACTURE,   
                              WITH OR WITHOUT STABILIZATION             
216............       21805  OPEN TREATMENT OF RIB FRACTURE WITHOUT     
                              FIXATION, EACH                            
216............       23515  OPEN TREATMENT OF CLAVICULAR FRACTURE, WITH
                              OR WITHOUT INTERNAL OR EXTERNAL FIXATION  
216............       23530  OPEN TREATMENT OF STERNOCLAVICULAR         
                              DISLOCATION, ACUTE OR CHRONIC;            
216............       23532  OPEN TREATMENT OF STERNOCLAVICULAR         
                              DISLOCATION, ACUTE OR CHRONIC; WITH       
                              FASCIAL GRAFT (INCLUDES OBTAINING GRAFT)  
216............       23550  OPEN TREATMENT OF ACROMIOCLAVICULAR        
                              DISLOCATION, ACUTE OR CHRONIC;            
216............       23552  OPEN TREATMENT OF ACROMIOCLAVICULAR        
                              DISLOCATION, ACUTE OR CHRONIC; WITH       
                              FASCIAL GRAFT (INCLUDES OBTAINING GRAFT)  
216............       23585  OPEN TREATMENT OF SCAPULAR FRACTURE (BODY, 
                              GLENOID OR ACROMION) WITH OR WITHOUT      
                              INTERNAL FIXATION                         
216............       23615  OPEN TREATMENT OF PROXIMAL HUMERAL         
                              (SURGICAL OR ANATOMICAL NECK) FRACTURE,   
                              WITH OR WITHOUT INTERNAL OR EXTERNAL      
                              FIXATION, WITH OR WITHOUT REPAIR OF       
                              TUBEROSITY(-IES);                         
216............       23616  OPEN TREATMENT OF PROXIMAL HUMERAL         
                              (SURGICAL OR ANATOMICAL NECK) FRACTURE,   
                              WITH OR WITHOUT INTERNAL OR EXTERNAL      
                              FIXATION, WITH OR WITHOUT REPAIR OF       
                              TUBEROSITY(-IES); WITH PROXIMAL HUMERAL   
                              PROSTHETIC REPLACEMENT                    
216............       23630  OPEN TREATMENT OF GREATER TUBEROSITY       
                              FRACTURE, WITH OR WITHOUT INTERNAL OR     
                              EXTERNAL FIXATION                         
216............       23660  OPEN TREATMENT OF ACUTE SHOULDER           
                              DISLOCATION                               
216............       23670  OPEN TREATMENT OF SHOULDER DISLOCATION,    
                              WITH FRACTURE OF GREATER TUBEROSITY, WITH 
                              OR WITHOUT INTERNAL OR EXTERNAL FIXATION  

[[Page 32479]]

                                                                        
216............       23680  OPEN TREATMENT OF SHOULDER DISLOCATION,    
                              WITH SURGICAL OR ANATOMICAL NECK FRACTURE,
                              WITH OR WITHOUT INTERNAL OR EXTERNAL      
                              FIXATION                                  
216............       24515  OPEN TREATMENT OF HUMERAL SHAFT FRACTURE   
                              WITH PLATE/SCREWS, WITH OR WITHOUT        
                              CERCLAGE                                  
216............       24516  OPEN TREATMENT OF HUMERAL SHAFT FRACTURE,  
                              WITH INSERTION OF INTRAMEDULLARY IMPLANT, 
                              WITH OR WITHOUT CERCLAGE AND/OR LOCKING   
                              SCREWS                                    
216............       24538  PERCUTANEOUS SKELETAL FIXATION OF          
                              SUPRACONDYLAR OR TRANSCONDYLAR HUMERAL    
                              FRACTURE, WITH OR WITHOUT INTERCONDYLAR   
                              EXTENSION                                 
216............       24545  OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR 
                              TRANSCONDYLAR FRACTURE, WITH OR WITHOUT   
                              INTERNAL OR EXTERNAL FIXATION; WITHOUT    
                              INTERCONDYLAR EXTENSION                   
216............       24546  OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR 
                              TRANSCONDYLAR FRACTURE, WITH OR WITHOUT   
                              INTERNAL OR EXTERNAL FIXATION; WITH       
                              INTERCONDYLAR EXTENSION                   
216............       24566  PERCUTANEOUS SKELETAL FIXATION OF HUMERAL  
                              EPICONDYLAR FRACTURE, MEDIAL OR LATERAL,  
                              WITH MANIPULATION                         
216............       24575  OPEN TREATMENT OF HUMERAL EPICONDYLAR      
                              FRACTURE, MEDIAL OR LATERAL, WITH OR      
                              WITHOUT INTERNAL OR EXTERNAL FIXATION     
216............       24579  OPEN TREATMENT OF HUMERAL CONDYLAR         
                              FRACTURE, MEDIAL OR LATERAL, WITH OR      
                              WITHOUT INTERNAL OR EXTERNAL FIXATION     
216............       24582  PERCUTANEOUS SKELETAL FIXATION OF HUMERAL  
                              CONDYLAR FRACTURE, MEDIAL OR LATERAL, WITH
                              MANIPULATION                              
216............       24586  OPEN TREATMENT OF PERIARTICULAR FRACTURE   
                              AND/OR DISLOCATION OF THE ELBOW (FRACTURE 
                              DISTAL HUMERUS AND PROXIMAL ULNA AND/ OR  
                              PROXIMAL RADIUS);                         
216............       24587  OPEN TREATMENT OF PERIARTICULAR FRACTURE   
                              AND/OR DISLOCATION OF THE ELBOW (FRACTURE 
                              DISTAL HUMERUS AND PROXIMAL ULNA AND/ OR  
                              PROXIMAL RADIUS); WITH IMPLANT            
                              ARTHROPLASTY                              
216............       24615  OPEN TREATMENT OF ACUTE OR CHRONIC ELBOW   
                              DISLOCATION                               
216............       24635  OPEN TREATMENT OF MONTEGGIA TYPE OF        
                              FRACTURE DISLOCATION AT ELBOW (FRACTURE   
                              PROXIMAL END OF ULNA WITH DISLOCATION OF  
                              RADIAL HEAD), WITH OR WITHOUT INTERNAL OR 
                              EXTERNAL FIXATION                         
216............       24665  OPEN TREATMENT OF RADIAL HEAD OR NECK      
                              FRACTURE, WITH OR WITHOUT INTERNAL        
                              FIXATION OR RADIAL HEAD EXCISION;         
216............       24666  OPEN TREATMENT OF RADIAL HEAD OR NECK      
                              FRACTURE, WITH OR WITHOUT INTERNAL        
                              FIXATION OR RADIAL HEAD EXCISION; WITH    
                              RADIAL HEAD PROSTHETIC REPLACEMENT        
216............       24685  OPEN TREATMENT OF ULNAR FRACTURE PROXIMAL  
                              END (OLECRANON PROCESS), WITH OR WITHOUT  
                              INTERNAL OR EXTERNAL FIXATION             
216............       25515  OPEN TREATMENT OF RADIAL SHAFT FRACTURE,   
                              WITH OR WITHOUT INTERNAL OR EXTERNAL      
                              FIXATION                                  
216............       25525  OPEN TREATMENT OF RADIAL SHAFT FRACTURE,   
                              WITH INTERNAL AND/ OR EXTERNAL FIXATION   
                              AND CLOSED TREATMENT OF DISLOCATION OF    
                              DISTAL RADIO-ULNAR JOINT (GALEAZZI        
                              FRACTURE/DISLOCATION), WITH OR WITHOUT    
                              PERCUTANEOUS SKELETAL FIXATION            
216............       25526  OPEN TREATMENT OF RADIAL SHAFT FRACTURE,   
                              WITH INTERNAL AND/ OR EXTERNAL FIXATION   
                              AND OPEN TREATMENT, WITH OR WITHOUT       
                              INTERNAL OR EXTERNAL FIXATION OF DISTAL   
                              RADIO-ULNAR JOINT (GALEAZZI FRACTURE/     
                              DISLOCATION), INCLUDES REPAIR OF          
                              TRIANGULAR CARTILAGE                      
216............       25545  OPEN TREATMENT OF ULNAR SHAFT FRACTURE,    
                              WITH OR WITHOUT INTERNAL OR EXTERNAL      
                              FIXATION                                  
216............       25574  OPEN TREATMENT OF RADIAL AND ULNAR SHAFT   
                              FRACTURES, WITH INTERNAL OR EXTERNAL      
                              FIXATION; OF RADIUS OR ULNA               
216............       25575  OPEN TREATMENT OF RADIAL AND ULNAR SHAFT   
                              FRACTURES, WITH INTERNAL OR EXTERNAL      
                              FIXATION; OF RADIUS AND ULNA              
216............       25611  PERCUTANEOUS SKELETAL FIXATION OF DISTAL   
                              RADIAL FRACTURE (EG, COLLES OR SMITH TYPE)
                              OR EPIPHYSEAL SEPARATION, WITH OR WITHOUT 
                              FRACTURE OF ULNAR STYLOID, REQUIRING      
                              MANIPULATION, WITH OR WITHOUT EXTERNAL    
                              FIXATION                                  
216............       25620  OPEN TREATMENT OF DISTAL RADIAL FRACTURE   
                              (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL  
                              SEPARATION, WITH OR WITHOUT FRACTURE OF   
                              ULNAR STYLOID, WITH OR WITHOUT INTERNAL OR
                              EXTERNAL FIXATION                         
216............       25628  OPEN TREATMENT OF CARPAL SCAPHOID          
                              (NAVICULAR) FRACTURE, WITH OR WITHOUT     
                              INTERNAL OR EXTERNAL FIXATION             
216............       25645  OPEN TREATMENT OF CARPAL BONE FRACTURE     
                              (EXCLUDING CARPAL SCAPHOID (NAVICULAR)),  
                              EACH BONE                                 
216............       25670  OPEN TREATMENT OF RADIOCARPAL OR           
                              INTERCARPAL DISLOCATION, ONE OR MORE BONES
216............       25676  OPEN TREATMENT OF DISTAL RADIOULNAR        
                              DISLOCATION, ACUTE OR CHRONIC             
216............       25685  OPEN TREATMENT OF TRANS-SCAPHOPERILUNAR    
                              TYPE OF FRACTURE DISLOCATION              
216............       25695  OPEN TREATMENT OF LUNATE DISLOCATION       
216............       26608  PERCUTANEOUS SKELETAL FIXATION OF          
                              METACARPAL FRACTURE, EACH BONE            
216............       26615  OPEN TREATMENT OF METACARPAL FRACTURE,     
                              SINGLE, WITH OR WITHOUT INTERNAL OR       
                              EXTERNAL FIXATION, EACH BONE              
216............       26650  PERCUTANEOUS SKELETAL FIXATION OF          
                              CARPOMETACARPAL FRACTURE DISLOCATION,     
                              THUMB (BENNETT FRACTURE), WITH            
                              MANIPULATION, WITH OR WITHOUT EXTERNAL    
                              FIXATION                                  
216............       26665  OPEN TREATMENT OF CARPOMETACARPAL FRACTURE 
                              DISLOCATION, THUMB (BENNETT FRACTURE),    
                              WITH OR WITHOUT INTERNAL OR EXTERNAL      
                              FIXATION                                  
216............       26676  PERCUTANEOUS SKELETAL FIXATION OF          
                              CARPOMETACARPAL DISLOCATION, OTHER THAN   
                              THUMB (BENNETT FRACTURE), SINGLE, WITH    
                              MANIPULATION                              
216............       26685  OPEN TREATMENT OF CARPOMETACARPAL          
                              DISLOCATION, OTHER THAN THUMB (BENNETT    
                              FRACTURE); SINGLE, WITH OR WITHOUT        
                              INTERNAL OR EXTERNAL FIXATION             
216............       26686  OPEN TREATMENT OF CARPOMETACARPAL          
                              DISLOCATION, OTHER THAN THUMB (BENNETT    
                              FRACTURE); COMPLEX, MULTIPLE OR DELAYED   
                              REDUCTION                                 
216............       26715  OPEN TREATMENT OF METACARPOPHALANGEAL      
                              DISLOCATION, SINGLE, WITH OR WITHOUT      
                              INTERNAL OR EXTERNAL FIXATION             
216............       26727  PERCUTANEOUS SKELETAL FIXATION OF UNSTABLE 
                              PHALANGEAL SHAFT FRACTURE, PROXIMAL OR    
                              MIDDLE PHALANX, FINGER OR THUMB, WITH     
                              MANIPULATION, EACH                        
216............       26735  OPEN TREATMENT OF PHALANGEAL SHAFT         
                              FRACTURE, PROXIMAL OR MIDDLE PHALANX,     
                              FINGER OR THUMB, WITH OR WITHOUT INTERNAL 
                              OR EXTERNAL FIXATION, EACH                
216............       26746  OPEN TREATMENT OF ARTICULAR FRACTURE,      
                              INVOLVING METACARPOPHALANGEAL OR          
                              INTERPHALANGEAL JOINT, WITH OR WITHOUT    
                              INTERNAL OR EXTERNAL FIXATION, EACH       
216............       26756  PERCUTANEOUS SKELETAL FIXATION OF DISTAL   
                              PHALANGEAL FRACTURE, FINGER OR THUMB, EACH

[[Page 32480]]

                                                                        
216............       26765  OPEN TREATMENT OF DISTAL PHALANGEAL        
                              FRACTURE, FINGER OR THUMB, WITH OR WITHOUT
                              INTERNAL OR EXTERNAL FIXATION, EACH       
216............       26776  PERCUTANEOUS SKELETAL FIXATION OF          
                              INTERPHALANGEAL JOINT DISLOCATION, SINGLE,
                              WITH MANIPULATION                         
216............       26785  OPEN TREATMENT OF INTERPHALANGEAL JOINT    
                              DISLOCATION, WITH OR WITHOUT INTERNAL OR  
                              EXTERNAL FIXATION, SINGLE                 
216............       27202  OPEN TREATMENT OF COCCYGEAL FRACTURE       
216............       27509  PERCUTANEOUS SKELETAL FIXATION OF FEMORAL  
                              FRACTURE, DISTAL END, MEDIAL OR LATERAL   
                              CONDYLE, OR SUPRACONDYLAR OR              
                              TRANSCONDYLAR, WITH OR WITHOUT            
                              INTERCONDYLAR EXTENSION, OR DISTAL FEMORAL
                              EPIPHYSEAL SEPARATION                     
216............       27556  OPEN TREATMENT OF KNEE DISLOCATION, WITH OR
                              WITHOUT INTERNAL OR EXTERNAL FIXATION;    
                              WITHOUT PRIMARY LIGAMENTOUS REPAIR OR     
                              AUGMENTATION/RECONSTRUCTION               
216............       27566  OPEN TREATMENT OF PATELLAR DISLOCATION,    
                              WITH OR WITHOUT PARTIAL OR TOTAL          
                              PATELLECTOMY                              
216............       27615  RADICAL RESECTION OF TUMOR (EG, MALIGNANT  
                              NEOPLASM), SOFT TISSUE OF LEG OR ANKLE    
                              AREA                                      
216............       27756  PERCUTANEOUS SKELETAL FIXATION OF TIBIAL   
                              SHAFT FRACTURE (WITH OR WITHOUT FIBULAR   
                              FRACTURE) (EG, PINS OR SCREWS)            
216............       27758  OPEN TREATMENT OF TIBIAL SHAFT FRACTURE,   
                              (WITH OR WITHOUT FIBULAR FRACTURE) WITH   
                              PLATE/SCREWS, WITH OR WITHOUT CERCLAGE    
216............       27759  OPEN TREATMENT OF TIBIAL SHAFT FRACTURE    
                              (WITH OR WITHOUT FIBULAR FRACTURE) BY     
                              INTRAMEDULLARY IMPLANT, WITH OR WITHOUT   
                              INTERLOCKING SCREWS AND/OR CERCLAGE       
216............       27766  OPEN TREATMENT OF MEDIAL MALLEOLUS         
                              FRACTURE, WITH OR WITHOUT INTERNAL OR     
                              EXTERNAL FIXATION                         
216............       27784  OPEN TREATMENT OF PROXIMAL FIBULA OR SHAFT 
                              FRACTURE, WITH OR WITHOUT INTERNAL OR     
                              EXTERNAL FIXATION                         
216............       27792  OPEN TREATMENT OF DISTAL FIBULAR FRACTURE  
                              (LATERAL MALLEOLUS), WITH OR WITHOUT      
                              INTERNAL OR EXTERNAL FIXATION             
216............       27814  OPEN TREATMENT OF BIMALLEOLAR ANKLE        
                              FRACTURE, WITH OR WITHOUT INTERNAL OR     
                              EXTERNAL FIXATION                         
216............       27822  OPEN TREATMENT OF TRIMALLEOLAR ANKLE       
                              FRACTURE, WITH OR WITHOUT INTERNAL OR     
                              EXTERNAL FIXATION, MEDIAL AND/OR LATERAL  
                              MALLEOLUS; WITHOUT FIXATION OF POSTERIOR  
                              LIP                                       
216............       27823  OPEN TREATMENT OF TRIMALLEOLAR ANKLE       
                              FRACTURE, WITH OR WITHOUT INTERNAL OR     
                              EXTERNAL FIXATION, MEDIAL AND/OR LATERAL  
                              MALLEOLUS; WITH FIXATION OF POSTERIOR LIP 
216............       27826  OPEN TREATMENT OF FRACTURE OF WEIGHT       
                              BEARING ARTICULAR SURFACE/ PORTION OF     
                              DISTAL TIBIA (EG, PILON OR TIBIAL         
                              PLAFOND), WITH INTERNAL OR EXTERNAL       
                              FIXATION; OF FIBULA ONLY                  
216............       27827  OPEN TREATMENT OF FRACTURE OF WEIGHT       
                              BEARING ARTICULAR SURFACE/ PORTION OF     
                              DISTAL TIBIA (EG, PILON OR TIBIAL         
                              PLAFOND), WITH INTERNAL OR EXTERNAL       
                              FIXATION; OF TIBIA ONLY                   
216............       27828  OPEN TREATMENT OF FRACTURE OF WEIGHT       
                              BEARING ARTICULAR SURFACE/ PORTION OF     
                              DISTAL TIBIA (EG, PILON OR TIBIAL         
                              PLAFOND), WITH INTERNAL OR EXTERNAL       
                              FIXATION; OF BOTH TIBIA AND FIBULA        
216............       27829  OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT
                              (SYNDESMOSIS) DISRUPTION, WITH OR WITHOUT 
                              INTERNAL OR EXTERNAL FIXATION             
216............       27832  OPEN TREATMENT OF PROXIMAL TIBIOFIBULAR    
                              JOINT DISLOCATION, WITH OR WITHOUT        
                              INTERNAL OR EXTERNAL FIXATION, OR WITH    
                              EXCISION OF PROXIMAL FIBULA               
216............       27846  OPEN TREATMENT OF ANKLE DISLOCATION, WITH  
                              OR WITHOUT PERCUTANEOUS SKELETAL FIXATION;
                              WITHOUT REPAIR OR INTERNAL FIXATION       
216............       27848  OPEN TREATMENT OF ANKLE DISLOCATION, WITH  
                              OR WITHOUT PERCUTANEOUS SKELETAL FIXATION;
                              WITH REPAIR OR INTERNAL OR EXTERNAL       
                              FIXATION                                  
216............       28406  PERCUTANEOUS SKELETAL FIXATION OF CALCANEAL
                              FRACTURE, WITH MANIPULATION               
216............       28415  OPEN TREATMENT OF CALCANEAL FRACTURE, WITH 
                              OR WITHOUT INTERNAL OR EXTERNAL FIXATION; 
216............       28420  OPEN TREATMENT OF CALCANEAL FRACTURE, WITH 
                              OR WITHOUT INTERNAL OR EXTERNAL FIXATION; 
                              WITH PRIMARY ILIAC OR OTHER AUTOGENOUS    
                              BONE GRAFT (INCLUDES OBTAINING GRAFT)     
216............       28436  PERCUTANEOUS SKELETAL FIXATION OF TALUS    
                              FRACTURE, WITH MANIPULATION               
216............       28445  OPEN TREATMENT OF TALUS FRACTURE, WITH OR  
                              WITHOUT INTERNAL OR EXTERNAL FIXATION     
216............       28456  PERCUTANEOUS SKELETAL FIXATION OF TARSAL   
                              BONE FRACTURE (EXCEPT TALUS AND           
                              CALCANEUS), WITH MANIPULATION, EACH       
216............       28465  OPEN TREATMENT OF TARSAL BONE FRACTURE     
                              (EXCEPT TALUS AND CALCANEUS), WITH OR     
                              WITHOUT INTERNAL OR EXTERNAL FIXATION,    
                              EACH                                      
216............       28476  PERCUTANEOUS SKELETAL FIXATION OF          
                              METATARSAL FRACTURE, WITH MANIPULATION,   
                              EACH                                      
216............       28485  OPEN TREATMENT OF METATARSAL FRACTURE, WITH
                              OR WITHOUT INTERNAL OR EXTERNAL FIXATION, 
                              EACH                                      
216............       28496  PERCUTANEOUS SKELETAL FIXATION OF FRACTURE 
                              GREAT TOE, PHALANX OR PHALANGES, WITH     
                              MANIPULATION                              
216............       28505  OPEN TREATMENT OF FRACTURE GREAT TOE,      
                              PHALANX OR PHALANGES, WITH OR WITHOUT     
                              INTERNAL OR EXTERNAL FIXATION             
216............       28525  OPEN TREATMENT OF FRACTURE, PHALANX OR     
                              PHALANGES, OTHER THAN GREAT TOE, WITH OR  
                              WITHOUT INTERNAL OR EXTERNAL FIXATION,    
                              EACH                                      
216............       28531  OPEN TREATMENT OF SESAMOID FRACTURE, WITH  
                              OR WITHOUT INTERNAL FIXATION              
216............       28546  PERCUTANEOUS SKELETAL FIXATION OF TARSAL   
                              BONE DISLOCATION, OTHER THAN TALOTARSAL,  
                              WITH MANIPULATION                         
216............       28555  OPEN TREATMENT OF TARSAL BONE DISLOCATION, 
                              WITH OR WITHOUT INTERNAL OR EXTERNAL      
                              FIXATION                                  
216............       28576  PERCUTANEOUS SKELETAL FIXATION OF          
                              TALOTARSAL JOINT DISLOCATION, WITH        
                              MANIPULATION                              
216............       28585  OPEN TREATMENT OF TALOTARSAL JOINT         
                              DISLOCATION, WITH OR WITHOUT INTERNAL OR  
                              EXTERNAL FIXATION                         
216............       28606  PERCUTANEOUS SKELETAL FIXATION OF          
                              TARSOMETATARSAL JOINT DISLOCATION, WITH   
                              MANIPULATION                              
216............       28615  OPEN TREATMENT OF TARSOMETATARSAL JOINT    
                              DISLOCATION, WITH OR WITHOUT INTERNAL OR  
                              EXTERNAL FIXATION                         
216............       28636  PERCUTANEOUS SKELETAL FIXATION OF          
                              METATARSOPHALANGEAL JOINT DISLOCATION,    
                              WITH MANIPULATION                         
216............       28645  OPEN TREATMENT OF METATARSOPHALANGEAL JOINT
                              DISLOCATION, WITH OR WITHOUT INTERNAL OR  
                              EXTERNAL FIXATION                         
216............       28666  PERCUTANEOUS SKELETAL FIXATION OF          
                              INTERPHALANGEAL JOINT DISLOCATION, WITH   
                              MANIPULATION                              
216............       28675  OPEN TREATMENT OF INTERPHALANGEAL JOINT    
                              DISLOCATION, WITH OR WITHOUT INTERNAL OR  
                              EXTERNAL FIXATION                         
217............       24360  ARTHROPLASTY, ELBOW; WITH MEMBRANE         
217............       24365  ARTHROPLASTY, RADIAL HEAD;                 
217............       25332  ARTHROPLASTY, WRIST, WITH OR WITHOUT       
                              INTERPOSITION, WITH OR WITHOUT EXTERNAL OR
                              INTERNAL FIXATION                         
217............       25447  INTERPOSITION ARTHROPLASTY, INTERCARPAL OR 
                              CARPOMETACARPAL JOINTS                    

[[Page 32481]]

                                                                        
217............       25449  REVISION OF ARTHROPLASTY, INCLUDING REMOVAL
                              OF IMPLANT, WRIST JOINT                   
217............       26530  ARTHROPLASTY, METACARPOPHALANGEAL JOINT;   
                              SINGLE, EACH                              
217............       26535  ARTHROPLASTY INTERPHALANGEAL JOINT; SINGLE,
                              EACH                                      
217............       27266  CLOSED TREATMENT OF POST HIP ARTHROPLASTY  
                              DISLOCATION; REQUIRING REGIONAL OR GENERAL
                              ANESTHESIA                                
217............       27437  ARTHROPLASTY, PATELLA; WITHOUT PROSTHESIS  
217............       27440  ARTHROPLASTY, KNEE, TIBIAL PLATEAU;        
217............       27441  ARTHROPLASTY, KNEE, TIBIAL PLATEAU; WITH   
                              DEBRIDEMENT AND PARTIAL SYNOVECTOMY       
217............       27442  ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR    
                              TIBIAL PLATEAUS;                          
217............       27443  ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR    
                              TIBIAL PLATEAUS; WITH DEBRIDEMENT AND     
                              PARTIAL SYNOVECTOMY                       
217............       27700  ARTHROPLASTY, ANKLE;                       
218............       21243  ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH
                              PROSTHETIC JOINT REPLACEMENT              
218............       24361  ARTHROPLASTY, ELBOW; WITH DISTAL HUMERAL   
                              PROSTHETIC REPLACEMENT                    
218............       24362  ARTHROPLASTY, ELBOW; WITH IMPLANT AND      
                              FASCIA LATA LIGAMENT RECONSTRUCTION       
218............       24363  ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS   
                              AND PROXIMAL ULNAR PROSTHETIC REPLACEMENT 
                              (``TOTAL ELBOW'')                         
218............       24366  ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT    
218............       25441  ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;  
                              DISTAL RADIUS                             
218............       25442  ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;  
                              DISTAL ULNA                               
218............       25443  ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;  
                              SCAPHOID (NAVICULAR)                      
218............       25444  ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;  
                              LUNATE                                    
218............       25445  ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;  
                              TRAPEZIUM                                 
218............       25446  ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;  
                              DISTAL RADIUS AND PARTIAL OR ENTIRE CARPUS
                              (``TOTAL WRIST'')                         
218............       26531  ARTHROPLASTY, METACARPOPHALANGEAL JOINT;   
                              WITH PROSTHETIC IMPLANT, SINGLE, EACH     
218............       26536  ARTHROPLASTY INTERPHALANGEAL JOINT; WITH   
                              PROSTHETIC IMPLANT, SINGLE, EACH          
218............       27438  ARTHROPLASTY, PATELLA; WITH PROSTHESIS     
231............       21015  RADICAL RESECTION OF TUMOR (EG, MALIGNANT  
                              NEOPLASM), SOFT TISSUE OF FACE OR SCALP   
231............       21025  EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR 
                              BONE ABSCESS); MANDIBLE                   
231............       21026  EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR 
                              BONE ABSCESS); FACIAL BONE(S)             
231............       21029  REMOVAL BY CONTOURING OF BENIGN TUMOR OF   
                              FACIAL BONE (EG, FIBROUS DYSPLASIA)       
231............       21030  EXCISION OF BENIGN TUMOR OR CYST OF FACIAL 
                              BONE OTHER THAN MANDIBLE                  
231............       21031  EXCISION OF TORUS MANDIBULARIS             
231............       21032  EXCISION OF MAXILLARY TORUS PALATINUS      
231............       21040  EXCISION OF BENIGN CYST OR TUMOR OF        
                              MANDIBLE; SIMPLE                          
231............       21041  EXCISION OF BENIGN CYST OR TUMOR OF        
                              MANDIBLE; COMPLEX                         
231............       21100  APPLICATION OF HALO TYPE APPLIANCE FOR     
                              MAXILLOFACIAL FIXATION, INCLUDES REMOVAL  
                              (SEPARATE PROCEDURE)                      
231............       21110  APPLICATION OF INTERDENTAL FIXATION DEVICE 
                              FOR CONDITIONS OTHER THAN FRACTURE OR     
                              DISLOCATION, INCLUDES REMOVAL             
231............       21120  GENIOPLASTY; AUGMENTATION (AUTOGRAFT,      
                              ALLOGRAFT, PROSTHETIC MATERIAL)           
231............       21125  AUGMENTATION, MANDIBULAR BODY OR ANGLE;    
                              PROSTHETIC MATERIAL                       
231............       21280  MEDIAL CANTHOPEXY (SEPARATE PROCEDURE)     
231............       21282  LATERAL CANTHOPEXY                         
231............       21295  REDUCTION OF MASSETER MUSCLE AND BONE (EG, 
                              FOR TREATMENT OF BENIGN MASSETERIC        
                              HYPERTROPHY); EXTRAORAL APPROACH          
231............       21296  REDUCTION OF MASSETER MUSCLE AND BONE (EG, 
                              FOR TREATMENT OF BENIGN MASSETERIC        
                              HYPERTROPHY); INTRAORAL APPROACH          
231............       21300  CLOSED TREATMENT OF SKULL FRACTURE WITHOUT 
                              OPERATION                                 
231............       21310  CLOSED TREATMENT OF NASAL BONE FRACTURE    
                              WITHOUT MANIPULATION                      
231............       21315  CLOSED TREATMENT OF NASAL BONE FRACTURE;   
                              WITHOUT STABILIZATION                     
231............       21320  CLOSED TREATMENT OF NASAL BONE FRACTURE;   
                              WITH STABILIZATION                        
231............       21325  OPEN TREATMENT OF NASAL FRACTURE;          
                              UNCOMPLICATED                             
231............       21337  CLOSED TREATMENT OF NASAL SEPTAL FRACTURE, 
                              WITH OR WITHOUT STABILIZATION             
231............       21355  PERCUTANEOUS TREATMENT OF FRACTURE OF MALAR
                              AREA, INCLUDING ZYGOMATIC ARCH AND MALAR  
                              TRIPOD, WITH MANIPULATION                 
231............       21400  CLOSED TREATMENT OF FRACTURE OF ORBIT,     
                              EXCEPT ``BLOWOUT''; WITHOUT MANIPULATION  
231............       21401  CLOSED TREATMENT OF FRACTURE OF ORBIT,     
                              EXCEPT ``BLOWOUT''; WITH MANIPULATION     
231............       21440  CLOSED TREATMENT OF MANDIBULAR OR MAXILLARY
                              ALVEOLAR RIDGE FRACTURE (SEPARATE         
                              PROCEDURE)                                
231............       21451  CLOSED TREATMENT OF MANDIBULAR FRACTURE;   
                              WITH MANIPULATION                         
231............       21480  CLOSED TREATMENT OF TEMPOROMANDIBULAR      
                              DISLOCATION; INITIAL OR SUBSEQUENT        
231............       21485  CLOSED TREATMENT OF TEMPOROMANDIBULAR      
                              DISLOCATION; COMPLICATED (EG, RECURRENT   
                              REQUIRING INTERMAXILLARY FIXATION OR      
                              SPLINTING), INITIAL OR SUBSEQUENT         
231............       21493  CLOSED TREATMENT OF HYOID FRACTURE; WITHOUT
                              MANIPULATION                              
231............       21494  CLOSED TREATMENT OF HYOID FRACTURE; WITH   
                              MANIPULATION                              
231............       21497  INTERDENTAL WIRING, FOR CONDITION OTHER    
                              THAN FRACTURE                             
231............       41822  EXCISION OF FIBROUS TUBEROSITIES,          
                              DENTOALVEOLAR STRUCTURES                  
231............       41823  EXCISION OF OSSEOUS TUBEROSITIES,          
                              DENTOALVEOLAR STRUCTURES                  
232............       21010  ARTHROTOMY, TEMPOROMANDIBULAR JOINT        
232............       21034  EXCISION OF MALIGNANT TUMOR OF FACIAL BONE 
                              OTHER THAN MANDIBLE                       
232............       21044  EXCISION OF MALIGNANT TUMOR OF MANDIBLE;   
232............       21050  CONDYLECTOMY, TEMPOROMANDIBULAR JOINT      
                              (SEPARATE PROCEDURE)                      
232............       21060  MENISCECTOMY, PARTIAL OR COMPLETE,         
                              TEMPOROMANDIBULAR JOINT (SEPARATE         
                              PROCEDURE)                                
232............       21070  CORONOIDECTOMY (SEPARATE PROCEDURE)        
232............       21121  GENIOPLASTY; SLIDING OSTEOTOMY, SINGLE     
                              PIECE                                     
232............       21122  GENIOPLASTY; SLIDING OSTEOTOMIES, TWO OR   
                              MORE OSTEOTOMIES (EG, WEDGE EXCISION OR   
                              BONE WEDGE REVERSAL FOR ASYMMETRICAL CHIN)
232............       21123  GENIOPLASTY; SLIDING, AUGMENTATION WITH    
                              INTERPOSITIONAL BONE GRAFTS (INCLUDES     
                              OBTAINING AUTOGRAFTS)                     
232............       21127  AUGMENTATION, MANDIBULAR BODY OR ANGLE;    
                              WITH BONE GRAFT, ONLAY OR INTERPOSITIONAL 
                              (INCLUDES OBTAINING AUTOGRAFT)            

[[Page 32482]]

                                                                        
232............       21181  RECONSTRUCTION BY CONTOURING OF BENIGN     
                              TUMOR OF CRANIAL BONES (EG, FIBROUS       
                              DYSPLASIA), EXTRACRANIAL                  
232............       21206  OSTEOTOMY, MAXILLA, SEGMENTAL (EG, WASSMUND
                              OR SCHUCHARD)                             
232............       21208  OSTEOPLASTY, FACIAL BONES; AUGMENTATION    
                              (AUTOGRAFT, ALLOGRAFT, OR PROSTHETIC      
                              IMPLANT)                                  
232............       21209  OSTEOPLASTY, FACIAL BONES; REDUCTION       
232............       21210  GRAFT, BONE; NASAL, MAXILLARY OR MALAR     
                              AREAS (INCLUDES OBTAINING GRAFT)          
232............       21215  GRAFT, BONE; MANDIBLE (INCLUDES OBTAINING  
                              GRAFT)                                    
232............       21230  GRAFT; RIB CARTILAGE, AUTOGENOUS, TO FACE, 
                              CHIN, NOSE OR EAR (INCLUDES OBTAINING     
                              GRAFT)                                    
232............       21235  GRAFT; EAR CARTILAGE, AUTOGENOUS, TO NOSE  
                              OR EAR (INCLUDES OBTAINING GRAFT)         
232............       21240  ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH
                              OR WITHOUT AUTOGRAFT (INCLUDES OBTAINING  
                              GRAFT)                                    
232............       21242  ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH
                              ALLOGRAFT                                 
232............       21244  RECONSTRUCTION OF MANDIBLE, EXTRAORAL, WITH
                              TRANSOSTEAL BONE PLATE (EG, MANDIBULAR    
                              STAPLE BONE PLATE)                        
232............       21245  RECONSTRUCTION OF MANDIBLE OR MAXILLA,     
                              SUBPERIOSTEAL IMPLANT; PARTIAL            
232............       21246  RECONSTRUCTION OF MANDIBLE OR MAXILLA,     
                              SUBPERIOSTEAL IMPLANT; COMPLETE           
232............       21248  RECONSTRUCTION OF MANDIBLE OR MAXILLA,     
                              ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER);  
                              PARTIAL                                   
232............       21249  RECONSTRUCTION OF MANDIBLE OR MAXILLA,     
                              ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER);  
                              COMPLETE                                  
232............       21260  PERIORBITAL OSTEOTOMIES FOR ORBITAL        
                              HYPERTELORISM, WITH BONE GRAFTS;          
                              EXTRACRANIAL APPROACH                     
232............       21267  ORBITAL REPOSITIONING, PERIORBITAL         
                              OSTEOTOMIES, UNILATERAL, WITH BONE GRAFTS;
                              EXTRACRANIAL APPROACH                     
232............       21270  MALAR AUGMENTATION, PROSTHETIC MATERIAL    
232............       21275  SECONDARY REVISION OF ORBITOCRANIOFACIAL   
                              RECONSTRUCTION                            
232............       21330  OPEN TREATMENT OF NASAL FRACTURE;          
                              COMPLICATED, WITH INTERNAL AND/OR EXTERNAL
                              SKELETAL FIXATION                         
232............       21335  OPEN TREATMENT OF NASAL FRACTURE; WITH     
                              CONCOMITANT OPEN TREATMENT OF FRACTURED   
                              SEPTUM                                    
232............       21338  OPEN TREATMENT OF NASOETHMOID FRACTURE;    
                              WITHOUT EXTERNAL FIXATION                 
232............       21339  OPEN TREATMENT OF NASOETHMOID FRACTURE;    
                              WITH EXTERNAL FIXATION                    
232............       21340  PERCUTANEOUS TREATMENT OF NASOETHMOID      
                              COMPLEX FRACTURE, WITH SPLINT, WIRE OR    
                              HEADCAP FIXATION, INCLUDING REPAIR OF     
                              CANTHAL LIGAMENTS AND/OR THE NASOLACRIMAL 
                              APPARATUS                                 
232............       21343  OPEN TREATMENT OF DEPRESSED FRONTAL SINUS  
                              FRACTURE                                  
232............       21345  CLOSED TREATMENT OF NASOMAXILLARY COMPLEX  
                              FRACTURE (LEFORT II TYPE), WITH           
                              INTERDENTAL WIRE FIXATION OR FIXATION OF  
                              DENTURE OR SPLINT                         
232............       21421  CLOSED TREATMENT OF PALATAL OR MAXILLARY   
                              FRACTURE (LEFORT I TYPE), WITH INTERDENTAL
                              WIRE FIXATION OR FIXATION OF DENTURE OR   
                              SPLINT 5116                               
232............       21445  OPEN TREATMENT OF MANDIBULAR OR MAXILLARY  
                              ALVEOLAR RIDGE FRACTURE (SEPARATE         
                              PROCEDURE)                                
232............       21450  CLOSED TREATMENT OF MANDIBULAR FRACTURE;   
                              WITHOUT MANIPULATION                      
232............       21452  PERCUTANEOUS TREATMENT OF MANDIBULAR       
                              FRACTURE, WITH EXTERNAL FIXATION          
232............       21453  CLOSED TREATMENT OF MANDIBULAR FRACTURE    
                              WITH INTERDENTAL FIXATION                 
232............       21454  OPEN TREATMENT OF MANDIBULAR FRACTURE WITH 
                              EXTERNAL FIXATION                         
232............       21461  OPEN TREATMENT OF MANDIBULAR FRACTURE;     
                              WITHOUT INTERDENTAL FIXATION              
232............       21462  OPEN TREATMENT OF MANDIBULAR FRACTURE; WITH
                              INTERDENTAL FIXATION                      
232............       21465  OPEN TREATMENT OF MANDIBULAR CONDYLAR      
                              FRACTURE                                  
232............       21490  OPEN TREATMENT OF TEMPOROMANDIBULAR        
                              DISLOCATION                               
232............       67420  ORBITOTOMY WITH BONE FLAP OR WINDOW,       
                              LATERAL APPROACH (EG, KROENLEIN); WITH    
                              REMOVAL OF LESION                         
232............       67430  ORBITOTOMY WITH BONE FLAP OR WINDOW,       
                              LATERAL APPROACH (EG, KROENLEIN); WITH    
                              REMOVAL OF FOREIGN BODY                   
232............       67440  ORBITOTOMY WITH BONE FLAP OR WINDOW,       
                              LATERAL APPROACH (EG, KROENLEIN); WITH    
                              DRAINAGE                                  
232............       67450  ORBITOTOMY WITH BONE FLAP OR WINDOW,       
                              LATERAL APPROACH (EG, KROENLEIN); FOR     
                              EXPLORATION, WITH OR WITHOUT BIOPSY       
251............       20005  INCISION OF SOFT TISSUE ABSCESS (EG,       
                              SECONDARY TO OSTEOMYELITIS); DEEP OR      
                              COMPLICATED                               
251............       20250  BIOPSY, VERTEBRAL BODY, OPEN; THORACIC     
251............       20251  BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR    
                              CERVICAL                                  
251............       20650  INSERTION OF WIRE OR PIN WITH APPLICATION  
                              OF SKELETAL TRACTION, INCLUDING REMOVAL   
                              (SEPARATE PROCEDURE)                      
251............       20693  ADJUSTMENT OR REVISION OF EXTERNAL FIXATION
                              SYSTEM REQUIRING ANESTHESIA (EG, NEW      
                              PIN(S) OR WIRE(S) AND/OR NEW RING(S) OR   
                              BAR(S))                                   
251............       20694  REMOVAL, UNDER ANESTHESIA, OF EXTERNAL     
                              FIXATION SYSTEM                           
251............       20975  ELECTRICAL STIMULATION TO AID BONE HEALING;
                              INVASIVE (OPERATIVE)                      
251............       23100  ARTHROTOMY WITH BIOPSY, GLENOHUMERAL JOINT 
251............       23140  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF CLAVICLE OR SCAPULA;      
251............       23935  INCISION, DEEP, WITH OPENING OF BONE CORTEX
                              (EG, FOR OSTEOMYELITIS OR BONE ABSCESS),  
                              HUMERUS OR ELBOW                          
251............       24100  ARTHROTOMY, ELBOW; WITH SYNOVIAL BIOPSY    
                              ONLY                                      
251............       24105  EXCISION, OLECRANON BURSA                  
251............       24110  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, HUMERUS;                    
251............       24120  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR 
                              OLECRANON PROCESS;                        
251............       24310  TENOTOMY, OPEN, ELBOW TO SHOULDER, SINGLE, 
                              EACH                                      
251............       24925  AMPUTATION, ARM THROUGH HUMERUS; SECONDARY 
                              CLOSURE OR SCAR REVISION                  
251............       25000  TENDON SHEATH INCISION; AT RADIAL STYLOID  
                              (EG, FOR DEQUERVAIN'S DISEASE)            
251............       25020  DECOMPRESSION FASCIOTOMY, FOREARM AND/OR   
                              WRIST; FLEXOR OR EXTENSOR COMPARTMENT     
251............       25028  INCISION AND DRAINAGE, FOREARM AND/OR      
                              WRIST; DEEP ABSCESS OR HEMATOMA           
251............       25031  INCISION AND DRAINAGE, FOREARM AND/OR      
                              WRIST; INFECTED BURSA                     
251............       25035  INCISION, DEEP, WITH OPENING OF BONE CORTEX
                              (EG, FOR OSTEOMYELITIS OR BONE ABSCESS),  
                              FOREARM AND/OR WRIST                      
251............       25085  CAPSULOTOMY, WRIST (EG, FOR CONTRACTURE)   
251............       25100  ARTHROTOMY, WRIST JOINT; WITH BIOPSY       
251............       25110  EXCISION, LESION OF TENDON SHEATH, FOREARM 
                              AND/OR WRIST                              
251............       25115  RADICAL EXCISION OF BURSA, SYNOVIA OF      
                              WRIST, OR FOREARM TENDON SHEATHS (EG,     
                              TENOSYNOVITIS, FUNGUS, TBC, OR OTHER      
                              GRANULOMAS, RHEUMATOID ARTHRITIS); FLEXORS
251............       25116  RADICAL EXCISION OF BURSA, SYNOVIA OF      
                              WRIST, OR FOREARM TENDON SHEATHS (EG,     
                              TENOSYNOVITIS, FUNGUS, TBC, OR OTHER      
                              GRANULOMAS, RHEUMATOID ARTHRITIS);        
                              EXTENSORS, WITH OR WITHOUT TRANSPOSITION  
                              OF DORSAL RETINACULUM                     

[[Page 32483]]

                                                                        
251............       25248  EXPLORATION WITH REMOVAL OF DEEP FOREIGN   
                              BODY, FOREARM OR WRIST                    
251............       25295  TENOLYSIS, FLEXOR OR EXTENSOR TENDON,      
                              FOREARM AND/OR WRIST, SINGLE, EACH TENDON 
251............       25907  AMPUTATION, FOREARM, THROUGH RADIUS AND    
                              ULNA; SECONDARY CLOSURE OR SCAR REVISION  
251............       25922  DISARTICULATION THROUGH WRIST; SECONDARY   
                              CLOSURE OR SCAR REVISION                  
251............       26990  INCISION AND DRAINAGE, PELVIS OR HIP JOINT 
                              AREA; DEEP ABSCESS OR HEMATOMA            
251............       26991  INCISION AND DRAINAGE, PELVIS OR HIP JOINT 
                              AREA; INFECTED BURSA                      
251............       27000  TENOTOMY, ADDUCTOR OF HIP, SUBCUTANEOUS,   
                              CLOSED (SEPARATE PROCEDURE)               
251............       27050  ARTHROTOMY, WITH BIOPSY; SACROILIAC JOINT  
251............       27052  ARTHROTOMY, WITH BIOPSY; HIP JOINT         
251............       27060  EXCISION; ISCHIAL BURSA                    
251............       27062  EXCISION; TROCHANTERIC BURSA OR            
                              CALCIFICATION                             
251............       27065  EXCISION OF BONE CYST OR BENIGN TUMOR;     
                              SUPERFICIAL (WING OF ILIUM, SYMPHYSIS     
                              PUBIS, OR GREATER TROCHANTER OF FEMUR)    
                              WITH OR WITHOUT AUTOGRAFT                 
251............       27086  REMOVAL OF FOREIGN BODY, PELVIS OR HIP;    
                              SUBCUTANEOUS TISSUE                       
251............       27087  REMOVAL OF FOREIGN BODY, PELVIS OR HIP;    
                              DEEP                                      
251............       27305  FASCIOTOMY, ILIOTIBIAL (TENOTOMY), OPEN    
251............       27306  TENOTOMY, SUBCUTANEOUS, CLOSED, ADDUCTOR OR
                              HAMSTRING, (SEPARATE PROCEDURE); SINGLE   
251............       27307  TENOTOMY, SUBCUTANEOUS, CLOSED, ADDUCTOR OR
                              HAMSTRING, (SEPARATE PROCEDURE); MULTIPLE 
251............       27340  EXCISION, PREPATELLAR BURSA                
251............       27345  EXCISION OF SYNOVIAL CYST OF POPLITEAL     
                              SPACE (BAKER'S CYST)                      
251............       27380  SUTURE OF INFRAPATELLAR TENDON; PRIMARY    
251............       27381  SUTURE OF INFRAPATELLAR TENDON; SECONDARY  
                              RECONSTRUCTION, INCLUDING FASCIAL OR      
                              TENDON GRAFT                              
251............       27385  SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE   
                              RUPTURE; PRIMARY                          
251............       27386  SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE   
                              RUPTURE; SECONDARY RECONSTRUCTION,        
                              INCLUDING FASCIAL OR TENDON GRAFT         
251............       27390  TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP;    
                              SINGLE                                    
251............       27391  TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP;    
                              MULTIPLE, ONE LEG                         
251............       27392  TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP;    
                              MULTIPLE, BILATERAL                       
251............       27496  DECOMPRESSION FASCIOTOMY, THIGH AND/OR     
                              KNEE, ONE COMPARTMENT (FLEXOR OR EXTENSOR 
                              OR ADDUCTOR);                             
251............       27497  DECOMPRESSION FASCIOTOMY, THIGH AND/OR     
                              KNEE, ONE COMPARTMENT (FLEXOR OR EXTENSOR 
                              OR ADDUCTOR); WITH DEBRIDEMENT OF         
                              NONVIABLE MUSCLE AND/OR NERVE             
251............       27498  DECOMPRESSION FASCIOTOMY, THIGH AND/OR     
                              KNEE, MULTIPLE COMPARTMENTS;              
251............       27499  DECOMPRESSION FASCIOTOMY, THIGH AND/OR     
                              KNEE, MULTIPLE COMPARTMENTS; WITH         
                              DEBRIDEMENT OF NONVIABLE MUSCLE AND/OR    
                              NERVE                                     
251............       27594  AMPUTATION, THIGH, THROUGH FEMUR, ANY      
                              LEVEL; SECONDARY CLOSURE OR SCAR REVISION 
251............       27600  DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/
                              OR LATERAL COMPARTMENTS ONLY              
251............       27601  DECOMPRESSION FASCIOTOMY, LEG; POSTERIOR   
                              COMPARTMENT(S) ONLY                       
251............       27602  DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/
                              OR LATERAL, AND POSTERIOR COMPARTMENT(S)  
251............       27604  INCISION AND DRAINAGE, LEG OR ANKLE;       
                              INFECTED BURSA                            
251............       27606  TENOTOMY, ACHILLES TENDON, SUBCUTANEOUS    
                              (SEPARATE PROCEDURE); GENERAL ANESTHESIA  
251............       27607  INCISION, DEEP, WITH OPENING OF BONE CORTEX
                              (EG, FOR OSTEOMYELITIS OR BONE ABSCESS),  
                              LEG OR ANKLE                              
251............       27630  EXCISION OF LESION OF TENDON SHEATH OR     
                              CAPSULE (EG, CYST OR GANGLION), LEG AND/OR
                              ANKLE                                     
251............       27656  REPAIR, FASCIAL DEFECT OF LEG              
251............       27658  REPAIR OR SUTURE OF FLEXOR TENDON OF LEG;  
                              PRIMARY, WITHOUT GRAFT, SINGLE, EACH      
251............       27659  REPAIR OR SUTURE OF FLEXOR TENDON OF LEG;  
                              SECONDARY WITH OR WITHOUT GRAFT, SINGLE   
                              TENDON, EACH                              
251............       27664  REPAIR OR SUTURE OF EXTENSOR TENDON OF LEG;
                              PRIMARY, WITHOUT GRAFT, SINGLE, EACH      
251............       27675  REPAIR FOR DISLOCATING PERONEAL TENDONS;   
                              WITHOUT FIBULAR OSTEOTOMY                 
251............       27704  REMOVAL OF ANKLE IMPLANT                   
251............       27707  OSTEOTOMY; FIBULA                          
251............       27884  AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; 
                              SECONDARY CLOSURE OR SCAR REVISION        
251............       27892  DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/
                              OR LATERAL COMPARTMENTS ONLY, WITH        
                              DEBRIDEMENT OF NONVIABLE MUSCLE AND/OR    
                              NERVE                                     
251............       27893  DECOMPRESSION FASCIOTOMY, LEG; POSTERIOR   
                              COMPARTMENT(S) ONLY, WITH DEBRIDEMENT OF  
                              NONVIABLE MUSCLE AND/OR NERVE             
251............       27894  DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/
                              OR LATERAL, AND POSTERIOR COMPARTMENT(S), 
                              WITH DEBRIDEMENT OF NONVIABLE MUSCLE AND/ 
                              OR NERVE                                  
251............       28002  DEEP DISSECTION BELOW FASCIA, FOR DEEP     
                              INFECTION OF FOOT, WITH OR WITHOUT TENDON 
                              SHEATH INVOLVEMENT; SINGLE BURSAL SPACE,  
                              SPECIFY                                   
251............       28003  DEEP DISSECTION BELOW FASCIA, FOR DEEP     
                              INFECTION OF FOOT, WITH OR WITHOUT TENDON 
                              SHEATH INVOLVEMENT; MULTIPLE AREAS        
252............       20690  APPLICATION OF A UNIPLANE (PINS OR WIRES IN
                              ONE PLANE), UNILATERAL, EXTERNAL FIXATION 
                              SYSTEM                                    
252............       20692  APPLICATION OF A MULTIPLANE (PINS OR WIRES 
                              IN MORE THAN ONE PLANE), UNILATERAL,      
                              EXTERNAL FIXATION SYSTEM (EG, ILIZAROV,   
                              MONTICELLI TYPE)                          
252............       20900  BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL 
                              (EG, DOWEL OR BUTTON)                     
252............       20902  BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE 
252............       20924  TENDON GRAFT, FROM A DISTANCE (EG,         
                              PALMARIS, TOE EXTENSOR, PLANTARIS)        
252............       21502  INCISION AND DRAINAGE, DEEP ABSCESS OR     
                              HEMATOMA, SOFT TISSUES OF NECK OR THORAX; 
                              WITH PARTIAL RIB OSTECTOMY                
252............       21600  EXCISION OF RIB, PARTIAL                   
252............       21610  COSTOTRANSVERSECTOMY (SEPARATE PROCEDURE)  
252............       23040  ARTHROTOMY, GLENOHUMERAL JOINT, FOR        
                              INFECTION, WITH EXPLORATION, DRAINAGE, OR 
                              REMOVAL OF FOREIGN BODY                   
252............       23044  ARTHROTOMY, ACROMIOCLAVICULAR,             
                              STERNOCLAVICULAR JOINT, FOR INFECTION,    
                              WITH EXPLORATION, DRAINAGE, OR REMOVAL OF 
                              FOREIGN BODY                              
252............       23101  ARTHROTOMY WITH BIOPSY, OR WITH EXCISION OF
                              TORN CARTILAGE, ACROMIOCLAVICULAR,        
                              STERNOCLAVICULAR JOINT                    
252............       23105  ARTHROTOMY WITH SYNOVECTOMY; GLENOHUMERAL  
                              JOINT                                     

[[Page 32484]]

                                                                        
252............       23106  ARTHROTOMY WITH SYNOVECTOMY;               
                              STERNOCLAVICULAR JOINT                    
252............       23107  ARTHROTOMY, GLENOHUMERAL JOINT, WITH JOINT 
                              EXPLORATION, WITH OR WITHOUT REMOVAL OF   
                              LOOSE OR FOREIGN BODY                     
252............       23145  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF CLAVICLE OR SCAPULA; WITH 
                              AUTOGRAFT (INCLUDES OBTAINING GRAFT)      
252............       23146  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF CLAVICLE OR SCAPULA; WITH 
                              ALLOGRAFT                                 
252............       23150  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF PROXIMAL HUMERUS;         
252............       23155  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF PROXIMAL HUMERUS; WITH    
                              AUTOGRAFT (INCLUDES OBTAINING GRAFT)      
252............       23156  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF PROXIMAL HUMERUS; WITH    
                              ALLOGRAFT                                 
252............       23170  SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR   
                              BONE ABSCESS), CLAVICLE                   
252............       23172  SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR   
                              BONE ABSCESS), SCAPULA                    
252............       23174  SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR   
                              BONE ABSCESS), HUMERAL HEAD TO SURGICAL   
                              NECK                                      
252............       23180  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS), CLAVICLE         
252............       23182  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS), SCAPULA          
252............       23184  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS), PROXIMAL HUMERUS 
252............       23190  OSTECTOMY OF SCAPULA, PARTIAL (EG, SUPERIOR
                              MEDIAL ANGLE)                             
252............       23405  TENOMYOTOMY, SHOULDER AREA; SINGLE         
252............       23406  TENOMYOTOMY, SHOULDER AREA; MULTIPLE       
                              THROUGH SAME INCISION                     
252............       24000  ARTHROTOMY, ELBOW, FOR INFECTION, WITH     
                              EXPLORATION, DRAINAGE OR REMOVAL OF       
                              FOREIGN BODY                              
252............       24006  ARTHROTOMY OF THE ELBOW, WITH CAPSULAR     
                              EXCISION FOR CAPSULAR RELEASE (SEPARATE   
                              PROCEDURE)                                
252............       24101  ARTHROTOMY, ELBOW; WITH JOINT EXPLORATION, 
                              WITH OR WITHOUT BIOPSY, WITH OR WITHOUT   
                              REMOVAL OF LOOSE OR FOREIGN BODY          
252............       24102  ARTHROTOMY, ELBOW; WITH SYNOVECTOMY        
252............       24115  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, HUMERUS; WITH AUTOGRAFT     
                              (INCLUDES OBTAINING GRAFT)                
252............       24116  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, HUMERUS; WITH ALLOGRAFT     
252............       24125  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR 
                              OLECRANON PROCESS; WITH AUTOGRAFT         
                              (INCLUDES OBTAINING GRAFT)                
252............       24126  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR 
                              OLECRANON PROCESS; WITH ALLOGRAFT         
252............       24130  EXCISION, RADIAL HEAD                      
252............       24134  SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR   
                              BONE ABSCESS), SHAFT OR DISTAL HUMERUS    
252............       24136  SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR   
                              BONE ABSCESS), RADIAL HEAD OR NECK        
252............       24138  SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR   
                              BONE ABSCESS), OLECRANON PROCESS          
252............       24140  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS), HUMERUS          
252............       24145  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS), RADIAL HEAD OR   
                              NECK                                      
252............       24147  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS), OLECRANON PROCESS
252............       24160  IMPLANT REMOVAL; ELBOW JOINT               
252............       24164  IMPLANT REMOVAL; RADIAL HEAD               
252............       24301  MUSCLE OR TENDON TRANSFER, ANY TYPE, UPPER 
                              ARM OR ELBOW, SINGLE (EXCLUDING 24320-    
                              24331)                                    
252............       24305  TENDON LENGTHENING, UPPER ARM OR ELBOW,    
                              SINGLE, EACH                              
252............       24350  FASCIOTOMY, LATERAL OR MEDIAL (EG, ``TENNIS
                              ELBOW'' OR EPICONDYLITIS);                
252............       24351  FASCIOTOMY, LATERAL OR MEDIAL (EG, ``TENNIS
                              ELBOW'' OR EPICONDYLITIS); WITH EXTENSOR  
                              ORIGIN DETACHMENT                         
252............       24352  FASCIOTOMY, LATERAL OR MEDIAL (EG, ``TENNIS
                              ELBOW'' OR EPICONDYLITIS); WITH ANNULAR   
                              LIGAMENT RESECTION                        
252............       24354  FASCIOTOMY, LATERAL OR MEDIAL (EG, ``TENNIS
                              ELBOW'' OR EPICONDYLITIS); WITH STRIPPING 
252............       24356  FASCIOTOMY, LATERAL OR MEDIAL (EG, ``TENNIS
                              ELBOW'' OR EPICONDYLITIS); WITH PARTIAL   
                              OSTECTOMY                                 
252............       24400  OSTEOTOMY, HUMERUS, WITH OR WITHOUT        
                              INTERNAL FIXATION                         
252............       24410  MULTIPLE OSTEOTOMIES WITH REALIGNMENT ON   
                              INTRAMEDULLARY ROD, HUMERAL SHAFT (SOFIELD
                              TYPE PROCEDURE)                           
252............       24495  DECOMPRESSION FASCIOTOMY, FOREARM, WITH    
                              BRACHIAL ARTERY EXPLORATION               
252............       25023  DECOMPRESSION FASCIOTOMY, FOREARM AND/OR   
                              WRIST; WITH DEBRIDEMENT OF NONVIABLE      
                              MUSCLE AND/OR NERVE                       
252............       25040  ARTHROTOMY, RADIOCARPAL OR MIDCARPAL JOINT,
                              WITH EXPLORATION, DRAINAGE, OR REMOVAL OF 
                              FOREIGN BODY                              
252............       25101  ARTHROTOMY, WRIST JOINT; WITH JOINT        
                              EXPLORATION, WITH OR WITHOUT BIOPSY, WITH 
                              OR WITHOUT REMOVAL OF LOOSE OR FOREIGN    
                              BODY                                      
252............       25105  ARTHROTOMY, WRIST JOINT; WITH SYNOVECTOMY  
252............       25107  ARTHROTOMY, DISTAL RADIOULNAR JOINT FOR    
                              REPAIR OF TRIANGULAR CARTILAGE COMPLEX    
252............       25118  SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST,
                              SINGLE COMPARTMENT;                       
252............       25119  SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST,
                              SINGLE COMPARTMENT; WITH RESECTION OF     
                              DISTAL ULNA                               
252............       25120  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING 
                              HEAD OR NECK OF RADIUS AND OLECRANON      
                              PROCESS);                                 
252............       25125  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING 
                              HEAD OR NECK OF RADIUS AND OLECRANON      
                              PROCESS); WITH AUTOGRAFT (INCLUDES        
                              OBTAINING GRAFT)                          
252............       25126  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING 
                              HEAD OR NECK OF RADIUS AND OLECRANON      
                              PROCESS); WITH ALLOGRAFT                  
252............       25130  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF CARPAL BONES;             
252............       25135  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF CARPAL BONES; WITH        
                              AUTOGRAFT (INCLUDES OBTAINING GRAFT)      
252............       25136  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF CARPAL BONES; WITH        
                              ALLOGRAFT                                 
252............       25145  SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR   
                              BONE ABSCESS), FOREARM AND/OR WRIST       

[[Page 32485]]

                                                                        
252............       25150  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS); ULNA             
252............       25151  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS); RADIUS           
252............       25230  RADIAL STYLOIDECTOMY (SEPARATE PROCEDURE)  
252............       25240  EXCISION DISTAL ULNA PARTIAL OR COMPLETE   
                              (EG, DARRACH TYPE OR MATCHED RESECTION)   
252............       25250  REMOVAL OF WRIST PROSTHESIS; (SEPARATE     
                              PROCEDURE)                                
252............       25251  REMOVAL OF WRIST PROSTHESIS; COMPLICATED,  
                              INCLUDING ``TOTAL WRIST''                 
252............       25260  REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM  
                              AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON
                              OR MUSCLE                                 
252............       25263  REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM  
                              AND/OR WRIST; SECONDARY, SINGLE, EACH     
                              TENDON OR MUSCLE                          
252............       25265  REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM  
                              AND/OR WRIST; SECONDARY, WITH FREE GRAFT  
                              (INCLUDES OBTAINING GRAFT), EACH TENDON OR
                              MUSCLE                                    
252............       25270  REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM
                              AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON
                              OR MUSCLE                                 
252............       25272  REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM
                              AND/OR WRIST; SECONDARY, SINGLE, EACH     
                              TENDON OR MUSCLE                          
252............       25274  REPAIR, TENDON OR MUSCLE, EXTENSOR,        
                              SECONDARY, WITH TENDON GRAFT (INCLUDES    
                              OBTAINING GRAFT), FOREARM AND/OR WRIST,   
                              EACH TENDON OR MUSCLE                     
252............       25280  LENGTHENING OR SHORTENING OF FLEXOR OR     
                              EXTENSOR TENDON, FOREARM AND/OR WRIST,    
                              SINGLE, EACH TENDON                       
252............       25290  TENOTOMY, OPEN, FLEXOR OR EXTENSOR TENDON, 
                              FOREARM AND/OR WRIST, SINGLE, EACH TENDON 
252............       25300  TENODESIS AT WRIST; FLEXORS OF FINGERS     
252............       25301  TENODESIS AT WRIST; EXTENSORS OF FINGERS   
252............       25360  OSTEOTOMY; ULNA                            
252............       25365  OSTEOTOMY; RADIUS AND ULNA                 
252............       25400  REPAIR OF NONUNION OR MALUNION, RADIUS OR  
                              ULNA; WITHOUT GRAFT (EG, COMPRESSION      
                              TECHNIQUE)                                
252............       25415  REPAIR OF NONUNION OR MALUNION, RADIUS AND 
                              ULNA; WITHOUT GRAFT (EG, COMPRESSION      
                              TECHNIQUE)                                
252............       27001  TENOTOMY, ADDUCTOR OF HIP, SUBCUTANEOUS,   
                              OPEN                                      
252............       27003  TENOTOMY, ADDUCTOR, SUBCUTANEOUS, OPEN,    
                              WITH OBTURATOR NEURECTOMY                 
252............       27066  EXCISION OF BONE CYST OR BENIGN TUMOR;     
                              DEEP, WITH OR WITHOUT AUTOGRAFT           
252............       27067  EXCISION OF BONE CYST OR BENIGN TUMOR; WITH
                              AUTOGRAFT REQUIRING SEPARATE INCISION     
252............       27080  COCCYGECTOMY, PRIMARY                      
252............       27097  HAMSTRING RECESSION, PROXIMAL              
252............       27098  ADDUCTOR TRANSFER TO ISCHIUM               
252............       27310  ARTHROTOMY, KNEE, FOR INFECTION, WITH      
                              EXPLORATION, DRAINAGE OR REMOVAL OF       
                              FOREIGN BODY                              
252............       27330  ARTHROTOMY, KNEE; WITH SYNOVIAL BIOPSY ONLY
252............       27331  ARTHROTOMY, KNEE; WITH JOINT EXPLORATION,  
                              WITH OR WITHOUT BIOPSY, WITH OR WITHOUT   
                              REMOVAL OF LOOSE OR FOREIGN BODIES        
252............       27332  ARTHROTOMY, KNEE, WITH EXCISION OF         
                              SEMILUNAR CARTILAGE (MENISCECTOMY); MEDIAL
                              OR LATERAL                                
252............       27333  ARTHROTOMY, KNEE, WITH EXCISION OF         
                              SEMILUNAR CARTILAGE (MENISCECTOMY); MEDIAL
                              AND LATERAL                               
252............       27334  ARTHROTOMY, KNEE, WITH SYNOVECTOMY;        
                              ANTERIOR OR POSTERIOR                     
252............       27335  ARTHROTOMY, KNEE, WITH SYNOVECTOMY;        
                              ANTERIOR AND POSTERIOR INCLUDING POPLITEAL
                              AREA                                      
252............       27350  PATELLECTOMY OR HEMIPATELLECTOMY           
252............       27355  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF FEMUR;                    
252............       27356  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF FEMUR; WITH ALLOGRAFT     
252............       27357  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF FEMUR; WITH AUTOGRAFT     
                              (INCLUDES OBTAINING GRAFT)                
252............       27358  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF FEMUR; WITH INTERNAL      
                              FIXATION (LIST IN ADDITION TO 27355,      
                              27356, OR 27357)                          
252............       27360  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS), FEMUR, PROXIMAL  
                              TIBIA AND/ OR FIBULA                      
252............       27393  LENGTHENING OF HAMSTRING TENDON; SINGLE    
252............       27394  LENGTHENING OF HAMSTRING TENDON; MULTIPLE, 
                              ONE LEG                                   
252............       27396  TRANSPLANT, HAMSTRING TENDON TO PATELLA;   
                              SINGLE                                    
252............       27403  ARTHROTOMY WITH OPEN MENISCUS REPAIR       
252............       27425  LATERAL RETINACULAR RELEASE (ANY METHOD)   
252............       27610  ARTHROTOMY, ANKLE, FOR INFECTION, WITH     
                              EXPLORATION, DRAINAGE, OR REMOVAL OF      
                              FOREIGN BODY                              
252............       27612  ARTHROTOMY, ANKLE, POSTERIOR CAPSULAR      
                              RELEASE, WITH OR WITHOUT ACHILLES TENDON  
                              LENGTHENING                               
252............       27620  ARTHROTOMY, ANKLE, WITH JOINT EXPLORATION, 
                              WITH OR WITHOUT BIOPSY, WITH OR WITHOUT   
                              REMOVAL OF LOOSE OR FOREIGN BODY          
252............       27625  ARTHROTOMY, ANKLE, WITH SYNOVECTOMY;       
252............       27626  ARTHROTOMY, ANKLE, WITH SYNOVECTOMY;       
                              INCLUDING TENOSYNOVECTOMY                 
252............       27635  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, TIBIA OR FIBULA;            
252............       27637  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, TIBIA OR FIBULA; WITH       
                              AUTOGRAFT (INCLUDES OBTAINING GRAFT)      
252............       27638  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, TIBIA OR FIBULA; WITH       
                              ALLOGRAFT                                 
252............       27641  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS OR EXOSTOSIS);     
                              FIBULA                                    
252............       27665  REPAIR OR SUTURE OF EXTENSOR TENDON OF LEG;
                              SECONDARY WITH OR WITHOUT GRAFT, SINGLE   
                              TENDON, EACH                              
252............       27676  REPAIR FOR DISLOCATING PERONEAL TENDONS;   
                              WITH FIBULAR OSTEOTOMY                    
252............       27680  TENOLYSIS, INCLUDING TIBIA, FIBULA, AND    
                              ANKLE FLEXOR; SINGLE                      
252............       27681  TENOLYSIS, INCLUDING TIBIA, FIBULA, AND    
                              ANKLE FLEXOR; MULTIPLE (THROUGH SAME      
                              INCISION), EACH                           
252............       27685  LENGTHENING OR SHORTENING OF TENDON, LEG OR
                              ANKLE; SINGLE (SEPARATE PROCEDURE)        
252............       27686  LENGTHENING OR SHORTENING OF TENDON, LEG OR
                              ANKLE; MULTIPLE (THROUGH SAME INCISION),  
                              EACH                                      
252............       27687  GASTROCNEMIUS RECESSION (EG, STRAYER       
                              PROCEDURE)                                
252............       27695  SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED 
                              LIGAMENT, ANKLE; COLLATERAL               
252............       27696  SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED 
                              LIGAMENT, ANKLE; BOTH COLLATERAL LIGAMENTS
252............       27698  SUTURE, SECONDARY REPAIR, TORN, RUPTURED OR
                              SEVERED LIGAMENT, ANKLE, COLLATERAL (EG,  
                              WATSON-JONES PROCEDURE)                   
252............       27709  OSTEOTOMY; TIBIA AND FIBULA                

[[Page 32486]]

                                                                        
252............       27730  EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR     
                              STAPLING; DISTAL TIBIA                    
252............       27732  EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR     
                              STAPLING; DISTAL FIBULA                   
252............       27734  EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR     
                              STAPLING; DISTAL TIBIA AND FIBULA         
252............       27740  EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR     
                              STAPLING, COMBINED, PROXIMAL AND DISTAL   
                              TIBIA AND FIBULA;                         
252............       27889  ANKLE DISARTICULATION                      
253............       23020  CAPSULAR CONTRACTURE RELEASE (SEVER TYPE   
                              PROCEDURE)                                
253............       23120  CLAVICULECTOMY; PARTIAL                    
253............       23130  ACROMIOPLASTY OR ACROMIONECTOMY, PARTIAL   
253............       23415  CORACOACROMIAL LIGAMENT RELEASE, WITH OR   
                              WITHOUT ACROMIOPLASTY                     
253............       23480  OSTEOTOMY, CLAVICLE, WITH OR WITHOUT       
                              INTERNAL FIXATION;                        
253............       23485  OSTEOTOMY, CLAVICLE, WITH OR WITHOUT       
                              INTERNAL FIXATION; WITH BONE GRAFT FOR    
                              NONUNION OR MALUNION (INCLUDES OBTAINING  
                              GRAFT AND/OR NECESSARY FIXATION)          
253............       23490  PROPHYLACTIC TREATMENT (NAILING, PINNING,  
                              PLATING OR WIRING) WITH OR WITHOUT        
                              METHYLMETHACRYLATE; CLAVICLE              
253............       23491  PROPHYLACTIC TREATMENT (NAILING, PINNING,  
                              PLATING OR WIRING) WITH OR WITHOUT        
                              METHYLMETHACRYLATE; PROXIMAL HUMERUS AND  
                              HUMERAL HEAD                              
253............       23800  ARTHRODESIS, SHOULDER JOINT; WITH OR       
                              WITHOUT LOCAL BONE GRAFT                  
253............       23802  ARTHRODESIS, SHOULDER JOINT; WITH PRIMARY  
                              AUTOGENOUS GRAFT (INCLUDES OBTAINING      
                              GRAFT)                                    
253............       24155  RESECTION OF ELBOW JOINT (ARTHRECTOMY)     
253............       24320  TENOPLASTY, WITH MUSCLE TRANSFER, WITH OR  
                              WITHOUT FREE GRAFT, ELBOW TO SHOULDER,    
                              SINGLE (SEDDON-BROOKES TYPE PROCEDURE)    
253............       24330  FLEXOR-PLASTY, ELBOW (EG, STEINDLER TYPE   
                              ADVANCEMENT);                             
253............       24331  FLEXOR-PLASTY, ELBOW (EG, STEINDLER TYPE   
                              ADVANCEMENT); WITH EXTENSOR ADVANCEMENT   
253............       24340  TENODESIS OF BICEPS TENDON AT ELBOW        
                              (SEPARATE PROCEDURE)                      
253............       24341  REPAIR, TENDON OR MUSCLE, UPPER ARM OR     
                              ELBOW, EACH TENDON OR MUSCLE, PRIMARY OR  
                              SECONDARY (EXCLUDES ROTATOR CUFF)         
253............       24342  REINSERTION OF RUPTURED BICEPS OR TRICEPS  
                              TENDON, DISTAL, WITH OR WITHOUT TENDON    
                              GRAFT                                     
253............       24420  OSTEOPLASTY, HUMERUS (EG, SHORTENING OR    
                              LENGTHENING) (EXCLUDING 64876)            
253............       24430  REPAIR OF NONUNION OR MALUNION, HUMERUS;   
                              WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE) 
253............       24435  REPAIR OF NONUNION OR MALUNION, HUMERUS;   
                              WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES   
                              OBTAINING GRAFT)                          
253............       24470  HEMIEPIPHYSEAL ARREST (EG, FOR CUBITUS     
                              VARUS OR VALGUS, DISTAL HUMERUS)          
253............       24498  PROPHYLACTIC TREATMENT (NAILING, PINNING,  
                              PLATING OR WIRING), WITH OR WITHOUT       
                              METHYLMETHACRYLATE, HUMERUS               
253............       24800  ARTHRODESIS, ELBOW JOINT; WITH OR WITHOUT  
                              LOCAL AUTOGRAFT OR ALLOGRAFT              
253............       24802  ARTHRODESIS, ELBOW JOINT; WITH AUTOGRAFT   
                              (INCLUDES OBTAINING GRAFT OTHER THAN      
                              LOCALLY OBTAINED)                         
253............       25310  TENDON TRANSPLANTATION OR TRANSFER, FLEXOR 
                              OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE;
                              EACH TENDON                               
253............       25312  TENDON TRANSPLANTATION OR TRANSFER, FLEXOR 
                              OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE;
                              WITH TENDON GRAFT(S) (INCLUDES OBTAINING  
                              GRAFT), EACH TENDON                       
253............       25315  FLEXOR ORIGIN SLIDE (EG, FOR CEREBRAL      
                              PALSY, VOLKMANN CONTRACTURE), FOREARM AND/
                              OR WRIST;                                 
253............       25316  FLEXOR ORIGIN SLIDE (EG, FOR CEREBRAL      
                              PALSY, VOLKMANN CONTRACTURE), FOREARM AND/
                              OR WRIST; WITH TENDON(S) TRANSFER         
253............       25320  CAPSULORRHAPHY OR RECONSTRUCTION, WRIST,   
                              ANY METHOD (EG, CAPSULODESIS, LIGAMENT    
                              REPAIR, TENDON TRANSFER OR GRAFT)         
                              (INCLUDES SYNOVECTOMY, CAPSULOTOMY AND    
                              OPEN REDUCTION) FOR CARPAL INSTABILITY    
253............       25335  CENTRALIZATION OF WRIST ON ULNA (EG, RADIAL
                              CLUB HAND)                                
253............       25337  RECONSTRUCTION FOR STABILIZATION OF        
                              UNSTABLE DISTAL ULNA OR DISTAL RADIOULNAR 
                              JOINT, SECONDARY BY SOFT TISSUE           
                              STABILIZATION (EG, TENDON TRANSFER, TENDON
                              GRAFT OR WEAVE, OR TENODESIS) WITH OR     
                              WITHOUT OPEN REDUCTION OF DISTAL          
                              RADIOULNAR JOINT                          
253............       25350  OSTEOTOMY, RADIUS; DISTAL THIRD            
253............       25355  OSTEOTOMY, RADIUS; MIDDLE OR PROXIMAL THIRD
253............       25370  MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON  
                              INTRAMEDULLARY ROD (SOFIELD TYPE          
                              PROCEDURE); RADIUS OR ULNA                
253............       25375  MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON  
                              INTRAMEDULLARY ROD (SOFIELD TYPE          
                              PROCEDURE); RADIUS AND ULNA               
253............       25425  REPAIR OF DEFECT WITH AUTOGRAFT; RADIUS OR 
                              ULNA                                      
253............       25426  REPAIR OF DEFECT WITH AUTOGRAFT; RADIUS AND
                              ULNA                                      
253............       25440  REPAIR OF NONUNION, SCAPHOID (NAVICULAR)   
                              BONE, WITH OR WITHOUT RADIAL STYLOIDECTOMY
                              (INCLUDES OBTAINING GRAFT AND NECESSARY   
                              FIXATION)                                 
253............       25450  EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR     
                              STAPLING; DISTAL RADIUS OR ULNA           
253............       25455  EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR     
                              STAPLING; DISTAL RADIUS AND ULNA          
253............       25490  PROPHYLACTIC TREATMENT (NAILING, PINNING,  
                              PLATING OR WIRING) WITH OR WITHOUT        
                              METHYLMETHACRYLATE; RADIUS                
253............       25491  PROPHYLACTIC TREATMENT (NAILING, PINNING,  
                              PLATING OR WIRING) WITH OR WITHOUT        
                              METHYLMETHACRYLATE; ULNA                  
253............       25492  PROPHYLACTIC TREATMENT (NAILING, PINNING,  
                              PLATING OR WIRING) WITH OR WITHOUT        
                              METHYLMETHACRYLATE; RADIUS AND ULNA       
253............       25800  ARTHRODESIS, WRIST JOINT (INCLUDING        
                              RADIOCARPAL AND/OR ULNOCARPAL FUSION);    
                              WITHOUT BONE GRAFT                        
253............       25805  ARTHRODESIS, WRIST JOINT (INCLUDING        
                              RADIOCARPAL AND/OR ULNOCARPAL FUSION);    
                              WITH SLIDING GRAFT                        
253............       25810  ARTHRODESIS, WRIST JOINT (INCLUDING        
                              RADIOCARPAL AND/OR ULNOCARPAL FUSION);    
                              WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES   
                              OBTAINING GRAFT)                          
253............       25830  DISTAL RADIOULNAR JOINT ARTHRODESIS AND    
                              SEGMENTAL RESECTION OF ULNA (EG, SAUVE-   
                              KAPANDJI PROCEDURE), WITH OR WITHOUT BONE 
                              GRAFT                                     
253............       27033  ARTHROTOMY, HIP, WITH EXPLORATION OR       
                              REMOVAL OF LOOSE OR FOREIGN BODY          
253............       27100  TRANSFER EXTERNAL OBLIQUE MUSCLE TO GREATER
                              TROCHANTER INCLUDING FASCIAL OR TENDON    
                              EXTENSION (GRAFT)                         
253............       27105  TRANSFER PARASPINAL MUSCLE TO HIP (INCLUDES
                              FASCIAL OR TENDON EXTENSION GRAFT)        
253............       27110  TRANSFER ILIOPSOAS; TO GREATER TROCHANTER  
253............       27111  TRANSFER ILIOPSOAS; TO FEMORAL NECK        
253............       27395  LENGTHENING OF HAMSTRING TENDON; MULTIPLE, 
                              BILATERAL                                 
253............       27397  TRANSPLANT, HAMSTRING TENDON TO PATELLA;   
                              MULTIPLE                                  

[[Page 32487]]

                                                                        
253............       27400  TENDON OR MUSCLE TRANSFER, HAMSTRINGS TO   
                              FEMUR (EGGERS TYPE PROCEDURE)             
253............       27405  REPAIR, PRIMARY, TORN LIGAMENT AND/OR      
                              CAPSULE, KNEE; COLLATERAL                 
253............       27407  REPAIR, PRIMARY, TORN LIGAMENT AND/OR      
                              CAPSULE, KNEE; CRUCIATE                   
253............       27409  REPAIR, PRIMARY, TORN LIGAMENT AND/OR      
                              CAPSULE, KNEE; COLLATERAL AND CRUCIATE    
                              LIGAMENTS                                 
253............       27418  ANTERIOR TIBIAL TUBERCLEPLASTY (EG, FOR    
                              CHONDROMALACIA PATELLAE)                  
253............       27420  RECONSTRUCTION FOR RECURRENT DISLOCATING   
                              PATELLA; (HAUSER TYPE PROCEDURE)          
253............       27422  RECONSTRUCTION FOR RECURRENT DISLOCATING   
                              PATELLA; WITH EXTENSOR REALIGNMENT AND/OR 
                              MUSCLE ADVANCEMENT OR RELEASE (CAMPBELL,  
                              GOLDWAITE TYPE PROCEDURE)                 
253............       27424  RECONSTRUCTION FOR RECURRENT DISLOCATING   
                              PATELLA; WITH PATELLECTOMY                
253............       27430  QUADRICEPSPLASTY (BENNETT OR THOMPSON TYPE)
253............       27435  CAPSULOTOMY, KNEE, POSTERIOR CAPSULAR      
                              RELEASE                                   
253............       27640  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS OR EXOSTOSIS);     
                              TIBIA                                     
253............       27647  RADICAL RESECTION OF TUMOR, BONE; TALUS OR 
                              CALCANEUS                                 
253............       27650  REPAIR, PRIMARY, OPEN OR PERCUTANEOUS,     
                              RUPTURED ACHILLES TENDON;                 
253............       27652  REPAIR, PRIMARY, OPEN OR PERCUTANEOUS,     
                              RUPTURED ACHILLES TENDON; WITH GRAFT      
                              (INCLUDES OBTAINING GRAFT)                
253............       27654  REPAIR, SECONDARY, RUPTURED ACHILLES       
                              TENDON, WITH OR WITHOUT GRAFT             
253............       27690  TRANSFER OR TRANSPLANT OF SINGLE TENDON    
                              (WITH MUSCLE REDIRECTION OR REROUTING);   
                              SUPERFICIAL (EG, ANTERIOR TIBIAL EXTENSORS
                              INTO MIDFOOT)                             
253............       27691  TRANSFER OR TRANSPLANT OF SINGLE TENDON    
                              (WITH MUSCLE REDIRECTION OR REROUTING);   
                              DEEP (EG, ANTERIOR TIBIAL OR POSTERIOR    
                              TIBIAL THROUGH INTEROSSEOUS SPACE, FLEXOR 
                              DIGITORUM LONGUS, FLEXOR HALLUCIS LONGUS, 
                              OR PERONEAL TENDON TO MIDFOOT OR HINDFOOT)
253............       27692  TRANSFER OR TRANSPLANT OF SINGLE TENDON    
                              (WITH MUSCLE REDIRECTION OR REROUTING);   
                              EACH ADDITIONAL TENDON                    
253............       27705  OSTEOTOMY; TIBIA                           
253............       27742  EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR     
                              STAPLING, COMBINED, PROXIMAL AND DISTAL   
                              TIBIA AND FIBULA; AND DISTAL FEMUR        
253............       27745  PROPHYLACTIC TREATMENT (NAILING, PINNING,  
                              PLATING OR WIRING) WITH OR WITHOUT        
                              METHYLMETHACRYLATE, TIBIA                 
253............       27870  ARTHRODESIS, ANKLE, ANY METHOD             
253............       27871  ARTHRODESIS, TIBIOFIBULAR JOINT, PROXIMAL  
                              OR DISTAL                                 
254............       23410  REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF   
                              (EG, ROTATOR CUFF); ACUTE                 
254............       23412  REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF   
                              (EG, ROTATOR CUFF); CHRONIC               
254............       23420  REPAIR OF COMPLETE SHOULDER (ROTATOR) CUFF 
                              AVULSION, CHRONIC (INCLUDES ACROMIOPLASTY)
254............       23430  TENODESIS OF LONG TENDON OF BICEPS         
254............       23450  CAPSULORRHAPHY, ANTERIOR; PUTTI-PLATT      
                              PROCEDURE OR MAGNUSON TYPE OPERATION      
254............       23455  CAPSULORRHAPHY, ANTERIOR; BANKART TYPE     
                              OPERATION WITH OR WITHOUT STAPLING        
254............       23460  CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH   
                              BONE BLOCK                                
254............       23462  CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH   
                              CORACOID PROCESS TRANSFER                 
254............       23465  CAPSULORRHAPHY FOR RECURRENT DISLOCATION,  
                              POSTERIOR, WITH OR WITHOUT BONE BLOCK     
254............       23466  CAPSULORRHAPHY WITH ANY TYPE MULTI-        
                              DIRECTIONAL INSTABILITY                   
254............       27427  LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), 
                              KNEE; EXTRA-ARTICULAR                     
254............       27428  LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), 
                              KNEE; INTRA-ARTICULAR (OPEN)              
254............       27429  LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), 
                              KNEE; INTRA-ARTICULAR (OPEN) AND EXTRA-   
                              ARTICULAR                                 
261............       25111  EXCISION OF GANGLION, WRIST (DORSAL OR     
                              VOLAR); PRIMARY                           
261............       25112  EXCISION OF GANGLION, WRIST (DORSAL OR     
                              VOLAR); RECURRENT                         
261............       25820  INTERCARPAL FUSION; WITHOUT BONE GRAFT     
261............       26020  DRAINAGE OF TENDON SHEATH, ONE DIGIT AND/OR
                              PALM                                      
261............       26025  DRAINAGE OF PALMAR BURSA; SINGLE, ULNAR OR 
                              RADIAL                                    
261............       26030  DRAINAGE OF PALMAR BURSA; MULTIPLE OR      
                              COMPLICATED                               
261............       26034  INCISION, DEEP, WITH OPENING OF BONE CORTEX
                              (EG, FOR OSTEOMYELITIS OR BONE ABSCESS),  
                              HAND OR FINGER                            
261............       26035  DECOMPRESSION FINGERS AND/OR HAND,         
                              INJECTION INJURY (EG, GREASE GUN)         
261............       26037  DECOMPRESSIVE FASCIOTOMY, HAND (EXCLUDES   
                              26035)                                    
261............       26055  TENDON SHEATH INCISION (EG, FOR TRIGGER    
                              FINGER)                                   
261............       26060  TENOTOMY, PERCUTANEOUS, SINGLE, EACH DIGIT 
261............       26070  ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR 
                              REMOVAL OF FOREIGN BODY; CARPOMETACARPAL  
                              JOINT                                     
261............       26075  ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR 
                              REMOVAL OF FOREIGN BODY;                  
                              METACARPOPHALANGEAL JOINT                 
261............       26080  ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR 
                              REMOVAL OF FOREIGN BODY; INTERPHALANGEAL  
                              JOINT, EACH                               
261............       26100  ARTHROTOMY WITH SYNOVIAL BIOPSY;           
                              CARPOMETACARPAL JOINT                     
261............       26105  ARTHROTOMY WITH SYNOVIAL BIOPSY;           
                              METACARPOPHALANGEAL JOINT                 
261............       26110  ARTHROTOMY WITH SYNOVIAL BIOPSY;           
                              INTERPHALANGEAL JOINT, EACH               
261............       26130  SYNOVECTOMY, CARPOMETACARPAL JOINT         
261............       26140  SYNOVECTOMY, PROXIMAL INTERPHALANGEAL      
                              JOINT, INCLUDING EXTENSOR RECONSTRUCTION, 
                              EACH INTERPHALANGEAL JOINT                
261............       26145  SYNOVECTOMY TENDON SHEATH, RADICAL         
                              (TENOSYNOVECTOMY), FLEXOR, PALM OR FINGER,
                              SINGLE, EACH DIGIT                        
261............       26160  EXCISION OF LESION OF TENDON SHEATH OR     
                              CAPSULE (EG, CYST, MUCOUS CYST, OR        
                              GANGLION), HAND OR FINGER                 
261............       26170  EXCISION OF TENDON, PALM, FLEXOR, SINGLE   
                              (SEPARATE PROCEDURE), EACH                
261............       26180  EXCISION OF TENDON, FINGER, FLEXOR         
                              (SEPARATE PROCEDURE)                      
261............       26185  SESAMOIDECTOMY, THUMB OR FINGER (SEPARATE  
                              PROCEDURE)                                
261............       26200  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF METACARPAL;               
261............       26210  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF PROXIMAL, MIDDLE, OR      
                              DISTAL PHALANX OF FINGER;                 
261............       26215  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF PROXIMAL, MIDDLE, OR      
                              DISTAL PHALANX OF FINGER; WITH AUTOGRAFT  
                              (INCLUDES OBTAINING GRAFT)                
261............       26230  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS); METACARPAL       
261............       26235  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS); PROXIMAL OR      
                              MIDDLE PHALANX OF FINGER                  

[[Page 32488]]

                                                                        
261............       26236  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS); DISTAL PHALANX OF
                              FINGER                                    
261............       26250  RADICAL RESECTION (OSTECTOMY) FOR TUMOR,   
                              METACARPAL;                               
261............       26260  RADICAL RESECTION (OSTECTOMY) FOR TUMOR,   
                              PROXIMAL OR MIDDLE PHALANX OF FINGER;     
261............       26261  RADICAL RESECTION (OSTECTOMY) FOR TUMOR,   
                              PROXIMAL OR MIDDLE PHALANX OF FINGER; WITH
                              AUTOGRAFT (INCLUDES OBTAINING GRAFT)      
261............       26262  RADICAL RESECTION (OSTECTOMY) FOR TUMOR,   
                              DISTAL PHALANX OF FINGER                  
261............       26410  EXTENSOR TENDON REPAIR, DORSUM OF HAND,    
                              SINGLE, PRIMARY OR SECONDARY; WITHOUT FREE
                              GRAFT, EACH TENDON                        
261............       26418  EXTENSOR TENDON REPAIR, DORSUM OF FINGER,  
                              SINGLE, PRIMARY OR SECONDARY; WITHOUT FREE
                              GRAFT, EACH TENDON                        
261............       26432  EXTENSOR TENDON REPAIR, DISTAL INSERTION   
                              (''MALLET FINGER''), CLOSED, SPLINTING    
                              WITH OR WITHOUT PERCUTANEOUS PINNING      
261............       26433  EXTENSOR TENDON REPAIR, DISTAL INSERTION   
                              (''MALLET FINGER''), OPEN, PRIMARY OR     
                              SECONDARY REPAIR; WITHOUT GRAFT           
261............       26437  EXTENSOR TENDON REALIGNMENT, HAND          
261............       26440  TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM OR  
                              FINGER, SINGLE, EACH TENDON               
261............       26445  TENOLYSIS, EXTENSOR TENDON, DORSUM OF HAND 
                              OR FINGER; EACH TENDON                    
261............       26450  TENOTOMY, FLEXOR, SINGLE, PALM, OPEN, EACH 
261............       26455  TENOTOMY, FLEXOR, SINGLE, FINGER, OPEN,    
                              EACH                                      
261............       26460  TENOTOMY, EXTENSOR, HAND OR FINGER, SINGLE,
                              OPEN, EACH                                
261............       26471  TENODESIS; FOR PROXIMAL INTERPHALANGEAL    
                              JOINT STABILIZATION                       
261............       26474  TENODESIS; FOR DISTAL JOINT STABILIZATION  
261............       26476  TENDON LENGTHENING, EXTENSOR, HAND OR      
                              FINGER, SINGLE, EACH                      
261............       26477  TENDON SHORTENING, EXTENSOR, HAND OR       
                              FINGER, SINGLE, EACH                      
261............       26478  TENDON LENGTHENING, FLEXOR, HAND OR FINGER,
                              SINGLE, EACH                              
261............       26479  TENDON SHORTENING, FLEXOR, HAND OR FINGER, 
                              SINGLE, EACH                              
261............       26500  TENDON PULLEY RECONSTRUCTION; WITH LOCAL   
                              TISSUES (SEPARATE PROCEDURE)              
261............       26508  THENAR MUSCLE RELEASE FOR THUMB CONTRACTURE
261............       26520  CAPSULECTOMY OR CAPSULOTOMY FOR            
                              CONTRACTURE; METACARPOPHALANGEAL JOINT,   
                              SINGLE, EACH                              
261............       26525  CAPSULECTOMY OR CAPSULOTOMY FOR            
                              CONTRACTURE; INTERPHALANGEAL JOINT,       
                              SINGLE, EACH                              
261............       26540  REPAIR OF COLLATERAL LIGAMENT,             
                              METACARPOPHALANGEAL OR INTERPHALANGEAL    
                              JOINT                                     
261............       26542  RECONSTRUCTION, COLLATERAL LIGAMENT,       
                              METACARPOPHALANGEAL JOINT, SINGLE; WITH   
                              LOCAL TISSUE (EG, ADDUCTOR ADVANCEMENT)   
261............       26560  REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB 
                              SPACE; WITH SKIN FLAPS                    
261............       26587  RECONSTRUCTION OF SUPERNUMERARY DIGIT, SOFT
                              TISSUE AND BONE                           
261............       26593  RELEASE, INTRINSIC MUSCLES OF HAND         
                              (SPECIFY)                                 
261............       26951  AMPUTATION, FINGER OR THUMB, PRIMARY OR    
                              SECONDARY, ANY JOINT OR PHALANX, SINGLE,  
                              INCLUDING NEURECTOMIES; WITH DIRECT       
                              CLOSURE                                   
261............       26952  AMPUTATION, FINGER OR THUMB, PRIMARY OR    
                              SECONDARY, ANY JOINT OR PHALANX, SINGLE,  
                              INCLUDING NEURECTOMIES; WITH LOCAL        
                              ADVANCEMENT FLAPS (V-Y, HOOD)             
262............       25210  CARPECTOMY; ONE BONE                       
262............       25215  CARPECTOMY; ALL BONES OF PROXIMAL ROW      
262............       25825  INTERCARPAL FUSION; WITH AUTOGRAFT         
                              (INCLUDES OBTAINING GRAFT)                
262............       26040  FASCIOTOMY, PALMAR, FOR DUPUYTREN'S        
                              CONTRACTURE; PERCUTANEOUS                 
262............       26045  FASCIOTOMY, PALMAR, FOR DUPUYTREN'S        
                              CONTRACTURE; OPEN, PARTIAL                
262............       26121  FASCIECTOMY, PALM ONLY, WITH OR WITHOUT Z- 
                              PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, 
                              OR SKIN GRAFTING (INCLUDES OBTAINING      
                              GRAFT)                                    
262............       26123  FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF
                              SINGLE DIGIT INCLUDING PROXIMAL           
                              INTERPHALANGEAL JOINT, WITH OR WITHOUT Z- 
                              PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, 
                              OR SKIN GRAFTING (INCLUDES OBTAINING      
                              GRAFT);                                   
262............       26125  FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF
                              SINGLE DIGIT INCLUDING PROXIMAL           
                              INTERPHALANGEAL JOINT, WITH OR WITHOUT Z- 
                              PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, 
                              OR SKIN GRAFTING (INCLUDES OBTAINING      
                              GRAFT); EACH ADDITIONAL DIGIT (LIST       
                              SEPARATELY IN ADDITION TO CODE FOR PRIMARY
                              PROCEDURE)                                
262............       26135  SYNOVECTOMY, METACARPOPHALANGEAL JOINT     
                              INCLUDING INTRINSIC RELEASE AND EXTENSOR  
                              HOOD RECONSTRUCTION, EACH DIGIT           
262............       26205  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR OF METACARPAL; WITH AUTOGRAFT
                              (INCLUDES OBTAINING GRAFT)                
262............       26255  RADICAL RESECTION (OSTECTOMY) FOR TUMOR,   
                              METACARPAL; WITH AUTOGRAFT (INCLUDES      
                              OBTAINING GRAFT)                          
262............       26350  FLEXOR TENDON REPAIR OR ADVANCEMENT,       
                              SINGLE, NOT IN ''NO MAN'S LAND''; PRIMARY 
                              OR SECONDARY WITHOUT FREE GRAFT, EACH     
                              TENDON                                    
262............       26352  FLEXOR TENDON REPAIR OR ADVANCEMENT,       
                              SINGLE, NOT IN ''NO MAN'S LAND'';         
                              SECONDARY WITH FREE GRAFT (INCLUDES       
                              OBTAINING GRAFT), EACH TENDON             
262............       26356  FLEXOR TENDON REPAIR OR ADVANCEMENT,       
                              SINGLE, IN ''NO MAN'S LAND''; PRIMARY,    
                              EACH TENDON                               
262............       26357  FLEXOR TENDON REPAIR OR ADVANCEMENT,       
                              SINGLE, IN ''NO MAN'S LAND''; SECONDARY,  
                              EACH TENDON                               
262............       26358  FLEXOR TENDON REPAIR OR ADVANCEMENT,       
                              SINGLE, IN ''NO MAN'S LAND''; SECONDARY   
                              WITH FREE GRAFT (INCLUDES OBTAINING       
                              GRAFT), EACH TENDON                       
262............       26370  PROFUNDUS TENDON REPAIR OR ADVANCEMENT,    
                              WITH INTACT SUBLIMIS; PRIMARY             
262............       26372  PROFUNDUS TENDON REPAIR OR ADVANCEMENT,    
                              WITH INTACT SUBLIMIS; SECONDARY WITH FREE 
                              GRAFT (INCLUDES OBTAINING GRAFT)          
262............       26373  PROFUNDUS TENDON REPAIR OR ADVANCEMENT,    
                              WITH INTACT SUBLIMIS; SECONDARY WITHOUT   
                              FREE GRAFT                                
262............       26390  FLEXOR TENDON EXCISION, IMPLANTATION OF    
                              PLASTIC TUBE OR ROD FOR DELAYED TENDON    
                              GRAFT, HAND OR FINGER                     
62.............       26392  REMOVAL OF TUBE OR ROD AND INSERTION OF    
                              FLEXOR TENDON GRAFT (INCLUDES OBTAINING   
                              GRAFT), HAND OR FINGER                    
262............       26412  EXTENSOR TENDON REPAIR, DORSUM OF HAND,    
                              SINGLE, PRIMARY OR SECONDARY; WITH FREE   
                              GRAFT (INCLUDES OBTAINING GRAFT), EACH    
                              TENDON                                    
262............       26415  EXTENSOR TENDON EXCISION, IMPLANTATION OF  
                              PLASTIC TUBE OR ROD FOR DELAYED EXTENSOR  
                              TENDON GRAFT, HAND OR FINGER              

[[Page 32489]]

                                                                        
262............       26416  REMOVAL OF TUBE OR ROD AND INSERTION OF    
                              EXTENSOR TENDON GRAFT (INCLUDES OBTAINING 
                              GRAFT), HAND OR FINGER                    
262............       26420  EXTENSOR TENDON REPAIR, DORSUM OF FINGER,  
                              SINGLE, PRIMARY OR SECONDARY; WITH FREE   
                              GRAFT (INCLUDES OBTAINING GRAFT) EACH     
                              TENDON                                    
262............       26426  EXTENSOR TENDON REPAIR, CENTRAL SLIP       
                              REPAIR, SECONDARY (BOUTONNIERE DEFORMITY);
                              USING LOCAL TISSUES                       
262............       26428  EXTENSOR TENDON REPAIR, CENTRAL SLIP       
                              REPAIR, SECONDARY (BOUTONNIERE DEFORMITY);
                              WITH FREE GRAFT (INCLUDES OBTAINING GRAFT)
262............       26434  EXTENSOR TENDON REPAIR, DISTAL INSERTION   
                              (''MALLET FINGER''), OPEN, PRIMARY OR     
                              SECONDARY REPAIR; WITH FREE GRAFT         
                              (INCLUDES OBTAINING GRAFT)                
262............       26442  TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM AND 
                              FINGER, EACH TENDON                       
262............       26449  TENOLYSIS, COMPLEX, EXTENSOR TENDON, DORSUM
                              OF HAND OR FINGER, INCLUDING HAND AND     
                              FOREARM                                   
262............       26480  TENDON TRANSFER OR TRANSPLANT,             
                              CARPOMETACARPAL AREA OR DORSUM OF HAND,   
                              SINGLE; WITHOUT FREE GRAFT, EACH          
262............       26483  TENDON TRANSFER OR TRANSPLANT,             
                              CARPOMETACARPAL AREA OR DORSUM OF HAND,   
                              SINGLE; WITH FREE TENDON GRAFT (INCLUDES  
                              OBTAINING GRAFT), EACH TENDON             
262............       26485  TENDON TRANSFER OR TRANSPLANT, PALMAR,     
                              SINGLE, EACH TENDON; WITHOUT FREE TENDON  
                              GRAFT                                     
262............       26489  TENDON TRANSFER OR TRANSPLANT, PALMAR,     
                              SINGLE, EACH TENDON; WITH FREE TENDON     
                              GRAFT (INCLUDES OBTAINING GRAFT), EACH    
                              TENDON                                    
262............       26490  OPPONENSPLASTY; SUBLIMIS TENDON TRANSFER   
                              TYPE                                      
262............       26492  OPPONENSPLASTY; TENDON TRANSFER WITH GRAFT 
                              (INCLUDES OBTAINING GRAFT)                
262............       26494  OPPONENSPLASTY; HYPOTHENAR MUSCLE TRANSFER 
262............       26496  OPPONENSPLASTY; OTHER METHODS              
262............       26497  TENDON TRANSFER TO RESTORE INTRINSIC       
                              FUNCTION; RING AND SMALL FINGER           
262............       26498  TENDON TRANSFER TO RESTORE INTRINSIC       
                              FUNCTION; ALL FOUR FINGERS                
262............       26499  CORRECTION CLAW FINGER, OTHER METHODS      
262............       26502  TENDON PULLEY RECONSTRUCTION; WITH TENDON  
                              OR FASCIAL GRAFT (INCLUDES OBTAINING      
                              GRAFT) (SEPARATE PROCEDURE)               
262............       26504  TENDON PULLEY RECONSTRUCTION; WITH TENDON  
                              PROSTHESIS (SEPARATE PROCEDURE)           
262............       26510  CROSS INTRINSIC TRANSFER                   
262............       26516  CAPSULODESIS FOR M-P JOINT STABILIZATION;  
                              SINGLE DIGIT                              
262............       26517  CAPSULODESIS FOR M-P JOINT STABILIZATION;  
                              TWO DIGITS                                
262............       26518  CAPSULODESIS FOR M-P JOINT STABILIZATION;  
                              THREE OR FOUR DIGITS                      
262............       26541  RECONSTRUCTION, COLLATERAL LIGAMENT,       
                              METACARPOPHALANGEAL JOINT, SINGLE; WITH   
                              TENDON OR FASCIAL GRAFT (INCLUDES         
                              OBTAINING GRAFT)                          
262............       26545  RECONSTRUCTION, COLLATERAL LIGAMENT,       
                              INTERPHALANGEAL JOINT, SINGLE, INCLUDING  
                              GRAFT, EACH JOINT                         
262............       26546  REPAIR NON-UNION, METACARPAL OR PHALANX,   
                              (INCLUDES OBTAINING BONE GRAFT WITH OR    
                              WITHOUT EXTERNAL OR INTERNAL FIXATION)    
262............       26548  REPAIR AND RECONSTRUCTION, FINGER, VOLAR   
                              PLATE, INTERPHALANGEAL JOINT              
262............       26550  POLLICIZATION OF A DIGIT                   
262............       26555  POSITIONAL CHANGE OF OTHER FINGER          
262............       26561  REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB 
                              SPACE; WITH SKIN FLAPS AND GRAFTS         
262............       26562  REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB 
                              SPACE; COMPLEX (EG, INVOLVING BONE, NAILS)
262............       26565  OSTEOTOMY FOR CORRECTION OF DEFORMITY;     
                              METACARPAL                                
262............       26567  OSTEOTOMY FOR CORRECTION OF DEFORMITY;     
                              PHALANX OF FINGER                         
262............       26568  OSTEOPLASTY FOR LENGTHENING OF METACARPAL  
                              OR PHALANX                                
262............       26580  REPAIR CLEFT HAND                          
262............       26585  REPAIR BIFID DIGIT                         
262............       26590  REPAIR MACRODACTYLIA                       
262............       26591  REPAIR, INTRINSIC MUSCLES OF HAND (SPECIFY)
262............       26596  EXCISION OF CONSTRICTING RING OF FINGER,   
                              WITH MULTIPLE Z-PLASTIES                  
262............       26597  RELEASE OF SCAR CONTRACTURE, FLEXOR OR     
                              EXTENSOR, WITH SKIN GRAFTS, REARRANGEMENT 
                              FLAPS, OR Z-PLASTIES, HAND AND/OR FINGER  
262............       26820  FUSION IN OPPOSITION, THUMB, WITH          
                              AUTOGENOUS GRAFT (INCLUDES OBTAINING      
                              GRAFT)                                    
262............       26841  ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, 
                              WITH OR WITHOUT INTERNAL FIXATION;        
262............       26842  ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, 
                              WITH OR WITHOUT INTERNAL FIXATION; WITH   
                              AUTOGRAFT (INCLUDES OBTAINING GRAFT)      
262............       26843  ARTHRODESIS, CARPOMETACARPAL JOINT, DIGITS,
                              OTHER THAN THUMB;                         
262............       26844  ARTHRODESIS, CARPOMETACARPAL JOINT, DIGITS,
                              OTHER THAN THUMB; WITH AUTOGRAFT (INCLUDES
                              OBTAINING GRAFT)                          
262............       26850  ARTHRODESIS, METACARPOPHALANGEAL JOINT,    
                              WITH OR WITHOUT INTERNAL FIXATION;        
262............       26852  ARTHRODESIS, METACARPOPHALANGEAL JOINT,    
                              WITH OR WITHOUT INTERNAL FIXATION; WITH   
                              AUTOGRAFT (INCLUDES OBTAINING GRAFT)      
262............       26860  ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR
                              WITHOUT INTERNAL FIXATION;                
262............       26861  ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR
                              WITHOUT INTERNAL FIXATION; EACH ADDITIONAL
                              INTERPHALANGEAL JOINT                     
262............       26862  ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR
                              WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT 
                              (INCLUDES OBTAINING GRAFT)                
262............       26863  ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR
                              WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT 
                              (INCLUDES OBTAINING GRAFT), EACH          
                              ADDITIONAL JOINT                          
262............       26910  AMPUTATION, METACARPAL, WITH FINGER OR     
                              THUMB (RAY AMPUTATION), SINGLE, WITH OR   
                              WITHOUT INTEROSSEOUS TRANSFER             
271............       27605  TENOTOMY, ACHILLES TENDON, SUBCUTANEOUS    
                              (SEPARATE PROCEDURE); *LOCAL ANESTHESIA   
271............       28005  INCISION, DEEP, WITH OPENING OF BONE CORTEX
                              (EG, FOR OSTEOMYELITIS OR BONE ABSCESS),  
                              FOOT                                      
271............       28008  FASCIOTOMY, FOOT AND/OR TOE                
271............       28010  TENOTOMY, SUBCUTANEOUS, TOE; SINGLE        
271............       28011  TENOTOMY, SUBCUTANEOUS, TOE; MULTIPLE      

[[Page 32490]]

                                                                        
271............       28020  ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR 
                              REMOVAL OF LOOSE OR FOREIGN BODY;         
                              INTERTARSAL OR TARSOMETATARSAL JOINT      
271............       28022  ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR 
                              REMOVAL OF LOOSE OR FOREIGN BODY;         
                              METATARSOPHALANGEAL JOINT                 
271............       28024  ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR 
                              REMOVAL OF LOOSE OR FOREIGN BODY;         
                              INTERPHALANGEAL JOINT                     
271............       28045  EXCISION, TUMOR, FOOT; DEEP, SUBFASCIAL,   
                              INTRAMUSCULAR                             
271............       28046  RADICAL RESECTION OF TUMOR (EG, MALIGNANT  
                              NEOPLASM), SOFT TISSUE OF FOOT            
271............       28050  ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERTARSAL
                              OR TARSOMETATARSAL JOINT                  
271............       28052  ARTHROTOMY FOR SYNOVIAL BIOPSY;            
                              METATARSOPHALANGEAL JOINT                 
271............       28054  ARTHROTOMY FOR SYNOVIAL BIOPSY;            
                              INTERPHALANGEAL JOINT                     
271............       28080  EXCISION OF INTERDIGITAL (MORTON) NEUROMA, 
                              SINGLE, EACH                              
271............       28086  SYNOVECTOMY, TENDON SHEATH, FOOT; FLEXOR   
271............       28088  SYNOVECTOMY, TENDON SHEATH, FOOT; EXTENSOR 
271............       28090  EXCISION OF LESION OF TENDON OR FIBROUS    
                              SHEATH OR CAPSULE (INCLUDING SYNOVECTOMY) 
                              (CYST OR GANGLION); FOOT                  
271............       28092  EXCISION OF LESION OF TENDON OR FIBROUS    
                              SHEATH OR CAPSULE (INCLUDING SYNOVECTOMY) 
                              (CYST OR GANGLION); TOES                  
271............       28100  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, TALUS OR CALCANEUS;         
271............       28104  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, TARSAL OR METATARSAL BONES, 
                              EXCEPT TALUS OR CALCANEUS;                
271............       28108  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, PHALANGES OF FOOT           
271............       28111  OSTECTOMY, COMPLETE EXCISION; FIRST        
                              METATARSAL HEAD                           
271............       28112  OSTECTOMY, COMPLETE EXCISION; OTHER        
                              METATARSAL HEAD (SECOND, THIRD OR FOURTH) 
271............       28113  OSTECTOMY, COMPLETE EXCISION; FIFTH        
                              METATARSAL HEAD                           
271............       28114  OSTECTOMY, COMPLETE EXCISION; ALL          
                              METATARSAL HEADS, WITH PARTIAL PROXIMAL   
                              PHALANGECTOMY, EXCLUDING FIRST METATARSAL 
                              (CLAYTON TYPE PROCEDURE)                  
271............       28116  OSTECTOMY, EXCISION OF TARSAL COALITION    
271............       28118  OSTECTOMY, CALCANEUS;                      
271............       28119  OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR    
                              WITHOUT PLANTAR FASCIAL RELEASE           
271............       28120  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, SEQUESTRECTOMY, OR         
                              DIAPHYSECTOMY) OF BONE (EG, FOR           
                              OSTEOMYELITIS OR TALAR BOSSING), TALUS OR 
                              CALCANEUS                                 
271............       28122  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS OR TARSAL BOSSING),
                              TARSAL OR METATARSAL BONE, EXCEPT TALUS OR
                              CALCANEUS                                 
271............       28124  PARTIAL EXCISION (CRATERIZATION,           
                              SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE  
                              (EG, FOR OSTEOMYELITIS OR DORSAL BOSSING),
                              PHALANX OF TOE                            
271............       28126  RESECTION, PARTIAL OR COMPLETE, PHALANGEAL 
                              BASE, SINGLE TOE, EACH                    
271............       28130  TALECTOMY (ASTRAGALECTOMY)                 
271............       28140  METATARSECTOMY                             
271............       28150  PHALANGECTOMY OF TOE, SINGLE, EACH         
271............       28153  RESECTION, HEAD OF PHALANX, TOE            
271............       28160  HEMIPHALANGECTOMY OR INTERPHALANGEAL JOINT 
                              EXCISION, TOE, SINGLE, EACH               
271............       28171  RADICAL RESECTION OF TUMOR, BONE; TARSAL   
                              (EXCEPT TALUS OR CALCANEUS)               
271............       28173  RADICAL RESECTION OF TUMOR, BONE;          
                              METATARSAL                                
271............       28175  RADICAL RESECTION OF TUMOR, BONE; PHALANX  
                              OF TOE                                    
271............       28200  REPAIR OR SUTURE OF TENDON, FOOT, FLEXOR,  
                              SINGLE; PRIMARY OR SECONDARY, WITHOUT FREE
                              GRAFT, EACH TENDON                        
271............       28208  REPAIR OR SUTURE OF TENDON, FOOT, EXTENSOR,
                              SINGLE; PRIMARY OR SECONDARY, EACH TENDON 
271............       28210  REPAIR OR SUTURE OF TENDON, FOOT, EXTENSOR,
                              SINGLE; SECONDARY WITH FREE GRAFT, EACH   
                              TENDON (INCLUDES OBTAINING GRAFT)         
271............       28220  TENOLYSIS, FLEXOR, FOOT; SINGLE            
271............       28222  TENOLYSIS, FLEXOR, FOOT; MULTIPLE (THROUGH 
                              SAME INCISION)                            
271............       28225  TENOLYSIS, EXTENSOR, FOOT; SINGLE          
271............       28226  TENOLYSIS, EXTENSOR, FOOT; MULTIPLE        
                              (THROUGH SAME INCISION)                   
271............       28230  TENOTOMY, OPEN, FLEXOR; FOOT, SINGLE OR    
                              MULTIPLE (SEPARATE PROCEDURE)             
271............       28232  TENOTOMY, OPEN, FLEXOR; TOE, SINGLE        
                              (SEPARATE PROCEDURE)                      
271............       28234  TENOTOMY, OPEN, EXTENSOR, FOOT OR TOE      
271............       28240  TENOTOMY, LENGTHENING, OR RELEASE, ABDUCTOR
                              HALLUCIS MUSCLE                           
271............       28270  CAPSULOTOMY; METATARSOPHALANGEAL JOINT,    
                              WITH OR WITHOUT TENORRHAPHY, SINGLE, EACH 
                              JOINT (SEPARATE PROCEDURE)                
271............       28272  CAPSULOTOMY; INTERPHALANGEAL JOINT, SINGLE,
                              EACH JOINT (SEPARATE PROCEDURE)           
271............       28280  WEBBING OPERATION (CREATE SYNDACTYLISM OF  
                              TOES) (KELIKIAN TYPE PROCEDURE)           
271............       28285  HAMMERTOE OPERATION, ONE TOE (EG,          
                              INTERPHALANGEAL FUSION, FILLETING,        
                              PHALANGECTOMY)                            
271............       28286  COCK-UP FIFTH TOE OPERATION WITH PLASTIC   
                              SKIN CLOSURE (RUIZ-MORA TYPE PROCEDURE)   
271............       28310  OSTEOTOMY FOR SHORTENING, ANGULAR OR       
                              ROTATIONAL CORRECTION; PROXIMAL PHALANX,  
                              FIRST TOE (SEPARATE PROCEDURE)            
271............       28312  OSTEOTOMY FOR SHORTENING, ANGULAR OR       
                              ROTATIONAL CORRECTION; OTHER PHALANGES,   
                              ANY TOE                                   
271............       28313  RECONSTRUCTION, ANGULAR DEFORMITY OF TOE   
                              (OVERLAPPING SECOND TOE, FIFTH TOE, CURLY 
                              TOES), SOFT TISSUE PROCEDURES ONLY        
271............       28315  SESAMOIDECTOMY, FIRST TOE (SEPARATE        
                              PROCEDURE)                                
271............       28340  RECONSTRUCTION, TOE, MACRODACTYLY; SOFT    
                              TISSUE RESECTION                          
271............       28341  RECONSTRUCTION, TOE, MACRODACTYLY;         
                              REQUIRING BONE RESECTION                  
271............       28737  ARTHRODESIS, MIDTARSAL NAVICULAR-CUNEIFORM,
                              WITH TENDON LENGTHENING AND ADVANCEMENT   
                              (MILLER TYPE PROCEDURE)                   
271............       28750  ARTHRODESIS, GREAT TOE; METATARSOPHALANGEAL
                              JOINT                                     
271............       28755  ARTHRODESIS, GREAT TOE; INTERPHALANGEAL    
                              JOINT                                     

[[Page 32491]]

                                                                        
271............       28810  AMPUTATION, METATARSAL, WITH TOE, SINGLE   
271............       28820  AMPUTATION, TOE; METATARSOPHALANGEAL JOINT 
271............       28825  AMPUTATION, TOE; INTERPHALANGEAL JOINT     
271............       29893  ENDOSCOPIC PLANTAR FASCIOTOMY              
272............       28060  FASCIECTOMY, EXCISION OF PLANTAR FASCIA;   
                              PARTIAL (SEPARATE PROCEDURE)              
272............       28062  FASCIECTOMY, EXCISION OF PLANTAR FASCIA;   
                              RADICAL (SEPARATE PROCEDURE)              
272............       28070  SYNOVECTOMY; INTERTARSAL OR TARSOMETATARSAL
                              JOINT, EACH                               
272............       28072  SYNOVECTOMY; METATARSOPHALANGEAL JOINT,    
                              EACH                                      
272............       28102  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, TALUS OR CALCANEUS; WITH    
                              ILIAC OR OTHER AUTOGRAFT (INCLUDES        
                              OBTAINING GRAFT)                          
272............       28103  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, TALUS OR CALCANEUS; WITH    
                              ALLOGRAFT                                 
272............       28106  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, TARSAL OR METATARSAL BONES, 
                              EXCEPT TALUS OR CALCANEUS; WITH ILIAC OR  
                              OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT)
272............       28107  EXCISION OR CURETTAGE OF BONE CYST OR      
                              BENIGN TUMOR, TARSAL OR METATARSAL BONES, 
                              EXCEPT TALUS OR CALCANEUS; WITH ALLOGRAFT 
272............       28202  REPAIR OR SUTURE OF TENDON, FOOT, FLEXOR,  
                              SINGLE; SECONDARY WITH FREE GRAFT, EACH   
                              TENDON (INCLUDES OBTAINING GRAFT)         
272............       28238  ADVANCEMENT OF POSTERIOR TIBIAL TENDON WITH
                              EXCISION OF ACCESSORY NAVICULAR BONE      
                              (KIDNER TYPE PROCEDURE)                   
272............       28250  DIVISION OF PLANTAR FASCIA AND MUSCLE      
                              (``STEINDLER STRIPPING'') (SEPARATE       
                              PROCEDURE)                                
272............       28260  CAPSULOTOMY, MIDFOOT; MEDIAL RELEASE ONLY  
                              (SEPARATE PROCEDURE)                      
272............       28261  CAPSULOTOMY, MIDFOOT; WITH TENDON          
                              LENGTHENING                               
272............       28262  CAPSULOTOMY, MIDFOOT; EXTENSIVE, INCLUDING 
                              POSTERIOR TALOTIBIAL CAPSULOTOMY AND      
                              TENDON(S) LENGTHENING AS FOR RESISTANT    
                              CLUBFOOT DEFORMITY                        
272............       28264  CAPSULOTOMY, MIDTARSAL (HEYMAN TYPE        
                              PROCEDURE)                                
272............       28288  OSTECTOMY, PARTIAL, EXOSTECTOMY OR         
                              CONDYLECTOMY, SINGLE, METATARSAL HEAD,    
                              FIRST THROUGH FIFTH, EACH METATARSAL HEAD 
272............       28300  OSTEOTOMY; CALCANEUS (DWYER OR CHAMBERS    
                              TYPE PROCEDURE), WITH OR WITHOUT INTERNAL 
                              FIXATION                                  
272............       28302  OSTEOTOMY; TALUS                           
272............       28304  OSTEOTOMY, MIDTARSAL BONES, OTHER THAN     
                              CALCANEUS OR TALUS;                       
272............       28305  OSTEOTOMY, MIDTARSAL BONES, OTHER THAN     
                              CALCANEUS OR TALUS; WITH AUTOGRAFT        
                              (INCLUDES OBTAINING GRAFT) (FOWLER TYPE)  
272............       28306  OSTEOTOMY, METATARSAL, BASE OR SHAFT,      
                              SINGLE, WITH OR WITHOUT LENGTHENING, FOR  
                              SHORTENING OR ANGULAR CORRECTION; FIRST   
                              METATARSAL                                
272............       28307  OSTEOTOMY, METATARSAL, BASE OR SHAFT,      
                              SINGLE, WITH OR WITHOUT LENGTHENING, FOR  
                              SHORTENING OR ANGULAR CORRECTION; FIRST   
                              METATARSAL WITH AUTOGRAFT                 
272............       28308  OSTEOTOMY, METATARSAL, BASE OR SHAFT,      
                              SINGLE, WITH OR WITHOUT LENGTHENING, FOR  
                              SHORTENING OR ANGULAR CORRECTION; OTHER   
                              THAN FIRST METATARSAL                     
272............       28309  OSTEOTOMY, METATARSALS, MULTIPLE, FOR CAVUS
                              FOOT (SWANSON TYPE PROCEDURE)             
272............       28320  REPAIR OF NONUNION OR MALUNION; TARSAL     
                              BONES (EG, CALCANEUS, TALUS)              
272............       28322  REPAIR OF NONUNION OR MALUNION; METATARSAL,
                              WITH OR WITHOUT BONE GRAFT (INCLUDES      
                              OBTAINING GRAFT)                          
272............       28344  RECONSTRUCTION, TOE(S); POLYDACTYLY        
272............       28345  RECONSTRUCTION, TOE(S); SYNDACTYLY, WITH OR
                              WITHOUT SKIN GRAFT(S), EACH WEB           
272............       28360  RECONSTRUCTION, CLEFT FOOT                 
272............       28705  PANTALAR ARTHRODESIS                       
272............       28715  TRIPLE ARTHRODESIS                         
272............       28725  SUBTALAR ARTHRODESIS                       
272............       28730  ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, 
                              MULTIPLE OR TRANSVERSE                    
272............       28735  ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, 
                              MULTIPLE OR TRANSVERSE; WITH OSTEOTOMY AS 
                              FOR FLATFOOT CORRECTION                   
272............       28740  ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, 
                              SINGLE JOINT                              
272............       28760  ARTHRODESIS, GREAT TOE, INTERPHALANGEAL    
                              JOINT, WITH EXTENSOR HALLUCIS LONGUS      
                              TRANSFER TO FIRST METATARSAL NECK (JONES  
                              TYPE PROCEDURE)                           
276............       28110  OSTECTOMY, PARTIAL EXCISION, FIFTH         
                              METATARSAL HEAD (BUNIONETTE) (SEPARATE    
                              PROCEDURE)                                
276............       28290  HALLUX VALGUS (BUNION) CORRECTION, WITH OR 
                              WITHOUT SESAMOIDECTOMY; SIMPLE EXOSTECTOMY
                              (SILVER TYPE PROCEDURE)                   
276............       28292  HALLUX VALGUS (BUNION) CORRECTION, WITH OR 
                              WITHOUT SESAMOIDECTOMY; KELLER, MCBRIDE,  
                              OR MAYO TYPE PROCEDURE                    
276............       28293  HALLUX VALGUS (BUNION) CORRECTION, WITH OR 
                              WITHOUT SESAMOIDECTOMY; RESECTION OF JOINT
                              WITH IMPLANT                              
276............       28294  HALLUX VALGUS (BUNION) CORRECTION, WITH OR 
                              WITHOUT SESAMOIDECTOMY; WITH TENDON       
                              TRANSPLANTS (JOPLIN TYPE PROCEDURE)       
276............       28296  HALLUX VALGUS (BUNION) CORRECTION, WITH OR 
                              WITHOUT SESAMOIDECTOMY; WITH METATARSAL   
                              OSTEOTOMY (EG, MITCHELL, CHEVRON, OR      
                              CONCENTRIC TYPE PROCEDURES)               
276............       28297  HALLUX VALGUS (BUNION) CORRECTION, WITH OR 
                              WITHOUT SESAMOIDECTOMY; LAPIDUS TYPE      
                              PROCEDURE                                 
276............       28298  HALLUX VALGUS (BUNION) CORRECTION, WITH OR 
                              WITHOUT SESAMOIDECTOMY; BY PHALANX        
                              OSTEOTOMY                                 
276............       28299  HALLUX VALGUS (BUNION) CORRECTION, WITH OR 
                              WITHOUT SESAMOIDECTOMY; BY OTHER METHODS  
                              (EG, DOUBLE OSTEOTOMY)                    
280............       29800  ARTHROSCOPY, TEMPOROMANDIBULAR JOINT,      
                              DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL      
                              BIOPSY (SEPARATE PROCEDURE)               
280............       29815  ARTHROSCOPY, SHOULDER, DIAGNOSTIC, WITH OR 
                              WITHOUT SYNOVIAL BIOPSY (SEPARATE         
                              PROCEDURE)                                
280............       29830  ARTHROSCOPY, ELBOW, DIAGNOSTIC, WITH OR    
                              WITHOUT SYNOVIAL BIOPSY (SEPARATE         
                              PROCEDURE)                                
280............       29840  ARTHROSCOPY, WRIST, DIAGNOSTIC, WITH OR    
                              WITHOUT SYNOVIAL BIOPSY (SEPARATE         
                              PROCEDURE)                                
280............       29870  ARTHROSCOPY, KNEE, DIAGNOSTIC, WITH OR     
                              WITHOUT SYNOVIAL BIOPSY (SEPARATE         
                              PROCEDURE)                                
281............       29804  ARTHROSCOPY, TEMPOROMANDIBULAR JOINT,      
                              SURGICAL                                  
281............       29819  ARTHROSCOPY, SHOULDER, SURGICAL; WITH      
                              REMOVAL OF LOOSE BODY OR FOREIGN BODY     

[[Page 32492]]

                                                                        
281............       29820  ARTHROSCOPY, SHOULDER, SURGICAL;           
                              SYNOVECTOMY, PARTIAL                      
281............       29821  ARTHROSCOPY, SHOULDER, SURGICAL;           
                              SYNOVECTOMY, COMPLETE                     
281............       29822  ARTHROSCOPY, SHOULDER, SURGICAL;           
                              DEBRIDEMENT, LIMITED                      
281............       29823  ARTHROSCOPY, SHOULDER, SURGICAL;           
                              DEBRIDEMENT, EXTENSIVE                    
281............       29825  ARTHROSCOPY, SHOULDER, SURGICAL; WITH LYSIS
                              AND RESECTION OF ADHESIONS, WITH OR       
                              WITHOUT MANIPULATION                      
281............       29826  ARTHROSCOPY, SHOULDER, SURGICAL;           
                              DECOMPRESSION OF SUBACROMIAL SPACE WITH   
                              PARTIAL ACROMIOPLASTY, WITH OR WITHOUT    
                              CORACOACROMIAL RELEASE                    
281............       29834  ARTHROSCOPY, ELBOW, SURGICAL; WITH REMOVAL 
                              OF LOOSE BODY OR FOREIGN BODY             
281............       29835  ARTHROSCOPY, ELBOW, SURGICAL; SYNOVECTOMY, 
                              PARTIAL                                   
281............       29836  ARTHROSCOPY, ELBOW, SURGICAL; SYNOVECTOMY, 
                              COMPLETE                                  
281............       29837  ARTHROSCOPY, ELBOW, SURGICAL; DEBRIDEMENT, 
                              LIMITED                                   
281............       29838  ARTHROSCOPY, ELBOW, SURGICAL; DEBRIDEMENT, 
                              EXTENSIVE                                 
281............       29843  ARTHROSCOPY, WRIST, SURGICAL; FOR          
                              INFECTION, LAVAGE AND DRAINAGE            
281............       29844  ARTHROSCOPY, WRIST, SURGICAL; SYNOVECTOMY, 
                              PARTIAL                                   
281............       29845  ARTHROSCOPY, WRIST, SURGICAL; SYNOVECTOMY, 
                              COMPLETE                                  
281............       29846  ARTHROSCOPY, WRIST, SURGICAL; EXCISION AND/
                              OR REPAIR OF TRIANGULAR FIBROCARTILAGE AND/
                              OR JOINT DEBRIDEMENT                      
281............       29847  ARTHROSCOPY, WRIST, SURGICAL; INTERNAL     
                              FIXATION FOR FRACTURE OR INSTABILITY      
281............       29848  ARTHROSCOPY, WRIST, SURGICAL; WITH RELEASE 
                              OF TRANSVERSE CARPAL LIGAMENT             
281............       29860  ARTHROSCOPY, HIP, DIAGNOSTIC WITH OR       
                              WITHOUT SYNOVIAL BIOPSY (SEPARATE         
                              PROCEDURE)                                
281............       29861  ARTHROSCOPY, HIP, SURGICAL; WITH REMOVAL OF
                              LOOSE BODY OR FOREIGN BODY                
281............       29862  ARTHROSCOPY, HIP, SURGICAL; WITH           
                              DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE
                              (CHONDROPLASTY), ABRASION ARTHROPLASTY,   
                              AND/OR RESECTION OF LABRUM                
281............       29863  ARTHROSCOPY, HIP, SURGICAL; WITH           
                              SYNOVECTOMY                               
281............       29874  ARTHROSCOPY, KNEE, SURGICAL; FOR REMOVAL OF
                              LOOSE BODY OR FOREIGN BODY (EG,           
                              OSTEOCHONDRITIS DISSECANS FRAGMENTATION,  
                              CHONDRAL FRAGMENTATION)                   
281............       29875  ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY,  
                              LIMITED (EG, PLICA OR SHELF RESECTION)    
                              (SEPARATE PROCEDURE)                      
281............       29877  ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT/  
                              SHAVING OF ARTICULAR CARTILAGE            
                              (CHONDROPLASTY)                           
281............       29879  ARTHROSCOPY, KNEE, SURGICAL; ABRASION      
                              ARTHROPLASTY (INCLUDES CHONDROPLASTY WHERE
                              NECESSARY) OR MULTIPLE DRILLING           
281............       29880  ARTHROSCOPY, KNEE, SURGICAL; WITH          
                              MENISCECTOMY (MEDIAL AND LATERAL,         
                              INCLUDING ANY MENISCAL SHAVING)           
281............       29881  ARTHROSCOPY, KNEE, SURGICAL; WITH          
                              MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING
                              ANY MENISCAL SHAVING)                     
281............       29884  ARTHROSCOPY, KNEE, SURGICAL; WITH LYSIS OF 
                              ADHESIONS, WITH OR WITHOUT MANIPULATION   
                              (SEPARATE PROCEDURE)                      
281............       29886  ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR  
                              INTACT OSTEOCHONDRITIS DISSECANS LESION   
281............       29894  ARTHROSCOPY, ANKLE (TIBIOTALAR AND         
                              FIBULOTALAR JOINTS), SURGICAL; WITH       
                              REMOVAL OF LOOSE BODY OR FOREIGN BODY     
281............       29895  ARTHROSCOPY, ANKLE (TIBIOTALAR AND         
                              FIBULOTALAR JOINTS), SURGICAL;            
                              SYNOVECTOMY, PARTIAL                      
281............       29897  ARTHROSCOPY, ANKLE (TIBIOTALAR AND         
                              FIBULOTALAR JOINTS), SURGICAL;            
                              DEBRIDEMENT, LIMITED                      
281............       29898  ARTHROSCOPY, ANKLE (TIBIOTALAR AND         
                              FIBULOTALAR JOINTS), SURGICAL;            
                              DEBRIDEMENT, EXTENSIVE                    
282............       29871  ARTHROSCOPY, KNEE, SURGICAL; FOR INFECTION,
                              LAVAGE AND DRAINAGE                       
282............       29876  ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY,  
                              MAJOR, TWO OR MORE COMPARTMENTS (EG,      
                              MEDIAL OR LATERAL)                        
282............       29882  ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS 
                              REPAIR (MEDIAL OR LATERAL)                
282............       29883  ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS 
                              REPAIR (MEDIAL AND LATERAL)               
282............       29885  ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR  
                              OSTEOCHONDRITIS DISSECANS WITH BONE       
                              GRAFTING, WITH OR WITHOUT INTERNAL        
                              FIXATION (INCLUDING DEBRIDEMENT OF BASE OF
                              LESION)                                   
282............       29887  ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR  
                              INTACT OSTEOCHONDRITIS DISSECANS LESION   
                              WITH INTERNAL FIXATION                    
282............       29891  ARTHROSCOPY, ANKLE, SURGICAL; EXCISION OF  
                              OSTEOCHONDRAL DEFECT OF TALUS AND/OR      
                              TIBIA, INCLUDING DRILLING OF THE DEFECT   
286............       29850  ARTHROSCOPICALLY AIDED TREATMENT OF        
                              INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY  
                              FRACTURE(S) OF THE KNEE, WITH OR WITHOUT  
                              MANIPULATION; WITHOUT INTERNAL OR EXTERNAL
                              FIXATION (INCLUDES ARTHROSCOPY)           
286............       29851  ARTHROSCOPICALLY AIDED TREATMENT OF        
                              INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY  
                              FRACTURE(S) OF THE KNEE, WITH OR WITHOUT  
                              MANIPULATION; WITH INTERNAL OR EXTERNAL   
                              FIXATION (INCLUDES ARTHROSCOPY)           
286............       29855  ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL 
                              FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR,
                              WITH OR WITHOUT INTERNAL OR EXTERNAL      
                              FIXATION (INCLUDES ARTHROSCOPY)           
286............       29856  ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL 
                              FRACTURE, PROXIMAL (PLATEAU); BICONDYLAR, 
                              WITH OR WITHOUT INTERNAL OR EXTERNAL      
                              FIXATION (INCLUDES ARTHROSCOPY)           
286............       29888  ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE   
                              LIGAMENT REPAIR/AUGMENTATION OR           
                              RECONSTRUCTION                            
286............       29889  ARTHROSCOPICALLY AIDED POSTERIOR CRUCIATE  
                              LIGAMENT REPAIR/ AUGMENTATION OR          
                              RECONSTRUCTION                            
286............       29892  ARTHROSCOPICALLY AIDED REPAIR OF LARGE     
                              OSTEOCHONDRITIS DISSECANS LESION, TALAR   
                              DOME FRACTURE, OR TIBIAL PLAFOND FRACTURE,
                              WITH OR WITHOUT INTERNAL FIXATION         
                              (INCLUDES ARTHROSCOPY)                    
312............       30801  CAUTERIZATION AND/OR ABLATION, MUCOSA OF   
                              TURBINATES, UNILATERAL OR BILATERAL, ANY  
                              METHOD, (SEPARATE PROCEDURE); SUPERFICIAL 
312............       30802  CAUTERIZATION AND/OR ABLATION, MUCOSA OF   
                              TURBINATES, UNILATERAL OR BILATERAL, ANY  
                              METHOD, (SEPARATE PROCEDURE); INTRAMURAL  
312............       30930  FRACTURE NASAL TURBINATE(S), THERAPEUTIC   
312............       31612  TRACHEAL PUNCTURE, PERCUTANEOUS WITH       
                              TRANSTRACHEAL ASPIRATION AND/OR INJECTION 
312............       40830  CLOSURE OF LACERATION, VESTIBULE OF MOUTH; 
                              2.5 CM OR LESS                            
312............       40831  CLOSURE OF LACERATION, VESTIBULE OF MOUTH; 
                              OVER 2.5 CM OR COMPLEX                    
312............       41250  REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR 
                              OF MOUTH AND/OR ANTERIOR TWO-THIRDS OF    
                              TONGUE                                    
312............       41251  REPAIR OF LACERATION 2.5 CM OR LESS;       
                              POSTERIOR ONE-THIRD OF TONGUE             
312............       41252  REPAIR OF LACERATION OF TONGUE, FLOOR OF   
                              MOUTH, OVER 2.6 CM OR COMPLEX             
312............       41500  FIXATION OF TONGUE, MECHANICAL, OTHER THAN 
                              SUTURE (EG, K-WIRE)                       
312............       41510  SUTURE OF TONGUE TO LIP FOR MICROGNATHIA   
                              (DOUGLAS TYPE PROCEDURE)                  
312............       41800  DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM   
                              DENTOALVEOLAR STRUCTURES                  

[[Page 32493]]

                                                                        
312............       42300  DRAINAGE OF ABSCESS; PAROTID, SIMPLE       
312............       42305  DRAINAGE OF ABSCESS; PAROTID, COMPLICATED  
312............       42310  DRAINAGE OF ABSCESS; SUBMAXILLARY OR       
                              SUBLINGUAL, INTRAORAL                     
312............       42320  DRAINAGE OF ABSCESS; SUBMAXILLARY, EXTERNAL
312............       42405  BIOPSY OF SALIVARY GLAND; INCISIONAL       
312............       42700  INCISION AND DRAINAGE ABSCESS;             
                              PERITONSILLAR                             
312............       42720  INCISION AND DRAINAGE ABSCESS;             
                              RETROPHARYNGEAL OR PARAPHARYNGEAL,        
                              INTRAORAL APPROACH                        
312............       42800  BIOPSY; OROPHARYNX                         
312............       42802  BIOPSY; HYPOPHARYNX                        
312............       42804  BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE
312............       42806  BIOPSY; NASOPHARYNX, SURVEY FOR UNKNOWN    
                              PRIMARY LESION                            
312............       42808  EXCISION OR DESTRUCTION OF LESION OF       
                              PHARYNX, ANY METHOD                       
312............       60000  INCISION AND DRAINAGE OF THYROGLOSSAL CYST,
                              INFECTED                                  
312............       69421  MYRINGOTOMY INCLUDING ASPIRATION AND/OR    
                              EUSTACHIAN TUBE INFLATION REQUIRING       
                              GENERAL ANESTHESIA                        
312............       69433  TYMPANOSTOMY (REQUIRING INSERTION OF       
                              VENTILATING TUBE), LOCAL OR TOPICAL       
                              ANESTHESIA                                
312............       69436  TYMPANOSTOMY (REQUIRING INSERTION OF       
                              VENTILATING TUBE), GENERAL ANESTHESIA     
313............       30115  EXCISION, NASAL POLYP(S), EXTENSIVE        
313............       30118  EXCISION OR DESTRUCTION, ANY METHOD        
                              (INCLUDING LASER), INTRANASAL LESION;     
                              EXTERNAL APPROACH (LATERAL RHINOTOMY)     
313............       30120  EXCISION OR SURGICAL PLANING OF SKIN OF    
                              NOSE FOR RHINOPHYMA                       
313............       30125  EXCISION DERMOID CYST, NOSE; COMPLEX, UNDER
                              BONE OR CARTILAGE                         
313............       30130  EXCISION TURBINATE, PARTIAL OR COMPLETE    
313............       30140  SUBMUCOUS RESECTION TURBINATE, PARTIAL OR  
                              COMPLETE                                  
313............       30150  RHINECTOMY; PARTIAL                        
313............       30160  RHINECTOMY; TOTAL                          
313............       30310  REMOVAL FOREIGN BODY, INTRANASAL; REQUIRING
                              GENERAL ANESTHESIA                        
313............       30320  REMOVAL FOREIGN BODY, INTRANASAL; BY       
                              LATERAL RHINOTOMY                         
313............       30430  RHINOPLASTY, SECONDARY; MINOR REVISION     
                              (SMALL AMOUNT OF NASAL TIP WORK)          
313............       30520  SEPTOPLASTY OR SUBMUCOUS RESECTION, WITH OR
                              WITHOUT CARTILAGE SCORING, CONTOURING OR  
                              REPLACEMENT WITH GRAFT                    
313............       30540  REPAIR CHOANAL ATRESIA; INTRANASAL         
313............       30580  REPAIR FISTULA; OROMAXILLARY (COMBINE WITH 
                              31030 IF ANTROTOMY IS INCLUDED)           
313............       30600  REPAIR FISTULA; ORONASAL                   
313............       30620  SEPTAL OR OTHER INTRANASAL DERMATOPLASTY   
                              (DOES NOT INCLUDE OBTAINING GRAFT)        
313............       30630  REPAIR NASAL SEPTAL PERFORATIONS           
313............       31020  SINUSOTOMY, MAXILLARY (ANTROTOMY);         
                              INTRANASAL                                
313............       31030  SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL 
                              (CALDWELL-LUC) WITHOUT REMOVAL OF         
                              ANTROCHOANAL POLYPS                       
313............       31032  SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL 
                              (CALDWELL-LUC) WITH REMOVAL OF            
                              ANTROCHOANAL POLYPS                       
313............       31050  SINUSOTOMY, SPHENOID, WITH OR WITHOUT      
                              BIOPSY;                                   
313............       31051  SINUSOTOMY, SPHENOID, WITH OR WITHOUT      
                              BIOPSY; WITH MUCOSAL STRIPPING OR REMOVAL 
                              OF POLYP(S)                               
313............       31070  SINUSOTOMY FRONTAL; EXTERNAL, SIMPLE       
                              (TREPHINE OPERATION)                      
313............       31200  ETHMOIDECTOMY; INTRANASAL, ANTERIOR        
313............       31320  LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE);   
                              DIAGNOSTIC                                
313............       31595  SECTION RECURRENT LARYNGEAL NERVE,         
                              THERAPEUTIC (SEPARATE PROCEDURE),         
                              UNILATERAL                                
313............       31611  CONSTRUCTION OF TRACHEOESOPHAGEAL FISTULA  
                              AND SUBSEQUENT INSERTION OF AN ALARYNGEAL 
                              SPEECH PROSTHESIS (EG, VOICE BUTTON, BLOM-
                              SINGER PROSTHESIS)                        
313............       31613  TRACHEOSTOMA REVISION; SIMPLE, WITHOUT FLAP
                              ROTATION                                  
313............       31614  TRACHEOSTOMA REVISION; COMPLEX, WITH FLAP  
                              ROTATION                                  
313............       31820  SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA;  
                              WITHOUT PLASTIC REPAIR                    
313............       31825  SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA;  
                              WITH PLASTIC REPAIR                       
313............       31830  REVISION OF TRACHEOSTOMY SCAR              
313............       40500  VERMILIONECTOMY (LIP SHAVE), WITH MUCOSAL  
                              ADVANCEMENT                               
313............       40510  EXCISION OF LIP; TRANSVERSE WEDGE EXCISION 
                              WITH PRIMARY CLOSURE                      
313............       40520  EXCISION OF LIP; V-EXCISION WITH PRIMARY   
                              DIRECT LINEAR CLOSURE                     
313............       40525  EXCISION OF LIP; FULL THICKNESS,           
                              RECONSTRUCTION WITH LOCAL FLAP (EG,       
                              ESTLANDER OR FAN)                         
313............       40527  EXCISION OF LIP; FULL THICKNESS,           
                              RECONSTRUCTION WITH CROSS LIP FLAP (ABBE- 
                              ESTLANDER)                                
313............       40530  RESECTION OF LIP, MORE THAN ONE-FOURTH,    
                              WITHOUT RECONSTRUCTION                    
313............       40650  REPAIR LIP, FULL THICKNESS; VERMILION ONLY 
313............       40652  REPAIR LIP, FULL THICKNESS; UP TO HALF     
                              VERTICAL HEIGHT                           
313............       40654  REPAIR LIP, FULL THICKNESS; OVER ONE-HALF  
                              VERTICAL HEIGHT, OR COMPLEX               
313............       40814  EXCISION OF LESION OF MUCOSA AND SUBMUCOSA,
                              VESTIBULE OF MOUTH; WITH COMPLEX REPAIR   
313............       40816  EXCISION OF LESION OF MUCOSA AND SUBMUCOSA,
                              VESTIBULE OF MOUTH; COMPLEX, WITH EXCISION
                              OF UNDERLYING MUSCLE                      
313............       40818  EXCISION OF MUCOSA OF VESTIBULE OF MOUTH AS
                              DONOR GRAFT                               
313............       40819  EXCISION OF FRENUM, LABIAL OR BUCCAL       
                              (FRENUMECTOMY, FRENULECTOMY, FRENECTOMY)  
313............       40840  VESTIBULOPLASTY; ANTERIOR                  
313............       40842  VESTIBULOPLASTY; POSTERIOR, UNILATERAL     
313............       41006  INTRAORAL INCISION AND DRAINAGE OF ABSCESS,
                              CYST, OR HEMATOMA OF TONGUE OR FLOOR OF   
                              MOUTH; SUBLINGUAL, DEEP, SUPRAMYLOHYOID   
313............       41007  INTRAORAL INCISION AND DRAINAGE OF ABSCESS,
                              CYST, OR HEMATOMA OF TONGUE OR FLOOR OF   
                              MOUTH; SUBMENTAL SPACE                    
313............       41008  INTRAORAL INCISION AND DRAINAGE OF ABSCESS,
                              CYST, OR HEMATOMA OF TONGUE OR FLOOR OF   
                              MOUTH; SUBMANDIBULAR SPACE                
313............       41009  INTRAORAL INCISION AND DRAINAGE OF ABSCESS,
                              CYST, OR HEMATOMA OF TONGUE OR FLOOR OF   
                              MOUTH; MASTICATOR SPACE                   

[[Page 32494]]

                                                                        
313............       41010  INCISION OF LINGUAL FRENUM (FRENOTOMY)     
313............       41015  EXTRAORAL INCISION AND DRAINAGE OF ABSCESS,
                              CYST, OR HEMATOMA OF FLOOR OF MOUTH;      
                              SUBLINGUAL                                
313............       41016  EXTRAORAL INCISION AND DRAINAGE OF ABSCESS,
                              CYST, OR HEMATOMA OF FLOOR OF MOUTH;      
                              SUBMENTAL                                 
313............       41017  EXTRAORAL INCISION AND DRAINAGE OF ABSCESS,
                              CYST, OR HEMATOMA OF FLOOR OF MOUTH;      
                              SUBMANDIBULAR                             
313............       41018  EXTRAORAL INCISION AND DRAINAGE OF ABSCESS,
                              CYST, OR HEMATOMA OF FLOOR OF MOUTH;      
                              MASTICATOR SPACE                          
313............       41112  EXCISION OF LESION OF TONGUE WITH CLOSURE; 
                              ANTERIOR TWO-THIRDS                       
313............       41113  EXCISION OF LESION OF TONGUE WITH CLOSURE; 
                              POSTERIOR ONE-THIRD                       
313............       41114  EXCISION OF LESION OF TONGUE WITH CLOSURE; 
                              WITH LOCAL TONGUE FLAP                    
313............       41116  EXCISION, LESION OF FLOOR OF MOUTH         
313............       41120  GLOSSECTOMY; LESS THAN ONE-HALF TONGUE     
313............       41520  FRENOPLASTY (SURGICAL REVISION OF FRENUM,  
                              EG, WITH Z-PLASTY)                        
313............       41827  EXCISION OF LESION OR TUMOR (EXCEPT LISTED 
                              ABOVE), DENTOALVEOLAR STRUCTURES; WITH    
                              COMPLEX REPAIR                            
313............       42107  EXCISION, LESION OF PALATE, UVULA; WITH    
                              LOCAL FLAP CLOSURE                        
313............       42120  RESECTION OF PALATE OR EXTENSIVE RESECTION 
                              OF LESION                                 
313............       42180  REPAIR, LACERATION OF PALATE; UP TO 2 CM   
313............       42182  REPAIR, LACERATION OF PALATE; OVER 2 CM OR 
                              COMPLEX                                   
313............       42200  PALATOPLASTY FOR CLEFT PALATE, SOFT AND/OR 
                              HARD PALATE ONLY                          
313............       42205  PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE
                              OF ALVEOLAR RIDGE; SOFT TISSUE ONLY       
313............       42215  PALATOPLASTY FOR CLEFT PALATE; MAJOR       
                              REVISION                                  
313............       42220  PALATOPLASTY FOR CLEFT PALATE; SECONDARY   
                              LENGTHENING PROCEDURE                     
313............       42235  REPAIR OF ANTERIOR PALATE, INCLUDING VOMER 
                              FLAP                                      
313............       42260  REPAIR OF NASOLABIAL FISTULA               
313............       42325  FISTULIZATION OF SUBLINGUAL SALIVARY CYST  
                              (RANULA);                                 
313............       42326  FISTULIZATION OF SUBLINGUAL SALIVARY CYST  
                              (RANULA); WITH PROSTHESIS                 
313............       42340  SIALOLITHOTOMY; PAROTID, EXTRAORAL OR      
                              COMPLICATED INTRAORAL                     
313............       42408  EXCISION OF SUBLINGUAL SALIVARY CYST       
                              (RANULA)                                  
313............       42409  MARSUPIALIZATION OF SUBLINGUAL SALIVARY    
                              CYST (RANULA)                             
313............       42410  EXCISION OF PAROTID TUMOR OR PAROTID GLAND;
                              LATERAL LOBE, WITHOUT NERVE DISSECTION    
313............       42440  EXCISION OF SUBMANDIBULAR (SUBMAXILLARY)   
                              GLAND                                     
313............       42450  EXCISION OF SUBLINGUAL GLAND               
313............       42500  PLASTIC REPAIR OF SALIVARY DUCT,           
                              SIALODOCHOPLASTY; PRIMARY OR SIMPLE       
313............       42505  PLASTIC REPAIR OF SALIVARY DUCT,           
                              SIALODOCHOPLASTY; SECONDARY OR COMPLICATED
313............       42507  PAROTID DUCT DIVERSION, BILATERAL (WILKE   
                              TYPE PROCEDURE);                          
313............       42508  PAROTID DUCT DIVERSION, BILATERAL (WILKE   
                              TYPE PROCEDURE); WITH EXCISION OF ONE     
                              SUBMANDIBULAR GLAND                       
313............       42510  PAROTID DUCT DIVERSION, BILATERAL (WILKE   
                              TYPE PROCEDURE); WITH LIGATION OF BOTH    
                              SUBMANDIBULAR (WHARTON'S) DUCTS           
313............       42600  CLOSURE SALIVARY FISTULA                   
313............       42725  INCISION AND DRAINAGE ABSCESS;             
                              RETROPHARYNGEAL OR PARAPHARYNGEAL,        
                              EXTERNAL APPROACH                         
313............       42810  EXCISION BRANCHIAL CLEFT CYST OR VESTIGE,  
                              CONFINED TO SKIN AND SUBCUTANEOUS TISSUES 
313............       42815  EXCISION BRANCHIAL CLEFT CYST, VESTIGE, OR 
                              FISTULA, EXTENDING BENEATH SUBCUTANEOUS   
                              TISSUES AND/OR INTO PHARYNX               
313............       42900  SUTURE PHARYNX FOR WOUND OR INJURY         
313............       42950  PHARYNGOPLASTY (PLASTIC OR RECONSTRUCTIVE  
                              OPERATION ON PHARYNX)                     
313............       42955  PHARYNGOSTOMY (FISTULIZATION OF PHARYNX,   
                              EXTERNAL FOR FEEDING)                     
313............       42962  CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY  
                              OR SECONDARY (EG, POST-TONSILLECTOMY);    
                              WITH SECONDARY SURGICAL INTERVENTION      
313............       42972  CONTROL OF NASOPHARYNGEAL HEMORRHAGE,      
                              PRIMARY OR SECONDARY (EG,                 
                              POSTADENOIDECTOMY); WITH SECONDARY        
                              SURGICAL INTERVENTION                     
313............       43020  ESOPHAGOTOMY, CERVICAL APPROACH, WITH      
                              REMOVAL OF FOREIGN BODY                   
313............       43030  CRICOPHARYNGEAL MYOTOMY                    
313............       69120  EXCISION EXTERNAL EAR; COMPLETE AMPUTATION 
313............       69140  EXCISION EXOSTOSIS(ES), EXTERNAL AUDITORY  
                              CANAL                                     
313............       69300  OTOPLASTY, PROTRUDING EAR, WITH OR WITHOUT 
                              SIZE REDUCTION                            
313............       69440  MIDDLE EAR EXPLORATION THROUGH             
                              POSTAURICULAR OR EAR CANAL INCISION       
313............       69450  TYMPANOLYSIS, TRANSCANAL                   
313............       69620  MYRINGOPLASTY (SURGERY CONFINED TO DRUMHEAD
                              AND DONOR AREA)                           
314............       30400  RHINOPLASTY, PRIMARY; LATERAL AND ALAR     
                              CARTILAGES AND/OR ELEVATION OF NASAL TIP  
314............       30410  RHINOPLASTY, PRIMARY; COMPLETE, EXTERNAL   
                              PARTS INCLUDING BONY PYRAMID, LATERAL AND 
                              ALAR CARTILAGES, AND/OR ELEVATION OF NASAL
                              TIP                                       
314............       30420  RHINOPLASTY, PRIMARY; INCLUDING MAJOR      
                              SEPTAL REPAIR                             
314............       30435  RHINOPLASTY, SECONDARY; INTERMEDIATE       
                              REVISION (BONY WORK WITH OSTEOTOMIES)     
314............       30450  RHINOPLASTY, SECONDARY; MAJOR REVISION     
                              (NASAL TIP WORK AND OSTEOTOMIES)          
314............       30460  RHINOPLASTY FOR NASAL DEFORMITY SECONDARY  
                              TO CONGENITAL CLEFT LIP AND/OR PALATE,    
                              INCLUDING COLUMELLAR LENGTHENING; TIP ONLY
314............       30462  RHINOPLASTY FOR NASAL DEFORMITY SECONDARY  
                              TO CONGENITAL CLEFT LIP AND/OR PALATE,    
                              INCLUDING COLUMELLAR LENGTHENING; TIP,    
                              SEPTUM, OSTEOTOMIES                       
314............       30545  REPAIR CHOANAL ATRESIA; TRANSPALATINE      
314............       31040  PTERYGOMAXILLARY FOSSA SURGERY, ANY        
                              APPROACH                                  
314............       31075  SINUSOTOMY FRONTAL; TRANSORBITAL,          
                              UNILATERAL (FOR MUCOCELE OR OSTEOMA, LYNCH
                              TYPE)                                     
314............       31080  SINUSOTOMY FRONTAL; OBLITERATIVE WITHOUT   
                              OSTEOPLASTIC FLAP, BROW INCISION (INCLUDES
                              ABLATION)                                 
314............       31081  SINUSOTOMY FRONTAL; OBLITERATIVE, WITHOUT  
                              OSTEOPLASTIC FLAP, CORONAL INCISION       
                              (INCLUDES ABLATION)                       
314............       31084  SINUSOTOMY FRONTAL; OBLITERATIVE, WITH     
                              OSTEOPLASTIC FLAP, BROW INCISION          
314............       31085  SINUSOTOMY FRONTAL; OBLITERATIVE, WITH     
                              OSTEOPLASTIC FLAP, CORONAL INCISION       
314............       31086  SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH  
                              OSTEOPLASTIC FLAP, BROW INCISION          
314............       31087  SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH  
                              OSTEOPLASTIC FLAP, CORONAL INCISION       

[[Page 32495]]

                                                                        
314............       31090  SINUSOTOMY COMBINED, THREE OR MORE SINUSES 
                              (UNILATERAL)                              
314............       31201  ETHMOIDECTOMY; INTRANASAL, TOTAL           
314............       31205  ETHMOIDECTOMY; EXTRANASAL, TOTAL           
314............       31300  LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE);   
                              WITH REMOVAL OF TUMOR OR LARYNGOCELE,     
                              CORDECTOMY                                
314............       31400  ARYTENOIDECTOMY OR ARYTENOIDOPEXY, EXTERNAL
                              APPROACH                                  
314............       31420  EPIGLOTTIDECTOMY                           
314............       31588  LARYNGOPLASTY, NOT OTHERWISE SPECIFIED (EG,
                              FOR BURNS, RECONSTRUCTION AFTER PARTIAL   
                              LARYNGECTOMY)                             
314............       31590  LARYNGEAL REINNERVATION BY NEUROMUSCULAR   
                              PEDICLE                                   
314............       31750  TRACHEOPLASTY; CERVICAL                    
314............       31755  TRACHEOPLASTY; TRACHEOPHARYNGEAL           
                              FISTULIZATION, EACH STAGE                 
314............       40700  PLASTIC REPAIR OF CLEFT LIP/NASAL          
                              DEFORMITY; PRIMARY, PARTIAL OR COMPLETE,  
                              UNILATERAL                                
314............       40701  PLASTIC REPAIR OF CLEFT LIP/NASAL          
                              DEFORMITY; PRIMARY BILATERAL, ONE STAGE   
                              PROCEDURE                                 
314............       40702  PLASTIC REPAIR OF CLEFT LIP/NASAL          
                              DEFORMITY; PRIMARY BILATERAL, ONE OF TWO  
                              STAGES                                    
314............       40720  PLASTIC REPAIR OF CLEFT LIP/NASAL          
                              DEFORMITY; SECONDARY, BY RECREATION OF    
                              DEFECT AND RECLOSURE                      
314............       40761  PLASTIC REPAIR OF CLEFT LIP/NASAL          
                              DEFORMITY; WITH CROSS LIP PEDICLE FLAP    
                              (ABBE-ESTLANDER TYPE), INCLUDING          
                              SECTIONING AND INSERTING OF PEDICLE       
314............       40843  VESTIBULOPLASTY; POSTERIOR, BILATERAL      
314............       40844  VESTIBULOPLASTY; ENTIRE ARCH               
314............       40845  VESTIBULOPLASTY; COMPLEX (INCLUDING RIDGE  
                              EXTENSION, MUSCLE REPOSITIONING)          
314............       42210  PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE
                              OF ALVEOLAR RIDGE; WITH BONE GRAFT TO     
                              ALVEOLAR RIDGE (INCLUDES OBTAINING GRAFT) 
314............       42225  PALATOPLASTY FOR CLEFT PALATE; ATTACHMENT  
                              PHARYNGEAL FLAP                           
314............       42226  LENGTHENING OF PALATE, AND PHARYNGEAL FLAP 
314............       42227  LENGTHENING OF PALATE, WITH ISLAND FLAP    
314............       42415  EXCISION OF PAROTID TUMOR OR PAROTID GLAND;
                              LATERAL LOBE, WITH DISSECTION AND         
                              PRESERVATION OF FACIAL NERVE              
314............       42420  EXCISION OF PAROTID TUMOR OR PAROTID GLAND;
                              TOTAL, WITH DISSECTION AND PRESERVATION OF
                              FACIAL NERVE                              
314............       42425  EXCISION OF PAROTID TUMOR OR PAROTID GLAND;
                              TOTAL, EN BLOC REMOVAL WITH SACRIFICE OF  
                              FACIAL NERVE                              
314............       42509  PAROTID DUCT DIVERSION, BILATERAL (WILKE   
                              TYPE PROCEDURE); WITH EXCISION OF BOTH    
                              SUBMANDIBULAR GLANDS                      
314............       42842  RADICAL RESECTION OF TONSIL, TONSILLAR     
                              PILLARS, AND/OR RETROMOLAR TRIGONE;       
                              WITHOUT CLOSURE                           
314............       42844  RADICAL RESECTION OF TONSIL, TONSILLAR     
                              PILLARS, AND/OR RETROMOLAR TRIGONE;       
                              CLOSURE WITH LOCAL FLAP (EG, TONGUE,      
                              BUCCAL)                                   
314............       42890  LIMITED PHARYNGECTOMY                      
314............       42892  RESECTION OF LATERAL PHARYNGEAL WALL OR    
                              PYRIFORM SINUS, DIRECT CLOSURE BY         
                              ADVANCEMENT OF LATERAL AND POSTERIOR      
                              PHARYNGEAL WALLS                          
314............       69150  RADICAL EXCISION EXTERNAL AUDITORY CANAL   
                              LESION; WITHOUT NECK DISSECTION           
314............       69310  RECONSTRUCTION OF EXTERNAL AUDITORY CANAL  
                              (MEATOPLASTY) (EG, FOR STENOSIS DUE TO    
                              TRAUMA, INFECTION) (SEPARATE PROCEDURE)   
314............       69320  RECONSTRUCTION EXTERNAL AUDITORY CANAL FOR 
                              CONGENITAL ATRESIA, SINGLE STAGE          
314............       69501  TRANSMASTOID ANTROTOMY (``SIMPLE''         
                              MASTOIDECTOMY)                            
314............       69502  MASTOIDECTOMY; COMPLETE                    
314............       69505  MASTOIDECTOMY; MODIFIED RADICAL            
314............       69511  MASTOIDECTOMY; RADICAL                     
314............       69530  PETROUS APICECTOMY INCLUDING RADICAL       
                              MASTOIDECTOMY                             
314............       69550  EXCISION AURAL GLOMUS TUMOR; TRANSCANAL    
314............       69552  EXCISION AURAL GLOMUS TUMOR; TRANSMASTOID  
314............       69601  REVISION MASTOIDECTOMY; RESULTING IN       
                              COMPLETE MASTOIDECTOMY                    
314............       69602  REVISION MASTOIDECTOMY; RESULTING IN       
                              MODIFIED RADICAL MASTOIDECTOMY            
314............       69603  REVISION MASTOIDECTOMY; RESULTING IN       
                              RADICAL MASTOIDECTOMY                     
314............       69604  REVISION MASTOIDECTOMY; RESULTING IN       
                              TYMPANOPLASTY                             
314............       69605  REVISION MASTOIDECTOMY; WITH APICECTOMY    
314............       69631  TYMPANOPLASTY WITHOUT MASTOIDECTOMY        
                              (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR 
                              MIDDLE EAR SURGERY), INITIAL OR REVISION; 
                              WITHOUT OSSICULAR CHAIN RECONSTRUCTION    
314............       69632  TYMPANOPLASTY WITHOUT MASTOIDECTOMY        
                              (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR 
                              MIDDLE EAR SURGERY), INITIAL OR REVISION; 
                              WITH OSSICULAR CHAIN RECONSTRUCTION (EG,  
                              POSTFENESTRATION)                         
314............       69633  TYMPANOPLASTY WITHOUT MASTOIDECTOMY        
                              (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR 
                              MIDDLE EAR SURGERY), INITIAL OR REVISION; 
                              WITH OSSICULAR CHAIN RECONSTRUCTION AND   
                              SYNTHETIC PROSTHESIS (EG, PARTIAL         
                              OSSICULAR REPLACEMENT PROSTHESIS (PORP),  
                              TOTAL OSSICULAR REPLACEMENT PROSTHESIS    
                              (TORP))                                   
314............       69635  TYMPANOPLASTY WITH ANTROTOMY OR            
                              MASTOIDOTOMY (INCLUDING CANALPLASTY,      
                              ATTICOTOMY, MIDDLE EAR SURGERY, AND/OR    
                              TYMPANIC MEMBRANE REPAIR); WITHOUT        
                              OSSICULAR CHAIN RECONSTRUCTION            
314............       69636  TYMPANOPLASTY WITH ANTROTOMY OR            
                              MASTOIDOTOMY (INCLUDING CANALPLASTY,      
                              ATTICOTOMY, MIDDLE EAR SURGERY, AND/OR    
                              TYMPANIC MEMBRANE REPAIR); WITH OSSICULAR 
                              CHAIN RECONSTRUCTION                      
314............       69637  TYMPANOPLASTY WITH ANTROTOMY OR            
                              MASTOIDOTOMY (INCLUDING CANALPLASTY,      
                              ATTICOTOMY, MIDDLE EAR SURGERY, AND/OR    
                              TYMPANIC MEMBRANE REPAIR); WITH OSSICULAR 
                              CHAIN RECONSTRUCTION AND SYNTHETIC        
                              PROSTHESIS (EG, PARTIAL OSSICULAR         
                              REPLACEMENT PROSTHESIS (PORP), TOTAL      
                              OSSICULAR REPLACEMENT PROSTHESIS (TORP))  
314............       69641  TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
                              CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC 
                              MEMBRANE REPAIR); WITHOUT OSSICULAR CHAIN 
                              RECONSTRUCTION                            
314............       69642  TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
                              CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC 
                              MEMBRANE REPAIR); WITH OSSICULAR CHAIN    
                              RECONSTRUCTION                            
314............       69643  TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
                              CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC 
                              MEMBRANE REPAIR); WITH INTACT OR          
                              RECONSTRUCTED WALL, WITHOUT OSSICULAR     
                              CHAIN RECONSTRUCTION                      
314............       69644  TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
                              CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC 
                              MEMBRANE REPAIR); WITH INTACT OR          
                              RECONSTRUCTED CANAL WALL, WITH OSSICULAR  
                              CHAIN RECONSTRUCTION                      
314............       69645  TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
                              CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC 
                              MEMBRANE REPAIR); RADICAL OR COMPLETE,    
                              WITHOUT OSSICULAR CHAIN RECONSTRUCTION    

[[Page 32496]]

                                                                        
314............       69646  TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
                              CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC 
                              MEMBRANE REPAIR); RADICAL OR COMPLETE,    
                              WITH OSSICULAR CHAIN RECONSTRUCTION       
314............       69650  STAPES MOBILIZATION                        
314............       69660  STAPEDECTOMY OR STAPEDOTOMY WITH           
                              REESTABLISHMENT OF OSSICULAR CONTINUITY,  
                              WITH OR WITHOUT USE OF FOREIGN MATERIAL;  
314............       69661  STAPEDECTOMY OR STAPEDOTOMY WITH           
                              REESTABLISHMENT OF OSSICULAR CONTINUITY,  
                              WITH OR WITHOUT USE OF FOREIGN MATERIAL;  
                              WITH FOOTPLATE DRILL OUT                  
314............       69662  REVISION OF STAPEDECTOMY OR STAPEDOTOMY    
314............       69666  REPAIR OVAL WINDOW FISTULA                 
314............       69667  REPAIR ROUND WINDOW FISTULA                
314............       69670  MASTOID OBLITERATION (SEPARATE PROCEDURE)  
314............       69676  TYMPANIC NEURECTOMY                        
314............       69700  CLOSURE POSTAURICULAR FISTULA, MASTOID     
                              (SEPARATE PROCEDURE)                      
314............       69711  REMOVAL OR REPAIR OF ELECTROMAGNETIC BONE  
                              CONDUCTION HEARING DEVICE IN TEMPORAL BONE
314............       69720  DECOMPRESSION FACIAL NERVE, INTRATEMPORAL; 
                              LATERAL TO GENICULATE GANGLION            
314............       69725  DECOMPRESSION FACIAL NERVE, INTRATEMPORAL; 
                              INCLUDING MEDIAL TO GENICULATE GANGLION   
314............       69740  SUTURE FACIAL NERVE, INTRATEMPORAL, WITH OR
                              WITHOUT GRAFT OR DECOMPRESSION; LATERAL TO
                              GENICULATE GANGLION                       
314............       69745  SUTURE FACIAL NERVE, INTRATEMPORAL, WITH OR
                              WITHOUT GRAFT OR DECOMPRESSION; INCLUDING 
                              MEDIAL TO GENICULATE GANGLION             
314............       69801  LABYRINTHOTOMY, WITH OR WITHOUT CRYOSURGERY
                              INCLUDING OTHER NONEXCISIONAL DESTRUCTIVE 
                              PROCEDURES OR PERFUSION OF VESTIBULOACTIVE
                              DRUGS (SINGLE OR MULTIPLE PERFUSIONS);    
                              TRANSCANAL                                
314............       69802  LABYRINTHOTOMY, WITH OR WITHOUT CRYOSURGERY
                              INCLUDING OTHER NONEXCISIONAL DESTRUCTIVE 
                              PROCEDURES OR PERFUSION OF VESTIBULOACTIVE
                              DRUGS (SINGLE OR MULTIPLE PERFUSIONS);    
                              WITH MASTOIDECTOMY                        
314............       69805  ENDOLYMPHATIC SAC OPERATION; WITHOUT SHUNT 
314............       69806  ENDOLYMPHATIC SAC OPERATION; WITH SHUNT    
314............       69820  FENESTRATION SEMICIRCULAR CANAL            
314............       69840  REVISION FENESTRATION OPERATION            
314............       69905  LABYRINTHECTOMY; TRANSCANAL                
314............       69910  LABYRINTHECTOMY; WITH MASTOIDECTOMY        
314............       69915  VESTIBULAR NERVE SECTION, TRANSLABYRINTHINE
                              APPROACH                                  
317............       69930  COCHLEAR DEVICE IMPLANTATION, WITH OR      
                              WITHOUT MASTOIDECTOMY                     
318............       30901  CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE 
                              (LIMITED CAUTERY AND/OR PACKING) ANY      
                              METHOD                                    
318............       30903  CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX
                              (EXTENSIVE CAUTERY AND/OR PACKING) ANY    
                              METHOD                                    
318............       30905  CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH  
                              POSTERIOR NASAL PACKS AND/OR              
                              CAUTERIZATION, ANY METHOD; INITIAL        
318............       30906  CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH  
                              POSTERIOR NASAL PACKS AND/OR              
                              CAUTERIZATION, ANY METHOD; SUBSEQUENT     
318............       42960  CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY  
                              OR SECONDARY (EG, POST-TONSILLECTOMY);    
                              SIMPLE                                    
318............       42970  CONTROL OF NASOPHARYNGEAL HEMORRHAGE,      
                              PRIMARY OR SECONDARY (EG,                 
                              POSTADENOIDECTOMY); SIMPLE, WITH POSTERIOR
                              NASAL PACKS, WITH OR WITHOUT ANTERIOR     
                              PACKS AND/OR CAUTERIZATION                
319............       42820  TONSILLECTOMY AND ADENOIDECTOMY; UNDER AGE 
                              12                                        
319............       42821  TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR 
                              OVER                                      
319............       42825  TONSILLECTOMY, PRIMARY OR SECONDARY; UNDER 
                              AGE 12                                    
319............       42826  TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12
                              OR OVER                                   
319............       42830  ADENOIDECTOMY, PRIMARY; UNDER AGE 12       
319............       42831  ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER     
319............       42835  ADENOIDECTOMY, SECONDARY; UNDER AGE 12     
319............       42836  ADENOIDECTOMY, SECONDARY; AGE 12 OR OVER   
319............       42860  EXCISION OF TONSIL TAGS                    
319............       42870  EXCISION OR DESTRUCTION LINGUAL TONSIL, ANY
                              METHOD (SEPARATE PROCEDURE)               
320............       32000  THORACENTESIS, PUNCTURE OF PLEURAL CAVITY  
                              FOR ASPIRATION, INITIAL OR SUBSEQUENT     
320............       32420  PNEUMONOCENTESIS, PUNCTURE OF LUNG FOR     
                              ASPIRATION                                
320............       32960  PNEUMOTHORAX, THERAPEUTIC, INTRAPLEURAL    
                              INJECTION OF AIR                          
320............       33010  PERICARDIOCENTESIS; INITIAL                
320............       33011  PERICARDIOCENTESIS; SUBSEQUENT             
320............       49080  PERITONEOCENTESIS, ABDOMINAL PARACENTESIS, 
                              OR PERITONEAL LAVAGE (DIAGNOSTIC OR       
                              THERAPEUTIC); INITIAL                     
320............       49081  PERITONEOCENTESIS, ABDOMINAL PARACENTESIS, 
                              OR PERITONEAL LAVAGE (DIAGNOSTIC OR       
                              THERAPEUTIC); SUBSEQUENT                  
332............       31233  NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH     
                              MAXILLARY SINUSOSCOPY (VIA INFERIOR MEATUS
                              OR CANINE FOSSA PUNCTURE)                 
332............       31235  NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH     
                              SPHENOID SINUSOSCOPY (VIA PUNCTURE OF     
                              SPHENOIDAL FACE OR CANNULATION OF OSTIUM) 
332............       31237  NASAL/SINUS ENDOSCOPY, SURGICAL; WITH      
                              BIOPSY, POLYPECTOMY OR DEBRIDEMENT        
                              (SEPARATE PROCEDURE)                      
332............       31238  NASAL/SINUS ENDOSCOPY, SURGICAL; WITH      
                              CONTROL OF EPISTAXIS                      
332............       31240  NASAL/SINUS ENDOSCOPY, SURGICAL; WITH      
                              CONCHA BULLOSA RESECTION                  
332............       31510  LARYNGOSCOPY, INDIRECT (SEPARATE           
                              PROCEDURE); WITH BIOPSY                   
332............       31511  LARYNGOSCOPY, INDIRECT (SEPARATE           
                              PROCEDURE); WITH REMOVAL OF FOREIGN BODY  
332............       31512  LARYNGOSCOPY, INDIRECT (SEPARATE           
                              PROCEDURE); WITH REMOVAL OF LESION        
332............       31513  LARYNGOSCOPY, INDIRECT (SEPARATE           
                              PROCEDURE); WITH VOCAL CORD INJECTION     
332............       31515  LARYNGOSCOPY DIRECT, WITH OR WITHOUT       
                              TRACHEOSCOPY; FOR ASPIRATION              
332............       31520  LARYNGOSCOPY DIRECT, WITH OR WITHOUT       
                              TRACHEOSCOPY; DIAGNOSTIC, NEWBORN         
332............       31525  LARYNGOSCOPY DIRECT, WITH OR WITHOUT       
                              TRACHEOSCOPY; DIAGNOSTIC, EXCEPT NEWBORN  
332............       31526  LARYNGOSCOPY DIRECT, WITH OR WITHOUT       
                              TRACHEOSCOPY; DIAGNOSTIC, WITH OPERATING  
                              MICROSCOPE                                
332............       31528  LARYNGOSCOPY DIRECT, WITH OR WITHOUT       
                              TRACHEOSCOPY; WITH DILATATION, INITIAL    

[[Page 32497]]

                                                                        
332............       31529  LARYNGOSCOPY DIRECT, WITH OR WITHOUT       
                              TRACHEOSCOPY; WITH DILATATION, SUBSEQUENT 
332............       31576  LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH    
                              BIOPSY                                    
332............       31577  LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH    
                              REMOVAL OF FOREIGN BODY                   
332............       31578  LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH    
                              REMOVAL OF LESION                         
332............       31700  CATHETERIZATION, TRANSGLOTTIC (SEPARATE    
                              PROCEDURE)                                
332............       31717  CATHETERIZATION WITH BRONCHIAL BRUSH BIOPSY
332............       31720  CATHETER ASPIRATION (SEPARATE PROCEDURE);  
                              NASOTRACHEAL                              
332............       31730  TRANSTRACHEAL (PERCUTANEOUS) INTRODUCTION  
                              OF NEEDLE WIRE DILATOR/ STENT OR          
                              INDWELLING TUBE FOR OXYGEN THERAPY        
333............       31239  NASAL/SINUS ENDOSCOPY, SURGICAL; WITH      
                              DACRYOCYSTORHINOSTOMY                     
333............       31254  NASAL/SINUS ENDOSCOPY, SURGICAL; WITH      
                              ETHMOIDECTOMY, PARTIAL (ANTERIOR)         
333............       31255  NASAL/SINUS ENDOSCOPY, SURGICAL; WITH      
                              ETHMOIDECTOMY, TOTAL (ANTERIOR AND        
                              POSTERIOR)                                
333............       31256  NASAL/SINUS ENDOSCOPY, SURGICAL, WITH      
                              MAXILLARY ANTROSTOMY                      
333............       31267  NASAL/SINUS ENDOSCOPY, SURGICAL, WITH      
                              MAXILLARY ANTROSTOMY; WITH REMOVAL OF     
                              TISSUE FROM MAXILLARY SINUS               
333............       31276  NASAL/SINUS ENDOSCOPY, SURGICAL WITH       
                              FRONTAL SINUS EXPLORATION, WITH OR WITHOUT
                              REMOVAL OF TISSUE FROM FRONTAL SINUS      
333............       31287  NASAL/SINUS ENDOSCOPY, SURGICAL, WITH      
                              SPHENOIDOTOMY                             
333............       31288  NASAL/SINUS ENDOSCOPY, SURGICAL, WITH      
                              SPHENOIDOTOMY; WITH REMOVAL OF TISSUE FROM
                              THE SPHENOID SINUS                        
333............       31527  LARYNGOSCOPY DIRECT, WITH OR WITHOUT       
                              TRACHEOSCOPY; WITH INSERTION OF OBTURATOR 
333............       31530  LARYNGOSCOPY, DIRECT, OPERATIVE, WITH      
                              FOREIGN BODY REMOVAL                      
333............       31531  LARYNGOSCOPY, DIRECT, OPERATIVE, WITH      
                              FOREIGN BODY REMOVAL; WITH OPERATING      
                              MICROSCOPE                                
333............       31535  LARYNGOSCOPY, DIRECT, OPERATIVE, WITH      
                              BIOPSY                                    
333............       31536  LARYNGOSCOPY, DIRECT, OPERATIVE, WITH      
                              BIOPSY; WITH OPERATING MICROSCOPE         
333............       31540  LARYNGOSCOPY, DIRECT, OPERATIVE, WITH      
                              EXCISION OF TUMOR AND/ OR STRIPPING OF    
                              VOCAL CORDS OR EPIGLOTTIS                 
333............       31541  LARYNGOSCOPY, DIRECT, OPERATIVE, WITH      
                              EXCISION OF TUMOR AND/ OR STRIPPING OF    
                              VOCAL CORDS OR EPIGLOTTIS; WITH OPERATING 
                              MICROSCOPE                                
333............       31560  LARYNGOSCOPY, DIRECT, OPERATIVE, WITH      
                              ARYTENOIDECTOMY                           
333............       31561  LARYNGOSCOPY, DIRECT, OPERATIVE, WITH      
                              ARYTENOIDECTOMY; WITH OPERATING MICROSCOPE
333............       31570  LARYNGOSCOPY, DIRECT, WITH INJECTION INTO  
                              VOCAL CORD(S), THERAPEUTIC                
333............       31571  LARYNGOSCOPY, DIRECT, WITH INJECTION INTO  
                              VOCAL CORD(S), THERAPEUTIC; WITH OPERATING
                              MICROSCOPE                                
336............       31615  TRACHEOBRONCHOSCOPY THROUGH ESTABLISHED    
                              TRACHEOSTOMY INCISION                     
336............       31622  BRONCHOSCOPY; DIAGNOSTIC, (FLEXIBLE OR     
                              RIGID), WITH OR WITHOUT CELL WASHING OR   
                              BRUSHING                                  
336............       31625  BRONCHOSCOPY; WITH BIOPSY                  
336............       31628  BRONCHOSCOPY; WITH TRANSBRONCHIAL LUNG     
                              BIOPSY, WITH OR WITHOUT FLUOROSCOPIC      
                              GUIDANCE                                  
336............       31629  BRONCHOSCOPY; WITH TRANSBRONCHIAL NEEDLE   
                              ASPIRATION BIOPSY                         
336............       31630  BRONCHOSCOPY; WITH TRACHEAL OR BRONCHIAL   
                              DILATION OR CLOSED REDUCTION OF FRACTURE  
336............       31631  BRONCHOSCOPY; WITH TRACHEAL DILATION AND   
                              PLACEMENT OF TRACHEAL STENT               
336............       31635  BRONCHOSCOPY; WITH REMOVAL OF FOREIGN BODY 
336............       31640  BRONCHOSCOPY; WITH EXCISION OF TUMOR       
336............       31641  BRONCHOSCOPY; WITH DESTRUCTION OF TUMOR OR 
                              RELIEF OF STENOSIS BY ANY METHOD OTHER    
                              THAN EXCISION (EG, LASER)                 
336............       31645  BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION  
                              OF TRACHEOBRONCHIAL TREE, INITIAL (EG,    
                              DRAINAGE OF LUNG ABSCESS)                 
336............       31646  BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION  
                              OF TRACHEOBRONCHIAL TREE, SUBSEQUENT      
346............       36488  PLACEMENT OF CENTRAL VENOUS CATHETER       
                              (SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG, 
                              FOR CENTRAL VENOUS PRESSURE,              
                              HYPERALIMENTATION, HEMODIALYSIS, OR       
                              CHEMOTHERAPY); PERCUTANEOUS, AGE 2 YEARS  
                              OR UNDER                                  
346............       36489  PLACEMENT OF CENTRAL VENOUS CATHETER       
                              (SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG, 
                              FOR CENTRAL VENOUS PRESSURE,              
                              HYPERALIMENTATION, HEMODIALYSIS, OR       
                              CHEMOTHERAPY); PERCUTANEOUS, OVER AGE 2   
346............       36490  PLACEMENT OF CENTRAL VENOUS CATHETER       
                              (SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG, 
                              FOR CENTRAL VENOUS PRESSURE,              
                              HYPERALIMENTATION, HEMODIALYSIS, OR       
                              CHEMOTHERAPY); CUTDOWN, AGE 2 YEARS OR    
                              UNDER                                     
346............       36491  PLACEMENT OF CENTRAL VENOUS CATHETER       
                              (SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG, 
                              FOR CENTRAL VENOUS PRESSURE,              
                              HYPERALIMENTATION, HEMODIALYSIS, OR       
                              CHEMOTHERAPY); CUTDOWN, OVER AGE 2        
346............       36493  REPOSITIONING OF PREVIOUSLY PLACED CENTRAL 
                              VENOUS CATHETER UNDER FLUOROSCOPIC        
                              GUIDANCE                                  
346............       36640  ARTERIAL CATHETERIZATION FOR PROLONGED     
                              INFUSION THERAPY (CHEMOTHERAPY), CUTDOWN  
360............       33222  REVISION OR RELOCATION OF SKIN POCKET FOR  
                              PACEMAKER                                 
360............       33223  REVISION OR RELOCATION OF SKIN POCKET FOR  
                              IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR    
360............       36261  REVISION OF IMPLANTED INTRA-ARTERIAL       
                              INFUSION PUMP                             
360............       36262  REMOVAL OF IMPLANTED INTRA-ARTERIAL        
                              INFUSION PUMP                             
360............       36531  REVISION OF IMPLANTABLE INTRAVENOUS        
                              INFUSION PUMP                             
360............       36532  REMOVAL OF IMPLANTABLE INTRAVENOUS INFUSION
                              PUMP                                      
360............       36534  REVISION OF IMPLANTABLE VENOUS ACCESS PORT 
                              AND/OR SUBCUTANEOUS RESERVOIR             
360............       36535  REMOVAL OF IMPLANTABLE VENOUS ACCESS PORT  
                              AND/OR SUBCUTANEOUS RESERVOIR             
367............       30915  LIGATION ARTERIES; ETHMOIDAL               
367............       30920  LIGATION ARTERIES; INTERNAL MAXILLARY      
                              ARTERY, TRANSANTRAL                       
367............       37618  LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC,
                              RUPTURE); EXTREMITY                       
367............       37650  LIGATION OF FEMORAL VEIN                   
367............       37700  LIGATION AND DIVISION OF LONG SAPHENOUS    
                              VEIN AT SAPHENOFEMORAL JUNCTION, OR DISTAL
                              INTERRUPTIONS                             
367............       37720  LIGATION AND DIVISION AND COMPLETE         
                              STRIPPING OF LONG OR SHORT SAPHENOUS VEINS
367............       37730  LIGATION AND DIVISION AND COMPLETE         
                              STRIPPING OF LONG AND SHORT SAPHENOUS     
                              VEINS                                     
367............       37735  LIGATION AND DIVISION AND COMPLETE         
                              STRIPPING OF LONG OR SHORT SAPHENOUS VEINS
                              WITH RADICAL EXCISION OF ULCER AND SKIN   
                              GRAFT AND/OR INTERRUPTION OF COMMUNICATING
                              VEINS OF LOWER LEG, WITH EXCISION OF DEEP 
                              FASCIA                                    
367............       37760  LIGATION OF PERFORATORS, SUBFASCIAL,       
                              RADICAL (LINTON TYPE), WITH OR WITHOUT    
                              SKIN GRAFT                                
367............       37780  LIGATION AND DIVISION OF SHORT SAPHENOUS   
                              VEIN AT SAPHENOPOPLITEAL JUNCTION         
                              (SEPARATE PROCEDURE)                      

[[Page 32498]]

                                                                        
367............       37785  LIGATION, DIVISION, AND/OR EXCISION OF     
                              RECURRENT OR SECONDARY VARICOSE VEINS     
                              (CLUSTERS), ONE LEG                       
368............       35188  REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS
                              FISTULA; HEAD AND NECK                    
368............       35207  REPAIR BLOOD VESSEL, DIRECT; HAND, FINGER  
368............       35875  THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT;  
368............       35876  THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT;  
                              WITH REVISION OF ARTERIAL OR VENOUS GRAFT 
368............       36260  INSERTION OF IMPLANTABLE INTRA-ARTERIAL    
                              INFUSION PUMP (EG, FOR CHEMOTHERAPY OF    
                              LIVER)                                    
368............       36530  INSERTION OF IMPLANTABLE INTRAVENOUS       
                              INFUSION PUMP                             
368............       36533  INSERTION OF IMPLANTABLE VENOUS ACCESS     
                              PORT, WITH OR WITHOUT SUBCUTANEOUS        
                              RESERVOIR                                 
368............       36800  INSERTION OF CANNULA FOR HEMODIALYSIS,     
                              OTHER PURPOSE (SEPARATE PROCEDURE); VEIN  
                              TO VEIN                                   
368............       36810  INSERTION OF CANNULA FOR HEMODIALYSIS,     
                              OTHER PURPOSE (SEPARATE PROCEDURE);       
                              ARTERIOVENOUS, EXTERNAL (SCRIBNER TYPE)   
368............       36815  INSERTION OF CANNULA FOR HEMODIALYSIS,     
                              OTHER PURPOSE (SEPARATE PROCEDURE);       
                              ARTERIOVENOUS, EXTERNAL REVISION, OR      
                              CLOSURE                                   
368............       36821  ARTERIOVENOUS ANASTOMOSIS, DIRECT, ANY SITE
                              (EG, CIMINO TYPE) (SEPARATE PROCEDURE)    
368............       36825  CREATION OF ARTERIOVENOUS FISTULA BY OTHER 
                              THAN DIRECT ARTERIOVENOUS ANASTOMOSIS     
                              (SEPARATE PROCEDURE); AUTOGENOUS GRAFT    
368............       36830  CREATION OF ARTERIOVENOUS FISTULA BY OTHER 
                              THAN DIRECT ARTERIOVENOUS ANASTOMOSIS     
                              (SEPARATE PROCEDURE); NONAUTOGENOUS GRAFT 
368............       36832  REVISION OF AN ARTERIOVENOUS FISTULA, WITH 
                              OR WITHOUT THROMBECTOMY, AUTOGENOUS OR    
                              NONAUTOGENOUS GRAFT (SEPARATE PROCEDURE)  
368............       36835  INSERTION OF THOMAS SHUNT (SEPARATE        
                              PROCEDURE)                                
368............       36860  CANNULA DECLOTTING (SEPARATE PROCEDURE);   
                              WITHOUT BALLOON CATHETER                  
368............       36861  CANNULA DECLOTTING (SEPARATE PROCEDURE);   
                              WITH BALLOON CATHETER                     
368............       37607  LIGATION OR BANDING OF ANGIOACCESS         
                              ARTERIOVENOUS FISTULA                     
396............       38308  LYMPHANGIOTOMY OR OTHER OPERATIONS ON      
                              LYMPHATIC CHANNELS                        
396............       38500  BIOPSY OR EXCISION OF LYMPH NODE(S);       
                              SUPERFICIAL (SEPARATE PROCEDURE)          
396............       38510  BIOPSY OR EXCISION OF LYMPH NODE(S); DEEP  
                              CERVICAL NODE(S)                          
396............       38520  BIOPSY OR EXCISION OF LYMPH NODE(S); DEEP  
                              CERVICAL NODE(S) WITH EXCISION SCALENE FAT
                              PAD                                       
396............       38525  BIOPSY OR EXCISION OF LYMPH NODE(S); DEEP  
                              AXILLARY NODE(S)                          
396............       38530  BIOPSY OR EXCISION OF LYMPH NODE(S);       
                              INTERNAL MAMMARY NODE(S) (SEPARATE        
                              PROCEDURE)                                
396............       38550  EXCISION OF CYSTIC HYGROMA, AXILLARY OR    
                              CERVICAL; WITHOUT DEEP NEUROVASCULAR      
                              DISSECTION                                
397............       38542  DISSECTION, DEEP JUGULAR NODE(S)           
397............       38555  EXCISION OF CYSTIC HYGROMA, AXILLARY OR    
                              CERVICAL; WITH DEEP NEUROVASCULAR         
                              DISSECTION                                
397............       38740  AXILLARY LYMPHADENECTOMY; SUPERFICIAL      
397............       38745  AXILLARY LYMPHADENECTOMY; COMPLETE         
397............       38760  INGUINOFEMORAL LYMPHADENECTOMY,            
                              SUPERFICIAL, INCLUDING CLOQUET'S NODE     
                              (SEPARATE PROCEDURE)                      
397............       60200  EXCISION OF CYST OR ADENOMA OF THYROID, OR 
                              TRANSECTION OF ISTHMUS                    
397............       60210  PARTIAL THYROID LOBECTOMY, UNILATERAL; WITH
                              OR WITHOUT ISTHMUSECTOMY                  
397............       60220  TOTAL THYROID LOBECTOMY, UNILATERAL; WITH  
                              OR WITHOUT ISTHMUSECTOMY                  
397............       60225  TOTAL THYROID LOBECTOMY, UNILATERAL; WITH  
                              CONTRALATERAL SUBTOTAL LOBECTOMY,         
                              INCLUDING ISTHMUSECTOMY                   
397............       60240  THYROIDECTOMY, TOTAL OR COMPLETE           
397............       60280  EXCISION OF THYROGLOSSAL DUCT CYST OR      
                              SINUS;                                    
397............       60281  EXCISION OF THYROGLOSSAL DUCT CYST OR      
                              SINUS; RECURRENT                          
406............       43450  DILATION OF ESOPHAGUS, BY UNGUIDED SOUND OR
                              BOUGIE, SINGLE OR MULTIPLE PASSES         
406............       43453  DILATION OF ESOPHAGUS, OVER GUIDE WIRE     
406............       43456  DILATION OF ESOPHAGUS, BY BALLOON OR       
                              DILATOR, RETROGRADE                       
406............       43458  DILATION OF ESOPHAGUS WITH BALLOON (30 MM  
                              DIAMETER OR LARGER) FOR ACHALASIA         
407............       43204  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH     
                              INJECTION SCLEROSIS OF ESOPHAGEAL VARICES 
407............       43205  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH BAND
                              LIGATION OF ESOPHAGEAL VARICES            
407............       43215  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH     
                              REMOVAL OF FOREIGN BODY                   
407............       43216  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH     
                              REMOVAL OF TUMOR(S), POLYP(S), OR OTHER   
                              LESION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR
                              CAUTERY                                   
407............       43217  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH     
                              REMOVAL OF TUMOR(S), POLYP(S), OR OTHER   
                              LESION(S) BY SNARE TECHNIQUE              
407............       43220  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH     
                              BALLOON DILATION (LESS THAN 30 MM         
                              DIAMETER)                                 
407............       43226  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH     
                              INSERTION OF GUIDE WIRE FOLLOWED BY       
                              DILATION OVER GUIDE WIRE                  
407............       43227  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH     
                              CONTROL OF BLEEDING, ANY METHOD           
417............       43200  ESOPHAGOSCOPY, RIGID OR FLEXIBLE;          
                              DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF 
                              SPECIMEN(S) BY BRUSHING OR WASHING        
                              (SEPARATE PROCEDURE)                      
417............       43202  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH     
                              BIOPSY, SINGLE OR MULTIPLE                
417............       43234  UPPER GASTROINTESTINAL ENDOSCOPY, SIMPLE   
                              PRIMARY EXAMINATION (EG, WITH SMALL       
                              DIAMETER FLEXIBLE ENDOSCOPE) (SEPARATE    
                              PROCEDURE)                                
417............       43235  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF 
                              SPECIMEN(S) BY BRUSHING OR WASHING        
                              (SEPARATE PROCEDURE)                      
417............       43239  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH BIOPSY, SINGLE OR MULTIPLE           
417............       43600  BIOPSY OF STOMACH; BY CAPSULE, TUBE,       
                              PERORAL (ONE OR MORE SPECIMENS)           
417............       44100  BIOPSY OF INTESTINE BY CAPSULE, TUBE,      
                              PERORAL (ONE OR MORE SPECIMENS)           
418............       43241  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH TRANSENDOSCOPIC TUBE OR CATHETER     
                              PLACEMENT                                 
418............       43243  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH INJECTION SCLEROSIS OF ESOPHAGEAL AND/
                              OR GASTRIC VARICES                        
418............       43244  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH BAND LIGATION OF ESOPHAGEAL AND/OR   
                              GASTRIC VARICES                           

[[Page 32499]]

                                                                        
418............       43245  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH DILATION OF GASTRIC OUTLET FOR       
                              OBSTRUCTION, ANY METHOD                   
418............       43246  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH DIRECTED PLACEMENT OF PERCUTANEOUS   
                              GASTROSTOMY TUBE                          
418............       43247  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH REMOVAL OF FOREIGN BODY              
418............       43248  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH INSERTION OF GUIDE WIRE FOLLOWED BY  
                              DILATION OF ESOPHAGUS OVER GUIDE WIRE     
418............       43249  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH BALLOON DILATION OF ESOPHAGUS (LESS  
                              THAN 30 MM DIAMETER)                      
418............       43250  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH REMOVAL OF TUMOR(S), POLYP(S), OR    
                              OTHER LESION(S) BY HOT BIOPSY FORCEPS OR  
                              BIPOLAR CAUTERY                           
418............       43251  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH REMOVAL OF TUMOR(S), POLYP(S), OR    
                              OTHER LESION(S) BY SNARE TECHNIQUE        
418............       43255  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH CONTROL OF BLEEDING, ANY METHOD      
418............       43750  PERCUTANEOUS PLACEMENT OF GASTROSTOMY TUBE 
419............       44360  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM, NOT    
                              INCLUDING ILEUM; DIAGNOSTIC, WITH OR      
                              WITHOUT COLLECTION OF SPECIMEN(S) BY      
                              BRUSHING OR WASHING (SEPARATE PROCEDURE)  
419............       44361  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM, NOT    
                              INCLUDING ILEUM; WITH BIOPSY, SINGLE OR   
                              MULTIPLE                                  
419............       44363  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM, NOT    
                              INCLUDING ILEUM; WITH REMOVAL OF FOREIGN  
                              BODY                                      
419............       44364  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM, NOT    
                              INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S),
                              POLYP(S), OR OTHER LESION(S) BY SNARE     
                              TECHNIQUE                                 
419............       44365  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM, NOT    
                              INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S),
                              POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY
                              FORCEPS OR BIPOLAR CAUTERY                
419............       44366  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM, NOT    
                              INCLUDING ILEUM; WITH CONTROL OF BLEEDING,
                              ANY METHOD                                
419............       44372  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM, NOT    
                              INCLUDING ILEUM; WITH PLACEMENT OF        
                              PERCUTANEOUS JEJUNOSTOMY TUBE             
419............       44373  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM, NOT    
                              INCLUDING ILEUM; WITH CONVERSION OF       
                              PERCUTANEOUS GASTROSTOMY TUBE TO          
                              PERCUTANEOUS JEJUNOSTOMY TUBE             
419............       44376  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM,        
                              INCLUDING ILEUM; DIAGNOSTIC, WITH OR      
                              WITHOUT COLLECTION OF SPECIMEN(S) BY      
                              BRUSHING OR WASHING (SEPARATE PROCEDURE)  
419............       44377  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM,        
                              INCLUDING ILEUM; WITH BIOPSY, SINGLE OR   
                              MULTIPLE                                  
419............       44378  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM,        
                              INCLUDING ILEUM; WITH CONTROL OF BLEEDING,
                              ANY METHOD                                
426............       44380  ILEOSCOPY, THROUGH STOMA; DIAGNOSTIC, WITH 
                              OR WITHOUT COLLECTION OF SPECIMEN(S) BY   
                              BRUSHING OR WASHING (SEPARATE PROCEDURE)  
426............       44382  ILEOSCOPY, THROUGH STOMA; WITH BIOPSY,     
                              SINGLE OR MULTIPLE                        
426............       44385  ENDOSCOPIC EVALUATION OF SMALL INTESTINAL  
                              (ABDOMINAL OR PELVIC) POUCH; DIAGNOSTIC,  
                              WITH OR WITHOUT COLLECTION OF SPECIMEN(S) 
                              BY BRUSHING OR WASHING (SEPARATE          
                              PROCEDURE)                                
426............       44386  ENDOSCOPIC EVALUATION OF SMALL INTESTINAL  
                              (ABDOMINAL OR PELVIC) POUCH; WITH BIOPSY, 
                              SINGLE OR MULTIPLE                        
426............       44388  COLONOSCOPY THROUGH STOMA; DIAGNOSTIC, WITH
                              OR WITHOUT COLLECTION OF SPECIMEN(S) BY   
                              BRUSHING OR WASHING (SEPARATE PROCEDURE)  
426............       44389  COLONOSCOPY THROUGH STOMA; WITH BIOPSY,    
                              SINGLE OR MULTIPLE                        
426............       45378  COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC 
                              FLEXURE; DIAGNOSTIC, WITH OR WITHOUT      
                              COLLECTION OF SPECIMEN(S) BY BRUSHING OR  
                              WASHING, WITH OR WITHOUT COLON            
                              DECOMPRESSION (SEPARATE PROCEDURE)        
426............       45380  COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC 
                              FLEXURE; WITH BIOPSY, SINGLE OR MULTIPLE  
426............       G0105  COLORECTAL CANCER SCREENING; COLONOSCOPY ON
                              INDIVIDUAL AT HIGH RISK                   
427............       44390  COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF 
                              FOREIGN BODY                              
427............       44391  COLONOSCOPY THROUGH STOMA; WITH CONTROL OF 
                              BLEEDING, ANY METHOD                      
427............       44392  COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF 
                              TUMOR(S), POLYP(S), OR OTHER LESION(S) BY 
                              HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY     
427............       44394  COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF 
                              TUMOR(S), POLYP(S), OR OTHER LESION(S) BY 
                              SNARE TECHNIQUE                           
427............       45355  COLONOSCOPY, RIGID OR FLEXIBLE,            
                              TRANSABDOMINAL VIA COLOTOMY, SINGLE OR    
                              MULTIPLE                                  
427............       45379  COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC 
                              FLEXURE; WITH REMOVAL OF FOREIGN BODY     
427............       45382  COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC 
                              FLEXURE; WITH CONTROL OF BLEEDING, ANY    
                              METHOD                                    
427............       45384  COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC 
                              FLEXURE; WITH REMOVAL OF TUMOR(S),        
                              POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY
                              FORCEPS OR BIPOLAR CAUTERY                
427............       45385  COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC 
                              FLEXURE; WITH REMOVAL OF TUMOR(S),        
                              POLYP(S), OR OTHER LESION(S) BY SNARE     
                              TECHNIQUE                                 
437............       46604  ANOSCOPY; WITH DILATION, ANY METHOD        
437............       46608  ANOSCOPY; WITH REMOVAL OF FOREIGN BODY     
437............       46610  ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR,    
                              POLYP, OR OTHER LESION BY HOT BIOPSY      
                              FORCEPS OR BIPOLAR CAUTERY                
437............       46611  ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR,    
                              POLYP, OR OTHER LESION BY SNARE TECHNIQUE 
437............       46612  ANOSCOPY; WITH REMOVAL OF MULTIPLE TUMORS, 
                              POLYPS, OR OTHER LESIONS BY HOT BIOPSY    
                              FORCEPS, BIPOLAR CAUTERY OR SNARE         
                              TECHNIQUE                                 
437............       46614  ANOSCOPY; WITH CONTROL OF BLEEDING, ANY    
                              METHOD                                    
437............       46615  ANOSCOPY; WITH ABLATION OF TUMOR(S),       
                              POLYP(S), OR OTHER LESION(S) NOT AMENABLE 
                              TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR 
                              CAUTERY OR SNARE TECHNIQUE                

[[Page 32500]]

                                                                        
446............       45300  PROCTOSIGMOIDOSCOPY, RIGID; DIAGNOSTIC,    
                              WITH OR WITHOUT COLLECTION OF SPECIMEN(S) 
                              BY BRUSHING OR WASHING (SEPARATE          
                              PROCEDURE)                                
446............       45305  PROCTOSIGMOIDOSCOPY, RIGID; WITH BIOPSY,   
                              SINGLE OR MULTIPLE                        
446............       45330  SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, WITH  
                              OR WITHOUT COLLECTION OF SPECIMEN(S) BY   
                              BRUSHING OR WASHING (SEPARATE PROCEDURE)  
446............       45331  SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY,      
                              SINGLE OR MULTIPLE                        
446............       G0104  COLORECTAL CANCER SCREENING; FLEXIBLE      
                              SIGMOIDOSCOPY                             
447............       45303  PROCTOSIGMOIDOSCOPY, RIGID; WITH DILATION, 
                              ANY METHOD                                
447............       45307  PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF
                              FOREIGN BODY                              
447............       45308  PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF
                              SINGLE TUMOR, POLYP, OR OTHER LESION BY   
                              HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY     
447............       45309  PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF
                              SINGLE TUMOR, POLYP, OR OTHER LESION BY   
                              SNARE TECHNIQUE                           
447............       45315  PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF
                              MULTIPLE TUMORS, POLYPS, OR OTHER LESIONS 
                              BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR 
                              SNARE TECHNIQUE                           
447............       45317  PROCTOSIGMOIDOSCOPY, RIGID; WITH CONTROL OF
                              BLEEDING, ANY METHOD                      
447............       45320  PROCTOSIGMOIDOSCOPY, RIGID; WITH ABLATION  
                              OF TUMOR(S), POLYP(S), OR OTHER LESION(S) 
                              NOT AMENABLE TO REMOVAL BY HOT BIOPSY     
                              FORCEPS, BIPOLAR CAUTERY OR SNARE         
                              TECHNIQUE (EG, LASER)                     
447............       45321  PROCTOSIGMOIDOSCOPY, RIGID; WITH           
                              DECOMPRESSION OF VOLVULUS                 
448............       45332  SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF   
                              FOREIGN BODY                              
448............       45333  SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF   
                              TUMOR(S), POLYP(S), OR OTHER LESION(S) BY 
                              HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY     
448............       45334  SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF   
                              BLEEDING, ANY METHOD                      
448............       45337  SIGMOIDOSCOPY, FLEXIBLE; WITH DECOMPRESSION
                              OF VOLVULUS, ANY METHOD                   
448............       45338  SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF   
                              TUMOR(S), POLYP(S), OR OTHER LESION(S) BY 
                              SNARE TECHNIQUE                           
449............       43219  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH     
                              INSERTION OF PLASTIC TUBE OR STENT        
449............       43228  ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH     
                              ABLATION OF TUMOR(S), POLYP(S), OR OTHER  
                              LESION(S), NOT AMENABLE TO REMOVAL BY HOT 
                              BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE  
                              TECHNIQUE                                 
449............       43258  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH ABLATION OF TUMOR(S), POLYP(S), OR   
                              OTHER LESION(S) NOT AMENABLE TO REMOVAL BY
                              HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR    
                              SNARE TECHNIQUE                           
449............       43259  UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING 
                              ESOPHAGUS, STOMACH, AND EITHER THE        
                              DUODENUM AND/OR JEJUNUM AS APPROPRIATE;   
                              WITH ENDOSCOPIC ULTRASOUND EXAMINATION    
449............       43272  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP); WITH     
                              ABLATION OF TUMOR(S), POLYP(S), OR OTHER  
                              LESION(S) NOT AMENABLE TO REMOVAL BY HOT  
                              BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE  
                              TECHNIQUE                                 
449............       44369  SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY    
                              BEYOND SECOND PORTION OF DUODENUM, NOT    
                              INCLUDING ILEUM; WITH ABLATION OF         
                              TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT
                              AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS,
                              BIPOLAR CAUTERY OR SNARE TECHNIQUE        
449............       44393  COLONOSCOPY THROUGH STOMA; WITH ABLATION OF
                              TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT
                              AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS,
                              BIPOLAR CAUTERY OR SNARE TECHNIQUE        
449............       45339  SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF  
                              TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT
                              AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS,
                              BIPOLAR CAUTERY OR SNARE TECHNIQUE        
449............       45383  COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC 
                              FLEXURE; WITH ABLATION OF TUMOR(S),       
                              POLYP(S), OR OTHER LESION(S) NOT AMENABLE 
                              TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR 
                              CAUTERY OR SNARE TECHNIQUE                
452............       45000  TRANSRECTAL DRAINAGE OF PELVIC ABSCESS     
452............       45005  INCISION AND DRAINAGE OF SUBMUCOSAL        
                              ABSCESS, RECTUM                           
452............       45020  INCISION AND DRAINAGE OF DEEP SUPRALEVATOR,
                              PELVIRECTAL, OR RETRORECTAL ABSCESS       
452............       45100  BIOPSY OF ANORECTAL WALL, ANAL APPROACH    
                              (EG, CONGENITAL MEGACOLON)                
452............       45900  REDUCTION OF PROCIDENTIA (SEPARATE         
                              PROCEDURE) UNDER ANESTHESIA               
452............       45905  DILATION OF ANAL SPHINCTER (SEPARATE       
                              PROCEDURE) UNDER ANESTHESIA OTHER THAN    
                              LOCAL                                     
452............       45910  DILATION OF RECTAL STRICTURE (SEPARATE     
                              PROCEDURE) UNDER ANESTHESIA OTHER THAN    
                              LOCAL                                     
452............       45915  REMOVAL OF FECAL IMPACTION OR FOREIGN BODY 
                              (SEPARATE PROCEDURE) UNDER ANESTHESIA     
452............       46030  REMOVAL OF ANAL SETON, OTHER MARKER        
452............       46040  INCISION AND DRAINAGE OF ISCHIORECTAL AND/ 
                              OR PERIRECTAL ABSCESS (SEPARATE PROCEDURE)
452............       46050  INCISION AND DRAINAGE, PERIANAL ABSCESS,   
                              SUPERFICIAL                               
452............       46080  SPHINCTEROTOMY, ANAL, DIVISION OF SPHINCTER
                              (SEPARATE PROCEDURE)                      
452............       46210  CRYPTECTOMY; SINGLE                        
452............       46754  REMOVAL OF THIERSCH WIRE OR SUTURE, ANAL   
                              CANAL                                     
453............       45108  ANORECTAL MYOMECTOMY                       
453............       45150  DIVISION OF STRICTURE OF RECTUM            
453............       45160  EXCISION OF RECTAL TUMOR BY PROCTOTOMY,    
                              TRANSSACRAL OR TRANSCOCCYGEAL APPROACH    
453............       45170  EXCISION OF RECTAL TUMOR, TRANSANAL        
                              APPROACH                                  
453............       45190  DESTRUCTION OF RECTAL TUMOR, ANY METHOD    
                              (EG, ELECTRODESICCATION) TRANSANAL        
                              APPROACH                                  
453............       45500  PROCTOPLASTY; FOR STENOSIS                 
453............       45505  PROCTOPLASTY; FOR PROLAPSE OF MUCOUS       
                              MEMBRANE                                  
453............       45560  REPAIR OF RECTOCELE (SEPARATE PROCEDURE)   
453............       46045  INCISION AND DRAINAGE OF INTRAMURAL,       
                              INTRAMUSCULAR, OR SUBMUCOSAL ABSCESS,     
                              TRANSANAL, UNDER ANESTHESIA               
453............       46060  INCISION AND DRAINAGE OF ISCHIORECTAL OR   
                              INTRAMURAL ABSCESS, WITH FISTULECTOMY OR  
                              FISTULOTOMY, SUBMUSCULAR, WITH OR WITHOUT 
                              PLACEMENT OF SETON                        
453............       46200  FISSURECTOMY, WITH OR WITHOUT              
                              SPHINCTEROTOMY                            
453............       46211  CRYPTECTOMY; MULTIPLE (SEPARATE PROCEDURE) 
453............       46250  HEMORRHOIDECTOMY, EXTERNAL, COMPLETE       
453............       46255  HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,   
                              SIMPLE                                    
453............       46257  HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,   
                              SIMPLE; WITH FISSURECTOMY                 
453............       46258  HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,   
                              SIMPLE; WITH FISTULECTOMY, WITH OR WITHOUT
                              FISSURECTOMY                              

[[Page 32501]]

                                                                        
453............       46260  HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,   
                              COMPLEX OR EXTENSIVE                      
453............       46261  HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,   
                              COMPLEX OR EXTENSIVE; WITH FISSURECTOMY   
453............       46262  HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,   
                              COMPLEX OR EXTENSIVE; WITH FISTULECTOMY,  
                              WITH OR WITHOUT FISSURECTOMY              
453............       46270  SURGICAL TREATMENT OF ANAL FISTULA         
                              (FISTULECTOMY/FISTULOTOMY); SUBCUTANEOUS  
453............       46275  SURGICAL TREATMENT OF ANAL FISTULA         
                              (FISTULECTOMY/FISTULOTOMY); SUBMUSCULAR   
453............       46280  SURGICAL TREATMENT OF ANAL FISTULA         
                              (FISTULECTOMY/FISTULOTOMY); COMPLEX OR    
                              MULTIPLE, WITH OR WITHOUT PLACEMENT OF    
                              SETON                                     
453............       46285  SURGICAL TREATMENT OF ANAL FISTULA         
                              (FISTULECTOMY/FISTULOTOMY); SECOND STAGE  
453............       46288  CLOSURE OF ANAL FISTULA WITH RECTAL        
                              ADVANCEMENT FLAP                          
453............       46700  ANOPLASTY, PLASTIC OPERATION FOR STRICTURE;
                              ADULT                                     
453............       46750  SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR
                              PROLAPSE; ADULT                           
453............       46753  GRAFT (THIERSCH OPERATION) FOR RECTAL      
                              INCONTINENCE AND/OR PROLAPSE              
453............       46760  SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE,  
                              ADULT; MUSCLE TRANSPLANT                  
453............       46761  SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE,  
                              ADULT; LEVATOR MUSCLE IMBRICATION (PARK   
                              POSTERIOR ANAL REPAIR)                    
453............       46762  SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE,  
                              ADULT; IMPLANTATION ARTIFICIAL SPHINCTER  
453............       46937  CRYOSURGERY OF RECTAL TUMOR; BENIGN        
453............       46938  CRYOSURGERY OF RECTAL TUMOR; MALIGNANT     
456............       43260  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP);          
                              DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF 
                              SPECIMEN(S) BY BRUSHING OR WASHING        
                              (SEPARATE PROCEDURE)                      
456............       43261  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP); WITH     
                              BIOPSY, SINGLE OR MULTIPLE                
456............       43262  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP); WITH     
                              SPHINCTEROTOMY/PAPILLOTOMY                
456............       43263  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP); WITH     
                              PRESSURE MEASUREMENT OF SPHINCTER OF ODDI 
                              (PANCREATIC DUCT OR COMMON BILE DUCT)     
456............       43264  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP); WITH     
                              ENDOSCOPIC RETROGRADE REMOVAL OF STONE(S) 
                              FROM BILIARY AND/OR PANCREATIC DUCTS      
456............       43265  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP); WITH     
                              ENDOSCOPIC RETROGRADE DESTRUCTION,        
                              LITHOTRIPSY OF STONE(S), ANY METHOD       
456............       43267  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP); WITH     
                              ENDOSCOPIC RETROGRADE INSERTION OF        
                              NASOBILIARY OR NASOPANCREATIC DRAINAGE    
                              TUBE                                      
456............       43268  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP); WITH     
                              ENDOSCOPIC RETROGRADE INSERTION OF TUBE OR
                              STENT INTO BILE OR PANCREATIC DUCT        
456............       43269  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP); WITH     
                              ENDOSCOPIC RETROGRADE REMOVAL OF FOREIGN  
                              BODY AND/OR CHANGE OF TUBE OR STENT       
456............       43271  ENDOSCOPIC RETROGRADE                      
                              CHOLANGIOPANCREATOGRAPHY (ERCP); WITH     
                              ENDOSCOPIC RETROGRADE BALLOON DILATION OF 
                              AMPULLA, BILIARY AND/OR PANCREATIC DUCT(S)
458............       47510  INTRODUCTION OF PERCUTANEOUS TRANSHEPATIC  
                              CATHETER FOR BILIARY DRAINAGE             
458............       47511  INTRODUCTION OF PERCUTANEOUS TRANSHEPATIC  
                              STENT FOR INTERNAL AND EXTERNAL BILIARY   
                              DRAINAGE                                  
458............       47552  BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE 
                              OR OTHER TRACT; DIAGNOSTIC, WITH OR       
                              WITHOUT COLLECTION OF SPECIMEN(S) BY      
                              BRUSHING AND/OR WASHING (SEPARATE         
                              PROCEDURE)                                
458............       47553  BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE 
                              OR OTHER TRACT; WITH BIOPSY, SINGLE OR    
                              MULTIPLE                                  
458............       47554  BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE 
                              OR OTHER TRACT; WITH REMOVAL OF STONE(S)  
458............       47555  BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE 
                              OR OTHER TRACT; WITH DILATION OF BILIARY  
                              DUCT STRICTURE(S) WITHOUT STENT           
458............       47556  BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE 
                              OR OTHER TRACT; WITH DILATION OF BILIARY  
                              DUCT STRICTURE(S) WITH STENT              
458............       47630  BILIARY DUCT STONE EXTRACTION, PERCUTANEOUS
                              VIA T-TUBE TRACT, BASKET, OR SNARE (EG,   
                              BURHENNE TECHNIQUE)                       
459............       49085  REMOVAL OF PERITONEAL FOREIGN BODY FROM    
                              PERITONEAL CAVITY                         
459............       49250  UMBILECTOMY, OMPHALECTOMY, EXCISION OF     
                              UMBILICUS (SEPARATE PROCEDURE)            
459............       49420  INSERTION OF INTRAPERITONEAL CANNULA OR    
                              CATHETER FOR DRAINAGE OR DIALYSIS;        
                              TEMPORARY                                 
459............       49421  INSERTION OF INTRAPERITONEAL CANNULA OR    
                              CATHETER FOR DRAINAGE OR DIALYSIS;        
                              PERMANENT                                 
459............       49426  REVISION OF PERITONEAL-VENOUS SHUNT        
466............       49495  REPAIR INITIAL INGUINAL HERNIA, UNDER AGE 6
                              MONTHS, WITH OR WITHOUT HYDROCELECTOMY;   
                              REDUCIBLE                                 
466............       49496  REPAIR INITIAL INGUINAL HERNIA, UNDER AGE 6
                              MONTHS, WITH OR WITHOUT HYDROCELECTOMY;   
                              INCARCERATED OR STRANGULATED              
466............       49500  REPAIR INITIAL INGUINAL HERNIA, AGE 6      
                              MONTHS TO UNDER 5 YEARS, WITH OR WITHOUT  
                              HYDROCELECTOMY; REDUCIBLE                 
466............       49501  REPAIR INITIAL INGUINAL HERNIA, AGE 6      
                              MONTHS TO UNDER 5 YEARS, WITH OR WITHOUT  
                              HYDROCELECTOMY; INCARCERATED OR           
                              STRANGULATED                              
466............       49505  REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS
                              OR OVER; REDUCIBLE                        
466............       49507  REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS
                              OR OVER; INCARCERATED OR STRANGULATED     
466............       49520  REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; 
                              REDUCIBLE                                 
466............       49521  REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; 
                              INCARCERATED OR STRANGULATED              
466............       49525  REPAIR INGUINAL HERNIA, SLIDING, ANY AGE   
466............       49540  REPAIR LUMBAR HERNIA                       
466............       49550  REPAIR INITIAL FEMORAL HERNIA, ANY AGE,    
                              REDUCIBLE;                                
466............       49553  REPAIR INITIAL FEMORAL HERNIA, ANY AGE,    
                              REDUCIBLE; INCARCERATED OR STRANGULATED   
466............       49555  REPAIR RECURRENT FEMORAL HERNIA; REDUCIBLE 
466............       49557  REPAIR RECURRENT FEMORAL HERNIA;           
                              INCARCERATED OR STRANGULATED              
466............       49560  REPAIR INITIAL INCISIONAL OR VENTRAL       
                              HERNIA; REDUCIBLE                         
466............       49561  REPAIR INITIAL INCISIONAL OR VENTRAL       
                              HERNIA; INCARCERATED OR STRANGULATED      
466............       49565  REPAIR RECURRENT INCISIONAL OR VENTRAL     
                              HERNIA; REDUCIBLE                         
466............       49566  REPAIR RECURRENT INCISIONAL OR VENTRAL     
                              HERNIA; INCARCERATED OR STRANGULATED      
466............       49568  IMPLANTATION OF MESH OR OTHER PROSTHESIS   
                              FOR INCISIONAL OR VENTRAL HERNIA REPAIR   
                              (LIST SEPARATELY IN ADDITION TO CODE FOR  
                              THE INCISIONAL OR VENTRAL HERNIA REPAIR)  

[[Page 32502]]

                                                                        
466............       49570  REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL
                              FAT); REDUCIBLE (SEPARATE PROCEDURE)      
466............       49572  REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL
                              FAT); INCARCERATED OR STRANGULATED        
466............       49580  REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS;
                              REDUCIBLE                                 
466............       49582  REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS;
                              INCARCERATED OR STRANGULATED              
466............       49585  REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR    
                              OVER; REDUCIBLE                           
466............       49587  REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR    
                              OVER; INCARCERATED OR STRANGULATED        
466............       49590  REPAIR SPIGELIAN HERNIA                    
466............       49600  REPAIR OF SMALL OMPHALOCELE, WITH PRIMARY  
                              CLOSURE                                   
466............       51500  EXCISION OF URACHAL CYST OR SINUS, WITH OR 
                              WITHOUT UMBILICAL HERNIA REPAIR           
466............       55040  EXCISION OF HYDROCELE; UNILATERAL          
466............       55041  EXCISION OF HYDROCELE; BILATERAL           
470............       31502  TRACHEOTOMY TUBE CHANGE PRIOR TO           
                              ESTABLISHMENT OF FISTULA TRACT            
470............       43760  CHANGE OF GASTROSTOMY TUBE                 
470............       43761  REPOSITIONING OF THE GASTRIC FEEDING TUBE  
                              THROUGH THE DUODENUM FOR ENTERIC NUTRITION
470............       47525  CHANGE OF PERCUTANEOUS BILIARY DRAINAGE    
                              CATHETER                                  
470............       47530  REVISION AND/OR REINSERTION OF TRANSHEPATIC
                              TUBE                                      
470............       49422  REMOVAL OF PERMANENT INTRAPERITONEAL       
                              CANNULA OR CATHETER                       
470............       49429  REMOVAL OF PERITONEAL-VENOUS SHUNT         
470............       50688  CHANGE OF URETEROSTOMY TUBE                
470............       51705  CHANGE OF CYSTOSTOMY TUBE; SIMPLE          
470............       51710  CHANGE OF CYSTOSTOMY TUBE; COMPLICATED     
521............       50398  CHANGE OF NEPHROSTOMY OR PYELOSTOMY TUBE   
521............       52000  CYSTOURETHROSCOPY (SEPARATE PROCEDURE)     
521............       52265  CYSTOURETHROSCOPY, WITH DILATION OF BLADDER
                              FOR INTERSTITIAL CYSTITIS; LOCAL          
                              ANESTHESIA                                
522............       50551  RENAL ENDOSCOPY THROUGH ESTABLISHED        
                              NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
                              IRRIGATION, INSTILLATION, OR              
                              URETEROPYELOGRAPHY, EXCLUSIVE OF          
                              RADIOLOGIC SERVICE;                       
522............       50553  RENAL ENDOSCOPY THROUGH ESTABLISHED        
                              NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
                              IRRIGATION, INSTILLATION, OR              
                              URETEROPYELOGRAPHY, EXCLUSIVE OF          
                              RADIOLOGIC SERVICE; WITH URETERAL         
                              CATHETERIZATION, WITH OR WITHOUT DILATION 
                              OF URETER                                 
522............       50555  RENAL ENDOSCOPY THROUGH ESTABLISHED        
                              NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
                              IRRIGATION, INSTILLATION, OR              
                              URETEROPYELOGRAPHY, EXCLUSIVE OF          
                              RADIOLOGIC SERVICE; WITH BIOPSY           
522............       50557  RENAL ENDOSCOPY THROUGH ESTABLISHED        
                              NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
                              IRRIGATION, INSTILLATION, OR              
                              URETEROPYELOGRAPHY, EXCLUSIVE OF          
                              RADIOLOGIC SERVICE; WITH FULGURATION AND/ 
                              OR INCISION, WITH OR WITHOUT BIOPSY       
522............       50559  RENAL ENDOSCOPY THROUGH ESTABLISHED        
                              NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
                              IRRIGATION, INSTILLATION, OR              
                              URETEROPYELOGRAPHY, EXCLUSIVE OF          
                              RADIOLOGIC SERVICE; WITH INSERTION OF     
                              RADIOACTIVE SUBSTANCE WITH OR WITHOUT     
                              BIOPSY AND/OR FULGURATION                 
522............       50561  RENAL ENDOSCOPY THROUGH ESTABLISHED        
                              NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
                              IRRIGATION, INSTILLATION, OR              
                              URETEROPYELOGRAPHY, EXCLUSIVE OF          
                              RADIOLOGIC SERVICE; WITH REMOVAL OF       
                              FOREIGN BODY OR CALCULUS                  
522............       52005  CYSTOURETHROSCOPY, WITH URETERAL           
                              CATHETERIZATION, WITH OR WITHOUT          
                              IRRIGATION, INSTILLATION, OR              
                              URETEROPYELOGRAPHY, EXCLUSIVE OF          
                              RADIOLOGIC SERVICE;                       
522............       52007  CYSTOURETHROSCOPY, WITH URETERAL           
                              CATHETERIZATION, WITH OR WITHOUT          
                              IRRIGATION, INSTILLATION, OR              
                              URETEROPYELOGRAPHY, EXCLUSIVE OF          
                              RADIOLOGIC SERVICE; WITH BRUSH BIOPSY OF  
                              URETER AND/OR RENAL PELVIS                
522............       52010  CYSTOURETHROSCOPY, WITH EJACULATORY DUCT   
                              CATHETERIZATION, WITH OR WITHOUT          
                              IRRIGATION, INSTILLATION, OR DUCT         
                              RADIOGRAPHY, EXCLUSIVE OF RADIOLOGIC      
                              SERVICE                                   
522............       52204  CYSTOURETHROSCOPY, WITH BIOPSY             
522............       52214  CYSTOURETHROSCOPY, WITH FULGURATION        
                              (INCLUDING CRYOSURGERY OR LASER SURGERY)  
                              OF TRIGONE, BLADDER NECK, PROSTATIC FOSSA,
                              URETHRA, OR PERIURETHRAL GLANDS           
522............       52224  CYSTOURETHROSCOPY, WITH FULGURATION        
                              (INCLUDING CRYOSURGERY OR LASER SURGERY)  
                              OR TREATMENT OF MINOR (LESS THAN 0.5 CM)  
                              LESION(S) WITH OR WITHOUT BIOPSY          
522............       52260  CYSTOURETHROSCOPY, WITH DILATION OF BLADDER
                              FOR INTERSTITIAL CYSTITIS; GENERAL OR     
                              CONDUCTION (SPINAL) ANESTHESIA            
522............       52270  CYSTOURETHROSCOPY, WITH INTERNAL           
                              URETHROTOMY; FEMALE                       
522............       52275  CYSTOURETHROSCOPY, WITH INTERNAL           
                              URETHROTOMY; MALE                         
522............       52276  CYSTOURETHROSCOPY WITH DIRECT VISION       
                              INTERNAL URETHROTOMY                      
522............       52281  CYSTOURETHROSCOPY, WITH CALIBRATION AND/OR 
                              DILATION OF URETHRAL STRICTURE OR         
                              STENOSIS, WITH OR WITHOUT MEATOTOMY, WITH 
                              OR WITHOUT INJECTION PROCEDURE FOR        
                              CYSTOGRAPHY, MALE OR FEMALE               
522............       52283  CYSTOURETHROSCOPY, WITH STEROID INJECTION  
                              INTO STRICTURE                            
522............       52285  CYSTOURETHROSCOPY FOR TREATMENT OF THE     
                              FEMALE URETHRAL SYNDROME WITH ANY OR ALL  
                              OF THE FOLLOWING: URETHRAL MEATOTOMY,     
                              URETHRAL DILATION, INTERNAL URETHROTOMY,  
                              LYSIS OF URETHROVAGINAL SEPTAL FIBROSIS,  
                              LATERAL INCISIONS OF THE BLADDER NECK, AND
                              FULGURATION OF POLYP(S) OF URETHRA,       
                              BLADDER NECK, AND/OR TRIGONE              
522............       52290  CYSTOURETHROSCOPY; WITH URETERAL MEATOTOMY,
                              UNILATERAL OR BILATERAL                   
522............       52300  CYSTOURETHROSCOPY; WITH RESECTION OR       
                              FULGURATION OF ORTHOTOPIC URETEROCELE(S), 
                              UNILATERAL OR BILATERAL                   
522............       52301  CYSTOURETHROSCOPY; WITH RESECTION OR       
                              FULGURATION OF ECTOPIC URETEROCELE(S),    
                              UNILATERAL OR BILATERAL                   
522............       52305  CYSTOURETHROSCOPY; WITH INCISION OR        
                              RESECTION OF ORIFICE OF BLADDER           
                              DIVERTICULUM, SINGLE OR MULTIPLE          
522............       52310  CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN 
                              BODY, CALCULUS, OR URETERAL STENT FROM    
                              URETHRA OR BLADDER (SEPARATE PROCEDURE);  
                              SIMPLE                                    
522............       52315  CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN 
                              BODY, CALCULUS, OR URETERAL STENT FROM    
                              URETHRA OR BLADDER (SEPARATE PROCEDURE);  
                              COMPLICATED                               
522............       52327  CYSTOURETHROSCOPY (INCLUDING URETERAL      
                              CATHETERIZATION); WITH SUBURETERIC        
                              INJECTION OF IMPLANT MATERIAL             
522............       52510  TRANSURETHRAL BALLOON DILATION OF THE      
                              PROSTATIC URETHRA, ANY METHOD             
522............       53605  DILATION OF URETHRAL STRICTURE OR VESICAL  
                              NECK BY PASSAGE OF SOUND OR URETHRAL      
                              DILATOR, MALE, GENERAL OR CONDUCTION      
                              (SPINAL) ANESTHESIA                       

[[Page 32503]]

                                                                        
523............       50951  URETERAL ENDOSCOPY THROUGH ESTABLISHED     
                              URETEROSTOMY, WITH OR WITHOUT IRRIGATION, 
                              INSTILLATION, OR URETEROPYELOGRAPHY,      
                              EXCLUSIVE OF RADIOLOGIC SERVICE;          
523............       50953  URETERAL ENDOSCOPY THROUGH ESTABLISHED     
                              URETEROSTOMY, WITH OR WITHOUT IRRIGATION, 
                              INSTILLATION, OR URETEROPYELOGRAPHY,      
                              EXCLUSIVE OF RADIOLOGIC SERVICE; WITH     
                              URETERAL CATHETERIZATION, WITH OR WITHOUT 
                              DILATION OF URETER                        
523............       50955  URETERAL ENDOSCOPY THROUGH ESTABLISHED     
                              URETEROSTOMY, WITH OR WITHOUT IRRIGATION, 
                              INSTILLATION, OR URETEROPYELOGRAPHY,      
                              EXCLUSIVE OF RADIOLOGIC SERVICE; WITH     
                              BIOPSY                                    
523............       50957  URETERAL ENDOSCOPY THROUGH ESTABLISHED     
                              URETEROSTOMY, WITH OR WITHOUT IRRIGATION, 
                              INSTILLATION, OR URETEROPYELOGRAPHY,      
                              EXCLUSIVE OF RADIOLOGIC SERVICE; WITH     
                              FULGURATION AND/OR INCISION, WITH OR      
                              WITHOUT BIOPSY                            
523............       50959  URETERAL ENDOSCOPY THROUGH ESTABLISHED     
                              URETEROSTOMY, WITH OR WITHOUT IRRIGATION, 
                              INSTILLATION, OR URETEROPYELOGRAPHY,      
                              EXCLUSIVE OF RADIOLOGIC SERVICE; WITH     
                              INSERTION OF RADIOACTIVE SUBSTANCE, WITH  
                              OR WITHOUT BIOPSY AND/OR FULGURATION (NOT 
                              INCLUDING PROVISION OF MATERIAL)          
523............       50961  URETERAL ENDOSCOPY THROUGH ESTABLISHED     
                              URETEROSTOMY, WITH OR WITHOUT IRRIGATION, 
                              INSTILLATION, OR URETEROPYELOGRAPHY,      
                              EXCLUSIVE OF RADIOLOGIC SERVICE; WITH     
                              REMOVAL OF FOREIGN BODY OR CALCULUS       
523............       51020  CYSTOTOMY OR CYSTOSTOMY; WITH FULGURATION  
                              AND/OR INSERTION OF RADIOACTIVE MATERIAL  
523............       51030  CYSTOTOMY OR CYSTOSTOMY; WITH CRYOSURGICAL 
                              DESTRUCTION OF INTRAVESICAL LESION        
523............       51040  CYSTOSTOMY, CYSTOTOMY WITH DRAINAGE        
523............       51045  CYSTOTOMY, WITH INSERTION OF URETERAL      
                              CATHETER OR STENT (SEPARATE PROCEDURE)    
523............       51050  CYSTOLITHOTOMY, CYSTOTOMY WITH REMOVAL OF  
                              CALCULUS, WITHOUT VESICAL NECK RESECTION  
523............       51065  CYSTOTOMY, WITH STONE BASKET EXTRACTION AND/
                              OR ULTRASONIC OR ELECTROHYDRAULIC         
                              FRAGMENTATION OF URETERAL CALCULUS        
523............       51520  CYSTOTOMY; FOR SIMPLE EXCISION OF VESICAL  
                              NECK (SEPARATE PROCEDURE)                 
523............       51880  CLOSURE OF CYSTOSTOMY (SEPARATE PROCEDURE) 
523............       52234  CYSTOURETHROSCOPY, WITH FULGURATION        
                              (INCLUDING CRYOSURGERY OR LASER SURGERY)  
                              AND/OR RESECTION OF; SMALL BLADDER        
                              TUMOR(S) (0.5 TO 2.0 CM)                  
523............       52235  CYSTOURETHROSCOPY, WITH FULGURATION        
                              (INCLUDING CRYOSURGERY OR LASER SURGERY)  
                              AND/OR RESECTION OF; MEDIUM BLADDER       
                              TUMOR(S) (2.0 TO 5.0 CM)                  
523............       52240  CYSTOURETHROSCOPY, WITH FULGURATION        
                              (INCLUDING CRYOSURGERY OR LASER SURGERY)  
                              AND/OR RESECTION OF; LARGE BLADDER        
                              TUMOR(S)                                  
523............       52250  CYSTOURETHROSCOPY WITH INSERTION OF        
                              RADIOACTIVE SUBSTANCE, WITH OR WITHOUT    
                              BIOPSY OR FULGURATION                     
523............       52277  CYSTOURETHROSCOPY, WITH RESECTION OF       
                              EXTERNAL SPHINCTER (SPHINCTEROTOMY)       
523............       52282  CYSTOURETHROSCOPY, WITH INSERTION OF       
                              URETHRAL STENT                            
523............       52317  LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF  
                              CALCULUS BY ANY MEANS IN BLADDER AND      
                              REMOVAL OF FRAGMENTS; SIMPLE OR SMALL     
                              (LESS THAN 2.5 CM)                        
523............       52318  LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF  
                              CALCULUS BY ANY MEANS IN BLADDER AND      
                              REMOVAL OF FRAGMENTS; COMPLICATED OR LARGE
                              (OVER 2.5 CM)                             
523............       52320  CYSTOURETHROSCOPY (INCLUDING URETERAL      
                              CATHETERIZATION); WITH REMOVAL OF URETERAL
                              CALCULUS                                  
523............       52325  CYSTOURETHROSCOPY (INCLUDING URETERAL      
                              CATHETERIZATION); WITH FRAGMENTATION OF   
                              URETERAL CALCULUS (EG, ULTRASONIC OR      
                              ELECTRO-HYDRAULIC TECHNIQUE)              
523............       52330  CYSTOURETHROSCOPY (INCLUDING URETERAL      
                              CATHETERIZATION); WITH MANIPULATION,      
                              WITHOUT REMOVAL OF URETERAL CALCULUS      
523............       52332  CYSTOURETHROSCOPY, WITH INSERTION OF       
                              INDWELLING URETERAL STENT (EG, GIBBONS OR 
                              DOUBLE-J TYPE)                            
523............       52334  CYSTOURETHROSCOPY WITH INSERTION OF        
                              URETERAL GUIDE WIRE THROUGH KIDNEY TO     
                              ESTABLISH A PERCUTANEOUS NEPHROSTOMY,     
                              RETROGRADE                                
523............       52335  CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR
                              PYELOSCOPY (INCLUDES DILATION OF THE      
                              URETER AND/OR PYELOURETERAL JUNCTION BY   
                              ANY METHOD);                              
523............       52336  CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR
                              PYELOSCOPY (INCLUDES DILATION OF THE      
                              URETER AND/OR PYELOURETERAL JUNCTION BY   
                              ANY METHOD); WITH REMOVAL OR MANIPULATION 
                              OF CALCULUS (URETERAL CATHETERIZATION IS  
                              INCLUDED)                                 
523............       52338  CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR
                              PYELOSCOPY (INCLUDES DILATION OF THE      
                              URETER AND/OR PYELOURETERAL JUNCTION BY   
                              ANY METHOD); WITH BIOPSY AND/OR           
                              FULGURATION OF LESION                     
523............       52339  CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR
                              PYELOSCOPY (INCLUDES DILATION OF THE      
                              URETER AND/OR PYELOURETERAL JUNCTION BY   
                              ANY METHOD); WITH RESECTION OF TUMOR      
523............       52340  CYSTOURETHROSCOPY WITH INCISION,           
                              FULGURATION, OR RESECTION OF CONGENITAL   
                              POSTERIOR URETHRAL VALVES, OR CONGENITAL  
                              OBSTRUCTIVE HYPERTROPHIC MUCOSAL FOLDS    
523............       52450  TRANSURETHRAL INCISION OF PROSTATE         
523............       52500  TRANSURETHRAL RESECTION OF BLADDER NECK    
                              (SEPARATE PROCEDURE)                      
523............       52606  TRANSURETHRAL FULGURATION FOR POSTOPERATIVE
                              BLEEDING OCCURRING AFTER THE USUAL FOLLOW-
                              UP TIME                                   
523............       52640  TRANSURETHRAL RESECTION; OF POSTOPERATIVE  
                              BLADDER NECK CONTRACTURE                  
523............       52700  TRANSURETHRAL DRAINAGE OF PROSTATIC ABSCESS
523............       55720  PROSTATOTOMY, EXTERNAL DRAINAGE OF         
                              PROSTATIC ABSCESS, ANY APPROACH; SIMPLE   
523............       55725  PROSTATOTOMY, EXTERNAL DRAINAGE OF         
                              PROSTATIC ABSCESS, ANY APPROACH;          
                              COMPLICATED                               
523............       55859  TRANSPERINEAL PLACEMENT OF NEEDLES OR      
                              CATHETERS INTO PROSTATE FOR INTERSTITIAL  
                              RADIOELEMENT APPLICATION, WITH OR WITHOUT 
                              CYSTOSCOPY                                
524............       52337  CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR
                              PYELOSCOPY (INCLUDES DILATION OF THE      
                              URETER AND/OR PYELOURETERAL JUNCTION BY   
                              ANY METHOD); WITH LITHOTRIPSY (URETERAL   
                              CATHETERIZATION IS INCLUDED)              
524............       52601  TRANSURETHRAL ELECTROSURGICAL RESECTION OF 
                              PROSTATE, INCLUDING CONTROL OF            
                              POSTOPERATIVE BLEEDING, COMPLETE          
                              (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, 
                              URETHRAL CALIBRATION AND/OR DILATION, AND 
                              INTERNAL URETHROTOMY ARE INCLUDED)        
524............       52612  TRANSURETHRAL RESECTION OF PROSTATE; FIRST 
                              STAGE OF TWO-STAGE RESECTION (PARTIAL     
                              RESECTION)                                
524............       52614  TRANSURETHRAL RESECTION OF PROSTATE; SECOND
                              STAGE OF TWO-STAGE RESECTION (RESECTION   
                              COMPLETED)                                
524............       52620  TRANSURETHRAL RESECTION; OF RESIDUAL       
                              OBSTRUCTIVE TISSUE AFTER 90 DAYS          
                              POSTOPERATIVE                             
524............       52630  TRANSURETHRAL RESECTION; OF REGROWTH OF    
                              OBSTRUCTIVE TISSUE LONGER THAN ONE YEAR   
                              POSTOPERATIVE                             

[[Page 32504]]

                                                                        
524............       52647  NON-CONTACT LASER COAGULATION OF PROSTATE, 
                              INCLUDING CONTROL OF POSTOPERATIVE        
                              BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, 
                              CYSTOURETHROSCOPY, URETHRAL CALIBRATION   
                              AND/OR DILATION, AND INTERNAL URETHROTOMY 
                              ARE INCLUDED)                             
524............       52648  CONTACT LASER VAPORIZATION WITH OR WITHOUT 
                              TRANSURETHRAL RESECTION OF PROSTATE,      
                              INCLUDING CONTROL OF POSTOPERATIVE        
                              BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, 
                              CYSTOURETHROSCOPY, URETHRAL CALIBRATION   
                              AND/OR DILATION, AND INTERNAL URETHROTOMY 
                              ARE INCLUDED)                             
524............       53850  TRANSURETHRAL DESTRUCTION OF PROSTATE      
                              TISSUE; BY MICROWAVE THERMOTHERAPY        
524............       53852  TRANSURETHRAL DESTRUCTION OF PROSTATE      
                              TISSUE; BY RADIOFREQUENCY THERMOTHERAPY   
527............       50590  LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE     
531............       51715  ENDOSCOPIC INJECTION OF IMPLANT MATERIAL   
                              INTO THE SUBMUCOSAL TISSUES OF THE URETHRA
                              AND/OR BLADDER NECK                       
531............       53000  URETHROTOMY OR URETHROSTOMY, EXTERNAL      
                              (SEPARATE PROCEDURE); PENDULOUS URETHRA   
531............       53010  URETHROTOMY OR URETHROSTOMY, EXTERNAL      
                              (SEPARATE PROCEDURE); PERINEAL URETHRA,   
                              EXTERNAL                                  
531............       53020  MEATOTOMY, CUTTING OF MEATUS (SEPARATE     
                              PROCEDURE); EXCEPT INFANT                 
531............       53025  MEATOTOMY, CUTTING OF MEATUS (SEPARATE     
                              PROCEDURE); INFANT                        
531............       53040  DRAINAGE OF DEEP PERIURETHRAL ABSCESS      
531............       53060  DRAINAGE OF SKENE'S GLAND ABSCESS OR CYST  
531............       53080  DRAINAGE OF PERINEAL URINARY EXTRAVASATION;
                              UNCOMPLICATED (SEPARATE PROCEDURE)        
531............       53200  BIOPSY OF URETHRA                          
531............       53250  EXCISION OF BULBOURETHRAL GLAND (COWPER'S  
                              GLAND)                                    
531............       53260  EXCISION OR FULGURATION; URETHRAL POLYP(S),
                              DISTAL URETHRA                            
531............       53265  EXCISION OR FULGURATION; URETHRAL CARUNCLE 
531............       53270  EXCISION OR FULGURATION; SKENE'S GLANDS    
531............       53275  EXCISION OR FULGURATION; URETHRAL PROLAPSE 
531............       53442  REMOVAL OF PERINEAL PROSTHESIS INTRODUCED  
                              FOR CONTINENCE                            
531............       53502  URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR
                              INJURY, FEMALE                            
531............       53505  URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR
                              INJURY; PENILE                            
531............       53510  URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR
                              INJURY; PERINEAL                          
531............       53665  DILATION OF FEMALE URETHRA, GENERAL OR     
                              CONDUCTION (SPINAL) ANESTHESIA            
531............       54000  SLITTING OF PREPUCE, DORSAL OR LATERAL     
                              (SEPARATE PROCEDURE); NEWBORN             
531............       54001  SLITTING OF PREPUCE, DORSAL OR LATERAL     
                              (SEPARATE PROCEDURE); EXCEPT NEWBORN      
532............       53210  URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY; 
                              FEMALE                                    
532............       53215  URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY; 
                              MALE                                      
532............       53220  EXCISION OR FULGURATION OF CARCINOMA OF    
                              URETHRA                                   
532............       53230  EXCISION OF URETHRAL DIVERTICULUM (SEPARATE
                              PROCEDURE); FEMALE                        
532............       53235  EXCISION OF URETHRAL DIVERTICULUM (SEPARATE
                              PROCEDURE); MALE                          
532............       53240  MARSUPIALIZATION OF URETHRAL DIVERTICULUM, 
                              MALE OR FEMALE                            
532............       53400  URETHROPLASTY; FIRST STAGE, FOR FISTULA,   
                              DIVERTICULUM, OR STRICTURE (EG, JOHANNSEN 
                              TYPE)                                     
532............       53405  URETHROPLASTY; SECOND STAGE (FORMATION OF  
                              URETHRA), INCLUDING URINARY DIVERSION     
532............       53410  URETHROPLASTY, ONE-STAGE RECONSTRUCTION OF 
                              MALE ANTERIOR URETHRA                     
532............       53420  URETHROPLASTY, TWO-STAGE RECONSTRUCTION OR 
                              REPAIR OF PROSTATIC OR MEMBRANOUS URETHRA;
                              FIRST STAGE                               
532............       53425  URETHROPLASTY, TWO-STAGE RECONSTRUCTION OR 
                              REPAIR OF PROSTATIC OR MEMBRANOUS URETHRA;
                              SECOND STAGE                              
532............       53430  URETHROPLASTY, RECONSTRUCTION OF FEMALE    
                              URETHRA                                   
532............       53447  REMOVAL, REPAIR, OR REPLACEMENT OF         
                              INFLATABLE SPHINCTER INCLUDING PUMP AND/OR
                              RESERVOIR AND/OR CUFF                     
532............       53449  SURGICAL CORRECTION OF HYDRAULIC           
                              ABNORMALITY OF INFLATABLE SPHINCTER DEVICE
532............       53450  URETHROMEATOPLASTY, WITH MUCOSAL           
                              ADVANCEMENT                               
532............       53460  URETHROMEATOPLASTY, WITH PARTIAL EXCISION  
                              OF DISTAL URETHRAL SEGMENT (RICHARDSON    
                              TYPE PROCEDURE)                           
532............       53515  URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR
                              INJURY; PROSTATOMEMBRANOUS                
532............       53520  CLOSURE OF URETHROSTOMY OR URETHROCUTANEOUS
                              FISTULA, MALE (SEPARATE PROCEDURE)        
536............       54150  CIRCUMCISION, USING CLAMP OR OTHER DEVICE; 
                              NEWBORN                                   
536............       54152  CIRCUMCISION, USING CLAMP OR OTHER DEVICE; 
                              EXCEPT NEWBORN                            
536............       54160  CIRCUMCISION, SURGICAL EXCISION OTHER THAN 
                              CLAMP, DEVICE OR DORSAL SLIT; NEWBORN     
536............       54161  CIRCUMCISION, SURGICAL EXCISION OTHER THAN 
                              CLAMP, DEVICE OR DORSAL SLIT; EXCEPT      
                              NEWBORN                                   
537............       37790  PENILE VENOUS OCCLUSIVE PROCEDURE          
537............       54110  EXCISION OF PENILE PLAQUE (PEYRONIE        
                              DISEASE);                                 
537............       54111  EXCISION OF PENILE PLAQUE (PEYRONIE        
                              DISEASE); WITH GRAFT TO 5 CM IN LENGTH    
537............       54112  EXCISION OF PENILE PLAQUE (PEYRONIE        
                              DISEASE); WITH GRAFT GREATER THAN 5 CM IN 
                              LENGTH                                    
537............       54120  AMPUTATION OF PENIS; PARTIAL               
537............       54205  INJECTION PROCEDURE FOR PEYRONIE DISEASE;  
                              WITH SURGICAL EXPOSURE OF PLAQUE          
537............       54300  PLASTIC OPERATION OF PENIS FOR             
                              STRAIGHTENING OF CHORDEE (EG,             
                              HYPOSPADIAS), WITH OR WITHOUT MOBILIZATION
                              OF URETHRA                                
537............       54304  PLASTIC OPERATION ON PENIS FOR CORRECTION  
                              OF CHORDEE OR FOR FIRST STAGE HYPOSPADIAS 
                              REPAIR WITH OR WITHOUT TRANSPLANTATION OF 
                              PREPUCE AND/OR SKIN FLAPS                 
537............       54308  URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS 
                              REPAIR (INCLUDING URINARY DIVERSION); LESS
                              THAN 3 CM                                 
537............       54312  URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS 
                              REPAIR (INCLUDING URINARY DIVERSION);     
                              GREATER THAN 3 CM                         
537............       54316  URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS 
                              REPAIR (INCLUDING URINARY DIVERSION) WITH 
                              FREE SKIN GRAFT OBTAINED FROM SITE OTHER  
                              THAN GENITALIA                            
537............       54318  URETHROPLASTY FOR THIRD STAGE HYPOSPADIAS  
                              REPAIR TO RELEASE PENIS FROM SCROTUM (EG, 
                              THIRD STAGE CECIL REPAIR)                 
537............       54322  ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH  
                              OR WITHOUT CHORDEE OR CIRCUMCISION); WITH 
                              SIMPLE MEATAL ADVANCEMENT (EG, MAGPI, V-  
                              FLAP)                                     
537............       54324  ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH  
                              OR WITHOUT CHORDEE OR CIRCUMCISION); WITH 
                              URETHROPLASTY BY LOCAL SKIN FLAPS (EG,    
                              FLIP-FLAP, PREPUCIAL FLAP)                
537............       54326  ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH  
                              OR WITHOUT CHORDEE OR CIRCUMCISION); WITH 
                              URETHROPLASTY BY LOCAL SKIN FLAPS AND     
                              MOBILIZATION OF URETHRA                   

[[Page 32505]]

                                                                        
537............       54328  ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH  
                              OR WITHOUT CHORDEE OR CIRCUMCISION); WITH 
                              EXTENSIVE DISSECTION TO CORRECT CHORDEE   
                              AND URETHROPLASTY WITH LOCAL SKIN FLAPS,  
                              SKIN GRAFT PATCH, AND/OR ISLAND FLAP      
537............       54340  REPAIR OF HYPOSPADIAS COMPLICATIONS (IE,   
                              FISTULA, STRICTURE, DIVERTICULA); BY      
                              CLOSURE, INCISION, OR EXCISION, SIMPLE    
537............       54344  REPAIR OF HYPOSPADIAS COMPLICATIONS (IE,   
                              FISTULA, STRICTURE, DIVERTICULA);         
                              REQUIRING MOBILIZATION OF SKIN FLAPS AND  
                              URETHROPLASTY WITH FLAP OR PATCH GRAFT    
537............       54348  REPAIR OF HYPOSPADIAS COMPLICATIONS (IE,   
                              FISTULA, STRICTURE, DIVERTICULA);         
                              REQUIRING EXTENSIVE DISSECTION AND        
                              URETHROPLASTY WITH FLAP, PATCH OR TUBED   
                              GRAFT (INCLUDES URINARY DIVERSION)        
537............       54352  REPAIR OF HYPOSPADIAS CRIPPLE REQUIRING    
                              EXTENSIVE DISSECTION AND EXCISION OF      
                              PREVIOUSLY CONSTRUCTED STRUCTURES         
                              INCLUDING RE-RELEASE OF CHORDEE AND       
                              RECONSTRUCTION OF URETHRA AND PENIS BY USE
                              OF LOCAL SKIN AS GRAFTS AND ISLAND FLAPS  
                              AND SKIN BROUGHT IN AS FLAPS OR GRAFTS    
537............       54360  PLASTIC OPERATION ON PENIS TO CORRECT      
                              ANGULATION                                
537............       54380  PLASTIC OPERATION ON PENIS FOR EPISPADIAS  
                              DISTAL TO EXTERNAL SPHINCTER;             
537............       54385  PLASTIC OPERATION ON PENIS FOR EPISPADIAS  
                              DISTAL TO EXTERNAL SPHINCTER; WITH        
                              INCONTINENCE                              
537............       54402  REMOVAL OR REPLACEMENT OF NON-INFLATABLE   
                              (SEMI-RIGID) OR INFLATABLE (SELF-         
                              CONTAINED) PENILE PROSTHESIS              
537............       54407  REMOVAL, REPAIR, OR REPLACEMENT OF         
                              INFLATABLE (MULTI-COMPONENT) PENILE       
                              PROSTHESIS, INCLUDING PUMP AND/OR         
                              RESERVOIR AND/OR CYLINDERS                
537............       54409  SURGICAL CORRECTION OF HYDRAULIC           
                              ABNORMALITY OF INFLATABLE (MULTI-         
                              COMPONENT) PROSTHESIS INCLUDING PUMP AND/ 
                              OR RESERVOIR AND/OR CYLINDERS             
537............       54420  CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT     
                              (PRIAPISM OPERATION), UNILATERAL OR       
                              BILATERAL                                 
537............       54435  CORPORA CAVERNOSA-GLANS PENIS FISTULIZATION
                              (EG, BIOPSY NEEDLE, WINTER PROCEDURE,     
                              RONGEUR, OR PUNCH) FOR PRIAPISM           
537............       54440  PLASTIC OPERATION OF PENIS FOR INJURY      
538............       53440  OPERATION FOR CORRECTION OF MALE URINARY   
                              INCONTINENCE, WITH OR WITHOUT INTRODUCTION
                              OF PROSTHESIS                             
538............       53445  OPERATION FOR CORRECTION OF URINARY        
                              INCONTINENCE WITH PLACEMENT OF INFLATABLE 
                              URETHRAL OR BLADDER NECK SPHINCTER,       
                              INCLUDING PLACEMENT OF PUMP AND/OR        
                              RESERVOIR                                 
538............       54400  INSERTION OF PENILE PROSTHESIS; NON-       
                              INFLATABLE (SEMI-RIGID)                   
538............       54401  INSERTION OF PENILE PROSTHESIS; INFLATABLE 
                              (SELF-CONTAINED)                          
538............       54405  INSERTION OF INFLATABLE (MULTI-COMPONENT)  
                              PENILE PROSTHESIS, INCLUDING PLACEMENT OF 
                              PUMP, CYLINDERS, AND/OR RESERVOIR         
546............       54505  BIOPSY OF TESTIS, INCISIONAL (SEPARATE     
                              PROCEDURE)                                
546............       54510  EXCISION OF LOCAL LESION OF TESTIS         
546............       54520  ORCHIECTOMY, SIMPLE (INCLUDING             
                              SUBCAPSULAR), WITH OR WITHOUT TESTICULAR  
                              PROSTHESIS, SCROTAL OR INGUINAL APPROACH  
546............       54530  ORCHIECTOMY, RADICAL, FOR TUMOR; INGUINAL  
                              APPROACH                                  
546............       54550  EXPLORATION FOR UNDESCENDED TESTIS         
                              (INGUINAL OR SCROTAL AREA)                
546............       54600  REDUCTION OF TORSION OF TESTIS, SURGICAL,  
                              WITH OR WITHOUT FIXATION OF CONTRALATERAL 
                              TESTIS                                    
546............       54620  FIXATION OF CONTRALATERAL TESTIS (SEPARATE 
                              PROCEDURE)                                
546............       54640  ORCHIOPEXY, INGUINAL APPROACH, WITH OR     
                              WITHOUT HERNIA REPAIR                     
546............       54660  INSERTION OF TESTICULAR PROSTHESIS         
                              (SEPARATE PROCEDURE)                      
546............       54670  SUTURE OR REPAIR OF TESTICULAR INJURY      
546............       54680  TRANSPLANTATION OF TESTIS(ES) TO THIGH     
                              (BECAUSE OF SCROTAL DESTRUCTION)          
546............       54700  INCISION AND DRAINAGE OF EPIDIDYMIS, TESTIS
                              AND/OR SCROTAL SPACE (EG, ABSCESS OR      
                              HEMATOMA)                                 
546............       54820  EXPLORATION OF EPIDIDYMIS, WITH OR WITHOUT 
                              BIOPSY                                    
546............       54830  EXCISION OF LOCAL LESION OF EPIDIDYMIS     
546............       54840  EXCISION OF SPERMATOCELE, WITH OR WITHOUT  
                              EPIDIDYMECTOMY                            
546............       54860  EPIDIDYMECTOMY; UNILATERAL                 
546............       54861  EPIDIDYMECTOMY; BILATERAL                  
546............       54900  EPIDIDYMOVASOSTOMY, ANASTOMOSIS OF         
                              EPIDIDYMIS TO VAS DEFERENS; UNILATERAL    
546............       54901  EPIDIDYMOVASOSTOMY, ANASTOMOSIS OF         
                              EPIDIDYMIS TO VAS DEFERENS; BILATERAL     
546............       55060  REPAIR OF TUNICA VAGINALIS HYDROCELE       
                              (BOTTLE TYPE)                             
546............       55110  SCROTAL EXPLORATION                        
546............       55120  REMOVAL OF FOREIGN BODY IN SCROTUM         
546............       55150  RESECTION OF SCROTUM                       
546............       55175  SCROTOPLASTY; SIMPLE                       
546............       55180  SCROTOPLASTY; COMPLICATED                  
546............       55200  VASOTOMY, CANNULIZATION WITH OR WITHOUT    
                              INCISION OF VAS, UNILATERAL OR BILATERAL  
                              (SEPARATE PROCEDURE)                      
546............       55250  VASECTOMY, UNILATERAL OR BILATERAL         
                              (SEPARATE PROCEDURE), INCLUDING           
                              POSTOPERATIVE SEMEN EXAMINATION(S)        
546............       55400  VASOVASOSTOMY, VASOVASORRHAPHY             
546............       55450  LIGATION (PERCUTANEOUS) OF VAS DEFERENS,   
                              UNILATERAL OR BILATERAL (SEPARATE         
                              PROCEDURE)                                
546............       55500  EXCISION OF HYDROCELE OF SPERMATIC CORD,   
                              UNILATERAL (SEPARATE PROCEDURE)           
546............       55520  EXCISION OF LESION OF SPERMATIC CORD       
                              (SEPARATE PROCEDURE)                      
546............       55530  EXCISION OF VARICOCELE OR LIGATION OF      
                              SPERMATIC VEINS FOR VARICOCELE; (SEPARATE 
                              PROCEDURE)                                
546............       55535  EXCISION OF VARICOCELE OR LIGATION OF      
                              SPERMATIC VEINS FOR VARICOCELE; ABDOMINAL 
                              APPROACH                                  
546............       55540  EXCISION OF VARICOCELE OR LIGATION OF      
                              SPERMATIC VEINS FOR VARICOCELE; WITH      
                              HERNIA REPAIR                             
546............       55680  EXCISION OF MULLERIAN DUCT CYST            
547............       55700  BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE  
                              OR MULTIPLE, ANY APPROACH                 
547............       55705  BIOPSY, PROSTATE; INCISIONAL, ANY APPROACH 
550............       56351  HYSTEROSCOPY, SURGICAL; WITH SAMPLING      
                              (BIOPSY) OF ENDOMETRIUM AND/OR            
                              POLYPECTOMY, WITH OR WITHOUT D & C        
550............       56352  HYSTEROSCOPY, SURGICAL; WITH LYSIS OF      
                              INTRAUTERINE ADHESIONS (ANY METHOD)       
550............       56353  HYSTEROSCOPY, SURGICAL; WITH DIVISION OR   
                              RESECTION OF INTRAUTERINE SEPTUM (ANY     
                              METHOD)                                   
550............       56354  HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF    
                              LEIOMYOMATA                               
550............       56355  HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF    
                              IMPACTED FOREIGN BODY                     
550............       56356  HYSTEROSCOPY, SURGICAL; WITH ENDOMETRIAL   
                              ABLATION (ANY METHOD)                     

[[Page 32506]]

                                                                        
551............       56300  LAPAROSCOPY (PERITONEOSCOPY), DIAGNOSTIC;  
                              (SEPARATE PROCEDURE)                      
551............       56301  LAPAROSCOPY, SURGICAL; WITH FULGURATION OF 
                              OVIDUCTS (WITH OR WITHOUT TRANSECTION)    
551............       56302  LAPAROSCOPY, SURGICAL; WITH OCCLUSION OF   
                              OVIDUCTS BY DEVICE (EG, BAND, CLIP, OR    
                              FALOPE RING)                              
551............       56303  LAPAROSCOPY, SURGICAL; WITH FULGURATION OR 
                              EXCISION OF LESIONS OF THE OVARY, PELVIC  
                              VISCERA, OR PERITONEAL SURFACE BY ANY     
                              METHOD                                    
551............       56304  LAPAROSCOPY, SURGICAL; WITH LYSIS OF       
                              ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS)    
                              (SEPARATE PROCEDURE)                      
551............       56305  LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE 
                              OR MULTIPLE)                              
551............       56306  LAPAROSCOPY, SURGICAL; WITH ASPIRATION     
                              (SINGLE OR MULTIPLE)                      
551............       56346  LAPAROSCOPY, SURGICAL; GASTROSTOMY,        
                              TEMPORARY (TUBE OR RUBBER OR PLASTIC)     
                              (SEPARATE PROCEDURE)                      
552............       56307  LAPAROSCOPY, SURGICAL; WITH REMOVAL OF     
                              ADNEXAL STRUCTURES (PARTIAL OR TOTAL      
                              OOPHORECTOMY AND/OR SALPINGECTOMY)        
552............       56309  LAPAROSCOPY, SURGICAL; WITH REMOVAL OF     
                              LEIOMYOMATA (SINGLE OR MULTIPLE)          
552............       56311  LAPAROSCOPY, SURGICAL; WITH RETROPERITONEAL
                              LYMPH NODE SAMPLING (BIOPSY), SINGLE OR   
                              MULTIPLE                                  
552............       56312  LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL
                              PELVIC LYMPHADENECTOMY                    
552............       56313  LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL
                              PELVIC LYMPHADENECTOMY AND PERI-AORTIC    
                              LYMPH NODE SAMPLING (BIOPSY), SINGLE OR   
                              MULTIPLE                                  
552............       56316  LAPAROSCOPY, SURGICAL; REPAIR OF INITIAL   
                              INGUINAL HERNIA                           
552............       56317  LAPAROSCOPY, SURGICAL; REPAIR OF RECURRENT 
                              INGUINAL HERNIA                           
552............       56318  LAPAROSCOPY, SURGICAL; ORCHIECTOMY         
552............       56320  LAPAROSCOPY, SURGICAL; WITH LIGATION OF    
                              SPERMATIC VEINS FOR VARICOCELE            
552............       56343  LAPAROSCOPY, SURGICAL; WITH SALPINGOSTOMY  
                              (SALPINGONEOSTOMY)                        
552............       56344  LAPAROSCOPY, SURGICAL; WITH FIMBRIOPLASTY  
552............       56362  LAPAROSCOPY WITH GUIDED TRANSHEPATIC       
                              CHOLANGIOGRAPHY; WITHOUT BIOPSY           
552............       56363  LAPAROSCOPY WITH GUIDED TRANSHEPATIC       
                              CHOLANGIOGRAPHY; WITH BIOPSY              
562............       56350  HYSTEROSCOPY, DIAGNOSTIC (SEPARATE         
                              PROCEDURE)                                
562............       56440  MARSUPIALIZATION OF BARTHOLIN'S GLAND CYST 
562............       56700  PARTIAL HYMENECTOMY OR REVISION OF HYMENAL 
                              RING                                      
562............       56720  HYMENOTOMY, SIMPLE INCISION                
562............       56740  EXCISION OF BARTHOLIN'S GLAND OR CYST      
562............       56800  PLASTIC REPAIR OF INTROITUS                
562............       56810  PERINEOPLASTY, REPAIR OF PERINEUM,         
                              NONOBSTETRICAL (SEPARATE PROCEDURE)       
562............       57000  COLPOTOMY; WITH EXPLORATION                
562............       57010  COLPOTOMY; WITH DRAINAGE OF PELVIC ABSCESS 
562............       57020  COLPOCENTESIS (SEPARATE PROCEDURE)         
562............       57065  DESTRUCTION OF VAGINAL LESION(S);          
                              EXTENSIVE, ANY METHOD                     
562............       57105  BIOPSY OF VAGINAL MUCOSA; EXTENSIVE,       
                              REQUIRING SUTURE (INCLUDING CYSTS)        
562............       57130  EXCISION OF VAGINAL SEPTUM                 
562............       57135  EXCISION OF VAGINAL CYST OR TUMOR          
562............       57200  COLPORRHAPHY, SUTURE OF INJURY OF VAGINA   
                              (NONOBSTETRICAL)                          
562............       57210  COLPOPERINEORRHAPHY, SUTURE OF INJURY OF   
                              VAGINA AND/OR PERINEUM (NONOBSTETRICAL)   
562............       57230  PLASTIC REPAIR OF URETHROCELE              
562............       57400  DILATION OF VAGINA UNDER ANESTHESIA        
562............       57410  PELVIC EXAMINATION UNDER ANESTHESIA        
562............       57415  REMOVAL OF IMPACTED VAGINAL FOREIGN BODY   
                              (SEPARATE PROCEDURE) UNDER ANESTHESIA     
562............       57460  COLPOSCOPY (VAGINOSCOPY); WITH LOOP        
                              ELECTRODE EXCISION PROCEDURE OF THE CERVIX
562............       57700  CERCLAGE OF UTERINE CERVIX, NONOBSTETRICAL 
562............       57720  TRACHELORRHAPHY, PLASTIC REPAIR OF UTERINE 
                              CERVIX, VAGINAL APPROACH                  
562............       58345  TRANSCERVICAL INTRODUCTION OF FALLOPIAN    
                              TUBE CATHETER FOR DIAGNOSIS AND/OR RE-    
                              ESTABLISHING PATENCY (ANY METHOD), WITH OR
                              WITHOUT HYSTEROSALPINGOGRAPHY             
562............       58350  CHROMOTUBATION OF OVIDUCT, INCLUDING       
                              MATERIALS                                 
562............       58970  FOLLICLE PUNCTURE FOR OOCYTE RETRIEVAL, ANY
                              METHOD                                    
562............       59300  EPISIOTOMY OR VAGINAL REPAIR, BY OTHER THAN
                              ATTENDING PHYSICIAN                       
562............       59320  CERCLAGE OF CERVIX, DURING PREGNANCY;      
                              VAGINAL                                   
562............       59871  REMOVAL OF CERCLAGE SUTURE UNDER ANESTHESIA
                              (OTHER THAN LOCAL)                        
563............       56620  VULVECTOMY SIMPLE; PARTIAL                 
563............       56625  VULVECTOMY SIMPLE; COMPLETE                
563............       57220  PLASTIC OPERATION ON URETHRAL SPHINCTER,   
                              VAGINAL APPROACH (EG, KELLY URETHRAL      
                              PLICATION)                                
563............       57240  ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE 
                              WITH OR WITHOUT REPAIR OF URETHROCELE     
563............       57250  POSTERIOR COLPORRHAPHY, REPAIR OF RECTOCELE
                              WITH OR WITHOUT PERINEORRHAPHY            
563............       57260  COMBINED ANTEROPOSTERIOR COLPORRHAPHY;     
563............       57265  COMBINED ANTEROPOSTERIOR COLPORRHAPHY; WITH
                              ENTEROCELE REPAIR                         
563............       57268  REPAIR OF ENTEROCELE, VAGINAL APPROACH     
                              (SEPARATE PROCEDURE)                      
563............       57284  PARAVAGINAL DEFECT REPAIR (INCLUDING REPAIR
                              OF CYSTOCELE, STRESS URINARY INCONTINENCE,
                              AND/OR INCOMPLETE VAGINAL PROLAPSE)       
563............       57288  SLING OPERATION FOR STRESS INCONTINENCE    
                              (EG, FASCIA OR SYNTHETIC)                 
563............       57289  PEREYRA PROCEDURE, INCLUDING ANTERIOR      
                              COLPORRHAPHY                              
563............       57291  CONSTRUCTION OF ARTIFICIAL VAGINA; WITHOUT 
                              GRAFT                                     
563............       57300  CLOSURE OF RECTOVAGINAL FISTULA; VAGINAL OR
                              TRANSANAL APPROACH                        
563............       57520  CONIZATION OF CERVIX, WITH OR WITHOUT      
                              FULGURATION, WITH OR WITHOUT DILATION AND 
                              CURETTAGE, WITH OR WITHOUT REPAIR; COLD   
                              KNIFE OR LASER                            
563............       57522  CONIZATION OF CERVIX, WITH OR WITHOUT      
                              FULGURATION, WITH OR WITHOUT DILATION AND 
                              CURETTAGE, WITH OR WITHOUT REPAIR; LOOP   
                              ELECTRODE EXCISION                        
563............       57530  TRACHELECTOMY (CERVICECTOMY), AMPUTATION OF
                              CERVIX (SEPARATE PROCEDURE)               
563............       57550  EXCISION OF CERVICAL STUMP, VAGINAL        
                              APPROACH;                                 
563............       57555  EXCISION OF CERVICAL STUMP, VAGINAL        
                              APPROACH; WITH ANTERIOR AND/OR POSTERIOR  
                              REPAIR                                    

[[Page 32507]]

                                                                        
563............       57556  EXCISION OF CERVICAL STUMP, VAGINAL        
                              APPROACH; WITH REPAIR OF ENTEROCELE       
563............       58145  MYOMECTOMY, EXCISION OF FIBROID TUMOR OF   
                              UTERUS, SINGLE OR MULTIPLE (SEPARATE      
                              PROCEDURE); VAGINAL APPROACH              
563............       58800  DRAINAGE OF OVARIAN CYST(S), UNILATERAL OR 
                              BILATERAL, (SEPARATE PROCEDURE); VAGINAL  
                              APPROACH                                  
563............       58820  DRAINAGE OF OVARIAN ABSCESS; VAGINAL       
                              APPROACH, OPEN                            
567............       57820  DILATION AND CURETTAGE OF CERVICAL STUMP   
567............       58120  DILATION AND CURETTAGE, DIAGNOSTIC AND/OR  
                              THERAPEUTIC (NONOBSTETRICAL)              
567............       59160  CURRETTAGE, POSTPARTUM                     
586............       59840  INDUCED ABORTION, BY DILATION AND CURETTAGE
586............       59841  INDUCED ABORTION, BY DILATION AND          
                              EVACUATION                                
587............       59812  TREATMENT OF INCOMPLETE ABORTION, ANY      
                              TRIMESTER, COMPLETED SURGICALLY           
587............       59820  TREATMENT OF MISSED ABORTION, COMPLETED    
                              SURGICALLY; FIRST TRIMESTER               
587............       59821  TREATMENT OF MISSED ABORTION, COMPLETED    
                              SURGICALLY; SECOND TRIMESTER              
587............       59870  UTERINE EVACUATION AND CURETTAGE FOR       
                              HYDATIDIFORM MOLE                         
600............       62270  SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC        
600............       62272  SPINAL PUNCTURE, THERAPEUTIC, FOR DRAINAGE 
                              OF SPINAL FLUID (BY NEEDLE OR CATHETER)   
602............       61000  SUBDURAL TAP THROUGH FONTANELLE, OR SUTURE,
                              INFANT, UNILATERAL OR BILATERAL; INITIAL  
602............       61001  SUBDURAL TAP THROUGH FONTANELLE, OR SUTURE,
                              INFANT, UNILATERAL OR BILATERAL;          
                              SUBSEQUENT TAPS                           
602............       61020  VENTRICULAR PUNCTURE THROUGH PREVIOUS BURR 
                              HOLE, FONTANELLE, SUTURE, OR IMPLANTED    
                              VENTRICULAR CATHETER/RESERVOIR; WITHOUT   
                              INJECTION                                 
602............       61026  VENTRICULAR PUNCTURE THROUGH PREVIOUS BURR 
                              HOLE, FONTANELLE, SUTURE, OR IMPLANTED    
                              VENTRICULAR CATHETER/RESERVOIR; WITH      
                              INJECTION OF DRUG OR OTHER SUBSTANCE FOR  
                              DIAGNOSIS OR TREATMENT                    
602............       61050  CISTERNAL OR LATERAL CERVICAL (C1-C2)      
                              PUNCTURE; WITHOUT INJECTION (SEPARATE     
                              PROCEDURE)                                
602............       61055  CISTERNAL OR LATERAL CERVICAL (C1-C2)      
                              PUNCTURE; WITH INJECTION OF DRUG OR OTHER 
                              SUBSTANCE FOR DIAGNOSIS OR TREATMENT (EG, 
                              C1-C2)                                    
602............       61070  PUNCTURE OF SHUNT TUBING OR RESERVOIR FOR  
                              ASPIRATION OR INJECTION PROCEDURE         
602............       62194  REPLACEMENT OR IRRIGATION, SUBARACHNOID/   
                              SUBDURAL CATHETER                         
602............       62225  REPLACEMENT OR IRRIGATION, VENTRICULAR     
                              CATHETER                                  
602............       62268  PERCUTANEOUS ASPIRATION, SPINAL CORD CYST  
                              OR SYRINX                                 
602............       62273  INJECTION, LUMBAR EPIDURAL, OF BLOOD OR    
                              CLOT PATCH                                
602............       62274  INJECTION OF DIAGNOSTIC OR THERAPEUTIC     
                              ANESTHETIC OR ANTISPASMODIC SUBSTANCE     
                              (INCLUDING NARCOTICS); SUBARACHNOID OR    
                              SUBDURAL, SINGLE                          
602............       62275  INJECTION OF DIAGNOSTIC OR THERAPEUTIC     
                              ANESTHETIC OR ANTISPASMODIC SUBSTANCE     
                              (INCLUDING NARCOTICS); EPIDURAL, CERVICAL 
                              OR THORACIC, SINGLE                       
602............       62276  INJECTION OF DIAGNOSTIC OR THERAPEUTIC     
                              ANESTHETIC OR ANTISPASMODIC SUBSTANCE     
                              (INCLUDING NARCOTICS); SUBARACHNOID OR    
                              SUBDURAL, DIFFERENTIAL                    
602............       62277  INJECTION OF DIAGNOSTIC OR THERAPEUTIC     
                              ANESTHETIC OR ANTISPASMODIC SUBSTANCE     
                              (INCLUDING NARCOTICS); SUBARACHNOID OR    
                              SUBDURAL, CONTINUOUS                      
602............       62278  INJECTION OF DIAGNOSTIC OR THERAPEUTIC     
                              ANESTHETIC OR ANTISPASMODIC SUBSTANCE     
                              (INCLUDING NARCOTICS); EPIDURAL, LUMBAR OR
                              CAUDAL, SINGLE                            
602............       62279  INJECTION OF DIAGNOSTIC OR THERAPEUTIC     
                              ANESTHETIC OR ANTISPASMODIC SUBSTANCE     
                              (INCLUDING NARCOTICS); EPIDURAL, LUMBAR OR
                              CAUDAL, CONTINUOUS                        
602............       62280  INJECTION OF NEUROLYTIC SUBSTANCE (EG,     
                              ALCOHOL, PHENOL, ICED SALINE SOLUTIONS);  
                              SUBARACHNOID                              
602............       62281  INJECTION OF NEUROLYTIC SUBSTANCE (EG,     
                              ALCOHOL, PHENOL, ICED SALINE SOLUTIONS);  
                              EPIDURAL, CERVICAL OR THORACIC            
602............       62282  INJECTION OF NEUROLYTIC SUBSTANCE (EG,     
                              ALCOHOL, PHENOL, ICED SALINE SOLUTIONS);  
                              EPIDURAL, LUMBAR OR CAUDAL                
602............       62288  INJECTION OF SUBSTANCE OTHER THAN          
                              ANESTHETIC, ANTISPASMODIC, CONTRAST, OR   
                              NEUROLYTIC SOLUTIONS; SUBARACHNOID        
                              (SEPARATE PROCEDURE)                      
602............       62289  INJECTION OF SUBSTANCE OTHER THAN          
                              ANESTHETIC, ANTISPASMODIC, CONTRAST, OR   
                              NEUROLYTIC SOLUTIONS; LUMBAR OR CAUDAL    
                              EPIDURAL (SEPARATE PROCEDURE)             
602............       62292  INJECTION PROCEDURE FOR CHEMONUCLEOLYSIS,  
                              INCLUDING DISKOGRAPHY, INTERVERTEBRAL     
                              DISK, SINGLE OR MULTIPLE LEVELS, LUMBAR   
602............       62294  INJECTION PROCEDURE, ARTERIAL, FOR         
                              OCCLUSION OF ARTERIOVENOUS MALFORMATION,  
                              SPINAL                                    
602............       62298  INJECTION OF SUBSTANCE OTHER THAN          
                              ANESTHETIC, CONTRAST, OR NEUROLYTIC       
                              SOLUTIONS, EPIDURAL, CERVICAL OR THORACIC 
                              (SEPARATE PROCEDURE)                      
616............       63650  PERCUTANEOUS IMPLANTATION OF               
                              NEUROSTIMULATOR ELECTRODES; EPIDURAL      
616............       64553  PERCUTANEOUS IMPLANTATION OF               
                              NEUROSTIMULATOR ELECTRODES; CRANIAL NERVE 
616............       64555  PERCUTANEOUS IMPLANTATION OF               
                              NEUROSTIMULATOR ELECTRODES; PERIPHERAL    
                              NERVE                                     
616............       64560  PERCUTANEOUS IMPLANTATION OF               
                              NEUROSTIMULATOR ELECTRODES; AUTONOMIC     
                              NERVE                                     
616............       64565  PERCUTANEOUS IMPLANTATION OF               
                              NEUROSTIMULATOR ELECTRODES; NEUROMUSCULAR 
616............       64573  INCISION FOR IMPLANTATION OF               
                              NEUROSTIMULATOR ELECTRODES; CRANIAL NERVE 
616............       64575  INCISION FOR IMPLANTATION OF               
                              NEUROSTIMULATOR ELECTRODES; PERIPHERAL    
                              NERVE                                     
616............       64577  INCISION FOR IMPLANTATION OF               
                              NEUROSTIMULATOR ELECTRODES; AUTONOMIC     
                              NERVE                                     
616............       64580  INCISION FOR IMPLANTATION OF               
                              NEUROSTIMULATOR ELECTRODES; NEUROMUSCULAR 
617............       62230  REPLACEMENT OR REVISION OF CSF SHUNT,      
                              OBSTRUCTED VALVE, OR DISTAL CATHETER IN   
                              SHUNT SYSTEM                              
617............       62350  IMPLANTATION, REVISION OR REPOSITIONING OF 
                              INTRATHECAL OR EPIDURAL CATHETER, FOR     
                              IMPLANTABLE RESERVOIR OR IMPLANTABLE      
                              INFUSION PUMP; WITHOUT LAMINECTOMY        
617............       62355  REMOVAL OF PREVIOUSLY IMPLANTED INTRATHECAL
                              OR EPIDURAL CATHETER                      
617............       62365  REMOVAL OF SUBCUTANEOUS RESERVOIR OR PUMP, 
                              PREVIOUSLY IMPLANTED FOR INTRATHECAL OR   
                              EPIDURAL INFUSION                         
617............       63660  REVISION OR REMOVAL OF SPINAL              
                              NEUROSTIMULATOR ELECTRODES                
617............       63688  REVISION OR REMOVAL OF IMPLANTED SPINAL    
                              NEUROSTIMULATOR PULSE GENERATOR OR        
                              RECEIVER                                  
617............       63744  REPLACEMENT, IRRIGATION OR REVISION OF     
                              LUMBOSUBARACHNOID SHUNT                   
617............       63746  REMOVAL OF ENTIRE LUMBOSUBARACHNOID SHUNT  
                              SYSTEM WITHOUT REPLACEMENT                
617............       64585  REVISION OR REMOVAL OF PERIPHERAL          
                              NEUROSTIMULATOR ELECTRODES                

[[Page 32508]]

                                                                        
617............       64595  REVISION OR REMOVAL OF PERIPHERAL          
                              NEUROSTIMULATOR PULSE GENERATOR OR        
                              RECEIVER                                  
618............       61215  INSERTION OF SUBCUTANEOUS RESERVOIR, PUMP  
                              OR CONTINUOUS INFUSION SYSTEM FOR         
                              CONNECTION TO VENTRICULAR CATHETER        
618............       61885  INCISION AND SUBCUTANEOUS PLACEMENT OF     
                              CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR
                              RECEIVER, DIRECT OR INDUCTIVE COUPLING    
618............       62360  IMPLANTATION OR REPLACEMENT OF DEVICE FOR  
                              INTRATHECAL OR EPIDURAL DRUG INFUSION;    
                              SUBCUTANEOUS RESERVOIR                    
618............       62361  IMPLANTATION OR REPLACEMENT OF DEVICE FOR  
                              INTRATHECAL OR EPIDURAL DRUG INFUSION; NON-
                              PROGRAMMABLE PUMP                         
618............       62362  IMPLANTATION OR REPLACEMENT OF DEVICE FOR  
                              INTRATHECAL OR EPIDURAL DRUG INFUSION;    
                              PROGRAMMABLE PUMP, INCLUDING PREPARATION  
                              OF PUMP, WITH OR WITHOUT PROGRAMMING      
618............       63685  INCISION AND SUBCUTANEOUS PLACEMENT OF     
                              SPINAL NEUROSTIMULATOR PULSE GENERATOR OR 
                              RECEIVER, DIRECT OR INDUCTIVE COUPLING    
618............       64590  INCISION AND SUBCUTANEOUS PLACEMENT OF     
                              PERIPHERAL NEUROSTIMULATOR PULSE GENERATOR
                              OR RECEIVER, DIRECT OR INDUCTIVE COUPLING 
631............       27315  NEURECTOMY, HAMSTRING MUSCLE               
631............       27320  NEURECTOMY, POPLITEAL (GASTROCNEMIUS)      
631............       28030  NEURECTOMY OF INTRINSIC MUSCULATURE OF FOOT
631............       28035  TARSAL TUNNEL RELEASE (POSTERIOR TIBIAL    
                              NERVE DECOMPRESSION)                      
631............       61790  CREATION OF LESION BY STEREOTACTIC METHOD, 
                              PERCUTANEOUS, BY NEUROLYTIC AGENT (EG,    
                              ALCOHOL, THERMAL, ELECTRICAL,             
                              RADIOFREQUENCY); GASSERIAN GANGLION       
631............       62287  ASPIRATION PROCEDURE, PERCUTANEOUS, OF     
                              NUCLEUS PULPOSUS OF INTERVERTEBRAL DISK,  
                              ANY METHOD, SINGLE OR MULTIPLE LEVELS,    
                              LUMBAR                                    
631............       63600  CREATION OF LESION OF SPINAL CORD BY       
                              STEREOTACTIC METHOD, PERCUTANEOUS, ANY    
                              MODALITY (INCLUDING STIMULATION AND/OR    
                              RECORDING)                                
631............       63610  STEREOTACTIC STIMULATION OF SPINAL CORD,   
                              PERCUTANEOUS, SEPARATE PROCEDURE NOT      
                              FOLLOWED BY OTHER SURGERY                 
631............       63615  STEREOTACTIC BIOPSY, ASPIRATION, OR        
                              EXCISION OF LESION, SPINAL CORD           
631............       64702  NEUROPLASTY; DIGITAL, ONE OR BOTH, SAME    
                              DIGIT                                     
631............       64704  NEUROPLASTY; NERVE OF HAND OR FOOT         
631............       64708  NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR
                              LEG; OTHER THAN SPECIFIED                 
631............       64712  NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR
                              LEG; SCIATIC NERVE                        
631............       64713  NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR
                              LEG; BRACHIAL PLEXUS                      
631............       64714  NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR
                              LEG; LUMBAR PLEXUS                        
631............       64716  NEUROPLASTY AND/OR TRANSPOSITION; CRANIAL  
                              NERVE (SPECIFY)                           
631............       64718  NEUROPLASTY AND/OR TRANSPOSITION; ULNAR    
                              NERVE AT ELBOW                            
631............       64719  NEUROPLASTY AND/OR TRANSPOSITION; ULNAR    
                              NERVE AT WRIST                            
631............       64721  NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN   
                              NERVE AT CARPAL TUNNEL                    
631............       64722  DECOMPRESSION; UNSPECIFIED NERVE(S)        
                              (SPECIFY)                                 
631............       64726  DECOMPRESSION; PLANTAR DIGITAL NERVE       
631............       64727  INTERNAL NEUROLYSIS, REQUIRING USE OF      
                              OPERATING MICROSCOPE (LIST SEPARATELY IN  
                              ADDITION TO CODE FOR NEUROPLASTY)         
                              (NEUROPLASTY INCLUDES EXTERNAL NEUROLYSIS)
631............       64732  TRANSECTION OR AVULSION OF; SUPRAORBITAL   
                              NERVE                                     
631............       64734  TRANSECTION OR AVULSION OF; INFRAORBITAL   
                              NERVE                                     
631............       64736  TRANSECTION OR AVULSION OF; MENTAL NERVE   
631............       64738  TRANSECTION OR AVULSION OF; INFERIOR       
                              ALVEOLAR NERVE BY OSTEOTOMY               
631............       64740  TRANSECTION OR AVULSION OF; LINGUAL NERVE  
631............       64742  TRANSECTION OR AVULSION OF; FACIAL NERVE,  
                              DIFFERENTIAL OR COMPLETE                  
631............       64744  TRANSECTION OR AVULSION OF; GREATER        
                              OCCIPITAL NERVE                           
631............       64746  TRANSECTION OR AVULSION OF; PHRENIC NERVE  
631............       64761  TRANSECTION OR AVULSION OF; PUDENDAL NERVE 
631............       64771  TRANSECTION OR AVULSION OF OTHER CRANIAL   
                              NERVE, EXTRADURAL                         
631............       64772  TRANSECTION OR AVULSION OF OTHER SPINAL    
                              NERVE, EXTRADURAL                         
631............       64774  EXCISION OF NEUROMA; CUTANEOUS NERVE,      
                              SURGICALLY IDENTIFIABLE                   
631............       64776  EXCISION OF NEUROMA; DIGITAL NERVE, ONE OR 
                              BOTH, SAME DIGIT                          
631............       64778  EXCISION OF NEUROMA; DIGITAL NERVE, EACH   
                              ADDITIONAL DIGIT (LIST SEPARATELY BY THIS 
                              NUMBER)                                   
631............       64782  EXCISION OF NEUROMA; HAND OR FOOT, EXCEPT  
                              DIGITAL NERVE                             
631............       64783  EXCISION OF NEUROMA; HAND OR FOOT, EACH    
                              ADDITIONAL NERVE, EXCEPT SAME DIGIT (LIST 
                              SEPARATELY BY THIS NUMBER)                
631............       64784  EXCISION OF NEUROMA; MAJOR PERIPHERAL      
                              NERVE, EXCEPT SCIATIC                     
631............       64787  IMPLANTATION OF NERVE END INTO BONE OR     
                              MUSCLE (LIST SEPARATELY IN ADDITION TO    
                              NEUROMA EXCISION)                         
631............       64788  EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA;  
                              CUTANEOUS NERVE                           
631............       64790  EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA;  
                              MAJOR PERIPHERAL NERVE                    
631............       64795  BIOPSY OF NERVE                            
631............       64830  MICRODISSECTION AND/OR MICROREPAIR OF NERVE
                              (LIST SEPARATELY IN ADDITION TO CODE FOR  
                              NERVE REPAIR)                             
632............       64786  EXCISION OF NEUROMA; SCIATIC NERVE         
632............       64792  EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA;  
                              EXTENSIVE (INCLUDING MALIGNANT TYPE)      
632............       64831  SUTURE OF DIGITAL NERVE, HAND OR FOOT; ONE 
                              NERVE                                     
632............       64832  SUTURE OF DIGITAL NERVE, HAND OR FOOT; EACH
                              ADDITIONAL DIGITAL NERVE                  
632............       64834  SUTURE OF ONE NERVE, HAND OR FOOT; COMMON  
                              SENSORY NERVE                             
632............       64835  SUTURE OF ONE NERVE, HAND OR FOOT; MEDIAN  
                              MOTOR THENAR                              
632............       64836  SUTURE OF ONE NERVE, HAND OR FOOT; ULNAR   
                              MOTOR                                     
632............       64837  SUTURE OF EACH ADDITIONAL NERVE, HAND OR   
                              FOOT                                      
632............       64840  SUTURE OF POSTERIOR TIBIAL NERVE           
632............       64856  SUTURE OF MAJOR PERIPHERAL NERVE, ARM OR   
                              LEG, EXCEPT SCIATIC; INCLUDING            
                              TRANSPOSITION                             

[[Page 32509]]

                                                                        
632............       64857  SUTURE OF MAJOR PERIPHERAL NERVE, ARM OR   
                              LEG, EXCEPT SCIATIC; WITHOUT TRANSPOSITION
632............       64858  SUTURE OF SCIATIC NERVE                    
632............       64859  SUTURE OF EACH ADDITIONAL MAJOR PERIPHERAL 
                              NERVE                                     
632............       64861  SUTURE OF; BRACHIAL PLEXUS                 
632............       64862  SUTURE OF; LUMBAR PLEXUS                   
632............       64864  SUTURE OF FACIAL NERVE; EXTRACRANIAL       
632............       64865  SUTURE OF FACIAL NERVE; INFRATEMPORAL, WITH
                              OR WITHOUT GRAFTING                       
632............       64870  ANASTOMOSIS; FACIAL-PHRENIC                
632............       64872  SUTURE OF NERVE; REQUIRING SECONDARY OR    
                              DELAYED SUTURE (LIST SEPARATELY IN        
                              ADDITION TO CODE FOR PRIMARY NEURORRHAPHY)
632............       64874  SUTURE OF NERVE; REQUIRING EXTENSIVE       
                              MOBILIZATION, OR TRANSPOSITION OF NERVE   
                              (LIST SEPARATELY IN ADDITION TO CODE FOR  
                              NERVE SUTURE)                             
632............       64876  SUTURE OF NERVE; REQUIRING SHORTENING OF   
                              BONE OF EXTREMITY (LIST SEPARATELY IN     
                              ADDITION TO CODE FOR NERVE SUTURE)        
632............       64885  NERVE GRAFT (INCLUDES OBTAINING GRAFT),    
                              HEAD OR NECK; UP TO 4 CM IN LENGTH        
632............       64886  NERVE GRAFT (INCLUDES OBTAINING GRAFT),    
                              HEAD OR NECK; MORE THAN 4 CM LENGTH       
632............       64890  NERVE GRAFT (INCLUDES OBTAINING GRAFT),    
                              SINGLE STRAND, HAND OR FOOT; UP TO 4 CM   
                              LENGTH                                    
632............       64891  NERVE GRAFT (INCLUDES OBTAINING GRAFT),    
                              SINGLE STRAND, HAND OR FOOT; MORE THAN 4  
                              CM LENGTH                                 
632............       64892  NERVE GRAFT (INCLUDES OBTAINING GRAFT),    
                              SINGLE STRAND, ARM OR LEG; UP TO 4 CM     
                              LENGTH                                    
632............       64893  NERVE GRAFT (INCLUDES OBTAINING GRAFT),    
                              SINGLE STRAND, ARM OR LEG; MORE THAN 4 CM 
                              LENGTH                                    
632............       64895  NERVE GRAFT (INCLUDES OBTAINING GRAFT),    
                              MULTIPLE STRANDS (CABLE), HAND OR FOOT; UP
                              TO 4 CM LENGTH                            
632............       64896  NERVE GRAFT (INCLUDES OBTAINING GRAFT),    
                              MULTIPLE STRANDS (CABLE), HAND OR FOOT;   
                              MORE THAN 4 CM LENGTH                     
632............       64897  NERVE GRAFT (INCLUDES OBTAINING GRAFT),    
                              MULTIPLE STRANDS (CABLE), ARM OR LEG; UP  
                              TO 4 CM LENGTH                            
632............       64898  NERVE GRAFT (INCLUDES OBTAINING GRAFT),    
                              MULTIPLE STRANDS (CABLE), ARM OR LEG; MORE
                              THAN 4 CM LENGTH                          
632............       64901  NERVE GRAFT, EACH ADDITIONAL NERVE; SINGLE 
                              STRAND                                    
632............       64902  NERVE GRAFT, EACH ADDITIONAL NERVE;        
                              MULTIPLE STRANDS (CABLE)                  
632............       64905  NERVE PEDICLE TRANSFER; FIRST STAGE        
632............       64907  NERVE PEDICLE TRANSFER; SECOND STAGE       
649............       65855  TRABECULOPLASTY BY LASER SURGERY, ONE OR   
                              MORE SESSIONS (DEFINED TREATMENT SERIES)  
649............       65860  SEVERING ADHESIONS OF ANTERIOR SEGMENT,    
                              LASER TECHNIQUE (SEPARATE PROCEDURE)      
649............       66761  IRIDOTOMY/IRIDECTOMY BY LASER SURGERY (EG, 
                              FOR GLAUCOMA) (ONE OR MORE SESSIONS)      
649............       66762  IRIDOPLASTY BY PHOTOCOAGULATION (ONE OR    
                              MORE SESSIONS) (EG, FOR IMPROVEMENT OF    
                              VISION, FOR WIDENING OF ANTERIOR CHAMBER  
                              ANGLE)                                    
649............       66770  DESTRUCTION OF CYST OR LESION IRIS OR      
                              CILIARY BODY (NONEXCISIONAL PROCEDURE)    
649............       66821  DISCISSION OF SECONDARY MEMBRANOUS CATARACT
                              (OPACIFIED POSTERIOR LENS CAPSULE AND/OR  
                              ANTERIOR HYALOID); LASER SURGERY (EG, YAG 
                              LASER) (ONE OR MORE STAGES)               
649............       67031  SEVERING OF VITREOUS STRANDS, VITREOUS FACE
                              ADHESIONS, SHEETS, MEMBRANES OR OPACITIES,
                              LASER SURGERY (ONE OR MORE STAGES)        
651............       65272  REPAIR OF LACERATION; CONJUNCTIVA, BY      
                              MOBILIZATION AND REARRANGEMENT, WITHOUT   
                              HOSPITALIZATION                           
651............       65275  REPAIR OF LACERATION; CORNEA,              
                              NONPERFORATING, WITH OR WITHOUT REMOVAL   
                              FOREIGN BODY                              
651............       65286  REPAIR OF LACERATION; APPLICATION OF TISSUE
                              GLUE, WOUNDS OF CORNEA AND/OR SCLERA      
651............       65420  EXCISION OR TRANSPOSITION OF PTERYGIUM;    
                              WITHOUT GRAFT                             
651............       65436  REMOVAL OF CORNEAL EPITHELIUM; WITH        
                              APPLICATION OF CHELATING AGENT (EG, EDTA) 
651............       65450  DESTRUCTION OF LESION OF CORNEA BY         
                              CRYOTHERAPY, PHOTOCOAGULATION OR          
                              THERMOCAUTERIZATION                       
651............       65772  CORNEAL RELAXING INCISION FOR CORRECTION OF
                              SURGICALLY INDUCED ASTIGMATISM            
651............       65810  PARACENTESIS OF ANTERIOR CHAMBER OF EYE    
                              (SEPARATE PROCEDURE); WITH REMOVAL OF     
                              VITREOUS AND/OR DISCISSION OF ANTERIOR    
                              HYALOID MEMBRANE, WITH OR WITHOUT AIR     
                              INJECTION                                 
651............       65815  PARACENTESIS OF ANTERIOR CHAMBER OF EYE    
                              (SEPARATE PROCEDURE); WITH REMOVAL OF     
                              BLOOD, WITH OR WITHOUT IRRIGATION AND/OR  
                              AIR INJECTION                             
651............       65820  GONIOTOMY                                  
651............       66130  EXCISION OF LESION, SCLERA                 
651............       66500  IRIDOTOMY BY STAB INCISION (SEPARATE       
                              PROCEDURE); EXCEPT TRANSFIXION            
651............       66505  IRIDOTOMY BY STAB INCISION (SEPARATE       
                              PROCEDURE); WITH TRANSFIXION AS FOR IRIS  
                              BOMBE                                     
651............       66600  IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL  
                              SECTION; FOR REMOVAL OF LESION            
651............       66625  IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL  
                              SECTION; PERIPHERAL FOR GLAUCOMA (SEPARATE
                              PROCEDURE)                                
651............       66630  IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL  
                              SECTION; SECTOR FOR GLAUCOMA (SEPARATE    
                              PROCEDURE)                                
651............       66700  CILIARY BODY DESTRUCTION; DIATHERMY        
651............       66710  CILIARY BODY DESTRUCTION;                  
                              CYCLOPHOTOCOAGULATION                     
651............       66720  CILIARY BODY DESTRUCTION; CRYOTHERAPY      
651............       66820  DISCISSION OF SECONDARY MEMBRANOUS CATARACT
                              (OPACIFIED POSTERIOR LENS CAPSULE AND/OR  
                              ANTERIOR HYALOID); STAB INCISION TECHNIQUE
                              (ZIEGLER OR WHEELER KNIFE)                
651............       66825  REPOSITIONING OF INTRAOCULAR LENS          
                              PROSTHESIS, REQUIRING AN INCISION         
                              (SEPARATE PROCEDURE)                      
652............       65235  REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM 
                              ANTERIOR CHAMBER OR LENS                  
652............       65280  REPAIR OF LACERATION; CORNEA AND/OR SCLERA,
                              PERFORATING, NOT INVOLVING UVEAL TISSUE   
652............       65285  REPAIR OF LACERATION; CORNEA AND/OR SCLERA,
                              PERFORATING, WITH REPOSITION OR RESECTION 
                              OF UVEAL TISSUE                           
652............       65400  EXCISION OF LESION, CORNEA (KERATECTOMY,   
                              LAMELLAR, PARTIAL), EXCEPT PTERYGIUM      
652............       65426  EXCISION OR TRANSPOSITION OF PTERYGIUM;    
                              WITH GRAFT                                
652............       65770  KERATOPROSTHESIS                           
652............       65775  CORNEAL WEDGE RESECTION FOR CORRECTION OF  
                              SURGICALLY INDUCED ASTIGMATISM            
652............       65850  TRABECULOTOMY AB EXTERNO                   
652............       65865  SEVERING ADHESIONS OF ANTERIOR SEGMENT OF  
                              EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT
                              INJECTION OF AIR OR LIQUID) (SEPARATE     
                              PROCEDURE); GONIOSYNECHIAE                
652............       65870  SEVERING ADHESIONS OF ANTERIOR SEGMENT OF  
                              EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT
                              INJECTION OF AIR OR LIQUID) (SEPARATE     
                              PROCEDURE); ANTERIOR SYNECHIAE, EXCEPT    
                              GONIOSYNECHIAE                            
652............       65875  SEVERING ADHESIONS OF ANTERIOR SEGMENT OF  
                              EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT
                              INJECTION OF AIR OR LIQUID) (SEPARATE     
                              PROCEDURE); POSTERIOR SYNECHIAE           

[[Page 32510]]

                                                                        
652............       65880  SEVERING ADHESIONS OF ANTERIOR SEGMENT OF  
                              EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT
                              INJECTION OF AIR OR LIQUID) (SEPARATE     
                              PROCEDURE); CORNEOVITREAL ADHESIONS       
652............       65900  REMOVAL OF EPITHELIAL DOWNGROWTH, ANTERIOR 
                              CHAMBER EYE                               
652............       65920  REMOVAL OF IMPLANTED MATERIAL, ANTERIOR    
                              SEGMENT EYE                               
652............       65930  REMOVAL OF BLOOD CLOT, ANTERIOR SEGMENT EYE
652............       66150  FISTULIZATION OF SCLERA FOR GLAUCOMA;      
                              TREPHINATION WITH IRIDECTOMY              
652............       66155  FISTULIZATION OF SCLERA FOR GLAUCOMA;      
                              THERMOCAUTERIZATION WITH IRIDECTOMY       
652............       66160  FISTULIZATION OF SCLERA FOR GLAUCOMA;      
                              SCLERECTOMY WITH PUNCH OR SCISSORS, WITH  
                              IRIDECTOMY                                
652............       66165  FISTULIZATION OF SCLERA FOR GLAUCOMA;      
                              IRIDENCLEISIS OR IRIDOTASIS               
652............       66170  FISTULIZATION OF SCLERA FOR GLAUCOMA;      
                              TRABECULECTOMY AB EXTERNO IN ABSENCE OF   
                              PREVIOUS SURGERY                          
652............       66172  FISTULIZATION OF SCLERA FOR GLAUCOMA;      
                              TRABECULECTOMY AB EXTERNO WITH SCARRING   
                              FROM PREVIOUS OCULAR SURGERY OR TRAUMA    
                              (INCLUDES INJECTION OF ANTIFIBROTIC       
                              AGENTS)                                   
652............       66180  AQUEOUS SHUNT TO EXTRAOCULAR RESERVOIR (EG,
                              MOLTENO, SCHOCKET, DENVER-KRUPIN)         
652............       66185  REVISION OF AQUEOUS SHUNT TO EXTRAOCULAR   
                              RESERVOIR                                 
652............       66225  REPAIR OF SCLERAL STAPHYLOMA; WITH GRAFT   
652............       66250  REVISION OR REPAIR OF OPERATIVE WOUND OF   
                              ANTERIOR SEGMENT, ANY TYPE, EARLY OR LATE,
                              MAJOR OR MINOR PROCEDURE                  
652............       66605  IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL  
                              SECTION; WITH CYCLECTOMY                  
652............       66635  IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL  
                              SECTION; OPTICAL (SEPARATE PROCEDURE)     
652............       66680  REPAIR OF IRIS, CILIARY BODY (AS FOR       
                              IRIDODIALYSIS)                            
652............       66682  SUTURE OF IRIS, CILIARY BODY (SEPARATE     
                              PROCEDURE) WITH RETRIEVAL OF SUTURE       
                              THROUGH SMALL INCISION (EG, MCCANNEL      
                              SUTURE)                                   
652............       66740  CILIARY BODY DESTRUCTION; CYCLODIALYSIS    
652............       66830  REMOVAL OF SECONDARY MEMBRANOUS CATARACT   
                              (OPACIFIED POSTERIOR LENS CAPSULE AND/OR  
                              ANTERIOR HYALOID) WITH CORNEO-SCLERAL     
                              SECTION, WITH OR WITHOUT IRIDECTOMY       
                              (IRIDOCAPSULOTOMY, IRIDOCAPSULECTOMY)     
652............       68130  EXCISION OF LESION, CONJUNCTIVA; WITH      
                              ADJACENT SCLERA                           
652............       68330  REPAIR OF SYMBLEPHARON; CONJUNCTIVOPLASTY, 
                              WITHOUT GRAFT                             
652............       68360  CONJUNCTIVAL FLAP; BRIDGE OR PARTIAL       
                              (SEPARATE PROCEDURE)                      
652............       68362  CONJUNCTIVAL FLAP; TOTAL (SUCH AS GUNDERSON
                              THIN FLAP OR PURSE STRING FLAP)           
667............       66840  REMOVAL OF LENS MATERIAL; ASPIRATION       
                              TECHNIQUE, ONE OR MORE STAGES             
667............       66850  REMOVAL OF LENS MATERIAL;                  
                              PHACOFRAGMENTATION TECHNIQUE (MECHANICAL  
                              OR ULTRASONIC) (EG, PHACOEMULSIFICATION), 
                              WITH ASPIRATION                           
667............       66852  REMOVAL OF LENS MATERIAL; PARS PLANA       
                              APPROACH, WITH OR WITHOUT VITRECTOMY      
667............       66920  REMOVAL OF LENS MATERIAL; INTRACAPSULAR    
667............       66930  REMOVAL OF LENS MATERIAL; INTRACAPSULAR,   
                              FOR DISLOCATED LENS                       
667............       66940  REMOVAL OF LENS MATERIAL; EXTRACAPSULAR    
                              (OTHER THAN 66840, 66850, 66852)          
668............       66983  INTRACAPSULAR CATARACT EXTRACTION WITH     
                              INSERTION OF INTRAOCULAR LENS PROSTHESIS  
                              (ONE STAGE PROCEDURE)                     
668............       66984  EXTRACAPSULAR CATARACT REMOVAL WITH        
                              INSERTION OF INTRAOCULAR LENS PROSTHESIS  
                              (ONE STAGE PROCEDURE), MANUAL OR          
                              MECHANICAL TECHNIQUE (EG, IRRIGATION AND  
                              ASPIRATION OR PHACOEMULSIFICATION)        
668............       66985  INSERTION OF INTRAOCULAR LENS PROSTHESIS   
                              (SECONDARY IMPLANT), NOT ASSOCIATED WITH  
                              CONCURRENT CATARACT REMOVAL               
668............       66986  EXCHANGE OF INTRAOCULAR LENS               
670............       65710  KERATOPLASTY (CORNEAL TRANSPLANT); LAMELLAR
670............       65730  KERATOPLASTY (CORNEAL TRANSPLANT);         
                              PENETRATING (EXCEPT IN APHAKIA)           
670............       65750  KERATOPLASTY (CORNEAL TRANSPLANT);         
                              PENETRATING (IN APHAKIA)                  
670............       65755  KERATOPLASTY (CORNEAL TRANSPLANT);         
                              PENETRATING (IN PSEUDOPHAKIA)             
676............       65260  REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM 
                              POSTERIOR SEGMENT, MAGNETIC EXTRACTION,   
                              ANTERIOR OR POSTERIOR ROUTE               
676............       65265  REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM 
                              POSTERIOR SEGMENT, NONMAGNETIC EXTRACTION 
676............       66220  REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT
676............       67005  REMOVAL OF VITREOUS, ANTERIOR APPROACH     
                              (OPEN SKY TECHNIQUE OR LIMBAL INCISION);  
                              PARTIAL REMOVAL                           
676............       67010  REMOVAL OF VITREOUS, ANTERIOR APPROACH     
                              (OPEN SKY TECHNIQUE OR LIMBAL INCISION);  
                              SUBTOTAL REMOVAL WITH MECHANICAL          
                              VITRECTOMY                                
676............       67015  ASPIRATION OR RELEASE OF VITREOUS,         
                              SUBRETINAL OR CHOROIDAL FLUID, PARS PLANA 
                              APPROACH (POSTERIOR SCLEROTOMY)           
676............       67030  DISCISSION OF VITREOUS STRANDS (WITHOUT    
                              REMOVAL), PARS PLANA APPROACH             
676............       67101  REPAIR OF RETINAL DETACHMENT, ONE OR MORE  
                              SESSIONS; CRYOTHERAPY OR DIATHERMY, WITH  
                              OR WITHOUT DRAINAGE OF SUBRETINAL FLUID   
676............       67110  REPAIR OF RETINAL DETACHMENT; BY INJECTION 
                              OF AIR OR OTHER GAS (EG, PNEUMATIC        
                              RETINOPEXY)                               
676............       67115  RELEASE OF ENCIRCLING MATERIAL (POSTERIOR  
                              SEGMENT)                                  
676............       67120  REMOVAL OF IMPLANTED MATERIAL, POSTERIOR   
                              SEGMENT; EXTRAOCULAR                      
676............       67121  REMOVAL OF IMPLANTED MATERIAL, POSTERIOR   
                              SEGMENT; INTRAOCULAR                      
676............       67141  PROPHYLAXIS OF RETINAL DETACHMENT (EG,     
                              RETINAL BREAK, LATTICE DEGENERATION)      
                              WITHOUT DRAINAGE, ONE OR MORE SESSIONS;   
                              CRYOTHERAPY, DIATHERMY                    
676............       67208  DESTRUCTION OF LOCALIZED LESION OF RETINA  
                              (EG, MACULOPATHY, CHOROIDOPATHY, SMALL    
                              TUMORS), ONE OR MORE SESSIONS;            
                              CRYOTHERAPY, DIATHERMY                    
676............       67218  DESTRUCTION OF LOCALIZED LESION OF RETINA  
                              (EG, MACULOPATHY, CHOROIDOPATHY, SMALL    
                              TUMORS), ONE OR MORE SESSIONS; RADIATION  
                              BY IMPLANTATION OF SOURCE (INCLUDES       
                              REMOVAL OF SOURCE)                        
676............       67227  DESTRUCTION OF EXTENSIVE OR PROGRESSIVE    
                              RETINOPATHY (EG, DIABETIC RETINOPATHY),   
                              ONE OR MORE SESSIONS; CRYOTHERAPY,        
                              DIATHERMY                                 
677............       65290  REPAIR OF WOUND, EXTRAOCULAR MUSCLE, TENDON
                              AND/OR TENON'S CAPSULE                    
677............       67311  STRABISMUS SURGERY, RECESSION OR RESECTION 
                              PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED
                              ON); ONE HORIZONTAL MUSCLE                
677............       67312  STRABISMUS SURGERY, RECESSION OR RESECTION 
                              PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED
                              ON); TWO HORIZONTAL MUSCLES               

[[Page 32511]]

                                                                        
677............       67314  STRABISMUS SURGERY, RECESSION OR RESECTION 
                              PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED
                              ON); ONE VERTICAL MUSCLE (EXCLUDING       
                              SUPERIOR OBLIQUE)                         
677............       67316  STRABISMUS SURGERY, RECESSION OR RESECTION 
                              PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED
                              ON); TWO OR MORE VERTICAL MUSCLES         
                              (EXCLUDING SUPERIOR OBLIQUE)              
677............       67318  STRABISMUS SURGERY, ANY PROCEDURE (PATIENT 
                              NOT PREVIOUSLY OPERATED ON), SUPERIOR     
                              OBLIQUE MUSCLE                            
677............       67320  TRANSPOSITION PROCEDURE (EG, FOR PARETIC   
                              EXTRAOCULAR MUSCLE), ANY EXTRAOCULAR      
                              MUSCLE (SPECIFY)                          
677............       67331  STRABISMUS SURGERY ON PATIENT WITH PREVIOUS
                              EYE SURGERY OR INJURY THAT DID NOT INVOLVE
                              THE EXTRAOCULAR MUSCLES                   
677............       67332  STRABISMUS SURGERY ON PATIENT WITH SCARRING
                              OF EXTRAOCULAR MUSCLES (EG, PRIOR OCULAR  
                              INJURY, STRABISMUS OR RETINAL DETACHMENT  
                              SURGERY) OR RESTRICTIVE MYOPATHY (EG,     
                              DYSTHYROID OPHTHALMOPATHY)                
677............       67334  STRABISMUS SURGERY BY POSTERIOR FIXATION   
                              SUTURE TECHNIQUE, WITH OR WITHOUT MUSCLE  
                              RECESSION                                 
677............       67335  PLACEMENT OF ADJUSTABLE SUTURE(S) DURING   
                              STRABISMUS SURGERY, INCLUDING             
                              POSTOPERATIVE ADJUSTMENT(S) OF SUTURE(S)  
                              (REPORT IN ADDITION TO CODE FOR SPECIFIC  
                              STRABISMUS SURGERY)                       
677............       67340  STRABISMUS SURGERY INVOLVING EXPLORATION   
                              AND/OR REPAIR OF DETACHED EXTRAOCULAR     
                              MUSCLE(S)                                 
677............       67343  RELEASE OF EXTENSIVE SCAR TISSUE WITHOUT   
                              DETACHING EXTRAOCULAR MUSCLE (SEPARATE    
                              PROCEDURE)                                
683............       65175  REMOVAL OF OCULAR IMPLANT                  
683............       65410  BIOPSY OF CORNEA                           
683............       65800  PARACENTESIS OF ANTERIOR CHAMBER OF EYE    
                              (SEPARATE PROCEDURE); WITH DIAGNOSTIC     
                              ASPIRATION OF AQUEOUS                     
683............       65805  PARACENTESIS OF ANTERIOR CHAMBER OF EYE    
                              (SEPARATE PROCEDURE); WITH THERAPEUTIC    
                              RELEASE OF AQUEOUS                        
683............       66020  INJECTION, ANTERIOR CHAMBER (SEPARATE      
                              PROCEDURE); AIR OR LIQUID                 
683............       66030  INJECTION, ANTERIOR CHAMBER (SEPARATE      
                              PROCEDURE); MEDICATION                    
683............       67025  INJECTION OF VITREOUS SUBSTITUTE, PARS     
                              PLANA OR LIMBAL APPROACH, (FLUID-GAS      
                              EXCHANGE), WITH OR WITHOUT ASPIRATION     
                              (SEPARATE PROCEDURE)                      
683............       67715  CANTHOTOMY (SEPARATE PROCEDURE)            
683............       67830  CORRECTION OF TRICHIASIS; INCISION OF LID  
                              MARGIN                                    
683............       67880  CONSTRUCTION OF INTERMARGINAL ADHESIONS,   
                              MEDIAN TARSORRHAPHY, OR CANTHORRHAPHY;    
683............       67935  SUTURE OF RECENT WOUND, EYELID, INVOLVING  
                              LID MARGIN, TARSUS, AND/OR PALPEBRAL      
                              CONJUNCTIVA DIRECT CLOSURE; FULL THICKNESS
683............       68510  BIOPSY OF LACRIMAL GLAND                   
683............       68525  BIOPSY OF LACRIMAL SAC                     
683............       68810  PROBING OF NASOLACRIMAL DUCT, WITH OR      
                              WITHOUT IRRIGATION;                       
684............       65091  EVISCERATION OF OCULAR CONTENTS; WITHOUT   
                              IMPLANT                                   
684............       65093  EVISCERATION OF OCULAR CONTENTS; WITH      
                              IMPLANT                                   
684............       65101  ENUCLEATION OF EYE; WITHOUT IMPLANT        
684............       65103  ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES  
                              NOT ATTACHED TO IMPLANT                   
684............       65105  ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES  
                              ATTACHED TO IMPLANT                       
684............       65130  INSERTION OF OCULAR IMPLANT SECONDARY;     
                              AFTER EVISCERATION, IN SCLERAL SHELL      
684............       65135  INSERTION OF OCULAR IMPLANT SECONDARY;     
                              AFTER ENUCLEATION, MUSCLES NOT ATTACHED TO
                              IMPLANT                                   
684............       65140  INSERTION OF OCULAR IMPLANT SECONDARY;     
                              AFTER ENUCLEATION, MUSCLES ATTACHED TO    
                              IMPLANT                                   
684............       65150  REINSERTION OF OCULAR IMPLANT; WITH OR     
                              WITHOUT CONJUNCTIVAL GRAFT                
684............       65155  REINSERTION OF OCULAR IMPLANT; WITH USE OF 
                              FOREIGN MATERIAL FOR REINFORCEMENT AND/OR 
                              ATTACHMENT OF MUSCLES TO IMPLANT          
684............       67250  SCLERAL REINFORCEMENT (SEPARATE PROCEDURE);
                              WITHOUT GRAFT                             
684............       67255  SCLERAL REINFORCEMENT (SEPARATE PROCEDURE);
                              WITH GRAFT                                
684............       67400  ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR   
                              TRANSCONJUNCTIVAL APPROACH); FOR          
                              EXPLORATION, WITH OR WITHOUT BIOPSY       
684............       67405  ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR   
                              TRANSCONJUNCTIVAL APPROACH); WITH DRAINAGE
                              ONLY                                      
684............       67412  ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR   
                              TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL 
                              OF LESION                                 
684............       67413  ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR   
                              TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL 
                              OF FOREIGN BODY                           
684............       67550  ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE    
                              CONE); INSERTION                          
684............       67560  ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE    
                              CONE); REMOVAL OR REVISION                
684............       67808  EXCISION OF CHALAZION; UNDER GENERAL       
                              ANESTHESIA AND/OR REQUIRING               
                              HOSPITALIZATION, SINGLE OR MULTIPLE       
684............       67835  CORRECTION OF TRICHIASIS; INCISION OF LID  
                              MARGIN, WITH FREE MUCOUS MEMBRANE GRAFT   
684............       67882  CONSTRUCTION OF INTERMARGINAL ADHESIONS,   
                              MEDIAN TARSORRHAPHY, OR CANTHORRHAPHY;    
                              WITH TRANSPOSITION OF TARSAL PLATE        
684............       67900  REPAIR OF BROW PTOSIS (SUPRACILIARY, MID-  
                              FOREHEAD OR CORONAL APPROACH)             
684............       67901  REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE 
                              TECHNIQUE WITH SUTURE OR OTHER MATERIAL   
684............       67902  REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE 
                              TECHNIQUE WITH FASCIAL SLING (INCLUDES    
                              OBTAINING FASCIA)                         
684............       67903  REPAIR OF BLEPHAROPTOSIS; (TARSO)LEVATOR   
                              RESECTION OR ADVANCEMENT, INTERNAL        
                              APPROACH                                  
684............       67904  REPAIR OF BLEPHAROPTOSIS; (TARSO)LEVATOR   
                              RESECTION OR ADVANCEMENT, EXTERNAL        
                              APPROACH                                  
684............       67906  REPAIR OF BLEPHAROPTOSIS; SUPERIOR RECTUS  
                              TECHNIQUE WITH FASCIAL SLING (INCLUDES    
                              OBTAINING FASCIA)                         
684............       67908  REPAIR OF BLEPHAROPTOSIS; CONJUNCTIVO-TARSO-
                              MULLER'S MUSCLE-LEVATOR RESECTION (EG,    
                              FASANELLA-SERVAT TYPE)                    
684............       67909  REDUCTION OF OVERCORRECTION OF PTOSIS      
684............       67911  CORRECTION OF LID RETRACTION               
684............       67914  REPAIR OF ECTROPION; SUTURE                
684............       67916  REPAIR OF ECTROPION; BLEPHAROPLASTY,       
                              EXCISION TARSAL WEDGE                     
684............       67917  REPAIR OF ECTROPION; BLEPHAROPLASTY,       
                              EXTENSIVE (EG, KUHNT-SZYMANOWSKI OR TARSAL
                              STRIP OPERATIONS)                         
684............       67921  REPAIR OF ENTROPION; SUTURE                
684............       67923  REPAIR OF ENTROPION; BLEPHAROPLASTY,       
                              EXCISION TARSAL WEDGE                     
684............       67924  REPAIR OF ENTROPION; BLEPHAROPLASTY,       
                              EXTENSIVE (EG, WHEELER OPERATION)         
684............       67950  CANTHOPLASTY (RECONSTRUCTION OF CANTHUS)   
684............       67961  EXCISION AND REPAIR OF EYELID, INVOLVING   
                              LID MARGIN, TARSUS, CONJUNCTIVA, CANTHUS, 
                              OR FULL THICKNESS, MAY INCLUDE PREPARATION
                              FOR SKIN GRAFT OR PEDICLE FLAP WITH       
                              ADJACENT TISSUE TRANSFER OR REARRANGEMENT;
                              UP TO ONE-FOURTH OF LID MARGIN            

[[Page 32512]]

                                                                        
684............       67966  EXCISION AND REPAIR OF EYELID, INVOLVING   
                              LID MARGIN, TARSUS, CONJUNCTIVA, CANTHUS, 
                              OR FULL THICKNESS, MAY INCLUDE PREPARATION
                              FOR SKIN GRAFT OR PEDICLE FLAP WITH       
                              ADJACENT TISSUE TRANSFER OR REARRANGEMENT;
                              OVER ONE-FOURTH OF LID MARGIN             
684............       67971  RECONSTRUCTION OF EYELID, FULL THICKNESS BY
                              TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM   
                              OPPOSING EYELID; UP TO TWO-THIRDS OF      
                              EYELID, ONE STAGE OR FIRST STAGE          
684............       67973  RECONSTRUCTION OF EYELID, FULL THICKNESS BY
                              TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM   
                              OPPOSING EYELID; TOTAL EYELID, LOWER, ONE 
                              STAGE OR FIRST STAGE                      
684............       67974  RECONSTRUCTION OF EYELID, FULL THICKNESS BY
                              TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM   
                              OPPOSING EYELID; TOTAL EYELID, UPPER, ONE 
                              STAGE OR FIRST STAGE                      
684............       67975  RECONSTRUCTION OF EYELID, FULL THICKNESS BY
                              TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM   
                              OPPOSING EYELID; SECOND STAGE             
684............       68320  CONJUNCTIVOPLASTY; WITH CONJUNCTIVAL GRAFT 
                              OR EXTENSIVE REARRANGEMENT                
684............       68325  CONJUNCTIVOPLASTY; WITH BUCCAL MUCOUS      
                              MEMBRANE GRAFT (INCLUDES OBTAINING GRAFT) 
684............       68326  CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-  
                              SAC; WITH CONJUNCTIVAL GRAFT OR EXTENSIVE 
                              REARRANGEMENT                             
684............       68328  CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-  
                              SAC; WITH BUCCAL MUCOUS MEMBRANE GRAFT    
                              (INCLUDES OBTAINING GRAFT)                
684............       68335  REPAIR OF SYMBLEPHARON; WITH FREE GRAFT    
                              CONJUNCTIVA OR BUCCAL MUCOUS MEMBRANE     
                              (INCLUDES OBTAINING GRAFT)                
684............       68340  REPAIR OF SYMBLEPHARON; DIVISION OF        
                              SYMBLEPHARON, WITH OR WITHOUT INSERTION OF
                              CONFORMER OR CONTACT LENS                 
684............       68500  EXCISION OF LACRIMAL GLAND                 
                              (DACRYOADENECTOMY), EXCEPT FOR TUMOR;     
                              TOTAL                                     
684............       68505  EXCISION OF LACRIMAL GLAND                 
                              (DACRYOADENECTOMY), EXCEPT FOR TUMOR;     
                              PARTIAL                                   
684............       68520  EXCISION OF LACRIMAL SAC (DACRYOCYSTECTOMY)
684............       68540  EXCISION OF LACRIMAL GLAND TUMOR; FRONTAL  
                              APPROACH                                  
684............       68550  EXCISION OF LACRIMAL GLAND TUMOR; INVOLVING
                              OSTEOTOMY                                 
684............       68700  PLASTIC REPAIR OF CANALICULI               
684............       68720  DACRYOCYSTORHINOSTOMY (FISTULIZATION OF    
                              LACRIMAL SAC TO NASAL CAVITY)             
684............       68745  CONJUNCTIVORHINOSTOMY (FISTULIZATION OF    
                              CONJUNCTIVA TO NASAL CAVITY); WITHOUT TUBE
684............       68750  CONJUNCTIVORHINOSTOMY (FISTULIZATION OF    
                              CONJUNCTIVA TO NASAL CAVITY); WITH        
                              INSERTION OF TUBE OR STENT                
684............       68770  CLOSURE OF LACRIMAL FISTULA (SEPARATE      
                              PROCEDURE)                                
684............       68811  PROBING OF NASOLACRIMAL DUCT, WITH OR      
                              WITHOUT IRRIGATION; REQUIRING GENERAL     
                              ANESTHESIA                                
684............       68815  PROBING OF NASOLACRIMAL DUCT, WITH OR      
                              WITHOUT IRRIGATION; WITH INSERTION OF TUBE
                              OR STENT                                  
690............       67036  VITRECTOMY, MECHANICAL, PARS PLANA         
                              APPROACH;                                 
690............       67038  VITRECTOMY, MECHANICAL, PARS PLANA         
                              APPROACH; WITH EPIRETINAL MEMBRANE        
                              STRIPPING                                 
690............       67039  VITRECTOMY, MECHANICAL, PARS PLANA         
                              APPROACH; WITH FOCAL ENDOLASER            
                              PHOTOCOAGULATION                          
690............       67040  VITRECTOMY, MECHANICAL, PARS PLANA         
                              APPROACH; WITH ENDOLASER PANRETINAL       
                              PHOTOCOAGULATION                          
690............       67107  REPAIR OF RETINAL DETACHMENT; SCLERAL      
                              BUCKLING (SUCH AS LAMELLAR SCLERAL        
                              DISSECTION, IMBRICATION OR ENCIRCLING     
                              PROCEDURE), WITH OR WITHOUT IMPLANT, WITH 
                              OR WITHOUT CRYOTHERAPY, PHOTOCOAGULATION, 
                              AND DRAINAGE OF SUBRETINAL FLUID          
690............       67108  REPAIR OF RETINAL DETACHMENT; WITH         
                              VITRECTOMY, ANY METHOD, WITH OR WITHOUT   
                              AIR OR GAS TAMPONADE, FOCAL ENDOLASER     
                              PHOTOCOAGULATION, CRYOTHERAPY, DRAINAGE OF
                              SUBRETINAL FLUID, SCLERAL BUCKLING, AND/OR
                              REMOVAL OF LENS BY SAME TECHNIQUE         
690............       67112  REPAIR OF RETINAL DETACHMENT; BY SCLERAL   
                              BUCKLING OR VITRECTOMY, ON PATIENT HAVING 
                              PREVIOUS IPSILATERAL RETINAL DETACHMENT   
                              REPAIR(S) USING SCLERAL BUCKLING OR       
                              VITRECTOMY TECHNIQUES                     
------------------------------------------------------------------------

          

  

  

         Addendum C.--List of APC Groups and Related Information        
------------------------------------------------------------------------
                                                           Proposed ASC 
   APC group           Group title         Proposed ASC   relative value
                                           payment rate       factor    
------------------------------------------------------------------------
122............  level II needle                    $186            0.37
                  biopsy.aspiration.                                    
132............  level II incision &                $162            0.32
                  drainage.                                             
152............  level II debridement/              $213            0.42
                  destruction.                                          
162............  level II excision/                 $187            0.37
                  biopsy.                                               
163............  level III excision/                $449            0.89
                  biopsy.                                               
181............  level I skin repair....            $150            0.30
182............  level II skin repair...            $383            0.76
183............  level III skin repair..            $465            0.92
184............  level IV skin repair...            $565            1.12
197............  incision/excision                  $411            0.81
                  breast.                                               
198............  breast reconstruction/             $596            1.18
                  mastectomy.                                           
207............  closed treatment                    $53            0.11
                  fracture finger/toe/                                  
                  trunk.                                                
209............  closed treatment                    $71            0.14
                  fracture/dislocation/                                 
                  except finger/toe/                                    
                  trunk.                                                
210............  bone/joint manipulation            $397            0.79
                  under anesthesia.                                     
216............  open/percutaneous                  $580            1.15
                  treatment fracture or                                 
                  dislocation.                                          
217............  arthroplasty...........            $695            1.38
218............  arthroplasty with                  $730            1.45
                  prosthesis.                                           
231............  level I skull and                  $437            0.87
                  facial bone procedures.                               
232............  level II skull and                 $814            1.62
                  facial bone procedures.                               
251............  level I musculoskeletal            $504            1.00
                  procedures.                                           

[[Page 32513]]

                                                                        
252............  level II                           $574            1.14
                  musculoskeletal                                       
                  procedures.                                           
253............  level III                          $775            1.54
                  musculoskeletal                                       
                  procedures.                                           
254............  level IV                         $1,110            2.20
                  musculoskeletal                                       
                  procedures.                                           
261............  level I hand                       $494            0.98
                  musculoskeletal                                       
                  procedures.                                           
262............  level II hand                      $543            1.08
                  musculoskeletal                                       
                  procedures.                                           
271............  level I foot                       $510            1.01
                  musculoskeletal                                       
                  procedures.                                           
272............  level II foot                      $546            1.08
                  musculoskeletal                                       
                  procedures.                                           
279............  bunion procedures......            $680            1.35
280............  diagnostic arthroscopy.            $675            1.34
281............  level I surgical                   $807            1.60
                  arthroscopy.                                          
282............  level II surgical                  $860            1.71
                  arthroscopy.                                          
286............  arthroscopy aided                $1,110            2.20
                  procedures.                                           
312............  level II ENT procedures            $233            0.46
313............  level III ENT                      $537            1.07
                  procedures.                                           
314............  level IV ENT procedures            $946            1.88
317............  implantaton of cochlear            $962            1.91
                  device.                                               
318............  nasal cauterization/                $77            0.15
                  packing.                                              
319............  tonsil/adenoid                     $648            1.29
                  procedures.                                           
320............  thoracentesis/lavage               $126            0.25
                  procedures.                                           
332............  level II endoscopy                 $423            0.84
                  upper airway.                                         
333............  level III endoscropy               $653            1.30
                  upper airway.                                         
336............  endoscopy lower airway.            $407            0.81
346............  placement transvenous              $195            0.39
                  caths/cutdown.                                        
360............  removal/revision                   $397            0.79
                  pacemaker/vascular                                    
                  device.                                               
367............  vascular ligation......            $682            1.35
368............  vascular repair/fistula            $841            1.67
                  construction.                                         
396............  lymph node excisions...            $440            0.87
397............  thyroid/lymphadenectomy            $630            1.25
                  procedures.                                           
406............  esophageal dilation                $187            0.37
                  without endoscopy.                                    
407............  esophagoscopy..........            $302            0.60
417............  diagnostic upper GI                $327            0.65
                  endoscopy.                                            
418............  therapeutic upper GI               $348            0.69
                  endoscopy.                                            
419............  small intestine                    $364            0.72
                  endoscopy.                                            
426............  diagnostic lower GI                $354            0.70
                  endoscopy.                                            
427............  therapeutic lower GI               $405            0.80
                  endoscopy.                                            
437............  therapeutic anoscopy...            $150            0.30
446............  diagnostic                         $175            0.35
                  sigmoidoscopy.                                        
447............  therapeutic                        $210            0.42
                  proctosigmoidoscopy.                                  
448............  therapeutic flexible               $225            0.45
                  sigmoidoscopy.                                        
449............  complex GI endoscopy...            $415            0.82
452............  level II anal/rectal               $301            0.60
                  procedures.                                           
453............  level III anal/rectal              $631            1.25
                  procedures.                                           
456............  endoscopic retrograde              $473            0.94
                  cholangio-                                            
                  pancreatography (ERCP).                               
458............  percutaneous bilary                $473            0.94
                  endoscopic procedures.                                
459............  pentoneal and abdominal            $611            1.21
                  procedures.                                           
466............  hemia/hydrocele                    $739            1.47
                  procedures.                                           
470............  tube procedures........            $119            0.24
521............  level I                            $212            0.42
                  cystourethroscopy and                                 
                  other genitourinary                                   
                  procedures.                                           
522............  level II                           $393            0.78
                  cystourethroscopy and                                 
                  other genitourinary                                   
                  procedures.                                           
523............  level III                          $504            1.00
                  cystourethroscopy and                                 
                  other genitourinary                                   
                  procedures.                                           
524............  level IV                         $1,131            2.24
                  cystourethroscopy and                                 
                  other genitourinary                                   
                  procedures.                                           
527............  lithotripsy............          $2,107            4.18
531............  level I urethral                   $418            0.83
                  procedures.                                           
532............  level II urethral                  $644            1.28
                  procedures.                                           
536............  circumcision...........            $459            0.91
537............  penile procedures......          $1,221            2.42
538............  insertion of penile              $1,221            2.42
                  prosthesis B94.                                       
546............  testes/epididymis                  $523            1.04
                  procedures.                                           
547............  prostate biopsy........            $265            0.53
550............  surgical hysteroscopy..            $610            1.21
551............  level I laparoscopy....            $831            1.65
552............  level II laparoscopy...          $1,383            2.74
562............  level II female                    $481            0.95
                  reproductive                                          
                  procedures.                                           
563............  level III female                   $601            1.19
                  reproductive                                          
                  procedures.                                           
567............  D & C..................            $458            0.91
586............  therapeutic abortion...            $448            0.89
587............  spontaneous abortion...            $503            1.00

[[Page 32514]]

                                                                        
600............  spinal tap.............            $101            0.20
602............  level II nervous system            $241            0.48
                  injections.                                           
616............  implantation of                    $391            0.78
                  neurostimulator                                       
                  electrodes.                                           
617............  revision/removal                   $391            0.78
                  neurological device.                                  
618............  implantation                       $841            1.67
                  neurological devices.                                 
631............  level I nerve                      $600            1.19
                  procedures.                                           
632............  level II nerve                     $666            1.32
                  procedures.                                           
649............  laser eye procedures               $274            0.54
                  except retinal.                                       
651............  level I anterior                   $297            0.59
                  segment eye procedures.                               
652............  level II anterior                  $415            0.82
                  segment eye procedures.                               
667............  cataract procedures....            $661            1.31
668............  cataract procedures                $863            1.71
                  with IOL insert.                                      
670............  corneal transplant B117          $1,648            3.27
676............  posterior segment eye              $336            0.67
                  procedures.                                           
677............  strabismus/muscle                  $523            1.04
                  procedures.                                           
683............  level III eye procedure            $317            0.63
684............  level IV eye procedure.            $491            0.97
690............  vitrectomy.............            $983            1.95
------------------------------------------------------------------------


                 Addendum D.--Wage Index for Urban Areas                
------------------------------------------------------------------------
                                                                  Wage  
    Urban area (Constituent counties or county equivalents)       index 
------------------------------------------------------------------------
0040  Abilene, TX.............................................    0.8287
  Taylor, TX                                                            
0060  Aguadilla, PR...........................................    0.4188
  Aguada, PR                                                            
  Aguadilla, PR                                                         
  Moca, PR                                                              
0080  Akron, OH...............................................    0.9772
  Portage, OH                                                           
  Summit, OH                                                            
0120  Albany, GA..............................................    0.7914
  Dougherty, GA                                                         
  Lee, GA                                                               
0160  Albany-Schenectady-Troy, NY.............................    0.8480
  Albany, NY                                                            
  Montgomery, NY                                                        
  Rensselaer, NY                                                        
  Saratoga, NY                                                          
  Schenectady, NY                                                       
  Schoharie, NY                                                         
0200  Albuquerque, NM.........................................    0.9309
  Bernalillo, NM                                                        
  Sandoval, NM                                                          
  Valencia, NM                                                          
0220  Alexandria, LA..........................................    0.8162
  Rapides, LA                                                           
0240  Allentown-Bethlehem-Easton, PA..........................    1.0086
  Carbon, PA                                                            
  Lehigh, PA                                                            
  Northampton, PA                                                       
0280  Altoona, PA.............................................    0.9137
  Blair, PA                                                             
0320  Amarillo, TX............................................    0.9425
  Potter, TX                                                            
  Randall, TX                                                           
0380  AK Anchorage, AK........................................    1.2842
  Anchorage,                                                            
0440  Ann Arbor, MI...........................................    1.1785
  Lenawee, MI                                                           
  Livingston, MI                                                        
  Washtenaw, MI                                                         
0450  Anniston, AL............................................    0.8266
  Calhoun, AL                                                           
0460  Appleton-Oshkosh-Neenah, WI.............................    0.8996
  Calumet, WI                                                           
  Outagamie, WI                                                         
  Winnebago, WI                                                         
0470  Arecibo, PR.............................................    0.4218
  Arecibo, PR                                                           
  Camuy, PR                                                             
  Hatillo, PR                                                           
0480  Asheville, NC...........................................    0.9072
  Buncombe, NC                                                          
  Madison, NC                                                           
0500  Athens, GA..............................................    0.9087
  Clarke, GA                                                            
  Madison, GA                                                           
  Oconee, GA                                                            
0520  *Atlanta, GA............................................    0.9823
  Barrow, GA                                                            
  Bartow, GA                                                            
  Carroll, GA                                                           
  Cherokee, GA                                                          
  Clayton, GA                                                           
  Cobb, GA                                                              
  Coweta, GA                                                            
  DeKalb, GA                                                            
  Douglas, GA                                                           
  Fayette, GA                                                           
  Forsyth, GA                                                           
  Fulton, GA                                                            
  Gwinnett, GA                                                          
  Henry, GA                                                             
  Newton, GA                                                            
  Paulding, GA                                                          
  Pickens, GA                                                           
  Rockdale, GA                                                          
  Spalding, GA                                                          
  Walton, GA                                                            
0560  Atlantic City-Cape May, NJ..............................    1.1155
  Atlantic City, NJ                                                     
  Cape May, NJ                                                          
0600  Augusta-Aiken, GA-SC....................................    0.9333
  Columbia, GA                                                          
  McDuffie, GA                                                          
  Richmond, GA                                                          
  Aiken, SC                                                             
  Edgefield, SC                                                         
0640  Austin-San Marcos, TX...................................    0.9133
  Bastrop, TX                                                           
  Caldwell, TX                                                          
  Hays, TX                                                              
  Travis, TX                                                            
  Williamson, TX                                                        
0680  Bakersfield, CA.........................................    1.0014
  Kern, CA                                                              
0720  *Baltimore, MD..........................................    0.9689
  Anne Arundel, MD                                                      
  Baltimore, MD                                                         
  Baltimore City, MD                                                    
  Carroll, MD                                                           
  Harford, MD                                                           
  Howard, MD                                                            
  Queen Annes, MD                                                       
0733  Bangor, ME..............................................    0.9478
  Penobscot, ME                                                         
0743  Barnstable-Yarmouth, MA.................................    1.4291
  Barnstable, MA                                                        
0760  Baton Rouge, LA.........................................    0.8382
  Ascension, LA                                                         
  East Baton Rouge, LA                                                  
  Livingston, LA                                                        
  West Baton Rouge, LA                                                  
0840  Beaumont-Port Arthur, TX................................    0.8593
  Hardin, TX                                                            
  Jefferson, TX                                                         
  Orange, TX                                                            
0860  Bellingham, WA..........................................    1.1221

[[Page 32515]]

                                                                        
  Whatcom, WA                                                           
0870  Benton Harbor, MI.......................................    0.8634
  Berrien, MI                                                           
0875  *Bergen-Passaic, NJ.....................................    1.2156
  Bergen, NJ                                                            
  Passaic, NJ                                                           
0880  Billings, MT............................................    0.9783
  Yellowstone, MT                                                       
0920  Biloxi-Gulfport-Pascagoula, MS..........................    0.8415
  Hancock, MS                                                           
  Harrison, MS                                                          
  Jackson, MS                                                           
0960  Binghamton, NY..........................................    0.8914
  Broome, NY                                                            
  Tioga, NY                                                             
1000  Birmingham, AL..........................................    0.9005
  Blount, AL                                                            
  Jefferson, AL                                                         
  St. Clair, AL                                                         
  Shelby, AL                                                            
1010  Bismarck, ND............................................    0.7695
  Burleigh, ND                                                          
  Morton, ND                                                            
1020  Bloomington, IN.........................................    0.9128
  Monroe, IN                                                            
1040  Bloomington-Normal, IL..................................    0.8733
  McLean, IL                                                            
1080  Boise City, ID..........................................    0.8856
  Ada, ID                                                               
  Canyon, ID                                                            
1123  *Boston-Worcester Lawrence-Lowell-Brockton, MA-NH.......    1.1506
  Bristol, MA                                                           
  Essex, MA                                                             
  Middlesex, MA                                                         
  Norfolk, MA                                                           
  Plymouth, MA                                                          
  Suffolk, MA                                                           
  Worcester, MA                                                         
  Hillsborough, NH                                                      
  Merrimack, NH                                                         
  Rockingham, NH                                                        
  Strafford, NH                                                         
1125  Boulder-Longmont, CO....................................    1.0015
  Boulder, CO                                                           
1145  Brazoria, TX............................................    0.9341
  Brazoria, TX                                                          
1150  Bremerton, WA...........................................    1.0999
  Kitsap, WA                                                            
1240  Brownsville-Harlingen-San Benito, TX....................    0.8740
  Cameron, TX                                                           
1260  Bryan-College Station, TX...............................    0.8571
  Brazos, TX                                                            
1280  *Buffalo-Niagara Falls, NY..............................    0.9272
  Erie, NY                                                              
  Niagara, NY                                                           
1303  Burlington, VT..........................................    1.0142
  Chittenden, VT                                                        
  Franklin, VT                                                          
  Grand Isle, VT                                                        
1310  Caguas, PR..............................................    0.4459
  Caguas, PR                                                            
  Cayey, PR                                                             
  Cidra, PR                                                             
  Gurabo, PR                                                            
  San Lorenzo, PR                                                       
1320  Canton-Massillon, OH....................................    0.8961
  Carroll, OH                                                           
  Stark, OH                                                             
1350  Casper, WY..............................................    0.9013
  Natrona, WY                                                           
1360  Cedar Rapids, IA........................................    0.8529
  Linn, IA                                                              
1400  Champaign-Urbana, IL....................................    0.8824
  Champaign, IL                                                         
1440  Charleston-North Charleston, SC.........................    0.8807
  Berkeley, SC                                                          
  Charleston, SC                                                        
  Dorchester, SC                                                        
1480  Charleston, WV..........................................    0.9142
  Kanawha, WV                                                           
  Putnam, WV                                                            
1520  *Charlotte-Gastonia-Rock Hill, NC-SC....................    0.9710
  Cabarrus, NC                                                          
  Gaston, NC                                                            
  Lincoln, NC                                                           
  Mecklenburg, NC                                                       
  Rowan, NC                                                             
  Union, NC                                                             
  York, SC                                                              
1540  Charlottesville, VA.....................................    0.9051
  Albemarle, VA                                                         
  Charlottesville City, VA                                              
  Fluvanna, VA                                                          
  Greene, VA                                                            
1560  Chattanooga, TN-GA......................................    0.8658
  Catoosa, GA                                                           
  Dade, GA                                                              
  Walker, GA                                                            
  Hamilton, TN                                                          
  Marion, TN                                                            
1580  Cheyenne, WY............................................    0.7555
  Laramie, WY                                                           
1600  *Chicago, IL............................................    1.0860
  Cook, IL                                                              
  DeKalb, IL                                                            
  DuPage, IL                                                            
  Grundy, IL                                                            
  Kane, IL                                                              
  Kendall, IL                                                           
  Lake, IL                                                              
  McHenry, IL                                                           
  Will, IL                                                              
1620  Chico-Paradise, CA......................................    1.0429
  Butte, CA                                                             
1640  *Cincinnati, OH-KY-IN...................................    0.9474
  Dearborn, IN                                                          
  Ohio, IN                                                              
  Boone, KY                                                             
  Campbell, KY                                                          
  Gallatin, KY                                                          
  Grant, KY                                                             
  Kenton, KY                                                            
  Pendleton, KY                                                         
  Brown, OH                                                             
  Clermont, OH                                                          
  Hamilton, OH                                                          
  Warren, OH                                                            
1660  Clarksville-Hopkinsville, TN-KY.........................    0.7852
  Christian, KY                                                         
  Montgomery, TN                                                        
1680  *Cleveland-Lorain-Elyria, OH............................    0.9804
  Ashtabula, OH                                                         
  Cuyahoga, OH                                                          
  Geauga, OH                                                            
  Lake, OH                                                              
  Lorain, OH                                                            
  Medina, OH                                                            
1720  Colorado Springs, CO....................................    0.9316
  El Paso, CO                                                           
1740  Columbia, MO............................................    0.9001
  Boone, MO                                                             
1760  Columbia, SC............................................    0.9192
  Lexington, SC                                                         
  Richland, SC                                                          
1800  Columbus, GA-AL.........................................    0.8288
  Russell, AL                                                           
  Chattanoochee, GA                                                     
  Harris, GA                                                            
  Muscogee, GA                                                          
1840  *Columbus, OH...........................................    0.9793
  Delaware, OH                                                          
  Fairfield, OH                                                         
  Franklin, OH                                                          
  Licking, OH                                                           
  Madison, OH                                                           
  Pickaway, OH                                                          
1880  Corpus Christi, TX......................................    0.8945
  Nueces, TX                                                            
  San Patricio, TX                                                      
1900  Cumberland, MD-WV.......................................    0.8822
  Allegany, MD                                                          
  Mineral, WV                                                           
1920  *Dallas, TX.............................................    0.9703
  Collin, TX                                                            
  Dallas, TX                                                            
  Denton, TX                                                            
  Ellis, TX                                                             
  Henderson, TX                                                         
  Hunt, TX                                                              
  Kaufman, TX                                                           
  Rockwall, TX                                                          
1950  Danville, VA............................................    0.8146
  Danville City, VA                                                     
  Pittsylvania, VA                                                      
1960  Davenport-Rock Island-Moline, IA-IL.....................    0.8405
  Scott, IA                                                             
  Henry, IL                                                             
  Rock Island, IL                                                       
2000  Dayton-Springfield, OH..................................    0.9584
  Clark, OH                                                             
  Greene, OH                                                            
  Miami, OH                                                             
  Montgomery, OH                                                        
2020  Daytona Beach, FL.......................................    0.8375
  Flagler, FL                                                           
  Volusia, FL                                                           
2030  Decatur, AL.............................................    0.8286
  Lawrence, AL                                                          
  Morgan, AL                                                            
2040  Decatur, IL.............................................    0.7915

[[Page 32516]]

                                                                        
  Macon, IL                                                             
2080  *Denver, CO.............................................    1.0386
  Adams, CO                                                             
  Arapahoe, CO                                                          
  Denver, CO                                                            
  Douglas, CO                                                           
  Jefferson, CO                                                         
2120  Des Moines, IA..........................................    0.8837
  Dallas, IA                                                            
  Polk, IA                                                              
  Warren, IA                                                            
2160  *Detroit, MI............................................    1.0825
  Lapeer, MI                                                            
  Macomb, MI                                                            
  Monroe, MI                                                            
  Oakland, MI                                                           
  St. Clair, MI                                                         
  Wayne, MI                                                             
2180  Dothan, AL..............................................    0.8070
  Dale, AL                                                              
  Houston, AL                                                           
2190  Dover, DE...............................................    0.9303
  Kent, DE                                                              
2200  Dubuque, IA.............................................    0.8088
  Dubuque, IA                                                           
2240  Duluth-Superior, MN-WI..................................    0.9779
  St. Louis, MN                                                         
  Douglas, WI                                                           
2281  Dutchess County, NY.....................................    1.0632
  Dutchess, NY                                                          
2290  Eau Claire, WI..........................................    0.8764
  Chippewa, WI                                                          
  Eau Claire, WI                                                        
2320  El Paso, TX.............................................    1.0123
  El Paso, TX                                                           
2330  Elkhart-Goshen, IN......................................    0.9081
  Elkhart, IN                                                           
2335  Elmira, NY..............................................    0.8247
  Chemung, NY                                                           
2340  Enid, OK................................................    0.7962
  Garfield, OK                                                          
2360  Erie, PA................................................    0.8862
  Erie, PA                                                              
2400  Eugene-Springfield, OR..................................    1.1435
  Lane, OR                                                              
2440  Evansville-Henderson, IN-KY.............................    0.8641
  Posey, IN                                                             
  Vanderburgh, IN                                                       
  Warrick, IN                                                           
  Henderson, KY                                                         
2520  Fargo-Moorhead, ND-MN...................................    0.8837
  Clay, MN                                                              
  Cass, ND                                                              
2560  Fayetteville, NC........................................    0.8734
  Cumberland, NC                                                        
2580  Fayetteville-Springdale-Rogers, AR......................    0.7461
  Benton, AR                                                            
  Washington, AR                                                        
2620  Flagstaff, AZ-UT........................................    0.9115
  Coconino, AZ                                                          
  Kane, UT                                                              
2640  Flint, MI...............................................    1.1171
  Genesee, MI                                                           
2650  Florence, AL............................................    0.7551
  Colbert, AL                                                           
  Lauderdale, AL                                                        
2655  Florence, SC............................................    0.8711
  Florence, SC                                                          
2670  Fort Collins-Loveland, CO...............................    1.0248
  Larimer, CO                                                           
2680  *Ft. Lauderdale, FL.....................................    1.0448
  Broward, FL                                                           
2700  Fort Myers-Cape Coral, FL...............................    0.8788
  Lee, FL                                                               
2710  Fort Pierce-Port St. Lucie, FL..........................    1.0257
  Martin, FL                                                            
  St. Lucie, FL                                                         
2720  Fort Smith, AR-OK.......................................    0.7769
  Crawford, AR                                                          
  Sebastian, AR                                                         
  Sequoyah, OK                                                          
2750  Fort Walton Beach, FL...................................    0.8765
  Okaloosa, FL                                                          
2760  Fort Wayne, IN..........................................    0.8901
  Adams, IN                                                             
  Allen, IN                                                             
  DeKalb, IN                                                            
  Huntington, IN                                                        
  Wells, IN                                                             
  Whitley, IN                                                           
2800  *Forth Worth-Arlington, TX..............................    0.9979
  Hood, TX                                                              
  Johnson, TX                                                           
  Parker, TX                                                            
  Tarrant, TX                                                           
2840  Fresno, CA..............................................    1.0607
  Fresno, CA                                                            
  Madera, CA                                                            
2880  Gadsden, AL.............................................    0.8815
  Etowah, AL                                                            
2900  Gainesville, FL.........................................    0.9616
  Alachua, FL                                                           
2920  Galveston-Texas City, TX................................    1.0564
  Galveston, TX                                                         
2960  Gary, IN................................................    0.9633
  Lake, IN                                                              
  Porter, IN                                                            
2975  Glens Falls, NY.........................................    0.8386
  Warren, NY                                                            
  Washington, NY                                                        
2980  Goldsboro, NC...........................................    0.8443
  Wayne, NC                                                             
2985  Grand Forks, ND-MN......................................    0.8745
  Polk, MN                                                              
  Grand Forks, ND                                                       
2995  Grand Junction, CO......................................    0.9090
  Mesa, CO                                                              
3000  Grand Rapids-Muskegon-Holland, MI.......................    1.0147
  Allegan, MI                                                           
  Kent, MI                                                              
  Muskegon, MI                                                          
  Ottawa, MI                                                            
3040  Great Falls, MT.........................................    0.8803
  Cascade, MT                                                           
3060  Greeley, CO.............................................    1.0097
  Weld, CO                                                              
3080  Green Bay, WI...........................................    0.9097
  Brown, WI                                                             
3120  *Greensboro-Winston-Salem-High Point, NC................    0.9351
  Alamance, NC                                                          
  Davidson, NC                                                          
  Davie, NC                                                             
  Forsyth, NC                                                           
  Guilford, NC                                                          
  Randolph, NC                                                          
  Stokes, NC                                                            
  Yadkin, NC                                                            
3150  Greenville, NC..........................................    0.9064
  Pitt, NC                                                              
3160  Greenville-Spartanburg-Anderson, SC.....................    0.9059
  Anderson, SC                                                          
  Cherokee, SC                                                          
  Greenville, SC                                                        
  Pickens, SC                                                           
  Spartanburg, SC                                                       
3180  Hagerstown, MD..........................................    0.9681
  Washington, MD                                                        
3200  Hamilton-Middletown, OH.................................    0.8767
  Butler, OH                                                            
3240  Harrisburg-Lebanon-Carlisle, PA.........................    1.0187
  Cumberland, PA                                                        
  Dauphin, PA                                                           
  Lebanon, PA                                                           
  Perry, PA                                                             
3283  *Hartford, CT...........................................    1.2562
  Hartford, CT                                                          
  Litchfield, CT                                                        
  Middlesex, CT                                                         
  Tolland, CT                                                           
3285  Hattiesburg, MS.........................................    0.7192
  Forrest, MS                                                           
  Lamar, MS                                                             
3290  Hickory-Morganton-Lenoir, NC............................    0.8686
  Alexander, NC                                                         
  Burke, NC                                                             
  Caldwell, NC                                                          
  Catawba, NC                                                           
3320  Honolulu, HI............................................    1.1816
  Honolulu, HI                                                          
3350  Houma, LA...............................................    0.7854
  Lafourche, LA                                                         
  Terrebonne, LA                                                        
3360  *Houston, TX............................................    0.9855
  Chambers, TX                                                          
  Fort Bend, TX                                                         
  Harris, TX                                                            
  Liberty, TX                                                           
  Montgomery, TX                                                        
  Waller, TX                                                            
3400  Huntington-Ashland, WV-KY-OH............................    0.9160
  Boyd, KY                                                              
  Carter, KY                                                            
  Greenup, KY                                                           
  Lawrence, OH                                                          
  Cabell, WV                                                            
  Wayne, WV                                                             
3440  Huntsville, AL..........................................    0.8485
  Limestone, AL                                                         
  Madison, AL                                                           

[[Page 32517]]

                                                                        
3480  *Indianapolis, IN.......................................    0.9848
  Boone, IN                                                             
  Hamilton, IN                                                          
  Hancock, IN                                                           
  Hendricks, IN                                                         
  Johnson, IN                                                           
  Madison, IN                                                           
  Marion, IN                                                            
  Morgan, IN                                                            
  Shelby, IN                                                            
3500  Iowa City, IA...........................................    0.9413
  Johnson, IA                                                           
3520  Jackson, MI.............................................    0.9052
  Jackson, MI                                                           
3560  Jackson, MS.............................................    0.7760
  Hinds, MS                                                             
  Madison, MS                                                           
  Rankin, MS                                                            
3580  Jackson, TN.............................................    0.8522
  Madison, TN                                                           
  Chester, TN                                                           
3600  Jacksonville, FL........................................    0.8969
  Clay, FL                                                              
  Duval, FL                                                             
  Nassau, FL                                                            
  St. Johns, FL                                                         
3605  Jacksonville, NC........................................    0.6973
  Onslow, NC                                                            
3610  Jamestown, NY...........................................    0.7552
  Chautaqua, NY                                                         
3620  Janesville-Beloit, WI...................................    0.8824
  Rock, WI                                                              
3640  Jersey City, NJ.........................................    1.1412
  Hudson, NJ                                                            
3660  Johnson City-Kingsport-Bristol, TN-VA...................    0.9114
  Carter, TN                                                            
  Hawkins, TN                                                           
  Sullivan, TN                                                          
  Unicoi, TN                                                            
  Washington, TN                                                        
  Bristol City, VA                                                      
  Scott, VA                                                             
  Washington, VA                                                        
3680  Johnstown, PA...........................................    0.8378
  Cambria, PA                                                           
  Somerset, PA                                                          
3700  Jonesboro, AR...........................................    0.7443
  Craighead, AR                                                         
3710  Joplin, MO..............................................    0.7510
  Jasper, MO                                                            
  Newton, MO                                                            
3720  Kalamazoo-Battlecreek, MI...............................    1.0668
  Calhoun, MI                                                           
  Kalamazoo, MI                                                         
  Van Buren, MI                                                         
3740  Kankakee, IL............................................    0.8653
  Kankakee, IL                                                          
3760  *Kansas City, KS-MO.....................................    0.9564
  Johnson, KS                                                           
  Leavenworth, KS                                                       
  Miami, KS                                                             
  Wyandotte, KS                                                         
  Cass, MO                                                              
  Clay, MO                                                              
  Clinton, MO                                                           
  Jackson, MO                                                           
  Lafayette, MO                                                         
  Platte, MO                                                            
  Ray, MO                                                               
3800  Kenosha, WI.............................................    0.9196
  Kenosha, WI                                                           
3810  Killeen-Temple, TX......................................    1.0252
  Bell, TX                                                              
  Coryell, TX                                                           
3840  Knoxville, TN...........................................    0.8831
  Anderson, TN                                                          
  Blount, TN                                                            
  Knox, TN                                                              
  Loudon, TN                                                            
  Sevier, TN                                                            
  Union, TN                                                             
3850  Kokomo, IN..............................................    0.8416
  Howard, IN                                                            
  Tipton, IN                                                            
3870  La Crosse, WI-MN........................................    0.8749
  Houston, MN                                                           
  La Crosse, WI                                                         
3880  Lafayette, LA...........................................    0.8206
  Acadia, LA                                                            
  Lafayette, LA                                                         
  St. Landry, LA                                                        
  St. Martin, LA                                                        
3920  Lafayette, IN...........................................    0.9174
  Clinton, IN                                                           
  Tippecanoe, IN                                                        
3960  Lake Charles, LA........................................    0.7776
  Calcasieu, LA                                                         
3980  Lakeland-Winter Haven, FL...............................    0.8806
  Polk, FL                                                              
4000  Lancaster, PA...........................................    0.9481
  Lancaster, PA                                                         
4040  Lansing-East Lansing, MI................................    1.0088
  Clinton, MI                                                           
  Eaton, MI                                                             
  Ingham, MI                                                            
4080  Laredo, TX..............................................    0.7325
  Webb, TX                                                              
4100  Las Cruces, NM..........................................    0.8646
  Dona Ana, NM                                                          
4120  *Las Vegas, NV-AZ.......................................    1.0592
  Mohave, AZ                                                            
  Clark, NV                                                             
  Nye, NV                                                               
4150  Lawrence, KS............................................    0.8608
  Douglas, KS                                                           
4200  Lawton, OK..............................................    0.9045
  Comanche, OK                                                          
4243  Lewiston-Auburn, ME.....................................    0.9536
  Androscoggin, ME                                                      
4280  Lexington, KY...........................................    0.8390
  Bourbon, KY                                                           
  Clark, KY                                                             
  Fayette, KY                                                           
  Jessamine, KY                                                         
  Madison, KY                                                           
  Scott, KY                                                             
  Woodford, KY                                                          
4320  Lima, OH................................................    0.9185
  Allen, OH                                                             
  Eagles, OH                                                            
4360  Lincoln, NE.............................................    0.9231
  Lancaster, NE                                                         
4400  Little Rock-North Little Rock, AR.......................    0.8490
  Faulkner, AR                                                          
  Laennec, AR                                                           
  Pulaski, AR                                                           
  Saline, AR                                                            
4420  Longview-Marshall, TX...................................    0.8613
  Gregg, TX                                                             
  Harrison, TX                                                          
  Upshur, TX                                                            
4480  *Los Angeles-Long Beach, CA.............................    1.2232
  Los Angeles, CA                                                       
4520  Louisville, KY-IN.......................................    0.9507
  Clark, IN                                                             
  Floyd, IN                                                             
  Harrison, IN                                                          
  Scott, IN                                                             
  Bullitt, KY                                                           
  Jefferson, KY                                                         
  Oldham, KY                                                            
4600  Lubbock, TX.............................................    0.8400
  Lubbock, TX                                                           
4640  Lynchburg, VA...........................................    0.8228
  Amherst, VA                                                           
  Bedford, VA                                                           
  Bedford City, VA                                                      
  Campbell, VA                                                          
  Lynchburg City, VA                                                    
4680  Macon, GA...............................................    0.9227
  Bibb, GA                                                              
  Houston, GA                                                           
  Jones, GA                                                             
  Peach, GA                                                             
  Twiggs, GA                                                            
4720  Madison, WI.............................................    1.0055
  Dane, WI                                                              
4800  Mansfield, OH...........................................    0.8639
  Crawford, OH                                                          
  Richland, OH                                                          
4840  Mayaguez, PR............................................    0.4475
  Anasco, PR                                                            
  Cabo Rojo, PR                                                         
  Hormigueros, PR                                                       
  Mayaguez, PR                                                          
  Sabana Grande, PR                                                     
  San German, PR                                                        
4880  McAllen-Edinburg-Mission, TX............................    0.8371
  Hidalgo, TX                                                           
4890  Medford-Ashland, OR.....................................    1.0354
  Jackson, OR                                                           
4900  Melbourne-Titusville-Palm Bay, FL.......................    0.8819
  Brevard, FL                                                           
4920  *Memphis, TN-AR-MS......................................    0.8589
  Crittenden, AR                                                        
  DeSoto, MS                                                            
  Fayette, TN                                                           
  Shelby, TN                                                            
  Tipton, TN                                                            
4940  Merced, CA..............................................    1.0947
  Merced, CA                                                            
5000  *Miami, FL..............................................          
  Dade, FL                                                        0.9859

[[Page 32518]]

                                                                        
5015  *Middlesex-Somerset-Hunterdon, NJ.......................    1.1059
  Hunterdon, NJ                                                         
  Middlesex, NJ                                                         
  Somerset, NJ                                                          
5080  *Milwaukee-Waukesha, WI.................................    0.9819
  Milwaukee, WI                                                         
  Ozaukee, WI                                                           
  Washington, WI                                                        
  Waukesha, WI                                                          
5120  *Minneapolis-St. Paul, MN-WI............................    1.0733
  Anoka, MN                                                             
  Carver, MN                                                            
  Chisago, MN                                                           
  Dakota, MN                                                            
  Hennepin, MN                                                          
  Isanti, MN                                                            
  Ramsey, MN                                                            
  Scott, MN                                                             
  Sherburne, MN                                                         
  Washington, MN                                                        
  Wright, MN                                                            
  Pierce, WI                                                            
  St. Croix, WI                                                         
5160  Mobile, AL..............................................    0.8455
  Baldwin, AL                                                           
  Mobile, AL                                                            
5170  Modesto, CA.............................................    1.0794
  Stanislaus, CA                                                        
5190  *Monmouth-Ocean, NJ.....................................    1.0934
  Monmouth, NJ                                                          
  Ocean, NJ                                                             
5200  Monroe, LA..............................................    0.8414
  Ouachita, LA                                                          
5240  Montgomery, AL..........................................    0.7671
  Autauga, AL                                                           
  Elmore, AL                                                            
  Montgomery, AL                                                        
5280  Muncie, IN..............................................    0.9173
  Delaware, IN                                                          
5330  Myrtle Beach, SC........................................    0.8072
  Horry, SC                                                             
5345  Naples, FL..............................................    1.0109
  Collier, FL                                                           
5360  *Nashville, TN..........................................    0.9182
  Cheatham, TN                                                          
  Davidson, TN                                                          
  Dickson, TN                                                           
  Robertson, TN                                                         
  Rutherford TN                                                         
  Sumner, TN                                                            
  Williamson, TN                                                        
  Wilson, TN                                                            
5380  *Nassau-Suffolk, NY.....................................    1.3807
  Nassau, NY                                                            
  Suffolk, NY                                                           
5483  *New Haven-Bridgeport-Stamford-Danbury-Waterbury, CT....          
  Fairfield, CT                                                   1.2618
  New Haven, CT                                                         
5523  New London-Norwich, CT..................................    1.2013
  New London, CT                                                        
5560  *New Orleans, LA........................................    0.9566
  Jefferson, LA                                                         
  Orleans, LA                                                           
  Plaquemines, LA                                                       
  St. Bernard, LA                                                       
  St. Charles, LA                                                       
  St. James, LA                                                         
  St. John Baptist, LA                                                  
  St. Tammany, LA                                                       
5600  *New York, NY...........................................    1.4449
  Bronx, NY                                                             
  Kings, NY                                                             
  New York, NY                                                          
  Putnam, NY                                                            
  Queens, NY                                                            
  Richmond, NY                                                          
  Rockland, NY                                                          
  Westchester, NY                                                       
5640  *Newark, NJ.............................................    1.1980
  Essex, NJ                                                             
  Morris, NJ                                                            
  Sussex, NJ                                                            
  Union, NJ                                                             
  Warren, NJ                                                            
5660  Newburgh, NY-PA.........................................    1.1283
  Orange, NY                                                            
  Pike, PA                                                              
5720  *Norfolk-Virginia Beach-Newport News, VA-NC.............    0.8316
  Currituck, NC                                                         
  Chesapeake City, VA                                                   
  Gloucester, VA                                                        
  Hampton City, VA                                                      
  Isle of Wight, VA                                                     
  James City, VA                                                        
  Mathews, VA                                                           
  Newport News City, VA                                                 
  Norfolk City, VA                                                      
  Poquoson City, VA                                                     
  Portsmouth City, VA                                                   
  Suffolk City, VA                                                      
  Virginia Beach City, VA                                               
  Williamsburg City, VA                                                 
  York, VA                                                              
5775  *Oakland, CA............................................    1.5068
  Alameda, CA                                                           
  Contra Costa, CA                                                      
5790  Ocala, FL...............................................    0.9032
  Marion, FL                                                            
5800  Odessa-Midland, TX......................................    0.8660
  Ector, TX                                                             
  Midland, TX                                                           
5880  *Oklahoma City, OK......................................    0.8481
  Canadian, OK                                                          
  Cleveland, OK                                                         
  Logan, OK                                                             
  McClain, OK                                                           
  Oklahoma, OK                                                          
  Pottawatomie, OK                                                      
5910  Olympia, WA.............................................    1.0901
  Thurston, WA                                                          
5920  Omaha, NE-IA............................................    0.9421
  Pottawattamie, IA                                                     
  Cass, NE                                                              
  Douglas, NE                                                           
  Sarpy, NE                                                             
  Washington, NE                                                        
5945  *Orange County, CA......................................    1.1605
  Orange, CA                                                            
5960  *Orlando, FL............................................    0.9397
  Lake, FL                                                              
  Orange, FL                                                            
  Osceola, FL                                                           
  Seminole, FL                                                          
5990  Owensboro, KY...........................................    0.7480
  Daviess, KY                                                           
6015  Panama City, FL.........................................    0.8337
  Bay, FL                                                               
6020  Parkersburg-Marietta, WV-OH.............................    0.8046
  Washington, OH                                                        
  Wood, WV                                                              
6080  Pensacola, FL...........................................    0.8193
  Escambia, FL                                                          
  Santa Rosa, FL                                                        
6120  Peoria-Pekin, IL........................................    0.8571
  Peoria, IL                                                            
  Tazewell, IL                                                          
  Woodford, IL                                                          
6160  *Philadelphia, PA-NJ....................................    1.1398
  Burlington, NJ                                                        
  Camden, NJ                                                            
  Gloucester, NJ                                                        
  Salem, NJ                                                             
  Bucks, PA                                                             
  Chester, PA                                                           
  Delaware, PA                                                          
  Montgomery, PA                                                        
  Philadelphia, PA                                                      
6200  *Phoenix-Mesa, AZ.......................................    0.9606
  Maricopa, AZ                                                          
  Pinal, AZ                                                             
6240  Pine Bluff, AR..........................................    0.7826
  Jefferson, AR                                                         
6280  *Pittsburgh, PA.........................................    0.9725
  Allegheny, PA                                                         
  Beaver, PA                                                            
  Butler, PA                                                            
  Fayette, PA                                                           
  Washington, PA                                                        
  Westmoreland, PA                                                      
6323  Pittsfield, MA..........................................    1.0960
  Berkshire, MA                                                         
6340  Pocatello, ID...........................................    0.9586
  Bannock, ID                                                           
6360  Ponce, PR...............................................    0.4589
  Guayanilla, PR                                                        
  Juana Diaz, PR                                                        
  Penuelas, PR                                                          
  Ponce, PR                                                             
  Villalba, PR                                                          
  Yauco, PR                                                             
6403  Portland, ME............................................    0.9627
  Cumberland, ME                                                        
  Sagadahoc, ME                                                         
  York, ME                                                              
6440  *Portland-Vancouver, OR-WA..............................    1.1344
  Clackamas, OR                                                         
  Columbia, OR                                                          
  Multnomah, OR                                                         
  Washington, OR                                                        
  Yamhill, OR                                                           
  Clark, WA                                                             

[[Page 32519]]

                                                                        
6483  Providence-Warwick-Pawtucket, RI........................    1.1049
  Bristol, RI                                                           
  Kent, RI                                                              
  Newport, RI                                                           
  Providence, RI                                                        
  Washington, RI                                                        
  Statewide, RI                                                         
6520  Provo-Orem, UT..........................................    1.0073
  Utah, UT                                                              
6560  Pueblo, CO..............................................    0.8450
  Pueblo, CO                                                            
6580  Punta Gorda, FL.........................................    0.8725
  Charlotte, FL                                                         
6600  Racine, WI..............................................    0.8934
  Racine, WI                                                            
6640  Raleigh-Durham-Chapel Hill, NC..........................    0.9818
  Chatham, NC                                                           
  Durham, NC                                                            
  Franklin, NC                                                          
  Johnston, NC                                                          
  Orange, NC                                                            
  Wake, NC                                                              
6660  Rapid City, SD..........................................    0.8345
  Pennington, SD                                                        
6680  Reading, PA.............................................    0.9516
  Berks, PA                                                             
6690  Redding, CA.............................................    1.1790
  Shasta, CA                                                            
6720  Reno, NV................................................    1.0768
  Washoe, NV                                                            
6740  Richland-Kennewick-Pasco, WA............................    0.9918
  Benton, WA                                                            
  Franklin, WA                                                          
6760  Richmond-Petersburg, VA.................................    0.9152
  Charles City County, VA                                               
  Chesterfield, VA                                                      
  Colonial Heights City, VA                                             
  Dinwiddie, VA                                                         
  Goochland, VA                                                         
  Hanover, VA                                                           
  Henrico, VA                                                           
  Hopewell City, VA                                                     
  New Kent, VA                                                          
  Petersburg City, VA                                                   
  Powhatan, VA                                                          
  Prince George, VA                                                     
  Richmond City, VA                                                     
6780  *Riverside-San Bernardino, CA...........................    1.1307
  Riverside, CA                                                         
  San Bernardino, CA                                                    
6800  Roanoke, VA.............................................    0.8402
  Botetourt, VA                                                         
  Roanoke, VA                                                           
  Roanoke City, VA                                                      
  Salem City, VA                                                        
6820  Rochester, MN...........................................    1.0502
  Olmsted, MN                                                           
6840  *Rochester, NY..........................................    0.9524
  Genesee, NY                                                           
  Livingston, NY                                                        
  Monroe, NY                                                            
  Ontario, NY                                                           
  Orleans, NY                                                           
  Wayne, NY                                                             
6880  Rockford, IL............................................    0.9081
  Boone, IL                                                             
  Ogle, IL                                                              
  Winnebago, IL                                                         
6895  Rocky Mount, NC.........................................    0.9029
  Edgecombe, NC                                                         
  Nash, NC                                                              
6920  *Sacramento, CA.........................................    1.2202
  El Dorado, CA                                                         
  Placer, CA                                                            
  Sacramento, CA                                                        
6960  Saginaw-Bay City-Midland, MI............................    0.9564
  Bay, MI                                                               
  Midland, MI                                                           
  Saginaw, MI                                                           
6980  St. Cloud, MN...........................................    0.9544
  Benton, MN                                                            
  Stearns, MN                                                           
7000  St. Joseph, MO..........................................    0.8366
  Andrews, MO                                                           
  Buchanan, MO                                                          
7040  *St. Louis, MO-IL.......................................    0.9130
  Clinton, IL                                                           
  Jersey, IL                                                            
  Madison, IL                                                           
  Monroe, IL                                                            
  St. Clair, IL                                                         
  Franklin, MO                                                          
  Jefferson, MO                                                         
  Lincoln, MO                                                           
  St. Charles, MO                                                       
  St. Louis, MO                                                         
  St. Louis City, MO                                                    
  Warren, MO                                                            
7080  Salem, OR...............................................    0.9965
  Marion, OR                                                            
  Polk, OR                                                              
7120  Salinas, CA.............................................    1.4513
  Monterey, CA                                                          
7160  *Salt Lake City-Ogden, UT...............................    0.9857
  Davis, UT                                                             
  Salt Lake, UT                                                         
  Weber, UT                                                             
7200  San Angelo, TX..........................................    0.7780
  Tom Green, TX                                                         
7240  *San Antonio, TX........................................    0.8499
  Bexar, TX                                                             
  Comal, TX                                                             
  Guadalupe, TX                                                         
  Wilson, TX                                                            
7320  *San Diego, CA..........................................    1.2193
  San Diego, CA                                                         
7360  *San Francisco, CA......................................    1.4180
  Marin, CA                                                             
  San Francisco, CA                                                     
  San Mateo, CA                                                         
7400  *San Jose, CA...........................................    1.4332
  Santa Clara, CA                                                       
7440  *San Juan-Bayamon, PR...................................    0.4625
  Aguas Buenas, PR                                                      
  Barceloneta, PR                                                       
  Bayamon, PR                                                           
  Canovanas, PR                                                         
  Carolina, PR                                                          
  Catano, PR                                                            
  Ceiba, PR                                                             
  Comerio, PR                                                           
  Corozal, PR                                                           
  Dorado, PR                                                            
  Fajardo, PR                                                           
  Florida, PR                                                           
  Guaynabo, PR                                                          
  Humacao, PR                                                           
  Juncos, PR                                                            
  Los Piedras, PR                                                       
  Loiza, PR                                                             
  Luguillo, PR                                                          
  Manati, PR                                                            
  Morovis, PR                                                           
  Naguabo, PR                                                           
  Naranjito, PR                                                         
  Rio Grande, PR                                                        
  San Juan, PR                                                          
  Toa Alta, PR                                                          
  Toa Baja, PR                                                          
  Trujillo Alto, PR                                                     
  Vega Alta, PR                                                         
  Vega Baja, PR                                                         
  Yabucoa, PR                                                           
7460  San Luis Obispo-Atascadero-Paso Robles, CA..............    1.1374
  San Luis Obispo, CA                                                   
7480  Santa Barbara-Santa Maria-Lompoc, CA....................    1.0688
  Santa Barbara, CA                                                     
7485  Santa Cruz-Watsonville, CA..............................    1.4187
  Santa Cruz, CA                                                        
7490  Santa Fe, NM............................................    1.0332
  Los Alamos, NM                                                        
  Santa Fe, NM                                                          
7500  Santa Rosa, CA..........................................    1.2815
  Sonoma, CA                                                            
7510  Sarasota-Bradenton, FL..................................    0.9757
  Manatee, FL                                                           
  Sarasota, FL                                                          
7520  Savannah, GA............................................    0.8638
  Bryan, GA                                                             
  Chatham, GA                                                           
  Effingham, GA                                                         
7560  Scranton-Wilkes-Barre-Hazleton, PA......................    0.8539
  Columbia, PA                                                          
  Lackawanna, PA                                                        
  Luzerne, PA                                                           
  Wyoming, PA                                                           
7600  *Seattle-Bellevue-Everett, WA...........................    1.1339
  Island, WA                                                            
  King, WA                                                              
  Snohomish, WA                                                         
7610  Sharon, PA..............................................    0.8783
  Mercer, PA                                                            
7620  Sheboygan, WI...........................................    0.7862
  Sheboygan, WI                                                         
7640  Sherman-Denison, TX.....................................    0.8499
  Grayson, TX                                                           
7680  Shreveport-Bossier City, LA.............................    0.9381
  Bossier, LA                                                           
  Caddo, LA                                                             

[[Page 32520]]

                                                                        
  Webster, LA                                                           
7720  Sioux City, IA-NE.......................................    0.8031
  Woodbury, IA                                                          
  Dakota, NE                                                            
7760  Sioux Falls, SD.........................................    0.8712
  Lincoln, SD                                                           
  Minnehaha, SD                                                         
7800  South Bend, IN..........................................    0.9868
  St. Joseph, IN                                                        
7840  Spokane, WA.............................................    1.0486
  Spokane, WA                                                           
7880  Springfield, IL.........................................    0.8713
  Menard, IL                                                            
  Sangamon, IL                                                          
7920  Springfield, MO.........................................    0.7989
  Christian, MO                                                         
  Greene, MO                                                            
  Webster, MO                                                           
8003  Springfield, MA.........................................    1.0740
  Hampden, MA                                                           
  Hampshire, MA                                                         
8050  State College, PA.......................................    0.9635
  Centre, PA                                                            
8080  Steubenville-Weirton, OH-WV.............................    0.8645
  Jefferson, OH                                                         
  Brooke, WV                                                            
  Hancock, WV                                                           
8120  Stockton-Lodi, CA.......................................    1.1496
  San Joaquin, CA                                                       
8140  Sumter, SC..............................................    0.7842
  Sumter, SC                                                            
8160  Syracuse, NY............................................    0.9464
  Cayuga, NY                                                            
  Madison, NY                                                           
  Onondaga, NY                                                          
  Oswego, NY                                                            
8200  Tacoma, WA..............................................    1.1016
  Pierce, WA                                                            
8240  Tallahassee, FL.........................................    0.8332
  Gadsden, FL                                                           
  Leon, FL                                                              
8280  *Tampa-St. Petersburg-Clearwater, FL....................    0.9103
  Hernando, FL                                                          
  Hillsborough, FL                                                      
  Pasco, FL                                                             
  Pinellas, FL                                                          
8320  Terre Haute, IN.........................................    0.8614
  Clay, IN                                                              
  Vermillion, IN                                                        
  Vigo, IN                                                              
8360  Texarkana, AR-Texarkana, TX.............................    0.8664
  Miller, AR                                                            
  Bowie, TX                                                             
8400  Toledo, OH..............................................    1.0390
  Fulton, OH                                                            
  Lucas, OH                                                             
  Wood, OH                                                              
8440  Topeka, KS..............................................    0.9438
  Shawnee, KS                                                           
8480  Trenton, NJ.............................................    1.0380
  Mercer, NJ                                                            
8520  Tucson, AZ..............................................    0.9180
  Pima, AZ                                                              
8560  Tulsa, OK...............................................    0.8074
  Creek, OK                                                             
  Osage, OK                                                             
  Rogers, OK                                                            
  Tulsa, OK                                                             
  Wagoner, OK                                                           
8600  Tuscaloosa, AL..........................................    0.8187
  Tuscaloosa, AL                                                        
8640  Tyler, TX...............................................    0.9567
  Smith, TX                                                             
8680  Utica-Rome, NY..........................................    0.8398
  Herkimer, NY                                                          
  Oneida, NY                                                            
8720  Vallejo-Fairfield-Napa, CA..............................    1.3754
  Napa, CA                                                              
  Solano, CA                                                            
8735  Ventura, CA.............................................    1.0946
  Ventura, CA                                                           
8750  Victoria, TX............................................    0.8474
  Victoria, TX                                                          
8760  Vineland-Millville-Bridgeton, NJ........................    1.0110
  Cumberland, NJ                                                        
8780  Visalia-Tulare-Porterville, CA..........................    0.9924
  Tulare, CA                                                            
8800  Waco, TX................................................    0.7696
  McLennan, TX                                                          
8840  *Washington, DC-MD-VA-WV................................    1.0911
  District of Columbia, DC                                              
  Calvert, MD                                                           
  Charles, MD                                                           
  Frederick, MD                                                         
  Montgomery, MD                                                        
  Prince Georges, MD                                                    
  Alexandria City, VA                                                   
  Arlington, VA                                                         
  Clarke, VA                                                            
  Culpepper, VA                                                         
  Fairfax, VA                                                           
  Fairfax City, VA                                                      
  Falls Church City, VA                                                 
  Fauquier, VA                                                          
  Fredericksburg City, VA                                               
  King George, VA                                                       
  Loudoun, VA                                                           
  Manassas City, VA                                                     
  Manassas Park City, VA                                                
  Prince William, VA                                                    
  Spotsylvania, VA                                                      
  Stafford, VA                                                          
  Warren, VA                                                            
  Berkeley, WV                                                          
  Jefferson, WV                                                         
8920  Waterloo-Cedar Falls, IA................................    0.8640
  Black Hawk, IA                                                        
8940  Wausau, WI..............................................    1.0545
  Marathon, WI                                                          
8960  West Palm Beach-Boca Raton, FL..........................    1.0372
  Palm Beach, FL                                                        
9000  Wheeling, OH-WV.........................................    0.7707
  Belmont, OH                                                           
  Marshall, WV                                                          
  Ohio, WV                                                              
9040  Wichita, KS.............................................    0.9403
  Butler, KS                                                            
  Harvey, KS                                                            
  Sedgwick, KS                                                          
9080  Wichita Falls, TX.......................................    0.7646
  Archer, TX                                                            
  Wichita, TX                                                           
9140  Williamsport, PA........................................    0.8548
  Lycoming, PA                                                          
9160  Wilmington-Newark, DE-MD................................    1.1538
  New Castle, DE                                                        
  Cecil, MD                                                             
9200  Wilmington, NC..........................................    0.9322
  New Hanover, NC                                                       
  Brunswick, NC                                                         
9260  Yakima, WA..............................................    1.0102
  Yakima, WA                                                            
9270  Yolo, CA................................................    1.1431
  Yolo, CA                                                              
9280  York, PA................................................    0.9415
  York, PA                                                              
9320  Youngstown-Warren, OH...................................    0.9937
  Columbiana, OH                                                        
  Mahoning, OH                                                          
  Trumbull, OH                                                          
9340  Yuba City, CA...........................................    1.0324
  Sutter, CA                                                            
  Yuba, CA                                                              
9360  Yuma, AZ................................................    0.9732
  Yuma, AZ                                                              
------------------------------------------------------------------------
  *Large Urban Area                                                     


                       Wage Index For Rural Areas                       
------------------------------------------------------------------------
                                                                  Wage  
                         Nonurban area                            index 
------------------------------------------------------------------------
Alabama.......................................................    0.7260
Alaska........................................................    1.2302
Arizona.......................................................    0.7989
Arkansas......................................................    0.6995
California....................................................    0.9977
Colorado......................................................    0.8129
Connecticut...................................................    1.2617
Delaware......................................................    0.8925
Florida.......................................................    0.8838
Georgia.......................................................    0.7761
Hawaii........................................................    1.0229
Idaho.........................................................    0.8221
Illinois......................................................    0.7644
Indiana.......................................................    0.8161
Iowa..........................................................    0.7391
Kansas........................................................    0.7203
Kentucky......................................................    0.7772
Louisiana.....................................................    0.7383
Maine.........................................................    0.8468
Maryland......................................................    0.8617
Massachusetts.................................................    1.0718
Michigan......................................................    0.8923
Minnesota.....................................................    0.8179
Mississippi...................................................    0.6911
Missouri......................................................    0.7205
Montana.......................................................    0.8302
Nebraska......................................................    0.7401
Nevada........................................................    0.8914

[[Page 32521]]

                                                                        
New Hampshire.................................................    0.9717
New Jersey \1\................................................  ........
New Mexico....................................................    0.8070
New York......................................................    0.8401
North Carolina................................................    0.7937
North Dakota..................................................    0.7360
Ohio..........................................................    0.8434
Oklahoma......................................................    0.7072
Oregon........................................................    0.9975
Pennsylvania..................................................    0.8421
Puerto Rico...................................................    0.3939
Rhode Island \1\..............................................  ........
South Carolina................................................    0.7921
South Dakota..................................................    0.6983
Tennessee.....................................................    0.7353
Texas.........................................................    0.7404
Utah..........................................................    0.8926
Vermont.......................................................    0.9314
Virginia......................................................    0.7782
Washington....................................................    1.0221
West Virginia.................................................    0.7938
Wisconsin.....................................................    0.8471
Wyoming.......................................................    0.8247
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\1\ All counties within the State are classified urban.                 

[FR Doc. 98-14835 Filed 6-11-98; 8:45 am]
BILLING CODE 4120-01-P