[Federal Register Volume 64, Number 140 (Thursday, July 22, 1999)]
[Proposed Rules]
[Pages 39608-39771]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-18561]
[[Page 39607]]
_______________________________________________________________________
Part III
Department of Health and Human Services
_______________________________________________________________________
Health Care Financing Administration
_______________________________________________________________________
42 CFR Parts 410, 411, 414, and 415
Medicare Program; Revisions to Payment Policies Under the Physician Fee
Schedule for Calendar Year 2000; Proposed Rule
Federal Register / Vol. 64, No. 140 / Thursday, July 22, 1999 /
Proposed Rules
[[Page 39608]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 410, 411, 414, and 415
[HCFA-1065-P]
RIN 0938-AJ61
Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule for Calendar Year 2000
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: This proposed rule would make several changes affecting
Medicare Part B payment. The changes include: implementation of
resource-based malpractice insurance relative value units (RVUs);
refinement of resource-based practice expense RVUs; payment for
physician pathology and independent laboratory services, RVUs related
to ventricular assist devices, percutaneous thrombectomy of an
arteriovenous fistula, pulse oximetry, temperature gradient studies,
venous pressure determinations, and pulmonary stress testing;
discontinuous anesthesia time; optometrist services; prostate
screening; diagnostic tests; the use of an operating microscope; use of
CPT modifier -25; qualifications for nurse practitioners; an increase
in the work RVUs for pediatric services; removal of the x-ray as a
prerequisite for chiropractic manipulation; the exclusion of payment
for assisted suicide; adjustments to the practice expense RVUs for
physician interpretation of Pap smears; and revisions to the work RVUs
for new and revised CPT codes for calendar year 1999. In addition,
since we established the physician fee schedule on January 1, 1992, our
experience indicates that some of our Part B payment policies need to
be reconsidered. This proposed rule would correct inequities in
physician payment and solicits public comments on specific proposed
policy changes.
DATES: Comments will be considered if we receive them at the
appropriate address, as provided below, no later than 5 p.m. on
September 20, 1999.
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-1065-P, P.O. Box, 9013
Baltimore, MD 21244-9013.
If you prefer, you may deliver your written comments (1 original
and 3 copies) to one of the following addresses:
Room 443-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW.,
Washington, DC 20201, or
Room C5-16-03, 7500 Security Boulevard, Baltimore, MD 21244-1850.
Because of staffing and resource limitations, we cannot accept
comments by facsimile (FAX) transmission. In commenting, please refer
to file code HCFA-1065-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 443-G of
the Department's offices at 200 Independence Avenue, SW., Washington,
DC, on Monday through Friday of each week from 8:30 a.m. to 5 p.m.
(phone: (202) 690-7061).
FOR FURTHER INFORMATION CONTACT:
Bob Ulikowski, (410) 786-5721 (for issues related to the resource-based
malpractice relative value units).
Carolyn Mullen, (410) 786-4589 (for issues related to resource-based
practice expense relative value units).
Jim Menas, (410) 786-4507 (for issues related to physician pathology
services and independent labs and discontinuous anesthesia time).
Ken Marsalek, (410) 786-4502 (for issues related to optometrist
services).
Bill Larson, (410) 786-4639 (for issues related to the coverage of
prostate screening).
Regina Walker-Wren, (410) 786-9160 (for issues related to nurse
practitioner qualifications).
Dorothy Honemann, (410) 786-5702 (for issues related to x-ray
requirement for chiropractic services).
Bill Morse, (410) 786-4520 (for issues related to diagnostic tests).
Diane Milstead, (410) 786-3355 (for all other issues).
SUPPLEMENTARY INFORMATION: To assist readers in referencing sections
contained in this preamble, we are providing the following table of
contents. Some of the issues discussed in this preamble affect the
payment policies but do not require changes to the regulations in the
Code of Federal Regulations.
Table of Contents
I. Background
A. Legislative History
B. Published Changes to the Fee Schedule
II. Specific Proposals for Calendar Year 1999
A. Resource-Based Malpractice Relative Value Units
1. Current Relative Value Unit System
2. Proposed Methodology for Developing Resource-Based Relative
Value Units
B. Resource-Based Practice Expense Relative Value Units
C. Practice Expense Relative Value Units for a Physician's
Interpretation of Abnormal Papanicolaou Smears
D. Physician Pathology Services and Independent Laboratories
E. Discontinuous Anesthesia Time
F. Optometrist Services
G. Assisted Suicide
H. CPT Modifier -25
I. Nurse Practitioner Qualifications
J. Relative Value Units for Pediatric Services
K. Percutaneous Thrombectomy of an Arteriovenous Fistula
L. Pulse Oximetry, Temperature Gradient Studies, and Venous
Pressure Determinations
M. Removal of Requirement for x-ray Before Chiropractic
Manipulation
N. Coverage of Prostate Cancer Screening Tests
O. Diagnostic Tests
1. Supervision of Diagnostic Test
2. Independent Diagnostic Testing Facilities
P. New and Revised Relative Value Units for Calendar Year 1999
1. Ventricular Assist Device Implantations (CPT Codes 33975 and
33976)
2. Use of Operating Microscope (CPT Code 69990)
3. Pulmonary Stress Testing (CPT Codes 94620 and 94621)
III. Collection of Information Requirements
IV. Response to Comments
V. Regulatory Impact Analysis
A. Resource-Based Malpractice Relative Value Units
B. Resource-Based Practice Expense
C. Practice Expense for Physician Interpretation of Abnormal
Papanicolaou Smears
D. Technical Component of Physician Pathology Services and
Independent Laboratories
E. Discontinuous Anesthesia Time
F. Optometrist Services
G. Assisted Suicide
H. CPT Modifier -25
I. Nurse Practitioner Qualifications
J. Relative Value Units for Pediatric Services
K. Percutaneous Thrombectomy of an Arteriovenous Fistula
L. Pulse Oximetry, Temperature Gradient Studies, and Venous
Pressure Determinations
M. Removal of Requirement for X-ray Before Chiropractic
Manipulation
N. Coverage of Prostate Cancer Screening Tests
O. Diagnostic Tests
1. Supervision of Diagnostic Test
2. Independent Diagnostic Testing Facilities
P. New and Revised Relative Value Units for Calendar Year 1999
1. Ventricular Assist Device Implantations
2. Use of Operating Microscope
3. Pulmonary Stress Testing
Q. Budget Neutrality
[[Page 39609]]
R. Impact on Beneficiaries
Addendum A--Explanation and Use of Addenda B
Addendum B--2000 Relative Value Units and Related Information Used
in Determining Medicare Payments for 2000
In addition, because of the many organizations and terms to which
we refer by acronym in this proposed rule, we are listing these
acronyms and their corresponding terms in alphabetical order below:
AANA American Association of Nurse Anesthetists
AMA American Medical Association
ASA American Society of Anesthesiologists
BBA Balanced Budget Act of 1997
CF Conversion factor
CFR Code of Federal Regulations
CPT [Physicians'] Current Procedural Terminology [4th Edition,
1997, copyrighted by the American Medical Association]
CRNA Certified Registered Nurse Anesthetist
E/M Evaluation and management
GAF Geographic adjustment factor
GPCI Geographic practice cost index
HCFA Health Care Financing Administration
HCPCS HCFA Common Procedure Coding System
HHS [Department of] Health and Human Services
HMO Health maintenance organization
IDTFs Independent Diagnostic Testing Facilities
JUAs Joint Underwriting Associations
MEDPAC Medicare Payment Advisory Commission
MEI Medicare Economic Index
MGMA Medical Group Management Association
NPI National provider identifier
OBRA Omnibus Budget Reconciliation Act
PC Professional component
PCF Patient Compensation Fund
RUC [AMA's Specialty Society] Relative [Value] Update Committee
RVU Relative value unit
TC Technical component
I. Background
A. Legislative History
Since January 1, 1992, Medicare has paid for physician services
under section 1848 of the Social Security Act (the Act), ``Payment for
Physicians'' Services.'' This section contains three major elements:
(1) A fee schedule for the payment of physician services; (2) a
sustainable growth rate for the rates of increase in Medicare
expenditures for physician services; and (3) limits on the amounts that
nonparticipating physicians can charge beneficiaries. The Act requires
that payments under the fee schedule be based on national uniform
relative value units (RVUs) based on the resources used in furnishing a
service. Section 1848(c) of the Act requires that national RVUs be
established for physician work, practice expense, and malpractice
expense.
Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments
in RVUs because of changes resulting from a review of those RVUs may
not cause total physician fee schedule payments to differ by more than
$20 million from what they would have been had the adjustments not been
made. If this tolerance is exceeded, we must make adjustments to the
conversion factors (CFs) to preserve budget neutrality.
B. Published Changes to the Fee Schedule
We published a final rule on November 25, 1991 (56 FR 59502) to
implement section 1848 of the Act by establishing a fee schedule for
physician services furnished on or after January 1, 1992. In the
November 1991 final rule (56 FR 59511), we stated our intention to
update RVUs for new and revised codes in the American Medical
Association's (AMA's) Physicians' Current Procedural Terminology (CPT)
through an ``interim RVU'' process every year. The updates to the RVUs
and fee schedule policies are as follows:
November 25, 1992, a final notice with comment period on
new and revised RVUs only (57 FR 55914).
December 2, 1993, a final rule with comment period (58 FR
63626) to revise the refinement process used to establish physician
work RVUs and to revise payment policies for specific physician
services and supplies. (We solicited comments on new and revised RVUs
only.)
December 8, 1994, a final rule with comment period (59 FR
63410) to revise the geographic adjustment factor (GAF) values, fee
schedule payment areas, and payment policies for specific physician
services. The final rule also discussed the process for periodic review
and adjustment of RVUs not less frequently than every 5 years as
required by section 1848(c)(2)(B)(i) of the Act.
December 8, 1995, a final rule with comment period (60 FR
63124) to revise various policies affecting payment for physician
services including Medicare payment for physician services in teaching
settings, the RVUs for certain existing procedure codes, and to
establish interim RVUs for new and revised procedure codes. The rule
also included the final revised 1996 geographic practice cost indices
(GPCIs).
November 22, 1996, a final rule with comment period (61 FR
59490) to revise the policy for payment for diagnostic services,
transportation in connection with furnishing diagnostic tests, changes
in geographic payment areas (localities), and changes in the procedure
status codes for a variety of services.
October 31, 1997, a final rule with comment period (62 FR
59048) to revise the geographic practice cost index (GPCI), physician
supervision of diagnostic tests, establishment of independent
diagnostic testing facilities, the methodology used to develop
reasonable compensation equivalent limits, payment to participating and
nonparticipating suppliers, global surgical services, caloric
vestibular testing, and clinical consultations. The final rule also
implemented certain provisions of the Balanced Budget Act of 1997 (the
BBA) (Public Law 105-33), enacted on August 5, 1997, and implemented
the RVUs for certain existing procedure codes and established interim
RVUs for new and revised procedure codes.
November 2, 1998, a final rule with comment period (63 FR
58814) to revise the policy for resource-based practice expense RVUs,
medical direction rules for anesthesia services, and payment for
abnormal Pap smears. Also, we rebased the Medicare Economic Index from
a 1989 base year to a 1996 base year. Under the law, we are required to
develop a resource-based system for determining practice expense RVUs.
The BBA delayed, for 1 year, implementation of the resource-based
practice expense RVUs until January 1, 1999. Also, the BBA revised our
payment policy for nonphysician practitioners, for outpatient
rehabilitation services, and for drugs and biologicals not paid on a
cost or prospective payment basis. In addition, the BBA permits certain
physicians and practitioners to opt out of Medicare and furnish covered
services to Medicare beneficiaries through private contracts and
permits payment for professional consultations via interactive
telecommunication systems. Furthermore, we finalized the 1998 interim
RVUs and issued interim RVUs for new and revised codes for 1999. This
final rule also announced the calendar year 1999 Medicare physician fee
schedule conversion factor under the Medicare Supplementary Medical
Insurance (Part B) program as required by section 1848(d) of the Act.
The 1999 Medicare physician fee schedule conversion factor was
$34.7315.
This proposed rule would affect the regulations set forth at--
Part 410, Supplementary medical insurance benefits;
Part 411, Exclusions from Medicare and limitations on
Medicare payment;
Part 414, Payment for Part B medical and other services;
and
[[Page 39610]]
Part 415, Part B carrier payments for physicians' services
to beneficiaries in providers.
II. Specific Proposals for Calendar Year 1999
A. Resource-Based Malpractice Relative Value Units
1. Current Relative Value Unit System
Section 1848(c)(2)(C) of the Act requires each service paid under
the physician fee schedule be comprised of three components: work,
practice expense, and malpractice. The practice expense and malpractice
expense RVUs equal the product of the base allowed charges and the
practice expense and malpractice percentages for the service. Base
allowed charges are defined as the national average allowed charges for
the service furnished during 1991, as estimated using the most recent
data available. For most services, we used 1989 charge data ``aged'' to
reflect the 1991 payment rules, since those were the most recent data
available for the 1992 fee schedule. The work RVUs have been resource-
based since the inception of the fee schedule in 1992. They are
primarily based on a study of physician work conducted by researchers
at the Harvard School of Public Health. The work values for new and
revised codes added since 1992 are primarily based on the
recommendations of the American Medical Association's Relative Value
Update Committee (RUC). For detailed descriptions of the establishment
of resource-based work RVUs, see the June 5, 1991 proposed rule (56 FR
25792) and the November 25, 1991 final rule (56 FR 59502) on the
original fee schedule and the May 3, 1996 proposed rule (61 FR 19992)
on the five-year refinement of resource-based work RVUs.
The practice expense RVUs were not resource-based but were rather
charge-based from 1992 to 1998. In most cases, the practice expense
RVUs were calculated on a statutory formula. They were derived from the
product of ``base allowed charges'' and service-specific practice
expense percentages. The base allowed charge is the national average
allowed charge for the service furnished in 1991. The service-specific
practice expense percentage is a weighted average of the practice
expense percentages of the specialties performing the service. For new
codes after 1991, the practice expense RVUs were extrapolated from the
values for existing similar codes or from the work RVUs.
Section 121 of the Social Security Act Amendments of 1994 (Public
Law 103-432), enacted on October 31, 1994 and amended by the BBA,
required us to develop a methodology and implement resource-based
practice expense RVUs effective for services furnished in 1998. Section
4505 of the BBA postponed implementation of resource-based practice
expense RVUs until 1999 and provided for a gradual four-year
transition, with resource-based practice expense RVUs becoming fully
effective in 2002. For a detailed explanation of resource-based
practice expense RVUs see the June 5, 1998 proposed rule (63 FR 30818)
and the November 2, 1998 final rule (63 FR 58814) on the fee schedule.
Malpractice RVUs are currently charge-based, using the same
statutory formula discussed above for practice expense RVUs but using
weighted specialty-specific malpractice expense percentages and 1991
average allowed charges. As with practice expense RVUs, malpractice
RVUs for new codes after 1991 were extrapolated from similar existing
codes or from work RVUs. Section 4505(f) of the BBA requires us to
implement resource-based malpractice RVUs for services furnished
beginning in 2000. With the implementation of resource-based
malpractice RVUs and full implementation of resource-based practice
expense RVUs in 2002, all physician fee schedule RVUs will be resource-
based, thus eliminating the last vestiges of payment inequities that
resulted from charges that did not accurately reflect the relative
resources involved in providing a service.
2. Proposed Methodology for Developing Resource-Based Malpractice RVUs
The resource-based malpractice RVUs are based on actual malpractice
premium data and current Medicare payment data on allowed services and
charges, RVUs, and specialty payment percentages. Subjective judgment
is primarily limited to the mapping of Medicare specialties to the
various insurer premium risk groups.
We decided to use malpractice premium data because they represent
the actual malpractice expense to the physician. In addition,
malpractice premium data are widely available. We also considered using
procedure-specific actual malpractice claims paid data as recommended
by the Medicare Payment Advisory Committee (MEDPAC). However, we do not
believe that such an approach is viable because inquiries to
malpractice insurance experts revealed that the data are not available
in sufficient quantity and breadth to be useful. Consultation with
insurers informed us that they do not track malpractice payments on an
individual CPT procedure code basis. If any such data did exist, we
believe that they would likely be limited to a few very high-risk
procedures and not be widely and consistently available on a national
basis. Constructing national RVUs requires consistent national data for
all procedures.
Moreover, even if such data existed on a consistent national basis,
it is virtually impossible to determine which specific procedure
performed in treating an illness produced the adverse outcome leading
to the settlement or award or to accurately apportion the settlement or
award among the procedures. For example, in the case of cancer, a
symptom missed during a visit or a faulty x-ray or MRI could all
contribute to a late diagnosis. Similarly, the cause of the claim could
be the chemotherapy, the radiation therapy, the surgery, or any
combination thereof.
Discussions with the industry lead us to conclude that the primary
determinants of malpractice liability costs are physician specialty,
level of surgical involvement, and the individual physician's
malpractice history.
Actual malpractice premium data were collected for the top 20
Medicare physician specialties measured by dollars of reimbursement.
Premiums were for a $1 million/$3 million mature claims-made-policy (a
policy covering claims made rather than services provided during the
policy term). Data were collected from all 50 States, Washington, D.C.,
and Puerto Rico. Data were collected from commercial and physician-
owned insurers and from joint underwriting associations or JUAs,
typically, State government administered risk pooling insurance
arrangements in areas where commercial insurers have left the market.
Adjustments were made to reflect mandatory patient compensation fund or
PCF (a fund to pay for any claim beyond the statutory amount thereby
limiting an individual physician's liability in cases of a large suit)
surcharges in States where PCF participation is mandatory. The premium
data collected represent at least 50 percent of physician malpractice
premiums paid in each State, with the average being 77 percent.
Malpractice insurers generally use five-digit codes developed by
the Insurance Services Office (ISO), an advisory body serving property
and casualty insurers, to classify physician specialties into different
risk classes for premium rating purposes. ISO codes classify physicians
not only by specialty, but in many cases also by whether or not the
specialty performs
[[Page 39611]]
surgical procedures. A given specialty could thus have two ISO codes,
one for use in rating a member of that specialty who performs surgical
procedures and another for rating a member of that specialty who does
not perform surgery. Medicare uses its own system of specialty
classification for payment and data purposes. It was therefore
necessary to map Medicare specialties to ISO codes and insurer risk
classes. Different insurers, while using ISO codes, have their own risk
class categories. To assure consistency, we used the risk classes of
St. Paul Companies, one of the oldest and largest malpractice insurers.
Table 1 crosswalks Medicare specialties to ISO codes and St. Paul risk
classes used.
Table 1.--Crosswalk of Medicare Specialty Code To Malpractice ISO Code and St. Paul's Risk Class
--------------------------------------------------------------------------------------------------------------------------------------------------------
ISO code Risk class
Medicare code Medicare -------------------------------------------------------- St. Paul's description
description Surgery Other Surgery Other
--------------------------------------------------------------------------------------------------------------------------------------------------------
01............ General practice. 80117 80420 4 1 Family/Gen. Practitioners--No Obstetrical.
02............ General surgery.. 80143 80143 5 5 Surgery-General.
03............ Allergy/ 80254 80254 1A 1A Allergy.
Immunology.
04............ Otolaryngology... 80159 80265 3 1 Otarhinolaryngology.
05............ Anesthesiology... 80151 80151 5A 5A Anesthesiology.
06............ Cardiology....... 80150 80255 6 1 Cardiovascular Disease.
07............ Dermatology...... 80282 80256 2 1A Dermatology.
08............ Family practice.. 80117 80420 4 1 Family/Gen. Practitioners--No Obstetrical.
10............ Thoracic surgery. 80104 80241 3 1 Gastroenterology.
11............ Internal medicine 80284 80257 2 1 Internal medicine.
13............ Neurology........ 80152 80261 8 2 Neurology.
14............ Neurosurgery..... 80152 80261 8 2 Neurology.
16............ Obstetrics/ 80167 80244 2 1 Gynecology.
Gynecology.
18............ Ophthalmology.... 80114 80263 2 1 Ophthalmology.
20............ Orthopedic 80501 80501 5 5 Surgery Orthopedic--excluding Spinal Surgery.
surgery.
22............ Pathology........ 80292 80266 2 1A Pathology.
24............ Plastic and 80156 80156 5 5 Surgery Plastic.
reconstructive
surgery.
25............ Physical medicine 80235 80235 1 1 Physical medicine and rehab.
and rehab.
26............ Psychiatry....... 80249 80249 1A 1A Psychiatry.
29............ Pulmonary disease 80269 80269 1 1 Pulmonary Disease.
30............ Diagnostic 80280 80253 2 2 Radiology.
radiology.
33............ Thoracic surgery. 80144 80144 6 6 Surgery Thoracic.
34............ Urology.......... 80145 80145 3 3 Urological Surgery.
36............ Nuclear medicine. 80262 80262 1 1 Nuclear medicine.
37............ Pediatric 80293 80267 2 1 Pediatrics.
medicine.
38............ Geriatric 80105 80243 1 1 Geriatrics.
medicine.
39............ Nephrology....... 80108 80260 3 3 Nephrology.
40............ Hand surgery..... 80169 80169 5 5 Hand Surgery.
44............ Infectious 80279 80246 1 1 Infectious disease.
disease.
46............ Endocrinology.... 80103 80238 3 1 Endocrinology.
65............ Physical 80235 80235 1 1 Physical medicine and rehab.
therapist
(independently
practice.
66............ Rheumatology..... 80252 80252 1 1 Rheumatology.
67............ Occupational 80233 80233 1A 1A Occupational Med.
therapist
(independently
practice.
77............ Vascular surgery. 80146 80146 6 6 Vascular Surgery.
78............ Cardiac surgery.. 80141 80141 6 6 Cardiac Surgery.
82............ Hematology....... 80278 80245 2 1 Hematology.
83............ Hematology/ 80278 80245 2 1 Hematology.
oncology.
84............ Preventive 80231 80231 1 1 General Preventive Medicine.
medicine.
93............ Emergency 80157 80102 5 4 ER Physician.
medicine.
98............ Gynecologist/ 80167 80244 4 1 Gynecology.
oncologist.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Some physician specialties, nonphysician practitioners, and other
entities (for example, independent diagnostic testing facilities) paid
under the physician fee schedule could not be assigned an ISO code. We
crosswalked these specialties to physician specialties assigned an ISO
code and a risk class. The unassigned specialties and the specialty to
which they were assigned are shown in Table 2.
Table 2.--Crosswalk for Unassigned Specialties
------------------------------------------------------------------------
Unassigned speciality Cross walk speciality
------------------------------------------------------------------------
Addiction Medicine.................. Psychiatry.
Chiropractor, Licensed.............. Internal Medicine.
Clinical Nurse Practitioner......... Internal Medicine.
Clinic or Other Group............... All Physicians.
Clinical Psychologist............... Psychiatry.
Clinical Social Worker.............. Psychiatry.
Colorectal Surgery.................. General Surgery.
Critical Care (intensivists)........ All Physicians.
CRNA/AA............................. Family Practice.
Independent Lab..................... All Physicians.
Independent Physiological Lab....... All Physicians
Interventional Radiology............ Radiology.
Manipulative Therapy................ All Physicians.
[[Page 39612]]
Maxillofacial Surgery............... Plastic Surgery.
Medical Oncolgy..................... Gynecology.
Neuropsychiatry..................... Psychiatry.
Nurse Practitioners................. Internal Medicine.
Optometrist......................... All Physicians.
Oral Surgery........................ All Physicians.
Peripheral Vascular Disease......... All Physicians.
Physician Assistants................ Family Practice.
Podiatry............................ All Physicians.
Psychologist (Billing Indep.)....... Psychiatry.
Radiation Oncology.................. Radiology.
Surgical Oncology................... All Physicians.
------------------------------------------------------------------------
We originally considered two malpractice premium-based alternatives
for resource-based malpractice RVUs. One was based solely on specialty
premium differences and did not reflect differences in risk-of-service
among procedures provided by the specialty. Risk-of-service reflects
how services differ in their contributions to professional malpractice
liability. For example, if a physician often performs a complex,
difficult surgical procedure, this would have a larger effect on the
physician's premium risk classification than a simple office visit. We
realized that if we did not account for risk-of-service differences all
procedures that might be performed exclusively by a given specialty
would have the same resource-based malpractice RVUs, even though they
might vary considerably in effort, difficulty, total payment, and their
contribution to that specialty's malpractice liability.
The alternative which we are proposing, uses the same basic
methodology with one added computation. In order to reflect differences
in risk-of-service, in step (3) below we propose to multiply the
specialty premium-based malpractice RVUs by the procedure's work RVUs.
We believe that time, intensity, and difficulty of services are
correlated with malpractice risk. Since the work RVUs reflect
differences in time, intensity, and difficulty among procedures and are
generally accepted as accurate, we believe that they are the best
available proxy for determining risk-of-service.
Our proposed methodology is as follows:
(1) Compute a national average premium for each specialty.
Insurance rating area malpractice premiums for each specialty were
mapped to the county level. The specialty premium for each county was
then multiplied by the county total RVUs, which had been divided by the
county malpractice geographic practice cost index (GPCI) to normalize
the data for geographical differences. (Since malpractice RVUs are
multiplied by locality malpractice GPCIs in calculating fee schedule
payments, if the locality RVUs are not ``deflated'' by the malpractice
GPCIs, the locality cost differences as reflected by the GPCIs would be
counted twice.) The product of premiums and RVUs was then summed for
all counties by specialty. This number was divided by the total RVUs
for all counties for each specialty. This yields a national average
premium for each specialty.
Table 3 shows the national average premiums for the years 1990-95
for the 20 specialties on which we collected premium data. We used an
average of the 3 most recent years, 1993-95, in our calculation. We
plan to collect more recent data (1996-1998) to use in future
refinement of malpractice RVUs, but do not expect that these more
recent data will result in any significant changes since Table 3 shows
that on a national average basis malpractice premiums have been
remarkably stable in recent years.
Table 3.--National Average Premiums (1990-1995) Calculated Using 1997 RVU Weights
--------------------------------------------------------------------------------------------------------------------------------------------------------
Annual
ISO Specialy 1990 avg 1991 avg 1992 avg 1993 avg 1994 avg 1995 avg trend
--------------------------------------------------------------------------------------------------------------------------------------------------------
80114....................... Ophthalmology.................. 11,538 11,098 10,637 10,747 10,773 11,359 -0.3
80143....................... General surgery................ 28,231 26,683 25,405 25,896 26,876 28,286 0.0
80144....................... Thoracic surgery............... 37,740 37,123 35,439 37,045 38,320 41,001 1.7
80145....................... Urology........................ 16,798 16,285 15,432 15,161 15,669 16,620 -0.2
80151....................... Anesthesiology................. 23,437 20,986 19,536 17,406 17,409 16,877 -6.4
80152....................... Neurosurgery................... 50,743 45,248 48,788 52,124 54,027 57,679 2.6
80154....................... Orthopedic surgery............. 40,312 39,145 36,734 37,455 38,607 40,569 0.1
80156....................... Plastic and reconstructive 32,951 31,062 30,087 29,193 30,056 32,594 -0.2
surgery.
80159....................... Ootolaryngology................ 23,697 21,369 20,146 18,926 19,661 20,657 -2.7
80244 *..................... OB/GYN......................... 46,724 44,726 43,300 12,676 13,264 N/A N/A
80249....................... Psychiatry..................... 5,662 5,597 5,574 6,748 7,204 7,766 6.5
80269....................... Pulmonary disease.............. 7,807 7,675 7,202 8,068 8,517 9,198 3.3
80274....................... Gastroenterology............... 9,985 9,754 9,709 10,468 10,944 11,612 3.1
80280....................... Diagnostic radiology........... 9,748 9,496 9,404 10,280 10,675 11,394 3.2
80281....................... Cardiology..................... 10,437 10,225 10,187 11,895 12,360 13,138 4.7
80282....................... Dermatology.................... 9,004 8,768 8,750 10,392 10,905 11,541 5.1
80284....................... Internal medicine.............. 10,349 10,093 9,905 10,931 11,421 12,122 3.2
80288....................... Neurology...................... 10,613 10,479 10,789 11,721 12,289 13,179 4.4
80292....................... Pathology...................... 8,332 7,868 7,482 8,554 8,818 9,369 2.4
80423....................... General practice............... 10,081 9,777 9,662 10,006 10,399 10,989 1.7
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 1990-92 data reflects Obsterical malpractice premium. 93-94 is for Geneologist. 95 premium not available.
(2) Calculate a risk factor for each specialty. Differences among
specialties in malpractice premiums reflect differences in their
malpractice exposure or risk. Relative differences among specialties in
national average malpractice premiums can be expressed as specialty
risk factors. These risk factors are an index calculated by dividing
the national average premium for each specialty by the national average
premium for the specialty with the lowest average premium, psychiatry.
Table 4 shows the risk factors, surgical and non-surgical, by
specialty.
[[Page 39613]]
Table 4.--Medicare Specialties and Risk Factor Assignment
----------------------------------------------------------------------------------------------------------------
Non-Surgical Risk Factors Surgical Risk Factors
----------------------------------------------------------------------------------------------------------------
Code Medicare description Risk factor Code Medicare description Risk factor
----------------------------------------------------------------------------------------------------------------
0.................... All Physicians.......... 1.50 0 All Physicians.......... 2.53
01................... General practice........ 1.21 01 General practice........ 3.10
02................... General surgery......... 3.99 02 General surgery......... 3.99
03................... Allergy/Immunology...... 1.00 03 Allergy/Immunology...... 1.00
04................... Otolaryngology.......... 1.21 04 Otolaryngology.......... 2.83
05................... Anesthesiology.......... 2.34 05 Anesthesiology.......... 2.34
06................... Cardiology.............. 1.21 06 Cardiology.............. 5.84
07................... Dermatology............. 1.00 07 Dermatology............. 1.51
08................... Family practice......... 1.21 08 Family practice......... 3.10
10................... Gastroenterology........ 1.21 10 Gastroenterology........ 2.64
11................... Internal medicine....... 1.21 11 Internal medicine....... 1.58
12................... Osteopathic manipulative 1.50 12 Osteopathic manipulative 2.53
therapy. therapy.
13................... Neurology............... 1.61 13 Neurology............... 8.16
14................... Neurosurgery............ 1.61 14 Neurosurgery............ 8.16
16................... Obstetrics/Gynecology... 1.21 16 Obstetrics/Gynecology... 3.10
18................... Ophthalmology........... 1.21 18 Ophthalmology........... 1.54
19................... Oral surgery (dentists 1.50 19 Oral surgery (dentists 2.53
only). only).
20................... Orthopedic surgery...... 4.28 20 Orthopedic surgery...... 4.28
22................... Pathology............... 1.00 22 Pathology............... 1.28
24................... Plastic and 4.35 24 Plastic and 4.35
reconstructive surgery. reconstructive surgery.
25................... Physical medicine and 1.21 25 Physical medicine and 1.21
rehab. rehab.
26................... Psychiatry.............. 1.00 26 Psychiatry.............. 1.00
28................... Colorectal surgery 4.28 28 Colorectal surgery 4.28
(formerly proctology). (formerly proctology).
29................... Pulmonary disease....... 1.21 29 Pulmonary disease....... 1.21
30................... Diagnostic radiology.... 1.54 30 Diagnostic radiology.... 1.54
31................... Roentgenology, radiology 1.54 31 Roentgenology, radiology 1.54
(osteopaths only). (osteopaths only).
33................... Thoracic surgery........ 5.54 33 Thoracic surgery........ 5.54
34................... Urology................. 2.26 34 Urology................. 2.26
35................... Chiropractic............ 1.21 35 Chiropractic............ 1.61
36................... Nuclear medicine........ 1.21 36 Nuclear medicine........ 1.21
37................... Pediatric medicine...... 1.21 37 Pediatric medicine...... 1.61
38................... Geriataric medicine..... 1.21 38 Geriataric medicine..... 1.21
39................... Nephrology.............. 2.64 39 Nephrology.............. 2.64
40................... Hand surgery............ 4.28 40 Hand surgery............ 4.28
44................... Infectious disease...... 1.21 44 Infectious disease...... 1.21
46................... Endocrinology........... 1.21 46 Endocrinology........... 2.64
48................... Podiatry................ 1.50 48 Podiatry................ 2.53
62................... Psychologist (billing 1.00 62 Psychologist (billing 1.00
independently). independently).
65................... Physical therapist 1.21 65 Physical therapist 1.21
(independently (independently
practicing). practicing).
66................... Rheumatology............ 1.21 66 Rheumatology............ 1.21
67................... Occupational therapist 1.00 67 Occupational therapist 1.00
(independently (independently
practicing). practicing).
68................... Clinical psychologist... 1.00 68 Clinical psychologist... 1.00
70................... Multispecialty clinic or 1.50 70 Multispecialty clinic or 2.53
group practice. group practice.
71................... Diagnostic x-ray........ 1.54 71 Diagnostic x-ray........ 1.54
76................... Peripheral vascular 1.50 76 Peripheral vascular 2.53
disease. disease.
77................... Vascular surgery........ 5.84 77 Vascular surgery........ 5.84
78................... Cardiac surgery......... 5.84 78 Cardiac surgery......... 5.84
79................... Addiction medicine...... 1.00 79 Addiction medicine...... 1.00
81................... Critical care........... 1.50 81 Critical care........... 2.53
82................... Hematology.............. 1.21 82 Hematology.............. 1.61
83................... Hematology/oncology..... 1.21 83 Hematology/oncology..... 1.61
84................... Preventive medicine..... 1.21 84 Preventive medicine..... 1.21
85................... Maxillofacial surgery... 4.28 85 Maxillofacial surgery... 4.28
86................... Neuropsychiatry......... 1.00 86 Neuropsychiatry......... 1.00
90................... Medical oncology........ 1.21 90 Medical oncology........ 3.10
91................... Surgical oncology....... 1.50 91 Surgical oncology....... 2.53
92................... Radiation oncology...... 1.54 92 Radiation oncology...... 1.54
93................... Emergency medicine...... 3.10 93 Emergency medicine...... 4.28
94................... Interventional Radiology 1.54 94 Interventional Radiology 1.54
98................... Gynecologist/oncologist. 1.21 98 Gynecologist/oncologist. 3.10
----------------------------------------------------------------------------------------------------------------
(3) Calculate malpractice RVUs for each code. Resource-based
malpractice RVUs were calculated for each procedure. First, the
percentage of a specific service provided by each specialty was
determined from payment records. This percentage was then multiplied by
the specialty's risk factor. The products for all specialties for the
[[Page 39614]]
procedure are then summed, yielding a specialty-weighted malpractice
RVU reflecting the weighted malpractice costs across all specialties
for that procedure. This number was then multiplied by the procedure's
work RVUs to account for differences in risk-of-service. We realize
that adjusting for risk-of-service using work RVUs may not exactly
reflect risk-of-service differences because certain procedures with
relatively high work RVUs may have low malpractice claim frequencies
while certain procedures with relatively low work RVUs may have high
malpractice claim frequencies. We were unable to find an acceptable
alternative to work RVUs for determining risk-of-service and would
welcome any suggestions.
As mentioned above, certain specialties may have more than one IOS
rating class and risk factor. The surgical risk factor for a specialty
was used for surgical services and the non-surgical risk factor for
evaluation and management services. Also, for obstetrics/gynecology,
the lower gynecology risk factor was used for all codes except those
obviously surgical services, in which case the higher surgical risk
factor was used.
Certain codes have no physician work RVUs. The overwhelming
majority of these codes are the technical components (TCs) of
diagnostic tests, such as x-rays and cardiac catheterization, that have
a distinctly separate technical component (the taking of an x-ray by a
technician) and professional component (the interpretation of the x-ray
by a physician). Examples of other codes with no work RVUs are
audiology tests and injections and infusions. These codes are usually
done by nonphysicians, for example, audiologists and nurses,
respectively. In many cases, the non-physician or entity furnishing the
TC is distinct and separate from the physician ordering and
interpreting the test. We believe it appropriate for the malpractice
RVUs assigned to TCs to be based on the malpractice costs of the non-
physician or entity, not the professional liability of the physician.
Our proposed methodology, however, would result in zero malpractice
RVUs for codes with no physician work since we propose the use of
physician work RVUs to adjust for risk-of-service, as explained
earlier. We believe that zero malpractice RVUs may be inappropriate
because nonphysician health practitioners and entities such as IDTFs
also have malpractice liability and carry malpractice insurance.
Therefore, we are proposing to retain the current malpractice RVUs for
all services with zero work RVUs. We are open to comments and
suggestions for constructing malpractice RVUs for codes with no
physician work.
(4) Rescale for budget neutrality. The law requires that changes to
fee schedule RVUs be budget neutral. The current malpractice RVUs and
the proposed resource-based malpractice RVUs were constructed using
entirely different methodologies and data and are not directly related
to each other. Thus, the last step is to adjust for budget neutrality
by rescaling the proposed malpractice RVUs so that the total proposed
resource-based malpractice RVUs equals the total current malpractice
RVUs. The new resource-based malpractice RVUs for each procedure were
multiplied by the frequency count for that procedure to determine the
total resource-based malpractice RVUs for each procedure. This was
summed for all procedures to determine the total fee schedule resource-
based malpractice based RVUs. This was compared to the total current
charge-based malpractice RVUs, and the appropriate adjustment was made
to attain budget neutrality. The raw unadjusted resource-based
malpractice RVUs were multiplied by 0.0291 so that the conversion to
resource-based malpractice RVUs maintains the same level of
expenditures for the malpractice component.
The proposed resource-based malpractice RVUs are shown in Addendum
B. These values have been adjusted for budget neutrality on the basis
of the most recent available data. They do not reflect the final budget
neutrality adjustment, which we will make for the final rule on the
basis of more recent data. We do not believe, however, that the values
will change significantly as a result of the final budget-neutrality
adjustment.
Because of the differences in the sizes of the three fee schedule
components, implementation of the resource-based malpractice RVUs will
have much smaller payment effects than the previous implementations of
resource-based work RVUs and resource-based practice expense RVUs. On
average, work represents about 54.5 percent of payment for a procedure
under the fee schedule, practice expense about 42.3 percent, and
malpractice about 3.2 percent. Thus, a 20 percent change in practice
expense or work RVUs would yield a change in payment of about 8 to 11
percent. In contrast, a corresponding 20 percent change in malpractice
values would yield a change in payment of only about 0.6 percent. The
mean frequency-weighted current malpractice RVU is about 0.08 which
equates to about $2.78 in 1999. Estimates of the effects on payment by
specialty and selected high-volume procedures can be found in the
impact section of this rule.
We are requesting comments on our proposed methodology and
resource-based malpractice RVUs.
We are proposing to add a new Sec. 414.22(c)(3) (Relative value
units (RVUs)) to specify that, for services furnished in the year 2000
and subsequent years, the malpractice RVUs are based on the relative
malpractice insurance resources for each service.
B. Resource-Based Practice Expense Relative Value Units
1. Resource-Based Practice Expense Legislation
Section 121 of the Social Security Act Amendments of 1994 (Public
Law 103-432), enacted on October 31, 1994, requires us to develop a
methodology for a resource-based system for determining practice
expense RVUs for each physician's service beginning in 1998. In
developing the methodology, we must consider the staff, equipment, and
supplies used in providing medical and surgical services in various
settings.
The legislation specifically requires that, in implementing the new
system of practice expense RVUs, we must apply the same budget-
neutrality provisions that we apply to other adjustments under the
physician fee schedule.
The BBA was enacted on August 5, 1997, before publication of the
October 1997 (62 FR 59103) final rule. Section 4505(a) of the BBA
delayed the effective date of the resource-based practice expense RVUs
until January 1, 1999. In addition, the BBA provided for the following
revisions in the requirements to change from charge-based practice
expense RVUs to resource-based RVUs.
Instead of paying for all services entirely under a resource-based
RVU system in 1999, section 4505(b) of the BBA provided for a 4-year
transition period. The practice expense RVUs for the year 1999 will be
the sum of 75 percent of charge-based RVUs and 25 percent of the
resource-based RVUs. For the year 2000, the percentages will be 50
percent charge-based RVUs and 50 percent resource-based RVUs. For the
year 2001, the percentages will be 25 percent charge-based RVUs and 75
percent resource-based RVUs. For subsequent years, the RVUs will be
totally resource-based.
Section 4505(e) of the BBA provided that, in 1998, the practice
expense RVUs would be adjusted for certain services in anticipation of
the implementation of resource-based practice expenses
[[Page 39615]]
beginning in 1999. Thus, practice expense RVUs for office visits were
increased. For other services whose practice expense RVUs exceeded 110
percent of the work RVUs and which were furnished less than 75 percent
of the time in an office setting, the 1998 practice expense RVUs were
reduced to a number equal to 110 percent of the work RVUs. This
limitation did not apply to services that had proposed resource-based
practice expense RVUs in the June 18, 1997 proposed rule (62 FR 33196)
that increased from their 1997 practice expense RVUs. The procedure
codes affected and the final RVUs for 1998 were published in the
October 31, 1997 final rule (62 FR 59103).
Section 4505(d)(3) also required that a proposed rule be published
by May 1, 1998, with a 90-day comment period. A final rule was
published on November 2, 1998 and the transition began on January 1,
1999.
The BBA also required that we develop new resource-based practice
expense RVUs. In developing these new practice expense RVUs, section
4505(d)(1) required us to--(1) use, to the maximum extent practicable,
generally accepted accounting principles that recognize all staff,
equipment, supplies, and expenses, not just those that can be tied to
specific procedures, and use actual data on equipment use and other key
assumptions; (2) consult with organizations representing physicians
regarding the methodology and data to be used; and (3) develop a
refinement process to be used during each of the four years of the
transition period.
2. Current Methodology for Computing Practice Expense Relative Value
Units
Effective with services furnished after January 1, 1999, we
established a new methodology for computing resource-based practice
expense RVUs that uses the two significant sources of actual practice
expense data we have available--the Clinical Practice Expert Panel
(CPEP) data and the American Medical Association's (AMA's)
Socioeconomic Monitoring System (SMS) data. This methodology is based
on an assumption that current aggregate specialty practice costs are a
reasonable basis for establishing initial estimates of relative
resource costs of physicians' services across specialties. It then
allocates these aggregate specialty practice costs to specific
procedures and, thus, can be seen as a ``top-down'' approach. The
following summarizes the general methodology used. (For more specific
information refer to the June 5, 1998 proposed rule (63 FR 30826) and
the November 2, 1998 final rule with comment (63 FR 58816).)
Practice Expense Cost Pools
We used actual practice expense data by specialty, derived from the
1995 through 1997 SMS survey data, to create six cost pools:
administrative labor, clinical labor, medical supplies, medical
equipment, office supplies, and all other expenses. There were three
steps in the creation of the cost pools. They are as follows:
Step (1) We used the AMA's SMS survey of actual cost data to
determine practice expenses per hour by cost category. The practice
expense per hour for each physician respondent's practice was
calculated as the practice expenses for the practice divided by the
total number of hours spent in patient care activities by the
physicians in the practice. The practice expenses per hour for the
specialty are an average of the practice expenses per hour for the
respondent physicians in that specialty.
Step (2) We determined the total number of physician hours, by
specialty, spent treating Medicare patients. This was calculated from
physician time data for each procedure code and the Medicare claims
data. The primary sources for the physician time data were surveys
submitted to the AMA's RUC and surveys performed and developed by a
research team at the Harvard School of Public Health in a cooperative
agreement with us for the initial establishment of the work RVUs.
Step (3) We then calculated the practice expense pools by specialty
and by cost category by multiplying the practice expenses per hour for
each category by the total physician hours.
For services with work RVUs equal to zero (including the TC of
services with PC and TC), we created a separate practice expense pool
using the average clinical staff time from the CPEP data (since these
codes by definition do not have physician time), and the ``all
physicians'' practice expense per hour.
Cost Allocation Methodology
For each specialty, we separated the six practice expense pools
into two groups, direct costs and indirect costs, and used a different
allocation basis for each group.
For direct costs, which include clinical labor, medical
supplies, and medical equipment, we used the CPEP data as the
allocation basis. The CPEP data for clinical labor, medical supplies,
and medical equipment were used to allocate the clinical labor, medical
supplies, and medical equipment cost pools, respectively.
For the separate practice expense pool for services with work RVUs
equal to zero, we are using, as an interim measure, 1998 practice
expense RVUs to allocate the direct cost pools (clinical labor, medical
supplies and medical equipment).
Also, for all radiology services that are assigned work RVUS, we
used the 1998 practice expense RVUs as an interim measure to allocate
the direct practice expense cost pool for the specialty of radiology.
For all other specialties that perform radiology services that are
assigned work RVUs, we used the CPEP data for radiology services in the
allocation of that specialty's direct practice expense cost pools.
For indirect costs, which include administrative labor,
office expenses, and all other expenses, we used the total direct costs
or the 1998 practice expense RVUs, as described above, in combination
with the physician fee schedule work RVUs, to allocate the cost pools.
We converted the work RVUs to dollars using the Medicare CF (expressed
in 1995 dollars for consistency with the SMS survey years).
For procedures performed by more than one specialty, the
final procedure code allocation was a weighted average of allocations
for the specialties that perform the procedure, with the weights being
the frequency with which each specialty performs the procedure on
Medicare patients.
Other Methodological Issues
Global Practice Expense Relative Value Units.
For services with the PC and TC paid under the physician fee
schedule, the global practice expense RVUs are set equal to the sum of
the PC and TC.
Practice Expenses per Hour Adjustments and Specialty
Crosswalks
Since many specialties identified in our claims data did not
correspond exactly to the specialties included in the practice expenses
tables from the SMS survey data, it was necessary to crosswalk these
specialties to the most appropriate SMS specialty category. We also
made the following adjustments to the practice expense per hour data
(For the rationale for these adjustments, see the November 2, 1998
proposed rule):
+ We set the medical materials and supplies practice expenses per
hour for the specialty of ``oncology'' equal to the ``all physician''
medical materials and supplies practice expenses per hour.
+ We based the administrative payroll, office, and other practice
expenses per hour for the specialties of ``physical therapy'' and
``occupational therapy'' on data used to develop the salary equivalency
guidelines for these
[[Page 39616]]
specialties. We set the practice expense per hour for the direct cost
categories equal to the ``all physicians'' practice expense per hour
from the SMS survey data.
+ Due to uncertainty concerning the appropriate crosswalk and time
data for the nonphysician specialty ``audiologist,'' we derived the
resource-based practice expense RVUs for codes performed by
audiologists from the practice expenses per hour of the other
specialties that perform these codes.
+ For the specialty ``emergency medicine'' we used the ``all
physician'' practice expense per hour to create practice expense cost
pools for the categories ``clerical payroll'' and ``other expenses.''
+ For the specialty ``podiatry'' we used the ``all physician''
practice expenses per hour to create the practice expense pool.
+ For the specialty ``pathology'' we removed the supervision and
autopsy hours reimbursed through Part A of the Medicare program from
the practice expense per hour calculation.
+ For the specialty ``maxillofacial prosthetics'' we used the ``all
physician'' practice expenses per hour to create practice expense cost
pools and, as an interim measure, allocated these pools using the 1998
practice expense RVUs.
+ We split the specialty ``radiology'' practice expense per hour
into ``radiation oncology'' practice expense per hour and ``radiology
other than radiation oncology'' practice expense per hour and used this
split practice expense per hour to create practice expense cost pools
for these specialties.
+ Time Associated with the Work Relative Value Units.
The time data resulting from the refinement of the work RVUs have
been, on the average, 25 percent greater than the time data obtained by
the Harvard research team for the same services. We increased the
Harvard research team's time data to ensure consistency between these
data sources.
For services with no assigned physician times, such as dialysis,
physical therapy, psychology and many radiology and other diagnostic
services, we calculated estimated total physician times based on work
RVUs, maximum clinical staff time for each service as shown in the CPEP
data, or the judgment of our clinical staff.
We calculated the time for the anesthesia CPT codes 00100 through
01996 using the base and time units from the anesthesia fee schedule
and the Medicare allowed claims data.
3. Refinement
Background
Section 4505(d)(1)(C) of the BBA requires us to develop a
refinement process to be used during each of the four years of the
transition period. In the June 1998 proposed rule, (63 FR 30823), we
did not propose a specific long-term refinement process. Rather, we set
out the parameters for an acceptable refinement process for practice
expense RVUs and solicited comments on our proposed process. Most of
the approximately 14,000 comments we received on the proposed rule
approved of our general ``top down'' approach to the calculation of
practice expense RVUs. However, many concerns were raised regarding the
specific steps in our methodology, the practice expense per hour data,
and detailed code level data. In response to these comments, we made
adjustments for those situations in which we were convinced an
adjustment was appropriate without the need for further data or input
(see the November 2, 1998 (63 FR 58818) final rule). We also indicated
that we would consider other comments for possible future refinement
and that RVUs for all codes would be considered interim for 1999 and
for future years during the transition period.
As part of the initial refinement process, in the November 2, 1998
final rule, page 58818, we outlined the steps we are undertaking to
resolve the outstanding general methodological issues. These steps
include--the establishment of a mechanism to receive additional
technical advice for dealing with these broad practice expense RVU
methodological issues; evaluation of any additional recommendations
from the GAO, MEDPAC, and the Practicing Physicians Advisory Council;
and consultation with physicians' and other groups about these issues.
In addition, we solicited comments and suggestions about methodology
from organizations that have a broad range of interest and expertise in
practice expense and survey issues. We especially encouraged
organizations that represent a broad range of physician, practitioner,
and provider groups (for example, groups that represent both
specialties receiving increases and those receiving decreases in
Medicare payments) with expertise in practice cost issues to make
specific recommendations regarding such issues as criteria for using
alternative survey data, methods for validating data collected in the
future, and possible alternatives for the allocation of indirect
expenses.
We also discussed a proposal submitted by the RUC, which was
supported by almost every medical specialty society, for the
establishment of a Practice Expense Advisory Committee (PEAC), to
review comments and make recommendations on the code-specific CPEP data
(that is, the clinical staff types and times, medical supplies, and
medical equipment needed for each procedure) during this refinement
period. This committee would report to the RUC, which would make final
recommendations to us.
Current Status of Refinement Activities
As stated above, one of our main strategies for resolving the
outstanding practice expense methodological issues was to seek a
mechanism for obtaining expert advice and technical support. To this
end we have awarded a contract beginning in May 1999 to obtain this
assistance in evaluating various aspects of our practice expense
methodology. As also discussed above, the RUC, through the PEAC, will
give us recommendations on the refinement of procedure-specific inputs.
The PEAC held its organizing meeting in February 1999 and met again in
April to begin the task of refining the code-specific CPEP data.
We believe that the awarding of the methodological support contract
and the establishment of the PEAC represent important steps in our
refinement process. However, at this time, our contractor has just
begun the task of assisting us with the major methodological issues
that we face in refining the resource-based practice expense RVUs. In
addition, the PEAC's recommendations on changes to the code-level
inputs have not yet been forwarded by the RUC. Therefore, we are able
to propose only a few changes in our practice expense methodology or in
the code-specific inputs in this proposed rule. However, we will
consider additional changes for the final rule, based on any
recommendations we receive from the RUC or PEAC or other commenters.
These changes, if accepted, would be established as interim values and
would be effective January 1, 2000. The following discusses more
specifically the status of refinement activities and the specific
changes we are proposing for the various aspects of our practice
expense methodology.
Top-Down Methodology
As we have already discussed, we now have a contractor to assist us
in refining our practice expense methodology. This support will help us
to pinpoint weaknesses in our top-down methodology and will also aid us
in generating alternative solutions to the identified problems. Among
the
[[Page 39617]]
activities we have requested the contractor to undertake are:
The evaluation of the validity and reliability of SMS data
for the specialty and subspecialty groups.
The identification and evaluation of alternative and
supplementary data sources from specialty and multi-specialty
societies.
The development of options for validating the Harvard and
RUC physician procedure time data.
The evaluation of the indirect cost allocation
methodology.
The development of options for the five-year review of
practice expense RVUs.
We intend to keep the medical community informed about all of these
activities and to seek their input.
SMS Data
Background
We received comments from a large number of medical specialty
societies, both on our June 1998 proposed rule and our November 2, 1998
final rule, which expressed concern that their specialty or
subspecialty was not adequately represented in the SMS survey data used
to compute their practice expense per hour. In addition, several
specialties, primarily nonphysician groups, were not included in the
SMS data, making it necessary for us to crosswalk their practice
expense per hour to an included specialty. A large number of these
specialties either have submitted supplementary data or have expressed
a desire to collect new data that they believe would more accurately
reflect the practice expense per hour for their specialty.
While we appreciate the effort that these organizations have
expended or are willing to expend, we are not yet in a position to use
this supplementary or new data in our practice expense calculations. It
is important to understand that, given the budget neutrality
restrictions under which we are working, any increase in one
specialty's practice expense pool will lead to a decrease for other
specialties. Therefore, until we have developed reliable and
standardized criteria for accepting and validating additional
specialty-specific data, it would be inequitable to make any
significant changes based on these data.
We recognize that this delay in indicating what additional data
would be acceptable might be frustrating to those groups that believe
that the SMS data does not accurately account for all of their costs.
For that reason, we are ensuring that a priority of the technical
contractor discussed above is to determine (1) the circumstances, if
any, under which we should consider use of survey data other than the
SMS data; (2) the appropriate form of these surveys; and (3) how these
surveys or future SMS surveys can be appropriately validated for our
use. We hope to be in a position to discuss this in more detail in the
final rule to be published this fall.
Adjustment to Direct Patient Care Hours for Pathology
In the November 1998 final rule, we made adjustments to the direct
patient care hours for pathologists to account for the fact that the
time spent performing autopsies and supervising technicians are Part A
services. The pathologists, supported by the AMA, also requested that
we eliminate some of the time for ``personally performing nonsurgical
laboratory procedures including reports'' because this time also
includes some Part A services. We did not make this latter adjustment
in the final rule because we did not have the data on what precise
adjustment to make. We now have information to propose this adjustment
as well. The SMS survey shows that pathologists reported 6.77 hours per
week in personally performing nonsurgical laboratory procedures
including time writing reports. The College of American Pathologists
recommended that 45 percent of the 6.77 hours, which represents three
hours, be removed from total patient care hours. The pathologists argue
that they are providing specific services to attending physicians, but
we will not allow separate payment because the attending physician does
not request a consultation. This problem is unique to this specialty
and, as this change will have no discernible negative impact on any
other specialty, we are proposing to remove these three hours from the
total patient care hours for pathologists.
CPEP Data
RUC Recommendations
As we stated above, the PEAC is beginning to review the procedure-
specific CPEP inputs. Because most major physician specialties are
represented on the PEAC and they will determine which codes are
discussed at each meeting, we plan to wait until we receive
recommendations from the RUC before making significant changes to most
code-specific inputs. However, there are a number of egregious errors
or anomalies that were pointed out in the public comments we received
on the June 1998 proposed rule and the November 1998 final rule that we
intend to address in the final rule this fall.
Physicians' Clinical Staff in the Facility Setting
In some of the original CPEP panels and in subsequent meetings,
various specialties have argued that the physician's own clinical staff
performs certain services for a hospital patient. In our initial
``bottom-up'' practice expense proposal in the June 1997 proposed rule,
we edited out all of the clinical staff time in the facility setting.
It was our contention then, and still is now, that Medicare already
pays for services performed for a facility patient through some other
mechanism, that these services are not typically performed by a
physician's own staff and that recognizing these inputs is arguably
inconsistent with the law and with our regulations. However, in our
1998 ``top-down'' proposal we used the raw CPEP inputs without applying
edits to any of the data, and the clinical staff time in the facility
setting was therefore included.
We are proposing to exclude from the raw CPEP data all staff time
allotted to the use of clinical staff in the facility setting. This
CPEP data is used in our methodology solely to allocate the specialty-
specific practice expense pools to the individual codes. We would not
make an adjustment to the SMS data because we cannot separately
identify the costs related to physicians' clinical staff time in
hospitals and we do not believe that these costs are typically
incurred. We propose to make this adjustment now before extensive
refinement efforts are undertaken. We are also soliciting comments,
information and data regarding situations where the recognition of
costs associated with the use of a physician's clinical staff in a
facility would be appropriate. We will consider these responses for the
final rule.
There are several arguments to be made for excluding the costs of
clinical staff in the facility setting from the raw CPEP data used in
calculating the practice expense payment for any service:
1. Medicare should not pay twice for the same service.
Many specialties argue that their clinical staff performs various
duties for the hospital patient, examples of which are presented below;
all these and other facility clinical staff services are already paid
for by Medicare through a mechanism other than physician practice
expense.
--Assistant at Surgery--Medicare will make a separate payment for a
physician assistant, nurse practitioner or clinical nurse specialist
acting as assistant at surgery. Therefore, their
[[Page 39618]]
time cannot also be counted as a practice expense input in the CPEP
data.
--Scrub Nurse--Medicare already pays the hospital for all nursing
services provided to a hospital patient, including scrub nurse
services, either through the DRG payment or on a cost basis.
--Monitoring Patients Undergoing Conscious Sedation--In order to meet
accreditation standards, all hospitals must already have staff
available to monitor these patients. Medicare pays the hospital for
this service or makes separate payment for a certified registered nurse
anesthetist. To include staff time in the CPEP data for this service
would result in a duplicate payment.
--Reviewing Charts, Making Patient Rounds, Pulling Chest Tubes--These
activities are physicians' services that are paid for through the
physician work RVUs. Physicians may choose to delegate some of their
work to their clinical staff. However, unless the work RVUs are
commensurately reduced, it would be inappropriate to also include this
staff time in the practice expense calculations.
--Making Phone Calls from the Physician's Office--Phone calls
concerning the patient made to the family or the facility are
considered an administrative cost. The staff time for these services is
paid for under our indirect practice expense allocation.
Unless we were to reduce the DRG payment made to hospitals or the
work RVUs used to determine physician payment, the inclusion of the
costs of any of this clinical staff time in the calculation of
procedure-specific practice expenses would essentially lead to a
duplication of Medicare payment. We welcome comments from hospitals,
physicians, and others on this issue.
2. It is not a typical practice for most specialties to use their
own staff in the facility setting.
While physician practice patterns may vary by specialty, by
practice size and configuration and by individual practitioner, we pay
only one rate, with the exception of a geographic adjuster, for a given
site for any specific service. Therefore, the CPEP inputs for each
service cannot reflect all variations in practice patterns, but are
rather meant to represent the clinical staff times, supplies, and
equipment that are used for the typical patient receiving that service.
We have not seen sufficient data to convince us that the use of the
physician's clinical staff in the facility setting is a typical
practice. The American Hospital Association performed a survey of a
sample of their members which indicated that this practice occurred
only occasionally. Because we do not believe that physicians typically
incur costs for bringing their staff into the facility setting, the
aggregate SMS data should contain few costs for such services.
Therefore, we are not proposing to eliminate any clinical staff
expenses from the surgical specialties' aggregate SMS practice expense
data.
3. Inclusion of these costs is arguably inconsistent with both the
law and Medicare regulations.
--Section 1862(a)(14) of the Act, which discusses exclusions from
coverage, states that,
``Notwithstanding any other provision of this title, no payment may
be made under part A or part B * * * for any expenses incurred for
items or services which are other than physicians' services (as defined
in regulations promulgated specifically for purposes of this paragraph)
* * * and which are furnished to an individual who is a patient of a
hospital * * * by an entity other than the hospital * * * unless the
services are furnished under arrangements. * * *''
(This section also exempts services of physician assistants, nurse
practitioners, clinical nurse specialists, certified nurse-midwife
services, qualified psychologist services, and services of certified
registered nurse anesthetists from the above exclusion.)
--In Sec. 411.15, (Particular Services Excluded from Coverage)
subparagraph (m)(1), we paraphrase the above provision for hospital
inpatients and add that ``services subject to exclusion under this
paragraph include * * * services incident to physicians' services.''
Section 411.15(m)(2) implements the exceptions to this exclusion, among
them ``physician services that meet the criteria of Sec. 415.102(a) of
this chapter for payment on a reasonable charge or fee schedule
basis.''
--Section 415.102(a) contains the definition of physicians' services
required by section 1862(a)(14) of the Act and the criteria referred to
in Sec. 411.15(m) above: ``If the physician furnishes services to
beneficiaries in providers, the carrier pays on a fee schedule basis
provided the following requirements are met: (1) The services are
personally furnished for an individual beneficiary by a physician. (2)
The services contribute directly to the diagnosis or treatment of an
individual beneficiary. (3) The services ordinarily require performance
by a physician.''
--On September 8, 1998, we published a proposed rule on a prospective
payment system for hospital outpatient services (63 FR 47552). This
rule proposes to add Sec. 410.39 which embodies in regulation for the
hospital outpatient setting the exclusion in Sec. 411.15 described
above. Section 410.39(c) would exempt from the exclusion physicians'
services that meet the requirements of Sec. 415.102(a) as described
above, physician assistant, nurse practitioner, clinical nurse
specialist, certified nurse midwife, and qualified psychologist
services, as well as services of an anesthetist.
A reading of all of the above suggests that no payment should be
made under the physician fee schedule for the costs of physicians'
clinical staff used in the hospital setting. Services performed by non-
physician clinical staff do not fulfill the definition of services
personally furnished by a physician, and, therefore, the exception to
the exclusion created by section 1862(a)(14) of the Act does not apply.
In addition, nursing services, such as those performed by a scrub nurse
working for a physician, do not ordinarily require performance by a
physician and, thus, are not physicians' services for the purpose of
section 1862(a)(14) of the Act. Finally, services ``incident to a
physician's service'' are explicitly excluded from coverage in the
hospital setting by Sec. 411.15(m)(1).
Table 5, ``Impact on Total Allowed Charges by Specialty of
Excluding the Cost of Clinical Staff in the Facility Setting,'' shows
the impact of the proposed changes on each major specialty's total
allowed charges. As can be seen from this table, anesthesia and cardiac
surgery face a decrease of 8 percent over the transition period, while
thoracic surgery has a decrease of 6 percent over the same period. No
other specialty has a decrease of more than 2 percent. The increases
are spread throughout the specialties, with rheumatology standing to
gain the most with a 5 percent increase, followed by orthopedic
surgery, obstetrics and gynecology and podiatry each with a 3 percent
increase.
It is not surprising that the practice expenses for cardiac and
thoracic surgery and anesthesiology would decrease if clinical staff in
the facility is excluded given the clinical staff time in the CPEP
data. The raw CPEP data for the cardiac and thoracic codes contain up
to 57 hours of clinical staff time in the hospital for a given
procedure. For example, the total facility clinical staff
[[Page 39619]]
time of 24 hours for CPT code 33771 (repair of great vessels defect)
includes nearly seven hours for a physician assistant to act as
assistant at surgery, which can be billed separately, and over six
hours for a scrub nurse that we pay the hospital to provide.
The anesthesia CPEP panel also added inputs of up to 195 minutes
clinical staff time per procedure in the facility setting, which is
particularly inexplicable for such a hospital-based specialty. This
time is divided between a registered nurse, physician assistant, and an
anesthesia technician. It is in no way clear for what purposes an
anesthesiologist would employ a nurse or a physician assistant, but in
any case we pay the hospital for all nursing care and we make separate
payment for a physician assistant.
We welcome comments on this entire issue and particularly solicit
information about any possible appropriate use of physicians' clinical
staff in the facility setting that we should consider for our final
rule.
Table 5.--Impact on Total Allowed Charges by Specialty of Excluding the
Cost of Clinical Staff in the Facility Setting
------------------------------------------------------------------------
Impact on
total
Specialty payments
(percent)
------------------------------------------------------------------------
ANESTHESIOLOGY............................................. -8
CARDIAC SURGERY............................................ -8
CARDIOLOGY................................................. -2
CLINICS.................................................... -1
DERMATOLOGY................................................ 2
EMERGENCY MEDICINE......................................... -1
FAMILY PRACTICE............................................ 2
GASTROENEROLOGY............................................ -2
GENERAL PRACTICE........................................... 2
GENERAL SURGERY............................................ 0
HEMATOLOGY ONCOLOGY........................................ 1
INTERNAL MEDICINE.......................................... 0
NEPHROLOGY................................................. 0
NEUROLOGY.................................................. 1
NEUROSURGERY............................................... 1
OBSTETRICS/GYNECOLOGY...................................... 3
OPHTHALMOLOGY.............................................. 1
ORTHOPEDIC SURGERY......................................... 3
OTHER PHYSICIAN............................................ 0
OTOLARYNGOLOGY............................................. 2
PATHOLOGY.................................................. 0
PLASTIC SURGERY............................................ 1
PSYCHIATRY................................................. -1
PULMONARY.................................................. -2
RADIATION ONCOLOGY......................................... 0
RADIOLOGY.................................................. 0
RHEUMATOLOGY............................................... 5
THORACIC SURGERY........................................... -6
UROLOGY.................................................... 2
VASCULAR SURGERY........................................... 0
OTHERS
CHIROPRACTOR............................................... 0
NONPHYSICIAN PRACTITIONER.................................. 0
OPTOMETRIST................................................ 2
PODIATRY................................................... 3
SUPPLIERS.................................................. 0
------------------------------------------------------------------------
Physician Time
Background
Under the ``top down'' methodology we are using to calculate the
resource-based practice expense for physicians' services, the physician
time attributed to each service has now become a significant factor in
determining the RVUs assigned to that service. Therefore, it is vital
that there is confidence in the accuracy of these times. As we
discussed above, we have a contract to assist us in resolving many of
the outstanding methodological issues we face in refining our ``top
down'' approach. One of the tasks this contractor will undertake is to
develop options for validating the 1992 Harvard research team study and
the AMA/RUC physician time data.
Pediatric Surgery Physician Time Data
In its comments on the June 1998 proposed rule, the American
College of Surgeons stated that the physician time assigned to
pediatric surgery codes was based on erroneously low physician time
data from the original Harvard study, rather than on later data from
the study of pediatric services performed by the same Harvard study
team for the American Pediatric Surgical Association in 1992. The
comment further stated that the latter data were used as the basis for
the work RVUs assigned to these 48 pediatric surgical services. We
responded in the final rule that such inaccuracies in the physician
time data would be considered during the refinement process. We are
currently analyzing the data needed to make the appropriate corrections
and will update the physician times for these 48 pediatric surgical
services in the final rule.
Physical Therapy and Occupational Therapy Times
In the November 1998 final rule we did not use the RUC physician
time data for the physical therapy codes (CPT 97001 through 97770) as
we believed these times to be inaccurate. Instead, we set the time for
these procedures using the judgment of our clinical staff. In its
comments on the final rule, the American Physical Therapy Association
(APTA) stated that the times that we used were too low because it
appeared that we used only intra-service time. The American
Occupational Therapy Association, in its comments on the proposed rule,
also objected to our reduction in times for outpatient rehabilitation
codes. While APTA conceded that the RUC survey data on the times for
these services could cause confusion, APTA also argued that we should
recognize some preservice and postservice times for physical therapy
services. APTA made specific recommendations that included such
preservice and postservice times, while acknowledging that, because
multiple procedures are often performed at the same session, there
could be overlap in these times. We agree that it is appropriate to
include some preservice and postservice times for these procedures and
have adjusted the total code-specific times used to create the practice
expense pools as shown in Table 6, ``Revised Times for CPT codes 97001
through 97770.''
Table 6.--Revised Times for CPT Codes 97001 Through 97770
------------------------------------------------------------------------
Total time
used for
HCFA 11/2/ Revised
HCPCS 98 final time
rule (minutes)
(minutes)
------------------------------------------------------------------------
97001......................................... 30 42
97002......................................... 20 25
97003......................................... 45 57
97004......................................... 30 35
97010......................................... 5 5
97012......................................... 15 15
97014......................................... 13 13
97016......................................... 18 18
97018......................................... 13 13
97020......................................... 14 14
97022......................................... 15 15
97024......................................... 15 15
97026......................................... 10 10
97028......................................... 9 9
97032......................................... 18 18
97033......................................... 14 14
97034......................................... 16 16
97035......................................... 12 12
97036......................................... 15 15
97110......................................... 15 18
97112......................................... 15 18
97113......................................... 15 18
97122......................................... 15 18
97124......................................... 15 18
97250......................................... 15 18
97261......................................... 15 18
97265......................................... 15 18
97504......................................... 15 18
97520......................................... 15 18
97530......................................... 15 18
97535......................................... 15 18
97537......................................... 15 18
97542......................................... 15 18
[[Page 39620]]
97750......................................... 15 18
97703......................................... 15 18
97770......................................... 15 18
------------------------------------------------------------------------
RUC Time Database
The primary sources for the physician time data used in creating
the specialty-specific practice expense pools are the surveys done for
the initial establishment of the work RVUs and the surveys submitted to
the AMA's RUC. We have been informed by the AMA that some of the RUC
times we used for the November 1998 final rule differed from the times
found in the official RUC database. The AMA also conveyed to us that
the RUC is currently verifying their database with the relevant
specialties and plans to send it to us in time for its use in the final
rule.
Crosswalk Issues
Physical and Occupational Therapy Indirect Costs
We currently crosswalk physical and occupational therapy services
to the ``all physician'' practice expense per hour for direct costs.
However, for indirect costs we believed that the crosswalk to ``all
physicians'' would overstate the actual practice expense for therapy
services. Instead we used the data used to develop the therapy salary
equivalency guidelines to create the practice expense per hour for
these costs. These guidelines, which were developed for therapists
working under contract for a facility, assume a required space of 250
square feet per therapist. Organizations representing both physical and
occupational therapists objected that this estimate of 250 square feet
was insufficient to reflect expenses for therapists in private
practice. After further consideration of these comments and after
consultation with industry representatives, we agree that these space
requirements may not be representative of the actual space needed by
independent therapists. Based on our analysis of the available data, we
have increased the space requirements to 500 square feet.
Vascular Surgery
The SMS survey sample of 10 vascular surgeons is too small for us
to calculate accurately a practice expense per hour for this specialty.
In the 1998 proposed and final rules, we combined their data with that
of the cardiac and thoracic surgeons to create a combined practice
expense pool for all three specialties. The Society for Vascular
Surgery commented that this crosswalk understated the actual practice
expense for their specialty because vascular surgery services generally
involved patients with more co-morbidities, included more evaluation
and management services and thus were more office-based. We agree that
the current crosswalk might not appropriately approximate the
specialty's costs, and we are proposing to change vascular surgery's
crosswalk to the ``all physician'' practice expense per hour.
Calculation of Practice Expense Pools--Other Issues
In the November 2, 1998 final rule, in response to the many
commenters that objected to the reductions published in the June 5,
1998 proposed rule for services with no work RVUS, we created, as an
interim solution, a separate practice expense pool for all services
with zero work RVUs. We used the ``all physicians'' category for the
practice expense per hour for this pool and, instead of allocating this
pool by the CPEP data, we used the 1998 RVUs as the allocator.
This was of benefit to most of the services included in this
expense pool, but some specialties, such as sleep medicine, neurology,
ophthalmology, and pathology that had not commented on problems with
their services with no work RVUs were negatively affected by this
methodological change relative to the June 5, 1998 proposal. We have
subsequently received comments from societies for these specialties
requesting that these services be taken out of this special pool and be
treated like the vast majority of codes. As many of these services are
provided by other specialties as well and such a change could have an
impact across specialties, we are seeking comments both on such an
adjustment in general and on specific services that should either be
included or excluded from the adjustment. However, if we do remove
codes from the zero work RVU pool in our final rule, we plan to do it
in a uniform manner across families or categories of codes, instead of
allowing individual services to be placed in or out of the ``zero work
RVU'' practice expense pool depending on which method yields the
highest RVUs.
Table 7, ``Approximate Additional Changes in the Practice Expense
RVUs for Codes That Might Be Removed from the Zero Work Pool,'' shows
the list of codes that we are considering removing from the ``zero work
RVU'' pool, and Table 8, ``Additional Impact on Total Allowed Charges
by Specialty of Removing Selected Codes from the Zero Work Pool,''
shows the impact of this change by specialty.
Table 7.--Approximate Additional Changes in Practice Expense RVUs for Codes That Might Be Removed From the ``Zero-Work'' Pool
--------------------------------------------------------------------------------------------------------------------------------------------------------
Approx. change in non- Approx. change in
HCPCS MOD Description facility practice facility practice
expense RVUs expense RVUs
--------------------------------------------------------------------------------------------------------------------------------------------------------
88104......................................... TC Cytopathology, fluids........... 0.52 0.52
88106......................................... TC Cytopathology, fluids........... 0.28 0.28
88107......................................... TC Cytopathology, fluids........... 0.09 0.09
88108......................................... TC Cytopath, concentrate tech...... 0.42 0.42
88125......................................... TC Forensic cytopathology.......... 0.08 0.08
88160......................................... TC Cytopath smear, other source.... 0.92 0.92
88161......................................... TC Cytopath smear, other source.... 0.25 0.25
88162......................................... TC Cytopath smear, other source.... 0.21 0.21
88170......................................... TC Fine needle aspiration.......... -0.11 -0.11
88171......................................... TC Fine needle aspiration.......... -0.44 -0.44
88172......................................... TC Evaluation of smear............. 0.44 0.44
88173......................................... TC Interpretation of smear......... 0.57 0.57
88180......................................... TC Cell market study............... 0.41 0.41
88182......................................... TC Cell market study............... 0.86 0.86
[[Page 39621]]
88300......................................... TC Surg path, gross................ 0.3 0.3
88302......................................... TC Tissue exam by pathologist...... 0.71 0.71
88304......................................... TC Tissue exam by pathologist...... 0.5 0.5
88305......................................... TC Tissue exam by pathologist...... 0.69 0.69
88307......................................... TC Tissue exam by pathologist...... 1.2 1.2
88309......................................... TC Tissue exam by pathologist...... 1.85 1.85
88311......................................... TC Decalcify tissue................ -0.01 -0.01
88312......................................... TC Special stains.................. 1.3 1.3
88313......................................... TC Special stains.................. 1 1
88314......................................... TC Histochemical stain............. 0.5 0.5
88318......................................... TC Chemical histochemistry......... 0.43 0.43
88319......................................... TC Enzyme histochemistry........... 0.93 0.93
88323......................................... TC Microslide consultation......... 0.58 0.58
88331......................................... TC Pathology consult in surgery.... -0.18 -0.18
88332......................................... TC Pathology consult in surgery.... -0.15 -0.15
88342......................................... TC Immunocytochemistry............. 0.98 0.98
88346......................................... TC Immunofluorescent study......... 1.09 1.09
88347......................................... TC Immunofluorescent study......... 1.06 1.06
88348......................................... TC Electron microscopy............. 3.87 3.87
88349......................................... TC Scanning electron microscopy.... 4.43 4.43
88355......................................... TC Analysis, skeletal muscle....... 1.46 1.46
88356......................................... TC Analysis, nerve................. 0.46 0.46
88358......................................... TC Analysis, tumor................. 0.67 0.67
88362......................................... TC Nerve teasing preparations...... 0.3 0.3
88365......................................... TC Tissue hybridization............ 1.21 1.21
92060......................................... TC Special eye evaluation.......... 1.13 1.13
92065......................................... TC Orthoptic/pleoptic training..... 0.67 0.67
92081......................................... TC Visual field examination(s)..... 0.6 0.6
92082......................................... TC Visual field examination(s)..... 0.74 0.74
92083......................................... TC Visual field examination(s)..... 0.96 0.96
92135......................................... TC Opthalmic dx imagining.......... 0.96 0.96
92235......................................... TC Eye exam with photos............ 1.44 1.44
92240......................................... TC Icg angiography................. 1.44 1.44
92250......................................... TC Eye exam with photos............ 1.17 1.17
92265......................................... TC Eye muscle evaluation........... 0.29 0.29
92270......................................... TC Electro-oculography............. 0.61 0.61
92275......................................... TC Electroretinography............. -0.23 -0.23
92283......................................... TC Color vision examination........ 0.05 0.05
92284......................................... TC Dark adaptation eye exam........ 0.57 0.57
92285......................................... TC Eye photography................. 1.41 1.41
92286......................................... TC Internal eye photography........ 1.02 1.02
92325......................................... ........................ Modification of contact lens.... -0.08 -0.28
92326......................................... ........................ Replacement of contact lens..... -1.4 -1.58
92354......................................... ........................ Special spectacles fitting...... -8.78 -9.09
92355......................................... ........................ Special spectacles fitting...... -4.05 -4.36
92358......................................... ........................ Eye prosthesis serive........... -0.72 -0.91
92371......................................... ........................ Repair & adjust spectacles...... -0.36 -0.54
92392......................................... ........................ Supply of low vision aids....... -3.94 -4.13
92393......................................... ........................ Supply of artificial eye........ -12.84 -13.02
92395......................................... ........................ Supply of spectacles............ -1.16 -1.34
92396......................................... ........................ Supply of contact lenses........ -2.12 -2.3
93307......................................... TC Echo exam of heart.............. -2.9 -2.9
93350......................................... TC Echo transthoracic.............. 4.55 4.55
95805......................................... TC Multiple sleep latency test..... -0.56 -0.56
95806......................................... TC Sleep study, unattended......... -3.07 -3.07
95807......................................... TC Sleep study, attended........... -0.04 -0.04
95808......................................... TC Polysomnograph, 1-3............. 5.62 5.62
95810......................................... TC Polysomnography, 4 or more...... 5.9 5.9
95811......................................... TC Polysomnography w/cpap.......... 5.54 5.54
95812......................................... TC Electroencephalogram (EEG)...... 0.84 0.84
95813......................................... TC Electroencephalogram (EEG)...... 0.55 0.55
95816......................................... TC Electroencephalogram (EEG)...... 0.85 0.85
95819......................................... TC Electroencephalogram (EEG)...... 1.04 1.04
95822......................................... TC Sleep electroencephalogram...... -0.62 -0.62
95824......................................... TC Electroencephalography.......... -0.38 -0.38
95829......................................... TC Surgery electrocorticogram...... 3.41 3.41
95875......................................... TC Limb exercise test.............. -0.02 -0.02
95923......................................... TC Autonomic nervous func test..... 0.93 0.93
95930......................................... TC Visual evoked potential test.... 0.21 0.21
[[Page 39622]]
95950......................................... TC Ambulatory eeg monitoring....... -3.35 -3.35
95951......................................... TC EEG monitoring/videorecord...... 22.62 22.62
95954......................................... TC EEG monitoring/giving drugs..... 1.7 1.7
95956......................................... TC EEG monitoring/cable/radio...... 13.85 13.85
--------------------------------------------------------------------------------------------------------------------------------------------------------
Table 8.--Additional Impact on Total Allowed Charges by Specialty of
Removing Selected Codes From the ``Zero Work'' Pool
------------------------------------------------------------------------
Impact on
Specialty total payments
(percent)
------------------------------------------------------------------------
ANESTHESIOLOGY.......................................... 0
CARDIAC SURGERY......................................... 0
CARDIOLOGY.............................................. -2
CLINICS................................................. 0
DERMATOLOGY............................................. 2
EMERGENCY MEDICINE...................................... 0
FAMILY PRACTICE......................................... 0
GASTROENTEROLOGY........................................ 0
GENERAL PRACTICE........................................ -1
GENERAL SURGERY......................................... 0
HEMATOLOGY ONCOLOGY..................................... -1
INTERNAL MEDICINE....................................... -1
NEPHROLOGY.............................................. 0
NEUROLOGY............................................... 0
NEUROSURGERY............................................ 0
OBSTETRICS/GYNECOLOGY................................... 0
OPHTHALMOLOGY........................................... 3
ORTHOPEDIC SURGERY...................................... 0
OTHER PHYSICIAN......................................... 0
OTOLARYNGOLOGY.......................................... -1
PATHOLOGY............................................... 8
PLASTIC SURGERY......................................... 0
PSYCHIATRY.............................................. 0
PULMONARY............................................... 0
RADIATION ONCOLOGY...................................... -2
RADIOLOGY............................................... -1
RHEUMATOLOGY............................................ -1
THORACIC SURGERY........................................ 0
UROLOGY................................................. 0
VASCULAR SURGERY........................................ -1
OTHERS:
CHIROPRACTOR........................................ 0
NONPHYSICIAN PRACTITIONER........................... 0
OPTOMETRIST......................................... 3
PODIATRY............................................ 0
SUPPLIERS........................................... 16
------------------------------------------------------------------------
Site-of-Service Differential
Clarification of Site-of-Service Policy
We wish to clarify the circumstances under which either the non-
facility or facility RVUs are used to calculate payment for a service.
In the November 2, 1998 final rule, we defined hospitals, skilled
nursing facilities (SNFs), and ambulatory surgical centers (ASCs) as
facilities for practice expense purposes. For the purposes of the
physician practice expense calculation, all other sites-of-service are
considered non-facility. The distinction between the non-facility and
facility setting takes into account the higher expenses of the
practitioner in the non-facility setting, where the practitioner
typically bears the cost of the resources--clinical staff, supplies,
and equipment--associated with the service.
The major purpose of the site-of-service distinction is to ensure
that Medicare does not make a duplicate payment for any of the practice
expenses incurred in performing a service for a Medicare patient. When
the beneficiary is a hospital, SNF, or ASC patient, the facility itself
is paid for the clinical staff, supplies, and equipment needed to take
care of that patient, and the lower facility rate should be paid to the
practitioner. Therefore, if the patient is a facility patient or a
facility will bill for the service, the practitioner must bill using
the facility site-of-service designation. We are modifying the language
in Sec. 414.22(b)(5)(i) in order to clarify this policy. There are also
three further clarifications that need to be made with respect to this
policy.
(1) When a procedure is performed in an ASC that is not on the
Medicare approved list of ASC procedures, we do
[[Page 39623]]
not make a facility payment to the ASC. In this situation, the ASC is
considered a physician's office and the non-facility RVUs would be
used.
(2) Because of the hospital bundling requirement, only the hospital
can bill for therapy services provided to hospital patients. In
addition, through PM-AB-98-63, ``Prospective Payment System for
Outpatient Rehabilitation Services and Application of Financial
Limitations,'' dated October 1998 and our final rule of November 2,
1998, we advised our fiscal intermediaries to require SNFs to bill
Medicare directly for all outpatient therapy services provided to their
SNF residents in a noncovered Part A stay and to their nonresidents
covered under Part B. Because only the facility can bill for therapy
services provided to hospital and SNF patients, the payment for the
full practice expense must be reflected in the facility payment.
Therefore, the higher non-facility RVUs are used to pay for therapy
services even in the facility setting.
(3) While a SNF is considered a facility, a nursing home is not.
Many are mixed facilities with a combination of nursing home and SNF
patients. Practitioners, such as podiatrists, have commented that it is
not always easy to determine into which category the patient falls. We
are clarifying our policy to state that practitioners, such as
podiatrists, should designate their service as a facility service,
unless they verify that no Part A claim will be made for the service,
in which case the ``non-facility'' designation can be used. However, we
note that there might be lower per patient costs in a mixed facility or
a nursing home setting, where multiple patients can be seen in a single
visit to the site, than in the office setting. We welcome comments on
ways to examine the relative costs of treating patients in these
different settings, so that we can determine whether an adjustment to
certain non-facility practice expense payments is appropriate.
Limitation on Facility RVUs
The non-facility RVUs would be expected to be higher than the
facility RVUs for a given service, because the practitioner bears the
costs of the necessary clinical staff, supplies, and equipment. Because
of anomalies in our calculations, generally due to the different mix of
specialties delivering the service in the two settings, for some codes
the facility RVUs are higher than the non-facility RVUs. We are
proposing to limit the facility rate so that it cannot be higher than
the non-facility rate for any given code. Because of budget neutrality,
any decrease in the facility RVUs will be offset by a corresponding
increase in RVUs spread throughout the physician fee schedule. This
change has negligible impact on any specialty.
C. Practice Expense Relative Value Units for a Physician's
Interpretation of Abnormal Papanicolaou Smears
In the November 1998 final rule (63 FR 58814), we revised the codes
for a physician's interpretation of an abnormal Papanicolaou (Pap)
smear to include three HCPCS level II codes (P3001, G0124, and G0141)
in addition to the CPT code 88141. We included the HCPCS level II codes
to accommodate differences in Pap smear technology. We evaluated the
practice expense RVUs for each of these three codes in a slightly
different manner for the 1999 physician fee schedule. We now believe
that it would be more appropriate to evaluate the work, practice
expense, and malpractice RVUs for these codes identically and
comparable to the values for CPT code 88141. We are proposing to make
the practice expense RVUs identical for these codes since there are no
significant differences between them.
D. Physician Pathology Services and Independent Laboratories
Physician pathology services consist of a technical component and a
professional component. The technical component refers to the slide
preparation, staining, and other duties performed by the laboratory
technologist. The professional component refers to the physician's
interpretation.
A hospital laboratory may furnish the technical component of the
physician pathology service directly to its patients or it may have an
independent laboratory furnish the service. Before the implementation
of the hospital inpatient prospective payment system (PPS), the
independent laboratory had two payment options:
It could make an arrangement with the hospital and have
the hospital bill the intermediary, and the hospital could be paid on a
reasonable cost basis for the service.
It could bill the carrier directly for the service and be
paid on a reasonable charge basis.
In most cases, the independent laboratory furnished a service that
combined the technical and professional components and billed the
carrier for the complete physician pathology service.
When developing PPS, we considered requiring the hospital to
include in its costs the technical component of the physician pathology
service to a patient by an independent laboratory. This would have been
consistent with our general policy of including the cost of hospital
services to hospital inpatients by outside suppliers in the diagnosis-
related group (DRG) payment. Instead, we decided to allow the
independent laboratory to continue to bill the carrier for the complete
service. The rationale, based on discussions with the College of
American Pathologists, was that the technical component was an
incidental service to the physician pathology service. At that time it
was not treated as a service in and of itself, and the independent
laboratory usually billed for the complete service. It was believed
that requiring the separation and identification of the technical
component service would have been disruptive to traditional billing
practices for independent laboratories.
When PPS began, hospitals that furnished the technical component of
the physician pathology service directly included that cost in their
base period cost report. This cost was used to calculate the
standardized amounts that are the basis for payment under PPS.
Therefore, hospitals are paid for providing the technical component of
the service through the standardized amounts. It was our understanding
that most hospital laboratories furnished the technical component
service directly to its patients. Even though the hospital that
contracted out its physician pathology services did not include any of
the cost of technical component services in its base period cost, when
PPS was fully implemented, this hospital would have been paid the same
PPS rate as that paid to other hospitals that had included technical
component costs.
Currently, under the physician fee schedule, an independent
laboratory can bill and receive payment for the technical component of
physician pathology services for a hospital inpatient. We believe this
is in conflict with the hospital rebundling provision in section
1862(a)(14) of the Act and has created a perverse incentive for the
type of activity that the bundling provision was intended to prevent.
Based on the way PPS rates are constructed, we believe that we are
paying for the technical component twice; once to the hospital through
the PPS payment and again to the independent laboratory through the
physician fee schedule.
Generally, historically larger hospitals used independent
laboratories on an ``as needed'' basis and smaller hospitals contracted
with independent laboratories for their physician pathology service.
Recently, though, we have become aware that more hospitals are
considering contracting their in-
[[Page 39624]]
house technical component physician pathology services to an outside
laboratory if our policy remained unchanged. The hospital could
continue to be paid for the technical component service under the PPS,
and the independent laboratory could bill its carrier for the same TC
under the physician fee schedule.
Because we believe that a hospital patient's technical component is
already included in payment under PPS, we are proposing to revise our
regulations to end payments to independent laboratories under the
physician fee schedule for technical component services furnished to
hospital inpatients. Specifically, we propose to revise Sec. 415.130(c)
to state that, after December 31, 1999, we would only pay hospitals for
their inpatients' technical component services.
Section 4104(c) of OBRA 1990 (Public Law 101-508) instructed HCFA,
in establishing ancillary policies under the physician fee schedule, to
``consider an appropriate adjustment to reflect the technical component
of furnishing physician pathology services through a laboratory that is
independent of a hospital and separate from an attending or consulting
physician's office.'' We considered this issue when we implemented the
physician fee schedule and established a separate payment for the
technical component of physician pathology services furnished both to
hospital patients and non-hospital patients.
However, we have now reconsidered this policy with respect to
hospital inpatients because it seems inconsistent with the hospital
rebundling provision and we believe it creates an incentive to shift
the location where the services are provided, thereby conflicting with
the purpose of the hospital rebundling provision. We have anecdotal
information that hospitals are having a pathologist establish an
``independent'' laboratory near the hospital, intending that the new
laboratory perform the technical components of physician pathology
services and bill for those technical components and that there would
be no reduction in PPS payment to the hospital. We believe our proposal
is necessary in order for Medicare to avoid making double payment in
such circumstances. We believe that the language of section 4104(c) of
OBRA 1990 provides sufficient authority for us to determine that, in
the case of hospital patients, it is not appropriate for us to provide
for independent laboratories to bill the TC of pathology services
directly.
Under our proposal, independent laboratories would still be able to
bill and receive payment from their Medicare carrier for the technical
component of a physician pathology service furnished to beneficiaries
who are not hospital inpatients. For the technical component of
physician pathology services provided by an independent laboratory to a
hospital inpatient, the independent laboratory would have to make
arrangements with a hospital to receive payment.
The physician fee schedule regulations would continue to allow the
independent laboratory to bill and receive payment under the physician
fee schedule for the technical component of physician pathology
services to hospital outpatients. Of course, the hospital could, if it
chose instead, make an arrangement with the independent laboratory and
be paid on a reasonable cost basis for this service. However, payment
is made under only one method and only to one of these entities.
Since we will be publishing final regulations to implement the
outpatient prospective payment system and have received comments and
concerns about the outpatient technical component of physician
pathology services, we will address that issue in context of those
regulations.
E. Discontinuous Anesthesia Time
Payment for anesthesia services is based on the sum of base units
plus time units multiplied by a locality-specific anesthesia conversion
factor. Under the current regulations at Sec. 414.46(a)(1) (Additional
rules for payment of anesthesia services), the base unit is the value
for each anesthesia code reflecting all activities other than
anesthesia time. These activities include preoperative and
postoperative visits, the administration of fluids or blood incident to
anesthesia care, and monitoring services.
Anesthesia time, as defined under Sec. 414.46(a)(2), starts when
the anesthesiologist or certified register nurse anesthetist (CRNA)
begins to prepare the patient for anesthesia care and ends when the
anesthesiologist or CRNA is no longer in personal attendance; that is,
when the patient may be placed safely under postoperative care. Time
units are computed by the carrier based on the reported anesthesia
time. (For purposes of this section and as described in section
1861(bb) of the Act, the term CRNA includes an anesthesiologist
assistant (AA)).
In the normal course of the administration of an anesthetic, the
following events occur:
Establishment of venous access.
Acquisition of initial monitoring information (blood
pressure, oximetry, electrocardiogram).
Induction of anesthesia (general, regional, block,
monitored anesthesia care).
Maintenance of anesthesia during the surgical procedure.
Conclusion of anesthesia attendance.
In many situations, once the anesthesiologist or CRNA is in
attendance he or she remains continuously with the patient for all five
events. This represents continuous anesthesia time.
There may be instances, however, when there is a break in the
continuous presence of the anesthesiologist or CRNA in the events
listed above. Discontinuous anesthesia time could occur when a regional
or block technique is used, resulting in a break between the induction
of the anesthesia and the maintenance of the anesthesia. For example, a
patient may receive an upper extremity block for hand or arm surgery in
a location other than the operating room, and there may be a time
period following the start of the anesthetic and prior to moving the
patient to the operating room during which the patient can be safely
observed by non-anesthesia personnel.
A break in anesthesia time could also occur between the periods
when the anesthesiologist or CRNA obtains initial monitoring
information and induces anesthesia. This usually occurs when a patient
is being prepared in the operating room for induction of anesthesia
and, for some reason, the surgeon is delayed or unavailable. In this
instance, the anesthesiologist or CRNA may leave the patient under the
observation of the operating room nurse until it is appropriate to
proceed with the induction of the anesthesia.
Discontinuous anesthesia time could also occur in facilities that
use anesthesia ``induction'' rooms where anesthesiologists or CRNAs may
start IVs, thereby increasing efficiency in the use of operating room
time. In these cases, there could be breaks at any point in the time
periods between the establishment of the venous access, acquisition of
the initial monitoring information, and induction of the anesthesia.
We are proposing to revise our regulations to allow
anesthesiologists and CRNAs to sum up blocks of time around a break in
continuous anesthesia care as long as there is continuous monitoring of
the patient within the blocks of time. We propose to revise our
regulations in Sec. 414.46 to include this exception to the general
requirement.
[[Page 39625]]
The current regulations on anesthesia time units refer to
anesthesiologists and medically-directed CRNAs. However, the
calculation of anesthesia time units also applies to claims for
services submitted by CRNAs who are not medically-directed. Thus, we
are proposing to revise the regulation text at Sec. 414.60 (Payment for
the services of CRNAs) to clarify this issue. These revisions are
necessary to link the payment methodology for CRNA services to the
payment methodology for physician anesthesia services.
These revisions would not alter the fundamental principle that
anesthesia time represents a continuous block of time when a patient is
under the care of an anesthesiologist or CRNA. Nor would this proposal
alter our policy that an anesthesiologist or CRNA may not bill time
units for the pre-anesthesia examination and evaluation; these services
will continue to be included as part of the base unit component.
F. Optometrist Services
Before 1987, the services of optometrists were covered only if
related to the condition of aphakia. Effective April 1, 1987, section
9336 of the Omnibus Budget Reconciliation Act of 1986 (OBRA 1986)
(Public Law 99-509), enacted on October 21, 1986, amended section
1861(r)(4) of the Act to expand coverage of optometrists services.
Thus, coverage has been expanded to include services otherwise covered
by Medicare that an optometrist is legally authorized to perform as a
doctor of optometry by the State in which the optometrist performs
them.
We are conforming Sec. 410.23 (Limitations on services of an
optometrist) of the regulations to be consistent with the statutory
provision that has been implemented through manual provisions. The
regulations would specify that Medicare Part B pays for the services of
a doctor of optometry, acting within the scope of his or her license,
if the services would be covered as physicians' services when performed
by a doctor of medicine or osteopathy.
G. Assisted Suicide
Section 9 of Public Law 105-12 (The Assisted Suicide Funding
Restriction Act of 1997) added section 1862(a)(16) of the Act. Public
Law 105-12 prohibits the use of Federal funds to furnish or pay for any
health care service or health benefit coverage for the purpose of
causing, or assisting to cause, the death of any individual. The
prohibition does not apply to withholding or withdrawing medical
treatment, nutrition, or hydration. In addition, the prohibition does
not apply to furnishing a service to alleviate pain, even if doing so
may increase the risk of death, as long as the purpose is not to cause
or assist in causing death. The list of programs to which the
prohibition applies includes the Medicare program.
We are conforming the regulations to the Medicare law amendment
contained in ``The Assisted Suicide Funding Restriction Act of 1997''
by adding a new paragraph (q) to Sec. 411.15 (Particular services
excluded from coverage) to exclude from coverage any health care
service for the specific purpose of causing, or assisting to cause, the
death of an individual.
H. CPT Modifier -25
Payment under the Medicare physician fee schedule is based on the
relative resources or work involved in providing a service. Under
current policy, if a patient visits a physician for a minor procedure
(for example, a minor surgery or an office based endoscopy) and
receives no other services, the physician may only bill for the
procedure and may not also bill for an office visit since no other
services were provided.
If, however, in addition to the procedure the physician also
provides significant, separately identifiable evaluation and management
(E/M) services beyond the usual preoperative and postoperative services
associated with the procedure, these services should be billed with
modifier -25 and are separately payable. The E/M service does not have
to be unrelated to the procedure and the same diagnosis is not
sufficient reason to deny payment for the E/M service. This policy is
described in section 15501.1 of the Medicare Carriers Manual and is
consistent with CPT coding definitions.
To avoid any confusion on this point, we are proposing that for
procedures where the global surgery rules do not apply (for example,
the global code is ``XXX'' in the database), a provider may only bill
for a separately identifiable
E/M service by using the CPT modifier -25. Since every procedure has an
inherent E/M component, in order for an E/M service to be billed, there
must be a significant, separately identifiable service documented in
the medical record. While there has been concern raised that physicians
and others may be billing separately for E/M services that are part of
the underlying procedure, we understand that there are times that such
E/M services are provided and billed because they truly are separate
and significant.
Example 1: A woman visits her rheumatologist for a follow-up
visit. The visit is to monitor the status of her rheumatoid
arthritis and the medication regime she has been following
(methotrexate and non-steroidal anti-inflammatory drugs). During the
few days prior to her visit she has experienced increased pain in
her left knee. At the visit the rheumatologist notes the knee is
markedly swollen and aspirates it. The rheumatologist should
appropriately bill an E/M visit code with a modifier -25 in addition
to the procedure code for the knee aspiration. (The knee aspiration
is a significant, separately identifiable procedure which occurs
during a routine visit.)
Example 2: A cardiac patient visits the physician specifically
for a previously scheduled echography test. An E/M service should
not be billed. (The assumption is the E/M service is built into the
procedure and, therefore, should not be billed.)
Requiring the use of modifier -25 will assist carriers in claims
adjudication and eliminate unnecessary denials when providers
appropriately attach modifier -25 to E/M services that are significant
and separately identifiable from the procedure. A separate diagnosis is
not necessary. Additionally, using this modifier will alert physicians
to the need for documentation in the medical record to support proper
payment.
I. Nurse Practitioner Qualifications
In the November 2, 1998, final rule (63 FR 58814), we specified the
qualifications for a nurse practitioner (NP). On May 12, 1999 we
published a correction notice to the final rule (64 FR 25456). The
final NP qualifications in Sec. 410.75 (Nurse practitioner's services)
require that, after December 31, 1999, for Medicare Part B coverage of
his or her services, an NP must--
Possess a master's degree in nursing;
Be a registered professional nurse who is authorized by
the State in which the services are furnished to practice as a nurse
practitioner in accordance with State law; and,
Be certified as a nurse practitioner by the American
Nurses Credentialing Center or other recognized national certifying
bodies that have established standards for nurse practitioners as
defined in paragraphs (b)(1) and (b)(2) of Sec. 410.75.
Subsequent to the publication of the NP qualifications, we gave
additional consideration to the qualifications because we realized that
the qualifications would exclude many experienced NPs from continuing
to qualify as NPs under the Medicare program.
We gave particular consideration to the qualification criteria that
require an NP to have a master's degree and national certification for
the following reasons--
[[Page 39626]]
Many NPs who had been practicing for 10 to 20 years or
more did not graduate from master's level programs;
Several States still do not require a master's degree for
NPs to practice;
Numerous NPs without master's degrees who have been
practicing for 10 to 20 years or more in rural underserved areas and
serving indigent populations were grandfathered by States for licensure
and insurance payment purposes;
Experienced women's health NPs will not be required to
have a master's degree as a condition for national certification until
2007;
We did not allow the NP population a transition time to
enable NPs to achieve national certification or earn a master's degree;
and
The requirements for NPs were never implemented by
regulations but are contained in section 2158 of the Medicare Carriers
Manual. Nevertheless, it was under these qualifications, which did not
require NPs to have a master's degree, that many individuals have been
issued NP billing numbers, and no problems in practice have been
reported.
Prior to the publication of the NP qualifications, an advanced
nurse could qualify under section 2158 of the Medicare Carriers Manual
(HCFA Pub 14-3) as a NP if he or she--
Was a registered professional nurse currently licensed to
practice in the State in which the services are furnished;
Satisfied the applicable requirements for qualification of
NPs of the State in which the services are furnished; and,
Met at least one of the following requirements:
Was currently certified as a primary care nurse
practitioner by the American Nurses' Association or by the National
Board of Pediatric Nurse Practitioners and Associates; or,
Had satisfactorily completed a formal educational program
of at least one academic year that prepares registered nurses to
perform an expanded role in the delivery of primary care and that
includes at least four months (in the aggregate) of classroom
instruction, and that awards a degree, diploma, or certification for
successful completion of the program; or,
Had successfully completed a formal education program
(that does not qualify under the immediately preceding requirement)
that prepares registered nurses to perform an expanded role in the
delivery of primary care and have been performing that expanded role
for at least 12 months during the 18 month period immediately preceding
February 8, 1978, the effective date for provision of the services of
nurse practitioners as reflected in the conditions of certification for
health clinics.
Thus, NPs could have obtained Medicare billing numbers as NPs
without a master's degree or national certification if the State did
not require such certification. NPs who currently have billing numbers
can continue to bill the Medicare program for their services until the
end of this year without a master's degree or national certification.
NPs can apply to the Medicare program for a billing number until the
end of this year if they meet the NP qualifications at section 2158 of
the Medicare Carriers Manual (as set out above).
It was not our intention to establish qualifications in the 1998
final rule that would cause experienced NPs who have been furnishing
services to Medicare patients to be barred from billing under the
Medicare program because they do not posses a master's degree or
national certification. Also, it was not our intention to inadvertently
preclude NPs, solely on the basis of their not having a master's
degree, from billing under the Medicare program and providing services
to Medicare patients located in rural underserved areas and indigent
populations where access to care is extremely limited.
We are proposing to revise Sec. 410.75 to specify NP qualifications
that are less restrictive, but that still ensure that quality services
are furnished to Medicare patients. We propose to require progressively
enhanced qualifications, providing lead time for NPs to obtain a
Medicare billing number under section 2158 criteria or national
certification. The requirement that a NP applying for a Medicare
billing number for the first time must have a master's degree in
nursing as of January 1, 2003 will provide these NPs with enough time
to earn such a degree. We believe it is reasonable to require,
ultimately, a master's degree as the minimum educational level for new
practitioners independently treating beneficiaries and directly billing
the Medicare program.
The proposed NP qualifications require that for Medicare Part B
coverage of his or her services, a nurse practitioner must meet the
qualifications of either (1) or (2) below--
(1)(i) Be a registered professional nurse who is authorized by the
State in which the services are furnished to practice as a nurse
practitioner in accordance with State law; and
(ii) Be certified as a nurse practitioner by a recognized national
certifying body that has established standards for nurse practitioners;
or
(2) Be a registered professional nurse who is authorized by the
State in which the services are furnished to practice as a nurse
practitioner in accordance with State law and have been granted a
Medicare billing number as a nurse practitioner by December 31, 2000.
Nurse practitioners having and maintaining valid Medicare billing
numbers will not lose these numbers or the ability to bill the Medicare
program for covered services solely on the basis of education and
credentialing.
(3) On or after January 1, 2001, nurse practitioners applying for a
Medicare billing number for the first time must meet the standards for
nurse practitioners as defined in paragraphs (1)(i) and (1)(ii).
(4) On or after January 1, 2003, nurse practitioners applying for a
Medicare billing number for the first time must possess a master's
degree in nursing and meet the standards for nurse practitioners as
defined in paragraphs (1)(i) and (1)(ii) above.
J. Relative Value Units for Pediatric Services
It has come to our attention that the work RVUs for approximately
48 pediatric surgical services are inappropriate. The present values
reflect the evaluation and management (E/M) services of the
postoperative period as determined in the original Harvard study and
not the subsequent Harvard study of 1992. Thus, when we readjusted the
work RVUs for global surgical services to account for increases in the
work RVUs for E/M services during the 5-year review, we did not adjust
the work RVUs for these pediatric services appropriately. We are
proposing to change the RVUs for the
E/M services during the global surgical period for pediatric surgical
services to reflect the findings of the 1992 Harvard study and are in
the process of analyzing the data to determine the specific changes to
be made. Changing the RVUs for E/M services during the global surgical
period would result in increases in the work RVUs for these codes. The
actual increases would be reflected in the final rule.
K. Percutaneous Thrombectomy of an Arteriovenous Fistula
One editorial revision made by the AMA for the (Physicians')
Current Procedural Terminology (CPT) (4th Edition, 1999) was the
addition of the word ``external'' to CPT codes 36860 and 36861, which
describe declotting a cannula. Previously some professional
organizations had recommended using
[[Page 39627]]
these codes to describe the percutaneous declotting of a dialysis graft
or arteriovenous fistula. The editorial revision, however, makes it
clear that using CPT codes 36860 and 36861 for percutaneous declotting
is inappropriate. There are currently no CPT codes for the percutaneous
thrombectomy or revision of an arteriovenous fistula.
We have received a recommendation from the Society of
Cardiovascular and Interventional Radiology to create a temporary HCFA
Common Procedure Coding System (HCPCS) code, bundling several
activities regarding percutaneous thrombectomy of a dialysis graft or
fistula. The HCPCS code would be used until the AMA creates a permanent
CPT code. We are proposing to implement a HCPCS code, defined as
``percutaneous thrombectomy and/or revision, arteriovenous fistula,
autogenous or nonautogenous dialysis graft.'' We are defining it
analogously to open surgical procedures, CPT codes 36831 to 36833. We
are proposing a 90-day global period for this service to be consistent
with the open surgical procedure codes and to facilitate comparisons
with them. More than one CPT code may be required to describe them.
Moreover, we do not have an independent evaluation of the work RVUs
involved, such as a RUC recommendation. Therefore, we are proposing
individual local carrier pricing for the new HCPCS code.
L. Pulse Oximetry, Temperature Gradient Studies, and Venous Pressure
Determinations
There are certain simple diagnostic procedures, that is, CPT codes
94760, 94761, 94762, 93740, and 93770 (pulse oximetry and venous
pressure determinations), that have separate CPT codes. However, the
technical work involved in these procedures is small, while the
physician work involved in interpreting them is included in an E/M
service or a more complex procedure. Moreover, in the inpatient
hospital setting, the technical expense of performing these procedures
is included in the DRG payment. In the physician office setting, the
practice expenses associated with the procedures are included in the
staff and equipment costs reported in the AMA's Socioeconomic
Monitoring Survey that we have used to establish the resource-based
practice expenses in 1999. We believe that continuing to pay separately
for these codes duplicates amounts included in both facility payments
and PERVUs. In order to avoid duplicate payments, we are proposing to
discontinue separate payment for CPT codes 94760, 94761, 94762, and
93770 and to list them in the physician fee schedule with a status code
of ``B'' for ``payment always bundled into payment for other
services.''
M. Removal of Requirement for X-Ray Before Chiropractic Manipulation
Section 1861(r)(5) of the Act defines a doctor of chiropractic as a
physician only for purpose of manual manipulation of the spine to
correct a subluxation demonstrated by x-ray to exist. Section 4513(a)
of the BBA eliminates the statutory provision that a spinal subluxation
be demonstrated by an x-ray. Thus, section 1861(r)(5) of the Act was
amended to allow Medicare payment for a chiropractor's manual
manipulation of the spine to correct subluxation without that
subluxation being demonstrated by an x-ray. This provision is effective
for services furnished on or after January 1, 2000.
In Sec. 410.22 (Limitations on services of a chiropractor),
paragraph (b)(1) states that Medicare Part B pays only for a
chiropractor's manual manipulation of the spine to correct a
subluxation if an x-ray demonstrates that a subluxation exists and if
the subluxation has resulted in a neuromusculoskeletal condition for
which manipulation is appropriate treatment.
In accordance with the BBA, we are deleting the x-ray requirement
from Sec. 410.22(b)(1). Thus, effective January 1, 2000,
Sec. 410.22(b)(1) will state that Medicare Part B pays only for a
chiropractor's manual manipulation of the spine to correct a
subluxation if the subluxation has resulted in a neuromusculoskeletal
condition for which manipulation is appropriate treatment.
N. Coverage of Prostate Cancer Screening Tests
Section 4103 of the BBA provides for Medicare coverage of certain
prostate cancer screening tests for all male beneficiaries, effective
January 1, 2000, subject to certain frequency and other limitations.
Effective January 1, 2000, the law provides for coverage for screening
digital rectal examinations (DRE) and screening prostate-specific
antigen blood tests. In addition, the law provides for coverage for
years beginning after 2002 of other procedures as we find appropriate
for the purpose of early detection of prostate cancer, taking into
account changes in technology and standards of medical practice,
availability, effectiveness, costs, and other factors as we consider
appropriate.
Current Medicare coverage policy allows payment for tests to
diagnose prostate cancer and related medically necessary services that
are furnished to beneficiaries. Under the policy, diagnostic prostate
cancer tests are covered if they are medically necessary to evaluate a
specific complaint or symptom that might indicate prostate cancer, or
to monitor an existing medical condition of an individual who has had a
history of prostate cancer. This coverage is based, in part, on section
1861(s)(3) of the Act, that provides for general Medicare coverage for
diagnostic x-ray, clinical laboratory, and other diagnostic tests.
Before the enactment of the BBA, prostate cancer screening tests have
been excluded from coverage based on section 1862(a)(7) of the Act,
that states that routine physical checkups are excluded services. This
exclusion is described in Sec. 411.15(a) (Particular services excluded
from services). In addition, prostate cancer screening tests have been
excluded from coverage based on section 1862(a)(1)(A) of the Act. This
section provides that items and services must be reasonable and
necessary for the diagnosis or treatment of illness or injury or to
improve the functioning of a malformed body member as stated in
Sec. 411.15(k).
To conform the regulations to the statutory requirements of the
BBA, we are specifying an exception to the list of examples of routine
physical checkups excluded from coverage in Secs. 411.15(a)(1) and
411.15(k)(9) for prostate cancer screening tests that meet the
frequency limitations and the conditions for coverage that we are
specifying under Sec. 410.39 (Prostate cancer screening tests).
Coverage of prostate cancer screening is provided under Medicare Part B
only.
As provided in the law, this new coverage allows payment for one
screening DRE and one screening prostate-specific antigen blood test
every year.
We are proposing to add Sec. 410.39 (Prostate cancer screening
tests: Conditions for and limitations on coverage) to provide for
coverage of two types of prostate cancer screening tests. We are
proposing several definitions of terms that would be included to
implement the statutory provisions and to help the reader in
understanding the provisions of the regulation. These include
definitions of the terms--(1) prostate cancer screening tests, (2) a
screening DRE, (3) a screening prostate-specific antigen blood test,
(4) an attending physician, and (5) an attending physician assistant,
nurse practitioner, clinical nurse specialist or certified nurse
midwife. We are also proposing conditions of coverage for the two
prostate cancer screening tests
[[Page 39628]]
identified in the law for coverage effective January 1, 2000.
Section 4103(a) of the BBA defines the term ``prostate cancer
screening test'' to mean a test (among other things) that is ``provided
for the purpose of early detection of prostate cancer to a man over 50
years of age who has not had such a test during the preceding year.''
We have interpreted this language to mean that payment may be made for
a male beneficiary over 50 years of age or older (that is, starting at
least one day after he has attained age 50) for both an annual
screening DRE and an annual screening prostate-specific antigen test.
We have also interpreted the law to mean that payment may not be made
for such screening tests for an individual male beneficiary who is age
50 or younger.
Under our authority under the ``reasonable and necessary'' clause
of the Act, section 1862(a)(1)(A) of the Act, we are establishing
conditions under which we would cover prostate cancer screening tests.
To ensure that the screening digital rectal examinations are performed
as safely and accurately as possible, we are proposing to require, in
Sec. 410.39(b), that the examination must be performed by the
beneficiary's attending physician who is either a doctor of medicine or
osteopathy (as defined in section 1861(r)(1) of the Act), or by the
beneficiary's attending physician assistant, nurse practitioner,
clinical nurse specialist, or certified nurse midwife (as defined in
section 1861(aa) and section 1861(gg) of the Act) who is authorized
under State law to perform the examinations. In Sec. 410.39(c), we are
proposing that payment may not be made for screening DRE performed for
a man age 50 or younger. For an individual over 50 years of age,
payment may be made for a screening DRE only if the man has not had
such an examination paid for by Medicare during the preceding 11 months
following the month in which his last Medicare-covered screening DRE
was performed. In Sec. 410.39(d) (Conditions for coverage of screening
prostate-specific antigen blood tests), we are specifying that coverage
is available for screening prostate-specific antigen blood tests only
if they are ordered by the beneficiary's attending physician, or by the
beneficiary's attending physician assistant, nurse practitioner,
clinical nurse specialist, or certified nurse midwife who is authorized
to order this test under State law. We are including this coverage
requirement to make certain that beneficiaries receive appropriate
information about the implications and possible results of having these
examinations performed. In Sec. 410.39(e) (Limitation on coverage of
screening prostate-specific antigen blood test), we are proposing that
payment may not be made for a screening prostate-specific antigen blood
test performed for a man age 50 or younger. For an individual over 50
years of age, payment may be made for a screening prostate-specific
antigen blood test only if the man has not had such an examination paid
for by Medicare during the preceding 11 months following the month in
which his last Medicare-covered screening prostate-specific antigen
blood test was performed.
We have created a new HCPCS code, G0102, prostate cancer screening
DRE, to be used for the screening DRE. A DRE is a relatively quick and
simple procedure and we have assigned it the same value as CPT code
99211, the lowest level E/M service. A DRE is usually provided as part
of an E/M service. We believe that it would be extremely rare for a DRE
to be the only service provided during a patient encounter. For this
reason, we are proposing to bundle the DRE into the payment for an E/M
service when a covered E/M service is provided on the same day as a
DRE. If the DRE is the only service provided or is provided as part of
an otherwise noncovered service, such as CPT code 99397, preventive
services visit, HCPCS code G0102 would be separately payable if all the
aforementioned coverage requirements are met.
We have created a new HCPCS code, G0103, prostate screening;
prostate specific antigen (PSA) to be used for the screening PSA test.
The PSA screening test is priced at the same payment rate as CPT code
85153, PSA; total and would be paid under the clinical diagnostic
laboratory fee schedule.
O. Diagnostic Tests
1. Supervision of Diagnostic Tests
On October 31, 1997, we published a final rule with comment period
(62 FR 59048) in the Federal Register that required that diagnostic
tests covered under section 1861(s)(3) of the Act and payable under the
physician fee schedule must be furnished under the appropriate level of
supervision by a physician as defined in section 1861(r) of the Act in
order to be considered reasonable and necessary and, therefore, covered
under Medicare. Medicare requires that physicians supervise diagnostic
testing to ensure the safety and effectiveness of the diagnostic
testing furnished to beneficiaries. The October 31, 1997 final rule
designated the level of physician supervision for most diagnostic tests
payable under the physician fee schedule. The physician supervision
requirement applied to tests performed by physician assistants (PAs),
nurse practitioners (NPs), clinical nurse specialists (CNSs), and other
nonphysician personnel.
Sections 4511 and 4512 of the BBA removed the restrictions on the
areas and settings in which NPs, CNSs, and PAs may be paid under the
physician fee schedule for services that would be physician services if
furnished by a physician.
Therefore, we are proposing to revise Sec. 410.32(b)(2), which
concerns diagnostic x-ray and other diagnostic tests. We are proposing
to add an exception that would specify that no physician supervision is
required for diagnostic tests performed by NPs and CNSs when they are
authorized by the State to perform these tests. In addition, we are
proposing to modify Sec. 410.32(b)(3) by means of a parenthetical
stating that diagnostic tests that a PA is legally authorized to
perform under State law require only a general level of physician
supervision.
This distinction is based on the fact that PAs are licensed to
practice with physician supervision. Also, for purposes of Medicare,
they must be either employees or contractors of physicians, and their
services may be billed only by the physicians (see section 1861(b)(6)
as modified by section 4512(b) of the BBA). For these reasons, we
believe it is appropriate to require that PAs furnish diagnostic tests
under the general supervision of those physicians.
We are also proposing to add an exception criterion at
Sec. 410.32(b)(2) so that the physician supervision rules would not
apply to pathology and laboratory codes in the 80000 series of the CPT
payable under the physician fee schedule. This family of codes is
within the ambit of the Clinical Laboratory Improvement Amendments of
1988 (CLIA) regulations (Part 493), and we have decided that it would
be unnecessarily confusing to apply another, separate set of
supervision rules to the performance of these procedures. We now
believe that the appropriate level of supervision of these pathology
and laboratory procedures (including the determination that there
should be no physician supervision at all) should be determined under
the CLIA regulations, and we would consider these matters beyond the
scope of Sec. 410.32.
[[Page 39629]]
2. Independent Diagnostic Testing Facilities (IDTFs)
Section 410.33, as adopted in the October 1997 final rule (62 FR
59099), establishes criteria for the operation of IDTFs. We are
proposing to modify the implementation date from July 1, 1998 to March
15, 1999 to reflect the actual implementation date.
Section 410.33(a) lists the types of entities the carrier may pay
for diagnostic tests under the physician fee schedule. We are proposing
to modify Sec. 410.33(a) to include NPs and CNSs who perform diagnostic
tests that the State authorizes them to perform in the list of entities
that may be paid directly by the carrier for diagnostic tests under the
physician fee schedule. This amendment would not authorize an NP or a
CNS to serve as the supervising physician for an IDTF under the
requirements set forth in Sec. 410.33(b).
P. New and Revised Relative Value Units for Calendar Year 1999
The AMA's RUC evaluated 16 new and revised 1999 CPT codes at its
September 1998 meeting. We received the RUC's recommendations for these
codes too late to incorporate them into our November 2, 1998, final
rule (63 FR 58814) on the 1999 physician fee schedule. We have
completed our evaluations of the codes, and we have included them below
for comment.
For twelve of the codes we propose accepting the RUC evaluations of
work. For two of the codes, 94620 and 94621 (pulmonary stress testing),
that represent revisions of existing codes, we revised the work RVUs
recommended by the RUC to achieve budget neutrality of work RVUs within
the family of codes. That is, we adjusted the work RVUs so that the sum
of the new or revised work RVUs (weighted by projected frequency of
use) for a family of codes would be the same as the sum of the current
work RVUs (weighted by their current frequency of use). We also
confirmed that the RUC's recommended changes to work RVUs were neutral
for two other sets of codes: (1) 31622, 31623, and 31624
(bronchoscopy); and (2) 69990 (use of operating microscope).
Finally, we are proposing specific payment policies apart from the
RUC recommendations. We summarize our adjustments for codes 33975,
33976, 69990, 94620, and 94621 below:
1. Ventricular Assist Device Implantations (CPT Codes 33975 and 33976)
In 1998, we requested that the AMA's RUC re-examine the work RVUs
for CPT codes 33975, 33976, 33977, and 33978 regarding implantation and
removal of ventricular assist devices. We made this request based on
information provided by the Society of Thoracic Surgeons (the Society)
that patients receiving these devices are now being maintained on them
for longer periods than in 1993, when the work was originally surveyed.
One suggestion of the Society was to decrease the global period from 90
days to 10 days. In September 1998, the RUC re-evaluated the work for
the implantation CPT codes 33975 and 33976 based on 10-day global
periods. The RUC recommended increasing the work RVUs despite the
reduction in the global period based on survey results that
intraservice work had increased and postoperative work had also
increased. The survey reported substantial time spent by the surgeon
attending the patient in the critical care unit post-operatively. We
did not incorporate the recommendations from the September 1998 RUC
meeting into the 1999 Medicare Physician Fee Schedule because we
received them too late to incorporate them into our 1998 final rule (63
FR 58814). We did reduce the global period for the implantation codes
to 10 days.
We note that the technology and indications for these devices are
evolving rapidly. Device and technique modifications are being
introduced and new, miniaturized devices have been developed and are
being tested in Europe that will decrease the time required for
implantation. Trials are being conducted or planned to extend the
indications from limited use as a short-term bridge to cardiac
transplant to maintenance of patients with end-stage heart failure.
With these changing indications, the patient population and the
procedure work will evolve.
Because of the evolving technology and indications and because much
critical care today is provided by critical care specialists rather
than by surgeons, we are proposing that there be no global period for
these codes until we have further evaluated the procedures. We have
estimated RVUs for these codes based on the RUC survey results for the
intraservice work, and we propose implementing them on an interim
basis. To enable evaluation of work trends, patient acuity, and medical
effectiveness and development of final work RVUs covering a global
period, we will require submission of the operative report, the
anesthesia record, and the hospital discharge summary along with the
claim for the implantation procedure. On an interim basis, we will
allow separate billing for all preoperative and postoperative work
performed by the surgeon or by other physicians subject to the existing
requirements for medical necessity, reasonableness, and documentation.
We estimated the work RVU values for these codes as intraservice
work only. We considered other alternatives such as using the average
work intensity for all physician time from the RUC survey, (that is,
total work RVUs divided by total physician time), but we rejected this
intensity as being too low and not adequately representing the greater
average intensity of the intraservice work compared to the pre-and
post-procedures work. We used the median intraservice times from the
RUC survey and the work intensity for a cardiac surgical procedure code
that does not include any pre or post service work, CPT code 33530,
reoperation for a coronary artery bypass procedure or a valve
procedure. We are proposing to assign work RVUs of 21 for CPT code
33975 and 23 for CPT code 33976. These values are slightly more than
half of the RUC recommendations for the codes including a 10-day global
period. We also note that the proposed value for CPT code 33975, which
represents only intraservice work, is approximately the same as the
value in 1999 when the code included a global period of 10 days and
prior to 1999 when the code included a global period of 90 days. We
will be examining the operative reports and anesthesia records in the
future to update the RUC survey estimates.
2. Use of Operating Microscope (CPT Code 69990)
CPT code 69990 replaced two previous codes, 61712 and 64830. These
previous codes were add-on codes that could be used only with certain
primary procedure codes. The RUC evaluated the work RVUs for code 69990
as a budget-neutral, weighted average of the RVUs for codes 61712 and
64830. However, code 69990 also replaces the use of a ``-20''
microsurgery modifier. The CPT modifier -20 could be used with a wide
range of primary procedure codes, but we have not paid additional
amounts when the CPT modifier -20 is submitted. No evidence was
presented at the RUC that the work has changed for those procedures
formerly qualified by the CPT microsurgery modifier -20 and now
associated with the code 69990. Therefore, we would pay separately for
code 69990 only if it is submitted as an add-on code to a primary
procedure for which the use of code 61712 or 64830 was acceptable. The
primary procedure codes for which we would pay separately for code
69990 are 61304 through 61711, 62010 through 62100, 63081 through
63308, 63704 through 63710, 64831, 64834 through
[[Page 39630]]
64836, 64840 through 64858, 64861 through 64870, 64885 through 64898,
and 64905 through 64907 (nervous system).
3. Pulmonary Stress Testing (CPT Codes 94620 and 94621)
CPT code 94620 previously included both simple and complex
pulmonary stress testing. For CPT 1999, complex testing was removed
from CPT code 94620 and assigned to a new CPT code 94621. We are
proposing to adjust the RUC recommendations to maintain budget
neutrality for work RVUs for these codes. Based on estimated
frequencies of 70 percent for CPT code 94620 and 30 percent for CPT
code 94621, the adjusted work RVUs are 0.64 for CPT code 94620 and 1.42
for CPT code 94621.
Our estimates for work neutrality in work values are based on the
frequencies with which we estimate the specific procedures will be done
and the codes billed. Typically, these estimates have been furnished by
the specialty society that proposed the new codes. If these estimates
are in error, our adjustments to maintain neutrality in work values
will also be erroneous. We are planning to examine the actual
frequencies with which the procedures are billed after the codes are
introduced for any codes for which we have made adjustments to achieve
neutrality in work values. If the reported frequencies confirm that the
original estimates were incorrect, we may propose an adjustment of the
work RVUs accordingly in a future year. This adjustment could either
increase or decrease the work RVUs.
Table 9 lists the 16 codes, the RUC recommendations, and the
results of our evaluation. This table includes the following
information:
A ``#'' identifies a new code for 1999.
CPT code. This is the CPT code for a service.
Modifier. A ``26'' in this column indicates that the work
RVUs are for the professional component of the code.
Description. This is an abbreviated version of the
narrative description of the code.
RUC recommendations. This column identifies the work RVUs
recommended by the RUC.
HCPAC recommendations. This column identifies work RVUs
recommended by the HCPAC.
HCFA decision. This column indicates whether we agreed
with the RUC recommendation (``agree''); we established work RVUs that
are higher than the RUC recommendation (``increase''); or we
established work RVUs that were less than the RUC recommendation
(``decrease''). Codes for which we did not accept the RUC
recommendation are discussed in greater detail above. An ``(a)''
indicates that no RUC recommendation was provided. A discussion follows
the table.
HCFA work RVUs. This column contains the RVUs for
physician work based on our reviews of the RUC recommendations.
1999 work RVUs. This column establishes the 1999 RVUs for
physician work.
Note: Because we did not receive these recommendations in time
for the November 2, 1998 final rule, they were not implemented for
CY 1999. We will implement these RUC recommendations in the CY 2000
physician fee schedule to be published later this year.
Table 9.--AMA RUC and HCPAC Recommendations and HCFA Decisions for New and Revised 1999 CPT Codes
--------------------------------------------------------------------------------------------------------------------------------------------------------
RUC 1999 work
CPT* code MOD Description recommendation HCPAC recommendation HCFA decision HCFA work RVU RVU
--------------------------------------------------------------------------------------------------------------------------------------------------------
31622............. ......... Dx bronchoscope/wash 2.78 ......................... Agree................... 2.67............. 2.78
31623............. ......... Dx bronchoscope/ 2.88 ......................... Agree................... 3.07............. 2.88
brush.
31624............. ......... Dx bronchoscope/ 2.88 ......................... Agree................... 3.11............. 2.88
lavage.
32001............. ......... Total lung lavage... 6.00 ......................... Agree................... 5.71............. 6.00
33975............. ......... Inplant ventricular 39.00 ......................... Agree................... 21.00............ 21.00
device.
33976............. ......... Inplant ventricular 43.00 ......................... Agree................... 23.00............ 23.00
device.
35500............. ......... Harvest vein for 6.45 ......................... Agree................... Carrier.......... 6.45
bypass.
36823............. ......... Insert cannula(s)... 21.00 ......................... Agree................... Carrier.......... 21.00
38792............. ......... Identify sentinel 0.52 ......................... Agree................... Carrier.......... 0.52
node.
56321............. ......... Laparoscopy 20.00 ......................... Agree................... Carrier.......... 20.00
adrenalectomy.
56345............. ......... Laparoscopic 17.00 ......................... Agree................... Carrier.......... 17.00
splenectomy.
56347............. ......... Laparoscopic 9.78 ......................... Agree................... Carrier.......... 9.78
jejunostomy.
69990............. ......... Microsurgery add-on. 3.47 ......................... Agree................... 3.46............. 3.47
76977............. 26 Us bone density 0.05 ......................... Agree................... 0.22............. 0.05
measure.
94620............. ......... Pulmonary stress 0.67 ......................... Agree................... 0.64............. 0.64
test/simple.
94621............. ......... Pulm stress test/ 1.48 ......................... Agree................... 1.42............. 1.42
complex.
--------------------------------------------------------------------------------------------------------------------------------------------------------
* All numeric HCPCS CPT Copyright 1997 American Medical Association.
III. Collection of Information Requirements
This document does not impose information collection and
recordkeeping requirements. Consequently, it need not be reviewed by
the Office of Management and Budget under the authority of the
Paperwork Reduction Act of 1980 (44 U.S.C. 3501 et seq.).
IV. Response to Comments
Because of the large number of items of correspondence we normally
receive on Federal Register documents published for comment, we are not
able to acknowledge or respond to them individually. We will consider
all comments we receive by the date and time specified in the DATES
section of this preamble, and, if we proceed with a subsequent
document, we will respond to the comments in the preamble to that
document.
V. Regulatory Impact Analysis
We have examined the impacts of this proposed rule as required by
Executive Order of 1993 (EO) 12866, the Unfunded Mandates Act of 1995
(EO) 12875, and the Regulatory Flexibility Act of 1980 (RFA) (Public
Law 96-354).
Executive Order 12866 directs agencies to assess all costs and
benefits
[[Page 39631]]
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). While proposed changes in the Medicare
physician fee schedule are budget neutral for the most part, they may
involve redistribution of Medicare spending among procedures and
physician specialties that exceeds $100 million, so this proposed rule
is considered to be a major rule.
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 or more. This proposed rule
will have no consequential effect on State, local, or tribal
governments. We believe the private sector cost of this rule falls
below these thresholds as well.
The Regulatory Flexibility requires that we analyze regulatory
options for small businesses and other small entities. We prepare a
Regulatory Flexibility Analysis (RFA) unless we certify that a rule
would not have a significant economic impact on a substantial number of
small entities. The RFA is to include a justification of why action is
being taken, the kinds and number of small entities the proposed rule
would 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.
In addition, section 1102(b) of the Social Security Act requires us
to prepare a regulatory impact analysis if a rule may have a
significant impact on the operations of a substantial number of small
rural hospitals. This analysis must conform to the provisions of
section 603 of the RFA. 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.
For purposes of the RFA, all physicians are considered to be small
entities. There are about 700,000 physicians and other practitioners
who receive Medicare payment under the physician fee schedule. We have
prepared the following analysis, which, together with the rest of this
preamble, meets all three assessment requirements. It explains the
rationale for and purposes of the rule, details the costs and benefits
of the rule, analyzes alternatives, and presents the measures we
propose to minimize the burden on small entities.
A. Resource-Based Malpractice Relative Value Units
As explained earlier in this preamble, the resource-based
malpractice RVUs must be implemented in a budget-neutral manner. That
is, the total fee schedule malpractice RVUs must be the same under the
resource-based method as would have existed had the prior charge-based
malpractice RVUs been retained. This means that increases in RVUs for
some services will necessarily be offset by corresponding decreases in
values for other services. Table 10 shows, by specialty, the estimated
percentage changes in allowed charges for our proposed resource-based
malpractice RVUs.
Table 10.--Impact on Total Allowed Charges by Specialty of the Resource-
Based Malpractice Expense Relative Value Units
[Percent change]
------------------------------------------------------------------------
Allowed
charges Impact by
Specialty (in specialty
billions) (percent)
------------------------------------------------------------------------
ANESTHESIOLOGY................................ 0.3 -0.1
CARDIAC SURGERY............................... 0.4 -1.0
CARDIOLOGY.................................... 3.7 -0.6
CLINICS....................................... 1.6 0.3
DERMATOLOGY................................... 1.3 0.1
EMERGENCY MEDICINE............................ 0.8 2.7
FAMILY PRACTICE............................... 3.0 0.5
GASTROENTEROLOGY.............................. 1.1 -0.1
GENERAL PRACTICE.............................. 1.1 0.6
GENERAL SURGERY............................... 2.2 -0.1
HEMATOLOGY ONCOLOGY........................... 0.6 0.3
INTERNAL MEDICINE............................. 6.4 0.4
NEPHROLOGY.................................... 0.9 1.3
NEUROLOGY..................................... 0.8 0.5
NEUROSURGERY.................................. 0.4 0.7
OBSTETRICS/GYNECOLOGY......................... 0.4 -0.6
OPHTHALMOLOGY................................. 3.8 -0.4
ORTHOPEDIC SURGERY............................ 2.3 -1.0
OTHER PHYSICIAN............................... 1.2 0.2
OTOLARYNGOLOGY................................ 0.6 -0.2
PATHOLOGY..................................... 0.5 -0.6
PLASTIC SURGERY............................... 0.2 -0.1
PSYCHIATRY.................................... 1.1 -0.1
PULMONARY..................................... 1.0 0.4
RADIATION ONCOLOGY............................ 0.6 -0.4
RADIOLOGY..................................... 2.8 -0.5
RHEUMATOLOGY.................................. 0.3 0.5
THORACIC SURGERY.............................. 0.7 -0.8
UROLOGY....................................... 1.3 0.1
VASCULAR SURGERY.............................. 0.3 -0.2
[[Page 39632]]
OTHERS:
CHIROPRACTOR.............................. 0.4 0.6
NONPHYSICIAN PRACTITIONER................. 0.9 -0.5
OPTOMETRIST............................... 0.6 0.1
PODIATRY.................................. 1.1 0.5
SUPPLIERS................................. 0.4 -0.3
---------------------------------------------------------------------
Table 11 shows the percentage change in total payment (in 1999 fee
schedule dollars) for selected high-volume procedures which would
result from the proposed change to resource-based malpractice RVUs.
As Tables 10 and 11 show, the effects on payments are very modest
and, in most cases, negligible. Of the 35 major payment specialties
shown in Table 10, 17 are estimated to experience payment increases and
18 are estimated to experience payment decreases. Only two specialties
are estimated to experience increases of more than 1 percent, emergency
medicine (2.7 percent) and nephrology (1.3 percent), with an estimated
median payment increase of 0.5 percent among the specialties which
receive an increase. No specialties are estimated to experience payment
decreases greater than 1 percent, with an estimated median payment
decrease of 0.4 percent among the specialties which receive a decrease.
The impact of the changes on the total revenue (Medicare and non-
Medicare) for a given specialty is less than the impact displayed in
Table 10 since physicians furnish services to both Medicare and non-
Medicare patients. The magnitude of the impact on Medicare payment for
a specialty depends generally on the mix of services a physician in the
specialty furnishes.
Table 11.--Total Payment for Selected Procedures Based Upon Resource Based Malpractice Expense
--------------------------------------------------------------------------------------------------------------------------------------------------------
Resource Non-
Current Resource Facility Current non- based MP facility
Code Mod Description facility based MP percent facility non- percent
facility change facility change
--------------------------------------------------------------------------------------------------------------------------------------------------------
11721......................... ......... Debride nail, 6 or more........ $32.65 $32.65 0 $37.16 $37.16 0
17000......................... ......... Destroy benign/premal lesion... 30.56 30.91 1 46.89 47.23 1
27130......................... ......... Total hip replacement.......... 1,360.78 1,312.50 -4 1,360.78 1,312.50 -4
27236......................... ......... Repair of thigh fracture....... 1,060.70 1,046.11 -1 1,060.70 1,046.11 -1
27244......................... ......... Repair of thigh fracture....... 1,074.59 1,063.83 -1 1,074.59 1,063.83 -1
27447......................... ......... Total knee replacement......... 1,422.60 1,369.12 -4 1,422.60 1,369.12 -4
33533......................... ......... CABG, arterial, single......... 1,839.38 1,814.03 -1 1,839.38 1,814.03 -1
35301......................... ......... Rechanneling of artery......... 1,065.91 1,073.20 1 1,065.91 1,073.20 1
43239......................... ......... Upper GI endoscopy, biopsy..... 139.97 137.19 -2 258.40 255.62 -1
45385......................... ......... Colonscopy, lesion removal..... 277.50 275.07 -1 391.77 389.34 -1
66821......................... ......... After cataract laser surgery... 181.65 175.05 -4 191.37 184.77 -4
66984......................... ......... Remove cataract, insert lens... 663.72 653.65 -2 663.72 653.65 -2
67210......................... ......... Treatment of retinal lesion.... 516.80 516.46 0 563.34 563.00 0
71010......................... 26 Chest x-ray.................... 8.34 8.34 0 8.34 8.34 0
71020......................... ......... Chest x-ray.................... 33.34 33.34 0 33.34 33.34 0
71020......................... 26 Chest x-ray.................... 10.07 10.07 0 10.07 10.07 0
77430......................... ......... Weekly radiation therapy....... 170.88 169.49 -1 170.88 169.49 -1
78465......................... ......... Heart image (3D) multiple...... 514.37 513.33 0 514.37 513.33 0
88305......................... ......... Tissue exam by pathologist..... 58.35 58.00 -1 58.35 58.00 -1
88305......................... 26 Tissue exam by pathologist..... 38.20 37.86 -1 38.20 37.86 -1
90801......................... ......... Psy dx interview............... 135.45 135.80 0 136.15 136.49 0
90806......................... ......... Psytx, office (45-50).......... 91.00 90.65 0 92.73 92.39 0
90807......................... ......... Psytx, office (45-50) w/e&m.... 97.60 97.25 0 96.55 96.21 0
90862......................... ......... Medication management.......... 46.54 46.19 -1 47.23 46.89 -1
90921......................... ......... ESRD related services.......... 232.70 238.61 2 232.70 238.61 2
90935......................... ......... Hemodialysis, one evaluation... 66.34 66.34 0 66.34 66.34 0
92004......................... ......... Eye exam, new patient.......... 82.31 83.70 2 114.61 116.00 1
92012......................... ......... Eye exam established pt........ 34.38 34.38 0 71.89 71.89 0
92014......................... ......... Eye exam & treatment........... 55.92 56.61 1 83.36 84.05 1
92980......................... ......... Insert intracoronary stent..... 899.89 883.57 -2 899.89 883.57 -2
92982......................... ......... Coronary artery dilation....... 679.00 658.51 -3 679.00 658.51 -3
93000......................... ......... Electrocardiogram, complete.... 25.01 24.31 -3 25.01 24.31 -3
93010......................... ......... Electrocardiogram report....... 8.34 8.34 0 8.34 8.34 0
93015......................... ......... Cardiovascular stress test..... 101.07 97.25 -4 101.07 97.25 -4
93307......................... ......... Echo exam of heart............. 193.80 192.41 -1 193.80 192.41 -1
93307......................... 26 Echo exam of heart............. 47.23 45.85 -3 47.23 45.85 -3
93510......................... 26 Left heart catheterization..... 219.16 217.77 -1 219.16 217.77 -1
98941......................... ......... Chiropractic manipulation...... 28.83 29.17 1 32.99 33.34 1
99202......................... ......... Office/outpatient visit, new... 50.71 50.71 0 64.95 64.95 0
[[Page 39633]]
99203......................... ......... Office/outpatient visit, new... 73.98 74.67 1 92.04 92.73 1
99204......................... ......... Office/outpatient visit, new... 106.28 107.32 1 129.90 130.94 1
99205......................... ......... Office/outpatient visit, new... 137.88 139.27 1 161.15 162.54 1
99211......................... ......... Office/outpatient visit, est... 13.55 13.20 -3 21.88 21.53 -2
99212......................... ......... Office/outpatient visit, est... 26.74 26.74 0 34.73 34.73 0
99213......................... ......... Office/outpatient visit, est... 36.47 36.82 1 45.85 46.19 1
99214......................... ......... Office/outpatient visit, est... 59.04 59.39 1 72.24 72.59 0
99215......................... ......... Office/outpatient visit, est... 91.69 92.39 1 105.24 105.93 1
99221......................... ......... Initial hospital care.......... 68.77 68.77 0 68.77 68.77 0
99222......................... ......... Initial hospital care.......... 109.06 109.40 0 109.06 109.40 0
99223......................... ......... Initial hospital care.......... 149.35 151.08 1 149.35 151.08 1
99231......................... ......... Subsequent hospital care....... 32.30 32.30 0 32.30 32.30 0
99232......................... ......... Subsequent hospital care....... 52.10 52.44 1 52.10 54.22 1
99233......................... ......... Subsequent hospital care....... 74.33 74.67 0 74.33 74.67 0
99236......................... ......... Observ/hosp same date.......... 209.08 212.21 1 209.08 212.21 1
99238......................... ......... Hospital discharge day......... 65.30 65.99 1 65.30 65.99 1
99239......................... ......... Hospital discharge day......... 86.83 87.87 1 86.83 87.87 1
99241......................... ......... Office consultation............ 38.55 37.86 -2 54.18 53.49 -1
99242......................... ......... Office consultation............ 70.50 70.85 0 91.00 91.34 0
99243......................... ......... Office consultation............ 93.43 93.78 0 115.66 116.00 0
99244......................... ......... Office consultation............ 134.76 135.80 1 159.42 160.46 1
99245......................... ......... Office consultation............ 176.44 177.48 1 202.14 203.18 1
99251......................... ......... Initial inpatient consult...... 39.94 39.25 -2 39.94 39.25 -2
99252......................... ......... Initial inpatient consult...... 73.28 73.63 0 73.28 73.63 0
99253......................... ......... Initial inpatient consult...... 98.98 99.33 0 98.98 99.33 0
99254......................... ......... Initial inpatient consult...... 138.58 139.62 1 138.58 139.62 1
99255......................... ......... Initial inpatient consult...... 187.90 189.63 1 187.90 189.63 1
99261......................... ......... Follow-up inpatient consult.... 26.74 26.74 0 26.74 26.74 0
99262......................... ......... Follow-up inpatient consult.... 48.28 48.28 0 48.28 48.28 0
99263......................... ......... Follow-up inpatient conult..... 68.42 69.12 1 68.42 69.12 1
99282......................... ......... Emergency dept visit........... 26.40 26.74 1 26.40 26.74 1
99283......................... ......... Emergency dept visit........... 56.27 58.00 3 56.27 58.00 3
99284......................... ......... Emergency dept visit........... 87.52 89.95 3 87.52 89.95 3
99285......................... ......... Emergency dept visit........... 135.11 139.97 3 135.11 139.97 3
99291......................... ......... Critical care, first hour...... 189.98 192.41 1 191.37 193.80 1
99292......................... ......... Critical care, addl 30 min..... 95.51 97.25 2 96.55 98.29 2
99301......................... ......... Nursing facility care.......... 62.17 62.86 1 62.17 62.86 1
99302......................... ......... Nursing facility care.......... 82.31 83.36 1 82.31 83.36 1
99303......................... ......... Nursing facility care.......... 102.11 102.81 1 102.11 102.81 1
99311......................... ......... Nursing facility care, subseq.. 31.95 31.95 0 31.95 31.95 0
99312......................... ......... Nursing facility care, subseq.. 50.36 50.71 1 50.36 50.71 1
99313......................... ......... Nursing facility care, subseq.. 70.85 71.55 1 70.85 71.55 1
99348......................... ......... Home visit, estab patient...... 67.03 67.38 1 66.68 67.03 1
99350......................... ......... Home visit, estab patient...... 146.91 148.65 1 150.04 151.78 1
--------------------------------------------------------------------------------------------------------------------------------------------------------
B. Resource-Based Practice Expense
Revisions in resource-based practice expense RVUs for physicians'
services are also calculated to be budget neutral, that is, the total
practice expense RVUs for calendar year 2000 are calculated to be the
same as the total practice expense RVUs that we estimate would have
occurred without the changes proposed in this regulation. This also
means that increases in practice expense RVUs for some services will
necessarily be offset by corresponding decreases in values for other
services.
Table 12, ``Impact on Total Allowed Charges by Specialty of the
Fully Implemented Resource-Based Practice Expense Relative Value
Units'' shows, by specialty, the estimated percent changes in allowed
charges resulting from the practice expense proposals discussed earlier
in this proposed rule. This table shows the impact of proposed changes
on the fully implemented practice expense RVUs. That is, the table
compares payments using the fully implemented RVUs published in the
November 2, 1998 final rule (63 FR 58816) to the fully implemented RVUs
reflecting changes proposed in this rule.
Table 12.--Impact on Total Allowed Charges by Specialty of the Fully-
Implemented Resource-Based Practice Expense Relative Value Units
------------------------------------------------------------------------
Allowed Impact on
charges total
Specialty (in payments
billions) (percent)
------------------------------------------------------------------------
ANESTHESIOLOGY................................ 1.7 -8
[[Page 39634]]
CARDIAC SURGERY............................... 0.3 -8
CARDIOLOGY.................................... 3.8 -2
CLINICS....................................... 1.7 -1
DERMATOLOGY................................... 1.3 2
EMERGENCY MEDICINE............................ 0.8 -1
FAMILY PRACTICE............................... 3.2 2
GASTROENTEROLOGY.............................. 1.1 -2
GENERAL PRACTICE.............................. 1.1 2
GENERAL SURGERY............................... 2.0 0
HEMATOLOGY ONCOLOGY........................... 0.6 1
INTERNAL MEDICINE............................. 6.7 0
NEPHROLOGY.................................... 0.9 0
NEUROLOGY..................................... 0.8 1
NEUROSURGERY.................................. 0.3 1
OBSTETRICS/GYNECOLOGY......................... 0.4 3
OPHTHALMOLOGY................................. 3.8 1
ORTHOPEDIC SURGERY............................ 2.2 3
OTHER PHYSICIAN............................... 1.2 0
OTOLARYNGOLOGY................................ 0.6 2
PATHOLOGY..................................... 0.5 2
PLASTIC SURGERY............................... 0.2 1
PSYCHIATRY.................................... 1.2 -1
PULMONARY..................................... 1.0 -2
RADIATION ONCOLOGY............................ 0.6 0
RADIOLOGY..................................... 2.9 0
RHEUMATOLOGY.................................. 0.3 5
THORACIC SURGERY.............................. 0.6 -6
UROLOGY....................................... 1.3 2
VASCULAR SURGERY.............................. 0.3 0
OTHERS:
CHIROPRACTOR.............................. 0.4 0
NONPHYSICIAN PRACTITIONER................. 0.8 2
OPTOMETRIST............................... 0.5 2
PODIATRY.................................. 1.1 2
SUPPLIERS................................. 0.5 1
------------------------------------------------------------------------
Table 13 shows the percentage change in total payment (in 1999
physician fee schedule dollars) for selected high-volume procedures
which would result from the change in payment related to the proposed
changes in practice expense RVUs.
Table 13.--Total Payment for Selected Procedures
--------------------------------------------------------------------------------------------------------------------------------------------------------
Non-
Current non- Proposed facility Current Proposed Facility
Code Mod Description faculity non- percent facility facility percent
facility change change
--------------------------------------------------------------------------------------------------------------------------------------------------------
11721......................... ......... Debride nail, 6 or more........ $37.16 $37.51 1 $32.65 $27.44 -16
17000......................... ......... Destroy benign/premal lesion... 46.89 47.93 2 30.56 30.56 0
27130......................... ......... Total hip replacement.......... NA NA NA 1,360.78 1,383.36 2
27236......................... ......... Repair of thigh fracture....... NA NA NA 1,060.70 1,061.39 0
27244......................... ......... Repair of thigh fracture....... NA NA NA 1,074.59 1,045.42 -3
27447......................... ......... Total knee replacement......... NA NA NA 1,422.60 1,443.44 1
33533......................... ......... CABG, arterial, single......... NA NA NA 1,839.38 1,699.06 -8
35301......................... ......... Rechanneling of artery......... NA NA NA 1,065.91 1,058.27 -1
43239......................... ......... Upper GI endoscopy, biopsy..... 258.40 280.28 8 139.97 134.76 -4
45385......................... ......... Colonscopy, lesion removal..... 391.77 431.02 10 277.50 264.31 -5
66821......................... ......... After cataract laser surgery... 191.37 196.23 3 181.65 171.57 -6
66984......................... ......... Remove cataract, insert lens... NA NA NA 663.72 645.66 -3
67210......................... ......... Treatment of retinal lesion.... 563.34 571.33 1 516.80 522.71 1
71010......................... 26 Chest x-ray.................... 8.34 8.34 0 8.34 8.34 0
71020......................... ......... Chest x-ray.................... 33.34 33.34 0 33.34 33.34 0
71020......................... 26 Chest x-ray.................... 10.07 10.07 0 10.07 10.07 0
77430......................... ......... Weeekly radiation therapy...... 170.88 171.57 0 170.88 171.57 0
78465......................... ......... Heat image (3D) multiple....... 514.37 517.50 1 514.37 517.50 1
88305......................... ......... Tissue exam by pathologist..... 58.35 59.04 1 58.35 59.04 1
88305......................... 26 Tissue exam by pathologist..... 38.20 38.90 2 38.20 38.90 2
[[Page 39635]]
90801......................... ......... Psy dx interview............... 136.15 138.93 2 135.45 131.29 -3
90806......................... ......... Psytx, office (45-50).......... 92.73 94.12 1 91.00 88.91 -2
90807......................... ......... Psytx, office (45-50) w/e&m.... 96.55 98.64 2 97.60 94.82 -3
90862......................... ......... Midication management.......... 47.23 48.97 4 46.54 44.46 -4
90921......................... ......... ESRD related services, month... 232.70 243.12 4 232.70 218.46 -6
90935......................... ......... Hemodialysis, one evaluation... NA NA NA 6634 58.35 -12
92004......................... ......... Eye exam, new patient.......... 114.61 116.70 2 82.31 82.66 0
92012......................... ......... Eye exam established pt........ 71.89 73.63 2 34.38 34.73 1
92104......................... ......... Eye exam & treatment........... 83.36 85.09 2 55.92 55.92 0
92980......................... ......... Insert intracoronary stent..... NA NA NA 899.89 766.18 -15
92982......................... ......... Coronary artery dilation....... NA NA NA 679.00 575.85 -15
93000......................... ......... Electrocardiogram, complete.... 25.01 25.70 3 25.01 25.70 3
93010......................... ......... Electrocardiogram report....... 8.34 8.34 0 8.34 8.34 0
93015......................... ......... Cardiovascular stress test..... 101.07 101.76 1 101.07 101.76 1
93307......................... ......... Echo exam of heart............. 193.80 194.84 1 193.80 194.84 1
93307......................... 26 Echo exam of heart............. 47.23 47.23 0 47.23 47.23 0
93510......................... 26 Left heart catheterization..... 219.16 219.50 0 219.16 219.50 0
90941......................... ......... Chiropractic manipulation...... 32.99 32.99 0 28.83 28.83 0
99202......................... ......... Office/outpatient visit, new... 64.73 67.73 4 50.71 43.07 -15
99203......................... ......... Office/outpatient visit, new... 92.04 95.86 4 73.98 65.30 -12
99204......................... ......... Office/outpatient visit, new... 129.90 136.15 5 106.28 96.55 -9
99205......................... ......... Office/outpatient visit, new... 161.15 169.14 5 137.88 127.46 -8
99211......................... ......... Office/outpatient visit, est... 21.88 24.66 13 13.55 8.68 -36
99212......................... ......... Office/outpatient visit, est... 34.73 36.82 6 26.74 21.88 -18
99213......................... ......... Office/outpatient visit, est... 45.85 48.97 7 36.47 31.95 -12
99214......................... ......... Office/outpatient visit, est... 72.24 76.06 5 59.04 52.79 -11
99215......................... ......... Office/outpatient visit, est... 105.24 109.40 4 91.69 84.74 -8
99221......................... ......... Initial hospital care.......... NA NA NA 68.77 61.82 -10
99222......................... ......... Initial hospital care.......... NA NA NA 109.06 102.11 -6
99223......................... ......... Initial hosptial care.......... NA NA NA 149.35 141.36 -5
99231......................... ......... Subsequent hosptial care....... NA NA NA 32.30 30.91 -4
99232......................... ......... Subsequent hospital care....... NA NA NA 52.10 50.36 -3
99233......................... ......... Subsequent hospital care....... NA NA NA 74.33 71.55 -4
99236......................... ......... Observ/hosp same date.......... NA NA NA 209.08 201.44 -4
99238......................... ......... Hospital discharge day......... NA NA NA 65.30 60.43 -7
99239......................... ......... Hospital discharge day......... NA NA NA 86.83 82.66 -5
99241......................... ......... Office consultation............ 54.18 59.39 10 38.55 31.26 -19
99242......................... ......... Office consultation............ 91.00 96.90 6 70.50 62.86 -11
99243......................... ......... Office consultation............ 115.66 123.30 7 93.43 84.05 -10
99244......................... ......... Office consultation............ 159.42 168.80 6 134.76 123.64 -8
99245......................... ......... Office consultation............ 202.14 213.60 6 176.44 164.63 -7
00251......................... ......... Initial inpatient consult...... NA NA NA 39.94 35.08 -12
99252......................... ......... Initial impatient consult...... NA NA NA 73.28 67.38 -8
99253......................... ......... Initial inpatient consult...... NA NA NA 98.98 91.69 -7
99254......................... ......... Initial inpatient consult...... NA NA NA 138.58 130.59 -6
99255......................... ......... Initial inpatient consult...... NA NA NA 187.90 178.87 -5
99261......................... ......... Follow-up inpatient consult.... NA NA NA 26.74 22.23 -17
99262......................... ......... Follow-up inpatient consult.... NA NA NA 48.28 43.07 -11
99263......................... ......... Follow-up inpatient consult.... NA NA NA 68.42 62.86 -8
99282......................... ......... Emergency dept visit........... NA NA NA 26.40 25.01 -5
99283......................... ......... Emergency dept visit........... NA NA NA 56.27 54.88 -2
99284......................... ......... Emergency dept visit........... NA NA NA 87.52 86.13 -2
99285......................... ......... Emergency dept visit........... NA NA NA 135.11 134.41 -1
99291......................... ......... Critical care, first hour...... 191.37 193.45 1 189.98 186.16 -2
99292......................... ......... Critical care, addl 30 min..... 96.55 98.29 2 95.51 92.73 -3
99301......................... ......... Nursing facility care.......... NA NA NA 62.17 56.61 -9
99302......................... ......... Nursing facility care.......... NA NA NA 82.31 75.71 -8
99303......................... ......... Nursing facility care.......... NA NA NA 102.11 94.47 -7
99311......................... ......... Nursing facility care, subseq.. NA NA NA 31.95 28.48 -11
99312......................... ......... Nursing facility care, subseq.. NA NA NA 50.36 46.89 -7
99313......................... ......... Nursing facility care, subseq.. NA NA NA 70.85 66.68 -6
99348......................... ......... Home visit, estab patient...... 66.68 68.07 2 67.03 62.86 -6
99350......................... ......... Home visit, establ patient..... 150.04 152.12 1 146.91 141.70 -4
--------------------------------------------------------------------------------------------------------------------------------------------------------
Table 14 shows the impact of using the 1999 resource-based practice
expense RVUs, updated to reflect the year 2000 transitions, compared to
the transitioned RVUs for the year 2000 which would result from
provisions in this proposed rule.
[[Page 39636]]
Table 14.--Impact on Total Allowed Charges by Specialty of the
Transitioned Resource-Based Practice Expense Relative Value Units
------------------------------------------------------------------------
Allowed Impact on
Specialty charges (in total payments
billions) (percent)
------------------------------------------------------------------------
ANESTHESIOLOGY.......................... 1.7 -4
CARDIAC SURGERY......................... 0.3 -4
CARDIOLOGY.............................. 3.8 -1
CLINICS................................. 1.6 0
DERMATOLOGY............................. 1.1 1
EMERGENCY MEDICINE...................... 0.8 -1
FAMILY PRACTICE......................... 2.9 1
GASTROENTEROLOGY........................ 1.1 -1
GENERAL PRACTICE........................ 1.0 1
GENERAL SURGERY......................... 2.0 0
HEMATOLOGY ONCOLOGY..................... 0.5 1
INTERNAL MEDICINE....................... 6.3 0
NEPHROLOGY.............................. 0.9 0
NEUROLOGY............................... 0.8 0
NEUROSURGERY............................ 0.3 0
OBSTETRICS/GYNECOLOGY................... 0.4 1
OPHTHHALMOLOGY.......................... 3.5 0
ORTHOPEDIC SURGERY...................... 2.0 1
OTHER PHYSICIAN......................... 1.2 0
OTOLARYNGOLOGY.......................... 0.6 1
PATHOLOGY............................... 0.5 1
PLASTIC SURGERY......................... 0.2 1
PSYCHIATRY.............................. 1.1 0
PULMONARY............................... 1.0 -1
RADIATION ONCOLOGY...................... 0.6 0
RADIOLOGY............................... 2.9 0
RHEUMATOLOGY............................ 0.3 3
THORACIC SURGERY........................ 0.6 -3
UROLOGY................................. 1.2 1
VASCULAR SURGERY........................ 0.3 0
OTHERS:
CHIROPRACTOR........................ 0.4 1
NONPHYSICIAN PRACTITIONER........... 0.8 1
OPTOMETRIST......................... 0.4 1
PODIATRY............................ 1.0 1
SUPPLIERS........................... 0.5 0
------------------------------------------------------------------------
Table 15 shows the combined impact of the proposed changes in the
malpractice RVUs and the fully implemented practice expense RVUs. The
impact of the changes on the total revenue (Medicare and non-Medicare)
for a given specialty is less than the impact displayed in these tables
since physicians furnish services to both Medicare and non-Medicare
patients. The magnitude of the impact that Medicare payment has on a
specialty depends generally on the mix of services a physician in the
specialty provides and the sites in which the services are performed.
Table 15.--Impact on Total Allowed Charges by Specialty of Proposed
Fully Implemented Practice Expense and Malpractice Relative Value Units
------------------------------------------------------------------------
Allowed Impact on
charges total
Specialty (in payments
billions) (percent)
------------------------------------------------------------------------
ANESTHESIOLOGY................................ 1.6 -8
CARDIAC SURGERY............................... 0.3 -9
CARDIOLOGY.................................... 3.6 -3
CLINICS....................................... 1.6 0
DERMATOLOGY................................... 1.2 2
EMERGENCY MEDICINE............................ 0.8 1
FAMILY PRACTICE............................... 3.0 2
GASTROENTEROLOGY.............................. 1.0 -2
GENERAL PRACTICE.............................. 1.1 2
GENERAL SURGERY............................... 1.9 0
HEMATOLOGY ONCOLOGY........................... 0.6 1
INTERNAL MEDICINE............................. 6.4 1
NEPHROLOGY.................................... 0.9 1
NEUROLOGY..................................... 0.8 1
NEUROSURGERY.................................. 0.3 1
OBSTETRICS/GYNECOLOGY......................... 0.4 2
OPHTHALMOLOGY................................. 3.6 0
[[Page 39637]]
ORTHOPEDIC SURGERY............................ 2.0 2
OTHER PHYSICIAN............................... 1.2 0
OTOLARYNGOLOGY................................ 0.6 2
PATHOLOGY..................................... 0.5 1
PLASTIC SURGERY............................... 0.2 1
PSYCHIATRY.................................... 1.1 -1
PULMONARY..................................... 1.0 -1
RADIATION ONCOLOGY............................ 0.6 0
RADIOLOGY..................................... 2.7 -1
RHEUMATOLOGY.................................. 0.3 6
THORACIC SURGERY.............................. 0.5 -7
UROLOGY....................................... 1.2 2
VASCULAR SURGERY.............................. 0.3 0
OTHERS:
CHIROPRACTOR.............................. 0.4 1
NONPHYSICIAN PRACTITIONER................. 0.8 1
OPTOMETRIST............................... 0.5 3
PODIATRY.................................. 1.0 3
SUPPLIERS................................. 0.4 0
------------------------------------------------------------------------
C. Practice Expense for Physician Interpretation of Abnormal
Papanicolaou Smears
Currently, there are several codes for a physician's interpretation
of an abnormal pap smear (three HCFA Common Procedure Coding System
(HCPCS) codes and one CPT code). We evaluated the practice expense RVUs
for each of these codes in a slightly different manner, and the
practice expense RVUs assigned to HCPCS code G0141 were much lower than
those for the other codes. We believe it is more appropriate to have
the RVUs for all of these codes identical to those for CPT code 88141.
Any impact of this provision would be incorporated into the physician
fee schedule budget-neutrality calculation.
D. Technical Component of Physician Pathology Services and Independent
Laboratories
Independent laboratories usually bill for a combined service which
is the sum of the PC and TC services. These services can be furnished
to both hospital and nonhospital patients.
The claims processing instructions require the independent
laboratory to use the hospital as the place of service (POS) for TC
billing of hospital patients. However, our analysis of national claims
data indicates that independent laboratories are likely to use the
independent laboratory as the POS. Thus, we cannot directly calculate
the independent laboratory's billings for the combined service to
hospital inpatients.
Based on our knowledge of laboratory practice arrangements, we have
assumed that 60 percent of the allowed charges for independent
laboratories represent billings for hospital inpatients. We adjusted
this amount to remove PC billings because they would be billable
whether or not this proposal is finalized. We estimated the PC amount
by multiplying the total allowed charges for each code by the ratio of
the PC RVUs to total RVUs for that code. The remaining amount
represents the total allowed charges for TC services for hospital
inpatients.
We estimated that payment under the physician fee schedule for TC
billings by independent laboratories will decrease by $18 million.
The hospital is paid under the prospective payment system for the
technical component of a physician pathology service to hospital
inpatients. If the independent laboratory furnishes the technical
component service, it must enter into an arrangement with a hospital to
be paid appropriately for this service.
E. Discontinuous Anesthesia Time
If an anesthesia practitioner has not been billing for a block of
time before an interruption in services, under our proposal he or she
would be able to bill for that block of time and receive payment. It is
our understanding that, in most instances, a block of time before an
interruption is generally about fifteen minutes, or one time unit. On
the other hand, some anesthesia practitioners may have interpreted our
regulations as allowing them to bill for the block of time before an
interruption. If an anesthesia practitioner has billed in this manner,
then our proposed revision to the regulations would not have any
economic effect. We estimate that overall there would be no cost or
savings to Medicare.
F. Optometrist Services
The provision for optometrists' services would conform the
regulations to a provision of OBRA 1986 that expanded coverage for
services furnished by optometrists to include services otherwise
covered by Medicare that an optometrist is legally authorized to
perform as a doctor of optometry by the State in which the services are
performed. This provision has been implemented through program
instructions; therefore, this change in the regulations will have no
impact on the program.
G. Assisted Suicide
This rule would conform the regulations to a provision in the
Assisted Suicide Funding Act of 1997. This Act prohibits the use of
Federal funds to furnish or pay for any health care service or health
benefit coverage for the purpose of causing, or assisting to cause, the
death of any individual. We believe that this regulation change would
have no program costs or savings given the limited occurrence of
assisted suicide and the exclusion from Medicare payment of expenses
for these services under section 1862(a)(1)(A) of the Act. This section
of the Act states that no payment may be made under Part A or Part B
for any expenses incurred for items or services that are not reasonable
or necessary for the
[[Page 39638]]
diagnosis or treatment of illness or injury or to improve the
functioning of a malformed body member.
H. CPT Modifier -25
Under our proposed policy for procedures when the global surgery
rules do not apply (for example, the global code is ``XXX'' in the
database), a physician may bill only for a separately identifiable E/M
service with the use of the CPT modifier -25. This proposal would
assist carriers in claims adjudication and eliminate unnecessary
denials when physicians appropriately attach modifier -25 to E/M
services if they are significant and separately identifiable from the
procedure. We estimate a savings of $10 million due to this proposal.
I. Nurse Practioner Qualifications
The proposed NP qualifications provide a mechanism that would
grandfather those individuals who have Medicare NP billing numbers
before January 1, 2001; they could continue to bill as NPs. Therefore,
an individual who may not have been nationally certified as an NP or
who does not have a master's degree in nursing would be permitted to
continue to bill under the Medicare program. However, after January 1,
2003, to obtain a Medicare NP billing number, a new applicant would be
required to possess a master's degree in nursing, State authorization
to practice as an NP, and national certification as an NP. By this
time, the advanced nursing profession would have been furnished ample
notification and time to acquire these credentials. There are no
Medicare program costs or savings associated with this provision.
Further, these requirements are consistent with our understanding of
certification and training requirements being implemented by NP groups.
J. Relative Value Units for Pediatric Services
This proposal would correct our use of the wrong data in
establishing the work RVUs for certain pediatric surgical services.
Since pediatric services are a small portion of services under
Medicare, this change would have a negligible impact on the Medicare
program.
K. Percutaneous Thrombectomy of an Arteriovenous Fistula
We are proposing to establish payment for a new HCPCS code that
more accurately describes the activities regarding percutaneous
thrombectomy of a dialysis graft or fistula. Since this is basically a
coding change we do not anticipate any costs or savings.
L. Pulse Oximetry, Temperature Gradient Studies, and Venous Pressure
Determinations
We are proposing to discontinue separate payment for CPT codes
94760 (noninvasive ear or pulse oximetry for oxygen saturation; single
determination); 94761 (non-invasive ear or pulse oximetry for oxygen
saturation; multiple determinations); 94762 (noninvasive ear or pulse
oximetry for oxygen saturation; by continuous overnight monitoring);
93740 (temperature gradient studies); and 93770 (determination of
venous pressure). Payment for these codes would be bundled into payment
for other services. Any savings from this provision would be
incorporated into the physician fee schedule budget-neutrality
calculation.
M. Removal of Requirement for X-ray Before Chiropractic Manipulation
This rule will conform the regulations to section 4513(a) of the
BBA. We expect that removal of the requirement will encourage increased
billing for chiropractic manipulation. The impact of this BBA provision
is shown in the table below.
Estimated Costs
[$ millions]
------------------------------------------------------------------------
------------------------------------------------------------------------
FY 2000.................................................... $20
FY 2001.................................................... 40
FY 2002.................................................... 50
------------
Total.................................................. 110
------------------------------------------------------------------------
N. Coverage of Prostate Cancer Screening Tests
Section 4103 of the BBA authorizes coverage of certain prostate
cancer screening tests, effective January 1, 2000, subject to certain
frequency and payment limitations. The new tests include: (1) Screening
DREs, and (2) screening prostate-specific antigen tests. Based on the
projected utilization of these screening services and related medically
necessary follow-up tests and treatment that may be required for the
beneficiaries screened, we estimate that this BBA provision will result
in an increase in Medicare payments as described in the table below for
fiscal years 2000 through 2002. These payments will be made to many
urologists, primary care physicians, and other practitioners (involved
in screening DREs), and to clinical laboratories (involved in screening
prostate-specific antigen tests) nationally.
Estimated Medicare Costs
[$ million]
------------------------------------------------------------------------
Part A Part B
------------------------------------------------------------------------
FY 2000....................................... $170 $590
FY 2001....................................... 300 1,100
FY 2002....................................... 400 1,270
-------------------------
Total..................................... 870 2,960
------------------------------------------------------------------------
We believe that the effect of the rule will be positive. Prostate
cancer is the most commonly diagnosed cancer in men and the second
leading cause of cancer death for American men. The American Cancer
Society estimates that in 1999 about 179,000 new cases of prostate
cancer will be diagnosed in the United States, and about 37,000 will
die directly from the disease. According to the American Urological
Association, the use of a screening prostate-specific antigen blood
test in combination with a screening DRE is the best method for
detecting prostate cancer when the disease is localized and potentially
curable. Although coverage of prostate cancer screening should improve
access to this service for Medicare beneficiaries, the benefits of such
screening, based on the available medical literature, are not entirely
clear. The literature on the benefits of cancer detection especially
among men over 70 indicates that screening for prostate cancer does not
necessarily lead to the prolongation of life or improvement in the
quality of life. However, when prostate cancer is found early, there is
evidence that it can often be treated successfully. Through early
detection of prostate cancer made possible under the new benefit and
the use of appropriate treatment measures, our expectation is that the
harmful effects of this serious disease among the Medicare population
will be reduced in the future.
O. Diagnostic Tests
1. Supervision of Diagnostic Test
This proposal would conform the requirements of the physician
supervision policy in Sec. 410.32(b) with BBA provisions relating to
PAs, NPs, and CNSs. We would clarify that the level of physician
supervision for diagnostic tests performed by PAs, when they are
authorized by the State to perform these tests, is general. This means
that we would not require that the supervising physician for the
diagnostic test be on the premises when the test is performed. It will
mean that no level of physician supervision is required for diagnostic
tests performed by NPs and CNSs when they are authorized by the State
to perform these tests. The proposal would not affect the
[[Page 39639]]
scope of services for which PAs, NPs or CNs could bill; therefore, we
do not expect any significant costs or savings.
2. Independent Diagnostic Testing Facilities (IDTF)
The IDTF proposal would clarify Sec. 410.33 to the effect that NPs
and CNSs are included among the entities that may bill carriers
directly for diagnostic tests. This proposal is a technical one and
would not have a significant effect on costs or savings.
P. New and Revised Relative Value Units for Calender Year 1999
1. Ventricular Assist Device Implantations
This proposal would suspend the global period and allow the surgeon
to bill all postoperative E/M visits. Although, we anticipate an
increase in billing for these codes, the anticipated economic impact on
the Medicare program is negligible because of the minimal use of these
services.
2. Use of Operating Microscope
CPT code 69990 replaced two previous codes that were add-on codes
(61712 and 64830) and also replaced use of a ``-20'' microsurgery
modifier. For clarification purposes, we are identifying the primary
procedure codes for which we would pay separately for code 69990 since
this is limited to those primary procedures for which the use of
previous codes 61712 or 64830 was acceptable. There are no costs or
savings associated with this proposal because it is a clarification in
coding rather than a change in value.
3. Pulmonary Stress Testing
For 1999, the work RVUs established for CPT 94620 (simple pulmonary
stress testing) were 0.88; the same work RVUs were assigned to the
newly created code 94621, complex pulmonary stress testing. We are
proposing to establish the work RVUs at 0.64 for CPT code 94620 and at
1.42 for CPT code 94621 based on the estimated frequencies. This
proposal would not impact costs or savings to the Medicare program but
would maintain budget neutrality for work RVUs for these codes.
Q. Budget-Neutrality
Each year since the fee schedule has been implemented, our
actuaries have determined any adjustments needed to meet the budget-
neutrality requirement of the statute. A component of the actuarial
determination of budget-neutrality involves estimating the impact of
changes in the volume-and-intensity of physicians' services provided to
Medicare beneficiaries as a result of the proposed changes. Consistent
with the provision in the November 2, 1999 final rule, the actuaries
would use a model that assumes a 30 percent volume-and-intensity
response to price reductions.
R. Impact on Beneficiaries
Although changes in physicians' payments when the physician fee
schedule was implemented in 1992 were large, we detected no problems
with beneficiary access to care. Furthermore, because there is a four-
year transition of the resource-based practice expense system, we
expect minimal impact on beneficiaries.
We are currently conducting substantial research to evaluate
beneficiary access to physicians. This research includes, but is not
limited to, augmenting the beneficiary survey questionnaire to further
clarify access problems, conducting a survey of Medicare physicians to
identify physician specialties and procedures by geographic areas, and
tracking claims data in ``vulnerable populations''.
In accordance with the provisions of Executive Order 12866, this
regulation was reviewed by the Office of Management and Budget.
List of Subjects
42 CFR Part 410
Health facilities, Health professions, Kidney diseases,
Laboratories, Medicare, Rural areas, X-rays.
42 CFR Part 411
Kidney diseases, Medicare, Reporting and recordkeeping
requirements.
42 CFR Part 414
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medicare, Reporting and recordkeeping
requirements, Rural areas, X-rays.
42 CFR Part 415
Health facilities, Health professions, Medicare and Reporting and
recordkeeping requirements.
For the reasons set forth in the preamble, 42 CFR chapter IV would
be amended as follows:
PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
A. Part 410 is amended as set forth below:
1. The authority citation for part 410 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. In Sec. 410.22, paragraph (b)(1) is revised to read as follows:
Sec. 410.22. Limitations on services of a chiropractor.
* * * * *
(b) Limitations on services. (1) Medicare Part B pays only for a
chiropractor's manual manipulation of the spine to correct a
subluxation if the subluxation has resulted in a neuromusculoskeletal
condition for which manual manipulation is appropriate treatment.
* * * * *
3. Section 410.23 is revised to read as follows:
Sec. 410.23 Limitations on services of an optometrist.
Medicare Part B pays for the services of a doctor of optometry,
acting within the scope of his or her license, if the services would be
covered as physicians' services when performed by a doctor of medicine
or osteopathy.
4. In Sec. 410.32, the introductory text to paragraph (b)(2) is
republished for the convenience of the reader, paragraph (b)(2) is
amended by adding new paragraphs (b)(2)(v) and (b)(2)(vi), and the
introductory text to paragraph (b)(3) is revised to read as follows:
Sec. 410.32 Diagnostic x-ray tests, diagnostic laboratory tests, and
other diagnostic tests: Conditions.
* * * * *
(b) Diagnostic x-ray and other diagnostic tests. * * *
(2) Exceptions. The following diagnostic tests payable under the
physician fee schedule are excluded from the basic rule set forth in
paragraph (b)(1) of this section:
* * * * *
(v) Diagnostic tests performed by a nurse practitioner or clinical
nurse specialist authorized to perform the tests under applicable State
laws.
(vi) Pathology and laboratory procedures listed in the 80000 series
of the Current Procedural Terminology published by the American Medical
Association.
(3) Levels of supervision. Except where otherwise indicated, all
diagnostic x-ray and other diagnostic tests subject to this provision
and payable under the physician fee schedule must be furnished under at
least a general level of physician supervision as defined in paragraph
(b)(3)(i) of this section. In addition, some of these tests also
require either direct or personal supervision as defined in paragraphs
(b)(3)(ii) or (b)(3)(iii) of this section, respectively. (However,
diagnostic tests a physician
[[Page 39640]]
assistant is legally authorized to perform under State law require only
a general level of physician supervision.) When direct or personal
supervision is required, physician supervision at the specified level
is required throughout the performance of the test.
* * * * *
5. In Sec. 410.33, paragraph (a)(1) is revised to read as follows:
Sec. 410.33 Independent diagnostic testing facility.
(a) General rule. (1) Effective for diagnostic procedures performed
on or after March 15, 1999, carriers will pay for diagnostic procedures
under the physician fee schedule only when performed by a physician, a
group practice of physicians, an approved supplier of portable x-ray
services, a nurse practitioner or a clinical nurse specialist when he
or she performs a test he or she is authorized by the State to perform,
or an independent diagnostic testing facility (IDTF). An IDTF may be a
fixed location, a mobile entity, or an individual nonphysician
practitioner. It is independent of a physician's office or hospital;
however, these rules apply when an IDTF furnishes diagnostic procedures
in a physician's office.
* * * * *
6. A new Sec. 410.39 is added to read as follows:
Sec. 410.39 Prostate cancer screening tests: Conditions for and
limitations on coverage.
(a) Definitions. As used in this section, the following definitions
apply:
(1) Prostate cancer screening tests means any of the following
procedures furnished to an individual for the purpose of early
detection of prostate cancer:
(i) A screening digital rectal examination.
(ii) A screening prostate-specific antigen blood test.
(iii) For years beginning after 2002, other procedures HCFA finds
appropriate for the purpose of early detection of prostate cancer,
taking into account changes in technology and standards of medical
practice, availability, effectiveness, costs, and other factors HCFA
considers appropriate.
(2) A screening digital rectal examination means a clinical
examination of an individual's prostate for nodules or other
abnormalities of the prostate.
(3) A screening prostate-specific antigen blood test means a test
that measures the level of prostate-specific antigen in an individual's
blood.
(4) An attending physician for purposes of this provision means a
doctor of medicine or osteopathy (as defined in section 1861(r)(1) of
the Act) who is fully knowledgeable about the beneficiary's medical
condition, and who would be responsible for using the results of any
examination performed in the overall management of the beneficiary's
specific medical problem.
(5) An attending physician assistant, nurse practitioner, clinical
nurse specialist, or certified nurse midwife, for purposes of this
provision means a physician assistant, nurse practitioner, clinical
nurse specialist, or certified nurse midwife (as defined in sections
1861(aa) and 1861(gg) of the Act) who is fully knowledgeable about the
beneficiary's medical condition, and who would be responsible for using
the results of any examination performed in the overall management of
the beneficiary's specific medical problem.
(b) Condition for coverage of screening digital rectal
examinations. Medicare Part B pays for a screening digital rectal
examination if it is performed by the beneficiary's attending
physician, or by the beneficiary's attending physician assistant, nurse
practitioner, clinical nurse specialist, or certified nurse midwife as
defined in paragraphs (a)(4) or (a)(5) of this section who is
authorized to perform this service under State law.
(c) Limitation on coverage of screening digital rectal
examinations. (1) Payment may not be made for a screening digital
rectal examination performed for a man age 50 or younger.
(2) For an individual over 50 years of age, payment may be made for
a screening digital rectal examination only if the man has not had such
an examination paid for by Medicare during the preceding 11 months
following the month in which his last Medicare-covered screening
digital rectal examination was performed.
(d) Condition for coverage of screening prostate-specific antigen
blood tests. Medicare Part B pays for a screening prostate-specific
antigen blood test if it is ordered by the beneficiary's attending
physician, or by the beneficiary's attending physician assistant, nurse
practitioner, clinical nurse specialist, or certified nurse midwife as
defined in paragraphs (a)(4) or (a)(5) of this section who is
authorized to order this test under State law.
(e) Limitation on coverage of screening prostate-specific antigen
blood test. (1) Payment may not be made for a screening prostate-
specific antigen blood test performed for a man under age 50.
(2) For an individual over 50 years of age, payment may be made for
a screening prostate-specific antigen blood test only if the man has
not had such an examination paid for by Medicare during the preceding
11 months following the month in which his last Medicare-covered
screening prostate-specific antigen blood test was performed.
7. In Sec. 410.75, paragraph (b) is revised to read as follows:
Sec. 410.75 Nurse practitioner's services.
* * * * *
(b) Qualifications. For Medicare Part B coverage of his or her
services, a nurse practitioner must--
(1)(i) Be a registered professional nurse who is authorized by the
State in which the services are furnished to practice as a nurse
practitioner in accordance with State law; and
(ii) Be certified as a nurse practitioner by a recognized national
certifying body that has established standards for nurse practitioners;
or
(2) Be a registered professional nurse who is authorized by the
State in which the services are furnished to practice as a nurse
practitioner in accordance with State law and have been granted a
Medicare billing number as a nurse practitioner by December 31, 2000.
(3) On or after January 1, 2001, nurse practitioners applying for a
Medicare billing number for the first time must meet the standards for
nurse practitioners in paragraphs (b)(1)(i) and (b)(1)(ii) of this
section.
(4) On or after January 1, 2003, nurse practitioners applying for a
Medicare billing number for the first time must possess a master's
degree in nursing and meet the standards for nurse practitioners in
paragraphs (b)(1)(i) and (b)(1)(ii) of this section.
* * * * *
PART 411--EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE
PAYMENT
B. Part 411 is amended as set forth below:
1. The authority citation for part 411 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. In Sec. 411.15, the introductory text to the section is revised,
the introductory text to paragraph (a) is republished, paragraph (a)(1)
is revised, the introductory text to paragraph (k) is republished, and
new paragraphs (k)(9) and (q) are added to read as follows:
Sec. 411.15 Particular services excluded from coverage.
The following services are excluded from coverage:
[[Page 39641]]
(a) Routine physical checkups such as:
(1) Examinations performed for a purpose other than treatment or
diagnosis of a specific illness, symptoms, complaint, or injury, except
for screening mammography, colorectal cancer screening tests, screening
pelvic examinations, or prostate cancer screening tests that meet the
criteria specified in paragraphs (k)(6) through (k)(9) of this section.
* * * * *
(k) Any services that are not reasonable and necessary for one of
the following purposes:
* * * * *
(9) In the case of prostate cancer screening tests, for the purpose
of early detection of prostate cancer, subject to the conditions and
limitations specified in Sec. 410.39 of this chapter.
* * * * *
(q) Assisted suicide. Any health care service used for the purpose
of causing, or assisting to cause, the death of any individual. This
does not pertain to the withholding or withdrawing of medical treatment
or care, nutrition or hydration or to the provision of a service for
the purpose of alleviating pain or discomfort, even if the use may
increase the risk of death, so long as the service is not furnished for
the specific purpose of causing death.
PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
C. Part 414 is amended as set forth below:
1. The authority citation for part 414 continues to read as
follows:
Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social
Security Act (42 U.S.C. 1302, 1395(hh), and 1395rr(b)(1).
2. In Sec. 414.22, the introductory text is republished, paragraph
(b)(5)(i) is revised, and a new paragraph (c)(3) is added to read as
follows:
Sec. 414.22 Relative value units (RVUs).
HCFA establishes RVUs for physicians' work, practice expense, and
malpractice insurance.
* * * * *
(b) Practice expense RVUs. * * *
(5) * * *
(i) Usually one of two levels of practice expense RVUs can be
applied to each code. The lower facility practice expense RVUs apply to
services furnished to hospital, skilled nursing facility, or ambulatory
surgical center patients. The higher non-facility practice expense RVUs
apply to services performed in a physician's office, services furnished
to patients in a nursing facility, in a facility or institution other
than a hospital, skilled nursing facility, or ambulatory surgical
center, or in the home. The facility practice expense RVUs for a
particular code may not be greater than the non-facility RVUs for that
code.
* * * * *
(c) Malpractice insurance RVUs. * * *
(3) For services furnished in the year 2000 and subsequent years,
the malpractice RVUs are based on the relative malpractice insurance
resources.
3. In Sec. 414.46, the introductory texts to paragraphs (a) and (b)
are republished, paragraphs (a)(1) and (a)(2) are revised, paragraph
(a)(3) is added, and paragraphs (b)(1) and (b)(2) are revised to read
as follows:
Sec. 414.46 Additional rules for payment of anesthesia services.
(a) Definitions. For purposes of this section, the following
definitions apply:
(1) Base unit means the value for each anesthesia code that
reflects all activities other than anesthesia time. These activities
include usual preoperative and postoperative visits, the administration
of fluids and blood incident to anesthesia care, and monitoring
services.
(2) Anesthesia practitioner, for the purpose of anesthesia time,
means a physician who performs the anesthesia service alone, a CRNA who
is not medically directed who performs the anesthesia service alone, or
a medically directed CRNA.
(3) Anesthesia time means the time during which an anesthesia
practitioner is present with the patient. It starts when the anesthesia
practitioner begins to prepare the patient for anesthesia services and
ends when the anesthesia practitioner is no longer furnishing
anesthesia services to the beneficiary, that is, when the beneficiary
may be placed safely under postoperative care. Anesthesia time is a
continuous time period from the start of anesthesia to the end of an
anesthesia service. In counting anesthesia time, the anesthesia
practitioner can add blocks of anesthesia time around an interruption
in anesthesia time as long as the anesthesia practitioner is furnishing
continuous anesthesia care within the time periods around the
interruption.
(b) Determinations of payment amount--Basic rule. For anesthesia
services performed, medically directed, or medically supervised by a
physician, the carrier pays the lesser of the actual charge or the
anesthesia fee schedule amount.
(1) The carrier bases the physician fee schedule amount for an
anesthesia service on the product of the sum of allowable base and time
units and an anesthesia-specific CF. The carrier calculates the time
units from the anesthesia time reported by the anesthesia practitioner
for the anesthesia procedure. The physician who fulfills the conditions
for medical direction in Sec. 415.110 (Conditions for payment:
Anesthesiology services) reports the same anesthesia time as the
medically-directed CRNA.
(2) HCFA furnishes the carrier with the base units for each
anesthesia procedure code. The base units are derived from the 1988
American Society of Anesthesiologists' Relative Value Guide except that
the number of base units recognized for anesthesia services furnished
during cataract or iridectomy surgery is four units.
* * * * *
4. In Sec. 414.60, the introductory text of paragraph (a) is
revised to read as follows:
Sec. 414.60 Payment for the services of CRNAs.
(a) Basis for payment. The allowance for the anesthesia service
furnished by a CRNA, medically directed or not medically directed, is
based on allowable base and time units as defined in Sec. 414.46(a).
Beginning with CY 1994--
* * * * *
PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS,
SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN
CERTAIN SETTINGS
D. Part 415 is amended as set forth below:
1. The authority citation for part 415 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. Section 415.130(c) is revised to read as follows:
Sec. 415.130 Conditions for payment; Physician pathology services.
* * * * *
(c) Physician pathology services furnished by an independent
laboratory. The technical component of physician pathology services, as
described in paragraph (a) of this section, furnished to a hospital
inpatient before January 1, 2000, or to an outpatient can be paid on a
fee schedule basis under this subpart. On or after January 1, 2000,
payment is made only to the hospital for the technical component of
physician
[[Page 39642]]
pathology services furnished to a hospital inpatient.
(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program)
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: May 27, 1999.
Nancy-Ann Min DeParle,
Administrator, Health Care Financing Administration.
Dated: June 29, 1999.
Donna E. Shalala,
Secretary.
Note: These addenda will not appear in the Code of Federal
Regulations.
Addendum A--Explanation and Use of Addenda B
The addenda on the following pages provide various data
pertaining to the Medicare fee schedule for physicians' services
furnished in 2000. Addendum B contains the RVUs for work, non-
facility practice expense, facility practice expense, and
malpractice expense, and other information for all services included
in the physician fee schedule.
Addendum B--2000 Relative Value Units and Related Information Used in
Determining Medicare Payments for 2000
This addendum contains the following information for each CPT
code and alphanumeric HCPCS code, except for alphanumeric codes
beginning with B (enteral and parenteral therapy), E (durable
medical equipment), K (temporary codes for nonphysicians' services
or items), or L (orthotics), and codes for anesthesiology.
1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number
for the service. Alphanumeric HCPCS codes are included at the end of
this addendum.
2. Modifier. A modifier is shown if there is a technical
component (modifier TC) and a professional component (PC) (modifier
-26) for the service. If there is a PC and a TC for the service,
Addendum B contains three entries for the code: One for the global
values (both professional and technical); one for modifier -26 (PC);
and one for modifier TC. The global service is not designated by a
modifier, and physicians must bill using the code without a modifier
if the physician furnishes both the PC and the TC of the service.
Modifier -53 is shown for a discontinued procedure. There will
be RVUs for the code (CPT code 45378) with this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS
code is in the physician fee schedule and whether it is separately
payable if the service is covered.
A = Active code. These codes are separately payable under the
fee schedule if covered. There will be RVUs for codes with this
status. The presence of an ``A'' indicator does not mean that
Medicare has made a national decision regarding the coverage of the
service. Carriers remain responsible for coverage decisions in the
absence of a national Medicare policy.
B = Bundled code. Payment for covered services is always bundled
into payment for other services not specified. If RVUs are shown,
they are not used for Medicare payment. If these services are
covered, payment for them is subsumed by the payment for the
services to which they are incident. (An example is a telephone call
from a hospital nurse regarding care of a patient.)
C = Carrier-priced code. Carriers will establish RVUs and
payment amounts for these services, generally on a case-by-case
basis following review of documentation, such as an operative
report.
D = Deleted code. These codes are deleted effective with the
beginning of the calendar year.
E = Excluded from physician fee schedule by regulation. These
codes are for items or services that we chose to exclude from the
physician fee schedule payment by regulation. No RVUs are shown, and
no payment may be made under the physician fee schedule for these
codes. Payment for them, if they are covered, continues under
reasonable charge or other payment procedures.
G = Code not valid for Medicare purposes. Medicare does not
recognize codes assigned this status. Medicare uses another code for
reporting of, and payment for, these services.
N = Noncovered service. These codes are noncovered services.
Medicare payment may not be made for these codes. If RVUs are shown,
they are not used for Medicare payment.
P = Bundled or excluded code. There are no RVUs for these
services. No separate payment should be made for them under the
physician fee schedule.
--If the item or service is covered as incident to a physician's
service and is furnished on the same day as a physician's service,
payment for it is bundled into the payment for the physician's
service to which it is incident (an example is an elastic bandage
furnished by a physician incident to a physician's service).
--If the item or service is covered as other than incident to a
physician's service, it is excluded from the physician fee schedule
(for example, colostomy supplies) and is paid under the other
payment provisions of the Act.
R = Restricted coverage. Special coverage instructions apply. If
the service is covered and no RVUs are shown, it is carrier-priced.
T = Injections. There are RVUs for these services, but they are
only paid if there are no other services payable under the physician
fee schedule billed on the same date by the same provider. If any
other services payable under the physician fee schedule are billed
on the same date by the same provider, these services are bundled
into the service(s) for which payment is made.
X = Exclusion by law. These codes represent an item or service
that is not within the definition of ``physicians' services'' for
physician fee schedule payment purposes. No RVUs are shown for these
codes, and no payment may be made under the physician fee schedule.
(Examples are ambulance services and clinical diagnostic laboratory
services.)
4. Description of code. This is an abbreviated version of the
narrative description of the code.
5. Physician work RVUs. These are the RVUs for the physician
work for this service in 2000. Codes that are not used for Medicare
payment are identified with a ``+.''
6. Fully implemented non-facility practice expense RVUs. These
are the fully implemented resource-based practice expense RVUs for
non-facility settings.
7. Year 2000 Transition non-facility practice expense RVUs.
Blended non-facility practice expense RVUs for use in 2000.
8. Fully implemented facility practice expense RVUs. These are
the fully implemented resource-based practice expense RVUs for
facility settings.
9. Year 2000 transition facility practice expense RVUs. Blended
facility practice expense RVUs for use in 2000.
10. Malpractice expense RVUs. These are the RVUs for the
malpractice expense for the service for 2000.
11. Fully implemented non-facility total. This is the sum of the
work, fully implemented non-facility practice expense, and
malpractice expense RVUs.
12. Year 2000 transition non-facility total. This is the sum of
the work, transition non-facility practice expense, and malpractice
expense RVUs for use in 2000.
13. Fully implemented facility total. This is the sum of the
work, fully implemented facility practice expense, and malpractice
expense RVUs.
14. Year 2000 transition facility total. This is the sum of the
work, transition facility practice expense, and malpractice expense
RVUs for use in 2000.
15. Global period. This indicator shows the number of days in
the global period for the code (0, 10, or 90 days). An explanation
of the alpha codes follows:
MMM = The code describes a service furnished in uncomplicated
maternity cases including antepartum care, delivery, and postpartum
care. The usual global surgical concept does not apply. See the 1999
Physicians' Current Procedural Terminology for specific definitions.
XXX = The global concept does not apply.
YYY = The global period is to be set by the carrier (for
example, unlisted surgery codes).
ZZZ = The code is part of another service and falls within the
global period for the other service.
Addendum B--2000 Relative Value Units and Related Information Used in
Determining Medicare Payments for 2000
\4\ PE RVUs = Practice Expense Relative Value
Units.
\5\ # Indicates new CPT/HCPCS codes which were not factored into budget
neutrality adjustments.
[[Page 39643]]
Addendum B.--Relative Value Units (RVUs) and Related Information
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Fully Fully
Physician implemented Year 2000 Fully Year 2000 implemented Year 2000 Fully Year 2000
CPT\1\/ MOD Status Description work non- transitional implemented transitional Malpractice non- transitional implemented transitional Global
HCPCS\2\ RVUs3,\5 facility PE non-facility facility PE facility PE RVUs facility non-facility facility facility
RVUs PE RVUs RVUs RVUs total total total total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
10040 ......... A Acne surgery of 1.18 1.31 0.83 0.54 0.36 0.05 2.54 2.06 1.77 1.59 010
skin abscess.
10060 ......... A Drainage of skin 1.17 1.20 0.84 0.60 0.42 0.08 2.45 2.09 1.85 1.67 010
abscess.
10061 ......... A Drainage of skin 2.40 1.84 1.27 1.11 0.73 0.17 4.41 3.84 3.68 3.30 010
abscess.
10080 ......... A Drainage of 1.17 1.83 1.19 0.66 0.47 0.09 3.09 2.45 1.92 1.73 010
pilonidal cyst.
10081 ......... A Drainage of 2.45 2.47 1.84 1.43 1.02 0.21 5.13 4.50 4.09 3.68 010
pilonidal cyst.
10120 ......... A Remove foreign 1.22 1.65 1.08 0.66 0.46 0.10 2.97 2.40 1.98 1.78 010
body.
10121 ......... A Remove foreign 2.69 2.62 1.86 1.70 1.13 0.25 5.56 4.80 4.64 4.07 010
body.
10140 ......... A Drainage of 1.53 1.27 0.90 0.81 0.54 0.11 2.91 2.54 2.45 2.18 010
hematoma/fluid.
10160 ......... A Puncture drainage 1.20 1.43 0.92 0.70 0.46 0.10 2.73 2.22 2.00 1.76 010
of lesion.
10180 ......... A Complex drainage, 2.25 1.31 1.23 1.24 1.19 0.24 3.80 3.72 3.73 3.68 010
wound.
11000 ......... A Debride infected 0.60 0.51 0.47 0.23 0.23 0.04 1.15 1.11 0.87 0.87 000
skin.
11001 ......... A Debride infect 0.30 0.28 0.28 0.12 0.13 0.02 0.60 0.60 0.44 0.45 ZZZ
skin add-on.
11010 ......... A Debride skin, fx.. 4.20 2.14 3.22 1.88 3.09 0.38 6.72 7.80 6.46 7.67 010
11011 ......... A Debride skin/ 4.95 3.48 4.30 2.56 3.84 0.51 8.94 9.76 8.02 9.30 000
muscle, fx.
11012 ......... A Debride skin/ 6.88 4.88 6.00 3.98 5.55 0.74 12.50 13.62 11.60 13.17 000
muscle/bone, fx.
11040 ......... A Debride skin 0.50 0.46 0.45 0.19 0.21 0.03 0.99 0.98 0.72 0.74 000
partial.
11041 ......... A Debride skin full. 0.82 0.61 0.61 0.32 0.32 0.06 1.49 1.49 1.20 1.20 000
11042 ......... A Debride skin/ 1.12 0.86 0.79 0.44 0.40 0.09 2.07 2.00 1.65 1.61 000
tissue.
11043 ......... A Debride tissue/ 2.38 2.25 2.11 1.34 1.65 0.23 4.86 4.72 3.95 4.26 010
muscle.
11044 ......... A Debride tissue/ 3.06 2.95 3.01 1.78 2.42 0.31 6.32 6.38 5.15 5.79 010
muscle/bone.
11055 ......... R Trim skin lesion.. 0.27 0.34 0.31 0.11 0.13 0.02 0.63 0.60 0.40 0.42 000
11056 ......... R Trim 2 to 4 skin 0.39 0.38 0.38 0.15 0.17 0.03 0.80 0.80 0.57 0.59 000
lesions.
11057 ......... R Trim over 4 skin 0.50 0.42 0.36 0.20 0.18 0.03 0.95 0.89 0.73 0.71 000
lesions.
11100 ......... A Biopsy of skin 0.81 1.27 0.91 0.37 0.33 0.04 2.12 1.76 1.22 1.18 000
lesion.
11101 ......... A Biopsy, skin add- 0.41 0.56 0.44 0.19 0.18 0.02 0.99 0.87 0.62 0.61 ZZZ
on.
11200 ......... A Removal of skin 0.77 0.97 0.72 0.32 0.28 0.04 1.78 1.53 1.13 1.09 010
tags.
11201 ......... A Remove skin tags 0.29 0.37 0.28 0.13 0.11 0.02 0.68 0.59 0.44 0.42 ZZZ
add-on.
11300 ......... A Shave skin lesion. 0.51 0.88 0.73 0.22 0.26 0.03 1.42 1.27 0.76 0.80 000
11301 ......... A Shave skin lesion. 0.85 0.96 0.85 0.40 0.39 0.04 1.85 1.74 1.29 1.28 000
11302 ......... A Shave skin lesion. 1.05 1.06 1.02 0.49 0.49 0.05 2.16 2.12 1.59 1.59 000
11303 ......... A Shave skin lesion. 1.24 1.17 1.33 0.55 0.65 0.06 2.47 2.63 1.85 1.95 000
11305 ......... A Shave skin lesion. 0.67 0.77 0.67 0.28 0.28 0.04 1.48 1.38 0.99 0.99 000
11306 ......... A Shave skin lesion. 0.99 0.97 0.87 0.44 0.42 0.05 2.01 1.91 1.48 1.46 000
11307 ......... A Shave skin lesion. 1.14 1.05 1.04 0.51 0.51 0.06 2.25 2.24 1.71 1.71 000
11308 ......... A Shave skin lesion. 1.41 1.17 1.35 0.62 0.69 0.08 2.66 2.84 2.11 2.18 000
11310 ......... A Shave skin lesion. 0.73 0.97 0.86 0.34 0.36 0.04 1.74 1.63 1.11 1.13 000
11311 ......... A Shave skin lesion. 1.05 1.07 1.00 0.51 0.49 0.05 2.17 2.10 1.61 1.59 000
11312 ......... A Shave skin lesion. 1.20 1.13 1.18 0.58 0.60 0.06 2.39 2.44 1.84 1.86 000
11313 ......... A Shave skin lesion. 1.62 1.39 1.51 0.78 0.80 0.08 3.09 3.21 2.48 2.50 000
11400 ......... A Removal of skin 0.91 2.11 1.35 0.68 0.49 0.07 3.09 2.33 1.66 1.47 010
lesion.
11401 ......... A Removal of skin 1.32 2.14 1.44 0.92 0.65 0.10 3.56 2.86 2.34 2.07 010
lesion.
11402 ......... A Removal of skin 1.61 2.24 1.61 0.92 0.71 0.12 3.97 3.34 2.65 2.44 010
lesion.
11403 ......... A Removal of skin 1.92 2.05 1.66 1.06 0.85 0.16 4.13 3.74 3.14 2.93 010
lesion.
11404 ......... A Removal of skin 2.20 2.20 1.85 1.15 0.95 0.19 4.59 4.24 3.54 3.34 010
lesion.
11406 ......... A Removal of skin 2.76 2.96 2.50 1.38 1.71 0.26 5.98 5.52 4.40 4.73 010
lesion.
11420 ......... A Removal of skin 1.06 1.80 1.18 0.73 0.51 0.08 2.94 2.32 1.87 1.65 010
lesion.
11421 ......... A Removal of skin 1.53 2.10 1.44 0.93 0.66 0.11 3.74 3.08 2.57 2.30 010
lesion.
11422 ......... A Removal of skin 1.76 2.23 1.63 1.00 0.76 0.13 4.12 3.52 2.89 2.65 010
lesion.
11423 ......... A Removal of skin 2.17 2.17 1.80 1.20 0.96 0.18 4.52 4.15 3.55 3.31 010
lesion.
11424 ......... A Removal of skin 2.62 2.33 1.92 1.37 1.07 0.21 5.16 4.75 4.20 3.90 010
lesion.
11426 ......... A Removal of skin 3.78 3.39 2.69 1.84 1.92 0.34 7.51 6.81 5.96 6.04 010
lesion.
11440 ......... A Removal of skin 1.15 2.20 1.48 0.88 0.63 0.08 3.43 2.71 2.11 1.86 010
lesion.
11441 ......... A Removal of skin 1.61 2.34 1.63 1.08 0.77 0.11 4.06 3.35 2.80 2.49 010
lesion.
11442 ......... A Removal of skin 1.87 2.43 1.83 1.18 0.90 0.14 4.44 3.84 3.19 2.91 010
lesion.
11443 ......... A Removal of skin 2.49 2.90 2.24 1.50 1.15 0.19 5.58 4.92 4.18 3.83 010
lesion.
11444 ......... A Removal of skin 3.42 2.93 2.27 1.94 1.37 0.26 6.61 5.95 5.62 5.05 010
lesion.
11446 ......... A Removal of skin 4.49 3.92 2.93 2.41 1.69 0.34 8.75 7.76 7.24 6.52 010
lesion.
11450 ......... A Removal, sweat 2.73 3.71 3.31 0.90 1.91 0.24 6.68 6.28 3.87 4.88 090
gland lesion.
11451 ......... A Removal, sweat 3.95 4.26 3.71 1.63 2.39 0.39 8.60 8.05 5.97 6.73 090
gland lesion.
11462 ......... A Removal, sweat 2.51 3.48 3.05 0.99 1.81 0.24 6.23 5.80 3.74 4.56 090
gland lesion.
11463 ......... A Removal, sweat 3.95 4.91 3.54 1.62 1.90 0.41 9.27 7.90 5.98 6.26 090
gland lesion.
11470 ......... A Removal, sweat 3.25 4.43 3.73 1.30 2.16 0.32 8.00 7.30 4.87 5.73 090
gland lesion.
11471 ......... A Removal, sweat 4.41 5.24 3.96 1.81 2.24 0.44 10.09 8.81 6.66 7.09 090
gland lesion.
11600 ......... A Removal of skin 1.41 2.28 1.76 1.07 0.85 0.10 3.79 3.27 2.58 2.36 010
lesion.
11601 ......... A Removal of skin 1.93 2.19 1.85 0.83 0.80 0.12 4.24 3.90 2.88 2.85 010
lesion.
11602 ......... A Removal of skin 2.09 2.35 2.17 1.23 1.11 0.13 4.57 4.39 3.45 3.33 010
lesion.
11603 ......... A Removal of skin 2.35 2.19 2.32 1.31 1.27 0.16 4.70 4.83 3.82 3.78 010
lesion.
11604 ......... A Removal of skin 2.58 2.33 2.57 1.40 1.41 0.19 5.10 5.34 4.17 4.18 010
lesion.
11606 ......... A Removal of skin 3.43 3.20 3.29 1.72 2.55 0.30 6.93 7.02 5.45 6.28 010
lesion.
11620 ......... A Removal of skin 1.34 2.22 1.84 0.97 0.85 0.09 3.65 3.27 2.40 2.28 010
lesion.
11621 ......... A Removal of skin 1.97 2.33 2.12 1.23 1.09 0.12 4.42 4.21 3.32 3.18 010
lesion.
11622 ......... A Removal of skin 2.34 2.49 2.44 1.39 1.30 0.15 4.98 4.93 3.88 3.79 010
lesion.
11623 ......... A Removal of skin 2.93 2.48 2.64 1.65 1.53 0.21 5.62 5.78 4.79 4.67 010
lesion.
11624 ......... A Removal of skin 3.43 2.79 3.14 1.87 1.81 0.26 6.48 6.83 5.56 5.50 010
lesion.
11626 ......... A Removal of skin 4.30 3.65 3.68 2.27 2.99 0.36 8.31 8.34 6.93 7.65 010
lesion.
11640 ......... A Removal of skin 1.53 2.28 2.04 1.10 1.00 0.10 3.91 3.67 2.73 2.63 010
lesion.
11641 ......... A Removal of skin 2.44 2.59 2.43 1.54 1.34 0.15 5.18 5.02 4.13 3.93 010
lesion.
11642 ......... A Removal of skin 2.93 2.56 2.68 1.78 1.59 0.19 5.68 5.80 4.90 4.71 010
lesion.
11643 ......... A Removal of skin 3.50 2.89 3.08 2.05 1.85 0.25 6.64 6.83 5.80 5.60 010
lesion.
11644 ......... A Removal of skin 4.55 3.51 3.66 2.58 2.25 0.34 8.40 8.55 7.47 7.14 010
lesion.
11646 ......... A Removal of skin 5.95 4.67 4.68 3.30 4.00 0.48 11.10 11.11 9.73 10.43 010
lesion.
11719 ......... R Trim nail(s)...... 0.11 0.43 0.35 0.04 0.09 0.01 0.55 0.47 0.16 0.21 000
11720 ......... A Debride nail, 1-5. 0.32 0.40 0.38 0.13 0.16 0.02 0.74 0.72 0.47 0.50 000
11721 ......... A Debride nail, 6 or 0.54 0.50 0.55 0.21 0.26 0.04 1.08 1.13 0.79 0.84 000
more.
[[Page 39644]]
11730 ......... A Removal of nail 1.13 0.71 0.60 0.44 0.35 0.08 1.92 1.81 1.65 1.56 000
plate.
11732 ......... A Remove additional 0.57 0.27 0.27 0.23 0.19 0.04 0.88 0.88 0.84 0.80 ZZZ
nail plate.
11740 ......... A Drain blood from 0.37 0.61 0.52 0.13 0.17 0.03 1.01 0.92 0.53 0.57 000
under nail.
11750 ......... A Removal of nail 1.86 1.44 1.86 0.77 0.96 0.13 3.43 3.85 2.76 2.95 010
bed.
11752 ......... A Remove nail bed/ 2.67 1.79 2.43 1.61 1.57 0.22 4.68 5.32 4.50 4.46 010
finger tip.
11755 ......... A Biopsy, nail unit. 1.31 1.01 1.04 0.54 0.81 0.08 2.40 2.43 1.93 2.20 000
11760 ......... A Reconstruction of 1.58 1.42 1.22 1.08 0.80 0.14 3.14 2.94 2.80 2.52 010
nail bed.
11762 ......... A Reconstruction of 2.89 1.87 2.33 1.68 1.54 0.21 4.97 5.43 4.78 4.64 010
nail bed.
11765 ......... A Excision of nail 0.69 0.89 0.72 0.41 0.35 0.05 1.63 1.46 1.15 1.09 010
fold, toe.
11770 ......... A Removal of 2.61 2.52 2.71 1.26 2.08 0.25 5.38 5.57 4.12 4.94 010
pilonidal lesion.
11771 ......... A Removal of 5.74 5.00 4.96 3.80 4.36 0.58 11.32 11.28 10.12 10.68 090
pilonidal lesion.
11772 ......... A Removal of 6.98 5.93 5.58 4.24 4.74 0.73 13.64 13.29 11.95 12.45 090
pilonidal lesion.
11900 ......... A Injection into 0.52 0.62 0.45 0.21 0.18 0.02 1.16 0.99 0.75 0.72 000
skin lesions.
11901 ......... A Added skin lesions 0.80 0.74 0.59 0.34 0.28 0.03 1.57 1.42 1.17 1.11 000
injection.
11920 ......... R Correct skin color 1.61 1.91 1.60 0.85 1.07 0.18 3.70 3.39 2.64 2.86 000
defects.
11921 ......... R Correct skin color 1.93 2.12 1.82 1.02 1.27 0.22 4.27 3.97 3.17 3.42 000
defects.
11922 ......... R Correct skin color 0.49 0.34 0.37 0.26 0.33 0.06 0.89 0.92 0.81 0.88 ZZZ
defects.
11950 ......... R Therapy for 0.84 1.01 1.15 0.41 0.85 0.06 1.91 2.05 1.31 1.75 000
contour defects.
11951 ......... R Therapy for 1.19 1.45 1.37 0.50 0.90 0.10 2.74 2.66 1.79 2.19 000
contour defects.
11952 ......... R Therapy for 1.69 1.02 1.16 1.01 1.15 0.12 2.83 2.97 2.82 2.96 000
contour defects.
11954 ......... R Therapy for 1.85 1.61 1.45 0.98 1.14 0.21 3.67 3.51 3.04 3.20 000
contour defects.
11960 ......... A Insert tissue 9.08 NA NA 9.43 8.91 0.93 NA NA 19.44 18.92 090
expander(s).
11970 ......... A Replace tissue 7.06 NA NA 4.63 6.53 0.79 NA NA 12.48 14.38 090
expander.
11971 ......... A Remove tissue 2.13 5.06 3.78 3.13 2.82 0.23 7.42 6.14 5.49 5.18 090
expander(s).
11975 ......... N Insert +1.48 1.39 1.27 0.57 0.86 0.12 2.99 2.87 2.17 2.46 XXX
contraceptive cap.
11976 ......... R Removal of 1.78 1.52 1.46 0.68 1.04 0.15 3.45 3.39 2.61 2.97 XXX
contraceptive cap.
11977 ......... N Removal/reinsert +3.30 2.09 2.33 1.26 1.91 0.27 5.66 5.90 4.83 5.48 XXX
contra cap.
12001 ......... A Repair superficial 1.70 2.17 1.40 0.78 0.70 0.15 4.02 3.25 2.63 2.55 010
wound(s).
12002 ......... A Repair superficial 1.86 2.25 1.56 0.82 0.84 0.17 4.28 3.59 2.85 2.87 010
wound(s).
12004 ......... A Repair superficial 2.24 2.42 1.83 0.94 1.09 0.21 4.87 4.28 3.39 3.54 010
wound(s).
12005 ......... A Repair superficial 2.86 2.85 2.23 1.19 1.40 0.27 5.98 5.36 4.32 4.53 010
wound(s).
12006 ......... A Repair superficial 3.67 3.80 2.87 1.86 1.90 0.35 7.82 6.89 5.88 5.92 010
wound(s).
12007 ......... A Repair superficial 4.12 4.26 3.11 2.16 2.06 0.40 8.78 7.63 6.68 6.58 010
wound(s).
12011 ......... A Repair superficial 1.76 2.24 1.52 0.79 0.80 0.16 4.16 3.44 2.71 2.72 010
wound(s).
12013 ......... A Repair superficial 1.99 2.38 1.75 0.84 0.98 0.19 4.56 3.93 3.02 3.16 010
wound(s).
12014 ......... A Repair superficial 2.46 2.69 1.99 1.03 1.16 0.23 5.38 4.68 3.72 3.85 010
wound(s).
12015 ......... A Repair superficial 3.19 3.11 2.44 1.23 1.50 0.30 6.60 5.93 4.72 4.99 010
wound(s).
12016 ......... A Repair superficial 3.93 3.34 2.90 1.46 1.96 0.38 7.65 7.21 5.77 6.27 010
wound(s).
12017 ......... A Repair superficial 4.71 4.96 4.31 2.16 2.91 0.46 10.13 9.48 7.33 8.08 010
wound(s).
12018 ......... A Repair superficial 5.53 5.66 5.63 2.73 4.16 0.48 11.67 11.64 8.74 10.17 010
wound(s).
12020 ......... A Closure of split 2.62 2.42 1.86 1.42 1.36 0.24 5.28 4.72 4.28 4.22 010
wound.
12021 ......... A Closure of split 1.84 1.93 1.30 1.06 0.70 0.16 3.93 3.30 3.06 2.70 010
wound.
12031 ......... A Layer closure of 2.15 2.45 1.62 1.11 0.75 0.16 4.76 3.93 3.42 3.06 010
wound(s).
12032 ......... A Layer closure of 2.47 2.46 1.80 1.19 0.88 0.17 5.10 4.44 3.83 3.52 010
wound(s).
12034 ......... A Layer closure of 2.92 2.71 2.16 1.35 1.48 0.25 5.88 5.33 4.52 4.65 010
wound(s).
12035 ......... A Layer closure of 3.43 2.80 2.44 1.63 1.86 0.33 6.56 6.20 5.39 5.62 010
wound(s).
12036 ......... A Layer closure of 4.05 4.60 3.56 2.32 2.42 0.42 9.07 8.03 6.79 6.89 010
wound(s).
12037 ......... A Layer closure of 4.67 4.96 4.16 2.85 3.10 0.46 10.09 9.29 7.98 8.23 010
wound(s).
12041 ......... A Layer closure of 2.37 2.75 1.83 1.16 0.81 0.18 5.30 4.38 3.71 3.36 010
wound(s).
12042 ......... A Layer closure of 2.74 2.68 1.98 1.33 0.99 0.19 5.61 4.91 4.26 3.92 010
wound(s).
12044 ......... A Layer closure of 3.14 2.83 2.30 1.48 1.62 0.27 6.24 5.71 4.89 5.03 010
wound(s).
12045 ......... A Layer closure of 3.64 3.28 2.80 1.77 2.04 0.34 7.26 6.78 5.75 6.02 010
wound(s).
12046 ......... A Layer closure of 4.25 4.89 3.98 2.40 2.73 0.38 9.52 8.61 7.03 7.36 010
wound(s).
12047 ......... A Layer closure of 4.65 5.38 4.87 2.79 3.58 0.46 10.49 9.98 7.90 8.69 010
wound(s).
12051 ......... A Layer closure of 2.47 2.66 1.88 1.27 0.91 0.18 5.31 4.53 3.92 3.56 010
wound(s).
12052 ......... A Layer closure of 2.77 2.58 2.09 1.25 1.03 0.19 5.54 5.05 4.21 3.99 010
wound(s).
12053 ......... A Layer closure of 3.12 2.73 2.32 1.40 1.66 0.24 6.09 5.68 4.76 5.02 010
wound(s).
12054 ......... A Layer closure of 3.46 3.05 2.94 1.53 2.18 0.30 6.81 6.70 5.29 5.94 010
wound(s).
12055 ......... A Layer closure of 4.43 4.00 3.76 2.11 2.82 0.41 8.84 8.60 6.95 7.66 010
wound(s).
12056 ......... A Layer closure of 5.24 5.41 5.28 2.94 4.04 0.45 11.10 10.97 8.63 9.73 010
wound(s).
12057 ......... A Layer closure of 5.96 4.93 5.49 3.90 4.97 0.52 11.41 11.97 10.38 11.45 010
wound(s).
13100 ......... A Repair of wound or 3.12 3.02 2.13 1.73 1.18 0.23 6.37 5.48 5.08 4.53 010
lesion.
13101 ......... A Repair of wound or 3.92 3.20 2.73 2.17 1.65 0.25 7.37 6.90 6.34 5.82 010
lesion.
13120 ......... A Repair of wound or 3.30 3.10 2.29 1.75 1.25 0.26 6.66 5.85 5.31 4.81 010
lesion.
13121 ......... A Repair of wound or 4.33 3.41 3.15 2.24 1.84 0.28 8.02 7.76 6.85 6.45 010
lesion.
13131 ......... A Repair of wound or 3.79 3.37 2.76 2.10 1.59 0.28 7.44 6.83 6.17 5.66 010
lesion.
13132 ......... A Repair of wound or 5.95 4.15 4.56 3.12 2.80 0.36 10.46 10.87 9.43 9.11 010
lesion.
13150 ......... A Repair of wound or 3.81 4.50 3.21 2.48 2.20 0.31 8.62 7.33 6.60 6.32 010
lesion.
13151 ......... A Repair of wound or 4.45 4.47 3.57 2.85 2.09 0.31 9.23 8.33 7.61 6.85 010
lesion.
13152 ......... A Repair of wound or 6.33 5.22 5.40 3.77 3.28 0.43 11.98 12.16 10.53 10.04 010
lesion.
13160 ......... A Late closure of 10.48 NA NA 6.18 4.90 1.14 NA NA 17.80 16.52 090
wound.
13300 ......... A Repair of wound or 5.27 3.95 5.08 2.89 4.55 0.46 9.68 10.81 8.62 10.28 010
lesion.
14000 ......... A Skin tissue 5.89 6.28 4.99 4.20 3.03 0.48 12.65 11.36 10.57 9.40 090
rearrangement.
14001 ......... A Skin tissue 8.47 7.56 6.36 5.52 5.34 0.70 16.73 15.53 14.69 14.51 090
rearrangement.
14020 ......... A Skin tissue 6.59 6.66 5.99 4.82 5.07 0.53 13.78 13.11 11.94 12.19 090
rearrangement.
14021 ......... A Skin tissue 10.06 8.07 7.41 6.60 6.67 0.76 18.89 18.23 17.42 17.49 090
rearrangement.
14040 ......... A Skin tissue 7.87 7.07 7.21 5.55 4.62 0.57 15.51 15.65 13.99 13.06 090
rearrangement.
14041 ......... A Skin tissue 11.49 8.72 8.64 7.45 5.87 0.73 20.94 20.86 19.67 18.09 090
rearrangement.
14060 ......... A Skin tissue 8.50 7.58 8.00 6.32 7.37 0.63 16.71 17.13 15.45 16.50 090
rearrangement.
14061 ......... A Skin tissue 12.29 9.64 10.51 8.36 7.03 0.79 22.72 23.59 21.44 20.11 090
rearrangement.
14300 ......... A Skin tissue 11.76 8.89 10.58 7.78 10.03 0.97 21.62 23.31 20.51 22.76 090
rearrangement.
14350 ......... A Skin tissue 9.61 NA NA 5.97 6.28 0.96 NA NA 16.54 16.85 090
rearrangement.
15000 ......... A Skin graft........ 4.00 2.30 2.32 1.95 2.14 0.38 6.68 6.70 6.33 6.52 000
15001 ......... A Skin graft add-on. 1.00 0.49 0.49 0.48 0.48 0.10 1.59 1.59 1.58 1.58 ZZZ
[[Page 39645]]
15050 ......... A Skin pinch graft.. 4.30 4.52 3.23 3.52 2.73 0.43 9.25 7.96 8.25 7.46 090
15100 ......... A Skin split graft.. 9.05 5.83 5.38 5.79 5.36 0.98 15.86 15.41 15.82 15.39 090
15101 ......... A Skin split graft 1.72 1.17 1.45 0.78 1.26 0.18 3.07 3.35 2.68 3.16 ZZZ
add-on.
15120 ......... A Skin split graft.. 9.83 7.34 6.96 6.50 6.54 0.84 18.01 17.63 17.17 17.21 090
15121 ......... A Skin split graft 2.67 1.67 2.42 1.28 2.22 0.27 4.61 5.36 4.22 5.16 ZZZ
add-on.
15200 ......... A Skin full graft... 8.03 7.96 6.22 5.25 4.87 0.75 16.74 15.00 14.03 13.65 090
15201 ......... A Skin full graft 1.32 0.94 1.38 0.63 1.10 0.14 2.40 2.84 2.09 2.56 ZZZ
add-on.
15220 ......... A Skin full graft... 7.87 8.03 6.64 5.71 5.48 0.71 16.61 15.22 14.29 14.06 090
15221 ......... A Skin full graft 1.19 0.81 1.27 0.61 1.02 0.13 2.13 2.59 1.93 2.34 ZZZ
add-on.
15240 ......... A Skin full graft... 9.04 7.82 7.22 6.44 6.53 0.82 17.68 17.08 16.30 16.39 090
15241 ......... A Skin full graft 1.86 1.29 1.94 0.96 1.59 0.18 3.33 3.98 3.00 3.63 ZZZ
add-on.
15260 ......... A Skin full graft... 10.06 7.97 8.04 7.05 7.58 0.68 18.71 18.78 17.79 18.32 090
15261 ......... A Skin full graft 2.23 1.42 2.26 1.17 1.92 0.18 3.83 4.67 3.58 4.33 ZZZ
add-on.
15350 ......... A Skin homograft.... 4.00 6.92 4.63 3.96 3.15 0.42 11.34 9.05 8.38 7.57 090
15351 ......... A Skin homograft add- 1.00 0.42 0.42 0.42 0.42 0.09 1.51 1.51 1.51 1.51 ZZZ
on.
15400 ......... A Skin heterograft.. 4.00 3.84 2.50 3.84 2.50 0.36 8.20 6.86 8.20 6.86 090
15401 ......... A Skin heterograft 1.00 0.42 0.42 0.42 0.42 0.09 1.51 1.51 1.51 1.51 ZZZ
add-on.
15570 ......... A Form skin pedicle 9.21 7.18 6.58 5.72 5.85 0.95 17.34 16.74 15.88 16.01 090
flap.
15572 ......... A Form skin pedicle 9.27 7.05 6.45 6.08 5.96 0.92 17.24 16.64 16.27 16.15 090
flap.
15574 ......... A Form skin pedicle 9.88 7.34 6.60 6.42 6.14 0.91 18.13 17.39 17.21 16.93 090
flap.
15576 ......... A Form skin pedicle 8.69 7.79 5.59 5.92 4.66 0.75 17.23 15.03 15.36 14.10 090
flap.
15580 ......... A Attach skin 9.46 NA NA 6.64 5.66 1.05 NA NA 17.15 16.17 090
pedicle graft.
15600 ......... A Skin graft........ 1.91 4.83 3.78 1.96 2.12 0.20 6.94 5.89 4.07 4.23 090
15610 ......... A Skin graft........ 2.42 4.28 3.67 2.24 2.57 0.26 6.96 6.35 4.92 5.25 090
15620 ......... A Skin graft........ 2.94 5.23 4.48 2.95 3.23 0.28 8.45 7.70 6.17 6.45 090
15625 ......... A Skin graft........ 1.91 NA NA 2.20 2.24 0.21 NA NA 4.32 4.36 090
15630 ......... A Skin graft........ 3.27 5.03 4.47 3.13 3.52 0.30 8.60 8.04 6.70 7.09 090
15650 ......... A Transfer skin 3.97 5.05 4.90 3.22 3.98 0.36 9.38 9.23 7.55 8.31 090
pedicle flap.
15732 ......... A Muscle-skin graft, 17.84 NA NA 11.10 13.95 1.55 NA NA 30.49 33.34 090
head/neck.
15734 ......... A Muscle-skin graft, 17.79 NA NA 10.72 15.68 1.96 NA NA 30.47 35.43 090
trunk.
15736 ......... A Muscle-skin graft, 16.27 NA NA 10.09 13.84 1.82 NA NA 28.18 31.93 090
arm.
15738 ......... A Muscle-skin graft, 17.92 NA NA 10.70 12.35 2.01 NA NA 30.63 32.28 090
leg.
15740 ......... A Island pedicle 10.25 7.62 9.45 6.64 8.96 0.68 18.55 20.38 17.57 19.89 090
flap graft.
15750 ......... A Neurovascular 11.41 NA NA 7.87 10.43 1.24 NA NA 20.52 23.08 090
pedicle graft.
15756 ......... A Free muscle flap, 35.23 NA NA 21.01 26.84 3.77 NA NA 60.01 65.84 090
microvasc.
15757 ......... A Free skin flap, 35.23 NA NA 21.51 27.09 3.53 NA NA 60.27 65.85 090
microvasc.
15758 ......... A Free fascial flap, 35.10 NA NA 21.67 27.17 3.58 NA NA 60.35 65.85 090
microvasc.
15760 ......... A Composite skin 8.74 7.82 7.87 6.34 7.13 0.76 17.32 17.37 15.84 16.63 090
graft.
15770 ......... A Derma-fat-fascia 7.52 NA NA 5.80 6.95 0.85 NA NA 14.17 15.32 090
graft.
15775 ......... R Hair transplant 3.96 2.83 2.98 1.51 2.32 0.45 7.24 7.39 5.92 6.73 000
punch grafts.
15776 ......... R Hair transplant 5.54 3.63 4.00 2.93 3.65 0.63 9.80 10.17 9.10 9.82 000
punch grafts.
15780 ......... A Abrasion treatment 7.29 6.41 4.04 6.22 3.53 0.58 14.28 11.91 14.09 11.40 090
of skin.
15781 ......... A Abrasion treatment 4.85 4.30 4.20 4.30 3.18 0.30 9.45 9.35 9.45 8.33 090
of skin.
15782 ......... A Abrasion treatment 4.32 3.72 2.51 3.30 1.98 0.29 8.33 7.12 7.91 6.59 090
of skin.
15783 ......... A Abrasion treatment 4.29 3.89 2.95 3.76 2.39 0.28 8.46 7.52 8.33 6.96 090
of skin.
15786 ......... A Abrasion, lesion, 2.03 1.54 1.11 1.23 0.79 0.12 3.69 3.26 3.38 2.94 010
single.
15787 ......... A Abrasion, lesions, 0.33 0.24 0.25 0.15 0.14 0.02 0.59 0.60 0.50 0.49 ZZZ
add-on.
15788 ......... R Chemical peel, 2.09 2.44 2.03 1.00 1.31 0.10 4.63 4.22 3.19 3.50 090
face, epiderm.
15789 ......... R Chemical peel, 4.92 5.15 3.38 3.25 2.43 0.32 10.39 8.62 8.49 7.67 090
face, dermal.
15792 ......... R Chemical peel, 1.86 2.39 1.47 2.39 1.47 0.12 4.37 3.45 4.37 3.45 090
nonfacial.
15793 ......... A Chemical peel, 3.74 NA NA 2.80 1.67 0.17 NA NA 6.71 5.58 090
nonfacial.
15810 ......... A Salabrasion....... 4.74 2.82 3.47 2.82 3.47 0.41 7.97 8.62 7.97 8.62 090
15811 ......... A Salabrasion....... 5.39 5.55 4.81 4.36 4.21 0.62 11.56 10.82 10.37 10.22 090
15819 ......... A Plastic surgery, 9.38 NA NA 6.51 7.60 0.87 NA NA 16.76 17.85 090
neck.
15820 ......... A Revision of lower 5.15 9.06 7.61 6.11 6.13 0.31 14.52 13.07 11.57 11.59 090
eyelid.
15821 ......... A Revision of lower 5.72 9.41 8.12 6.38 6.61 0.31 15.44 14.15 12.41 12.64 090
eyelid.
15822 ......... A Revision of upper 4.45 8.22 6.77 5.71 5.52 0.24 12.91 11.46 10.40 10.21 090
eyelid.
15823 ......... A Revision of upper 7.05 9.52 8.95 6.96 7.67 0.35 16.92 16.35 14.36 15.07 090
eyelid.
15824 ......... R Removal of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
forehead wrinkles.
15825 ......... R Removal of neck 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15826 ......... R Removal of brow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15828 ......... R Removal of face 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15829 ......... R Removal of skin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wrinkles.
15831 ......... A Excise excessive 12.40 NA NA 7.33 9.01 1.30 NA NA 21.03 22.71 090
skin tissue.
15832 ......... A Excise excessive 11.59 NA NA 6.88 7.94 1.24 NA NA 19.71 20.77 090
skin tissue.
15833 ......... A Excise excessive 10.64 NA NA 6.98 6.87 1.36 NA NA 18.98 18.87 090
skin tissue.
15834 ......... A Excise excessive 10.85 NA NA 7.20 7.50 1.31 NA NA 19.36 19.66 090
skin tissue.
15835 ......... A Excise excessive 11.67 NA NA 6.64 7.12 1.43 NA NA 19.74 20.22 090
skin tissue.
15836 ......... A Excise excessive 9.34 NA NA 5.63 5.96 1.00 NA NA 15.97 16.30 090
skin tissue.
15837 ......... A Excise excessive 8.43 6.54 6.51 5.84 6.16 0.88 15.85 15.82 15.15 15.47 090
skin tissue.
15838 ......... A Excise excessive 7.13 NA NA 5.52 5.95 0.55 NA NA 13.20 13.63 090
skin tissue.
15839 ......... A Excise excessive 9.38 6.99 4.82 5.73 4.19 0.84 17.21 15.04 15.95 14.41 090
skin tissue.
15840 ......... A Graft for face 13.26 NA NA 9.33 12.58 1.11 NA NA 23.70 26.95 090
nerve palsy.
15841 ......... A Graft for face 23.26 NA NA 14.41 16.36 2.66 NA NA 40.33 42.28 090
nerve palsy.
15842 ......... A Graft for face 37.96 NA NA 20.67 26.07 4.74 NA NA 63.37 68.77 090
nerve palsy.
15845 ......... A Skin and muscle 12.57 NA NA 8.45 11.73 0.91 NA NA 21.93 25.21 090
repair, face.
15850 ......... B Removal of sutures 0.78 1.26 0.83 0.30 0.35 0.05 2.09 1.66 1.13 1.18 XXX
15851 ......... A Removal of sutures 0.86 1.51 0.92 0.32 0.25 0.06 2.43 1.84 1.24 1.17 000
15852 ......... A Dressing 0.86 1.61 1.05 0.37 0.31 0.08 2.55 1.99 1.31 1.25 000
change,not for
burn.
15860 ......... A Test for blood 1.95 1.04 1.26 0.80 1.14 0.20 3.19 3.41 2.95 3.29 000
flow in graft.
15876 ......... R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15877 ......... R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15878 ......... R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
15879 ......... R Suction assisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipectomy.
[[Page 39646]]
15920 ......... A Removal of tail 7.95 NA NA 5.17 4.19 0.80 NA NA 13.92 12.94 090
bone ulcer.
15922 ......... A Removal of tail 9.90 NA NA 6.77 6.63 1.07 NA NA 17.74 17.60 090
bone ulcer.
15931 ......... A Remove sacrum 9.24 NA NA 5.29 4.24 0.99 NA NA 15.52 14.47 090
pressure sore.
15933 ......... A Remove sacrum 10.85 NA NA 7.57 7.54 1.18 NA NA 19.60 19.57 090
pressure sore.
15934 ......... A Remove sacrum 12.69 NA NA 7.94 8.02 1.40 NA NA 22.03 22.11 090
pressure sore.
15935 ......... A Remove sacrum 14.57 NA NA 9.24 10.72 1.62 NA NA 25.43 26.91 090
pressure sore.
15936 ......... A Remove sacrum 12.38 NA NA 8.29 9.72 1.33 NA NA 22.00 23.43 090
pressure sore.
15937 ......... A Remove sacrum 14.21 NA NA 9.43 12.03 1.58 NA NA 25.22 27.82 090
pressure sore.
15940 ......... A Removal of 9.34 NA NA 5.65 4.75 1.02 NA NA 16.01 15.11 090
pressure sore.
15941 ......... A Removal of 11.43 NA NA 8.81 8.23 1.26 NA NA 21.50 20.92 090
pressure sore.
15944 ......... A Removal of 11.46 NA NA 7.92 8.99 1.24 NA NA 20.62 21.69 090
pressure sore.
15945 ......... A Removal of 12.69 NA NA 8.58 10.34 1.38 NA NA 22.65 24.41 090
pressure sore.
15946 ......... A Removal of 21.57 NA NA 13.41 15.72 2.25 NA NA 37.23 39.54 090
pressure sore.
15950 ......... A Remove thigh 7.54 NA NA 4.66 3.97 0.81 NA NA 13.01 12.32 090
pressure sore.
15951 ......... A Remove thigh 10.72 NA NA 7.60 7.95 1.15 NA NA 19.47 19.82 090
pressure sore.
15952 ......... A Remove thigh 11.39 NA NA 7.05 7.40 1.25 NA NA 19.69 20.04 090
pressure sore.
15953 ......... A Remove thigh 12.63 NA NA 7.94 8.90 1.38 NA NA 21.95 22.91 090
pressure sore.
15956 ......... A Remove thigh 15.52 NA NA 9.81 14.17 1.67 NA NA 27.00 31.36 090
pressure sore.
15958 ......... A Remove thigh 15.48 NA NA 9.84 14.16 1.69 NA NA 27.01 31.33 090
pressure sore.
15999 ......... C Removal of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
pressure sore.
16000 ......... A Initial treatment 0.89 0.95 0.67 0.23 0.21 0.07 1.91 1.63 1.19 1.17 000
of burn(s).
16010 ......... A Treatment of 0.87 1.04 0.70 0.32 0.25 0.07 1.98 1.64 1.26 1.19 000
burn(s).
16015 ......... A Treatment of 2.35 2.82 2.52 0.88 1.55 0.22 5.39 5.09 3.45 4.12 000
burn(s).
16020 ......... A Treatment of 0.80 1.10 0.74 0.24 0.22 0.06 1.96 1.60 1.10 1.08 000
burn(s).
16025 ......... A Treatment of 1.85 1.62 1.06 0.67 0.46 0.17 3.64 3.08 2.69 2.48 000
burn(s).
16030 ......... A Treatment of 2.08 2.66 1.61 0.86 0.71 0.20 4.94 3.89 3.14 2.99 000
burn(s).
16035 ......... A Incision of burn 4.82 2.84 2.44 1.99 2.02 0.50 8.16 7.76 7.31 7.34 090
scab.
17000 ......... A Destroy benign/ 0.60 0.76 0.61 0.26 0.25 0.03 1.39 1.24 0.89 0.88 010
premal lesion.
17003 ......... A Destroy 2-14 0.15 0.56 0.35 0.07 0.07 0.01 0.72 0.51 0.23 0.23 ZZZ
lesions.
17004 ......... A Destroy 15 & more 2.79 1.86 2.15 1.31 1.27 0.12 4.77 5.06 4.22 4.18 010
lesions.
17106 ......... A Destruction of 4.59 3.49 2.79 2.67 1.86 0.28 8.36 7.66 7.54 6.73 090
skin lesions.
17107 ......... A Destruction of 9.16 5.93 4.98 4.96 3.49 0.54 15.63 14.68 14.66 13.19 090
skin lesions.
17108 ......... A Destruction of 13.20 8.29 9.20 7.17 8.64 0.81 22.30 23.21 21.18 22.65 090
skin lesions.
17110 ......... A Destruct lesion, 1- 0.65 0.92 0.68 0.26 0.24 0.04 1.61 1.37 0.95 0.93 010
14.
17111 ......... A Destruct lesion, 0.92 1.13 0.89 0.37 0.35 0.06 2.11 1.87 1.35 1.33 010
15 or more.
17250 ......... A Chemical cautery, 0.50 0.63 0.50 0.19 0.19 0.04 1.17 1.04 0.73 0.73 000
tissue.
17260 ......... A Destruction of 0.91 1.07 1.15 0.42 0.52 0.04 2.02 2.10 1.37 1.47 010
skin lesions.
17261 ......... A Destruction of 1.17 1.17 1.34 0.55 0.66 0.05 2.39 2.56 1.77 1.88 010
skin lesions.
17262 ......... A Destruction of 1.58 1.37 1.68 0.74 0.87 0.06 3.01 3.32 2.38 2.51 010
skin lesions.
17263 ......... A Destruction of 1.79 1.47 1.96 0.82 1.02 0.07 3.33 3.82 2.68 2.88 010
skin lesions.
17264 ......... A Destruction of 1.94 1.55 2.18 0.88 1.15 0.08 3.57 4.20 2.90 3.17 010
skin lesions.
17266 ......... A Destruction of 2.34 1.75 2.57 0.98 1.34 0.11 4.20 5.02 3.43 3.79 010
skin lesions.
17270 ......... A Destruction of 1.32 1.27 1.36 0.61 0.67 0.06 2.65 2.74 1.99 2.05 010
skin lesions.
17271 ......... A Destruction of 1.49 1.33 1.62 0.70 0.83 0.06 2.88 3.17 2.25 2.38 010
skin lesions.
17272 ......... A Destruction of 1.77 1.46 1.93 0.84 1.02 0.07 3.30 3.77 2.68 2.86 010
skin lesions.
17273 ......... A Destruction of 2.05 1.60 2.20 0.95 1.18 0.09 3.74 4.34 3.09 3.32 010
skin lesions.
17274 ......... A Destruction of 2.59 1.87 2.68 1.18 1.46 0.11 4.57 5.38 3.88 4.16 010
skin lesions.
17276 ......... A Destruction of 3.20 2.19 2.95 1.63 1.74 0.16 5.55 6.31 4.99 5.10 010
skin lesions.
17280 ......... A Destruction of 1.17 1.19 1.49 0.52 0.71 0.05 2.41 2.71 1.74 1.93 010
skin lesions.
17281 ......... A Destruction of 1.72 1.44 1.86 0.82 0.98 0.07 3.23 3.65 2.61 2.77 010
skin lesions.
17282 ......... A Destruction of 2.04 1.60 2.20 0.97 1.19 0.08 3.72 4.32 3.09 3.31 010
skin lesions.
17283 ......... A Destruction of 2.64 1.89 2.58 1.27 1.46 0.11 4.64 5.33 4.02 4.21 010
skin lesions.
17284 ......... A Destruction of 3.21 2.17 2.99 1.55 1.73 0.14 5.52 6.34 4.90 5.08 010
skin lesions.
17286 ......... A Destruction of 4.44 2.83 3.76 2.41 2.38 0.23 7.50 8.43 7.08 7.05 010
skin lesions.
17304 ......... A Chemosurgery of 7.60 6.84 5.60 3.65 2.92 0.33 14.77 13.53 11.58 10.85 000
skin lesion.
17305 ......... A 2nd stage 2.85 2.61 2.53 1.37 1.30 0.12 5.58 5.50 4.34 4.27 000
chemosurgery.
17306 ......... A 3rd stage 2.85 2.62 2.07 1.38 1.07 0.12 5.59 5.04 4.35 4.04 000
chemosurgery.
17307 ......... A Followup skin 2.85 2.61 2.11 1.39 1.10 0.12 5.58 5.08 4.36 4.07 000
lesion therapy.
17310 ......... A Extensive skin 0.95 1.05 0.60 0.47 0.27 0.05 2.05 1.60 1.47 1.27 000
chemosurgery.
17340 ......... A Cryotherapy of 0.76 1.19 0.75 0.25 0.20 0.05 2.00 1.56 1.06 1.01 010
skin.
17360 ......... A Skin peel therapy. 1.43 1.30 0.80 0.71 0.43 0.07 2.80 2.30 2.21 1.93 010
17380 ......... R Hair removal by 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
electrolysis.
17999 ......... C Skin tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
19000 ......... A Drainage of breast 0.84 1.47 0.94 0.24 0.23 0.07 2.38 1.85 1.15 1.14 000
lesion.
19001 ......... A Drain breast 0.42 1.11 0.69 0.12 0.13 0.03 1.56 1.14 0.57 0.58 ZZZ
lesion add-on.
19020 ......... A Incision of breast 3.57 6.19 3.86 3.14 2.33 0.36 10.12 7.79 7.07 6.26 090
lesion.
19030 ......... A Injection for 1.53 10.96 5.75 0.42 0.48 0.07 12.56 7.35 2.02 2.08 000
breast x-ray.
19100 ......... A Biopsy of breast.. 1.27 3.46 2.08 0.39 0.37 0.09 4.82 3.44 1.75 1.73 000
19101 ......... A Biopsy of breast.. 3.18 8.71 5.63 3.78 3.16 0.24 12.13 9.05 7.20 6.58 010
19110 ......... A Nipple exploration 4.30 7.68 5.18 4.10 3.39 0.43 12.41 9.91 8.83 8.12 090
19112 ......... A Excise breast duct 3.67 7.87 5.21 2.92 2.73 0.37 11.91 9.25 6.96 6.77 090
fistula.
19120 ......... A Removal of breast 5.56 4.16 3.66 3.45 3.30 0.57 10.29 9.79 9.58 9.43 090
lesion.
19125 ......... A Excision, breast 6.06 4.70 3.93 3.65 3.40 0.63 11.39 10.62 10.34 10.09 090
lesion.
19126 ......... A Excision,addl 2.93 NA NA 1.11 1.34 0.30 NA NA 4.34 4.57 ZZZ
breast lesion.
19140 ......... A Removal of breast 5.14 8.33 6.50 3.49 4.08 0.54 14.01 12.18 9.17 9.76 090
tissue.
19160 ......... A Removal of breast 5.99 NA NA 4.25 4.37 0.61 NA NA 10.85 10.97 090
tissue.
19162 ......... A Remove breast 13.53 NA NA 7.91 9.05 1.38 NA NA 22.82 23.96 090
tissue, nodes.
19180 ......... A Removal of breast. 8.80 NA NA 5.84 5.97 0.90 NA NA 15.54 15.67 090
19182 ......... A Removal of breast. 7.73 NA NA 4.91 5.75 0.80 NA NA 13.44 14.28 090
19200 ......... A Removal of breast. 15.49 NA NA 8.96 10.03 1.57 NA NA 26.02 27.09 090
19220 ......... A Removal of breast. 15.72 NA NA 8.74 10.19 1.57 NA NA 26.03 27.48 090
19240 ......... A Removal of breast. 16.00 NA NA 8.79 9.52 1.64 NA NA 26.43 27.16 090
19260 ......... A Removal of chest 15.44 NA NA 9.89 7.69 1.76 NA NA 27.09 24.89 090
wall lesion.
19271 ......... A Revision of chest 18.90 NA NA 12.43 13.79 2.23 NA NA 33.56 34.92 090
wall.
[[Page 39647]]
19272 ......... A Extensive chest 21.55 NA NA 12.76 13.22 2.46 NA NA 36.77 37.23 090
wall surgery.
19290 ......... A Place needle wire, 1.27 5.50 2.99 0.35 0.42 0.06 6.83 4.32 1.68 1.75 000
breast.
19291 ......... A Place needle wire, 0.63 1.52 0.90 0.17 0.22 0.03 2.18 1.56 0.83 0.88 ZZZ
breast.
19316 ......... A Suspension of 10.69 NA NA 7.10 9.93 1.19 NA NA 18.98 21.81 090
breast.
19318 ......... A Reduction of large 15.62 NA NA 9.66 12.53 1.75 NA NA 27.03 29.90 090
breast.
19324 ......... A Enlarge breast.... 5.85 NA NA 3.77 3.67 0.65 NA NA 10.27 10.17 090
19325 ......... A Enlarge breast 8.45 NA NA 5.95 6.16 0.96 NA NA 15.36 15.57 090
with implant.
19328 ......... A Removal of breast 5.68 NA NA 4.09 4.09 0.64 NA NA 10.41 10.41 090
implant.
19330 ......... A Removal of implant 7.59 NA NA 4.82 4.52 0.85 NA NA 13.26 12.96 090
material.
19340 ......... A Immediate breast 6.33 NA NA 3.24 5.40 0.71 NA NA 10.28 12.44 ZZZ
prosthesis.
19342 ......... A Delayed breast 11.20 NA NA 7.26 9.50 1.26 NA NA 19.72 21.96 090
prosthesis.
19350 ......... A Breast 8.92 11.28 9.48 6.18 6.93 1.00 21.20 19.40 16.10 16.85 090
reconstruction.
19355 ......... A Correct inverted 7.57 13.04 9.20 4.74 5.05 0.78 21.39 17.55 13.09 13.40 090
nipple(s).
19357 ......... A Breast 18.16 NA NA 12.72 12.96 2.04 NA NA 32.92 33.16 090
reconstruction.
19361 ......... A Breast 19.26 NA NA 11.41 16.63 2.16 NA NA 32.83 38.05 090
reconstruction.
19364 ......... A Breast 41.00 NA NA 23.94 21.02 4.44 NA NA 69.38 66.46 090
reconstruction.
19366 ......... A Breast 21.28 NA NA 11.21 14.51 2.26 NA NA 34.75 38.05 090
reconstruction.
19367 ......... A Breast 25.73 NA NA 14.59 18.22 2.85 NA NA 43.17 46.80 090
reconstruction.
19368 ......... A Breast 32.42 NA NA 18.57 20.21 3.68 NA NA 54.67 56.31 090
reconstruction.
19369 ......... A Breast 29.82 NA NA 17.58 19.72 3.33 NA NA 50.73 52.87 090
reconstruction.
19370 ......... A Surgery of breast 8.05 NA NA 5.52 6.11 0.91 NA NA 14.48 15.07 090
capsule.
19371 ......... A Removal of breast 9.35 NA NA 6.51 7.55 1.05 NA NA 16.91 17.95 090
capsule.
19380 ......... A Revise breast 9.14 NA NA 6.41 7.61 1.02 NA NA 16.57 17.77 090
reconstruction.
19396 ......... A Design custom 2.17 4.23 2.97 0.83 1.27 0.25 6.65 5.39 3.25 3.69 000
breast implant.
19499 ......... C Breast surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
20000 ......... A Incision of 2.12 1.86 1.39 1.06 0.76 0.16 4.14 3.67 3.34 3.04 010
abscess.
20005 ......... A Incision of deep 3.42 2.65 2.32 2.07 2.03 0.32 6.39 6.06 5.81 5.77 010
abscess.
20100 ......... A Explore wound, 10.08 5.35 5.37 4.85 5.12 0.98 16.41 16.43 15.91 16.18 010
neck.
20101 ......... A Explore wound, 3.22 2.29 2.00 1.74 1.72 0.31 5.82 5.53 5.27 5.25 010
chest.
20102 ......... A Explore wound, 3.94 3.05 2.57 1.90 1.99 0.41 7.40 6.92 6.25 6.34 010
abdomen.
20103 ......... A Explore wound, 5.30 3.96 3.39 2.99 2.90 0.55 9.81 9.24 8.84 8.75 010
extremity.
20150 ......... A Excise epiphyseal 13.69 NA NA 7.51 10.49 1.11 NA NA 22.31 25.29 090
bar.
20200 ......... A Muscle biopsy..... 1.46 1.60 1.41 0.61 0.92 0.17 3.23 3.04 2.24 2.55 000
20205 ......... A Deep muscle biopsy 2.35 3.82 2.93 0.97 1.51 0.29 6.46 5.57 3.61 4.15 000
20206 ......... A Needle biopsy, 0.99 2.99 2.02 0.31 0.68 0.06 4.04 3.07 1.36 1.73 000
muscle.
20220 ......... A Bone biopsy, 1.27 3.45 2.44 2.01 1.72 0.06 4.78 3.77 3.34 3.05 000
trocar/needle.
20225 ......... A Bone biopsy, 1.87 0.65 1.62 0.65 1.45 0.10 2.62 3.59 2.62 3.42 000
trocar/needle.
20240 ......... A Bone biopsy, 3.23 NA NA 3.52 2.78 0.29 NA NA 7.04 6.30 010
excisional.
20245 ......... A Bone biopsy, 3.95 NA NA 4.15 4.02 0.38 NA NA 8.48 8.35 010
excisional.
20250 ......... A Open bone biopsy.. 5.03 NA NA 3.73 4.62 0.49 NA NA 9.25 10.14 010
20251 ......... A Open bone biopsy.. 5.56 NA NA 4.47 5.41 0.71 NA NA 10.74 11.68 010
20500 ......... A Injection of sinus 1.23 4.94 2.67 4.39 2.30 0.09 6.26 3.99 5.71 3.62 010
tract.
20501 ......... A Inject sinus tract 0.76 12.94 6.64 0.20 0.27 0.03 13.73 7.43 0.99 1.06 000
for x-ray.
20520 ......... A Removal of foreign 1.85 4.30 2.54 2.85 1.62 0.16 6.31 4.55 4.86 3.63 010
body.
20525 ......... A Removal of foreign 3.50 5.46 3.94 3.64 3.03 0.36 9.32 7.80 7.50 6.89 010
body.
20550 ......... A Inj tendon/ 0.86 2.17 1.29 0.18 0.20 0.06 3.09 2.21 1.10 1.12 000
ligament/cyst.
20600 ......... A Drain/inject joint/ 0.66 1.15 0.83 0.26 0.26 0.05 1.86 1.54 0.97 0.97 000
bursa.
20605 ......... A Drain/inject joint/ 0.68 1.44 0.97 0.27 0.26 0.05 2.17 1.70 1.00 0.99 000
bursa.
20610 ......... A Drain/inject joint/ 0.79 1.79 1.14 0.31 0.28 0.07 2.65 2.00 1.17 1.14 000
bursa.
20615 ......... A Treatment of bone 2.28 3.52 2.03 2.33 1.30 0.18 5.98 4.49 4.79 3.76 010
cyst.
20650 ......... A Insert and remove 2.23 4.07 2.62 2.78 1.98 0.18 6.48 5.03 5.19 4.39 010
bone pin.
20660 ......... A Apply,remove 2.51 NA NA 1.32 1.51 0.47 NA NA 4.30 4.49 000
fixation device.
20661 ......... A Application of 4.89 NA NA 6.08 5.12 0.85 NA NA 11.82 10.86 090
head brace.
20662 ......... A Application of 6.07 NA NA 4.76 5.93 0.59 NA NA 11.42 12.59 090
pelvis brace.
20663 ......... A Application of 5.43 NA NA 3.82 4.43 0.51 NA NA 9.76 10.37 090
thigh brace.
20664 ......... A Halo brace 8.06 NA NA 7.76 5.96 1.42 NA NA 17.24 15.44 090
application.
20665 ......... A Removal of 1.31 2.23 1.39 1.16 0.85 0.18 3.72 2.88 2.65 2.34 010
fixation device.
20670 ......... A Removal of support 1.74 4.73 2.77 3.31 1.86 0.18 6.65 4.69 5.23 3.78 010
implant.
20680 ......... A Removal of support 3.35 4.12 3.87 4.12 3.87 0.36 7.83 7.58 7.83 7.58 090
implant.
20690 ......... A Apply bone 3.52 NA NA 1.67 2.82 0.35 NA NA 5.54 6.69 090
fixation device.
20692 ......... A Apply bone 6.41 NA NA 3.36 4.67 0.68 NA NA 10.45 11.76 090
fixation device.
20693 ......... A Adjust bone 5.86 NA NA 12.71 7.71 0.70 NA NA 19.27 14.27 090
fixation device.
20694 ......... A Remove bone 4.16 7.20 5.01 5.65 4.24 0.46 11.82 9.63 10.27 8.86 090
fixation device.
20802 ......... A Replantation, arm, 41.15 NA NA 24.95 32.95 3.68 NA NA 69.78 77.78 090
complete.
20805 ......... A Replant forearm, 50.00 NA NA 41.90 46.01 3.83 NA NA 95.73 99.84 090
complete.
20808 ......... A Replantation, 61.65 NA NA 39.11 50.70 5.83 NA NA 106.59 118.18 090
hand, complete.
20816 ......... A Replantation 30.94 NA NA 41.00 35.86 3.26 NA NA 75.20 70.06 090
digit, complete.
20822 ......... A Replantation 25.59 NA NA 37.88 31.63 2.69 NA NA 66.16 59.91 090
digit, complete.
20824 ......... A Replantation 30.94 NA NA 36.32 33.52 3.48 NA NA 70.74 67.94 090
thumb, complete.
20827 ......... A Replantation 26.41 NA NA 37.45 31.78 2.90 NA NA 66.76 61.09 090
thumb, complete.
20838 ......... A Replantation, 41.41 NA NA 31.69 36.32 5.27 NA NA 78.37 83.00 090
foot, complete.
20900 ......... A Removal of bone 5.58 5.21 4.13 5.21 4.13 0.58 11.37 10.29 11.37 10.29 090
for graft.
20902 ......... A Removal of bone 7.55 NA NA 7.90 6.64 0.83 NA NA 16.28 15.02 090
for graft.
20910 ......... A Remove cartilage 5.34 6.70 3.78 5.69 3.28 0.46 12.50 9.58 11.49 9.08 090
for graft.
20912 ......... A Remove cartilage 6.35 NA NA 6.13 5.57 0.59 NA NA 13.07 12.51 090
for graft.
20920 ......... A Removal of fascia 5.31 NA NA 4.71 4.49 0.54 NA NA 10.56 10.34 090
for graft.
20922 ......... A Removal of fascia 6.61 7.58 6.17 6.03 5.40 0.88 15.07 13.66 13.52 12.89 090
for graft.
20924 ......... A Removal of tendon 6.48 NA NA 6.12 6.02 0.72 NA NA 13.32 13.22 090
for graft.
20926 ......... A Removal of tissue 5.53 NA NA 5.44 4.13 0.76 NA NA 11.73 10.42 090
for graft.
20930 ......... B Spinal bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
allograft.
20931 ......... A Spinal bone 1.81 NA NA 0.97 1.43 0.32 NA NA 3.10 3.56 ZZZ
allograft.
20936 ......... B Spinal bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
autograft.
20937 ......... A Spinal bone 2.79 NA NA 1.49 2.19 0.36 NA NA 4.64 5.34 ZZZ
autograft.
20938 ......... A Spinal bone 3.02 NA NA 1.61 2.37 0.47 NA NA 5.10 5.86 ZZZ
autograft.
[[Page 39648]]
20950 ......... A Record fluid 1.26 NA NA 1.65 1.42 0.14 NA NA 3.05 2.82 000
pressure,muscle.
20955 ......... A Fibula bone graft, 39.21 NA NA 26.94 32.92 4.10 NA NA 70.25 76.23 090
microvasc.
20956 ......... A Iliac bone graft, 39.27 NA NA 26.85 28.02 4.97 NA NA 71.09 72.26 090
microvasc.
20957 ......... A Mt bone graft, 40.65 NA NA 20.91 25.58 5.14 NA NA 66.70 71.37 090
microvasc.
20962 ......... A Other bone graft, 39.27 NA NA 26.13 27.66 4.54 NA NA 69.94 71.47 090
microvasc.
20969 ......... A Bone/skin graft, 43.92 NA NA 29.05 36.30 4.30 NA NA 77.27 84.52 090
microvasc.
20970 ......... A Bone/skin graft, 43.06 NA NA 27.33 35.00 4.46 NA NA 74.85 82.52 090
iliac crest.
20972 ......... A Bone-skin graft, 42.99 NA NA 20.08 31.54 4.18 NA NA 67.25 78.71 090
metatarsal.
20973 ......... A Bone-skin graft, 45.76 NA NA 26.92 36.39 5.06 NA NA 77.74 87.21 090
great toe.
20974 ......... A Electrical bone 0.62 0.34 2.03 0.32 1.09 0.05 1.01 2.70 0.99 1.76 000
stimulation.
20975 ......... A Electrical bone 2.60 NA NA 1.38 2.24 0.32 NA NA 4.30 5.16 000
stimulation.
20999 ......... C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
21010 ......... A Incision of jaw 10.14 NA NA 6.10 8.61 0.53 NA NA 16.77 19.28 090
joint.
21015 ......... A Resection of 5.29 NA NA 5.73 6.03 0.55 NA NA 11.57 11.87 090
facial tumor.
21025 ......... A Excision of bone, 10.06 7.44 5.97 6.34 4.30 0.82 18.32 16.85 17.22 15.18 090
lower jaw.
21026 ......... A Excision of facial 4.85 5.43 4.42 4.34 3.03 0.41 10.69 9.68 9.60 8.29 090
bone(s).
21029 ......... A Contour of face 7.71 7.28 8.24 5.25 4.93 0.66 15.65 16.61 13.62 13.30 090
bone lesion.
21030 ......... A Removal of face 6.46 5.54 4.59 4.27 3.05 0.50 12.50 11.55 11.23 10.01 090
bone lesion.
21031 ......... A Remove exostosis, 3.24 3.66 3.83 1.96 1.98 0.26 7.16 7.33 5.46 5.48 090
mandible.
21032 ......... A Remove exostosis, 3.24 3.66 3.94 3.65 2.88 0.26 7.16 7.44 7.15 6.38 090
maxilla.
21034 ......... A Removal of face 16.17 10.17 8.88 9.89 8.74 1.40 27.74 26.45 27.46 26.31 090
bone lesion.
21040 ......... A Removal of jaw 2.11 3.36 3.18 1.57 1.54 0.17 5.64 5.46 3.85 3.82 090
bone lesion.
21041 ......... A Removal of jaw 6.71 5.77 6.01 3.99 3.56 0.52 13.00 13.24 11.22 10.79 090
bone lesion.
21044 ......... A Removal of jaw 11.86 NA NA 7.54 8.95 0.94 NA NA 20.34 21.75 090
bone lesion.
21045 ......... A Extensive jaw 16.17 NA NA 9.78 12.40 1.31 NA NA 27.26 29.88 090
surgery.
21050 ......... A Removal of jaw 10.77 NA NA 10.91 11.89 0.79 NA NA 22.47 23.45 090
joint.
21060 ......... A Remove jaw joint 10.23 NA NA 8.61 10.41 0.83 NA NA 19.67 21.47 090
cartilage.
21070 ......... A Remove coronoid 8.20 NA NA 5.22 6.31 0.76 NA NA 14.18 15.27 090
process.
21076 ......... A Prepare face/oral 13.42 9.45 12.74 7.11 7.56 1.01 23.88 27.17 21.54 21.99 010
prosthesis.
21077 ......... A Prepare face/oral 33.75 23.77 32.04 17.88 19.02 2.63 60.15 68.42 54.26 55.40 090
prosthesis.
21079 ......... A Prepare face/oral 22.34 16.80 23.56 12.37 13.77 1.62 40.76 47.52 36.33 37.73 090
prosthesis.
21080 ......... A Prepare face/oral 25.10 18.88 26.47 13.89 15.46 1.87 45.85 53.44 40.86 42.43 090
prosthesis.
21081 ......... A Prepare face/oral 22.88 17.20 24.12 12.66 14.09 1.72 41.80 48.72 37.26 38.69 090
prosthesis.
21082 ......... A Prepare face/oral 20.87 14.70 19.81 11.05 11.76 1.58 37.15 42.26 33.50 34.21 090
prosthesis.
21083 ......... A Prepare face/oral 19.30 14.52 20.36 10.68 11.89 1.41 35.23 41.07 31.39 32.60 090
prosthesis.
21084 ......... A Prepare face/oral 22.51 16.93 23.74 12.46 13.87 1.71 41.15 47.96 36.68 38.09 090
prosthesis.
21085 ......... A Prepare face/oral 9.00 6.34 8.54 4.77 5.07 0.71 16.05 18.25 14.48 14.78 010
prosthesis.
21086 ......... A Prepare face/oral 24.92 18.74 26.28 13.79 15.35 1.98 45.64 53.18 40.69 42.25 090
prosthesis.
21087 ......... A Prepare face/oral 24.92 17.55 23.65 13.20 14.04 1.95 44.42 50.52 40.07 40.91 090
prosthesis.
21088 ......... C Prepare face/oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
prosthesis.
21089 ......... C Prepare face/oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
prosthesis.
21100 ......... A Maxillofacial 4.22 6.34 3.75 3.49 2.32 0.26 10.82 8.23 7.97 6.80 090
fixation.
21110 ......... A Interdental 5.21 5.31 5.66 3.64 3.32 0.37 10.89 11.24 9.22 8.90 090
fixation.
21116 ......... A Injection, jaw 0.81 7.68 4.24 0.25 0.52 0.05 8.54 5.10 1.11 1.38 000
joint x-ray.
21120 ......... A Reconstruction of 4.93 9.30 6.60 6.37 5.14 0.42 14.65 11.95 11.72 10.49 090
chin.
21121 ......... A Reconstruction of 7.64 7.46 6.80 5.46 5.80 0.64 15.74 15.08 13.74 14.08 090
chin.
21122 ......... A Reconstruction of 8.52 NA NA 6.61 6.69 0.76 NA NA 15.89 15.97 090
chin.
21123 ......... A Reconstruction of 11.16 NA NA 6.75 7.79 0.96 NA NA 18.87 19.91 090
chin.
21125 ......... A Augmentation lower 10.62 10.13 7.63 7.17 6.15 0.86 21.61 19.11 18.65 17.63 090
jaw bone.
21127 ......... A Augmentation lower 11.12 9.12 8.85 7.58 8.08 0.98 21.22 20.95 19.68 20.18 090
jaw bone.
21137 ......... A Reduction of 9.82 NA NA 6.83 7.28 0.90 NA NA 17.55 18.00 090
forehead.
21138 ......... A Reduction of 12.19 NA NA 7.96 8.79 1.12 NA NA 21.27 22.10 090
forehead.
21139 ......... A Reduction of 14.61 NA NA 7.49 9.52 1.35 NA NA 23.45 25.48 090
forehead.
21141 ......... A Reconstruct 18.10 NA NA 9.52 12.54 1.53 NA NA 29.15 32.17 090
midface, lefort.
21142 ......... A Reconstruct 18.81 NA NA 10.63 13.37 1.86 NA NA 31.30 34.04 090
midface, lefort.
21143 ......... A Reconstruct 19.58 NA NA 10.53 13.62 1.30 NA NA 31.41 34.50 090
midface, lefort.
21145 ......... A Reconstruct 19.94 NA NA 10.52 13.04 1.57 NA NA 32.03 34.55 090
midface, lefort.
21146 ......... A Reconstruct 20.71 NA NA 11.41 13.76 1.73 NA NA 33.85 36.20 090
midface, lefort.
21147 ......... A Reconstruct 21.77 NA NA 11.31 14.01 1.63 NA NA 34.71 37.41 090
midface, lefort.
21150 ......... A Reconstruct 25.24 NA NA 16.00 18.02 1.97 NA NA 43.21 45.23 090
midface, lefort.
21151 ......... A Reconstruct 28.30 NA NA 16.74 19.59 3.44 NA NA 48.48 51.33 090
midface, lefort.
21154 ......... A Reconstruct 30.52 NA NA 18.04 21.04 3.35 NA NA 51.91 54.91 090
midface, lefort.
21155 ......... A Reconstruct 34.45 NA NA 17.04 22.15 3.78 NA NA 55.27 60.38 090
midface, lefort.
21159 ......... A Reconstruct 42.38 NA NA 22.97 28.32 4.04 NA NA 69.39 74.74 090
midface, lefort.
21160 ......... A Reconstruct 46.44 NA NA 20.19 28.53 3.78 NA NA 70.41 78.75 090
midface, lefort.
21172 ......... A Reconstruct orbit/ 27.80 NA NA 14.71 18.37 2.05 NA NA 44.56 48.22 090
forehead.
21175 ......... A Reconstruct orbit/ 33.17 NA NA 20.13 23.29 4.00 NA NA 57.30 60.46 090
forehead.
21179 ......... A Reconstruct entire 22.25 NA NA 15.57 16.60 2.60 NA NA 40.42 41.45 090
forehead.
21180 ......... A Reconstruct entire 25.19 NA NA 15.04 17.54 2.26 NA NA 42.49 44.99 090
forehead.
21181 ......... A Contour cranial 9.90 NA NA 7.13 7.43 1.04 NA NA 18.07 18.37 090
bone lesion.
21182 ......... A Reconstruct 32.19 NA NA 20.93 23.29 2.86 NA NA 55.98 58.34 090
cranial bone.
21183 ......... A Reconstruct 35.31 NA NA 21.61 24.83 3.33 NA NA 60.25 63.47 090
cranial bone.
21184 ......... A Reconstruct 38.24 NA NA 23.02 26.74 6.92 NA NA 68.18 71.90 090
cranial bone.
21188 ......... A Reconstruction of 22.46 NA NA 14.45 16.04 2.00 NA NA 38.91 40.50 090
midface.
21193 ......... A Reconstruct lower 17.15 NA NA 9.82 11.59 1.52 NA NA 28.49 30.26 090
jaw bone.
21194 ......... A Reconstruct lower 19.84 NA NA 12.40 13.94 1.72 NA NA 33.96 35.50 090
jaw bone.
21195 ......... A Reconstruct lower 17.24 NA NA 11.11 12.25 1.42 NA NA 29.77 30.91 090
jaw bone.
21196 ......... A Reconstruct lower 18.91 NA NA 11.96 13.37 1.58 NA NA 32.45 33.86 090
jaw bone.
21198 ......... A Reconstruct lower 14.16 NA NA 9.86 12.97 1.09 NA NA 25.11 28.22 090
jaw bone.
21206 ......... A Reconstruct upper 14.10 NA NA 8.87 9.94 1.08 NA NA 24.05 25.12 090
jaw bone.
21208 ......... A Augmentation of 10.23 8.54 10.38 7.40 9.81 0.85 19.62 21.46 18.48 20.89 090
facial bones.
21209 ......... A Reduction of 6.72 7.24 6.11 5.22 5.10 0.59 14.55 13.42 12.53 12.41 090
facial bones.
21210 ......... A Face bone graft... 10.23 8.49 10.35 7.19 6.65 0.80 19.52 21.38 18.22 17.68 090
21215 ......... A Lower jaw bone 10.77 8.49 10.68 6.51 6.47 0.84 20.10 22.29 18.12 18.08 090
graft.
[[Page 39649]]
21230 ......... A Rib cartilage 10.77 NA NA 8.58 9.92 0.99 NA NA 20.34 21.68 090
graft.
21235 ......... A Ear cartilage 6.72 10.70 9.36 7.09 7.56 0.56 17.98 16.64 14.37 14.84 090
graft.
21240 ......... A Reconstruction of 14.05 NA NA 10.14 13.46 1.16 NA NA 25.35 28.67 090
jaw joint.
21242 ......... A Reconstruction of 12.95 NA NA 9.55 12.51 1.16 NA NA 23.66 26.62 090
jaw joint.
21243 ......... A Reconstruction of 20.79 NA NA 12.49 14.06 1.64 NA NA 34.92 36.49 090
jaw joint.
21244 ......... A Reconstruction of 11.86 NA NA 8.31 11.24 1.00 NA NA 21.17 24.10 090
lower jaw.
21245 ......... A Reconstruction of 11.86 12.05 12.25 8.96 10.71 0.95 24.86 25.06 21.77 23.52 090
jaw.
21246 ......... A Reconstruction of 12.47 9.55 9.57 9.55 9.57 1.02 23.04 23.06 23.04 23.06 090
jaw.
21247 ......... A Reconstruct lower 22.63 NA NA 13.95 20.48 1.74 NA NA 38.32 44.85 090
jaw bone.
21248 ......... A Reconstruction of 11.48 8.73 11.22 7.14 7.00 0.91 21.12 23.61 19.53 19.39 090
jaw.
21249 ......... A Reconstruction of 17.52 11.16 16.04 9.66 10.06 1.43 30.11 34.99 28.61 29.01 090
jaw.
21255 ......... A Reconstruct lower 16.72 NA NA 10.84 15.40 1.76 NA NA 29.32 33.88 090
jaw bone.
21256 ......... A Reconstruction of 16.19 NA NA 11.85 15.59 1.45 NA NA 29.49 33.23 090
orbit.
21260 ......... A Revise eye sockets 16.52 NA NA 8.69 14.21 0.71 NA NA 25.92 31.44 090
21261 ......... A Revise eye sockets 31.49 NA NA 14.10 16.70 2.56 NA NA 48.15 50.75 090
21263 ......... A Revise eye sockets 28.42 NA NA 12.67 23.30 1.18 NA NA 42.27 52.90 090
21267 ......... A Revise eye sockets 18.90 NA NA 13.78 14.82 1.18 NA NA 33.86 34.90 090
21268 ......... A Revise eye sockets 24.48 NA NA 15.76 16.21 4.10 NA NA 44.34 44.79 090
21270 ......... A Augmentation cheek 10.23 9.59 10.01 8.19 9.31 0.95 20.77 21.19 19.37 20.49 090
bone.
21275 ......... A Revision 11.24 NA NA 9.79 9.75 1.09 NA NA 22.12 22.08 090
orbitofacial
bones.
21280 ......... A Revision of eyelid 6.03 NA NA 5.84 6.52 0.30 NA NA 12.17 12.85 090
21282 ......... A Revision of eyelid 3.49 NA NA 4.60 4.39 0.21 NA NA 8.30 8.09 090
21295 ......... A Revision of jaw 1.53 NA NA 3.29 2.17 0.12 NA NA 4.94 3.82 090
muscle/bone.
21296 ......... A Revision of jaw 4.25 NA NA 3.81 3.87 0.38 NA NA 8.44 8.50 090
muscle/bone.
21299 ......... C Cranio/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maxillofacial
surgery.
21300 ......... A Treatment of skull 0.72 4.45 2.73 0.24 0.55 0.08 5.25 3.53 1.04 1.35 000
fracture.
21310 ......... A Treatment of nose 0.58 3.59 2.20 0.15 0.42 0.05 4.22 2.83 0.78 1.05 000
fracture.
21315 ......... A Treatment of nose 1.51 4.04 3.00 1.16 1.48 0.13 5.68 4.64 2.80 3.12 010
fracture.
21320 ......... A Treatment of nose 1.85 4.10 3.32 1.80 2.01 0.15 6.10 5.32 3.80 4.01 010
fracture.
21325 ......... A Repair of nose 3.77 NA NA 3.15 3.80 0.32 NA NA 7.24 7.89 090
fracture.
21330 ......... A Repair of nose 5.38 NA NA 4.79 5.61 0.49 NA NA 10.66 11.48 090
fracture.
21335 ......... A Repair of nose 8.61 NA NA 6.69 8.49 0.68 NA NA 15.98 17.78 090
fracture.
21336 ......... A Repair nasal 5.72 NA NA 5.11 4.78 0.49 NA NA 11.32 10.99 090
septal fracture.
21337 ......... A Repair nasal 2.70 5.38 4.22 2.75 2.91 0.24 8.32 7.16 5.69 5.85 090
septal fracture.
21338 ......... A Repair nasoethmoid 6.46 NA NA 5.22 5.33 0.57 NA NA 12.25 12.36 090
fracture.
21339 ......... A Repair nasoethmoid 8.09 NA NA 5.70 6.70 0.69 NA NA 14.48 15.48 090
fracture.
21340 ......... A Repair of nose 10.77 NA NA 7.75 8.71 0.73 NA NA 19.25 20.21 090
fracture.
21343 ......... A Repair of sinus 12.95 NA NA 9.02 9.49 1.26 NA NA 23.23 23.70 090
fracture.
21344 ......... A Repair of sinus 19.72 NA NA 12.67 11.31 1.89 NA NA 34.28 32.92 090
fracture.
21345 ......... A Repair of nose/jaw 8.16 10.69 9.63 6.95 7.76 0.68 19.53 18.47 15.79 16.60 090
fracture.
21346 ......... A Repair of nose/jaw 10.61 NA NA 8.81 9.51 0.88 NA NA 20.30 21.00 090
fracture.
21347 ......... A Repair of nose/jaw 12.69 NA NA 9.04 10.14 1.14 NA NA 22.87 23.97 090
fracture.
21348 ......... A Repair of nose/jaw 16.69 NA NA 10.63 11.47 1.54 NA NA 28.86 29.70 090
fracture.
21355 ......... A Repair cheek bone 3.77 5.57 3.63 1.96 1.83 0.33 9.67 7.73 6.06 5.93 010
fracture.
21356 ......... A Repair cheek bone 4.15 NA NA 3.07 4.02 0.36 NA NA 7.58 8.53 010
fracture.
21360 ......... A Repair cheek bone 6.46 NA NA 4.94 6.33 0.55 NA NA 11.95 13.34 090
fracture.
21365 ......... A Repair cheek bone 14.95 NA NA 10.41 11.91 1.35 NA NA 26.71 28.21 090
fracture.
21366 ......... A Repair cheek bone 17.77 NA NA 12.23 12.67 1.59 NA NA 31.59 32.03 090
fracture.
21385 ......... A Repair eye socket 9.16 NA NA 7.42 8.92 0.70 NA NA 17.28 18.78 090
fracture.
21386 ......... A Repair eye socket 9.16 NA NA 7.19 8.52 0.80 NA NA 17.15 18.48 090
fracture.
21387 ......... A Repair eye socket 9.70 NA NA 7.27 7.68 0.83 NA NA 17.80 18.21 090
fracture.
21390 ......... A Repair eye socket 10.13 NA NA 7.85 9.97 0.79 NA NA 18.77 20.89 090
fracture.
21395 ......... A Repair eye socket 12.68 NA NA 9.08 9.77 1.20 NA NA 22.96 23.65 090
fracture.
21400 ......... A Treat eye socket 1.40 4.63 3.22 0.92 1.30 0.13 6.16 4.75 2.45 2.83 090
fracture.
21401 ......... A Repair eye socket 3.26 4.41 3.61 2.41 2.61 0.26 7.93 7.13 5.93 6.13 090
fracture.
21406 ......... A Repair eye socket 7.01 NA NA 5.99 5.82 0.64 NA NA 13.64 13.47 090
fracture.
21407 ......... A Repair eye socket 8.61 NA NA 7.06 7.38 0.73 NA NA 16.40 16.72 090
fracture.
21408 ......... A Repair eye socket 12.38 NA NA 8.51 8.86 1.27 NA NA 22.16 22.51 090
fracture.
21421 ......... A Treat mouth roof 5.14 7.10 6.88 4.73 5.43 0.41 12.65 12.43 10.28 10.98 090
fracture.
21422 ......... A Repair mouth roof 8.32 NA NA 6.50 8.22 0.73 NA NA 15.55 17.27 090
fracture.
21423 ......... A Repair mouth roof 10.40 NA NA 6.83 8.74 0.87 NA NA 18.10 20.01 090
fracture.
21431 ......... A Treat craniofacial 7.05 NA NA 6.16 6.35 0.58 NA NA 13.79 13.98 090
fracture.
21432 ......... A Repair 8.61 NA NA 6.12 6.73 0.99 NA NA 15.72 16.33 090
craniofacial
fracture.
21433 ......... A Repair 25.35 NA NA 16.31 17.90 2.18 NA NA 43.84 45.43 090
craniofacial
fracture.
21435 ......... A Repair 17.25 NA NA 11.14 12.76 1.42 NA NA 29.81 31.43 090
craniofacial
fracture.
21436 ......... A Repair 28.04 NA NA 14.69 15.30 1.99 NA NA 44.72 45.33 090
craniofacial
fracture.
21440 ......... A Repair dental 2.70 5.27 4.30 3.04 3.13 0.22 8.19 7.22 5.96 6.05 090
ridge fracture.
21445 ......... A Repair dental 5.38 6.39 6.51 4.21 5.32 0.45 12.22 12.34 10.04 11.15 090
ridge fracture.
21450 ......... A Treat lower jaw 2.97 5.26 4.17 2.31 2.70 0.25 8.48 7.39 5.53 5.92 090
fracture.
21451 ......... A Treat lower jaw 4.87 6.14 6.24 4.65 5.24 0.40 11.41 11.51 9.92 10.51 090
fracture.
21452 ......... A Treat lower jaw 1.98 8.07 4.79 3.31 2.41 0.16 10.21 6.93 5.45 4.55 090
fracture.
21453 ......... A Treat lower jaw 5.54 7.00 7.11 5.27 5.94 0.47 13.01 13.12 11.28 11.95 090
fracture.
21454 ......... A Treat lower jaw 6.46 NA NA 4.75 6.24 0.51 NA NA 11.72 13.21 090
fracture.
21461 ......... A Repair lower jaw 8.09 8.33 9.00 6.69 8.18 0.69 17.11 17.78 15.47 16.96 090
fracture.
21462 ......... A Repair lower jaw 9.79 9.59 10.64 7.19 9.44 0.81 20.19 21.24 17.79 20.04 090
fracture.
21465 ......... A Repair lower jaw 11.91 NA NA 7.09 8.13 1.02 NA NA 20.02 21.06 090
fracture.
21470 ......... A Repair lower jaw 15.34 NA NA 9.88 14.10 1.29 NA NA 26.51 30.73 090
fracture.
21480 ......... A Reset dislocated 0.61 2.08 1.47 0.18 0.46 0.05 2.74 2.13 0.84 1.12 000
jaw.
21485 ......... A Reset dislocated 3.99 4.07 3.23 2.87 2.03 0.29 8.35 7.51 7.15 6.31 090
jaw.
21490 ......... A Repair dislocated 11.86 NA NA 6.72 6.79 0.90 NA NA 19.48 19.55 090
jaw.
21493 ......... A Treat hyoid bone 1.27 0.49 1.07 0.49 1.01 0.10 1.86 2.44 1.86 2.38 090
fracture.
21494 ......... A Repair hyoid bone 6.28 2.40 5.28 2.40 5.28 0.48 9.16 12.04 9.16 12.04 090
fracture.
21495 ......... A Repair hyoid bone 5.69 NA NA 4.39 4.81 0.43 NA NA 10.51 10.93 090
fracture.
21497 ......... A Interdental wiring 3.86 4.76 4.54 3.54 3.93 0.31 8.93 8.71 7.71 8.10 090
[[Page 39650]]
21499 ......... C Head surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
21501 ......... A Drain neck/chest 3.81 3.83 2.91 3.32 2.65 0.39 8.03 7.11 7.52 6.85 090
lesion.
21502 ......... A Drain chest lesion 7.12 NA NA 7.94 6.26 0.81 NA NA 15.87 14.19 090
21510 ......... A Drainage of bone 5.74 NA NA 6.89 5.52 0.65 NA NA 13.28 11.91 090
lesion.
21550 ......... A Biopsy of neck/ 2.06 1.96 1.44 1.19 0.83 0.13 4.15 3.63 3.38 3.02 010
chest.
21555 ......... A Remove lesion neck/ 4.35 3.92 2.83 2.49 2.12 0.41 8.68 7.59 7.25 6.88 090
chest.
21556 ......... A Remove lesion neck/ 5.57 NA NA 3.24 3.68 0.53 NA NA 9.34 9.78 090
chest.
21557 ......... A Remove tumor, neck 8.88 NA NA 7.41 8.32 0.85 NA NA 17.14 18.05 090
or chest.
21600 ......... A Partial removal of 6.89 NA NA 7.57 6.23 0.83 NA NA 15.29 13.95 090
rib.
21610 ......... A Partial removal of 14.61 NA NA 10.26 7.94 2.03 NA NA 26.90 24.58 090
rib.
21615 ......... A Removal of rib.... 9.87 NA NA 8.61 9.80 1.38 NA NA 19.86 21.05 090
21616 ......... A Removal of rib and 12.04 NA NA 9.19 8.54 1.56 NA NA 22.79 22.14 090
nerves.
21620 ......... A Partial removal of 6.79 NA NA 8.26 7.85 0.83 NA NA 15.88 15.47 090
sternum.
21627 ......... A Sternal 6.81 NA NA 13.05 9.26 0.87 NA NA 20.73 16.94 090
debridement.
21630 ......... A Extensive sternum 17.38 NA NA 13.37 13.68 2.07 NA NA 32.82 33.13 090
surgery.
21632 ......... A Extensive sternum 18.14 NA NA 13.30 12.91 2.41 NA NA 33.85 33.46 090
surgery.
21700 ......... A Revision of neck 6.19 6.82 5.67 6.47 5.49 0.78 13.79 12.64 13.44 12.46 090
muscle.
21705 ......... A Revision of neck 9.60 NA NA 8.59 6.93 1.36 NA NA 19.55 17.89 090
muscle/rib.
21720 ......... A Revision of neck 5.68 7.41 5.79 6.00 5.09 0.87 13.96 12.34 12.55 11.64 090
muscle.
21725 ......... A Revision of neck 6.99 NA NA 6.20 5.73 0.68 NA NA 13.87 13.40 090
muscle.
21740 ......... A Reconstruction of 16.50 NA NA 14.54 12.15 2.05 NA NA 33.09 30.70 090
sternum.
21750 ......... A Repair of sternum 10.77 NA NA 12.44 10.20 1.41 NA NA 24.62 22.38 090
separation.
21800 ......... A Treatment of rib 0.96 1.81 1.33 0.92 0.88 0.09 2.86 2.38 1.97 1.93 090
fracture.
21805 ......... A Treatment of rib 2.75 NA NA 4.10 2.79 0.30 NA NA 7.15 5.84 090
fracture.
21810 ......... A Treatment of rib 6.86 NA NA 6.74 7.35 0.60 NA NA 14.20 14.81 090
fracture(s).
21820 ......... A Treat sternum 1.28 2.17 1.83 1.30 1.39 0.13 3.58 3.24 2.71 2.80 090
fracture.
21825 ......... A Repair sternum 7.41 NA NA 11.08 9.29 1.01 NA NA 19.50 17.71 090
fracture.
21899 ......... C Neck/chest surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
21920 ......... A Biopsy soft tissue 2.06 1.99 1.43 0.77 0.60 0.10 4.15 3.59 2.93 2.76 010
of back.
21925 ......... A Biopsy soft tissue 4.49 9.79 5.96 4.24 3.18 0.45 14.73 10.90 9.18 8.12 090
of back.
21930 ......... A Remove lesion, 5.00 4.19 3.57 2.66 2.81 0.49 9.68 9.06 8.15 8.30 090
back or flank.
21935 ......... A Remove tumor of 17.96 NA NA 11.75 9.45 1.88 NA NA 31.59 29.29 090
back.
22100 ......... A Remove part of 9.73 NA NA 8.15 8.22 1.41 NA NA 19.29 19.36 090
neck vertebra.
22101 ......... A Remove part, 9.81 NA NA 8.42 8.56 1.28 NA NA 19.51 19.65 090
thorax vertebra.
22102 ......... A Remove part, 9.81 NA NA 8.14 6.51 1.38 NA NA 19.33 17.70 090
lumbar vertebra.
22103 ......... A Remove extra spine 2.34 NA NA 1.25 1.84 0.35 NA NA 3.94 4.53 ZZZ
segment.
22110 ......... A Remove part of 12.74 NA NA 10.16 10.36 1.98 NA NA 24.88 25.08 090
neck vertebra.
22112 ......... A Remove part, 12.81 NA NA 9.91 10.33 1.67 NA NA 24.39 24.81 090
thorax vertebra.
22114 ......... A Remove part, 12.81 NA NA 12.27 10.07 1.46 NA NA 26.54 24.34 090
lumbar vertebra.
22116 ......... A Remove extra spine 2.32 NA NA 1.24 1.82 0.35 NA NA 3.91 4.49 ZZZ
segment.
22210 ......... A Revision of neck 23.82 NA NA 16.48 15.75 3.65 NA NA 43.95 43.22 090
spine.
22212 ......... A Revision of thorax 19.42 NA NA 14.05 16.41 2.14 NA NA 35.61 37.97 090
spine.
22214 ......... A Revision of lumbar 19.45 NA NA 14.61 15.51 2.48 NA NA 36.54 37.44 090
spine.
22216 ......... A Revise, extra 6.04 NA NA 3.21 4.36 0.87 NA NA 10.12 11.27 ZZZ
spine segment.
22220 ......... A Revision of neck 21.37 NA NA 15.12 16.59 3.31 NA NA 39.80 41.27 090
spine.
22222 ......... A Revision of thorax 21.52 NA NA 10.44 12.61 1.07 NA NA 33.03 35.20 090
spine.
22224 ......... A Revision of lumbar 21.52 NA NA 15.27 15.60 2.60 NA NA 39.39 39.72 090
spine.
22226 ......... A Revise, extra 6.04 NA NA 3.22 4.36 0.78 NA NA 10.04 11.18 ZZZ
spine segment.
22305 ......... A Treat spine 2.05 2.67 2.56 1.70 2.08 0.22 4.94 4.83 3.97 4.35 090
process fracture.
22310 ......... A Treat spine 2.61 3.87 3.30 2.96 2.85 0.29 6.77 6.20 5.86 5.75 090
fracture.
22315 ......... A Treat spine 8.84 NA NA 9.48 7.73 1.20 NA NA 19.52 17.77 090
fracture.
22325 ......... A Repair of spine 18.30 NA NA 13.78 11.41 2.42 NA NA 34.50 32.13 090
fracture.
22326 ......... A Repair neck spine 19.59 NA NA 15.33 16.31 3.33 NA NA 38.25 39.23 090
fracture.
22327 ......... A Repair thorax 19.20 NA NA 14.05 15.68 2.77 NA NA 36.02 37.65 090
spine fracture.
22328 ......... A Repair each add 4.61 NA NA 2.38 3.58 0.71 NA NA 7.70 8.90 ZZZ
spine fx.
22505 ......... A Manipulation of 1.87 10.53 5.98 10.17 5.80 0.14 12.54 7.99 12.18 7.81 010
spine.
22548 ......... A Neck spine fusion. 25.82 NA NA 17.49 21.09 4.90 NA NA 48.21 51.81 090
22554 ......... A Neck spine fusion. 18.62 NA NA 13.68 17.59 3.29 NA NA 35.59 39.50 090
22556 ......... A Thorax spine 23.46 NA NA 16.26 19.90 3.36 NA NA 43.08 46.72 090
fusion.
22558 ......... A Lumbar spine 22.28 NA NA 15.38 18.64 2.76 NA NA 40.42 43.68 090
fusion.
22585 ......... A Additional spinal 5.53 NA NA 2.91 4.39 0.89 NA NA 9.33 10.81 ZZZ
fusion.
22590 ......... A Spine & skull 20.51 NA NA 15.02 19.22 3.49 NA NA 39.02 43.22 090
spinal fusion.
22595 ......... A Neck spinal fusion 19.39 NA NA 14.19 18.67 3.38 NA NA 36.96 41.44 090
22600 ......... A Neck spine fusion. 16.14 NA NA 12.35 15.81 2.63 NA NA 31.12 34.58 090
22610 ......... A Thorax spine 16.02 NA NA 12.22 15.67 2.34 NA NA 30.58 34.03 090
fusion.
22612 ......... A Lumbar spine 21.00 NA NA 15.15 18.76 2.77 NA NA 38.92 42.53 090
fusion.
22614 ......... A Spine fusion, 6.44 NA NA 3.44 4.79 0.87 NA NA 10.75 12.10 ZZZ
extra segment.
22630 ......... A Lumbar spine 20.84 NA NA 15.69 17.85 3.23 NA NA 39.76 41.92 090
fusion.
22632 ......... A Spine fusion, 5.23 NA NA 2.78 4.10 0.75 NA NA 8.76 10.08 ZZZ
extra segment.
22800 ......... A Fusion of spine... 18.25 NA NA 13.46 17.63 2.23 NA NA 33.94 38.11 090
22802 ......... A Fusion of spine... 30.88 NA NA 20.46 25.60 3.60 NA NA 54.94 60.08 090
22804 ......... A Fusion of spine... 36.27 NA NA 23.14 26.94 4.09 NA NA 63.50 67.30 090
22808 ......... A Fusion of spine... 26.27 NA NA 17.77 18.88 3.94 NA NA 47.98 49.09 090
22810 ......... A Fusion of spine... 30.27 NA NA 19.32 19.65 3.73 NA NA 53.32 53.65 090
22812 ......... A Fusion of spine... 32.70 NA NA 20.23 24.19 3.85 NA NA 56.78 60.74 090
22818 ......... A Kyphectomy, 1-2 31.83 NA NA 20.83 25.75 4.55 NA NA 57.21 62.13 090
segments.
22819 ......... A Kyphectomy, 3 & 36.44 NA NA 22.98 26.82 5.20 NA NA 64.62 68.46 090
more segment.
22830 ......... A Exploration of 10.85 NA NA 9.51 11.24 1.38 NA NA 21.74 23.47 090
spinal fusion.
22840 ......... A Insert spine 12.54 NA NA 8.17 7.33 1.71 NA NA 22.42 21.58 ZZZ
fixation device.
22841 ......... B Insert spine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fixation device.
22842 ......... A Insert spine 12.58 NA NA 6.69 7.07 1.72 NA NA 20.99 21.37 ZZZ
fixation device.
22843 ......... A Insert spine 13.46 NA NA 8.61 8.95 1.73 NA NA 23.80 24.14 ZZZ
fixation device.
22844 ......... A Insert spine 16.44 NA NA 10.23 10.79 1.88 NA NA 28.55 29.11 ZZZ
fixation device.
22845 ......... A Insert spine 11.96 NA NA 7.88 7.04 2.04 NA NA 21.88 21.04 ZZZ
fixation device.
[[Page 39651]]
22846 ......... A Insert spine 12.42 NA NA 8.17 8.37 2.09 NA NA 22.68 22.88 ZZZ
fixation device.
22847 ......... A Insert spine 13.80 NA NA 8.53 9.03 1.75 NA NA 24.08 24.58 ZZZ
fixation device.
22848 ......... A Insert pelvic 6.00 NA NA 4.53 5.37 0.69 NA NA 11.22 12.06 ZZZ
fixationdevice.
22849 ......... A Reinsert spinal 18.51 NA NA 13.25 13.01 2.35 NA NA 34.11 33.87 090
fixation.
22850 ......... A Remove spine 9.52 NA NA 8.32 9.14 1.25 NA NA 19.09 19.91 090
fixation device.
22851 ......... A Apply spine prosth 6.71 NA NA 5.06 6.01 0.98 NA NA 12.75 13.70 ZZZ
device.
22852 ......... A Remove spine 9.01 NA NA 8.16 9.40 1.15 NA NA 18.32 19.56 090
fixation device.
22855 ......... A Remove spine 15.13 NA NA 11.23 9.67 2.47 NA NA 28.83 27.27 090
fixation device.
22899 ......... C Spine surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
22900 ......... A Remove abdominal 5.80 NA NA 4.18 3.74 0.59 NA NA 10.57 10.13 090
wall lesion.
22999 ......... C Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23000 ......... A Removal of calcium 4.36 6.73 5.13 5.99 4.76 0.43 11.52 9.92 10.78 9.55 090
deposits.
23020 ......... A Release shoulder 8.93 NA NA 9.20 8.55 0.99 NA NA 19.12 18.47 090
joint.
23030 ......... A Drain shoulder 3.43 4.69 3.52 3.70 3.02 0.36 8.48 7.31 7.49 6.81 010
lesion.
23031 ......... A Drain shoulder 2.74 4.76 2.65 3.46 1.87 0.27 7.77 5.66 6.47 4.88 010
bursa.
23035 ......... A Drain shoulder 8.61 NA NA 14.03 10.39 0.94 NA NA 23.58 19.94 090
bone lesion.
23040 ......... A Exploratory 9.20 NA NA 10.19 10.13 1.01 NA NA 20.40 20.34 090
shoulder surgery.
23044 ......... A Exploratory 7.12 NA NA 9.08 8.29 0.78 NA NA 16.98 16.19 090
shoulder surgery.
23065 ......... A Biopsy shoulder 2.27 2.23 1.48 1.31 1.02 0.12 4.62 3.87 3.70 3.41 010
tissues.
23066 ......... A Biopsy shoulder 4.16 6.42 3.85 5.27 3.28 0.44 11.02 8.45 9.87 7.88 090
tissues.
23075 ......... A Removal of 2.39 4.31 3.07 2.73 2.28 0.25 6.95 5.71 5.37 4.92 010
shoulder lesion.
23076 ......... A Removal of 7.63 NA NA 7.17 5.51 0.82 NA NA 15.62 13.96 090
shoulder lesion.
23077 ......... A Remove tumor of 16.09 NA NA 15.11 11.56 1.66 NA NA 32.86 29.31 090
shoulder.
23100 ......... A Biopsy of shoulder 6.03 NA NA 7.97 7.59 0.65 NA NA 14.65 14.27 090
joint.
23101 ......... A Shoulder joint 5.58 NA NA 7.28 6.97 0.62 NA NA 13.48 13.17 090
surgery.
23105 ......... A Remove shoulder 8.23 NA NA 9.01 9.42 0.90 NA NA 18.14 18.55 090
joint lining.
23106 ......... A Incision of 5.96 NA NA 7.67 6.41 0.69 NA NA 14.32 13.06 090
collarbone joint.
23107 ......... A Explore,treat 8.62 NA NA 9.50 9.90 0.94 NA NA 19.06 19.46 090
shoulder joint.
23120 ......... A Partial removal, 7.11 NA NA 8.83 6.92 0.78 NA NA 16.72 14.81 090
collar bone.
23125 ......... A Removal of 9.39 NA NA 9.44 9.33 1.04 NA NA 19.87 19.76 090
collarbone.
23130 ......... A Partial 7.55 NA NA 9.13 8.39 0.82 NA NA 17.50 16.76 090
removal,shoulderb
one.
23140 ......... A Removal of bone 6.89 NA NA 7.32 5.92 0.72 NA NA 14.93 13.53 090
lesion.
23145 ......... A Removal of bone 9.09 NA NA 9.60 9.21 0.87 NA NA 19.56 19.17 090
lesion.
23146 ......... A Removal of bone 7.83 NA NA 8.99 7.34 0.82 NA NA 17.64 15.99 090
lesion.
23150 ......... A Removal of humerus 8.48 NA NA 8.73 7.97 0.89 NA NA 18.10 17.34 090
lesion.
23155 ......... A Removal of humerus 10.35 NA NA 10.29 9.92 1.16 NA NA 21.80 21.43 090
lesion.
23156 ......... A Removal of humerus 8.68 NA NA 8.72 8.51 0.96 NA NA 18.36 18.15 090
lesion.
23170 ......... A Remove collarbone 6.86 NA NA 8.94 7.08 0.77 NA NA 16.57 14.71 090
lesion.
23172 ......... A Remove shoulder 6.90 NA NA 8.53 7.07 0.78 NA NA 16.21 14.75 090
blade lesion.
23174 ......... A Remove humerus 9.51 NA NA 12.18 10.73 1.01 NA NA 22.70 21.25 090
lesion.
23180 ......... A Remove collar bone 8.53 NA NA 13.60 9.14 0.94 NA NA 23.07 18.61 090
lesion.
23182 ......... A Remove shoulder 8.15 NA NA 13.94 10.54 0.88 NA NA 22.97 19.57 090
blade lesion.
23184 ......... A Remove humerus 9.38 NA NA 14.49 12.04 1.02 NA NA 24.89 22.44 090
lesion.
23190 ......... A Partial removal of 7.24 NA NA 7.70 7.15 0.79 NA NA 15.73 15.18 090
scapula.
23195 ......... A Removal of head of 9.81 NA NA 9.35 9.51 1.06 NA NA 20.22 20.38 090
humerus.
23200 ......... A Removal of collar 12.08 NA NA 13.26 11.61 1.28 NA NA 26.62 24.97 090
bone.
23210 ......... A Removal of 12.49 NA NA 12.65 11.22 1.31 NA NA 26.45 25.02 090
shoulderblade.
23220 ......... A Partial removal of 14.56 NA NA 13.20 13.14 1.56 NA NA 29.32 29.26 090
humerus.
23221 ......... A Partial removal of 17.74 NA NA 13.63 16.66 1.35 NA NA 32.72 35.75 090
humerus.
23222 ......... A Partial removal of 23.92 NA NA 19.62 17.96 2.57 NA NA 46.11 44.45 090
humerus.
23330 ......... A Remove shoulder 1.85 4.48 2.54 3.27 1.79 0.19 6.52 4.58 5.31 3.83 010
foreign body.
23331 ......... A Remove shoulder 7.38 NA NA 8.32 5.39 0.81 NA NA 16.51 13.58 090
foreign body.
23332 ......... A Remove shoulder 11.62 NA NA 10.99 10.77 1.28 NA NA 23.89 23.67 090
foreign body.
23350 ......... A Injection for 1.00 10.12 5.34 0.27 0.42 0.04 11.16 6.38 1.31 1.46 000
shoulder x-ray.
23395 ......... A Muscle 16.85 NA NA 12.64 12.36 1.85 NA NA 31.34 31.06 090
transfer,shoulder/
arm.
23397 ......... A Muscle transfers.. 16.13 NA NA 12.88 14.02 1.81 NA NA 30.82 31.96 090
23400 ......... A Fixation of 13.54 NA NA 12.70 11.69 1.52 NA NA 27.76 26.75 090
shoulder blade.
23405 ......... A Incision of tendon 8.37 NA NA 8.24 8.19 0.92 NA NA 17.53 17.48 090
& muscle.
23406 ......... A Incise tendon(s) & 10.79 NA NA 10.05 10.13 1.21 NA NA 22.05 22.13 090
muscle(s).
23410 ......... A Repair of 12.45 NA NA 11.66 11.77 1.36 NA NA 25.47 25.58 090
tendon(s).
23412 ......... A Repair of 13.31 NA NA 12.21 13.36 1.45 NA NA 26.97 28.12 090
tendon(s).
23415 ......... A Release of 9.97 NA NA 9.24 7.43 1.09 NA NA 20.30 18.49 090
shoulder ligament.
23420 ......... A Repair of shoulder 13.30 NA NA 12.98 14.43 1.45 NA NA 27.73 29.18 090
23430 ......... A Repair biceps 9.98 NA NA 10.36 9.17 1.09 NA NA 21.43 20.24 090
tendon.
23440 ......... A Removal/transplant 10.48 NA NA 10.71 9.25 1.15 NA NA 22.34 20.88 090
tendon.
23450 ......... A Repair shoulder 13.40 NA NA 11.76 12.80 1.47 NA NA 26.63 27.67 090
capsule.
23455 ......... A Repair shoulder 14.37 NA NA 12.45 14.67 1.57 NA NA 28.39 30.61 090
capsule.
23460 ......... A Repair shoulder 15.37 NA NA 13.22 14.25 1.66 NA NA 30.25 31.28 090
capsule.
23462 ......... A Repair shoulder 15.30 NA NA 12.83 14.63 1.61 NA NA 29.74 31.54 090
capsule.
23465 ......... A Repair shoulder 15.85 NA NA 13.32 14.34 1.74 NA NA 30.91 31.93 090
capsule.
23466 ......... A Repair shoulder 14.22 NA NA 12.16 14.57 1.56 NA NA 27.94 30.35 090
capsule.
23470 ......... A Reconstruct 17.15 NA NA 14.08 16.14 1.87 NA NA 33.10 35.16 090
shoulder joint.
23472 ......... A Reconstruct 16.92 NA NA 13.88 17.04 1.85 NA NA 32.65 35.81 090
shoulder joint.
23480 ......... A Revision of 11.18 NA NA 10.23 8.69 1.25 NA NA 22.66 21.12 090
collarbone.
23485 ......... A Revision of collar 13.43 NA NA 12.78 12.55 1.45 NA NA 27.66 27.43 090
bone.
23490 ......... A Reinforce clavicle 11.86 NA NA 10.69 10.76 1.33 NA NA 23.88 23.95 090
23491 ......... A Reinforce shoulder 14.21 NA NA 11.89 12.84 1.59 NA NA 27.69 28.64 090
bones.
23500 ......... A Treat clavicle 2.08 3.14 2.47 2.15 1.97 0.22 5.44 4.77 4.45 4.27 090
fracture.
23505 ......... A Treat clavicle 3.69 4.86 3.83 3.46 3.13 0.40 8.95 7.92 7.55 7.22 090
fracture.
23515 ......... A Repair clavicle 7.41 NA NA 7.48 7.50 0.81 NA NA 15.70 15.72 090
fracture.
23520 ......... A Treat clavicle 2.16 3.24 2.37 2.20 1.85 0.22 5.62 4.75 4.58 4.23 090
dislocation.
23525 ......... A Treat clavicle 3.60 4.92 3.54 3.13 2.64 0.39 8.91 7.53 7.12 6.63 090
dislocation.
23530 ......... A Repair clavicle 7.31 NA NA 6.94 7.04 0.80 NA NA 15.05 15.15 090
dislocation.
23532 ......... A Repair clavicle 8.01 NA NA 7.12 7.49 0.90 NA NA 16.03 16.40 090
dislocation.
[[Page 39652]]
23540 ......... A Treat clavicle 2.23 3.59 2.64 2.13 1.91 0.22 6.04 5.09 4.58 4.36 090
dislocation.
23545 ......... A Treat clavicle 3.25 4.12 3.14 3.04 2.60 0.33 7.70 6.72 6.62 6.18 090
dislocation.
23550 ......... A Repair clavicle 7.24 NA NA 7.37 8.01 0.77 NA NA 15.38 16.02 090
dislocation.
23552 ......... A Repair clavicle 8.45 NA NA 7.97 7.94 0.91 NA NA 17.33 17.30 090
dislocation.
23570 ......... A Treat 2.23 3.15 2.50 2.27 2.06 0.24 5.62 4.97 4.74 4.53 090
shoulderblade
fracture.
23575 ......... A Treat 4.06 5.07 4.03 3.69 3.34 0.44 9.57 8.53 8.19 7.84 090
shoulderblade
fracture.
23585 ......... A Repair scapula 8.96 NA NA 8.27 8.32 0.98 NA NA 18.21 18.26 090
fracture.
23600 ......... A Treat humerus 2.93 4.93 4.04 3.30 3.23 0.32 8.18 7.29 6.55 6.48 090
fracture.
23605 ......... A Treat humerus 4.87 7.31 6.24 5.82 5.50 0.54 12.72 11.65 11.23 10.91 090
fracture.
23615 ......... A Repair humerus 9.35 NA NA 9.15 10.16 1.03 NA NA 19.53 20.54 090
fracture.
23616 ......... A Repair humerus 21.27 NA NA 14.99 19.61 2.33 NA NA 38.59 43.21 090
fracture.
23620 ......... A Treat humerus 2.40 4.64 3.89 3.03 2.24 0.26 7.30 6.55 5.69 4.90 090
fracture.
23625 ......... A Treat humerus 3.93 6.45 5.30 4.94 4.55 0.44 10.82 9.67 9.31 8.92 090
fracture.
23630 ......... A Repair humerus 7.35 NA NA 7.29 8.04 0.80 NA NA 15.44 16.19 090
fracture.
23650 ......... A Treat shoulder 3.39 4.63 3.46 3.04 2.66 0.34 8.36 7.19 6.77 6.39 090
dislocation.
23655 ......... A Treat shoulder 4.57 NA NA 3.85 3.52 0.48 NA NA 8.90 8.57 090
dislocation.
23660 ......... A Repair shoulder 7.49 NA NA 8.16 8.55 0.73 NA NA 16.38 16.77 090
dislocation.
23665 ......... A Treat dislocation/ 4.47 6.64 5.14 5.18 4.41 0.49 11.60 10.10 10.14 9.37 090
fracture.
23670 ......... A Repair dislocation/ 7.90 NA NA 7.64 8.54 0.85 NA NA 16.39 17.29 090
fracture.
23675 ......... A Treat dislocation/ 6.05 7.35 5.81 6.01 5.14 0.67 14.07 12.53 12.73 11.86 090
fracture.
23680 ......... A Repair dislocation/ 10.06 NA NA 8.73 10.37 1.10 NA NA 19.89 21.53 090
fracture.
23700 ......... A Fixation of 2.52 NA NA 3.00 2.64 0.28 NA NA 5.80 5.44 010
shoulder.
23800 ......... A Fusion of shoulder 14.16 NA NA 13.02 14.97 1.52 NA NA 28.70 30.65 090
joint.
23802 ......... A Fusion of shoulder 16.60 NA NA 13.77 14.52 1.80 NA NA 32.17 32.92 090
joint.
23900 ......... A Amputation of arm 19.72 NA NA 14.42 14.03 1.97 NA NA 36.11 35.72 090
& girdle.
23920 ......... A Amputation at 14.61 NA NA 12.40 13.72 1.56 NA NA 28.57 29.89 090
shoulder joint.
23921 ......... A Amputation follow- 5.49 6.69 5.66 5.97 5.30 0.53 12.71 11.68 11.99 11.32 090
up surgery.
23929 ......... C Shoulder surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23930 ......... A Drainage of arm 2.94 4.81 3.28 3.36 2.56 0.30 8.05 6.52 6.60 5.80 010
lesion.
23931 ......... A Drainage of arm 1.79 4.59 2.70 3.00 1.71 0.18 6.56 4.67 4.97 3.68 010
bursa.
23935 ......... A Drain arm/elbow 6.09 NA NA 10.29 7.69 0.66 NA NA 17.04 14.44 090
bone lesion.
24000 ......... A Exploratory elbow 5.82 NA NA 6.49 6.72 0.62 NA NA 12.93 13.16 090
surgery.
24006 ......... A Release elbow 9.31 NA NA 7.51 7.63 1.02 NA NA 17.84 17.96 090
joint.
24065 ......... A Biopsy arm/elbow 2.08 3.98 2.42 2.77 1.60 0.12 6.18 4.62 4.97 3.80 010
soft tissue.
24066 ......... A Biopsy arm/elbow 5.21 6.64 4.79 5.87 4.41 0.58 12.43 10.58 11.66 10.20 090
soft tissue.
24075 ......... A Remove arm/elbow 3.92 6.24 4.20 5.08 3.62 0.40 10.56 8.52 9.40 7.94 090
lesion.
24076 ......... A Remove arm/elbow 6.30 NA NA 6.14 5.07 0.67 NA NA 13.11 12.04 090
lesion.
24077 ......... A Remove tumor of 11.76 NA NA 11.31 10.97 1.23 NA NA 24.30 23.96 090
arm/elbow.
24100 ......... A Biopsy elbow joint 4.93 NA NA 4.86 4.73 0.49 NA NA 10.28 10.15 090
lining.
24101 ......... A Explore/treat 6.13 NA NA 6.07 6.69 0.68 NA NA 12.88 13.50 090
elbow joint.
24102 ......... A Remove elbow joint 8.03 NA NA 6.78 8.18 0.88 NA NA 15.69 17.09 090
lining.
24105 ......... A Removal of elbow 3.61 NA NA 4.32 4.21 0.40 NA NA 8.33 8.22 090
bursa.
24110 ......... A Remove humerus 7.39 NA NA 8.22 8.29 0.83 NA NA 16.44 16.51 090
lesion.
24115 ......... A Remove/graft bone 9.63 NA NA 8.11 8.22 0.91 NA NA 18.65 18.76 090
lesion.
24116 ......... A Remove/graft bone 11.81 NA NA 10.63 10.59 1.29 NA NA 23.73 23.69 090
lesion.
24120 ......... A Remove elbow 6.65 NA NA 5.96 6.25 0.73 NA NA 13.34 13.63 090
lesion.
24125 ......... A Remove/graft bone 7.89 NA NA 6.26 6.27 0.82 NA NA 14.97 14.98 090
lesion.
24126 ......... A Remove/graft bone 8.31 NA NA 6.43 7.23 0.93 NA NA 15.67 16.47 090
lesion.
24130 ......... A Removal of head of 6.25 NA NA 6.19 6.74 0.69 NA NA 13.13 13.68 090
radius.
24134 ......... A Removal of arm 9.73 NA NA 13.25 11.34 1.00 NA NA 23.98 22.07 090
bone lesion.
24136 ......... A Remove radius bone 7.99 NA NA 5.72 7.63 0.86 NA NA 14.57 16.48 090
lesion.
24138 ......... A Remove elbow bone 8.05 NA NA 6.92 6.93 0.90 NA NA 15.87 15.88 090
lesion.
24140 ......... A Partial removal of 9.18 NA NA 14.21 11.87 1.01 NA NA 24.40 22.06 090
arm bone.
24145 ......... A Partial removal of 7.58 NA NA 9.66 8.29 0.83 NA NA 18.07 16.70 090
radius.
24147 ......... A Partial removal of 7.54 NA NA 9.31 8.24 0.86 NA NA 17.71 16.64 090
elbow.
24149 ......... A Radical resection 14.20 NA NA 9.94 11.83 1.54 NA NA 25.68 27.57 090
of elbow.
24150 ......... A Extensive humerus 13.27 NA NA 13.24 14.26 1.41 NA NA 27.92 28.94 090
surgery.
24151 ......... A Extensive humerus 15.58 NA NA 13.95 14.48 1.61 NA NA 31.14 31.67 090
surgery.
24152 ......... A Extensive radius 10.06 NA NA 8.11 7.75 1.03 NA NA 19.20 18.84 090
surgery.
24153 ......... A Extensive radius 11.54 NA NA 6.34 8.84 0.71 NA NA 18.59 21.09 090
surgery.
24155 ......... A Removal of elbow 11.73 NA NA 8.50 10.09 1.22 NA NA 21.45 23.04 090
joint.
24160 ......... A Remove elbow joint 7.83 NA NA 6.83 6.04 0.84 NA NA 15.50 14.71 090
implant.
24164 ......... A Remove radius head 6.23 NA NA 5.88 5.94 0.69 NA NA 12.80 12.86 090
implant.
24200 ......... A Removal of arm 1.76 4.24 2.43 2.79 1.55 0.15 6.15 4.34 4.70 3.46 010
foreign body.
24201 ......... A Removal of arm 4.56 7.17 5.25 5.81 4.57 0.50 12.23 10.31 10.87 9.63 090
foreign body.
24220 ......... A Injection for 1.31 11.11 5.83 0.38 0.47 0.07 12.49 7.21 1.76 1.85 000
elbow x-ray.
24301 ......... A Muscle/tendon 10.20 NA NA 8.47 8.52 1.12 NA NA 19.79 19.84 090
transfer.
24305 ......... A Arm tendon 7.45 NA NA 6.88 5.11 0.79 NA NA 15.12 13.35 090
lengthening.
24310 ......... A Revision of arm 5.98 NA NA 6.85 5.03 0.67 NA NA 13.50 11.68 090
tendon.
24320 ......... A Repair of arm 10.56 NA NA 9.83 9.91 1.06 NA NA 21.45 21.53 090
tendon.
24330 ......... A Revision of arm 9.60 NA NA 7.68 8.59 1.09 NA NA 18.37 19.28 090
muscles.
24331 ......... A Revision of arm 10.65 NA NA 8.18 9.31 1.20 NA NA 20.03 21.16 090
muscles.
24340 ......... A Repair of biceps 7.89 NA NA 7.04 7.32 0.86 NA NA 15.79 16.07 090
tendon.
24341 ......... A Repair tendon/ 7.90 NA NA 6.82 7.21 0.87 NA NA 15.59 15.98 090
muscle arm.
24342 ......... A Repair of ruptured 10.62 NA NA 8.46 9.86 1.17 NA NA 20.25 21.65 090
tendon.
24350 ......... A Repair of tennis 5.25 NA NA 5.41 5.00 0.59 NA NA 11.25 10.84 090
elbow.
24351 ......... A Repair of tennis 5.91 NA NA 5.81 5.39 0.66 NA NA 12.38 11.96 090
elbow.
24352 ......... A Repair of tennis 6.43 NA NA 6.35 6.27 0.70 NA NA 13.48 13.40 090
elbow.
24354 ......... A Repair of tennis 6.48 NA NA 6.03 6.06 0.72 NA NA 13.23 13.26 090
elbow.
24356 ......... A Revision of tennis 6.68 NA NA 6.21 7.06 0.74 NA NA 13.63 14.48 090
elbow.
24360 ......... A Reconstruct elbow 12.34 NA NA 8.94 11.84 1.34 NA NA 22.62 25.52 090
joint.
24361 ......... A Reconstruct elbow 14.08 NA NA 10.46 12.36 1.54 NA NA 26.08 27.98 090
joint.
24362 ......... A Reconstruct elbow 14.99 NA NA 8.92 8.03 1.42 NA NA 25.33 24.44 090
joint.
24363 ......... A Replace elbow 18.49 NA NA 12.77 17.42 2.04 NA NA 33.30 37.95 090
joint.
[[Page 39653]]
24365 ......... A Reconstruct head 8.39 NA NA 7.01 7.59 0.93 NA NA 16.33 16.91 090
of radius.
24366 ......... A Reconstruct head 9.13 NA NA 7.39 9.15 0.99 NA NA 17.51 19.27 090
of radius.
24400 ......... A Revision of 11.06 NA NA 11.43 10.29 1.20 NA NA 23.69 22.55 090
humerus.
24410 ......... A Revision of 14.82 NA NA 11.58 13.41 1.45 NA NA 27.85 29.68 090
humerus.
24420 ......... A Revision of 13.44 NA NA 14.05 13.70 1.46 NA NA 28.95 28.60 090
humerus.
24430 ......... A Repair of humerus. 12.81 NA NA 11.70 13.50 1.40 NA NA 25.91 27.71 090
24435 ......... A Repair humerus 13.17 NA NA 12.61 14.17 1.44 NA NA 27.22 28.78 090
with graft.
24470 ......... A Revision of elbow 8.74 NA NA 5.81 7.21 0.98 NA NA 15.53 16.93 090
joint.
24495 ......... A Decompression of 8.12 NA NA 9.99 8.12 0.95 NA NA 19.06 17.19 090
forearm.
24498 ......... A Reinforce humerus. 11.92 NA NA 11.19 11.22 1.31 NA NA 24.42 24.45 090
24500 ......... A Treat humerus 3.21 6.65 4.71 3.01 2.89 0.34 10.20 8.26 6.56 6.44 090
fracture.
24505 ......... A Treat humerus 5.17 9.89 7.39 6.05 5.47 0.57 15.63 13.13 11.79 11.21 090
fracture.
24515 ......... A Repair humerus 11.65 NA NA 11.21 10.84 1.24 NA NA 24.10 23.73 090
fracture.
24516 ......... A Repair humerus 11.65 NA NA 10.58 10.53 1.28 NA NA 23.51 23.46 090
fracture.
24530 ......... A Treat humerus 3.50 7.59 5.28 4.24 3.60 0.38 11.47 9.16 8.12 7.48 090
fracture.
24535 ......... A Treat humerus 6.87 9.99 7.63 6.06 5.66 0.76 17.62 15.26 13.69 13.29 090
fracture.
24538 ......... A Treat humerus 9.43 NA NA 9.36 9.01 1.03 NA NA 19.82 19.47 090
fracture.
24545 ......... A Repair humerus 10.46 NA NA 9.16 9.99 1.14 NA NA 20.76 21.59 090
fracture.
24546 ......... A Repair humerus 15.69 NA NA 12.40 11.61 1.72 NA NA 29.81 29.02 090
fracture.
24560 ......... A Treat humerus 2.80 6.34 4.34 2.76 2.55 0.29 9.43 7.43 5.85 5.64 090
fracture.
24565 ......... A Treat humerus 5.56 9.17 6.46 5.30 4.52 0.61 15.34 12.63 11.47 10.69 090
fracture.
24566 ......... A Treat humerus 7.79 NA NA 8.28 7.43 0.84 NA NA 16.91 16.06 090
fracture.
24575 ......... A Repair humerus 10.66 NA NA 7.87 8.16 1.17 NA NA 19.70 19.99 090
fracture.
24576 ......... A Treat humerus 2.86 6.24 4.29 2.87 2.61 0.31 9.41 7.46 6.04 5.78 090
fracture.
24577 ......... A Treat humerus 5.79 9.37 6.86 5.56 4.95 0.63 15.79 13.28 11.98 11.37 090
fracture.
24579 ......... A Repair humerus 11.60 NA NA 10.22 9.65 1.28 NA NA 23.10 22.53 090
fracture.
24582 ......... A Treat humerus 8.55 NA NA 9.58 8.38 0.94 NA NA 19.07 17.87 090
fracture.
24586 ......... A Repair elbow 15.21 NA NA 10.16 13.07 1.66 NA NA 27.03 29.94 090
fracture.
24587 ......... A Repair elbow 15.16 NA NA 10.10 12.50 1.55 NA NA 26.81 29.21 090
fracture.
24600 ......... A Treat elbow 4.23 8.90 5.51 4.51 3.32 0.44 13.57 10.18 9.18 7.99 090
dislocation.
24605 ......... A Treat elbow 5.42 NA NA 4.37 3.43 0.59 NA NA 10.38 9.44 090
dislocation.
24615 ......... A Repair elbow 9.42 NA NA 7.12 8.60 1.04 NA NA 17.58 19.06 090
dislocation.
24620 ......... A Treat elbow 6.98 NA NA 5.98 5.04 0.74 NA NA 13.70 12.76 090
fracture.
24635 ......... A Repair elbow 13.19 NA NA 19.64 15.82 1.45 NA NA 34.28 30.46 090
fracture.
24640 ......... A Treat elbow 1.20 4.97 3.04 1.64 1.37 0.12 6.29 4.36 2.96 2.69 010
dislocation.
24650 ......... A Treat radius 2.16 6.15 4.30 2.53 1.88 0.23 8.54 6.69 4.92 4.27 090
fracture.
24655 ......... A Treat radius 4.40 8.58 5.93 4.78 4.03 0.48 13.46 10.81 9.66 8.91 090
fracture.
24665 ......... A Repair radius 8.14 NA NA 8.49 8.12 0.89 NA NA 17.52 17.15 090
fracture.
24666 ......... A Repair radius 9.49 NA NA 9.41 10.28 1.05 NA NA 19.95 20.82 090
fracture.
24670 ......... A Treatment of ulna 2.54 6.08 4.10 2.69 2.41 0.27 8.89 6.91 5.50 5.22 090
fracture.
24675 ......... A Treatment of ulna 4.72 8.73 6.27 4.90 4.36 0.52 13.97 11.51 10.14 9.60 090
fracture.
24685 ......... A Repair ulna 8.80 NA NA 8.76 8.94 0.96 NA NA 18.52 18.70 090
fracture.
24800 ......... A Fusion of elbow 11.20 NA NA 8.48 9.99 1.21 NA NA 20.89 22.40 090
joint.
24802 ......... A Fusion/graft of 13.69 NA NA 9.60 11.41 1.42 NA NA 24.71 26.52 090
elbow joint.
24900 ......... A Amputation of 9.60 NA NA 9.39 8.86 1.05 NA NA 20.04 19.51 090
upper arm.
24920 ......... A Amputation of 9.54 NA NA 10.07 8.72 1.02 NA NA 20.63 19.28 090
upper arm.
24925 ......... A Amputation follow- 7.07 NA NA 7.59 7.20 0.76 NA NA 15.42 15.03 090
up surgery.
24930 ......... A Amputation follow- 10.25 NA NA 12.19 10.53 1.03 NA NA 23.47 21.81 090
up surgery.
24931 ......... A Amputate upper arm 12.72 NA NA 10.00 11.06 1.36 NA NA 24.08 25.14 090
& implant.
24935 ......... A Revision of 15.56 NA NA 12.35 13.61 1.67 NA NA 29.58 30.84 090
amputation.
24940 ......... C Revision of upper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
arm.
24999 ......... C Upper arm/elbow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
25000 ......... A Incision of tendon 3.38 NA NA 6.14 5.09 0.37 NA NA 9.89 8.84 090
sheath.
25020 ......... A Decompression of 5.92 NA NA 9.54 7.13 0.70 NA NA 16.16 13.75 090
forearm.
25023 ......... A Decompression of 12.96 NA NA 15.25 10.58 1.42 NA NA 29.63 24.96 090
forearm.
25028 ......... A Drainage of 5.25 NA NA 8.72 5.48 0.56 NA NA 14.53 11.29 090
forearm lesion.
25031 ......... A Drainage of 4.14 NA NA 8.04 4.38 0.39 NA NA 12.57 8.91 090
forearm bursa.
25035 ......... A Treat forearm bone 7.36 NA NA 13.96 10.40 0.79 NA NA 22.11 18.55 090
lesion.
25040 ......... A Explore/treat 7.18 NA NA 8.11 7.15 0.79 NA NA 16.08 15.12 090
wrist joint.
25065 ......... A Biopsy forearm 1.99 2.08 1.45 2.08 1.25 0.10 4.17 3.54 4.17 3.34 010
soft tissues.
25066 ......... A Biopsy forearm 4.13 NA NA 7.11 4.39 0.44 NA NA 11.68 8.96 090
soft tissues.
25075 ......... A Removal of forearm 3.74 NA NA 6.34 4.36 0.38 NA NA 10.46 8.48 090
lesion.
25076 ......... A Removal of forearm 4.92 NA NA 10.19 7.14 0.53 NA NA 15.64 12.59 090
lesion.
25077 ......... A Remove tumor, 9.76 NA NA 13.15 11.18 1.02 NA NA 23.93 21.96 090
forearm/wrist.
25085 ......... A Incision of wrist 5.50 NA NA 9.83 7.42 0.61 NA NA 15.94 13.53 090
capsule.
25100 ......... A Biopsy of wrist 3.90 NA NA 6.18 5.42 0.44 NA NA 10.52 9.76 090
joint.
25101 ......... A Explore/treat 4.69 NA NA 6.64 6.12 0.52 NA NA 11.85 11.33 090
wrist joint.
25105 ......... A Remove wrist joint 5.85 NA NA 10.90 8.95 0.63 NA NA 17.38 15.43 090
lining.
25107 ......... A Remove wrist joint 6.43 NA NA 9.37 7.55 0.72 NA NA 16.52 14.70 090
cartilage.
25110 ......... A Remove wrist 3.92 NA NA 6.94 4.99 0.42 NA NA 11.28 9.33 090
tendon lesion.
25111 ......... A Remove wrist 3.39 NA NA 5.58 4.54 0.37 NA NA 9.34 8.30 090
tendon lesion.
25112 ......... A Reremove wrist 4.53 NA NA 6.24 5.14 0.49 NA NA 11.26 10.16 090
tendon lesion.
25115 ......... A Remove wrist/ 8.82 NA NA 13.93 10.84 0.98 NA NA 23.73 20.64 090
forearm lesion.
25116 ......... A Remove wrist/ 7.11 NA NA 12.77 10.63 0.79 NA NA 20.67 18.53 090
forearm lesion.
25118 ......... A Excise wrist 4.37 NA NA 6.66 5.94 0.49 NA NA 11.52 10.80 090
tendon sheath.
25119 ......... A Partial removal of 6.04 NA NA 10.00 8.61 0.67 NA NA 16.71 15.32 090
ulna.
25120 ......... A Removal of forearm 6.10 NA NA 11.94 9.52 0.66 NA NA 18.70 16.28 090
lesion.
25125 ......... A Remove/graft 7.48 NA NA 14.16 10.79 0.83 NA NA 22.47 19.10 090
forearm lesion.
25126 ......... A Remove/graft 7.55 NA NA 16.49 11.94 0.83 NA NA 24.87 20.32 090
forearm lesion.
25130 ......... A Removal of wrist 5.26 NA NA 7.05 5.81 0.58 NA NA 12.89 11.65 090
lesion.
25135 ......... A Remove & graft 6.89 NA NA 7.92 6.93 0.78 NA NA 15.59 14.60 090
wrist lesion.
25136 ......... A Remove & graft 5.97 NA NA 6.72 5.93 0.67 NA NA 13.36 12.57 090
wrist lesion.
25145 ......... A Remove forearm 6.37 NA NA 14.43 10.45 0.69 NA NA 21.49 17.51 090
bone lesion.
25150 ......... A Partial removal of 7.09 NA NA 10.08 8.66 0.76 NA NA 17.93 16.51 090
ulna.
[[Page 39654]]
25151 ......... A Partial removal of 7.39 NA NA 13.30 9.77 0.82 NA NA 21.51 17.98 090
radius.
25170 ......... A Extensive forearm 11.09 NA NA 14.56 12.59 1.24 NA NA 26.89 24.92 090
surgery.
25210 ......... A Removal of wrist 5.95 NA NA 7.40 6.35 0.66 NA NA 14.01 12.96 090
bone.
25215 ......... A Removal of wrist 7.89 NA NA 10.90 10.16 0.87 NA NA 19.66 18.92 090
bones.
25230 ......... A Partial removal of 5.23 NA NA 7.02 6.53 0.57 NA NA 12.82 12.33 090
radius.
25240 ......... A Partial removal of 5.17 NA NA 9.17 7.46 0.57 NA NA 14.91 13.20 090
ulna.
25246 ......... A Injection for 1.45 10.17 5.36 0.40 0.47 0.06 11.68 6.87 1.91 1.98 000
wrist x-ray.
25248 ......... A Remove forearm 5.14 NA NA 8.78 5.58 0.54 NA NA 14.46 11.26 090
foreign body.
25250 ......... A Removal of wrist 6.60 NA NA 8.58 7.35 0.73 NA NA 15.91 14.68 090
prosthesis.
25251 ......... A Removal of wrist 9.57 NA NA 12.84 10.90 1.06 NA NA 23.47 21.53 090
prosthesis.
25260 ......... A Repair forearm 7.80 NA NA 13.56 9.28 0.86 NA NA 22.22 17.94 090
tendon/muscle.
25263 ......... A Repair forearm 7.82 NA NA 13.65 9.96 0.87 NA NA 22.34 18.65 090
tendon/muscle.
25265 ......... A Repair forearm 9.88 NA NA 17.41 13.01 1.07 NA NA 28.36 23.96 090
tendon/muscle.
25270 ......... A Repair forearm 6.00 NA NA 13.37 8.51 0.66 NA NA 20.03 15.17 090
tendon/muscle.
25272 ......... A Repair forearm 7.04 NA NA 12.93 8.33 0.79 NA NA 20.76 16.16 090
tendon/muscle.
25274 ......... A Repair forearm 8.75 NA NA 13.71 10.45 0.98 NA NA 23.44 20.18 090
tendon/muscle.
25280 ......... A Revise wrist/ 7.22 NA NA 12.85 8.72 0.79 NA NA 20.86 16.73 090
forearm tendon.
25290 ......... A Incise wrist/ 5.29 NA NA 14.41 8.55 0.59 NA NA 20.29 14.43 090
forearm tendon.
25295 ......... A Release wrist/ 6.55 NA NA 12.29 7.80 0.72 NA NA 19.56 15.07 090
forearm tendon.
25300 ......... A Fusion of tendons 8.80 NA NA 10.93 9.46 0.92 NA NA 20.65 19.18 090
at wrist.
25301 ......... A Fusion of tendons 8.40 NA NA 8.70 8.03 0.89 NA NA 17.99 17.32 090
at wrist.
25310 ......... A Transplant forearm 8.14 NA NA 14.25 11.00 0.90 NA NA 23.29 20.04 090
tendon.
25312 ......... A Transplant forearm 9.57 NA NA 15.49 11.89 1.05 NA NA 26.11 22.51 090
tendon.
25315 ......... A Revise palsy hand 10.20 NA NA 15.06 11.91 1.18 NA NA 26.44 23.29 090
tendon(s).
25316 ......... A Revise palsy hand 12.33 NA NA 21.69 16.59 1.33 NA NA 35.35 30.25 090
tendon(s).
25320 ......... A Repair/revise 10.77 NA NA 10.70 10.02 1.19 NA NA 22.66 21.98 090
wrist joint.
25332 ......... A Revise wrist joint 11.41 NA NA 10.89 10.86 1.25 NA NA 23.55 23.52 090
25335 ......... A Realignment of 12.88 NA NA 13.00 12.69 1.45 NA NA 27.33 27.02 090
hand.
25337 ......... A Reconstruct ulna/ 10.17 NA NA 11.94 10.64 1.13 NA NA 23.24 21.94 090
radioulnar.
25350 ......... A Revision of radius 8.78 NA NA 14.20 11.23 0.97 NA NA 23.95 20.98 090
25355 ......... A Revision of radius 10.17 NA NA 12.46 11.18 1.12 NA NA 23.75 22.47 090
25360 ......... A Revision of ulna.. 8.43 NA NA 13.82 10.39 0.96 NA NA 23.21 19.78 090
25365 ......... A Revise radius & 12.40 NA NA 14.84 13.02 1.21 NA NA 28.45 26.63 090
ulna.
25370 ......... A Revise radius or 13.36 NA NA 11.53 12.15 1.30 NA NA 26.19 26.81 090
ulna.
25375 ......... A Revise radius & 13.04 NA NA 11.41 12.97 1.27 NA NA 25.72 27.28 090
ulna.
25390 ......... A Shorten radius/ 10.40 NA NA 14.29 11.93 1.13 NA NA 25.82 23.46 090
ulna.
25391 ......... A Lengthen radius/ 13.65 NA NA 15.28 13.75 1.48 NA NA 30.41 28.88 090
ulna.
25392 ......... A Shorten radius & 13.95 NA NA 14.46 13.98 1.57 NA NA 29.98 29.50 090
ulna.
25393 ......... A Lengthen radius & 15.87 NA NA 13.84 14.63 1.72 NA NA 31.43 32.22 090
ulna.
25400 ......... A Repair radius or 10.92 NA NA 15.77 13.74 1.20 NA NA 27.89 25.86 090
ulna.
25405 ......... A Repair/graft 14.38 NA NA 17.59 15.54 1.57 NA NA 33.54 31.49 090
radius or ulna.
25415 ......... A Repair radius & 13.35 NA NA 15.62 14.01 1.47 NA NA 30.44 28.83 090
ulna.
25420 ......... A Repair/graft 16.33 NA NA 18.57 17.26 1.81 NA NA 36.71 35.40 090
radius & ulna.
25425 ......... A Repair/graft 13.21 NA NA 30.34 21.69 1.38 NA NA 44.93 36.28 090
radius or ulna.
25426 ......... A Repair/graft 15.82 NA NA 19.05 15.89 1.42 NA NA 36.29 33.13 090
radius & ulna.
25440 ......... A Repair/graft wrist 10.44 NA NA 10.19 10.01 1.16 NA NA 21.79 21.61 090
bone.
25441 ......... A Reconstruct wrist 12.90 NA NA 11.09 11.71 1.45 NA NA 25.44 26.06 090
joint.
25442 ......... A Reconstruct wrist 10.85 NA NA 9.90 8.78 1.20 NA NA 21.95 20.83 090
joint.
25443 ......... A Reconstruct wrist 10.39 NA NA 11.59 10.89 1.17 NA NA 23.15 22.45 090
joint.
25444 ......... A Reconstruct wrist 11.15 NA NA 12.03 11.52 1.25 NA NA 24.43 23.92 090
joint.
25445 ......... A Reconstruct wrist 9.69 NA NA 11.61 11.43 1.07 NA NA 22.37 22.19 090
joint.
25446 ......... A Wrist replacement. 16.55 NA NA 13.89 16.83 1.80 NA NA 32.24 35.18 090
25447 ......... A Repair wrist 10.37 NA NA 10.47 10.47 1.14 NA NA 21.98 21.98 090
joint(s).
25449 ......... A Remove wrist joint 14.49 NA NA 14.69 11.60 1.60 NA NA 30.78 27.69 090
implant.
25450 ......... A Revision of wrist 7.87 NA NA 6.79 7.36 0.70 NA NA 15.36 15.93 090
joint.
25455 ......... A Revision of wrist 9.49 NA NA 10.27 9.86 0.77 NA NA 20.53 20.12 090
joint.
25490 ......... A Reinforce radius.. 9.54 NA NA 13.90 11.67 1.05 NA NA 24.49 22.26 090
25491 ......... A Reinforce ulna.... 9.96 NA NA 13.68 11.78 1.12 NA NA 24.76 22.86 090
25492 ......... A Reinforce radius 12.33 NA NA 15.67 13.91 1.39 NA NA 29.39 27.63 090
and ulna.
25500 ......... A Treat fracture of 2.45 5.77 4.15 2.58 1.93 0.24 8.46 6.84 5.27 4.62 090
radius.
25505 ......... A Treat fracture of 5.21 8.94 6.41 5.10 4.49 0.56 14.71 12.18 10.87 10.26 090
radius.
25515 ......... A Repair fracture of 9.18 NA NA 12.22 10.25 0.91 NA NA 22.31 20.34 090
radius.
25520 ......... A Repair fracture of 6.26 9.10 7.67 5.58 5.91 0.68 16.04 14.61 12.52 12.85 090
radius.
25525 ......... A Repair fracture of 12.24 NA NA 10.54 11.32 1.37 NA NA 24.15 24.93 090
radius.
25526 ......... A Repair fracture of 12.98 NA NA 15.77 14.32 1.44 NA NA 30.19 28.74 090
radius.
25530 ......... A Treat fracture of 2.09 5.79 4.22 2.51 1.88 0.22 8.10 6.53 4.82 4.19 090
ulna.
25535 ......... A Treat fracture of 5.14 8.48 6.18 5.09 4.48 0.55 14.17 11.87 10.78 10.17 090
ulna.
25545 ......... A Repair fracture of 8.90 NA NA 8.77 8.50 0.98 NA NA 18.65 18.38 090
ulna.
25560 ......... A Treat fracture 2.44 5.79 4.13 2.59 2.53 0.25 8.48 6.82 5.28 5.22 090
radius & ulna.
25565 ......... A Treat fracture 5.63 9.12 7.09 5.29 5.18 0.61 15.36 13.33 11.53 11.42 090
radius & ulna.
25574 ......... A Treat fracture 7.01 NA NA 7.61 7.99 0.77 NA NA 15.39 15.77 090
radius & ulna.
25575 ......... A Repair fracture 10.45 NA NA 9.50 10.56 1.15 NA NA 21.10 22.16 090
radius/ulna.
25600 ......... A Treat fracture 2.63 6.13 4.61 2.73 2.14 0.28 9.04 7.52 5.64 5.05 090
radius/ulna.
25605 ......... A Treat fracture 5.81 9.42 6.86 5.50 4.90 0.64 15.87 13.31 11.95 11.35 090
radius/ulna.
25611 ......... A Repair fracture 7.77 NA NA 8.52 7.52 0.86 NA NA 17.15 16.15 090
radius/ulna.
25620 ......... A Repair fracture 8.55 NA NA 8.60 8.17 0.94 NA NA 18.09 17.66 090
radius/ulna.
25622 ......... A Treat wrist bone 2.61 6.12 4.30 2.73 1.99 0.28 9.01 7.19 5.62 4.88 090
fracture.
25624 ......... A Treat wrist bone 4.53 8.56 6.27 4.76 3.38 0.50 13.59 11.30 9.79 8.41 090
fracture.
25628 ......... A Repair wrist bone 8.43 NA NA 8.60 8.17 0.93 NA NA 17.96 17.53 090
fracture.
25630 ......... A Treat wrist bone 2.88 6.22 4.30 2.83 2.01 0.31 9.41 7.49 6.02 5.20 090
fracture.
25635 ......... A Treat wrist bone 4.39 8.53 6.09 5.01 3.42 0.47 13.39 10.95 9.87 8.28 090
fracture.
25645 ......... A Repair wrist bone 7.25 NA NA 8.04 7.65 0.81 NA NA 16.10 15.71 090
fracture.
25650 ......... A Repair wrist bone 3.05 6.20 4.55 2.88 2.17 0.32 9.57 7.92 6.25 5.54 090
fracture.
25660 ......... A Treat wrist 4.76 NA NA 4.74 3.36 0.50 NA NA 10.00 8.62 090
dislocation.
[[Page 39655]]
25670 ......... A Repair wrist 7.92 NA NA 8.09 7.89 0.88 NA NA 16.89 16.69 090
dislocation.
25675 ......... A Treat wrist 4.67 8.30 5.39 4.75 3.61 0.50 13.47 10.56 9.92 8.78 090
dislocation.
25676 ......... A Repair wrist 8.04 NA NA 8.46 8.20 0.88 NA NA 17.38 17.12 090
dislocation.
25680 ......... A Treat wrist 5.99 NA NA 9.75 6.20 0.56 NA NA 16.30 12.75 090
fracture.
25685 ......... A Repair wrist 9.78 NA NA 8.75 9.15 1.06 NA NA 19.59 19.99 090
fracture.
25690 ......... A Treat wrist 5.50 NA NA 6.17 5.74 0.59 NA NA 12.26 11.83 090
dislocation.
25695 ......... A Repair wrist 8.34 NA NA 8.14 7.89 0.91 NA NA 17.39 17.14 090
dislocation.
25800 ......... A Fusion of wrist 9.76 NA NA 10.01 10.84 1.08 NA NA 20.85 21.68 090
joint.
25805 ......... A Fusion/graft of 11.28 NA NA 10.89 12.18 1.25 NA NA 23.42 24.71 090
wrist joint.
25810 ......... A Fusion/graft of 10.57 NA NA 10.46 11.54 1.15 NA NA 22.18 23.26 090
wrist joint.
25820 ......... A Fusion of hand 7.45 NA NA 9.09 9.00 0.80 NA NA 17.34 17.25 090
bones.
25825 ......... A Fusion hand bones 9.27 NA NA 10.31 10.69 1.01 NA NA 20.59 20.97 090
with graft.
25830 ......... A Fusion radioulnar 10.06 NA NA 14.92 12.13 1.09 NA NA 26.07 23.28 090
jnt/ulna.
25900 ......... A Amputation of 9.01 NA NA 12.21 9.95 1.00 NA NA 22.22 19.96 090
forearm.
25905 ......... A Amputation of 9.12 NA NA 13.49 10.61 1.02 NA NA 23.63 20.75 090
forearm.
25907 ......... A Amputation follow- 7.80 NA NA 11.98 9.11 0.87 NA NA 20.65 17.78 090
up surgery.
25909 ......... A Amputation follow- 8.96 NA NA 12.68 9.35 1.03 NA NA 22.67 19.34 090
up surgery.
25915 ......... A Amputation of 17.08 NA NA 16.76 16.97 1.95 NA NA 35.79 36.00 090
forearm.
25920 ......... A Amputate hand at 8.68 NA NA 8.59 8.10 0.98 NA NA 18.25 17.76 090
wrist.
25922 ......... A Amputate hand at 7.42 NA NA 7.71 6.87 0.83 NA NA 15.96 15.12 090
wrist.
25924 ......... A Amputation follow- 8.46 NA NA 7.52 7.83 0.65 NA NA 16.63 16.94 090
up surgery.
25927 ......... A Amputation of hand 8.80 NA NA 11.66 9.25 0.98 NA NA 21.44 19.03 090
25929 ......... A Amputation follow- 7.59 NA NA 6.28 5.71 0.81 NA NA 14.68 14.11 090
up surgery.
25931 ......... A Amputation follow- 7.81 NA NA 16.31 10.62 0.84 NA NA 24.96 19.27 090
up surgery.
25999 ......... C Forearm or wrist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
26010 ......... A Drainage of finger 1.54 4.31 2.42 3.36 1.81 0.14 5.99 4.10 5.04 3.49 010
abscess.
26011 ......... A Drainage of finger 2.19 5.96 3.82 5.21 3.44 0.23 8.38 6.24 7.63 5.86 010
abscess.
26020 ......... A Drain hand tendon 4.67 NA NA 10.65 7.35 0.51 NA NA 15.83 12.53 090
sheath.
26025 ......... A Drainage of palm 4.82 NA NA 10.46 7.68 0.53 NA NA 15.81 13.03 090
bursa.
26030 ......... A Drainage of palm 5.93 NA NA 11.20 8.71 0.66 NA NA 17.79 15.30 090
bursa(s).
26034 ......... A Treat hand bone 6.23 NA NA 12.41 8.50 0.69 NA NA 19.33 15.42 090
lesion.
26035 ......... A Decompress fingers/ 9.51 NA NA 14.48 10.05 1.03 NA NA 25.02 20.59 090
hand.
26037 ......... A Decompress fingers/ 7.25 NA NA 13.55 10.23 0.80 NA NA 21.60 18.28 090
hand.
26040 ......... A Release palm 3.33 NA NA 9.62 6.36 0.36 NA NA 13.31 10.05 090
contracture.
26045 ......... A Release palm 5.56 NA NA 10.80 8.02 0.61 NA NA 16.97 14.19 090
contracture.
26055 ......... A Incise finger 2.69 6.29 4.93 6.11 4.84 0.30 9.28 7.92 9.10 7.83 090
tendon sheath.
26060 ......... A Incision of finger 2.81 NA NA 6.66 3.95 0.31 NA NA 9.78 7.07 090
tendon.
26070 ......... A Explore/treat hand 3.69 NA NA 9.25 5.38 0.33 NA NA 13.27 9.40 090
joint.
26075 ......... A Explore/treat 3.79 NA NA 9.96 7.03 0.37 NA NA 14.12 11.19 090
finger joint.
26080 ......... A Explore/treat 4.24 NA NA 10.45 6.93 0.45 NA NA 15.14 11.62 090
finger joint.
26100 ......... A Biopsy hand joint 3.67 NA NA 6.53 4.89 0.39 NA NA 10.59 8.95 090
lining.
26105 ......... A Biopsy finger 3.71 NA NA 10.25 7.39 0.40 NA NA 14.36 11.50 090
joint lining.
26110 ......... A Biopsy finger 3.53 NA NA 9.23 6.21 0.39 NA NA 13.15 10.13 090
joint lining.
26115 ......... A Removal of hand 3.86 6.20 4.19 6.20 4.19 0.42 10.48 8.47 10.48 8.47 090
lesion.
26116 ......... A Removal of hand 5.53 NA NA 11.07 7.55 0.61 NA NA 17.21 13.69 090
lesion.
26117 ......... A Remove tumor, hand/ 8.55 NA NA 12.22 8.86 0.94 NA NA 21.71 18.35 090
finger.
26121 ......... A Release palm 7.54 NA NA 12.43 10.72 0.84 NA NA 20.81 19.10 090
contracture.
26123 ......... A Release palm 9.29 NA NA 13.52 11.70 1.03 NA NA 23.84 22.02 090
contracture.
26125 ......... A Release palm 4.61 NA NA 2.50 2.67 0.51 NA NA 7.62 7.79 ZZZ
contracture.
26130 ......... A Remove wrist joint 5.42 NA NA 12.29 8.87 0.60 NA NA 18.31 14.89 090
lining.
26135 ......... A Revise finger 6.96 NA NA 13.42 9.35 0.77 NA NA 21.15 17.08 090
joint, each.
26140 ......... A Revise finger 6.17 NA NA 12.71 8.75 0.69 NA NA 19.57 15.61 090
joint, each.
26145 ......... A Tendon excision, 6.32 NA NA 12.79 8.95 0.71 NA NA 19.82 15.98 090
palm/finger.
26160 ......... A Remove tendon 3.15 6.09 4.31 6.09 4.31 0.34 9.58 7.80 9.58 7.80 090
sheath lesion.
26170 ......... A Removal of palm 4.77 NA NA 7.22 5.15 0.57 NA NA 12.56 10.49 090
tendon, each.
26180 ......... A Removal of finger 5.18 NA NA 7.34 5.85 0.59 NA NA 13.11 11.62 090
tendon.
26185 ......... A Remove finger bone 5.25 NA NA 7.12 5.86 0.58 NA NA 12.95 11.69 090
26200 ......... A Remove hand bone 5.51 NA NA 10.98 7.92 0.59 NA NA 17.08 14.02 090
lesion.
26205 ......... A Remove/graft bone 7.70 NA NA 12.44 9.70 0.87 NA NA 21.01 18.27 090
lesion.
26210 ......... A Removal of finger 5.15 NA NA 10.99 7.61 0.57 NA NA 16.71 13.33 090
lesion.
26215 ......... A Remove/graft 7.10 NA NA 11.77 8.90 0.70 NA NA 19.57 16.70 090
finger lesion.
26230 ......... A Partial removal of 6.33 NA NA 10.51 7.57 0.70 NA NA 17.54 14.60 090
hand bone.
26235 ......... A Partial removal, 6.19 NA NA 10.33 7.43 0.69 NA NA 17.21 14.31 090
finger bone.
26236 ......... A Partial removal, 5.32 NA NA 10.30 7.25 0.59 NA NA 16.21 13.16 090
finger bone.
26250 ......... A Extensive hand 7.55 NA NA 14.25 10.38 0.78 NA NA 22.58 18.71 090
surgery.
26255 ......... A Extensive hand 12.43 NA NA 15.02 12.36 1.28 NA NA 28.73 26.07 090
surgery.
26260 ......... A Extensive finger 7.03 NA NA 13.39 9.81 0.77 NA NA 21.19 17.61 090
surgery.
26261 ......... A Extensive finger 9.09 NA NA 7.90 8.13 0.71 NA NA 17.70 17.93 090
surgery.
26262 ......... A Partial removal of 5.67 NA NA 11.27 8.21 0.63 NA NA 17.57 14.51 090
finger.
26320 ......... A Removal of implant 3.98 NA NA 10.32 7.08 0.44 NA NA 14.74 11.50 090
from hand.
26350 ......... A Repair finger/hand 5.99 NA NA 15.00 10.62 0.66 NA NA 21.65 17.27 090
tendon.
26352 ......... A Repair/graft hand 7.68 NA NA 15.21 11.19 0.85 NA NA 23.74 19.72 090
tendon.
26356 ......... A Repair finger/hand 8.07 NA NA 16.42 12.12 0.90 NA NA 25.39 21.09 090
tendon.
26357 ......... A Repair finger/hand 8.58 NA NA 17.03 12.09 0.94 NA NA 26.55 21.61 090
tendon.
26358 ......... A Repair/graft hand 9.14 NA NA 16.55 12.29 1.03 NA NA 26.72 22.46 090
tendon.
26370 ......... A Repair finger/hand 7.11 NA NA 16.19 11.74 0.78 NA NA 24.08 19.63 090
tendon.
26372 ......... A Repair/graft hand 8.76 NA NA 17.37 12.15 0.96 NA NA 27.09 21.87 090
tendon.
26373 ......... A Repair finger/hand 8.16 NA NA 19.05 13.24 0.90 NA NA 28.11 22.30 090
tendon.
26390 ......... A Revise hand/finger 9.19 NA NA 13.63 11.13 1.01 NA NA 23.83 21.33 090
tendon.
26392 ......... A Repair/graft hand 10.26 NA NA 17.46 13.40 1.14 NA NA 28.86 24.80 090
tendon.
26410 ......... A Repair hand tendon 4.63 NA NA 12.37 7.97 0.51 NA NA 17.51 13.11 090
26412 ......... A Repair/graft hand 6.31 NA NA 13.46 9.99 0.70 NA NA 20.47 17.00 090
tendon.
26415 ......... A Excision, hand/ 8.34 NA NA 12.09 9.71 0.79 NA NA 21.22 18.84 090
finger tendon.
26416 ......... A Graft hand or 9.37 NA NA 14.38 11.88 1.03 NA NA 24.78 22.28 090
finger tendon.
[[Page 39656]]
26418 ......... A Repair finger 4.25 NA NA 12.14 8.02 0.47 NA NA 16.86 12.74 090
tendon.
26420 ......... A Repair/graft 6.77 NA NA 13.48 9.82 0.73 NA NA 20.98 17.32 090
finger tendon.
26426 ......... A Repair finger/hand 6.15 NA NA 12.98 9.92 0.69 NA NA 19.82 16.76 090
tendon.
26428 ......... A Repair/graft 7.21 NA NA 13.93 9.95 0.80 NA NA 21.94 17.96 090
finger tendon.
26432 ......... A Repair finger 4.02 NA NA 10.17 5.94 0.44 NA NA 14.63 10.40 090
tendon.
26433 ......... A Repair finger 4.56 NA NA 10.71 7.50 0.51 NA NA 15.78 12.57 090
tendon.
26434 ......... A Repair/graft 6.09 NA NA 15.07 10.22 0.63 NA NA 21.79 16.94 090
finger tendon.
26437 ......... A Realignment of 5.82 NA NA 11.05 7.73 0.65 NA NA 17.52 14.20 090
tendons.
26440 ......... A Release palm/ 5.02 NA NA 13.94 8.91 0.56 NA NA 19.52 14.49 090
finger tendon.
26442 ......... A Release palm & 8.16 NA NA 15.49 9.58 0.91 NA NA 24.56 18.65 090
finger tendon.
26445 ......... A Release hand/ 4.31 NA NA 13.78 8.66 0.48 NA NA 18.57 13.45 090
finger tendon.
26449 ......... A Release forearm/ 7.00 NA NA 15.86 10.95 0.78 NA NA 23.64 18.73 090
hand tendon.
26450 ......... A Incision of palm 3.67 NA NA 6.89 4.68 0.41 NA NA 10.97 8.76 090
tendon.
26455 ......... A Incision of finger 3.64 NA NA 6.66 4.36 0.41 NA NA 10.71 8.41 090
tendon.
26460 ......... A Incise hand/finger 3.46 NA NA 6.49 4.18 0.38 NA NA 10.33 8.02 090
tendon.
26471 ......... A Fusion of finger 5.73 NA NA 10.80 7.65 0.64 NA NA 17.17 14.02 090
tendons.
26474 ......... A Fusion of finger 5.32 NA NA 11.17 8.09 0.59 NA NA 17.08 14.00 090
tendons.
26476 ......... A Tendon lengthening 5.18 NA NA 12.23 7.69 0.54 NA NA 17.95 13.41 090
26477 ......... A Tendon shortening. 5.15 NA NA 10.43 7.38 0.58 NA NA 16.16 13.11 090
26478 ......... A Lengthening of 5.80 NA NA 11.35 8.01 0.65 NA NA 17.80 14.46 090
hand tendon.
26479 ......... A Shortening of hand 5.74 NA NA 11.29 8.52 0.65 NA NA 17.68 14.91 090
tendon.
26480 ......... A Transplant hand 6.69 NA NA 15.24 11.17 0.74 NA NA 22.67 18.60 090
tendon.
26483 ......... A Transplant/graft 8.29 NA NA 16.17 12.70 0.88 NA NA 25.34 21.87 090
hand tendon.
26485 ......... A Transplant palm 7.70 NA NA 17.09 12.07 0.85 NA NA 25.64 20.62 090
tendon.
26489 ......... A Transplant/graft 9.55 NA NA 18.07 10.88 0.90 NA NA 28.52 21.33 090
palm tendon.
26490 ......... A Revise thumb 8.41 NA NA 12.54 10.51 0.94 NA NA 21.89 19.86 090
tendon.
26492 ......... A Tendon transfer 9.62 NA NA 14.75 12.13 0.96 NA NA 25.33 22.71 090
with graft.
26494 ......... A Hand tendon/muscle 8.47 NA NA 12.92 10.41 0.96 NA NA 22.35 19.84 090
transfer.
26496 ......... A Revise thumb 9.59 NA NA 12.62 11.05 1.07 NA NA 23.28 21.71 090
tendon.
26497 ......... A Finger tendon 9.57 NA NA 15.76 12.23 1.02 NA NA 26.35 22.82 090
transfer.
26498 ......... A Finger tendon 14.00 NA NA 18.12 15.45 1.55 NA NA 33.67 31.00 090
transfer.
26499 ......... A Revision of finger 8.98 NA NA 13.62 11.02 0.86 NA NA 23.46 20.86 090
26500 ......... A Hand tendon 5.96 NA NA 11.71 7.75 0.66 NA NA 18.33 14.37 090
reconstruction.
26502 ......... A Hand tendon 7.14 NA NA 12.83 9.28 0.75 NA NA 20.72 17.17 090
reconstruction.
26504 ......... A Hand tendon 7.47 NA NA 16.06 11.68 0.79 NA NA 24.32 19.94 090
reconstruction.
26508 ......... A Release thumb 6.01 NA NA 11.17 7.84 0.67 NA NA 17.85 14.52 090
contracture.
26510 ......... A Thumb tendon 5.43 NA NA 11.64 8.07 0.59 NA NA 17.66 14.09 090
transfer.
26516 ......... A Fusion of knuckle 7.15 NA NA 11.78 8.15 0.80 NA NA 19.73 16.10 090
joint.
26517 ......... A Fusion of knuckle 8.83 NA NA 16.06 11.87 0.97 NA NA 25.86 21.67 090
joints.
26518 ......... A Fusion of knuckle 9.02 NA NA 12.72 9.90 0.99 NA NA 22.73 19.91 090
joints.
26520 ......... A Release knuckle 5.30 NA NA 13.90 9.38 0.59 NA NA 19.79 15.27 090
contracture.
26525 ......... A Release finger 5.33 NA NA 14.05 9.00 0.59 NA NA 19.97 14.92 090
contracture.
26530 ......... A Revise knuckle 6.69 NA NA 15.62 10.61 0.72 NA NA 23.03 18.02 090
joint.
26531 ......... A Revise knuckle 7.91 NA NA 16.76 11.99 0.87 NA NA 25.54 20.77 090
with implant.
26535 ......... A Revise finger 5.24 NA NA 8.25 6.75 0.42 NA NA 13.91 12.41 090
joint.
26536 ......... A Revise/implant 6.37 NA NA 14.14 10.88 0.69 NA NA 21.20 17.94 090
finger joint.
26540 ......... A Repair hand joint. 6.43 NA NA 11.60 9.41 0.71 NA NA 18.74 16.55 090
26541 ......... A Repair hand joint 8.62 NA NA 13.63 11.67 0.95 NA NA 23.20 21.24 090
with graft.
26542 ......... A Repair hand joint 6.78 NA NA 11.64 8.90 0.73 NA NA 19.15 16.41 090
with graft.
26545 ......... A Reconstruct finger 6.92 NA NA 11.96 8.84 0.78 NA NA 19.66 16.54 090
joint.
26546 ......... A Repair non-union 8.92 NA NA 13.68 11.24 0.99 NA NA 23.59 21.15 090
hand.
26548 ......... A Reconstruct finger 8.03 NA NA 12.76 9.52 0.89 NA NA 21.68 18.44 090
joint.
26550 ......... A Construct thumb 21.24 NA NA 24.47 22.99 2.40 NA NA 48.11 46.63 090
replacement.
26551 ......... A Great toe-hand 46.58 NA NA 34.77 40.31 5.32 NA NA 86.67 92.21 090
transfer.
26553 ......... A Single toe-hand 46.27 NA NA 26.26 35.90 5.28 NA NA 77.81 87.45 090
transfer.
26554 ......... A Double toe-hand 54.95 NA NA 35.67 45.00 6.17 NA NA 96.79 106.12 090
transfer.
26555 ......... A Positional change 16.63 NA NA 17.80 17.26 1.84 NA NA 36.27 35.73 090
of finger.
26556 ......... A Toe joint transfer 47.26 NA NA 26.64 36.48 5.40 NA NA 79.30 89.14 090
26560 ......... A Repair of web 5.38 NA NA 11.78 8.42 0.56 NA NA 17.72 14.36 090
finger.
26561 ......... A Repair of web 10.92 NA NA 16.08 12.87 1.20 NA NA 28.20 24.99 090
finger.
26562 ......... A Repair of web 9.68 NA NA 13.40 12.48 1.10 NA NA 24.18 23.26 090
finger.
26565 ......... A Correct metacarpal 6.74 NA NA 12.55 9.44 0.74 NA NA 20.03 16.92 090
flaw.
26567 ......... A Correct finger 6.82 NA NA 11.75 8.20 0.75 NA NA 19.32 15.77 090
deformity.
26568 ......... A Lengthen 9.08 NA NA 13.89 11.53 0.97 NA NA 23.94 21.58 090
metacarpal/finger.
26580 ......... A Repair hand 18.18 NA NA 14.27 16.30 1.51 NA NA 33.96 35.99 090
deformity.
26585 ......... A Repair finger 14.05 NA NA 12.41 13.23 0.89 NA NA 27.35 28.17 090
deformity.
26587 ......... C Reconstruct extra 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
finger.
26590 ......... A Repair finger 17.96 NA NA 12.01 15.03 1.88 NA NA 31.85 34.87 090
deformity.
26591 ......... A Repair muscles of 3.25 NA NA 10.58 6.54 0.36 NA NA 14.19 10.15 090
hand.
26593 ......... A Release muscles of 5.31 NA NA 10.55 7.51 0.59 NA NA 16.45 13.41 090
hand.
26596 ......... A Excision 8.95 NA NA 8.76 8.85 0.93 NA NA 18.64 18.73 090
constricting
tissue.
26597 ......... A Release of scar 9.82 NA NA 13.65 11.18 1.10 NA NA 24.57 22.10 090
contracture.
26600 ......... A Treat metacarpal 1.96 5.75 3.71 2.45 1.65 0.21 7.92 5.88 4.62 3.82 090
fracture.
26605 ......... A Treat metacarpal 2.85 7.31 4.90 3.75 2.50 0.31 10.47 8.06 6.91 5.66 090
fracture.
26607 ......... A Treat metacarpal 5.36 NA NA 7.46 5.66 0.59 NA NA 13.41 11.61 090
fracture.
26608 ......... A Treat metacarpal 5.36 NA NA 7.17 5.51 0.59 NA NA 13.12 11.46 090
fracture.
26615 ......... A Repair metacarpal 5.33 NA NA 6.56 5.93 0.59 NA NA 12.48 11.85 090
fracture.
26641 ......... A Treat thumb 3.94 7.62 4.41 4.37 2.79 0.39 11.95 8.74 8.70 7.12 090
dislocation.
26645 ......... A Treat thumb 4.41 8.34 5.37 4.64 3.52 0.44 13.19 10.22 9.49 8.37 090
fracture.
26650 ......... A Repair thumb 5.72 NA NA 7.23 5.79 0.62 NA NA 13.57 12.13 090
fracture.
26665 ......... A Repair thumb 7.60 NA NA 8.03 7.48 0.83 NA NA 16.46 15.91 090
fracture.
26670 ......... A Treat hand 3.69 7.67 4.36 4.61 2.83 0.37 11.73 8.42 8.67 6.89 090
dislocation.
26675 ......... A Treat hand 4.64 7.17 5.94 3.73 4.22 0.49 12.30 11.07 8.86 9.35 090
dislocation.
26676 ......... A Pin hand 5.52 NA NA 7.30 6.29 0.61 NA NA 13.43 12.42 090
dislocation.
[[Page 39657]]
26685 ......... A Repair hand 6.98 NA NA 8.74 7.50 0.77 NA NA 16.49 15.25 090
dislocation.
26686 ......... A Repair hand 7.94 NA NA 8.23 7.54 0.85 NA NA 17.02 16.33 090
dislocation.
26700 ......... A Treat knuckle 3.69 4.13 2.55 2.55 1.76 0.36 8.18 6.60 6.60 5.81 090
dislocation.
26705 ......... A Treat knuckle 4.19 7.32 4.63 3.61 2.77 0.44 11.95 9.26 8.24 7.40 090
dislocation.
26706 ......... A Pin knuckle 5.12 NA NA 5.06 5.07 0.56 NA NA 10.74 10.75 090
dislocation.
26715 ......... A Repair knuckle 5.74 NA NA 6.81 5.65 0.64 NA NA 13.19 12.03 090
dislocation.
26720 ......... A Treat finger 1.66 2.49 1.84 1.45 1.03 0.17 4.32 3.67 3.28 2.86 090
fracture, each.
26725 ......... A Treat finger 3.33 4.30 2.99 2.80 1.82 0.36 7.99 6.68 6.49 5.51 090
fracture, each.
26727 ......... A Treat finger 5.23 NA NA 7.09 4.88 0.58 NA NA 12.90 10.69 090
fracture, each.
26735 ......... A Repair finger 5.98 NA NA 7.82 5.94 0.65 NA NA 14.45 12.57 090
fracture, each.
26740 ......... A Treat finger 1.94 3.06 2.16 2.14 1.39 0.21 5.21 4.31 4.29 3.54 090
fracture, each.
26742 ......... A Treat finger 3.85 8.20 5.18 4.49 3.32 0.41 12.46 9.44 8.75 7.58 090
fracture, each.
26746 ......... A Repair finger 5.81 NA NA 6.93 6.04 0.65 NA NA 13.39 12.50 090
fracture, each.
26750 ......... A Treat finger 1.70 2.94 1.92 1.99 1.45 0.17 4.81 3.79 3.86 3.32 090
fracture, each.
26755 ......... A Treat finger 3.10 4.13 2.65 2.57 1.87 0.32 7.55 6.07 5.99 5.29 090
fracture, each.
26756 ......... A Pin finger 4.39 NA NA 6.69 4.38 0.49 NA NA 11.57 9.26 090
fracture, each.
26765 ......... A Repair finger 4.17 NA NA 5.99 4.44 0.46 NA NA 10.62 9.07 090
fracture, each.
26770 ......... A Treat finger 3.02 3.93 2.38 2.34 1.58 0.30 7.25 5.70 5.66 4.90 090
dislocation.
26775 ......... A Treat finger 3.71 6.83 4.03 3.40 2.32 0.39 10.93 8.13 7.50 6.42 090
dislocation.
26776 ......... A Pin finger 4.80 NA NA 6.86 4.56 0.54 NA NA 12.20 9.90 090
dislocation.
26785 ......... A Repair finger 4.21 NA NA 6.02 4.62 0.47 NA NA 10.70 9.30 090
dislocation.
26820 ......... A Thumb fusion with 8.26 NA NA 13.25 10.24 0.92 NA NA 22.43 19.42 090
graft.
26841 ......... A Fusion of thumb... 7.13 NA NA 12.15 9.43 0.79 NA NA 20.07 17.35 090
26842 ......... A Thumb fusion with 8.24 NA NA 13.57 11.44 0.91 NA NA 22.72 20.59 090
graft.
26843 ......... A Fusion of hand 7.61 NA NA 13.81 10.36 0.82 NA NA 22.24 18.79 090
joint.
26844 ......... A Fusion/graft of 8.73 NA NA 14.45 11.22 0.95 NA NA 24.13 20.90 090
hand joint.
26850 ......... A Fusion of knuckle. 6.97 NA NA 11.76 8.39 0.77 NA NA 19.50 16.13 090
26852 ......... A Fusion of knuckle 8.46 NA NA 13.02 9.62 0.93 NA NA 22.41 19.01 090
with graft.
26860 ......... A Fusion of finger 4.69 NA NA 10.46 7.57 0.52 NA NA 15.67 12.78 090
joint.
26861 ......... A Fusion of finger 1.74 NA NA 0.94 1.51 0.19 NA NA 2.87 3.44 ZZZ
joint,added.
26862 ......... A Fusion/graft of 7.37 NA NA 12.26 8.93 0.81 NA NA 20.44 17.11 090
finger joint.
26863 ......... A Fuse/graft added 3.90 NA NA 2.13 2.90 0.43 NA NA 6.46 7.23 ZZZ
joint.
26910 ......... A Amputate 7.60 NA NA 11.19 8.40 0.84 NA NA 19.63 16.84 090
metacarpal bone.
26951 ......... A Amputation of 4.59 NA NA 10.09 6.60 0.51 NA NA 15.19 11.70 090
finger/thumb.
26952 ......... A Amputation of 6.31 NA NA 11.46 7.90 0.70 NA NA 18.47 14.91 090
finger/thumb.
26989 ......... C Hand/finger 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
26990 ......... A Drainage of pelvis 7.48 NA NA 13.13 8.25 0.77 NA NA 21.38 16.50 090
lesion.
26991 ......... A Drainage of pelvis 6.68 8.98 5.47 7.84 4.90 0.69 16.35 12.84 15.21 12.27 090
bursa.
26992 ......... A Drainage of bone 13.02 NA NA 17.06 11.99 1.43 NA NA 31.51 26.44 090
lesion.
27000 ......... A Incision of hip 5.62 NA NA 6.65 4.33 0.62 NA NA 12.89 10.57 090
tendon.
27001 ......... A Incision of hip 6.94 NA NA 7.25 4.90 0.76 NA NA 14.95 12.60 090
tendon.
27003 ......... A Incision of hip 7.34 NA NA 8.36 7.86 0.82 NA NA 16.52 16.02 090
tendon.
27005 ......... A Incision of hip 9.66 NA NA 9.54 6.60 1.05 NA NA 20.25 17.31 090
tendon.
27006 ......... A Incision of hip 9.68 NA NA 9.24 7.14 1.08 NA NA 20.00 17.90 090
tendons.
27025 ......... A Incision of hip/ 11.16 NA NA 9.39 8.02 1.24 NA NA 21.79 20.42 090
thigh fascia.
27030 ......... A Drainage of hip 13.01 NA NA 11.40 11.90 1.42 NA NA 25.83 26.33 090
joint.
27033 ......... A Exploration of hip 13.39 NA NA 11.38 11.94 1.46 NA NA 26.23 26.79 090
joint.
27035 ......... A Denervation of hip 16.69 NA NA 13.89 13.38 1.77 NA NA 32.35 31.84 090
joint.
27036 ......... A Excision of hip 12.88 NA NA 11.96 12.19 1.40 NA NA 26.24 26.47 090
joint/muscle.
27040 ......... A Biopsy of soft 2.87 4.62 2.70 3.32 2.05 0.18 7.67 5.75 6.37 5.10 010
tissues.
27041 ......... A Biopsy of soft 9.89 NA NA 7.39 5.15 0.89 NA NA 18.17 15.93 090
tissues.
27047 ......... A Remove hip/pelvis 7.45 7.81 4.93 6.38 4.22 0.77 16.03 13.15 14.60 12.44 090
lesion.
27048 ......... A Remove hip/pelvis 6.25 NA NA 6.77 5.74 0.67 NA NA 13.69 12.66 090
lesion.
27049 ......... A Remove tumor, hip/ 13.66 NA NA 11.69 11.35 1.39 NA NA 26.74 26.40 090
pelvis.
27050 ......... A Biopsy of 4.36 NA NA 7.20 6.20 0.47 NA NA 12.03 11.03 090
sacroiliac joint.
27052 ......... A Biopsy of hip 6.23 NA NA 8.04 7.74 0.68 NA NA 14.95 14.65 090
joint.
27054 ......... A Removal of hip 8.54 NA NA 9.44 9.82 0.93 NA NA 18.91 19.29 090
joint lining.
27060 ......... A Removal of ischial 5.43 NA NA 6.24 5.26 0.57 NA NA 12.24 11.26 090
bursa.
27062 ......... A Remove femur 5.37 NA NA 6.38 5.49 0.59 NA NA 12.34 11.45 090
lesion/bursa.
27065 ......... A Removal of hip 5.90 NA NA 8.00 7.04 0.63 NA NA 14.53 13.57 090
bone lesion.
27066 ......... A Removal of hip 10.33 NA NA 11.38 9.98 1.10 NA NA 22.81 21.41 090
bone lesion.
27067 ......... A Remove/graft hip 13.83 NA NA 13.63 13.13 1.53 NA NA 28.99 28.49 090
bone lesion.
27070 ......... A Partial removal of 10.72 NA NA 15.84 11.94 1.16 NA NA 27.72 23.82 090
hip bone.
27071 ......... A Partial removal of 11.46 NA NA 16.45 12.84 1.25 NA NA 29.16 25.55 090
hip bone.
27075 ......... A Extensive hip 17.23 NA NA 14.44 14.57 1.87 NA NA 33.54 33.67 090
surgery.
27076 ......... A Extensive hip 22.12 NA NA 18.92 18.35 2.36 NA NA 43.40 42.83 090
surgery.
27077 ......... A Extensive hip 23.13 NA NA 17.40 19.00 2.50 NA NA 43.03 44.63 090
surgery.
27078 ......... A Extensive hip 13.44 NA NA 13.13 11.56 1.50 NA NA 28.07 26.50 090
surgery.
27079 ......... A Extensive hip 13.75 NA NA 12.03 10.71 1.49 NA NA 27.27 25.95 090
surgery.
27080 ......... A Removal of tail 6.39 NA NA 6.47 5.83 0.70 NA NA 13.56 12.92 090
bone.
27086 ......... A Remove hip foreign 1.87 4.60 2.62 3.29 1.81 0.16 6.63 4.65 5.32 3.84 010
body.
27087 ......... A Remove hip foreign 8.54 NA NA 8.01 5.97 0.91 NA NA 17.46 15.42 090
body.
27090 ......... A Removal of hip 11.15 NA NA 10.17 10.02 1.22 NA NA 22.54 22.39 090
prosthesis.
27091 ......... A Removal of hip 22.14 NA NA 17.64 19.57 2.31 NA NA 42.09 44.02 090
prosthesis.
27093 ......... A Injection for hip 1.30 11.02 5.96 0.42 0.66 0.08 12.40 7.34 1.80 2.04 000
x-ray.
27095 ......... A Injection for hip 1.50 11.23 6.12 0.47 0.74 0.09 12.82 7.71 2.06 2.33 000
x-ray.
27097 ......... A Revision of hip 8.80 NA NA 8.35 8.36 0.95 NA NA 18.10 18.11 090
tendon.
27098 ......... A Transfer tendon to 8.83 NA NA 8.40 8.39 0.99 NA NA 18.22 18.21 090
pelvis.
27100 ......... A Transfer of 11.08 NA NA 11.33 9.83 1.18 NA NA 23.59 22.09 090
abdominal muscle.
27105 ......... A Transfer of spinal 11.77 NA NA 10.53 8.46 1.32 NA NA 23.62 21.55 090
muscle.
27110 ......... A Transfer of 13.26 NA NA 12.79 12.15 1.23 NA NA 27.28 26.64 090
iliopsoas muscle.
27111 ......... A Transfer of 12.15 NA NA 10.84 11.73 1.36 NA NA 24.35 25.24 090
iliopsoas muscle.
27120 ......... A Reconstruction of 18.01 NA NA 13.29 16.47 1.96 NA NA 33.26 36.44 090
hip socket.
27122 ......... A Reconstruction of 14.98 NA NA 12.99 15.44 1.63 NA NA 29.60 32.05 090
hip socket.
[[Page 39658]]
27125 ......... A Partial hip 14.69 NA NA 12.48 15.01 1.59 NA NA 28.76 31.29 090
replacement.
27130 ......... A Total hip 20.12 NA NA 16.13 20.08 2.19 NA NA 38.44 42.39 090
replacement.
27132 ......... A Total hip 23.30 NA NA 17.69 22.76 2.53 NA NA 43.52 48.59 090
replacement.
27134 ......... A Revise hip joint 28.52 NA NA 20.72 27.38 3.11 NA NA 52.35 59.01 090
replacement.
27137 ......... A Revise hip joint 21.17 NA NA 16.64 20.96 2.31 NA NA 40.12 44.44 090
replacement.
27138 ......... A Revise hip joint 22.17 NA NA 17.02 21.66 2.43 NA NA 41.62 46.26 090
replacement.
27140 ......... A Transplant of 12.24 NA NA 10.73 11.36 1.34 NA NA 24.31 24.94 090
femur ridge.
27146 ......... A Incision of hip 17.43 NA NA 15.75 13.78 1.93 NA NA 35.11 33.14 090
bone.
27147 ......... A Revision of hip 20.58 NA NA 15.19 16.81 2.24 NA NA 38.01 39.63 090
bone.
27151 ......... A Incision of hip 22.51 NA NA 17.26 18.24 2.53 NA NA 42.30 43.28 090
bones.
27156 ......... A Revision of hip 24.63 NA NA 18.06 18.97 2.68 NA NA 45.37 46.28 090
bones.
27158 ......... A Revision of pelvis 19.74 NA NA 16.04 15.85 2.22 NA NA 38.00 37.81 090
27161 ......... A Incision of neck 16.71 NA NA 14.12 14.83 1.82 NA NA 32.65 33.36 090
of femur.
27165 ......... A Incision/fixation 17.91 NA NA 13.57 15.88 1.95 NA NA 33.43 35.74 090
of femur.
27170 ......... A Repair/graft femur 16.07 NA NA 12.87 15.34 1.77 NA NA 30.71 33.18 090
head/neck.
27175 ......... A Treat slipped 8.46 NA NA 6.47 3.88 0.95 NA NA 15.88 13.29 090
epiphysis.
27176 ......... A Treat slipped 12.05 NA NA 8.70 9.99 1.22 NA NA 21.97 23.26 090
epiphysis.
27177 ......... A Repair slipped 15.08 NA NA 10.58 12.02 1.64 NA NA 27.30 28.74 090
epiphysis.
27178 ......... A Repair slipped 11.99 NA NA 12.91 12.13 1.08 NA NA 25.98 25.20 090
epiphysis.
27179 ......... A Revise head/neck 12.98 NA NA 9.36 10.73 1.44 NA NA 23.78 25.15 090
of femur.
27181 ......... A Repair slipped 14.68 NA NA 9.92 12.09 1.48 NA NA 26.08 28.25 090
epiphysis.
27185 ......... A Revision of femur 9.18 NA NA 8.60 5.81 0.86 NA NA 18.64 15.85 090
epiphysis.
27187 ......... A Reinforce hip 13.54 NA NA 12.11 14.14 1.47 NA NA 27.12 29.15 090
bones.
27193 ......... A Treat pelvic ring 5.56 6.31 4.47 4.85 3.74 0.61 12.48 10.64 11.02 9.91 090
fracture.
27194 ......... A Treat pelvic ring 9.65 8.47 6.35 7.10 5.67 1.08 19.20 17.08 17.83 16.40 090
fracture.
27200 ......... A Treat tail bone 1.84 2.56 2.09 1.54 1.58 0.19 4.59 4.12 3.57 3.61 090
fracture.
27202 ......... A Repair tail bone 7.04 NA NA 21.84 14.26 0.95 NA NA 29.83 22.25 090
fracture.
27215 ......... A Pelvic fracture(s) 10.05 NA NA 8.99 10.50 1.06 NA NA 20.10 21.61 090
treatment.
27216 ......... A Treat pelvic ring 15.19 NA NA 13.81 9.24 1.62 NA NA 30.62 26.05 090
fracture.
27217 ......... A Treat pelvic ring 14.11 NA NA 11.65 13.72 1.51 NA NA 27.27 29.34 090
fracture.
27218 ......... A Treat pelvic ring 20.15 NA NA 16.71 16.25 2.06 NA NA 38.92 38.46 090
fracture.
27220 ......... A Treat hip socket 6.18 6.65 5.64 5.17 4.90 0.68 13.51 12.50 12.03 11.76 090
fracture.
27222 ......... A Treat hip socket 12.70 NA NA 9.27 8.09 1.40 NA NA 23.37 22.19 090
fracture.
27226 ......... A Treat hip wall 14.91 NA NA 22.82 19.98 1.12 NA NA 38.85 36.01 090
fracture.
27227 ......... A Treat hip 23.45 NA NA 15.86 18.62 2.67 NA NA 41.98 44.74 090
fracture(s).
27228 ......... A Treat hip 27.16 NA NA 18.48 20.07 2.97 NA NA 48.61 50.20 090
fracture(s).
27230 ......... A Treat fracture of 5.50 6.53 5.06 5.31 4.45 0.58 12.61 11.14 11.39 10.53 090
thigh.
27232 ......... A Treat fracture of 10.68 NA NA 8.30 9.03 1.16 NA NA 20.14 20.87 090
thigh.
27235 ......... A Repair of thigh 12.16 NA NA 10.09 12.31 1.33 NA NA 23.58 25.80 090
fracture.
27236 ......... A Repair of thigh 15.60 NA NA 12.84 15.60 1.70 NA NA 30.14 32.90 090
fracture.
27238 ......... A Treatment of thigh 5.52 NA NA 5.38 5.36 0.59 NA NA 11.49 11.47 090
fracture.
27240 ......... A Treatment of thigh 12.50 NA NA 9.36 9.95 1.39 NA NA 23.25 23.84 090
fracture.
27244 ......... A Repair of thigh 15.94 NA NA 12.11 14.90 1.74 NA NA 29.79 32.58 090
fracture.
27245 ......... A Repair of thigh 20.31 NA NA 14.49 16.09 2.23 NA NA 37.03 38.63 090
fracture.
27246 ......... A Treatment of thigh 4.71 6.25 5.23 5.05 4.63 0.52 11.48 10.46 10.28 9.86 090
fracture.
27248 ......... A Repair of thigh 10.45 NA NA 9.03 10.76 1.12 NA NA 20.60 22.33 090
fracture.
27250 ......... A Treat hip 6.95 NA NA 5.99 4.73 0.71 NA NA 13.65 12.39 090
dislocation.
27252 ......... A Treat hip 10.39 NA NA 7.53 6.12 1.14 NA NA 19.06 17.65 090
dislocation.
27253 ......... A Repair of hip 12.92 NA NA 10.05 12.16 1.42 NA NA 24.39 26.50 090
dislocation.
27254 ......... A Repair of hip 18.26 NA NA 12.64 13.63 1.96 NA NA 32.86 33.85 090
dislocation.
27256 ......... A Treatment of hip 4.12 NA NA 3.70 2.87 0.41 NA NA 8.23 7.40 010
dislocation.
27257 ......... A Treatment of hip 5.22 NA NA 4.12 4.57 0.55 NA NA 9.89 10.34 010
dislocation.
27258 ......... A Repair of hip 15.43 NA NA 12.68 13.79 1.68 NA NA 29.79 30.90 090
dislocation.
27259 ......... A Repair of hip 21.55 NA NA 14.51 16.59 2.18 NA NA 38.24 40.32 090
dislocation.
27265 ......... A Treatment of hip 5.05 NA NA 5.18 4.47 0.56 NA NA 10.79 10.08 090
dislocation.
27266 ......... A Treatment of hip 7.49 NA NA 6.53 5.68 0.83 NA NA 14.85 14.00 090
dislocation.
27275 ......... A Manipulation of 2.27 NA NA 2.99 2.52 0.25 NA NA 5.51 5.04 010
hip joint.
27280 ......... A Fusion of 13.39 NA NA 13.94 12.43 1.49 NA NA 28.82 27.31 090
sacroiliac joint.
27282 ......... A Fusion of pubic 11.34 NA NA 11.09 10.44 0.90 NA NA 23.33 22.68 090
bones.
27284 ......... A Fusion of hip 16.76 NA NA 15.78 15.76 1.74 NA NA 34.28 34.26 090
joint.
27286 ......... A Fusion of hip 16.79 NA NA 13.53 15.02 1.89 NA NA 32.21 33.70 090
joint.
27290 ......... A Amputation of leg 23.28 NA NA 15.39 21.48 2.43 NA NA 41.10 47.19 090
at hip.
27295 ......... A Amputation of leg 18.65 NA NA 13.12 15.54 2.06 NA NA 33.83 36.25 090
at hip.
27299 ......... C Pelvis/hip joint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
27301 ......... A Drain thigh/knee 6.49 12.74 7.71 12.10 7.39 0.70 19.93 14.90 19.29 14.58 090
lesion.
27303 ......... A Drainage of bone 8.28 NA NA 12.74 9.55 0.90 NA NA 21.92 18.73 090
lesion.
27305 ......... A Incise thigh 5.92 NA NA 8.35 6.24 0.67 NA NA 14.94 12.83 090
tendon & fascia.
27306 ......... A Incision of thigh 4.62 NA NA 6.17 4.17 0.51 NA NA 11.30 9.30 090
tendon.
27307 ......... A Incision of thigh 5.80 NA NA 6.77 5.02 0.64 NA NA 13.21 11.46 090
tendons.
27310 ......... A Exploration of 9.27 NA NA 9.06 9.74 1.01 NA NA 19.34 20.02 090
knee joint.
27315 ......... A Partial removal, 6.97 NA NA 4.46 5.15 0.77 NA NA 12.20 12.89 090
thigh nerve.
27320 ......... A Partial removal, 6.30 NA NA 4.08 4.85 0.64 NA NA 11.02 11.79 090
thigh nerve.
27323 ......... A Biopsy thigh soft 2.28 4.17 2.58 2.94 1.72 0.15 6.60 5.01 5.37 4.15 010
tissues.
27324 ......... A Biopsy thigh soft 4.90 NA NA 5.85 4.35 0.56 NA NA 11.31 9.81 090
tissues.
27327 ......... A Removal of thigh 4.47 6.62 4.56 5.51 4.00 0.47 11.56 9.50 10.45 8.94 090
lesion.
27328 ......... A Removal of thigh 5.57 NA NA 6.12 5.27 0.60 NA NA 12.29 11.44 090
lesion.
27329 ......... A Remove tumor, 14.14 NA NA 12.85 12.77 1.47 NA NA 28.46 28.38 090
thigh/knee.
27330 ......... A Biopsy knee joint 4.97 NA NA 5.43 5.69 0.54 NA NA 10.94 11.20 090
lining.
27331 ......... A Explore/treat knee 5.88 NA NA 6.75 6.89 0.65 NA NA 13.28 13.42 090
joint.
27332 ......... A Removal of knee 8.27 NA NA 8.50 9.19 0.89 NA NA 17.66 18.35 090
cartilage.
27333 ......... A Removal of knee 7.30 NA NA 7.77 8.24 0.79 NA NA 15.86 16.33 090
cartilage.
27334 ......... A Remove knee joint 8.70 NA NA 8.70 9.55 0.95 NA NA 18.35 19.20 090
lining.
27335 ......... A Remove knee joint 10.00 NA NA 9.81 10.88 1.09 NA NA 20.90 21.97 090
lining.
27340 ......... A Removal of kneecap 4.18 NA NA 4.98 4.58 0.46 NA NA 9.62 9.22 090
bursa.
[[Page 39659]]
27345 ......... A Removal of knee 5.92 NA NA 7.11 6.61 0.65 NA NA 13.68 13.18 090
cyst.
27347 ......... A Remove knee cyst.. 5.78 2.46 2.46 2.46 2.46 0.63 8.87 8.87 8.87 8.87 090
27350 ......... A Removal of kneecap 8.17 NA NA 8.26 9.01 0.90 NA NA 17.33 18.08 090
27355 ......... A Remove femur 7.65 NA NA 9.10 8.67 0.84 NA NA 17.59 17.16 090
lesion.
27356 ......... A Remove femur 9.48 NA NA 10.52 9.71 1.04 NA NA 21.04 20.23 090
lesion/graft.
27357 ......... A Remove femur 10.53 NA NA 10.41 9.98 1.16 NA NA 22.10 21.67 090
lesion/graft.
27358 ......... A Remove femur 4.74 NA NA 2.53 3.74 0.52 NA NA 7.79 9.00 ZZZ
lesion/fixation.
27360 ......... A Partial removal 10.50 NA NA 16.27 12.78 1.15 NA NA 27.92 24.43 090
leg bone(s).
27365 ......... A Extensive leg 16.27 NA NA 13.15 14.14 1.73 NA NA 31.15 32.14 090
surgery.
27370 ......... A Injection for knee 0.96 10.59 5.62 0.26 0.46 0.05 11.60 6.63 1.27 1.47 000
x-ray.
27372 ......... A Removal of foreign 5.07 6.82 5.27 5.69 4.70 0.54 12.43 10.88 11.30 10.31 090
body.
27380 ......... A Repair of kneecap 7.16 NA NA 7.72 8.14 0.79 NA NA 15.67 16.09 090
tendon.
27381 ......... A Repair/graft 10.34 NA NA 9.26 10.75 1.15 NA NA 20.75 22.24 090
kneecap tendon.
27385 ......... A Repair of thigh 7.76 NA NA 8.12 8.70 0.85 NA NA 16.73 17.31 090
muscle.
27386 ......... A Repair/graft of 10.56 NA NA 10.10 11.36 1.15 NA NA 21.81 23.07 090
thigh muscle.
27390 ......... A Incision of thigh 5.33 NA NA 6.93 5.83 0.59 NA NA 12.85 11.75 090
tendon.
27391 ......... A Incision of thigh 7.20 NA NA 7.77 6.83 0.80 NA NA 15.77 14.83 090
tendons.
27392 ......... A Incision of thigh 9.20 NA NA 9.69 9.01 1.00 NA NA 19.89 19.21 090
tendons.
27393 ......... A Lengthening of 6.39 NA NA 8.42 7.29 0.68 NA NA 15.49 14.36 090
thigh tendon.
27394 ......... A Lengthening of 8.50 NA NA 9.35 7.79 0.93 NA NA 18.78 17.22 090
thigh tendons.
27395 ......... A Lengthening of 11.73 NA NA 12.38 11.88 1.28 NA NA 25.39 24.89 090
thigh tendons.
27396 ......... A Transplant of 7.86 NA NA 9.02 8.34 0.87 NA NA 17.75 17.07 090
thigh tendon.
27397 ......... A Transplants of 11.28 NA NA 10.43 10.04 1.27 NA NA 22.98 22.59 090
thigh tendons.
27400 ......... A Revise thigh 9.02 NA NA 9.46 9.01 0.97 NA NA 19.45 19.00 090
muscles/tendons.
27403 ......... A Repair of knee 8.33 NA NA 8.02 8.78 0.91 NA NA 17.26 18.02 090
cartilage.
27405 ......... A Repair of knee 8.65 NA NA 8.76 9.55 0.95 NA NA 18.36 19.15 090
ligament.
27407 ......... A Repair of knee 10.28 NA NA 10.18 9.91 1.08 NA NA 21.54 21.27 090
ligament.
27409 ......... A Repair of knee 12.90 NA NA 11.93 13.67 1.44 NA NA 26.27 28.01 090
ligaments.
27418 ......... A Repair degenerated 10.85 NA NA 10.35 11.66 1.19 NA NA 22.39 23.70 090
kneecap.
27420 ......... A Revision of 9.83 NA NA 9.23 10.48 1.06 NA NA 20.12 21.37 090
unstable kneecap.
27422 ......... A Revision of 9.78 NA NA 9.02 10.35 1.07 NA NA 19.87 21.20 090
unstable kneecap.
27424 ......... A Revision/removal 9.81 NA NA 8.69 10.20 1.09 NA NA 19.59 21.10 090
of kneecap.
27425 ......... A Lateral 5.22 NA NA 6.52 6.38 0.57 NA NA 12.31 12.17 090
retinacular
release.
27427 ......... A Reconstruction, 9.36 NA NA 8.62 9.90 1.01 NA NA 18.99 20.27 090
knee.
27428 ......... A Reconstruction, 14.00 NA NA 12.52 13.68 1.51 NA NA 28.03 29.19 090
knee.
27429 ......... A Reconstruction, 15.52 NA NA 12.52 12.38 1.67 NA NA 29.71 29.57 090
knee.
27430 ......... A Revision of thigh 9.67 NA NA 8.80 9.48 1.03 NA NA 19.50 20.18 090
muscles.
27435 ......... A Incision of knee 9.49 NA NA 8.48 8.06 1.05 NA NA 19.02 18.60 090
joint.
27437 ......... A Revise kneecap.... 8.46 NA NA 9.95 10.03 0.90 NA NA 19.31 19.39 090
27438 ......... A Revise kneecap 11.23 NA NA 10.21 11.81 1.22 NA NA 22.66 24.26 090
with implant.
27440 ......... A Revision of knee 10.43 NA NA 23.64 18.05 0.72 NA NA 34.79 29.20 090
joint.
27441 ......... A Revision of knee 10.82 NA NA 22.27 16.10 0.80 NA NA 33.89 27.72 090
joint.
27442 ......... A Revision of knee 11.89 NA NA 10.73 12.47 1.31 NA NA 23.93 25.67 090
joint.
27443 ......... A Revision of knee 10.93 NA NA 10.43 11.74 1.20 NA NA 22.56 23.87 090
joint.
27445 ......... A Revision of knee 17.68 NA NA 13.64 17.38 1.96 NA NA 33.28 37.02 090
joint.
27446 ......... A Revision of knee 15.84 NA NA 13.82 16.37 1.70 NA NA 31.36 33.91 090
joint.
27447 ......... A Total knee 21.48 NA NA 16.21 20.93 2.33 NA NA 40.02 44.74 090
replacement.
27448 ......... A Incision of thigh. 11.06 NA NA 10.74 11.98 1.20 NA NA 23.00 24.24 090
27450 ......... A Incision of thigh. 13.98 NA NA 12.53 14.32 1.52 NA NA 28.03 29.82 090
27454 ......... A Realignment of 17.56 NA NA 14.78 15.91 1.89 NA NA 34.23 35.36 090
thigh bone.
27455 ......... A Realignment of 12.82 NA NA 12.13 12.58 1.34 NA NA 26.29 26.74 090
knee.
27457 ......... A Realignment of 13.45 NA NA 10.79 12.61 1.47 NA NA 25.71 27.53 090
knee.
27465 ......... A Shortening of 13.87 NA NA 12.36 12.82 1.54 NA NA 27.77 28.23 090
thigh bone.
27466 ......... A Lengthening of 16.33 NA NA 14.59 14.59 1.80 NA NA 32.72 32.72 090
thigh bone.
27468 ......... A Shorten/lengthen 18.97 NA NA 13.16 15.72 2.06 NA NA 34.19 36.75 090
thighs.
27470 ......... A Repair of thigh... 16.07 NA NA 14.54 16.32 1.75 NA NA 32.36 34.14 090
27472 ......... A Repair/graft of 17.72 NA NA 15.31 18.23 1.94 NA NA 34.97 37.89 090
thigh.
27475 ......... A Surgery to stop 8.64 NA NA 8.85 8.63 0.92 NA NA 18.41 18.19 090
leg growth.
27477 ......... A Surgery to stop 9.85 NA NA 9.34 10.55 1.03 NA NA 20.22 21.43 090
leg growth.
27479 ......... A Surgery to stop 12.80 NA NA 10.02 11.32 1.44 NA NA 24.26 25.56 090
leg growth.
27485 ......... A Surgery to stop 8.84 NA NA 9.21 8.90 0.95 NA NA 19.00 18.69 090
leg growth.
27486 ......... A Revise knee joint 19.27 NA NA 15.09 19.05 2.09 NA NA 36.45 40.41 090
replace.
27487 ......... A Revise knee joint 25.27 NA NA 18.50 24.32 2.73 NA NA 46.50 52.32 090
replace.
27488 ......... A Removal of knee 15.74 NA NA 13.16 15.35 1.72 NA NA 30.62 32.81 090
prosthesis.
27495 ......... A Reinforce thigh... 15.55 NA NA 14.30 16.44 1.69 NA NA 31.54 33.68 090
27496 ......... A Decompression of 6.11 NA NA 7.55 6.24 0.70 NA NA 14.36 13.05 090
thigh/knee.
27497 ......... A Decompression of 7.17 NA NA 6.92 6.47 0.80 NA NA 14.89 14.44 090
thigh/knee.
27498 ......... A Decompression of 7.99 NA NA 7.97 7.42 0.91 NA NA 16.87 16.32 090
thigh/knee.
27499 ......... A Decompression of 9.00 NA NA 7.80 7.85 0.99 NA NA 17.79 17.84 090
thigh/knee.
27500 ......... A Treatment of thigh 5.92 13.17 9.52 6.38 6.13 0.64 19.73 16.08 12.94 12.69 090
fracture.
27501 ......... A Treatment of thigh 5.92 14.17 10.02 7.26 6.57 0.66 20.75 16.60 13.84 13.15 090
fracture.
27502 ......... A Treatment of thigh 10.58 NA NA 9.72 9.02 1.17 NA NA 21.47 20.77 090
fracture.
27503 ......... A Treatment of thigh 10.58 NA NA 9.81 9.07 1.17 NA NA 21.56 20.82 090
fracture.
27506 ......... A Repair of thigh 17.45 NA NA 13.34 15.37 1.91 NA NA 32.70 34.73 090
fracture.
27507 ......... A Treatment of thigh 13.99 NA NA 11.52 14.11 1.53 NA NA 27.04 29.63 090
fracture.
27508 ......... A Treatment of thigh 5.83 8.66 6.62 4.92 4.75 0.64 15.13 13.09 11.39 11.22 090
fracture.
27509 ......... A Treatment of thigh 7.71 NA NA 8.16 6.37 0.86 NA NA 16.73 14.94 090
fracture.
27510 ......... A Treatment of thigh 9.13 NA NA 6.71 7.06 1.00 NA NA 16.84 17.19 090
fracture.
27511 ......... A Treatment of thigh 13.64 NA NA 12.24 14.26 1.49 NA NA 27.37 29.39 090
fracture.
27513 ......... A Treatment of thigh 17.92 NA NA 14.49 15.94 1.96 NA NA 34.37 35.82 090
fracture.
27514 ......... A Repair of thigh 17.30 NA NA 13.63 15.37 1.89 NA NA 32.82 34.56 090
fracture.
27516 ......... A Repair of thigh 5.37 9.25 7.24 5.17 5.20 0.59 15.21 13.20 11.13 11.16 090
growth plate.
27517 ......... A Repair of thigh 8.78 10.27 9.38 7.17 7.83 0.96 20.01 19.12 16.91 17.57 090
growth plate.
27519 ......... A Repair of thigh 15.02 NA NA 12.51 13.14 1.62 NA NA 29.15 29.78 090
growth plate.
[[Page 39660]]
27520 ......... A Treat kneecap 2.86 7.01 5.16 3.38 2.52 0.31 10.18 8.33 6.55 5.69 090
fracture.
27524 ......... A Repair of kneecap 10.00 NA NA 8.15 9.69 1.09 NA NA 19.24 20.78 090
fracture.
27530 ......... A Treatment of knee 3.78 7.51 5.60 3.85 3.77 0.41 11.70 9.79 8.04 7.96 090
fracture.
27532 ......... A Treatment of knee 7.30 6.76 6.46 5.36 5.76 0.81 14.87 14.57 13.47 13.87 090
fracture.
27535 ......... A Treatment of knee 11.50 NA NA 11.19 11.94 1.26 NA NA 23.95 24.70 090
fracture.
27536 ......... A Repair of knee 15.65 NA NA 11.06 11.88 1.72 NA NA 28.43 29.25 090
fracture.
27538 ......... A Treat knee 4.87 8.91 6.29 5.02 4.34 0.53 14.31 11.69 10.42 9.74 090
fracture(s).
27540 ......... A Repair of knee 13.10 NA NA 9.81 10.85 1.42 NA NA 24.33 25.37 090
fracture.
27550 ......... A Treat knee 5.76 8.58 5.69 5.27 4.03 0.60 14.94 12.05 11.63 10.39 090
dislocation.
27552 ......... A Treat knee 7.90 NA NA 6.98 5.35 0.87 NA NA 15.75 14.12 090
dislocation.
27556 ......... A Repair of knee 14.41 NA NA 12.74 13.14 1.62 NA NA 28.77 29.17 090
dislocation.
27557 ......... A Repair of knee 16.77 NA NA 14.64 15.24 1.84 NA NA 33.25 33.85 090
dislocation.
27558 ......... A Repair of knee 17.72 NA NA 14.07 14.96 1.87 NA NA 33.66 34.55 090
dislocation.
27560 ......... A Treat kneecap 3.82 7.80 4.68 3.85 2.70 0.38 12.00 8.88 8.05 6.90 090
dislocation.
27562 ......... A Treat kneecap 5.79 NA NA 4.98 5.30 0.62 NA NA 11.39 11.71 090
dislocation.
27566 ......... A Repair kneecap 12.23 NA NA 9.36 10.42 1.35 NA NA 22.94 24.00 090
dislocation.
27570 ......... A Fixation of knee 1.74 NA NA 2.80 2.34 0.19 NA NA 4.73 4.27 010
joint.
27580 ......... A Fusion of knee.... 19.37 NA NA 15.77 16.41 2.11 NA NA 37.25 37.89 090
27590 ......... A Amputate leg at 12.03 NA NA 11.15 10.52 1.36 NA NA 24.54 23.91 090
thigh.
27591 ......... A Amputate leg at 12.68 NA NA 12.38 12.58 1.42 NA NA 26.48 26.68 090
thigh.
27592 ......... A Amputate leg at 10.02 NA NA 10.64 9.72 1.13 NA NA 21.79 20.87 090
thigh.
27594 ......... A Amputation follow- 6.92 NA NA 7.57 5.77 0.78 NA NA 15.27 13.47 090
up surgery.
27596 ......... A Amputation follow- 10.60 NA NA 10.61 9.31 1.20 NA NA 22.41 21.11 090
up surgery.
27598 ......... A Amputate lower leg 10.53 NA NA 9.92 10.41 1.15 NA NA 21.60 22.09 090
at knee.
27599 ......... C Leg surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
27600 ......... A Decompression of 5.65 NA NA 6.91 5.30 0.68 NA NA 13.24 11.63 090
lower leg.
27601 ......... A Decompression of 5.64 NA NA 6.36 5.02 0.66 NA NA 12.66 11.32 090
lower leg.
27602 ......... A Decompression of 7.35 NA NA 7.19 5.80 0.89 NA NA 15.43 14.04 090
lower leg.
27603 ......... A Drain lower leg 4.94 12.62 7.60 8.39 5.49 0.52 18.08 13.06 13.85 10.95 090
lesion.
27604 ......... A Drain lower leg 4.47 9.36 5.24 7.17 3.87 0.40 14.23 10.11 12.04 8.74 090
bursa.
27605 ......... A Incision of 2.87 9.90 5.59 3.53 2.41 0.30 13.07 8.76 6.70 5.58 010
achilles tendon.
27606 ......... A Incision of 4.14 9.12 5.71 4.45 3.38 0.45 13.71 10.30 9.04 7.97 010
achilles tendon.
27607 ......... A Treat lower leg 7.97 NA NA 12.35 9.44 0.85 NA NA 21.17 18.26 090
bone lesion.
27610 ......... A Explore/treat 8.34 NA NA 8.82 8.44 0.89 NA NA 18.05 17.67 090
ankle joint.
27612 ......... A Exploration of 7.33 NA NA 7.41 8.03 0.72 NA NA 15.46 16.08 090
ankle joint.
27613 ......... A Biopsy lower leg 2.17 4.32 2.53 2.68 1.53 0.14 6.63 4.84 4.99 3.84 010
soft tissue.
27614 ......... A Biopsy lower leg 5.66 8.97 5.71 6.14 4.30 0.59 15.22 11.96 12.39 10.55 090
soft tissue.
27615 ......... A Remove tumor, 12.56 NA NA 13.45 11.19 1.32 NA NA 27.33 25.07 090
lower leg.
27618 ......... A Remove lower leg 5.09 9.18 5.73 5.73 4.01 0.50 14.77 11.32 11.32 9.60 090
lesion.
27619 ......... A Remove lower leg 8.40 10.65 7.57 7.86 6.17 0.85 19.90 16.82 17.11 15.42 090
lesion.
27620 ......... A Explore, treat 5.98 NA NA 7.06 6.80 0.62 NA NA 13.66 13.40 090
ankle joint.
27625 ......... A Remove ankle joint 8.30 NA NA 8.83 9.14 0.83 NA NA 17.96 18.27 090
lining.
27626 ......... A Remove ankle joint 8.91 NA NA 9.19 9.92 0.94 NA NA 19.04 19.77 090
lining.
27630 ......... A Removal of tendon 4.80 8.62 5.99 5.85 4.61 0.48 13.90 11.27 11.13 9.89 090
lesion.
27635 ......... A Remove lower leg 7.78 NA NA 9.50 9.12 0.84 NA NA 18.12 17.74 090
bone lesion.
27637 ......... A Remove/graft leg 9.85 NA NA 11.54 10.37 1.08 NA NA 22.47 21.30 090
bone lesion.
27638 ......... A Remove/graft leg 10.57 NA NA 12.40 11.17 1.14 NA NA 24.11 22.88 090
bone lesion.
27640 ......... A Partial removal of 11.37 NA NA 15.26 12.96 1.21 NA NA 27.84 25.54 090
tibia.
27641 ......... A Partial removal of 9.24 NA NA 14.95 11.35 0.97 NA NA 25.16 21.56 090
fibula.
27645 ......... A Extensive lower 14.17 NA NA 15.21 13.92 1.56 NA NA 30.94 29.65 090
leg surgery.
27646 ......... A Extensive lower 12.66 NA NA 13.28 12.48 1.31 NA NA 27.25 26.45 090
leg surgery.
27647 ......... A Extensive ankle/ 12.24 NA NA 9.98 10.39 1.10 NA NA 23.32 23.73 090
heel surgery.
27648 ......... A Injection for 0.96 9.72 5.14 0.28 0.42 0.05 10.73 6.15 1.29 1.43 000
ankle x-ray.
27650 ......... A Repair achilles 9.69 NA NA 8.64 9.20 1.01 NA NA 19.34 19.90 090
tendon.
27652 ......... A Repair/graft 10.33 NA NA 8.41 9.86 1.05 NA NA 19.79 21.24 090
achilles tendon.
27654 ......... A Repair of achilles 10.02 NA NA 9.01 10.44 0.96 NA NA 19.99 21.42 090
tendon.
27656 ......... A Repair leg fascia 4.57 10.38 6.92 5.44 4.45 0.46 15.41 11.95 10.47 9.48 090
defect.
27658 ......... A Repair of leg 4.98 7.59 5.98 7.59 5.98 0.49 13.06 11.45 13.06 11.45 090
tendon, each.
27659 ......... A Repair of leg 6.81 6.93 6.65 6.93 6.65 0.66 14.40 14.12 14.40 14.12 090
tendon, each.
27664 ......... A Repair of leg 4.59 11.30 7.50 7.56 5.63 0.49 16.38 12.58 12.64 10.71 090
tendon, each.
27665 ......... A Repair of leg 5.40 10.27 7.82 7.91 6.64 0.56 16.23 13.78 13.87 12.60 090
tendon, each.
27675 ......... A Repair lower leg 7.18 NA NA 8.00 7.48 0.74 NA NA 15.92 15.40 090
tendons.
27676 ......... A Repair lower leg 8.42 NA NA 7.47 7.84 0.78 NA NA 16.67 17.04 090
tendons.
27680 ......... A Release of lower 5.74 NA NA 7.39 5.93 0.58 NA NA 13.71 12.25 090
leg tendon.
27681 ......... A Release of lower 6.82 NA NA 7.95 7.22 0.72 NA NA 15.49 14.76 090
leg tendons.
27685 ......... A Revision of lower 6.50 7.11 5.64 7.11 5.64 0.61 14.22 12.75 14.22 12.75 090
leg tendon.
27686 ......... A Revise lower leg 7.46 7.88 7.50 7.88 7.50 0.79 16.13 15.75 16.13 15.75 090
tendons.
27687 ......... A Revision of calf 6.24 NA NA 6.95 6.43 0.61 NA NA 13.80 13.28 090
tendon.
27690 ......... A Revise lower leg 8.71 NA NA 8.26 7.79 0.82 NA NA 17.79 17.32 090
tendon.
27691 ......... A Revise lower leg 9.96 NA NA 9.95 9.26 1.01 NA NA 20.92 20.23 090
tendon.
27692 ......... A Revise additional 1.87 NA NA 0.98 1.59 0.20 NA NA 3.05 3.66 ZZZ
leg tendon.
27695 ......... A Repair of ankle 6.51 NA NA 8.06 7.92 0.67 NA NA 15.24 15.10 090
ligament.
27696 ......... A Repair of ankle 8.27 NA NA 8.08 7.87 0.82 NA NA 17.17 16.96 090
ligaments.
27698 ......... A Repair of ankle 9.36 NA NA 8.43 9.81 0.90 NA NA 18.69 20.07 090
ligament.
27700 ......... A Revision of ankle 9.29 NA NA 6.60 8.85 0.72 NA NA 16.61 18.86 090
joint.
27702 ......... A Reconstruct ankle 13.67 NA NA 11.85 14.09 1.51 NA NA 27.03 29.27 090
joint.
27703 ......... A Reconstruction, 15.87 NA NA 10.30 12.65 1.42 NA NA 27.59 29.94 090
ankle joint.
27704 ......... A Removal of ankle 7.62 NA NA 14.72 10.53 0.70 NA NA 23.04 18.85 090
implant.
27705 ......... A Incision of tibia. 10.38 NA NA 10.09 10.88 1.13 NA NA 21.60 22.39 090
27707 ......... A Incision of fibula 4.37 NA NA 7.10 6.13 0.48 NA NA 11.95 10.98 090
27709 ......... A Incision of tibia 9.95 NA NA 10.34 11.11 1.09 NA NA 21.38 22.15 090
& fibula.
27712 ......... A Realignment of 14.25 NA NA 11.91 11.92 1.57 NA NA 27.73 27.74 090
lower leg.
27715 ......... A Revision of lower 14.39 NA NA 14.11 13.90 1.56 NA NA 30.06 29.85 090
leg.
27720 ......... A Repair of tibia... 11.79 NA NA 12.41 13.25 1.27 NA NA 25.47 26.31 090
[[Page 39661]]
27722 ......... A Repair/graft of 11.82 NA NA 12.60 12.00 1.24 NA NA 25.66 25.06 090
tibia.
27724 ......... A Repair/graft of 14.99 NA NA 13.92 15.37 1.64 NA NA 30.55 32.00 090
tibia.
27725 ......... A Repair of lower 15.59 NA NA 13.27 12.30 1.69 NA NA 30.55 29.58 090
leg.
27727 ......... A Repair of lower 14.01 NA NA 10.88 10.53 1.52 NA NA 26.41 26.06 090
leg.
27730 ......... A Repair of tibia 7.41 15.79 9.85 8.24 6.07 0.80 24.00 18.06 16.45 14.28 090
epiphysis.
27732 ......... A Repair of fibula 5.32 11.67 8.46 6.74 6.00 0.57 17.56 14.35 12.63 11.89 090
epiphysis.
27734 ......... A Repair lower leg 8.48 NA NA 7.91 8.05 0.82 NA NA 17.21 17.35 090
epiphyses.
27740 ......... A Repair of leg 9.30 3.55 6.31 3.55 6.31 1.04 13.89 16.65 13.89 16.65 090
epiphyses.
27742 ......... A Repair of leg 10.30 13.57 11.83 8.91 9.50 1.00 24.87 23.13 20.21 20.80 090
epiphyses.
27745 ......... A Reinforce tibia... 10.07 NA NA 10.50 10.12 1.08 NA NA 21.65 21.27 090
27750 ......... A Treatment of tibia 3.19 7.14 5.44 3.51 3.63 0.35 10.68 8.98 7.05 7.17 090
fracture.
27752 ......... A Treatment of tibia 5.84 9.43 7.48 5.53 5.53 0.65 15.92 13.97 12.02 12.02 090
fracture.
27756 ......... A Repair of tibia 6.78 NA NA 9.44 8.77 0.74 NA NA 16.96 16.29 090
fracture.
27758 ......... A Repair of tibia 11.67 NA NA 11.13 12.53 1.27 NA NA 24.07 25.47 090
fracture.
27759 ......... A Repair of tibia 13.76 NA NA 12.21 13.56 1.50 NA NA 27.47 28.82 090
fracture.
27760 ......... A Treatment of ankle 3.01 6.84 4.82 3.39 2.40 0.32 10.17 8.15 6.72 5.73 090
fracture.
27762 ......... A Treatment of ankle 5.25 8.79 6.22 5.11 4.38 0.57 14.61 12.04 10.93 10.20 090
fracture.
27766 ......... A Repair of ankle 8.36 NA NA 7.74 8.14 0.92 NA NA 17.02 17.42 090
fracture.
27780 ......... A Treatment of 2.65 4.65 3.40 3.23 2.15 0.28 7.58 6.33 6.16 5.08 090
fibula fracture.
27781 ......... A Treatment of 4.40 7.95 5.76 4.01 3.79 0.47 12.82 10.63 8.88 8.66 090
fibula fracture.
27784 ......... A Repair of fibula 7.11 NA NA 7.71 6.89 0.77 NA NA 15.59 14.77 090
fracture.
27786 ......... A Treatment of ankle 2.84 6.85 4.79 3.33 2.35 0.30 9.99 7.93 6.47 5.49 090
fracture.
27788 ......... A Treatment of ankle 4.45 7.91 5.73 4.16 2.97 0.48 12.84 10.66 9.09 7.90 090
fracture.
27792 ......... A Repair of ankle 7.66 NA NA 7.40 7.71 0.83 NA NA 15.89 16.20 090
fracture.
27808 ......... A Treatment of ankle 2.83 7.68 5.36 3.95 3.49 0.31 10.82 8.50 7.09 6.63 090
fracture.
27810 ......... A Treatment of ankle 5.13 8.96 7.22 5.13 5.31 0.56 14.65 12.91 10.82 11.00 090
fracture.
27814 ......... A Repair of ankle 10.68 NA NA 9.82 10.34 1.17 NA NA 21.67 22.19 090
fracture.
27816 ......... A Treatment of ankle 2.89 7.41 5.59 3.99 3.72 0.30 10.60 8.78 7.18 6.91 090
fracture.
27818 ......... A Treatment of ankle 5.50 9.14 7.86 5.26 5.92 0.60 15.24 13.96 11.36 12.02 090
fracture.
27822 ......... A Repair of ankle 9.20 NA NA 33.97 22.48 1.01 NA NA 44.18 32.69 090
fracture.
27823 ......... A Repair of ankle 11.80 NA NA 34.72 24.30 1.29 NA NA 47.81 37.39 090
fracture.
27824 ......... A Treat lower leg 2.89 7.52 5.65 4.00 3.73 0.31 10.72 8.85 7.20 6.93 090
fracture.
27825 ......... A Treat lower leg 6.19 9.67 8.37 5.84 6.46 0.69 16.55 15.25 12.72 13.34 090
fracture.
27826 ......... A Treat lower leg 8.54 NA NA 32.89 21.54 0.93 NA NA 42.36 31.01 090
fracture.
27827 ......... A Treat lower leg 14.06 NA NA 37.65 25.18 1.54 NA NA 53.25 40.78 090
fracture.
27828 ......... A Treat lower leg 16.23 NA NA 37.29 25.59 1.78 NA NA 55.30 43.60 090
fracture.
27829 ......... A Treat lower leg 5.49 NA NA 25.17 15.86 0.60 NA NA 31.26 21.95 090
joint.
27830 ......... A Treat lower leg 3.79 6.75 5.14 3.89 3.71 0.41 10.95 9.34 8.09 7.91 090
dislocation.
27831 ......... A Treat lower leg 4.56 NA NA 4.90 4.61 0.49 NA NA 9.95 9.66 090
dislocation.
27832 ......... A Repair lower leg 6.49 NA NA 6.96 6.58 0.73 NA NA 14.18 13.80 090
dislocation.
27840 ......... A Treat ankle 4.58 NA NA 5.07 3.55 0.47 NA NA 10.12 8.60 090
dislocation.
27842 ......... A Treat ankle 6.21 NA NA 4.59 3.50 0.67 NA NA 11.47 10.38 090
dislocation.
27846 ......... A Repair ankle 9.79 NA NA 10.32 9.82 1.02 NA NA 21.13 20.63 090
dislocation.
27848 ......... A Repair ankle 11.20 NA NA 27.84 18.46 1.23 NA NA 40.27 30.89 090
dislocation.
27860 ......... A Fixation of ankle 2.34 NA NA 3.20 2.36 0.24 NA NA 5.78 4.94 010
joint.
27870 ......... A Fusion of ankle 13.91 NA NA 12.74 13.61 1.50 NA NA 28.15 29.02 090
joint.
27871 ......... A Fusion of 9.17 NA NA 9.61 9.03 0.98 NA NA 19.76 19.18 090
tibiofibular
joint.
27880 ......... A Amputation of 11.85 NA NA 10.86 9.97 1.33 NA NA 24.04 23.15 090
lower leg.
27881 ......... A Amputation of 12.34 NA NA 11.94 11.84 1.39 NA NA 25.67 25.57 090
lower leg.
27882 ......... A Amputation of 8.94 NA NA 10.49 9.24 1.02 NA NA 20.45 19.20 090
lower leg.
27884 ......... A Amputation follow- 8.21 NA NA 9.15 6.41 0.93 NA NA 18.29 15.55 090
up surgery.
27886 ......... A Amputation follow- 9.32 NA NA 9.46 8.62 1.06 NA NA 19.84 19.00 090
up surgery.
27888 ......... A Amputation of foot 9.67 NA NA 9.71 10.01 1.07 NA NA 20.45 20.75 090
at ankle.
27889 ......... A Amputation of foot 9.98 NA NA 9.35 9.25 1.13 NA NA 20.46 20.36 090
at ankle.
27892 ......... A Decompression of 7.39 NA NA 6.87 5.28 0.84 NA NA 15.10 13.51 090
leg.
27893 ......... A Decompression of 7.35 NA NA 9.82 6.75 0.70 NA NA 17.87 14.80 090
leg.
27894 ......... A Decompression of 10.49 NA NA 8.24 6.32 1.17 NA NA 19.90 17.98 090
leg.
27899 ......... C Leg/ankle surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
28001 ......... A Drainage of bursa 2.73 4.09 2.33 2.70 1.49 0.20 7.02 5.26 5.63 4.42 010
of foot.
28002 ......... A Treatment of foot 4.62 5.09 3.77 3.72 3.08 0.40 10.11 8.79 8.74 8.10 010
infection.
28003 ......... A Treatment of foot 8.41 8.34 6.07 8.34 5.12 0.70 17.45 15.18 17.45 14.23 090
infection.
28005 ......... A Treat foot bone 8.68 NA NA 8.70 6.57 0.79 NA NA 18.17 16.04 090
lesion.
28008 ......... A Incision of foot 4.45 5.97 4.44 4.71 3.81 0.33 10.75 9.22 9.49 8.59 090
fascia.
28010 ......... A Incision of toe 2.84 5.16 4.55 3.78 2.88 0.20 8.20 7.59 6.82 5.92 090
tendon.
28011 ......... A Incision of toe 4.14 6.64 4.28 5.41 3.19 0.36 11.14 8.78 9.91 7.69 090
tendons.
28020 ......... A Exploration of a 5.01 7.65 6.22 5.55 5.17 0.43 13.09 11.66 10.99 10.61 090
foot joint.
28022 ......... A Exploration of a 4.67 5.62 4.30 4.98 3.24 0.38 10.67 9.35 10.03 8.29 090
foot joint.
28024 ......... A Exploration of a 4.38 5.98 4.29 5.18 3.24 0.34 10.70 9.01 9.90 7.96 090
toe joint.
28030 ......... A Removal of foot 6.15 NA NA 3.19 3.73 0.45 NA NA 9.79 10.33 090
nerve.
28035 ......... A Decompression of 5.09 7.53 7.12 4.80 5.44 0.45 13.07 12.66 10.34 10.98 090
tibia nerve.
28043 ......... A Excision of foot 3.54 5.47 3.68 4.21 3.05 0.29 9.30 7.51 8.04 6.88 090
lesion.
28045 ......... A Excision of foot 4.72 5.96 5.15 4.74 4.54 0.39 11.07 10.26 9.85 9.65 090
lesion.
28046 ......... A Resection of 10.18 9.21 7.51 8.58 7.20 0.88 20.27 18.57 19.64 18.26 090
tumor, foot.
28050 ......... A Biopsy of foot 4.25 6.57 5.37 4.61 4.39 0.36 11.18 9.98 9.22 9.00 090
joint lining.
28052 ......... A Biopsy of foot 3.94 5.56 4.86 4.99 3.54 0.35 9.85 9.15 9.28 7.83 090
joint lining.
28054 ......... A Biopsy of toe 3.45 5.86 4.15 4.86 3.65 0.30 9.61 7.90 8.61 7.40 090
joint lining.
28060 ......... A Partial removal 5.23 6.31 5.45 5.28 4.93 0.41 11.95 11.09 10.92 10.57 090
foot fascia.
28062 ......... A Removal of foot 6.52 6.92 7.29 5.10 6.38 0.48 13.92 14.29 12.10 13.38 090
fascia.
28070 ......... A Removal of foot 5.10 5.56 5.21 5.06 4.96 0.40 11.06 10.71 10.56 10.46 090
joint lining.
28072 ......... A Removal of foot 4.58 5.67 4.58 5.61 4.55 0.44 10.69 9.60 10.63 9.57 090
joint lining.
28080 ......... A Removal of foot 3.58 5.55 4.99 4.35 4.39 0.28 9.41 8.85 8.21 8.25 090
lesion.
28086 ......... A Excise foot tendon 4.78 6.92 5.16 6.92 5.16 0.50 12.20 10.44 12.20 10.44 090
sheath.
28088 ......... A Excise foot tendon 3.86 7.32 5.63 5.42 4.68 0.37 11.55 9.86 9.65 8.91 090
sheath.
28090 ......... A Removal of foot 4.41 5.80 4.54 4.55 3.92 0.35 10.56 9.30 9.31 8.68 090
lesion.
[[Page 39662]]
28092 ......... A Removal of toe 3.64 6.04 4.12 4.90 3.55 0.30 9.98 8.06 8.84 7.49 090
lesions.
28100 ......... A Removal of ankle/ 5.66 8.64 6.81 6.49 5.73 0.52 14.82 12.99 12.67 11.91 090
heel lesion.
28102 ......... A Remove/graft foot 7.73 NA NA 8.41 7.92 0.77 NA NA 16.91 16.42 090
lesion.
28103 ......... A Remove/graft foot 6.50 7.53 6.81 6.48 6.29 0.56 14.59 13.87 13.54 13.35 090
lesion.
28104 ......... A Removal of foot 5.12 6.29 5.50 5.66 5.18 0.42 11.83 11.04 11.20 10.72 090
lesion.
28106 ......... A Remove/graft foot 7.16 NA NA 5.71 6.34 0.56 NA NA 13.43 14.06 090
lesion.
28107 ......... A Remove/graft foot 5.56 6.03 5.65 5.21 5.24 0.43 12.02 11.64 11.20 11.23 090
lesion.
28108 ......... A Removal of toe 4.16 5.29 4.93 4.34 3.31 0.29 9.74 9.38 8.79 7.76 090
lesions.
28110 ......... A Part removal of 4.08 6.17 4.98 5.59 4.69 0.32 10.57 9.38 9.99 9.09 090
metatarsal.
28111 ......... A Part removal of 5.01 6.79 6.13 6.23 5.85 0.45 12.25 11.59 11.69 11.31 090
metatarsal.
28112 ......... A Part removal of 4.49 6.61 5.46 6.14 5.22 0.38 11.48 10.33 11.01 10.09 090
metatarsal.
28113 ......... A Part removal of 4.79 6.54 5.68 5.69 5.26 0.39 11.72 10.86 10.87 10.44 090
metatarsal.
28114 ......... A Removal of 9.79 10.28 10.12 9.71 9.83 0.88 20.95 20.79 20.38 20.50 090
metatarsal heads.
28116 ......... A Revision of foot.. 7.75 6.60 6.28 6.11 6.03 0.60 14.95 14.63 14.46 14.38 090
28118 ......... A Removal of heel 5.96 6.68 6.44 6.12 6.16 0.51 13.15 12.91 12.59 12.63 090
bone.
28119 ......... A Removal of heel 5.39 6.22 6.06 5.00 5.45 0.40 12.01 11.85 10.79 11.24 090
spur.
28120 ......... A Part removal of 5.40 8.88 7.18 7.75 6.61 0.50 14.78 13.08 13.65 12.51 090
ankle/heel.
28122 ......... A Partial removal of 7.29 8.20 6.53 7.86 6.36 0.61 16.10 14.43 15.76 14.26 090
foot bone.
28124 ......... A Partial removal of 4.81 6.76 5.61 6.01 4.12 0.34 11.91 10.76 11.16 9.27 090
toe.
28126 ......... A Partial removal of 3.52 5.79 5.06 5.24 3.70 0.26 9.57 8.84 9.02 7.48 090
toe.
28130 ......... A Removal of ankle 8.11 NA NA 8.14 7.89 0.81 NA NA 17.06 16.81 090
bone.
28140 ......... A Removal of 6.91 7.65 6.50 6.48 5.92 0.63 15.19 14.04 14.02 13.46 090
metatarsal.
28150 ......... A Removal of toe.... 4.09 6.31 4.94 5.71 4.64 0.34 10.74 9.37 10.14 9.07 090
28153 ......... A Partial removal of 3.66 5.75 5.04 4.23 3.20 0.25 9.66 8.95 8.14 7.11 090
toe.
28160 ......... A Partial removal of 3.74 5.95 5.21 5.69 3.97 0.29 9.98 9.24 9.72 8.00 090
toe.
28171 ......... A Extensive foot 9.60 NA NA 6.75 7.71 0.67 NA NA 17.02 17.98 090
surgery.
28173 ......... A Extensive foot 8.80 7.71 6.97 7.52 6.88 0.76 17.27 16.53 17.08 16.44 090
surgery.
28175 ......... A Extensive foot 6.05 7.41 6.63 5.31 5.58 0.44 13.90 13.12 11.80 12.07 090
surgery.
28190 ......... A Removal of foot 1.96 4.80 2.68 3.42 1.85 0.14 6.90 4.78 5.52 3.95 010
foreign body.
28192 ......... A Removal of foot 4.64 6.30 4.21 4.73 3.43 0.39 11.33 9.24 9.76 8.46 090
foreign body.
28193 ......... A Removal of foot 5.73 7.00 4.79 5.58 4.08 0.45 13.18 10.97 11.76 10.26 090
foreign body.
28200 ......... A Repair of foot 4.60 5.92 5.71 5.46 5.48 0.36 10.88 10.67 10.42 10.44 090
tendon.
28202 ......... A Repair/graft of 6.84 6.54 6.43 6.54 6.43 0.56 13.94 13.83 13.94 13.83 090
foot tendon.
28208 ......... A Repair of foot 4.37 5.66 4.36 4.77 3.91 0.33 10.36 9.06 9.47 8.61 090
tendon.
28210 ......... A Repair/graft of 6.35 6.73 6.41 5.45 5.77 0.49 13.57 13.25 12.29 12.61 090
foot tendon.
28220 ......... A Release of foot 4.53 5.74 4.97 4.55 3.33 0.31 10.58 9.81 9.39 8.17 090
tendon.
28222 ......... A Release of foot 5.62 6.17 6.56 5.48 4.48 0.40 12.19 12.58 11.50 10.50 090
tendons.
28225 ......... A Release of foot 3.66 5.52 4.05 4.36 3.47 0.27 9.45 7.98 8.29 7.40 090
tendon.
28226 ......... A Release of foot 4.53 5.98 4.83 4.91 4.29 0.35 10.86 9.71 9.79 9.17 090
tendons.
28230 ......... A Incision of foot 4.24 5.70 4.17 5.36 3.34 0.33 10.27 8.74 9.93 7.91 090
tendon(s).
28232 ......... A Incision of toe 3.39 5.61 3.68 5.01 2.94 0.27 9.27 7.34 8.67 6.60 090
tendon.
28234 ......... A Incision of foot 3.37 5.84 3.75 4.78 2.81 0.25 9.46 7.37 8.40 6.43 090
tendon.
28238 ......... A Revision of foot 7.73 7.47 7.66 6.36 7.11 0.61 15.81 16.00 14.70 15.45 090
tendon.
28240 ......... A Release of big toe 4.36 5.84 4.08 5.24 3.78 0.35 10.55 8.79 9.95 8.49 090
28250 ......... A Revision of foot 5.92 6.33 5.59 5.26 5.05 0.45 12.70 11.96 11.63 11.42 090
fascia.
28260 ......... A Release of midfoot 7.96 6.98 5.90 6.54 5.68 0.61 15.55 14.47 15.11 14.25 090
joint.
28261 ......... A Revision of foot 11.73 8.64 7.53 8.29 7.35 0.90 21.27 20.16 20.92 19.98 090
tendon.
28262 ......... A Revision of foot 15.83 10.48 11.71 10.48 11.71 1.59 27.90 29.13 27.90 29.13 090
and ankle.
28264 ......... A Release of midfoot 10.35 8.32 9.35 8.32 9.35 0.93 19.60 20.63 19.60 20.63 090
joint.
28270 ......... A Release of foot 4.76 6.24 4.55 5.58 3.51 0.34 11.34 9.65 10.68 8.61 090
contracture.
28272 ......... A Release of toe 3.80 5.36 3.79 4.41 2.76 0.26 9.42 7.85 8.47 6.82 090
joint, each.
28280 ......... A Fusion of toes.... 5.19 6.97 4.69 5.85 4.13 0.48 12.64 10.36 11.52 9.80 090
28285 ......... A Repair of 4.59 6.20 5.47 5.55 5.15 0.34 11.13 10.40 10.48 10.08 090
hammertoe.
28286 ......... A Repair of 4.56 6.10 5.00 5.12 4.51 0.34 11.00 9.90 10.02 9.41 090
hammertoe.
28288 ......... A Partial removal of 4.74 6.39 5.23 6.39 5.23 0.41 11.54 10.38 11.54 10.38 090
foot bone.
28289 ......... A Repair hallux 7.04 2.81 2.81 2.81 2.81 0.59 10.44 10.44 10.44 10.44 090
rigidus.
28290 ......... A Correction of 5.66 7.02 6.42 7.02 6.42 0.49 13.17 12.57 13.17 12.57 090
bunion.
28292 ......... A Correction of 7.04 7.17 7.41 7.17 7.41 0.53 14.74 14.98 14.74 14.98 090
bunion.
28293 ......... A Correction of 9.15 8.12 9.24 6.68 8.52 0.66 17.93 19.05 16.49 18.33 090
bunion.
28294 ......... A Correction of 8.56 8.05 9.00 6.24 8.09 0.60 17.21 18.16 15.40 17.25 090
bunion.
28296 ......... A Correction of 9.18 8.11 8.84 7.51 8.54 0.70 17.99 18.72 17.39 18.42 090
bunion.
28297 ......... A Correction of 9.18 7.86 8.83 7.86 8.83 0.79 17.83 18.80 17.83 18.80 090
bunion.
28298 ......... A Correction of 7.94 7.48 8.48 6.67 8.07 0.58 16.00 17.00 15.19 16.59 090
bunion.
28299 ......... A Correction of 8.88 7.79 9.20 6.88 8.74 0.65 17.32 18.73 16.41 18.27 090
bunion.
28300 ......... A Incision of heel 9.54 13.87 10.48 8.59 7.84 0.93 24.34 20.95 19.06 18.31 090
bone.
28302 ......... A Incision of ankle 9.55 7.31 8.48 7.31 8.48 0.83 17.69 18.86 17.69 18.86 090
bone.
28304 ......... A Incision of 9.16 8.66 7.83 6.93 6.96 0.73 18.55 17.72 16.82 16.85 090
midfoot bones.
28305 ......... A Incise/graft 10.50 17.21 13.95 10.33 10.51 0.66 28.37 25.11 21.49 21.67 090
midfoot bones.
28306 ......... A Incision of 5.86 6.26 5.61 5.34 5.15 0.48 12.60 11.95 11.68 11.49 090
metatarsal.
28307 ......... A Incision of 6.33 5.89 6.13 5.89 6.13 0.55 12.77 13.01 12.77 13.01 090
metatarsal.
28308 ......... A Incision of 5.29 5.70 5.95 4.32 5.26 0.38 11.37 11.62 9.99 10.93 090
metatarsal.
28309 ......... A Incision of 12.78 NA NA 8.64 8.05 1.07 NA NA 22.49 21.90 090
metatarsals.
28310 ......... A Revision of big 5.43 6.44 5.49 5.57 5.05 0.40 12.27 11.32 11.40 10.88 090
toe.
28312 ......... A Revision of toe... 4.55 6.23 5.59 5.96 5.46 0.36 11.14 10.50 10.87 10.37 090
28313 ......... A Repair deformity 5.01 6.80 4.80 6.80 4.10 0.49 12.30 10.30 12.30 9.60 090
of toe.
28315 ......... A Removal of 4.86 5.70 5.15 4.51 4.56 0.36 10.92 10.37 9.73 9.78 090
sesamoid bone.
28320 ......... A Repair of foot 9.18 NA NA 8.02 8.73 0.88 NA NA 18.08 18.79 090
bones.
28322 ......... A Repair of 8.34 9.02 7.05 7.37 6.22 0.79 18.15 16.18 16.50 15.35 090
metatarsals.
28340 ......... A Resect enlarged 6.98 6.59 6.74 6.30 6.59 0.55 14.12 14.27 13.83 14.12 090
toe tissue.
28341 ......... A Resect enlarged 8.41 7.15 7.73 6.11 7.21 0.60 16.16 16.74 15.12 16.22 090
toe.
28344 ......... A Repair extra 4.26 10.56 7.29 5.11 4.57 0.41 15.23 11.96 9.78 9.24 090
toe(s).
28345 ......... A Repair webbed 5.92 6.59 6.20 6.02 5.91 0.51 13.02 12.63 12.45 12.34 090
toe(s).
28360 ......... A Reconstruct cleft 13.34 NA NA 12.16 12.55 1.50 NA NA 27.00 27.39 090
foot.
28400 ......... A Treatment of heel 2.16 6.97 4.88 4.06 2.73 0.23 9.36 7.27 6.45 5.12 090
fracture.
[[Page 39663]]
28405 ......... A Treatment of heel 4.57 7.73 5.98 5.26 4.75 0.47 12.77 11.02 10.30 9.79 090
fracture.
28406 ......... A Treatment of heel 6.31 NA NA 7.75 7.18 0.70 NA NA 14.76 14.19 090
fracture.
28415 ......... A Repair of heel 15.97 NA NA 35.45 22.62 1.69 NA NA 53.11 40.28 090
fracture.
28420 ......... A Repair/graft heel 16.64 NA NA 37.35 24.59 1.78 NA NA 55.77 43.01 090
fracture.
28430 ......... A Treatment of ankle 2.09 6.37 4.52 3.66 2.50 0.21 8.67 6.82 5.96 4.80 090
fracture.
28435 ......... A Treatment of ankle 3.40 5.89 4.77 4.15 3.90 0.31 9.60 8.48 7.86 7.61 090
fracture.
28436 ......... A Treatment of ankle 4.71 NA NA 6.72 5.64 0.53 NA NA 11.96 10.88 090
fracture.
28445 ......... A Repair of ankle 9.33 NA NA 9.28 9.42 0.96 NA NA 19.57 19.71 090
fracture.
28450 ......... A Treat midfoot 1.90 6.15 4.09 3.61 2.32 0.19 8.24 6.18 5.70 4.41 090
fracture, each.
28455 ......... A Treat midfoot 3.09 5.36 4.06 4.18 2.78 0.27 8.72 7.42 7.54 6.14 090
fracture, each.
28456 ......... A Repair midfoot 2.68 NA NA 5.17 3.82 0.28 NA NA 8.13 6.78 090
fracture.
28465 ......... A Repair midfoot 7.01 NA NA 19.98 13.00 0.69 NA NA 27.68 20.70 090
fracture,each.
28470 ......... A Treat metatarsal 1.99 5.70 3.83 2.98 1.98 0.20 7.89 6.02 5.17 4.17 090
fracture.
28475 ......... A Treat metatarsal 2.97 5.66 4.10 3.83 2.55 0.28 8.91 7.35 7.08 5.80 090
fracture.
28476 ......... A Repair metatarsal 3.38 NA NA 5.56 4.61 0.35 NA NA 9.29 8.34 090
fracture.
28485 ......... A Repair metatarsal 5.71 NA NA 19.96 12.52 0.51 NA NA 26.18 18.74 090
fracture.
28490 ......... A Treat big toe 1.09 2.10 1.54 1.78 1.14 0.10 3.29 2.73 2.97 2.33 090
fracture.
28495 ......... A Treat big toe 1.58 2.29 1.76 1.88 1.25 0.13 4.00 3.47 3.59 2.96 090
fracture.
28496 ......... A Repair big toe 2.33 7.07 4.66 4.50 3.38 0.24 9.64 7.23 7.07 5.95 090
fracture.
28505 ......... A Repair big toe 3.81 16.71 9.98 16.71 9.98 0.36 20.88 14.15 20.88 14.15 090
fracture.
28510 ......... A Treatment of toe 1.09 1.84 1.41 1.80 1.15 0.09 3.02 2.59 2.98 2.33 090
fracture.
28515 ......... A Treatment of toe 1.46 2.05 1.64 1.90 1.26 0.12 3.63 3.22 3.48 2.84 090
fracture.
28525 ......... A Repair of toe 3.32 16.49 9.37 16.49 9.37 0.31 20.12 13.00 20.12 13.00 090
fracture.
28530 ......... A Treat sesamoid 1.06 3.31 2.20 3.31 1.93 0.09 4.46 3.35 4.46 3.08 090
bone fracture.
28531 ......... A Treat sesamoid 2.35 62.18 32.13 16.14 9.11 0.18 64.71 34.66 18.67 11.64 090
bone fracture.
28540 ......... A Treat foot 2.04 3.97 2.31 3.38 1.86 0.17 6.18 4.52 5.59 4.07 090
dislocation.
28545 ......... A Treat foot 2.45 3.25 2.34 3.25 2.34 0.23 5.93 5.02 5.93 5.02 090
dislocation.
28546 ......... A Treat foot 3.20 8.55 5.76 4.76 3.87 0.32 12.07 9.28 8.28 7.39 090
dislocation.
28555 ......... A Repair foot 6.30 19.37 12.72 19.37 12.72 0.63 26.30 19.65 26.30 19.65 090
dislocation.
28570 ......... A Treat foot 1.66 5.26 3.50 3.06 1.97 0.16 7.08 5.32 4.88 3.79 090
dislocation.
28575 ......... A Treat foot 3.31 4.25 3.63 4.25 3.63 0.34 7.90 7.28 7.90 7.28 090
dislocation.
28576 ......... A Treat foot 4.17 33.20 18.11 5.52 4.27 0.44 37.81 22.72 10.13 8.88 090
dislocation.
28585 ......... A Repair foot 7.99 13.33 9.36 13.33 9.36 0.76 22.08 18.11 22.08 18.11 090
dislocation.
28600 ......... A Treat foot 1.89 5.05 2.90 3.36 1.87 0.17 7.11 4.96 5.42 3.93 090
dislocation.
28605 ......... A Treat foot 2.71 5.74 4.10 4.16 3.31 0.27 8.72 7.08 7.14 6.29 090
dislocation.
28606 ......... A Treat foot 4.90 11.41 7.60 6.27 5.03 0.53 16.84 13.03 11.70 10.46 090
dislocation.
28615 ......... A Repair foot 7.77 NA NA 23.54 14.46 0.82 NA NA 32.13 23.05 090
dislocation.
28630 ......... A Treat toe 1.70 2.06 1.59 2.00 1.28 0.15 3.91 3.44 3.85 3.13 010
dislocation.
28635 ......... A Treat toe 1.91 3.18 2.38 2.30 1.55 0.16 5.25 4.45 4.37 3.62 010
dislocation.
28636 ......... A Treat toe 2.77 3.48 3.13 2.76 2.77 0.27 6.52 6.17 5.80 5.81 010
dislocation.
28645 ......... A Repair toe 4.22 7.15 5.34 7.15 5.34 0.33 11.70 9.89 11.70 9.89 090
dislocation.
28660 ......... A Treat toe 1.23 3.25 1.97 1.99 1.34 0.11 4.59 3.31 3.33 2.68 010
dislocation.
28665 ......... A Treat toe 1.92 2.83 1.95 2.72 1.63 0.16 4.91 4.03 4.80 3.71 010
dislocation.
28666 ......... A Treat toe 2.66 3.43 3.04 3.04 2.85 0.28 6.37 5.98 5.98 5.79 010
dislocation.
28675 ......... A Repair of toe 2.92 11.35 7.31 11.35 7.31 0.29 14.56 10.52 14.56 10.52 090
dislocation.
28705 ......... A Fusion of foot 15.21 NA NA 11.82 14.11 1.49 NA NA 28.52 30.81 090
bones.
28715 ......... A Fusion of foot 13.10 NA NA 11.57 12.48 1.37 NA NA 26.04 26.95 090
bones.
28725 ......... A Fusion of foot 11.61 NA NA 13.72 11.98 1.12 NA NA 26.45 24.71 090
bones.
28730 ......... A Fusion of foot 10.76 NA NA 10.04 9.91 1.07 NA NA 21.87 21.74 090
bones.
28735 ......... A Fusion of foot 10.85 NA NA 9.20 9.90 1.03 NA NA 21.08 21.78 090
bones.
28737 ......... A Revision of foot 9.64 NA NA 9.33 9.48 0.92 NA NA 19.89 20.04 090
bones.
28740 ......... A Fusion of foot 8.02 9.03 7.31 7.96 6.77 0.74 17.79 16.07 16.72 15.53 090
bones.
28750 ......... A Fusion of big toe 7.30 9.47 7.62 7.91 6.84 0.75 17.52 15.67 15.96 14.89 090
joint.
28755 ......... A Fusion of big toe 4.74 6.14 5.07 5.56 4.78 0.41 11.29 10.22 10.71 9.93 090
joint.
28760 ......... A Fusion of big toe 7.75 7.40 6.63 6.52 6.19 0.63 15.78 15.01 14.90 14.57 090
joint.
28800 ......... A Amputation of 8.21 NA NA 8.67 7.95 0.87 NA NA 17.75 17.03 090
midfoot.
28805 ......... A Amputation thru 8.39 NA NA 7.63 7.25 0.93 NA NA 16.95 16.57 090
metatarsal.
28810 ......... A Amputation toe & 6.21 NA NA 6.54 5.39 0.68 NA NA 13.43 12.28 090
metatarsal.
28820 ......... A Amputation of toe. 4.41 8.15 5.48 5.98 4.39 0.46 13.02 10.35 10.85 9.26 090
28825 ......... A Partial amputation 3.59 7.59 5.10 5.49 4.05 0.38 11.56 9.07 9.46 8.02 090
of toe.
28899 ......... C Foot/toes surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
29000 ......... A Application of 2.25 9.22 5.62 1.16 1.59 0.35 11.82 8.22 3.76 4.19 000
body cast.
29010 ......... A Application of 2.06 10.98 6.76 1.11 1.79 0.27 13.31 9.09 3.44 4.12 000
body cast.
29015 ......... A Application of 2.41 5.62 4.08 0.77 1.02 0.15 8.18 6.64 3.33 3.58 000
body cast.
29020 ......... A Application of 2.11 8.84 5.41 0.78 0.89 0.13 11.08 7.65 3.02 3.13 000
body cast.
29025 ......... A Application of 2.40 11.02 5.92 1.31 0.86 0.29 13.71 8.61 4.00 3.55 000
body cast.
29035 ......... A Application of 1.77 12.26 7.19 0.93 1.00 0.20 14.23 9.16 2.90 2.97 000
body cast.
29040 ......... A Application of 2.22 6.83 4.51 0.90 1.55 0.20 9.25 6.93 3.32 3.97 000
body cast.
29044 ......... A Application of 2.12 15.98 9.13 1.12 1.70 0.24 18.34 11.49 3.48 4.06 000
body cast.
29046 ......... A Application of 2.41 9.93 6.18 1.28 1.85 0.26 12.60 8.85 3.95 4.52 000
body cast.
29049 ......... A Application of 0.89 6.23 3.35 0.33 0.28 0.09 7.21 4.33 1.31 1.26 000
figure eight.
29055 ......... A Application of 1.78 10.19 5.75 0.92 1.11 0.19 12.16 7.72 2.89 3.08 000
shoulder cast.
29058 ......... A Application of 1.31 6.78 3.75 0.51 0.61 0.14 8.23 5.20 1.96 2.06 000
shoulder cast.
29065 ......... A Application of 0.87 4.46 2.67 0.44 0.44 0.10 5.43 3.64 1.41 1.41 000
long arm cast.
29075 ......... A Application of 0.77 4.01 2.34 0.37 0.35 0.08 4.86 3.19 1.22 1.20 000
forearm cast.
29085 ......... A Apply hand/wrist 0.87 3.91 2.23 0.37 0.32 0.09 4.87 3.19 1.33 1.28 000
cast.
29105 ......... A Apply long arm 0.87 3.07 1.81 0.28 0.28 0.09 4.03 2.77 1.24 1.24 000
splint.
29125 ......... A Apply forearm 0.59 2.54 1.47 0.17 0.19 0.06 3.19 2.12 0.82 0.84 000
splint.
29126 ......... A Apply forearm 0.77 3.33 1.88 0.28 0.25 0.07 4.17 2.72 1.12 1.09 000
splint.
29130 ......... A Application of 0.50 0.76 0.47 0.14 0.12 0.05 1.31 1.02 0.69 0.67 000
finger splint.
29131 ......... A Application of 0.55 1.18 0.80 0.17 0.19 0.05 1.78 1.40 0.77 0.79 000
finger splint.
29200 ......... A Strapping of chest 0.65 1.09 0.69 0.16 0.16 0.06 1.80 1.40 0.87 0.87 000
29220 ......... A Strapping of low 0.64 1.01 0.71 0.25 0.23 0.05 1.70 1.40 0.94 0.92 000
back.
29240 ......... A Strapping of 0.71 1.11 0.70 0.19 0.24 0.07 1.89 1.48 0.97 1.02 000
shoulder.
[[Page 39664]]
29260 ......... A Strapping of elbow 0.55 0.94 0.60 0.14 0.14 0.05 1.54 1.20 0.74 0.74 000
or wrist.
29280 ......... A Strapping of hand 0.51 0.94 0.59 0.13 0.13 0.05 1.50 1.15 0.69 0.69 000
or finger.
29305 ......... A Application of hip 2.03 12.58 7.31 1.09 1.57 0.23 14.84 9.57 3.35 3.83 000
cast.
29325 ......... A Application of hip 2.32 12.82 7.47 1.26 1.69 0.26 15.40 10.05 3.84 4.27 000
casts.
29345 ......... A Application of 1.40 5.52 3.32 0.72 0.64 0.15 7.07 4.87 2.27 2.19 000
long leg cast.
29355 ......... A Application of 1.53 5.96 3.58 0.80 0.70 0.16 7.65 5.27 2.49 2.39 000
long leg cast.
29358 ......... A Apply long leg 1.43 6.64 4.17 0.73 0.79 0.15 8.22 5.75 2.31 2.37 000
cast brace.
29365 ......... A Application of 1.18 4.85 2.89 0.61 0.54 0.13 6.16 4.20 1.92 1.85 000
long leg cast.
29405 ......... A Apply short leg 0.86 4.12 2.49 0.42 0.43 0.09 5.07 3.44 1.37 1.38 000
cast.
29425 ......... A Apply short leg 1.01 3.94 2.50 0.49 0.51 0.10 5.05 3.61 1.60 1.62 000
cast.
29435 ......... A Apply short leg 1.18 6.68 3.98 0.62 0.63 0.13 7.99 5.29 1.93 1.94 000
cast.
29440 ......... A Addition of walker 0.57 2.16 1.21 0.24 0.19 0.06 2.79 1.84 0.87 0.82 000
to cast.
29445 ......... A Apply rigid leg 1.78 6.38 4.11 0.77 1.31 0.18 8.34 6.07 2.73 3.27 000
cast.
29450 ......... A Application of leg 1.02 3.56 1.99 0.44 0.33 0.08 4.66 3.09 1.54 1.43 000
cast.
29505 ......... A Application long 0.69 3.52 2.07 0.21 0.42 0.07 4.28 2.83 0.97 1.18 000
leg splint.
29515 ......... A Application lower 0.73 2.59 1.55 0.21 0.24 0.07 3.39 2.35 1.01 1.04 000
leg splint.
29520 ......... A Strapping of hip.. 0.54 0.96 0.68 0.26 0.23 0.03 1.53 1.25 0.83 0.80 000
29530 ......... A Strapping of knee. 0.57 0.94 0.66 0.15 0.27 0.05 1.56 1.28 0.77 0.89 000
29540 ......... A Strapping of ankle 0.51 0.47 0.40 0.16 0.17 0.03 1.01 0.94 0.70 0.71 000
29550 ......... A Strapping of toes. 0.47 0.44 0.37 0.18 0.17 0.03 0.94 0.87 0.68 0.67 000
29580 ......... A Application of 0.57 0.90 0.88 0.22 0.21 0.05 1.52 1.50 0.84 0.83 000
paste boot.
29590 ......... A Application of 0.76 0.66 0.48 0.24 0.20 0.05 1.47 1.29 1.05 1.01 000
foot splint.
29700 ......... A Removal/revision 0.57 0.70 0.53 0.22 0.20 0.06 1.33 1.16 0.85 0.83 000
of cast.
29705 ......... A Removal/revision 0.76 0.88 0.63 0.31 0.25 0.08 1.72 1.47 1.15 1.09 000
of cast.
29710 ......... A Removal/revision 1.34 1.66 1.08 0.68 0.47 0.14 3.14 2.56 2.16 1.95 000
of cast.
29715 ......... A Removal/revision 0.94 6.66 3.80 0.36 0.42 0.11 7.71 4.85 1.41 1.47 000
of cast.
29720 ......... A Repair of body 0.68 4.12 2.19 0.34 0.24 0.07 4.87 2.94 1.09 0.99 000
cast.
29730 ......... A Windowing of cast. 0.75 0.84 0.56 0.31 0.23 0.08 1.67 1.39 1.14 1.06 000
29740 ......... A Wedging of cast... 1.12 2.90 1.66 0.48 0.35 0.12 4.14 2.90 1.72 1.59 000
29750 ......... A Wedging of 1.26 2.97 1.76 0.54 0.41 0.11 4.34 3.13 1.91 1.78 000
clubfoot cast.
29799 ......... C Casting/strapping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
29800 ......... A Jaw arthroscopy/ 6.43 NA NA 7.24 5.80 0.63 NA NA 14.30 12.86 090
surgery.
29804 ......... A Jaw arthroscopy/ 8.14 NA NA 7.59 8.65 0.67 NA NA 16.40 17.46 090
surgery.
29815 ......... A Shoulder 5.89 NA NA 8.48 6.87 0.62 NA NA 14.99 13.38 090
arthroscopy.
29819 ......... A Shoulder 7.62 NA NA 8.99 9.04 0.83 NA NA 17.44 17.49 090
arthroscopy/
surgery.
29820 ......... A Shoulder 7.07 NA NA 10.99 9.72 0.78 NA NA 18.84 17.57 090
arthroscopy/
surgery.
29821 ......... A Shoulder 7.72 NA NA 9.14 9.18 0.85 NA NA 17.71 17.75 090
arthroscopy/
surgery.
29822 ......... A Shoulder 7.43 NA NA 8.99 8.93 0.81 NA NA 17.23 17.17 090
arthroscopy/
surgery.
29823 ......... A Shoulder 8.17 NA NA 9.42 9.59 0.89 NA NA 18.48 18.65 090
arthroscopy/
surgery.
29825 ......... A Shoulder 7.62 NA NA 8.74 8.92 0.84 NA NA 17.20 17.38 090
arthroscopy/
surgery.
29826 ......... A Shoulder 8.99 NA NA 9.77 10.25 0.99 NA NA 19.75 20.23 090
arthroscopy/
surgery.
29830 ......... A Elbow arthroscopy. 5.76 NA NA 5.38 5.58 0.66 NA NA 11.80 12.00 090
29834 ......... A Elbow arthroscopy/ 6.28 NA NA 6.29 6.32 0.68 NA NA 13.25 13.28 090
surgery.
29835 ......... A Elbow arthroscopy/ 6.48 NA NA 6.17 6.36 0.71 NA NA 13.36 13.55 090
surgery.
29836 ......... A Elbow arthroscopy/ 7.55 NA NA 7.24 7.44 0.84 NA NA 15.63 15.83 090
surgery.
29837 ......... A Elbow arthroscopy/ 6.87 NA NA 6.75 6.85 0.76 NA NA 14.38 14.48 090
surgery.
29838 ......... A Elbow arthroscopy/ 7.71 NA NA 6.78 7.22 0.85 NA NA 15.34 15.78 090
surgery.
29840 ......... A Wrist arthroscopy. 5.54 NA NA 7.35 5.46 0.61 NA NA 13.50 11.61 090
29843 ......... A Wrist arthroscopy/ 6.01 NA NA 7.51 6.80 0.68 NA NA 14.20 13.49 090
surgery.
29844 ......... A Wrist arthroscopy/ 6.37 NA NA 7.78 6.93 0.71 NA NA 14.86 14.01 090
surgery.
29845 ......... A Wrist arthroscopy/ 7.52 NA NA 9.73 8.67 0.83 NA NA 18.08 17.02 090
surgery.
29846 ......... A Wrist arthroscopy/ 6.75 NA NA 9.86 8.96 0.75 NA NA 17.36 16.46 090
surgery.
29847 ......... A Wrist arthroscopy/ 7.08 NA NA 10.13 8.75 0.80 NA NA 18.01 16.63 090
surgery.
29848 ......... A Wrist endoscopy/ 5.44 NA NA 7.18 5.68 0.62 NA NA 13.24 11.74 090
surgery.
29850 ......... A Knee arthroscopy/ 8.19 NA NA 6.68 5.79 0.75 NA NA 15.62 14.73 090
surgery.
29851 ......... A Knee arthroscopy/ 13.10 NA NA 10.44 11.16 1.40 NA NA 24.94 25.66 090
surgery.
29855 ......... A Tibial arthroscopy/ 10.62 NA NA 9.64 11.16 1.17 NA NA 21.43 22.95 090
surgery.
29856 ......... A Tibial arthroscopy/ 14.14 NA NA 11.11 11.90 1.58 NA NA 26.83 27.62 090
surgery.
29860 ......... A Hip arthroscopy, 8.05 NA NA 7.02 6.14 0.83 NA NA 15.90 15.02 090
dx.
29861 ......... A Hip arthroscopy/ 9.15 NA NA 8.07 9.13 0.95 NA NA 18.17 19.23 090
surgery.
29862 ......... A Hip arthroscopy/ 9.90 NA NA 8.46 9.70 1.02 NA NA 19.38 20.62 090
surgery.
29863 ......... A Hip arthroscopy/ 9.90 NA NA 8.94 9.20 1.02 NA NA 19.86 20.12 090
surgery.
29870 ......... A Knee arthroscopy, 5.07 NA NA 5.91 5.14 0.55 NA NA 11.53 10.76 090
diagnostic.
29871 ......... A Knee arthroscopy/ 6.55 NA NA 8.47 7.91 0.63 NA NA 15.65 15.09 090
drainage.
29874 ......... A Knee arthroscopy/ 7.05 NA NA 6.84 7.63 0.72 NA NA 14.61 15.40 090
surgery.
29875 ......... A Knee arthroscopy/ 6.31 NA NA 6.59 7.06 0.70 NA NA 13.60 14.07 090
surgery.
29876 ......... A Knee arthroscopy/ 7.92 NA NA 8.05 8.75 0.86 NA NA 16.83 17.53 090
surgery.
29877 ......... A Knee arthroscopy/ 7.35 NA NA 7.18 7.98 0.81 NA NA 15.34 16.14 090
surgery.
29879 ......... A Knee arthroscopy/ 8.04 NA NA 7.49 8.54 0.89 NA NA 16.42 17.47 090
surgery.
29880 ......... A Knee arthroscopy/ 8.50 NA NA 7.79 8.97 0.94 NA NA 17.23 18.41 090
surgery.
29881 ......... A Knee arthroscopy/ 7.76 NA NA 7.44 8.36 0.86 NA NA 16.06 16.98 090
surgery.
29882 ......... A Knee arthroscopy/ 8.65 NA NA 7.85 9.09 0.96 NA NA 17.46 18.70 090
surgery.
29883 ......... A Knee arthroscopy/ 9.46 NA NA 8.32 9.81 1.06 NA NA 18.84 20.33 090
surgery.
29884 ......... A Knee arthroscopy/ 7.33 NA NA 7.82 8.29 0.81 NA NA 15.96 16.43 090
surgery.
29885 ......... A Knee arthroscopy/ 9.09 NA NA 8.59 8.76 1.00 NA NA 18.68 18.85 090
surgery.
29886 ......... A Knee arthroscopy/ 7.54 NA NA 7.64 7.51 0.84 NA NA 16.02 15.89 090
surgery.
29887 ......... A Knee arthroscopy/ 9.04 NA NA 8.72 9.76 0.99 NA NA 18.75 19.79 090
surgery.
29888 ......... A Knee arthroscopy/ 13.90 NA NA 11.61 14.10 1.51 NA NA 27.02 29.51 090
surgery.
29889 ......... A Knee arthroscopy/ 15.13 NA NA 11.54 11.34 1.68 NA NA 28.35 28.15 090
surgery.
29891 ......... A Ankle arthroscopy/ 8.40 NA NA 8.16 8.89 0.87 NA NA 17.43 18.16 090
surgery.
29892 ......... A Ankle arthroscopy/ 9.00 NA NA 8.41 9.02 0.93 NA NA 18.34 18.95 090
surgery.
29893 ......... A Scope, plantar 5.22 NA NA 4.88 5.26 0.40 NA NA 10.50 10.88 090
fasciotomy.
29894 ......... A Ankle arthroscopy/ 7.21 NA NA 7.61 8.11 0.69 NA NA 15.51 16.01 090
surgery.
29895 ......... A Ankle arthroscopy/ 6.99 NA NA 7.24 7.80 0.70 NA NA 14.93 15.49 090
surgery.
[[Page 39665]]
29897 ......... A Ankle arthroscopy/ 7.18 NA NA 8.60 8.59 0.73 NA NA 16.51 16.50 090
surgery.
29898 ......... A Ankle arthroscopy/ 8.32 NA NA 7.64 8.79 0.79 NA NA 16.75 17.90 090
surgery.
29909 ......... C Arthroscopy of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
joint.
30000 ......... A Drainage of nose 1.43 2.21 1.42 1.34 0.83 0.11 3.75 2.96 2.88 2.37 010
lesion.
30020 ......... A Drainage of nose 1.43 2.34 1.50 1.43 0.88 0.07 3.84 3.00 2.93 2.38 010
lesion.
30100 ......... A Intranasal biopsy. 0.94 1.12 0.94 0.53 0.46 0.07 2.13 1.95 1.54 1.47 000
30110 ......... A Removal of nose 1.63 2.32 1.86 0.91 0.81 0.12 4.07 3.61 2.66 2.56 010
polyp(s).
30115 ......... A Removal of nose 4.35 NA NA 4.03 3.54 0.32 NA NA 8.70 8.21 090
polyp(s).
30117 ......... A Removal of 3.16 3.85 3.47 2.91 3.00 0.23 7.24 6.86 6.30 6.39 090
intranasal lesion.
30118 ......... A Removal of 9.69 NA NA 7.67 8.18 0.74 NA NA 18.10 18.61 090
intranasal lesion.
30120 ......... A Revision of nose.. 5.27 4.85 5.57 4.85 5.57 0.43 10.55 11.27 10.55 11.27 090
30124 ......... A Removal of nose 3.10 NA NA 3.00 1.87 0.22 NA NA 6.32 5.19 090
lesion.
30125 ......... A Removal of nose 7.16 NA NA 6.02 6.02 0.51 NA NA 13.69 13.69 090
lesion.
30130 ......... A Removal of 3.38 NA NA 3.51 2.66 0.24 NA NA 7.13 6.28 090
turbinate bones.
30140 ......... A Removal of 3.43 NA NA 3.97 3.64 0.26 NA NA 7.66 7.33 090
turbinate bones.
30150 ......... A Partial removal of 9.14 NA NA 7.45 8.03 0.81 NA NA 17.40 17.98 090
nose.
30160 ......... A Removal of nose... 9.58 NA NA 7.51 9.48 0.79 NA NA 17.88 19.85 090
30200 ......... A Injection 0.78 1.17 0.79 0.45 0.33 0.06 2.01 1.63 1.29 1.17 000
treatment of nose.
30210 ......... A Nasal sinus 1.08 1.80 1.04 0.60 0.37 0.08 2.96 2.20 1.76 1.53 010
therapy.
30220 ......... A Insert nasal 1.54 2.15 1.90 0.88 0.85 0.12 3.81 3.56 2.54 2.51 010
septal button.
30300 ......... A Remove nasal 1.04 2.13 1.32 0.39 0.32 0.08 3.25 2.44 1.51 1.44 010
foreign body.
30310 ......... A Remove nasal 1.96 NA NA 1.71 1.74 0.15 NA NA 3.82 3.85 010
foreign body.
30320 ......... A Remove nasal 4.52 NA NA 4.53 4.60 0.36 NA NA 9.41 9.48 090
foreign body.
30400 ......... R Reconstruction of 9.83 NA NA 7.93 9.38 0.89 NA NA 18.65 20.10 090
nose.
30410 ......... R Reconstruction of 12.98 NA NA 9.61 12.56 1.19 NA NA 23.78 26.73 090
nose.
30420 ......... R Reconstruction of 15.88 NA NA 11.37 15.17 1.32 NA NA 28.57 32.37 090
nose.
30430 ......... R Revision of nose.. 7.21 NA NA 6.38 6.50 0.66 NA NA 14.25 14.37 090
30435 ......... R Revision of nose.. 11.71 NA NA 9.01 10.03 1.09 NA NA 21.81 22.83 090
30450 ......... R Revision of nose.. 18.65 NA NA 12.78 12.49 1.73 NA NA 33.16 32.87 090
30460 ......... A Revision of nose.. 9.96 NA NA 8.00 8.66 0.91 NA NA 18.87 19.53 090
30462 ......... A Revision of nose.. 19.57 NA NA 12.98 15.80 2.01 NA NA 34.56 37.38 090
30520 ......... A Repair of nasal 5.70 NA NA 5.26 6.03 0.43 NA NA 11.39 12.16 090
septum.
30540 ......... A Repair nasal 7.75 NA NA 5.96 6.58 0.57 NA NA 14.28 14.90 090
defect.
30545 ......... A Repair nasal 11.38 NA NA 8.51 10.13 0.92 NA NA 20.81 22.43 090
defect.
30560 ......... A Release of nasal 1.26 1.98 1.29 1.34 0.82 0.09 3.33 2.64 2.69 2.17 010
adhesions.
30580 ......... A Repair upper jaw 6.69 4.40 5.59 4.40 3.90 0.52 11.61 12.80 11.61 11.11 090
fistula.
30600 ......... A Repair mouth/nose 6.02 4.24 4.17 4.24 4.17 0.49 10.75 10.68 10.75 10.68 090
fistula.
30620 ......... A Intranasal 5.97 NA NA 5.62 6.38 0.47 NA NA 12.06 12.82 090
reconstruction.
30630 ......... A Repair nasal 7.12 NA NA 6.26 6.52 0.55 NA NA 13.93 14.19 090
septum defect.
30801 ......... A Cauterization 1.09 2.13 1.32 1.88 1.07 0.08 3.30 2.49 3.05 2.24 010
inner nose.
30802 ......... A Cauterization 2.03 2.66 1.84 2.40 1.71 0.15 4.84 4.02 4.58 3.89 010
inner nose.
30901 ......... A Control of 1.21 1.88 1.25 0.33 0.32 0.10 3.19 2.56 1.64 1.63 000
nosebleed.
30903 ......... A Control of 1.54 2.22 1.57 0.52 0.72 0.13 3.89 3.24 2.19 2.39 000
nosebleed.
30905 ......... A Control of 1.97 3.86 2.90 0.81 1.38 0.16 5.99 5.03 2.94 3.51 000
nosebleed.
30906 ......... A Repeat control of 2.45 4.11 2.64 1.29 1.23 0.19 6.75 5.28 3.93 3.87 000
nosebleed.
30915 ......... A Ligation nasal 7.20 NA NA 6.33 5.85 0.53 NA NA 14.06 13.58 090
sinus artery.
30920 ......... A Ligation upper jaw 9.83 NA NA 7.84 9.10 0.73 NA NA 18.40 19.66 090
artery.
30930 ......... A Therapy fracture 1.26 NA NA 1.78 1.28 0.09 NA NA 3.13 2.63 010
of nose.
30999 ......... C Nasal surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31000 ......... A Irrigation 1.15 2.02 1.25 0.67 0.46 0.08 3.25 2.48 1.90 1.69 010
maxillary sinus.
31002 ......... A Irrigation 1.91 NA NA 1.95 1.10 0.14 NA NA 4.00 3.15 010
sphenoid sinus.
31020 ......... A Exploration 2.94 3.70 3.30 3.26 3.08 0.22 6.86 6.46 6.42 6.24 090
maxillary sinus.
31030 ......... A Exploration 5.92 4.05 5.56 4.05 5.56 0.45 10.42 11.93 10.42 11.93 090
maxillary sinus.
31032 ......... A Explore 6.57 NA NA 5.57 6.71 0.50 NA NA 12.64 13.78 090
sinus,remove
polyps.
31040 ......... A Exploration behind 9.42 NA NA 6.53 7.60 0.73 NA NA 16.68 17.75 090
upper jaw.
31050 ......... A Exploration 5.28 NA NA 4.52 5.42 0.41 NA NA 10.21 11.11 090
sphenoid sinus.
31051 ......... A Sphenoid sinus 7.11 NA NA 5.89 7.19 0.58 NA NA 13.58 14.88 090
surgery.
31070 ......... A Exploration of 4.28 NA NA 4.33 4.71 0.32 NA NA 8.93 9.31 090
frontal sinus.
31075 ......... A Exploration of 9.16 NA NA 7.52 9.23 0.66 NA NA 17.34 19.05 090
frontal sinus.
31080 ......... A Removal of frontal 11.42 NA NA 8.20 9.10 0.85 NA NA 20.47 21.37 090
sinus.
31081 ......... A Removal of frontal 12.75 NA NA 9.67 10.44 1.95 NA NA 24.37 25.14 090
sinus.
31084 ......... A Removal of frontal 13.51 NA NA 9.99 13.02 1.07 NA NA 24.57 27.60 090
sinus.
31085 ......... A Removal of frontal 14.20 NA NA 10.04 13.50 1.41 NA NA 25.65 29.11 090
sinus.
31086 ......... A Removal of frontal 12.86 NA NA 9.77 10.79 1.02 NA NA 23.65 24.67 090
sinus.
31087 ......... A Removal of frontal 13.10 NA NA 9.77 10.53 0.97 NA NA 23.84 24.60 090
sinus.
31090 ......... A Exploration of 9.53 NA NA 8.03 9.70 0.71 NA NA 18.27 19.94 090
sinuses.
31200 ......... A Removal of ethmoid 4.97 NA NA 5.30 5.16 0.29 NA NA 10.56 10.42 090
sinus.
31201 ......... A Removal of ethmoid 8.37 NA NA 7.00 7.31 0.62 NA NA 15.99 16.30 090
sinus.
31205 ......... A Removal of ethmoid 10.24 NA NA 8.08 8.40 0.65 NA NA 18.97 19.29 090
sinus.
31225 ......... A Removal of upper 19.23 NA NA 14.01 17.56 1.48 NA NA 34.72 38.27 090
jaw.
31230 ......... A Removal of upper 21.94 NA NA 16.13 19.86 1.75 NA NA 39.82 43.55 090
jaw.
31231 ......... A Nasal endoscopy, 1.10 1.68 1.59 0.61 1.05 0.08 2.86 2.77 1.79 2.23 000
dx.
31233 ......... A Nasal/sinus 2.18 2.32 2.68 1.24 1.38 0.16 4.66 5.02 3.58 3.72 000
endoscopy, dx.
31235 ......... A Nasal/sinus 2.64 2.60 2.60 1.47 1.39 0.19 5.43 5.43 4.30 4.22 000
endoscopy, dx.
31237 ......... A Nasal/sinus 2.98 2.85 3.21 1.69 1.74 0.22 6.05 6.41 4.89 4.94 000
endoscopy, surg.
31238 ......... A Nasal/sinus 3.26 3.23 3.57 1.91 1.93 0.24 6.73 7.07 5.41 5.43 000
endoscopy, surg.
31239 ......... A Nasal/sinus 8.70 NA NA 6.31 8.35 0.45 NA NA 15.46 17.50 010
endoscopy, surg.
31240 ......... A Nasal/sinus 2.61 NA NA 1.53 2.32 0.19 NA NA 4.33 5.12 000
endoscopy, surg.
31254 ......... A Revision of 4.65 NA NA 2.74 4.15 0.34 NA NA 7.73 9.14 000
ethmoid sinus.
31255 ......... A Removal of ethmoid 6.96 NA NA 4.09 6.20 0.52 NA NA 11.57 13.68 000
sinus.
31256 ......... A Exploration 3.29 NA NA 1.93 2.93 0.24 NA NA 5.46 6.46 000
maxillary sinus.
31267 ......... A Endoscopy, 5.46 NA NA 3.21 4.45 0.41 NA NA 9.08 10.32 000
maxillary sinus.
31276 ......... A Sinus surgical 8.85 NA NA 5.19 6.24 0.66 NA NA 14.70 15.75 000
endoscopy.
31287 ......... A Nasal/sinus 3.92 NA NA 2.30 3.49 0.29 NA NA 6.51 7.70 000
endoscopy, surg.
[[Page 39666]]
31288 ......... A Nasal/sinus 4.58 NA NA 2.69 4.08 0.34 NA NA 7.61 9.00 000
endoscopy, surg.
31290 ......... A Nasal/sinus 17.24 NA NA 11.49 14.68 1.33 NA NA 30.06 33.25 010
endoscopy, surg.
31291 ......... A Nasal/sinus 18.19 NA NA 11.83 15.31 1.80 NA NA 31.82 35.30 010
endoscopy, surg.
31292 ......... A Nasal/sinus 14.76 NA NA 9.77 12.15 1.08 NA NA 25.61 27.99 010
endoscopy, surg.
31293 ......... A Nasal/sinus 16.21 NA NA 10.66 13.28 1.13 NA NA 28.00 30.62 010
endoscopy, surg.
31294 ......... A Nasal/sinus 19.06 NA NA 11.79 14.97 1.73 NA NA 32.58 35.76 010
endoscopy, surg.
31299 ......... C Sinus surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31300 ......... A Removal of larynx 14.29 NA NA 15.63 14.10 1.07 NA NA 30.99 29.46 090
lesion.
31320 ......... A Diagnostic 5.26 NA NA 10.31 7.26 0.41 NA NA 15.98 12.93 090
incision larynx.
31360 ......... A Removal of larynx. 17.08 NA NA 17.37 18.88 1.29 NA NA 35.74 37.25 090
31365 ......... A Removal of larynx. 24.16 NA NA 21.27 25.06 1.85 NA NA 47.28 51.07 090
31367 ......... A Partial removal of 21.86 NA NA 21.54 20.12 1.67 NA NA 45.07 43.65 090
larynx.
31368 ......... A Partial removal of 27.09 NA NA 27.02 28.03 2.06 NA NA 56.17 57.18 090
larynx.
31370 ......... A Partial removal of 21.38 NA NA 21.15 19.90 1.67 NA NA 44.20 42.95 090
larynx.
31375 ......... A Partial removal of 20.21 NA NA 20.99 18.55 1.49 NA NA 42.69 40.25 090
larynx.
31380 ......... A Partial removal of 20.21 NA NA 20.36 19.55 1.51 NA NA 42.08 41.27 090
larynx.
31382 ......... A Partial removal of 20.52 NA NA 20.43 18.93 1.58 NA NA 42.53 41.03 090
larynx.
31390 ......... A Removal of larynx 27.53 NA NA 26.34 27.87 2.07 NA NA 55.94 57.47 090
& pharynx.
31395 ......... A Reconstruct larynx 31.09 NA NA 31.19 33.79 2.34 NA NA 64.62 67.22 090
& pharynx.
31400 ......... A Revision of larynx 10.31 NA NA 14.11 11.30 0.77 NA NA 25.19 22.38 090
31420 ......... A Removal of 10.22 NA NA 13.06 10.92 0.77 NA NA 24.05 21.91 090
epiglottis.
31500 ......... A Insert emergency 2.33 NA NA 0.53 0.89 0.17 NA NA 3.03 3.39 000
airway.
31502 ......... A Change of windpipe 0.65 1.53 1.08 0.27 0.45 0.04 2.22 1.77 0.96 1.14 000
airway.
31505 ......... A Diagnostic 0.61 1.50 0.99 0.23 0.24 0.05 2.16 1.65 0.89 0.90 000
laryngoscopy.
31510 ......... A Laryngoscopy with 1.92 2.33 1.47 0.99 0.80 0.15 4.40 3.54 3.06 2.87 000
biopsy.
31511 ......... A Remove foreign 2.16 2.56 1.80 0.74 0.89 0.19 4.91 4.15 3.09 3.24 000
body, larynx.
31512 ......... A Removal of larynx 2.07 2.57 2.26 1.11 1.53 0.20 4.84 4.53 3.38 3.80 000
lesion.
31513 ......... A Injection into 2.10 NA NA 1.22 1.87 0.16 NA NA 3.48 4.13 000
vocal cord.
31515 ......... A Laryngoscopy for 1.80 2.99 2.11 0.75 0.99 0.13 4.92 4.04 2.68 2.92 000
aspiration.
31520 ......... A Diagnostic 2.56 NA NA 1.36 1.57 0.19 NA NA 4.11 4.32 000
laryngoscopy.
31525 ......... A Diagnostic 2.63 2.57 2.48 1.43 1.32 0.19 5.39 5.30 4.25 4.14 000
laryngoscopy.
31526 ......... A Diagnostic 2.57 NA NA 1.50 2.29 0.19 NA NA 4.26 5.05 000
laryngoscopy.
31527 ......... A Laryngoscopy for 3.27 NA NA 1.70 2.47 0.24 NA NA 5.21 5.98 000
treatment.
31528 ......... A Laryngoscopy and 2.37 NA NA 1.26 2.05 0.18 NA NA 3.81 4.60 000
dilatation.
31529 ......... A Laryngoscopy and 2.68 NA NA 1.52 2.10 0.20 NA NA 4.40 4.98 000
dilatation.
31530 ......... A Operative 3.39 NA NA 1.59 2.77 0.24 NA NA 5.22 6.40 000
laryngoscopy.
31531 ......... A Operative 3.59 NA NA 2.12 3.21 0.27 NA NA 5.98 7.07 000
laryngoscopy.
31535 ......... A Operative 3.16 NA NA 1.77 2.78 0.24 NA NA 5.17 6.18 000
laryngoscopy.
31536 ......... A Operative 3.56 NA NA 2.09 3.17 0.27 NA NA 5.92 7.00 000
laryngoscopy.
31540 ......... A Operative 4.13 NA NA 2.41 3.67 0.31 NA NA 6.85 8.11 000
laryngoscopy.
31541 ......... A Operative 4.53 NA NA 2.66 3.81 0.34 NA NA 7.53 8.68 000
laryngoscopy.
31560 ......... A Operative 5.46 NA NA 3.11 4.27 0.41 NA NA 8.98 10.14 000
laryngoscopy.
31561 ......... A Operative 6.00 NA NA 3.53 5.17 0.45 NA NA 9.98 11.62 000
laryngoscopy.
31570 ......... A Laryngoscopy with 3.87 3.63 4.13 2.19 2.25 0.30 7.80 8.30 6.36 6.42 000
injection.
31571 ......... A Laryngoscopy with 4.27 NA NA 2.48 3.69 0.32 NA NA 7.07 8.28 000
injection.
31575 ......... A Diagnostic 1.10 1.85 1.77 0.58 0.72 0.08 3.03 2.95 1.76 1.90 000
laryngoscopy.
31576 ......... A Laryngoscopy with 1.97 1.89 2.13 1.04 1.70 0.14 4.00 4.24 3.15 3.81 000
biopsy.
31577 ......... A Remove foreign 2.47 2.26 2.61 1.22 2.09 0.19 4.92 5.27 3.88 4.75 000
body, larynx.
31578 ......... A Removal of larynx 2.84 2.50 2.95 1.63 2.51 0.21 5.55 6.00 4.68 5.56 000
lesion.
31579 ......... A Diagnostic 2.26 2.54 2.54 1.21 1.24 0.17 4.97 4.97 3.64 3.67 000
laryngoscopy.
31580 ......... A Revision of larynx 12.38 NA NA 15.62 15.20 0.92 NA NA 28.92 28.50 090
31582 ......... A Revision of larynx 21.62 NA NA 19.80 19.60 1.60 NA NA 43.02 42.82 090
31584 ......... A Repair of larynx 19.64 NA NA 17.22 15.51 1.61 NA NA 38.47 36.76 090
fracture.
31585 ......... A Repair of larynx 4.64 NA NA 7.51 5.80 0.34 NA NA 12.49 10.78 090
fracture.
31586 ......... A Repair of larynx 8.03 NA NA 10.57 8.84 0.60 NA NA 19.20 17.47 090
fracture.
31587 ......... A Revision of larynx 11.99 NA NA 12.58 10.20 0.92 NA NA 25.49 23.11 090
31588 ......... A Revision of larynx 13.11 NA NA 15.70 13.66 0.97 NA NA 29.78 27.74 090
31590 ......... A Reinnervate larynx 6.97 NA NA 10.70 8.48 0.49 NA NA 18.16 15.94 090
31595 ......... A Larynx nerve 8.34 NA NA 12.67 10.05 0.63 NA NA 21.64 19.02 090
surgery.
31599 ......... C Larynx surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31600 ......... A Incision of 3.62 NA NA 1.66 2.99 0.36 NA NA 5.64 6.97 000
windpipe.
31601 ......... A Incision of 4.45 NA NA 2.43 3.88 0.38 NA NA 7.26 8.71 000
windpipe.
31603 ......... A Incision of 4.15 NA NA 1.92 3.26 0.39 NA NA 6.46 7.80 000
windpipe.
31605 ......... A Incision of 3.58 NA NA 1.30 2.79 0.37 NA NA 5.25 6.74 000
windpipe.
31610 ......... A Incision of 8.76 NA NA 9.88 8.56 0.72 NA NA 19.36 18.04 090
windpipe.
31611 ......... A Surgery/speech 5.64 NA NA 8.96 7.98 0.42 NA NA 15.02 14.04 090
prosthesis.
31612 ......... A Puncture/clear 0.91 1.51 1.39 0.34 0.72 0.06 2.48 2.36 1.31 1.69 000
windpipe.
31613 ......... A Repair windpipe 4.59 NA NA 7.97 5.19 0.39 NA NA 12.95 10.17 090
opening.
31614 ......... A Repair windpipe 7.12 NA NA 10.94 9.13 0.56 NA NA 18.62 16.81 090
opening.
31615 ......... A Visualization of 2.09 3.46 2.79 0.95 1.54 0.15 5.70 5.03 3.19 3.78 000
windpipe.
31622 ......... A Dx bronchoscope/ 2.78 3.18 3.30 1.12 2.79 0.14 6.10 6.22 4.04 5.71 000
wash.
31623 ......... A Dx bronchoscope/ 2.88 3.62 3.48 1.00 2.17 0.17 6.67 6.53 4.05 5.22 000
brush.
31624 ......... A Dx bronchoscope/ 2.88 3.63 3.49 1.02 2.18 0.17 6.68 6.54 4.07 5.23 000
lavage.
31625 ......... A Bronchoscopy with 3.37 3.71 3.87 1.06 2.55 0.17 7.25 7.41 4.60 6.09 000
biopsy.
31628 ......... A Bronchoscopy with 3.81 3.56 4.06 1.12 2.84 0.14 7.51 8.01 5.07 6.79 000
biopsy.
31629 ......... A Bronchoscopy with 3.37 NA NA 1.01 2.52 0.13 NA NA 4.51 6.02 000
biopsy.
31630 ......... A Bronchoscopy with 3.82 NA NA 1.59 2.82 0.35 NA NA 5.76 6.99 000
repair.
31631 ......... A Bronchoscopy with 4.37 NA NA 1.62 2.95 0.32 NA NA 6.31 7.64 000
dilation.
31635 ......... A Remove foreign 3.68 NA NA 1.34 2.87 0.24 NA NA 5.26 6.79 000
body, airway.
31640 ......... A Bronchoscopy & 4.94 NA NA 2.04 3.75 0.39 NA NA 7.37 9.08 000
remove lesion.
31641 ......... A Bronchoscopy, 5.03 NA NA 1.76 3.88 0.29 NA NA 7.08 9.20 000
treat blockage.
31643 ......... A Dx bronchoscope/ 3.50 1.74 2.54 1.24 2.29 0.21 5.45 6.25 4.95 6.00 000
catheter.
31645 ......... A Bronchoscopy, 3.16 NA NA 0.95 2.37 0.14 NA NA 4.25 5.67 000
clear airways.
31646 ......... A Bronchoscopy,recle 2.72 NA NA 0.84 2.04 0.13 NA NA 3.69 4.89 000
ar airways.
[[Page 39667]]
31656 ......... A Bronchoscopy,injec 2.17 NA NA 0.60 1.60 0.10 NA NA 2.87 3.87 000
t for xray.
31700 ......... A Insertion of 1.34 2.71 2.11 0.43 0.97 0.08 4.13 3.53 1.85 2.39 000
airway catheter.
31708 ......... A Instill airway 1.41 NA NA 0.38 0.61 0.06 NA NA 1.85 2.08 000
contrast dye.
31710 ......... A Insertion of 1.30 NA NA 0.37 0.68 0.06 NA NA 1.73 2.04 000
airway catheter.
31715 ......... A Injection for 1.11 NA NA 0.32 0.42 0.04 NA NA 1.47 1.57 000
bronchus x-ray.
31717 ......... A Bronchial brush 2.12 4.87 2.83 0.62 0.71 0.09 7.08 5.04 2.83 2.92 000
biopsy.
31720 ......... A Clearance of 1.06 2.10 1.45 0.33 0.57 0.06 3.22 2.57 1.45 1.69 000
airways.
31725 ......... A Clearance of 1.96 NA NA 0.58 1.06 0.09 NA NA 2.63 3.11 000
airways.
31730 ......... A Intro windpipe 2.85 2.26 2.47 0.99 1.84 0.16 5.27 5.48 4.00 4.85 000
wire/tube.
31750 ......... A Repair of windpipe 13.02 NA NA 14.45 12.05 1.05 NA NA 28.52 26.12 090
31755 ......... A Repair of windpipe 15.93 NA NA 17.82 16.13 1.26 NA NA 35.01 33.32 090
31760 ......... A Repair of windpipe 22.35 NA NA 13.36 12.61 2.19 NA NA 37.90 37.15 090
31766 ......... A Reconstruction of 30.43 NA NA 17.90 18.94 3.70 NA NA 52.03 53.07 090
windpipe.
31770 ......... A Repair/graft of 22.51 NA NA 16.56 16.46 2.20 NA NA 41.27 41.17 090
bronchus.
31775 ......... A Reconstruct 23.54 NA NA 17.72 17.75 2.97 NA NA 44.23 44.26 090
bronchus.
31780 ......... A Reconstruct 17.72 NA NA 13.32 16.07 1.80 NA NA 32.84 35.59 090
windpipe.
31781 ......... A Reconstruct 23.53 NA NA 16.16 17.23 3.00 NA NA 42.69 43.76 090
windpipe.
31785 ......... A Remove windpipe 17.23 NA NA 12.63 11.16 1.41 NA NA 31.27 29.80 090
lesion.
31786 ......... A Remove windpipe 23.98 NA NA 16.90 15.67 2.08 NA NA 42.96 41.73 090
lesion.
31800 ......... A Repair of windpipe 7.43 NA NA 6.76 6.04 0.76 NA NA 14.95 14.23 090
injury.
31805 ......... A Repair of windpipe 13.13 NA NA 12.93 11.80 1.82 NA NA 27.88 26.75 090
injury.
31820 ......... A Closure of 4.49 7.30 5.60 7.22 5.56 0.36 12.15 10.45 12.07 10.41 090
windpipe lesion.
31825 ......... A Repair of windpipe 6.81 10.18 7.81 10.18 7.81 0.55 17.54 15.17 17.54 15.17 090
defect.
31830 ......... A Revise windpipe 4.50 7.21 5.59 7.21 5.59 0.38 12.09 10.47 12.09 10.47 090
scar.
31899 ......... C Airways surgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
32000 ......... A Drainage of chest. 1.54 3.79 2.39 0.46 0.72 0.08 5.41 4.01 2.08 2.34 000
32001 ......... A Total lung lavage. 6.00 2.13 2.13 2.13 2.13 0.61 8.74 8.74 8.74 8.74 000
32002 ......... A Treatment of 2.19 NA NA 0.66 1.06 0.12 NA NA 2.97 3.37 000
collapsed lung.
32005 ......... A Treat lung lining 2.19 NA NA 0.77 0.98 0.19 NA NA 3.15 3.36 000
chemically.
32020 ......... A Insertion of chest 3.98 NA NA 1.42 2.14 0.39 NA NA 5.79 6.51 000
tube.
32035 ......... A Exploration of 8.67 NA NA 8.79 8.07 1.08 NA NA 18.54 17.82 090
chest.
32036 ......... A Exploration of 9.68 NA NA 9.96 8.85 1.24 NA NA 20.88 19.77 090
chest.
32095 ......... A Biopsy through 8.36 NA NA 10.42 9.69 1.02 NA NA 19.80 19.07 090
chest wall.
32100 ......... A Exploration/biopsy 11.84 NA NA 10.82 11.51 1.52 NA NA 24.18 24.87 090
of chest.
32110 ......... A Explore/repair 13.62 NA NA 11.44 11.97 1.74 NA NA 26.80 27.33 090
chest.
32120 ......... A Re-exploration of 11.54 NA NA 10.76 10.51 1.50 NA NA 23.80 23.55 090
chest.
32124 ......... A Explore chest,free 12.72 NA NA 10.48 11.18 1.62 NA NA 24.82 25.52 090
adhesions.
32140 ......... A Removal of lung 13.93 NA NA 11.22 12.32 1.78 NA NA 26.93 28.03 090
lesion(s).
32141 ......... A Remove/treat lung 14.00 NA NA 11.91 13.24 1.81 NA NA 27.72 29.05 090
lesions.
32150 ......... A Removal of lung 14.15 NA NA 11.04 11.13 1.75 NA NA 26.94 27.03 090
lesion(s).
32151 ......... A Remove lung 14.21 NA NA 11.62 10.78 1.87 NA NA 27.70 26.86 090
foreign body.
32160 ......... A Open chest heart 9.30 NA NA 6.84 8.38 1.10 NA NA 17.24 18.78 090
massage.
32200 ......... A Open drainage, 15.29 NA NA 10.22 8.85 1.31 NA NA 26.82 25.45 090
lung lesion.
32201 ......... A Percut drainage, 4.00 NA NA 6.44 4.87 0.34 NA NA 10.78 9.21 000
lung lesion.
32215 ......... A Treat chest lining 11.33 NA NA 11.09 9.68 1.44 NA NA 23.86 22.45 090
32220 ......... A Release of lung... 19.27 NA NA 15.46 16.31 2.39 NA NA 37.12 37.97 090
32225 ......... A Partial release of 13.96 NA NA 12.04 12.45 1.81 NA NA 27.81 28.22 090
lung.
32310 ......... A Removal of chest 13.44 NA NA 10.86 11.75 1.74 NA NA 26.04 26.93 090
lining.
32320 ......... A Free/remove chest 20.54 NA NA 13.76 16.70 2.60 NA NA 36.90 39.84 090
lining.
32400 ......... A Needle biopsy 1.76 1.65 1.63 0.51 1.06 0.07 3.48 3.46 2.34 2.89 000
chest lining.
32402 ......... A Open biopsy chest 7.56 NA NA 8.99 8.61 0.97 NA NA 17.52 17.14 090
lining.
32405 ......... A Biopsy, lung or 1.93 2.04 2.17 0.52 1.41 0.08 4.05 4.18 2.53 3.42 000
mediastinum.
32420 ......... A Puncture/clear 2.18 NA NA 0.64 1.14 0.11 NA NA 2.93 3.43 000
lung.
32440 ......... A Removal of lung... 21.02 NA NA 14.58 17.36 2.70 NA NA 38.30 41.08 090
32442 ......... A Sleeve 26.24 NA NA 17.63 18.55 3.49 NA NA 47.36 48.28 090
pneumonectomy.
32445 ......... A Removal of lung... 25.09 NA NA 16.07 19.14 3.13 NA NA 44.29 47.36 090
32480 ......... A Partial removal of 18.32 NA NA 12.70 15.66 2.35 NA NA 33.37 36.33 090
lung.
32482 ......... A Bilobectomy....... 19.71 NA NA 13.40 16.01 2.47 NA NA 35.58 38.19 090
32484 ......... A Segmentectomy..... 20.69 NA NA 13.97 16.29 2.62 NA NA 37.28 39.60 090
32486 ......... A Sleeve lobectomy.. 23.92 NA NA 15.94 16.95 3.12 NA NA 42.98 43.99 090
32488 ......... A Completion 25.71 NA NA 16.81 18.03 3.31 NA NA 45.83 47.05 090
pneumonectomy.
32491 ......... R Lung volume 21.25 NA NA 14.83 15.80 3.00 NA NA 39.08 40.05 090
reduction.
32500 ......... A Partial removal of 14.30 NA NA 12.09 13.36 1.86 NA NA 28.25 29.52 090
lung.
32501 ......... A Repair bronchus 4.69 NA NA 1.76 3.22 0.55 NA NA 7.00 8.46 ZZZ
(add-on).
32520 ......... A Remove lung & 21.68 NA NA 15.02 18.73 2.86 NA NA 39.56 43.27 090
revise chest.
32522 ......... A Remove lung & 24.20 NA NA 15.76 19.77 3.11 NA NA 43.07 47.08 090
revise chest.
32525 ......... A Remove lung & 26.50 NA NA 16.30 20.90 3.39 NA NA 46.19 50.79 090
revise chest.
32540 ......... A Removal of lung 14.64 NA NA 11.77 12.22 1.87 NA NA 28.28 28.73 090
lesion.
32601 ......... A Thoracoscopy, 5.46 NA NA 4.13 3.95 0.70 NA NA 10.29 10.11 000
diagnostic.
32602 ......... A Thoracoscopy, 5.96 NA NA 4.27 4.24 0.76 NA NA 10.99 10.96 000
diagnostic.
32603 ......... A Thoracoscopy, 7.81 NA NA 3.73 3.75 0.82 NA NA 12.36 12.38 000
diagnostic.
32604 ......... A Thoracoscopy, 8.78 NA NA 5.39 4.80 1.12 NA NA 15.29 14.70 000
diagnostic.
32605 ......... A Thoracoscopy, 6.93 NA NA 4.69 4.23 0.90 NA NA 12.52 12.06 000
diagnostic.
32606 ......... A Thoracoscopy, 8.40 NA NA 5.25 4.73 1.07 NA NA 14.72 14.20 000
diagnostic.
32650 ......... A Thoracoscopy, 10.75 NA NA 9.61 8.94 1.31 NA NA 21.67 21.00 090
surgical.
32651 ......... A Thoracoscopy, 12.91 NA NA 10.10 11.48 1.60 NA NA 24.61 25.99 090
surgical.
32652 ......... A Thoracoscopy, 18.66 NA NA 13.02 15.09 2.37 NA NA 34.05 36.12 090
surgical.
32653 ......... A Thoracoscopy, 12.87 NA NA 10.03 10.63 1.59 NA NA 24.49 25.09 090
surgical.
32654 ......... A Thoracoscopy, 12.44 NA NA 8.36 10.43 1.51 NA NA 22.31 24.38 090
surgical.
32655 ......... A Thoracoscopy, 13.10 NA NA 10.06 12.31 1.59 NA NA 24.75 27.00 090
surgical.
32656 ......... A Thoracoscopy, 12.91 NA NA 10.79 12.65 1.70 NA NA 25.40 27.26 090
surgical.
32657 ......... A Thoracoscopy, 13.65 NA NA 10.87 12.75 1.71 NA NA 26.23 28.11 090
surgical.
32658 ......... A Thoracoscopy, 11.63 NA NA 9.68 11.78 1.43 NA NA 22.74 24.84 090
surgical.
32659 ......... A Thoracoscopy, 11.59 NA NA 10.52 12.18 1.53 NA NA 23.64 25.30 090
surgical.
[[Page 39668]]
32660 ......... A Thoracoscopy, 17.43 NA NA 13.33 17.07 2.37 NA NA 33.13 36.87 090
surgical.
32661 ......... A Thoracoscopy, 13.25 NA NA 12.23 11.14 1.76 NA NA 27.24 26.15 090
surgical.
32662 ......... A Thoracoscopy, 16.44 NA NA 12.24 14.02 2.15 NA NA 30.83 32.61 090
surgical.
32663 ......... A Thoracoscopy, 18.47 NA NA 12.90 15.76 2.37 NA NA 33.74 36.60 090
surgical.
32664 ......... A Thoracoscopy, 14.20 NA NA 10.02 10.74 1.70 NA NA 25.92 26.64 090
surgical.
32665 ......... A Thoracoscopy, 15.54 NA NA 10.10 12.83 1.86 NA NA 27.50 30.23 090
surgical.
32800 ......... A Repair lung hernia 13.69 NA NA 10.25 9.62 1.49 NA NA 25.43 24.80 090
32810 ......... A Close chest after 13.05 NA NA 11.31 9.18 1.71 NA NA 26.07 23.94 090
drainage.
32815 ......... A Close bronchial 23.15 NA NA 16.24 16.38 3.07 NA NA 42.46 42.60 090
fistula.
32820 ......... A Reconstruct 21.48 NA NA 13.94 17.29 2.53 NA NA 37.95 41.30 090
injured chest.
32850 ......... X Donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pneumonectomy.
32851 ......... A Lung transplant, 38.63 NA NA 22.95 25.34 5.12 NA NA 66.70 69.09 090
single.
32852 ......... A Lung transplant w/ 41.80 NA NA 24.68 27.38 5.56 NA NA 72.04 74.74 090
bypass.
32853 ......... A Lung transplant, 47.81 NA NA 28.15 31.41 6.69 NA NA 82.65 85.91 090
double.
32854 ......... A Lung transplant w/ 50.98 NA NA 27.60 32.31 6.33 NA NA 84.91 89.62 090
bypass.
32900 ......... A Removal of rib(s). 20.27 NA NA 13.87 11.53 2.52 NA NA 36.66 34.32 090
32905 ......... A Revise & repair 20.75 NA NA 14.84 14.34 2.63 NA NA 38.22 37.72 090
chest wall.
32906 ......... A Revise & repair 26.77 NA NA 17.13 16.93 3.52 NA NA 47.42 47.22 090
chest wall.
32940 ......... A Revision of lung.. 19.43 NA NA 12.98 12.66 2.50 NA NA 34.91 34.59 090
32960 ......... A Therapeutic 1.84 1.99 1.50 0.36 0.69 0.13 3.96 3.47 2.33 2.66 000
pneumothorax.
32999 ......... C Chest surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
33010 ......... A Drainage of heart 2.24 NA NA 0.82 1.25 0.28 NA NA 3.34 3.77 000
sac.
33011 ......... A Repeat drainage of 2.24 NA NA 0.84 0.72 0.26 NA NA 3.34 3.22 000
heart sac.
33015 ......... A Incision of heart 6.80 NA NA 4.81 4.72 0.92 NA NA 12.53 12.44 090
sac.
33020 ......... A Incision of heart 12.61 NA NA 9.68 12.04 1.70 NA NA 23.99 26.35 090
sac.
33025 ......... A Incision of heart 12.09 NA NA 9.29 11.86 1.61 NA NA 22.99 25.56 090
sac.
33030 ......... A Partial removal of 18.71 NA NA 14.50 18.42 2.50 NA NA 35.71 39.63 090
heart sac.
33031 ......... A Partial removal of 21.79 NA NA 18.20 16.29 2.98 NA NA 42.97 41.06 090
heart sac.
33050 ......... A Removal of heart 14.36 NA NA 12.39 11.22 1.83 NA NA 28.58 27.41 090
sac lesion.
33120 ......... A Removal of heart 24.56 NA NA 19.53 24.43 3.29 NA NA 47.38 52.28 090
lesion.
33130 ......... A Removal of heart 21.39 NA NA 13.59 14.12 2.51 NA NA 37.49 38.02 090
lesion.
33200 ......... A Insertion of heart 12.48 NA NA 12.39 12.86 1.52 NA NA 26.39 26.86 090
pacemaker.
33201 ......... A Insertion of heart 10.18 NA NA 11.00 11.57 1.41 NA NA 22.59 23.16 090
pacemaker.
33206 ......... A Insertion of heart 6.67 NA NA 5.70 6.84 0.89 NA NA 13.26 14.40 090
pacemaker.
33207 ......... A Insertion of heart 8.04 NA NA 6.17 7.88 1.08 NA NA 15.29 17.00 090
pacemaker.
33208 ......... A Insertion of heart 8.13 NA NA 6.36 8.03 1.12 NA NA 15.61 17.28 090
pacemaker.
33210 ......... A Insertion of heart 3.30 NA NA 1.34 2.46 0.44 NA NA 5.08 6.20 000
electrode.
33211 ......... A Insertion of heart 3.40 NA NA 1.37 2.48 0.47 NA NA 5.24 6.35 000
electrode.
33212 ......... A Insertion of pulse 5.52 NA NA 4.59 5.22 0.74 NA NA 10.85 11.48 090
generator.
33213 ......... A Insertion of pulse 6.37 NA NA 4.99 5.42 0.86 NA NA 12.22 12.65 090
generator.
33214 ......... A Upgrade of 7.75 NA NA 6.14 6.00 1.05 NA NA 14.94 14.80 090
pacemaker system.
33216 ......... A Revision implanted 5.39 NA NA 5.04 5.25 0.73 NA NA 11.16 11.37 090
electrode.
33217 ......... A Insert/revise 5.75 NA NA 5.39 5.42 0.79 NA NA 11.93 11.96 090
electrode.
33218 ......... A Repair pacemaker 5.44 NA NA 4.61 4.80 0.73 NA NA 10.78 10.97 090
electrodes.
33220 ......... A Repair pacemaker 5.52 NA NA 4.64 4.81 0.75 NA NA 10.91 11.08 090
electrode.
33222 ......... A Pacemaker aicd 4.96 NA NA 4.21 5.07 0.65 NA NA 9.82 10.68 090
pocket.
33223 ......... A Pacemaker aicd 6.46 NA NA 5.44 5.82 0.91 NA NA 12.81 13.19 090
pocket.
33233 ......... A Removal of 3.29 NA NA 3.94 3.41 0.46 NA NA 7.69 7.16 090
pacemaker system.
33234 ......... A Removal of 7.82 NA NA 5.87 4.48 1.10 NA NA 14.79 13.40 090
pacemaker system.
33235 ......... A Removal pacemaker 9.40 NA NA 6.60 5.01 1.32 NA NA 17.32 15.73 090
electrode.
33236 ......... A Remove electrode/ 12.60 NA NA 10.25 7.29 1.71 NA NA 24.56 21.60 090
thoracotomy.
33237 ......... A Remove electrode/ 13.71 NA NA 10.52 10.47 1.76 NA NA 25.99 25.94 090
thoracotomy.
33238 ......... A Remove electrode/ 15.22 NA NA 9.26 10.22 1.49 NA NA 25.97 26.93 090
thoracotomy.
33240 ......... A Insert/replace 7.60 NA NA 6.01 5.93 1.07 NA NA 14.68 14.60 090
pulse gener.
33241 ......... A Remove pulse 3.24 NA NA 3.68 3.01 0.46 NA NA 7.38 6.71 090
generator only.
33242 ......... A Repair pulse 6.17 NA NA 7.85 7.61 0.87 NA NA 14.89 14.65 090
generator/leads.
33243 ......... A Remove generator/ 22.64 NA NA 13.06 11.43 3.16 NA NA 38.86 37.23 090
thoracotomy.
33244 ......... A Remove generator.. 8.97 NA NA 6.80 8.30 1.27 NA NA 17.04 18.54 090
33245 ......... A Implant heart 14.30 NA NA 13.01 15.04 1.95 NA NA 29.26 31.29 090
defibrillator.
33246 ......... A Implant heart 20.71 NA NA 15.31 18.94 2.90 NA NA 38.92 42.55 090
defibrillator.
33247 ......... A Insert/replace 10.21 NA NA 7.55 9.87 1.34 NA NA 19.10 21.42 090
leads.
33249 ......... A Insert/replace 13.28 NA NA 9.25 12.56 1.88 NA NA 24.41 27.72 090
leads/gener.
33250 ......... A Ablate heart 21.85 NA NA 14.76 13.66 3.19 NA NA 39.80 38.70 090
dysrhythm focus.
33251 ......... A Ablate heart 24.88 NA NA 18.80 18.31 3.48 NA NA 47.16 46.67 090
dysrhythm focus.
33253 ......... A Reconstruct atria. 31.06 NA NA 20.10 21.89 4.35 NA NA 55.51 57.30 090
33261 ......... A Ablate heart 24.88 NA NA 19.79 17.47 3.08 NA NA 47.75 45.43 090
dysrhythm focus.
33300 ......... A Repair of heart 17.92 NA NA 13.92 14.75 2.44 NA NA 34.28 35.11 090
wound.
33305 ......... A Repair of heart 21.44 NA NA 16.49 17.69 2.90 NA NA 40.83 42.03 090
wound.
33310 ......... A Exploratory heart 18.51 NA NA 15.35 13.80 2.63 NA NA 36.49 34.94 090
surgery.
33315 ......... A Exploratory heart 22.37 NA NA 16.57 16.14 3.15 NA NA 42.09 41.66 090
surgery.
33320 ......... A Repair major blood 16.79 NA NA 13.08 14.22 2.23 NA NA 32.10 33.24 090
vessel(s).
33321 ......... A Repair major 20.20 NA NA 11.53 17.57 2.49 NA NA 34.22 40.26 090
vessel.
33322 ......... A Repair major blood 20.62 NA NA 16.56 20.08 2.85 NA NA 40.03 43.55 090
vessel(s).
33330 ......... A Insert major 21.43 NA NA 16.47 15.11 2.98 NA NA 40.88 39.52 090
vessel graft.
33332 ......... A Insert major 23.96 NA NA 15.38 15.87 3.48 NA NA 42.82 43.31 090
vessel graft.
33335 ......... A Insert major 30.01 NA NA 20.00 18.18 4.10 NA NA 54.11 52.29 090
vessel graft.
33400 ......... A Repair of aortic 25.34 NA NA 19.80 24.12 3.47 NA NA 48.61 52.93 090
valve.
33401 ......... A Valvuloplasty, 23.91 NA NA 17.26 22.85 3.39 NA NA 44.56 50.15 090
open.
33403 ......... A Valvuloplasty, w/ 24.89 NA NA 18.46 23.45 3.49 NA NA 46.84 51.83 090
cp bypass.
33404 ......... A Prepare heart- 28.54 NA NA 21.52 27.72 3.86 NA NA 53.92 60.12 090
aorta conduit.
33405 ......... A Replacement of 30.61 NA NA 20.80 26.94 4.14 NA NA 55.55 61.69 090
aortic valve.
33406 ......... A Replacement, 32.30 NA NA 22.21 30.39 4.39 NA NA 58.90 67.08 090
aortic valve.
33411 ......... A Replacement of 32.47 NA NA 21.53 30.15 4.37 NA NA 58.37 66.99 090
aortic valve.
33412 ......... A Replacement of 34.79 NA NA 20.84 31.19 4.10 NA NA 59.73 70.08 090
aortic valve.
[[Page 39669]]
33413 ......... A Replacement, 35.24 NA NA 25.14 33.60 4.80 NA NA 65.18 73.64 090
aortic valve.
33414 ......... A Repair, aortic 30.35 NA NA 20.98 28.61 4.07 NA NA 55.40 63.03 090
valve.
33415 ......... A Revision, 27.15 NA NA 17.49 24.96 3.00 NA NA 47.64 55.11 090
subvalvular
tissue.
33416 ......... A Revise ventricle 30.35 NA NA 20.72 25.63 4.17 NA NA 55.24 60.15 090
muscle.
33417 ......... A Repair of aortic 28.53 NA NA 21.08 27.57 3.87 NA NA 53.48 59.97 090
valve.
33420 ......... A Revision of mitral 22.70 NA NA 10.63 16.07 1.69 NA NA 35.02 40.46 090
valve.
33422 ......... A Revision of mitral 25.94 NA NA 18.31 24.64 3.47 NA NA 47.72 54.05 090
valve.
33425 ......... A Repair of mitral 27.00 NA NA 19.61 25.92 3.64 NA NA 50.25 56.56 090
valve.
33426 ......... A Repair of mitral 31.03 NA NA 21.07 27.88 4.16 NA NA 56.26 63.07 090
valve.
33427 ......... A Repair of mitral 33.72 NA NA 21.91 29.79 4.59 NA NA 60.22 68.10 090
valve.
33430 ......... A Replacement of 31.43 NA NA 21.07 29.30 4.27 NA NA 56.77 65.00 090
mitral valve.
33460 ......... A Revision of 23.60 NA NA 18.28 23.23 3.18 NA NA 45.06 50.01 090
tricuspid valve.
33463 ......... A Valvuloplasty, 25.62 NA NA 18.62 24.60 3.49 NA NA 47.73 53.71 090
tricuspid.
33464 ......... A Valvuloplasty, 27.33 NA NA 19.53 26.08 3.70 NA NA 50.56 57.11 090
tricuspid.
33465 ......... A Replace tricuspid 28.79 NA NA 19.91 27.14 3.81 NA NA 52.51 59.74 090
valve.
33468 ......... A Revision of 30.12 NA NA 24.22 30.09 4.10 NA NA 58.44 64.31 090
tricuspid valve.
33470 ......... A Revision of 20.81 NA NA 19.43 20.47 2.69 NA NA 42.93 43.97 090
pulmonary valve.
33471 ......... A Valvotomy, 22.25 NA NA 10.94 18.76 1.84 NA NA 35.03 42.85 090
pulmonary valve.
33472 ......... A Revision of 22.25 NA NA 12.27 19.42 2.61 NA NA 37.13 44.28 090
pulmonary valve.
33474 ......... A Revision of 23.04 NA NA 14.16 20.83 2.70 NA NA 39.90 46.57 090
pulmonary valve.
33475 ......... A Replacement, 28.41 NA NA 19.41 26.66 3.77 NA NA 51.59 58.84 090
pulmonary valve.
33476 ......... A Revision of heart 25.77 NA NA 14.27 22.41 2.42 NA NA 42.46 50.60 090
chamber.
33478 ......... A Revision of heart 26.74 NA NA 18.13 25.03 3.93 NA NA 48.80 55.70 090
chamber.
33496 ......... A Repair, prosth 27.25 NA NA 19.62 26.08 3.53 NA NA 50.40 56.86 090
valve clot.
33500 ......... A Repair heart 25.55 NA NA 16.09 23.30 3.19 NA NA 44.83 52.04 090
vessel fistula.
33501 ......... A Repair heart 17.78 NA NA 12.81 14.08 2.22 NA NA 32.81 34.08 090
vessel fistula.
33502 ......... A Coronary artery 21.04 NA NA 20.11 17.73 3.01 NA NA 44.16 41.78 090
correction.
33503 ......... A Coronary artery 21.78 NA NA 19.26 22.63 2.53 NA NA 43.57 46.94 090
graft.
33504 ......... A Coronary artery 24.66 NA NA 18.03 23.74 2.58 NA NA 45.27 50.98 090
graft.
33505 ......... A Repair artery w/ 26.84 NA NA 22.13 27.09 3.24 NA NA 52.21 57.17 090
tunnel.
33506 ......... A Repair artery, 26.71 NA NA 20.43 26.16 3.13 NA NA 50.27 56.00 090
translocation.
33510 ......... A CABG, vein, single 25.12 NA NA 18.38 24.19 3.42 NA NA 46.92 52.73 090
33511 ......... A CABG, vein, two... 27.40 NA NA 19.36 26.04 3.72 NA NA 50.48 57.16 090
33512 ......... A CABG, vein, three. 29.67 NA NA 20.46 27.94 3.97 NA NA 54.10 61.58 090
33513 ......... A CABG, vein, four.. 31.95 NA NA 21.54 29.85 4.32 NA NA 57.81 66.12 090
33514 ......... A CABG, vein, five.. 35.00 NA NA 23.15 32.47 4.73 NA NA 62.88 72.20 090
33516 ......... A CABG, vein, six+.. 37.40 NA NA 24.26 34.46 5.08 NA NA 66.74 76.94 090
33517 ......... A CABG, artery-vein, 2.57 NA NA 1.09 2.08 0.35 NA NA 4.01 5.00 ZZZ
single.
33518 ......... A CABG, artery-vein, 4.85 NA NA 2.05 3.93 0.65 NA NA 7.55 9.43 ZZZ
two.
33519 ......... A CABG, artery-vein, 7.12 NA NA 3.01 5.76 0.96 NA NA 11.09 13.84 ZZZ
three.
33521 ......... A CABG, artery-vein, 9.40 NA NA 3.99 7.61 1.27 NA NA 14.66 18.28 ZZZ
four.
33522 ......... A CABG, artery-vein, 11.67 NA NA 4.97 9.45 1.57 NA NA 18.21 22.69 ZZZ
five.
33523 ......... A CABG, artery-vein, 13.95 NA NA 5.94 11.30 1.88 NA NA 21.77 27.13 ZZZ
six+.
33530 ......... A Coronary artery, 5.86 NA NA 2.48 4.74 0.80 NA NA 9.14 11.40 ZZZ
bypass/reop.
33533 ......... A CABG, arterial, 25.83 NA NA 18.90 24.87 3.46 NA NA 48.19 54.16 090
single.
33534 ......... A CABG, arterial, 28.82 NA NA 19.99 27.20 3.85 NA NA 52.66 59.87 090
two.
33535 ......... A CABG, arterial, 31.81 NA NA 21.04 29.51 4.12 NA NA 56.97 65.44 090
three.
33536 ......... A CABG, arterial, 34.79 NA NA 22.08 31.81 4.59 NA NA 61.46 71.19 090
four+.
33542 ......... A Removal of heart 28.85 NA NA 21.86 27.61 3.95 NA NA 54.66 60.41 090
lesion.
33545 ......... A Repair of heart 36.78 NA NA 24.00 30.95 4.99 NA NA 65.77 72.72 090
damage.
33572 ......... A Open coronary 4.45 NA NA 1.87 2.69 0.61 NA NA 6.93 7.75 ZZZ
endarterectomy.
33600 ......... A Closure of valve.. 29.51 NA NA 16.65 25.94 2.66 NA NA 48.82 58.11 090
33602 ......... A Closure of valve.. 28.54 NA NA 14.77 23.93 2.99 NA NA 46.30 55.46 090
33606 ......... A Anastomosis/artery- 30.74 NA NA 21.87 29.28 4.21 NA NA 56.82 64.23 090
aorta.
33608 ......... A Repair anomaly w/ 31.09 NA NA 19.24 28.18 3.71 NA NA 54.04 62.98 090
conduit.
33610 ......... A Repair by 30.61 NA NA 20.82 28.68 3.86 NA NA 55.29 63.15 090
enlargement.
33611 ......... A Repair double 32.30 NA NA 20.59 29.58 4.27 NA NA 57.16 66.15 090
ventricle.
33612 ......... A Repair double 33.26 NA NA 21.85 30.78 4.81 NA NA 59.92 68.85 090
ventricle.
33615 ......... A Repair (simple 32.06 NA NA 21.66 29.97 4.14 NA NA 57.86 66.17 090
fontan).
33617 ......... A Repair by modified 34.03 NA NA 25.51 33.07 4.82 NA NA 64.36 71.92 090
fontan.
33619 ......... A Repair single 37.57 NA NA 30.98 37.92 5.36 NA NA 73.91 80.85 090
ventricle.
33641 ......... A Repair heart 21.39 NA NA 14.98 20.26 2.90 NA NA 39.27 44.55 090
septum defect.
33645 ......... A Revision of heart 24.82 NA NA 16.78 23.21 3.28 NA NA 44.88 51.31 090
veins.
33647 ......... A Repair heart 28.73 NA NA 22.28 28.29 4.08 NA NA 55.09 61.10 090
septum defects.
33660 ......... A Repair of heart 25.54 NA NA 19.57 25.03 3.20 NA NA 48.31 53.77 090
defects.
33665 ......... A Repair of heart 28.60 NA NA 19.75 26.85 4.27 NA NA 52.62 59.72 090
defects.
33670 ......... A Repair of heart 32.73 NA NA 17.63 28.35 3.28 NA NA 53.64 64.36 090
chambers.
33681 ......... A Repair heart 27.67 NA NA 21.74 27.39 3.78 NA NA 53.19 58.84 090
septum defect.
33684 ......... A Repair heart 29.65 NA NA 17.73 26.57 3.83 NA NA 51.21 60.05 090
septum defect.
33688 ......... A Repair heart 30.62 NA NA 15.47 26.01 3.95 NA NA 50.04 60.58 090
septum defect.
33690 ......... A Reinforce 19.55 NA NA 14.54 18.94 2.52 NA NA 36.61 41.01 090
pulmonary artery.
33692 ......... A Repair of heart 30.75 NA NA 19.64 28.18 4.47 NA NA 54.86 63.40 090
defects.
33694 ......... A Repair of heart 31.73 NA NA 18.26 28.07 3.29 NA NA 53.28 63.09 090
defects.
33697 ......... A Repair of heart 33.71 NA NA 16.65 28.45 4.82 NA NA 55.18 66.98 090
defects.
33702 ......... A Repair of heart 26.54 NA NA 21.17 26.43 3.80 NA NA 51.51 56.77 090
defects.
33710 ......... A Repair of heart 29.71 NA NA 19.37 27.42 3.95 NA NA 53.03 61.08 090
defects.
33720 ......... A Repair of heart 26.56 NA NA 19.81 25.76 3.76 NA NA 50.13 56.08 090
defect.
33722 ......... A Repair of heart 28.41 NA NA 20.68 26.88 4.24 NA NA 53.33 59.53 090
defect.
33730 ......... A Repair heart-vein 31.67 NA NA 21.40 29.61 4.51 NA NA 57.58 65.79 090
defect(s).
33732 ......... A Repair heart-vein 28.16 NA NA 21.13 27.38 4.19 NA NA 53.48 59.73 090
defect.
33735 ......... A Revision of heart 21.39 NA NA 14.68 21.28 2.36 NA NA 38.43 45.03 090
chamber.
33736 ......... A Revision of heart 23.52 NA NA 20.52 24.20 3.23 NA NA 47.27 50.95 090
chamber.
33737 ......... A Revision of heart 21.76 NA NA 10.78 18.38 0.90 NA NA 33.44 41.04 090
chamber.
33750 ......... A Major vessel shunt 21.41 NA NA 15.79 19.89 2.89 NA NA 40.09 44.19 090
[[Page 39670]]
33755 ......... A Major vessel shunt 21.79 NA NA 19.53 21.76 1.34 NA NA 42.66 44.89 090
33762 ......... A Major vessel shunt 21.79 NA NA 12.10 18.04 3.13 NA NA 37.02 42.96 090
33764 ......... A Major vessel shunt 21.79 NA NA 15.97 19.98 2.20 NA NA 39.96 43.97 090
& graft.
33766 ......... A Major vessel shunt 22.76 NA NA 17.75 20.87 3.26 NA NA 43.77 46.89 090
33767 ......... A Major vessel shunt 24.50 NA NA 18.47 23.18 3.76 NA NA 46.73 51.44 090
33770 ......... A Repair great 33.29 NA NA 17.34 28.54 2.92 NA NA 53.55 64.75 090
vessels defect.
33771 ......... A Repair great 34.65 NA NA 17.01 29.19 3.04 NA NA 54.70 66.88 090
vessels defect.
33774 ......... A Repair great 30.98 NA NA 17.15 25.55 1.25 NA NA 49.38 57.78 090
vessels defect.
33775 ......... A Repair great 32.20 NA NA 16.07 25.01 2.82 NA NA 51.09 60.03 090
vessels defect.
33776 ......... A Repair great 34.04 NA NA 16.78 27.34 2.99 NA NA 53.81 64.37 090
vessels defect.
33777 ......... A Repair great 33.46 NA NA 16.55 25.25 2.94 NA NA 52.95 61.65 090
vessels defect.
33778 ......... A Repair great 35.82 NA NA 17.46 30.11 3.14 NA NA 56.42 69.07 090
vessels defect.
33779 ......... A Repair great 36.21 NA NA 20.22 31.73 5.05 NA NA 61.48 72.99 090
vessels defect.
33780 ......... A Repair great 36.94 NA NA 21.09 32.59 5.37 NA NA 63.40 74.90 090
vessels defect.
33781 ......... A Repair great 36.45 NA NA 17.70 30.61 3.20 NA NA 57.35 70.26 090
vessels defect.
33786 ......... A Repair arterial 34.84 NA NA 17.08 29.34 3.06 NA NA 54.98 67.24 090
trunk.
33788 ......... A Revision of 26.62 NA NA 14.09 22.94 1.77 NA NA 42.48 51.33 090
pulmonary artery.
33800 ......... A Aortic suspension. 16.24 NA NA 12.95 14.15 2.07 NA NA 31.26 32.46 090
33802 ......... A Repair vessel 17.66 NA NA 15.80 18.45 2.56 NA NA 36.02 38.67 090
defect.
33803 ......... A Repair vessel 19.60 NA NA 13.62 18.51 2.49 NA NA 35.71 40.60 090
defect.
33813 ......... A Repair septal 20.65 NA NA 18.42 21.20 3.13 NA NA 42.20 44.98 090
defect.
33814 ......... A Repair septal 25.77 NA NA 20.27 25.52 3.69 NA NA 49.73 54.98 090
defect.
33820 ......... A Revise major 16.29 NA NA 14.14 16.80 2.19 NA NA 32.62 35.28 090
vessel.
33822 ......... A Revise major 17.32 NA NA 10.39 15.53 2.33 NA NA 30.04 35.18 090
vessel.
33824 ......... A Revise major 19.52 NA NA 15.18 19.24 2.61 NA NA 37.31 41.37 090
vessel.
33840 ......... A Remove aorta 20.63 NA NA 11.87 18.25 1.37 NA NA 33.87 40.25 090
constriction.
33845 ......... A Remove aorta 22.12 NA NA 17.70 22.05 3.32 NA NA 43.14 47.49 090
constriction.
33851 ......... A Remove aorta 21.27 NA NA 16.26 20.83 3.09 NA NA 40.62 45.19 090
constriction.
33852 ......... A Repair septal 23.71 NA NA 19.52 23.91 3.29 NA NA 46.52 50.91 090
defect.
33853 ......... A Repair septal 31.72 NA NA 23.56 30.71 4.34 NA NA 59.62 66.77 090
defect.
33860 ......... A Ascending aorta 33.96 NA NA 22.05 29.86 4.64 NA NA 60.65 68.46 090
graft.
33861 ......... A Ascending aorta 34.52 NA NA 22.37 30.02 4.70 NA NA 61.59 69.24 090
graft.
33863 ......... A Ascending aorta 36.47 NA NA 23.09 30.38 4.92 NA NA 64.48 71.77 090
graft.
33870 ......... A Transverse aortic 40.31 NA NA 24.48 36.28 5.66 NA NA 70.45 82.25 090
arch graft.
33875 ......... A Thoracic aorta 33.06 NA NA 20.58 27.25 4.46 NA NA 58.10 64.77 090
graft.
33877 ......... A Thoracoabdominal 42.60 NA NA 25.52 36.70 5.68 NA NA 73.80 84.98 090
graft.
33910 ......... A Remove lung artery 24.59 NA NA 18.03 16.97 3.21 NA NA 45.83 44.77 090
emboli.
33915 ......... A Remove lung artery 21.02 NA NA 13.38 13.21 2.41 NA NA 36.81 36.64 090
emboli.
33916 ......... A Surgery of great 25.83 NA NA 17.18 18.13 3.18 NA NA 46.19 47.14 090
vessel.
33917 ......... A Repair pulmonary 24.50 NA NA 18.64 23.95 3.27 NA NA 46.41 51.72 090
artery.
33918 ......... A Repair pulmonary 26.45 NA NA 15.84 23.71 2.33 NA NA 44.62 52.49 090
atresia.
33919 ......... A Repair pulmonary 32.67 NA NA 19.68 29.34 4.88 NA NA 57.23 66.89 090
atresia.
33920 ......... A Repair pulmonary 31.95 NA NA 15.98 27.07 4.77 NA NA 52.70 63.79 090
atresia.
33922 ......... A Transect pulmonary 23.52 NA NA 16.32 22.20 2.53 NA NA 42.37 48.25 090
artery.
33924 ......... A Remove pulmonary 5.50 NA NA 2.29 3.32 0.82 NA NA 8.61 9.64 ZZZ
shunt.
33930 ......... X Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart/lung.
33935 ......... R Transplantation, 60.96 NA NA 31.23 52.01 7.76 NA NA 99.95 120.73 090
heart/lung.
33940 ......... X Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart.
33945 ......... R Transplantation of 42.10 NA NA 26.12 38.19 5.82 NA NA 74.04 86.11 090
heart.
33960 ......... A External 19.36 NA NA 4.43 6.02 1.62 NA NA 25.41 27.00 XXX
circulation
assist.
33961 ......... A External 10.93 NA NA 4.36 5.99 1.33 NA NA 16.62 18.25 ZZZ
circulation
assist.
33970 ......... A Aortic circulation 6.75 NA NA 2.83 5.45 0.94 NA NA 10.52 13.14 000
assist.
33971 ......... A Aortic circulation 9.69 NA NA 9.11 7.36 1.35 NA NA 20.15 18.40 090
assist.
33973 ......... A Insert balloon 9.76 NA NA 4.08 6.13 1.35 NA NA 15.19 17.24 000
device.
33974 ......... A Remove intra- 14.41 NA NA 11.93 8.98 1.93 NA NA 28.27 25.32 090
aortic balloon.
33975 ......... A Implant 21.60 NA NA 13.78 14.59 2.98 NA NA 55.76 56.57 010
ventricular
device.
33976 ......... A Implant 43.00 NA NA 16.18 18.58 4.01 NA NA 63.19 65.59 010
ventricular
device.
33977 ......... A Remove ventricular 19.29 NA NA 12.86 13.17 2.68 NA NA 34.83 35.14 090
device.
33978 ......... A Remove ventricular 21.73 NA NA 12.85 14.13 2.81 NA NA 37.39 38.67 090
device.
33999 ......... C Cardiac surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
34001 ......... A Removal of artery 12.91 NA NA 6.35 8.38 1.64 NA NA 20.90 22.93 090
clot.
34051 ......... A Removal of artery 15.21 NA NA 7.92 8.74 1.94 NA NA 25.07 25.89 090
clot.
34101 ......... A Removal of artery 9.97 NA NA 4.94 7.00 1.19 NA NA 16.10 18.16 090
clot.
34111 ......... A Removal of arm 8.07 NA NA 4.16 6.20 0.89 NA NA 13.12 15.16 090
artery clot.
34151 ......... A Removal of artery 16.86 NA NA 7.98 10.48 1.94 NA NA 26.78 29.28 090
clot.
34201 ......... A Removal of artery 9.13 NA NA 5.03 7.35 1.11 NA NA 15.27 17.59 090
clot.
34203 ......... A Removal of leg 12.21 NA NA 6.30 7.84 1.50 NA NA 20.01 21.55 090
artery clot.
34401 ......... A Removal of vein 12.86 NA NA 6.34 7.55 1.32 NA NA 20.52 21.73 090
clot.
34421 ......... A Removal of vein 9.93 NA NA 5.24 6.67 1.02 NA NA 16.19 17.62 090
clot.
34451 ......... A Removal of vein 14.44 NA NA 6.80 9.20 1.68 NA NA 22.92 25.32 090
clot.
34471 ......... A Removal of vein 10.18 NA NA 5.00 4.41 1.06 NA NA 16.24 15.65 090
clot.
34490 ......... A Removal of vein 7.60 NA NA 5.02 6.46 0.81 NA NA 13.43 14.87 090
clot.
34501 ......... A Repair valve, 10.93 NA NA 8.35 8.17 1.47 NA NA 20.75 20.57 090
femoral vein.
34502 ......... A Reconstruct, vena 26.95 NA NA 12.13 16.19 3.10 NA NA 42.18 46.24 090
cava.
34510 ......... A Transposition of 13.25 NA NA 8.57 9.11 1.75 NA NA 23.57 24.11 090
vein valve.
34520 ......... A Cross-over vein 13.74 NA NA 8.07 9.10 1.73 NA NA 23.54 24.57 090
graft.
34530 ......... A Leg vein fusion... 17.61 NA NA 9.26 11.33 2.12 NA NA 28.99 31.06 090
35001 ......... A Repair defect of 19.64 NA NA 9.12 13.19 2.52 NA NA 31.28 35.35 090
artery.
35002 ......... A Repair artery 21.00 NA NA 9.40 11.56 2.59 NA NA 32.99 35.15 090
rupture, neck.
35005 ......... A Repair defect of 18.12 NA NA 7.27 9.22 1.49 NA NA 26.88 28.83 090
artery.
35011 ......... A Repair defect of 11.65 NA NA 5.62 9.77 1.43 NA NA 18.70 22.85 090
artery.
35013 ......... A Repair artery 17.40 NA NA 7.67 11.81 2.08 NA NA 27.15 31.29 090
rupture, arm.
35021 ......... A Repair defect of 19.65 NA NA 10.06 14.87 2.53 NA NA 32.24 37.05 090
artery.
35022 ......... A Repair artery 23.18 NA NA 10.40 13.22 2.29 NA NA 35.87 38.69 090
rupture, chest.
[[Page 39671]]
35045 ......... A Repair defect of 11.26 NA NA 6.55 9.98 1.32 NA NA 19.13 22.56 090
arm artery.
35081 ......... A Repair defect of 28.01 NA NA 12.71 18.00 3.46 NA NA 44.18 49.47 090
artery.
35082 ......... A Repair artery 36.35 NA NA 15.38 20.12 4.31 NA NA 56.04 60.78 090
rupture, aorta.
35091 ......... A Repair defect of 35.40 NA NA 15.46 20.03 4.47 NA NA 55.33 59.90 090
artery.
35092 ......... A Repair artery 38.39 NA NA 16.13 22.32 4.63 NA NA 59.15 65.34 090
rupture, aorta.
35102 ......... A Repair defect of 30.76 NA NA 13.61 18.83 3.79 NA NA 48.16 53.38 090
artery.
35103 ......... A Repair artery 33.57 NA NA 14.25 21.32 3.97 NA NA 51.79 58.86 090
rupture, groin.
35111 ......... A Repair defect of 16.43 NA NA 7.84 13.47 1.92 NA NA 26.19 31.82 090
artery.
35112 ......... A Repair artery 18.69 NA NA 8.30 9.82 2.27 NA NA 29.26 30.78 090
rupture,spleen.
35121 ......... A Repair defect of 25.99 NA NA 11.67 16.21 3.25 NA NA 40.91 45.45 090
artery.
35122 ......... A Repair artery 33.45 NA NA 13.62 16.54 3.81 NA NA 50.88 53.80 090
rupture, belly.
35131 ......... A Repair defect of 18.55 NA NA 8.93 13.08 2.30 NA NA 29.78 33.93 090
artery.
35132 ......... A Repair artery 21.95 NA NA 9.80 15.04 2.57 NA NA 34.32 39.56 090
rupture, groin.
35141 ......... A Repair defect of 14.46 NA NA 7.40 11.68 1.81 NA NA 23.67 27.95 090
artery.
35142 ......... A Repair artery 15.86 NA NA 7.52 12.50 1.99 NA NA 25.37 30.35 090
rupture, thigh.
35151 ......... A Repair defect of 17.00 NA NA 8.21 12.44 2.10 NA NA 27.31 31.54 090
artery.
35152 ......... A Repair artery 16.70 NA NA 8.21 9.14 2.11 NA NA 27.02 27.95 090
rupture, knee.
35161 ......... A Repair defect of 18.76 NA NA 9.47 13.35 2.29 NA NA 30.52 34.40 090
artery.
35162 ......... A Repair artery 19.78 NA NA 9.21 14.74 2.38 NA NA 31.37 36.90 090
rupture.
35180 ......... A Repair blood 13.62 NA NA 6.60 7.30 1.63 NA NA 21.85 22.55 090
vessel lesion.
35182 ......... A Repair blood 17.74 NA NA 8.42 9.99 2.06 NA NA 28.22 29.79 090
vessel lesion.
35184 ......... A Repair blood 12.25 NA NA 6.08 8.32 1.51 NA NA 19.84 22.08 090
vessel lesion.
35188 ......... A Repair blood 14.28 NA NA 7.22 8.01 1.76 NA NA 23.26 24.05 090
vessel lesion.
35189 ......... A Repair blood 18.43 NA NA 8.90 10.60 2.28 NA NA 29.61 31.31 090
vessel lesion.
35190 ......... A Repair blood 12.75 NA NA 6.38 8.80 1.56 NA NA 20.69 23.11 090
vessel lesion.
35201 ......... A Repair blood 9.99 NA NA 5.22 8.08 1.29 NA NA 16.50 19.36 090
vessel lesion.
35206 ......... A Repair blood 9.25 NA NA 6.04 8.53 1.11 NA NA 16.40 18.89 090
vessel lesion.
35207 ......... A Repair blood 10.15 NA NA 8.44 10.08 1.13 NA NA 19.72 21.36 090
vessel lesion.
35211 ......... A Repair blood 22.12 NA NA 17.02 15.77 3.03 NA NA 42.17 40.92 090
vessel lesion.
35216 ......... A Repair blood 18.75 NA NA 13.29 12.44 2.33 NA NA 34.37 33.52 090
vessel lesion.
35221 ......... A Repair blood 16.42 NA NA 7.75 9.90 1.89 NA NA 26.06 28.21 090
vessel lesion.
35226 ......... A Repair blood 9.06 NA NA 6.70 8.76 1.20 NA NA 16.96 19.02 090
vessel lesion.
35231 ......... A Repair blood 12.00 NA NA 6.37 10.35 1.46 NA NA 19.83 23.81 090
vessel lesion.
35236 ......... A Repair blood 10.54 NA NA 6.49 9.54 1.28 NA NA 18.31 21.36 090
vessel lesion.
35241 ......... A Repair blood 23.12 NA NA 19.56 17.10 3.04 NA NA 45.72 43.26 090
vessel lesion.
35246 ......... A Repair blood 19.84 NA NA 13.33 15.87 2.53 NA NA 35.70 38.24 090
vessel lesion.
35251 ......... A Repair blood 17.49 NA NA 8.13 9.27 1.95 NA NA 27.57 28.71 090
vessel lesion.
35256 ......... A Repair blood 11.38 NA NA 6.88 10.17 1.42 NA NA 19.68 22.97 090
vessel lesion.
35261 ......... A Repair blood 11.63 NA NA 5.82 9.85 1.45 NA NA 18.90 22.93 090
vessel lesion.
35266 ......... A Repair blood 10.30 NA NA 6.22 9.26 1.30 NA NA 17.82 20.86 090
vessel lesion.
35271 ......... A Repair blood 22.12 NA NA 16.34 14.97 3.05 NA NA 41.51 40.14 090
vessel lesion.
35276 ......... A Repair blood 18.75 NA NA 13.45 12.62 2.61 NA NA 34.81 33.98 090
vessel lesion.
35281 ......... A Repair blood 16.48 NA NA 7.93 13.34 1.90 NA NA 26.31 31.72 090
vessel lesion.
35286 ......... A Repair blood 11.87 NA NA 7.30 10.01 1.45 NA NA 20.62 23.33 090
vessel lesion.
35301 ......... A Rechanneling of 18.70 NA NA 9.57 12.63 2.41 NA NA 30.68 33.74 090
artery.
35311 ......... A Rechanneling of 23.85 NA NA 11.69 17.82 3.30 NA NA 38.84 44.97 090
artery.
35321 ......... A Rechanneling of 11.97 NA NA 5.84 9.95 1.48 NA NA 19.29 23.40 090
artery.
35331 ......... A Rechanneling of 23.52 NA NA 11.00 12.74 3.01 NA NA 37.53 39.27 090
artery.
35341 ......... A Rechanneling of 25.11 NA NA 11.22 15.04 3.23 NA NA 39.56 43.38 090
artery.
35351 ......... A Rechanneling of 20.11 NA NA 9.38 12.80 2.44 NA NA 31.93 35.35 090
artery.
35355 ......... A Rechanneling of 16.09 NA NA 7.80 12.27 1.96 NA NA 25.85 30.32 090
artery.
35361 ......... A Rechanneling of 23.59 NA NA 10.49 15.76 2.83 NA NA 36.91 42.18 090
artery.
35363 ......... A Rechanneling of 24.66 NA NA 11.03 17.87 2.93 NA NA 38.62 45.46 090
artery.
35371 ......... A Rechanneling of 11.64 NA NA 5.93 9.76 1.44 NA NA 19.01 22.84 090
artery.
35372 ......... A Rechanneling of 13.56 NA NA 6.67 9.41 1.67 NA NA 21.90 24.64 090
artery.
35381 ......... A Rechanneling of 15.81 NA NA 7.73 11.29 1.95 NA NA 25.49 29.05 090
artery.
35390 ......... A Reoperation, 3.19 NA NA 1.24 1.53 0.41 NA NA 4.84 5.13 ZZZ
carotid add-on.
35400 ......... A Angioscopy........ 3.00 NA NA 1.16 1.81 0.28 NA NA 4.44 5.09 ZZZ
35450 ......... A Repair arterial 10.07 NA NA 4.52 8.27 1.25 NA NA 15.84 19.59 000
blockage.
35452 ......... A Repair arterial 6.91 NA NA 3.25 3.99 0.88 NA NA 11.04 11.78 000
blockage.
35454 ......... A Repair arterial 6.04 NA NA 2.86 5.04 0.75 NA NA 9.65 11.83 000
blockage.
35456 ......... A Repair arterial 7.35 NA NA 3.42 6.10 0.91 NA NA 11.68 14.36 000
blockage.
35458 ......... A Repair arterial 9.49 NA NA 4.22 7.61 1.19 NA NA 14.90 18.29 000
blockage.
35459 ......... A Repair arterial 8.63 NA NA 3.81 7.06 1.04 NA NA 13.48 16.73 000
blockage.
35460 ......... A Repair venous 6.04 NA NA 2.68 3.06 0.68 NA NA 9.40 9.78 000
blockage.
35470 ......... A Repair arterial 8.63 NA NA 3.55 6.93 0.73 NA NA 12.91 16.29 000
blockage.
35471 ......... A Repair arterial 10.07 NA NA 4.08 8.05 0.87 NA NA 15.02 18.99 000
blockage.
35472 ......... A Repair arterial 6.91 NA NA 2.96 3.44 0.59 NA NA 10.46 10.94 000
blockage.
35473 ......... A Repair arterial 6.04 NA NA 2.57 4.89 0.44 NA NA 9.05 11.37 000
blockage.
35474 ......... A Repair arterial 7.36 NA NA 3.10 5.95 0.57 NA NA 11.03 13.88 000
blockage.
35475 ......... R Repair arterial 9.49 NA NA 3.46 7.23 0.55 NA NA 13.50 17.27 000
blockage.
35476 ......... A Repair venous 6.04 NA NA 2.35 2.89 0.27 NA NA 8.66 9.20 000
blockage.
35480 ......... A Atherectomy, open. 11.08 NA NA 4.98 9.11 1.17 NA NA 17.23 21.36 000
35481 ......... A Atherectomy, open. 7.61 NA NA 3.63 4.18 0.98 NA NA 12.22 12.77 000
35482 ......... A Atherectomy, open. 6.65 NA NA 3.05 5.50 0.87 NA NA 10.57 13.02 000
35483 ......... A Atherectomy, open. 8.10 NA NA 3.77 6.72 1.02 NA NA 12.89 15.84 000
35484 ......... A Atherectomy, open. 10.44 NA NA 4.34 7.67 1.15 NA NA 15.93 19.26 000
35485 ......... A Atherectomy, open. 9.49 NA NA 4.25 4.58 1.22 NA NA 14.96 15.29 000
35490 ......... A Atherectomy, 11.08 NA NA 4.63 8.93 1.08 NA NA 16.79 21.09 000
percutaneous.
35491 ......... A Atherectomy, 7.61 NA NA 3.23 3.98 0.81 NA NA 11.65 12.40 000
percutaneous.
35492 ......... A Atherectomy, 6.65 NA NA 3.19 5.57 0.75 NA NA 10.59 12.97 000
percutaneous.
35493 ......... A Atherectomy, 8.10 NA NA 3.82 6.75 0.96 NA NA 12.88 15.81 000
percutaneous.
35494 ......... A Atherectomy, 10.44 NA NA 3.66 7.33 0.53 NA NA 14.63 18.30 000
percutaneous.
35495 ......... A Atherectomy, 9.49 NA NA 4.43 4.67 1.17 NA NA 15.09 15.33 000
percutaneous.
[[Page 39672]]
35500 ......... C Harvest vein for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
bypass.
35501 ......... A Artery bypass 19.19 NA NA 8.87 14.94 2.51 NA NA 30.57 36.64 090
graft.
35506 ......... A Artery bypass 19.67 NA NA 9.11 14.96 2.54 NA NA 31.32 37.17 090
graft.
35507 ......... A Artery bypass 19.67 NA NA 9.31 14.38 2.55 NA NA 31.53 36.60 090
graft.
35508 ......... A Artery bypass 18.65 NA NA 9.14 14.40 2.54 NA NA 30.33 35.59 090
graft.
35509 ......... A Artery bypass 18.07 NA NA 8.23 14.37 2.30 NA NA 28.60 34.74 090
graft.
35511 ......... A Artery bypass 16.83 NA NA 8.15 9.72 2.14 NA NA 27.12 28.69 090
graft.
35515 ......... A Artery bypass 18.65 NA NA 9.14 10.68 2.56 NA NA 30.35 31.89 090
graft.
35516 ......... A Artery bypass 16.32 NA NA 7.62 13.24 2.06 NA NA 26.00 31.62 090
graft.
35518 ......... A Artery bypass 15.42 NA NA 6.84 12.63 1.83 NA NA 24.09 29.88 090
graft.
35521 ......... A Artery bypass 16.17 NA NA 8.06 13.54 1.98 NA NA 26.21 31.69 090
graft.
35526 ......... A Artery bypass 20.00 NA NA 9.58 11.82 2.58 NA NA 32.16 34.40 090
graft.
35531 ......... A Artery bypass 25.61 NA NA 11.18 16.58 3.17 NA NA 39.96 45.36 090
graft.
35533 ......... A Artery bypass 20.52 NA NA 9.47 16.15 2.34 NA NA 32.33 39.01 090
graft.
35536 ......... A Artery bypass 23.11 NA NA 10.35 16.77 3.01 NA NA 36.47 42.89 090
graft.
35541 ......... A Artery bypass 25.80 NA NA 12.25 16.74 3.24 NA NA 41.29 45.78 090
graft.
35546 ......... A Artery bypass 25.54 NA NA 11.39 17.30 3.03 NA NA 39.96 45.87 090
graft.
35548 ......... A Artery bypass 21.57 NA NA 9.59 15.41 2.43 NA NA 33.59 39.41 090
graft.
35549 ......... A Artery bypass 23.35 NA NA 10.69 16.95 2.78 NA NA 36.82 43.08 090
graft.
35551 ......... A Artery bypass 26.67 NA NA 11.96 16.43 2.95 NA NA 41.58 46.05 090
graft.
35556 ......... A Artery bypass 21.76 NA NA 10.10 15.21 2.68 NA NA 34.54 39.65 090
graft.
35558 ......... A Artery bypass 14.04 NA NA 7.14 11.95 1.69 NA NA 22.87 27.68 090
graft.
35560 ......... A Artery bypass 23.56 NA NA 10.90 16.42 2.96 NA NA 37.42 42.94 090
graft.
35563 ......... A Artery bypass 15.14 NA NA 7.21 8.12 1.79 NA NA 24.14 25.05 090
graft.
35565 ......... A Artery bypass 15.14 NA NA 7.36 12.72 1.87 NA NA 24.37 29.73 090
graft.
35566 ......... A Artery bypass 26.92 NA NA 14.92 18.65 3.36 NA NA 45.20 48.93 090
graft.
35571 ......... A Artery bypass 18.58 NA NA 10.37 15.69 2.32 NA NA 31.27 36.59 090
graft.
35582 ......... A Vein bypass graft. 27.13 NA NA 12.07 18.92 3.27 NA NA 42.47 49.32 090
35583 ......... A Vein bypass graft. 22.37 NA NA 11.28 16.73 2.77 NA NA 36.42 41.87 090
35585 ......... A Vein bypass graft. 28.39 NA NA 14.74 19.83 3.47 NA NA 46.60 51.69 090
35587 ......... A Vein bypass graft. 19.05 NA NA 11.08 16.92 2.33 NA NA 32.46 38.30 090
35601 ......... A Artery bypass 17.50 NA NA 8.08 14.26 2.29 NA NA 27.87 34.05 090
graft.
35606 ......... A Artery bypass 18.71 NA NA 8.72 13.89 2.39 NA NA 29.82 34.99 090
graft.
35612 ......... A Artery bypass 15.76 NA NA 7.96 13.07 1.99 NA NA 25.71 30.82 090
graft.
35616 ......... A Artery bypass 15.70 NA NA 7.56 12.89 2.02 NA NA 25.28 30.61 090
graft.
35621 ......... A Artery bypass 14.54 NA NA 7.40 12.38 1.82 NA NA 23.76 28.74 090
graft.
35623 ......... A Bypass graft, not 16.62 NA NA 8.22 8.49 2.12 NA NA 26.96 27.23 090
vein.
35626 ......... A Artery bypass 23.63 NA NA 11.27 16.77 3.10 NA NA 38.00 43.50 090
graft.
35631 ......... A Artery bypass 24.60 NA NA 11.07 15.23 3.13 NA NA 38.80 42.96 090
graft.
35636 ......... A Artery bypass 22.46 NA NA 9.96 12.31 2.73 NA NA 35.15 37.50 090
graft.
35641 ......... A Artery bypass 24.57 NA NA 11.58 16.95 3.15 NA NA 39.30 44.67 090
graft.
35642 ......... A Artery bypass 17.98 NA NA 8.59 9.90 2.30 NA NA 28.87 30.18 090
graft.
35645 ......... A Artery bypass 17.47 NA NA 7.63 9.87 1.93 NA NA 27.03 29.27 090
graft.
35646 ......... A Artery bypass 25.81 NA NA 11.84 18.83 3.24 NA NA 40.89 47.88 090
graft.
35650 ......... A Artery bypass 14.36 NA NA 6.95 12.05 1.78 NA NA 23.09 28.19 090
graft.
35651 ......... A Artery bypass 25.04 NA NA 11.55 18.85 2.89 NA NA 39.48 46.78 090
graft.
35654 ......... A Artery bypass 18.61 NA NA 8.77 15.50 2.29 NA NA 29.67 36.40 090
graft.
35656 ......... A Artery bypass 19.53 NA NA 9.12 14.18 2.37 NA NA 31.02 36.08 090
graft.
35661 ......... A Artery bypass 13.18 NA NA 6.60 11.17 1.62 NA NA 21.40 25.97 090
graft.
35663 ......... A Artery bypass 14.17 NA NA 7.27 12.10 1.81 NA NA 23.25 28.08 090
graft.
35665 ......... A Artery bypass 15.40 NA NA 7.56 12.97 1.93 NA NA 24.89 30.30 090
graft.
35666 ......... A Artery bypass 19.19 NA NA 11.44 16.61 2.39 NA NA 33.02 38.19 090
graft.
35671 ......... A Artery bypass 14.80 NA NA 9.03 12.98 1.81 NA NA 25.64 29.59 090
graft.
35681 ......... A Composite bypass 1.60 NA NA 2.39 6.01 0.20 NA NA 4.19 7.81 ZZZ
graft.
35682 ......... A Composite bypass 7.20 2.81 7.92 2.74 7.90 0.89 10.90 16.01 10.83 15.99 ZZZ
graft.
35683 ......... A Composite bypass 8.50 3.32 8.05 3.22 8.02 1.05 12.87 17.60 12.77 17.57 ZZZ
graft.
35691 ......... A Arterial 18.05 NA NA 8.15 14.72 2.40 NA NA 28.60 35.17 090
transposition.
35693 ......... A Arterial 15.36 NA NA 6.95 8.58 2.07 NA NA 24.38 26.01 090
transposition.
35694 ......... A Arterial 19.16 NA NA 8.36 9.25 2.44 NA NA 29.96 30.85 090
transposition.
35695 ......... A Arterial 19.16 NA NA 8.39 9.26 2.26 NA NA 29.81 30.68 090
transposition.
35700 ......... A Reoperation, 3.08 NA NA 3.14 2.45 0.40 NA NA 6.62 5.93 ZZZ
bypass graft.
35701 ......... A Exploration, 5.55 NA NA 3.51 4.92 0.66 NA NA 9.72 11.13 090
carotid artery.
35721 ......... A Exploration, 5.28 NA NA 4.41 5.22 0.65 NA NA 10.34 11.15 090
femoral artery.
35741 ......... A Exploration 5.37 NA NA 4.23 5.23 0.65 NA NA 10.25 11.25 090
popliteal artery.
35761 ......... A Exploration of 5.37 NA NA 4.43 5.37 0.64 NA NA 10.44 11.38 090
artery/vein.
35800 ......... A Explore neck 7.02 NA NA 4.13 4.93 0.85 NA NA 12.00 12.80 090
vessels.
35820 ......... A Explore chest 12.88 NA NA 5.45 7.03 1.77 NA NA 20.10 21.68 090
vessels.
35840 ......... A Explore abdominal 9.77 NA NA 5.30 6.58 1.10 NA NA 16.17 17.45 090
vessels.
35860 ......... A Explore limb 5.55 NA NA 3.64 4.98 0.67 NA NA 9.86 11.20 090
vessels.
35870 ......... A Repair vessel 22.17 NA NA 10.81 11.18 2.75 NA NA 35.73 36.10 090
graft defect.
35875 ......... A Removal of clot in 10.13 NA NA 6.02 7.47 1.12 NA NA 17.27 18.72 090
graft.
35876 ......... A Removal of clot in 17.00 NA NA 9.07 8.99 2.01 NA NA 28.08 28.00 090
graft.
35901 ......... A Excision, graft, 8.19 NA NA 5.73 6.76 1.02 NA NA 14.94 15.97 090
neck.
35903 ......... A Excision, graft, 9.39 NA NA 7.97 7.88 1.12 NA NA 18.48 18.39 090
extremity.
35905 ......... A Excision, graft, 18.19 NA NA 11.02 9.41 2.22 NA NA 31.43 29.82 090
thorax.
35907 ......... A Excision, graft, 19.24 NA NA 9.75 8.77 2.39 NA NA 31.38 30.40 090
abdomen.
36000 ......... A Place needle in 0.18 0.52 0.39 0.05 0.08 0.01 0.71 0.58 0.24 0.27 XXX
vein.
36005 ......... A Injection, 0.95 17.34 8.93 0.26 0.39 0.05 18.34 9.93 1.26 1.39 000
venography.
36010 ......... A Place catheter in 2.43 NA NA 0.79 1.54 0.17 NA NA 3.39 4.14 XXX
vein.
36011 ......... A Place catheter in 3.14 NA NA 0.98 1.52 0.21 NA NA 4.33 4.87 XXX
vein.
36012 ......... A Place catheter in 3.52 NA NA 1.00 1.95 0.17 NA NA 4.69 5.64 XXX
vein.
36013 ......... A Place catheter in 2.52 NA NA 0.74 1.52 0.22 NA NA 3.48 4.26 XXX
artery.
36014 ......... A Place catheter in 3.02 NA NA 0.86 1.67 0.14 NA NA 4.02 4.83 XXX
artery.
36015 ......... A Place catheter in 3.52 NA NA 1.01 1.96 0.17 NA NA 4.70 5.65 XXX
artery.
[[Page 39673]]
36100 ......... A Establish access 3.02 NA NA 1.16 1.99 0.34 NA NA 4.52 5.35 XXX
to artery.
36120 ......... A Establish access 2.01 NA NA 0.64 1.52 0.13 NA NA 2.78 3.66 XXX
to artery.
36140 ......... A Establish access 2.01 NA NA 0.61 1.07 0.14 NA NA 2.76 3.22 XXX
to artery.
36145 ......... A Artery to vein 2.01 NA NA 0.59 1.50 0.09 NA NA 2.69 3.60 XXX
shunt.
36160 ......... A Establish access 2.52 NA NA 0.88 1.70 0.24 NA NA 3.64 4.46 XXX
to aorta.
36200 ......... A Place catheter in 3.02 NA NA 0.88 1.92 0.17 NA NA 4.07 5.11 XXX
aorta.
36215 ......... A Place catheter in 4.68 NA NA 1.44 2.23 0.30 NA NA 6.42 7.21 XXX
artery.
36216 ......... A Place catheter in 5.28 NA NA 1.52 2.55 0.27 NA NA 7.07 8.10 XXX
artery.
36217 ......... A Place catheter in 6.30 NA NA 1.90 3.08 0.38 NA NA 8.58 9.76 XXX
artery.
36218 ......... A Place catheter in 1.01 NA NA 0.32 0.50 0.06 NA NA 1.39 1.57 ZZZ
artery.
36245 ......... A Place catheter in 4.68 NA NA 1.55 2.49 0.37 NA NA 6.60 7.54 XXX
artery.
36246 ......... A Place catheter in 5.28 NA NA 1.64 2.61 0.36 NA NA 7.28 8.25 XXX
artery.
36247 ......... A Place catheter in 6.30 NA NA 1.88 3.07 0.38 NA NA 8.56 9.75 XXX
artery.
36248 ......... A Place catheter in 1.01 NA NA 0.35 0.51 0.07 NA NA 1.43 1.59 ZZZ
artery.
36260 ......... A Insertion of 9.71 NA NA 5.72 6.52 0.96 NA NA 16.39 17.19 090
infusion pump.
36261 ......... A Revision of 5.45 NA NA 3.65 3.04 0.55 NA NA 9.65 9.04 090
infusion pump.
36262 ......... A Removal of 4.02 NA NA 2.46 2.28 0.43 NA NA 6.91 6.73 090
infusion pump.
36299 ......... C Vessel injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
36400 ......... A Drawing blood..... 0.18 0.56 0.33 0.04 0.05 0.02 0.76 0.53 0.24 0.25 XXX
36405 ......... A Drawing blood..... 0.18 0.44 0.47 0.05 0.15 0.01 0.63 0.66 0.24 0.34 XXX
36406 ......... A Drawing blood..... 0.18 0.45 0.31 0.04 0.07 0.01 0.64 0.50 0.23 0.26 XXX
36410 ......... A Drawing blood..... 0.18 0.43 0.34 0.05 0.08 0.01 0.62 0.53 0.24 0.27 XXX
36415 ......... I Drawing blood..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
36420 ......... A Establish access 1.01 NA NA 0.26 0.41 0.10 NA NA 1.37 1.52 XXX
to vein.
36425 ......... A Establish access 0.76 2.83 1.46 0.17 0.13 0.06 3.65 2.28 0.99 0.95 XXX
to vein.
36430 ......... A Blood transfusion 0.00 1.06 1.05 0.53 0.53 0.05 1.11 1.10 0.58 0.58 XXX
service.
36440 ......... A Blood transfusion 1.03 NA NA 0.29 0.66 0.09 NA NA 1.41 1.78 XXX
service.
36450 ......... A Exchange 2.23 NA NA 0.74 0.88 0.15 NA NA 3.12 3.26 XXX
transfusion
service.
36455 ......... A Exchange 2.43 NA NA 0.72 1.59 0.15 NA NA 3.30 4.17 XXX
transfusion
service.
36460 ......... A Transfusion 6.59 NA NA 2.35 3.73 0.62 NA NA 9.56 10.94 XXX
service, fetal.
36468 ......... R Injection(s); 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spider veins.
36469 ......... R Injection(s); 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spider veins.
36470 ......... A Injection therapy 1.09 2.94 1.62 0.40 0.28 0.11 4.14 2.82 1.60 1.48 010
of vein.
36471 ......... A Injection therapy 1.57 3.38 1.90 0.58 0.40 0.15 5.10 3.62 2.30 2.12 010
of veins.
36481 ......... A Insertion of 6.99 NA NA 2.16 3.96 0.42 NA NA 9.57 11.37 000
catheter, vein.
36488 ......... A Insertion of 1.35 NA NA 0.40 0.73 0.11 NA NA 1.86 2.19 000
catheter, vein.
36489 ......... A Insertion of 1.22 4.24 2.73 0.32 0.77 0.09 5.55 4.04 1.63 2.08 000
catheter, vein.
36490 ......... A Insertion of 1.67 NA NA 0.43 0.97 0.13 NA NA 2.23 2.77 000
catheter, vein.
36491 ......... A Insertion of 1.43 NA NA 0.46 1.08 0.14 NA NA 2.03 2.65 000
catheter, vein.
36493 ......... A Repositioning of 1.21 NA NA 0.35 0.52 0.06 NA NA 1.62 1.79 000
cvc.
36500 ......... A Insertion of 3.52 NA NA 1.16 0.63 0.19 NA NA 4.87 4.34 000
catheter, vein.
36510 ......... A Insertion of 1.09 NA NA 0.46 0.33 0.07 NA NA 1.62 1.49 000
catheter, vein.
36520 ......... A Plasma and/or cell 1.74 NA NA 0.63 1.35 0.10 NA NA 2.47 3.19 000
exchange.
36522 ......... A Photopheresis..... 1.67 8.99 5.84 0.80 1.40 0.07 10.73 7.58 2.54 3.14 000
36530 ......... R Insertion of 6.20 NA NA 3.42 4.33 0.65 NA NA 10.27 11.18 010
infusion pump.
36531 ......... R Revision of 4.87 NA NA 3.15 3.95 0.50 NA NA 8.52 9.32 010
infusion pump.
36532 ......... R Removal of 3.30 NA NA 1.55 1.74 0.35 NA NA 5.20 5.39 010
infusion pump.
36533 ......... A Insertion of 5.32 3.96 4.31 3.27 3.97 0.53 9.81 10.16 9.12 9.82 010
access port.
36534 ......... A Revision of access 2.80 NA NA 1.31 2.33 0.23 NA NA 4.34 5.36 010
port.
36535 ......... A Removal of access 2.27 2.72 2.34 1.85 1.91 0.23 5.22 4.84 4.35 4.41 010
port.
36600 ......... A Withdrawal of 0.32 0.37 0.34 0.09 0.20 0.02 0.71 0.68 0.43 0.54 XXX
arterial blood.
36620 ......... A Insertion 1.15 NA NA 0.21 0.47 0.07 NA NA 1.43 1.69 000
catheter, artery.
36625 ......... A Insertion 2.11 NA NA 0.52 0.73 0.18 NA NA 2.81 3.02 000
catheter, artery.
36640 ......... A Insertion 2.10 NA NA 0.74 1.63 0.19 NA NA 3.03 3.92 000
catheter, artery.
36660 ......... A Insertion 1.40 NA NA 0.45 0.49 0.08 NA NA 1.93 1.97 000
catheter, artery.
36680 ......... A Insert needle, 1.20 NA NA 0.48 0.92 0.11 NA NA 1.79 2.23 000
bone cavity.
36800 ......... A Insertion of 2.43 NA NA 1.63 2.02 0.22 NA NA 4.28 4.67 000
cannula.
36810 ......... A Insertion of 3.97 NA NA 2.26 3.50 0.41 NA NA 6.64 7.88 000
cannula.
36815 ......... A Insertion of 2.62 NA NA 1.95 2.54 0.28 NA NA 4.85 5.44 000
cannula.
36821 ......... A Artery-vein fusion 8.93 NA NA 4.97 6.42 1.03 NA NA 14.93 16.38 090
36822 ......... A Insertion of 5.42 NA NA 7.95 7.02 0.74 NA NA 14.11 13.18 090
cannula(s).
36823 ......... C Insertion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cannula(s).
36825 ......... A Artery-vein graft. 9.84 NA NA 5.70 8.72 1.15 NA NA 16.69 19.71 090
36830 ......... A Artery-vein graft. 12.00 NA NA 6.21 8.51 1.41 NA NA 19.62 21.92 090
36831 ......... A Av fistula 8.00 2.39 2.39 2.39 2.39 0.89 11.28 11.28 11.28 11.28 090
excision.
36832 ......... A Av fistula 10.50 NA NA 6.66 7.19 1.21 NA NA 18.37 18.90 090
revision.
36833 ......... A Av fistula 11.95 4.52 4.52 4.50 4.50 1.38 17.85 17.85 17.83 17.83 090
revision.
36834 ......... A Repair A-V 9.93 NA NA 4.14 6.31 1.18 NA NA 15.25 17.42 090
aneurysm.
36835 ......... A Artery to vein 7.15 NA NA 4.40 4.06 0.85 NA NA 12.40 12.06 090
shunt.
36860 ......... A External cannula 2.01 2.85 2.82 1.93 2.17 0.14 5.00 4.97 4.08 4.32 000
declotting.
36861 ......... A Cannula declotting 2.52 NA NA 1.56 2.29 0.23 NA NA 4.31 5.04 000
37140 ......... A Revision of 23.60 NA NA 8.52 13.10 1.15 NA NA 33.27 37.85 090
circulation.
37145 ......... A Revision of 24.61 NA NA 10.45 14.52 1.16 NA NA 36.22 40.29 090
circulation.
37160 ......... A Revision of 21.60 NA NA 9.51 14.38 2.39 NA NA 33.50 38.37 090
circulation.
37180 ......... A Revision of 24.61 NA NA 10.38 12.89 2.46 NA NA 37.45 39.96 090
circulation.
37181 ......... A Splice spleen/ 26.68 NA NA 10.98 14.40 2.61 NA NA 40.27 43.69 090
kidney veins.
37195 ......... A Thrombolytic 0.00 8.43 8.38 8.43 8.38 0.42 8.85 8.80 8.85 8.80 XXX
therapy, stroke.
37200 ......... A Transcatheter 4.56 NA NA 1.39 1.56 0.27 NA NA 6.22 6.39 000
biopsy.
37201 ......... A Transcatheter 5.00 NA NA 2.10 4.04 0.26 NA NA 7.36 9.30 000
therapy infuse.
37202 ......... A Transcatheter 5.68 NA NA 3.06 3.87 0.78 NA NA 9.52 10.33 000
therapy infuse.
37203 ......... A Transcatheter 5.03 NA NA 2.17 3.16 0.27 NA NA 7.47 8.46 000
retrieval.
37204 ......... A Transcatheter 18.14 NA NA 5.05 9.99 0.84 NA NA 24.03 28.97 000
occlusion.
37205 ......... A Transcatheter 8.28 NA NA 3.36 4.48 0.65 NA NA 12.29 13.41 000
stent.
37206 ......... A Transcatheter 4.13 NA NA 1.38 2.09 0.34 NA NA 5.85 6.56 ZZZ
stent add-on.
[[Page 39674]]
37207 ......... A Transcatheter 8.28 NA NA 3.68 4.64 1.04 NA NA 13.00 13.96 000
stent.
37208 ......... A Transcatheter 4.13 NA NA 1.58 2.19 0.52 NA NA 6.23 6.84 ZZZ
stent add-on.
37209 ......... A Exchange arterial 2.27 NA NA 0.67 1.10 0.11 NA NA 3.05 3.48 000
catheter.
37250 ......... A Intravascular us.. 2.10 NA NA 0.84 1.04 0.25 NA NA 3.19 3.39 ZZZ
37251 ......... A Intravascular us.. 1.60 NA NA 0.66 0.80 0.20 NA NA 2.46 2.60 ZZZ
37565 ......... A Ligation of neck 4.44 NA NA 2.57 3.34 0.46 NA NA 7.47 8.24 090
vein.
37600 ......... A Ligation of neck 4.57 NA NA 3.33 4.37 0.44 NA NA 8.34 9.38 090
artery.
37605 ......... A Ligation of neck 6.19 NA NA 3.87 4.95 0.78 NA NA 10.84 11.92 090
artery.
37606 ......... A Ligation of neck 6.28 NA NA 4.06 5.24 1.05 NA NA 11.39 12.57 090
artery.
37607 ......... A Ligation of 6.16 NA NA 3.63 3.48 0.72 NA NA 10.51 10.36 090
fistula.
37609 ......... A Temporal artery 2.30 5.78 4.10 2.09 2.25 0.23 8.31 6.63 4.62 4.78 010
procedure.
37615 ......... A Ligation of neck 5.73 NA NA 3.67 4.89 0.61 NA NA 10.01 11.23 090
artery.
37616 ......... A Ligation of chest 16.49 NA NA 12.15 8.36 1.79 NA NA 30.43 26.64 090
artery.
37617 ......... A Ligation of 15.95 NA NA 7.54 8.11 1.67 NA NA 25.16 25.73 090
abdomen artery.
37618 ......... A Ligation of 4.84 NA NA 3.45 4.43 0.57 NA NA 8.86 9.84 090
extremity artery.
37620 ......... A Revision of major 10.56 NA NA 4.86 7.21 0.83 NA NA 16.25 18.60 090
vein.
37650 ......... A Revision of major 5.13 NA NA 3.75 4.06 0.63 NA NA 9.51 9.82 090
vein.
37660 ......... A Revision of major 10.61 NA NA 5.86 6.05 1.23 NA NA 17.70 17.89 090
vein.
37700 ......... A Revise leg vein... 3.73 NA NA 2.91 3.43 0.43 NA NA 7.07 7.59 090
37720 ......... A Removal of leg 5.66 NA NA 3.66 4.61 0.64 NA NA 9.96 10.91 090
vein.
37730 ......... A Removal of leg 7.33 NA NA 4.39 5.97 0.84 NA NA 12.56 14.14 090
veins.
37735 ......... A Removal of leg 10.53 NA NA 5.79 7.42 1.19 NA NA 17.51 19.14 090
veins/lesion.
37760 ......... A Revision of leg 10.47 NA NA 5.56 6.84 1.13 NA NA 17.16 18.44 090
veins.
37780 ......... A Revision of leg 3.84 NA NA 2.88 2.47 0.46 NA NA 7.18 6.77 090
vein.
37785 ......... A Revise secondary 3.88 6.19 3.63 2.74 1.90 0.41 10.48 7.92 7.03 6.19 090
varicosity.
37788 ......... A Revascularization, 22.01 NA NA 11.81 14.12 1.51 NA NA 35.33 37.64 090
penis.
37790 ......... A Penile venous 8.34 NA NA 6.44 6.32 0.55 NA NA 15.33 15.21 090
occlusion.
37799 ......... C Vascular surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
38100 ......... A Removal of spleen, 13.01 NA NA 6.34 7.81 1.35 NA NA 20.70 22.17 090
total.
38101 ......... A Removal of spleen, 13.74 NA NA 6.96 7.28 1.45 NA NA 22.15 22.47 090
partial.
38102 ......... A Removal of spleen, 4.80 NA NA 1.81 2.27 0.49 NA NA 7.10 7.56 ZZZ
total.
38115 ......... A Repair of ruptured 14.19 NA NA 6.67 7.48 1.48 NA NA 22.34 23.15 090
spleen.
38200 ......... A Injection for 2.64 NA NA 0.74 1.30 0.13 NA NA 3.51 4.07 000
spleen x-ray.
38230 ......... R Bone marrow 4.54 NA NA 2.30 2.66 0.25 NA NA 7.09 7.45 010
collection.
38231 ......... R Stem cell 1.50 NA NA 0.57 1.03 0.07 NA NA 2.14 2.60 000
collection.
38240 ......... R Bone marrow/stem 2.24 NA NA 0.86 1.56 0.11 NA NA 3.21 3.91 XXX
transplant.
38241 ......... R Bone marrow/stem 2.24 NA NA 0.84 1.53 0.11 NA NA 3.19 3.88 XXX
transplant.
38300 ......... A Drainage lymph 1.53 3.79 2.21 2.05 1.19 0.15 5.47 3.89 3.73 2.87 010
node lesion.
38305 ......... A Drainage lymph 4.61 9.74 5.94 5.22 3.68 0.38 14.73 10.93 10.21 8.67 090
node lesion.
38308 ......... A Incision of lymph 4.95 NA NA 5.17 4.42 0.45 NA NA 10.57 9.82 090
channels.
38380 ......... A Thoracic duct 7.46 NA NA 6.41 5.62 0.63 NA NA 14.50 13.71 090
procedure.
38381 ......... A Thoracic duct 12.88 NA NA 11.29 9.75 1.69 NA NA 25.86 24.32 090
procedure.
38382 ......... A Thoracic duct 10.08 NA NA 10.54 7.90 1.12 NA NA 21.74 19.10 090
procedure.
38500 ......... A Biopsy/ 2.88 2.47 2.10 2.22 1.98 0.29 5.64 5.27 5.39 5.15 010
removal,lymph
node(s).
38505 ......... A Needle biopsy, 1.14 2.77 2.00 1.21 0.91 0.09 4.00 3.23 2.44 2.14 000
lymph node(s).
38510 ......... A Biopsy/ 4.14 NA NA 3.95 3.36 0.40 NA NA 8.49 7.90 090
removal,lymph
node(s).
38520 ......... A Biopsy/ 5.12 NA NA 4.65 3.95 0.55 NA NA 10.32 9.62 090
removal,lymph
node(s).
38525 ......... A Biopsy/ 4.66 NA NA 3.61 3.21 0.48 NA NA 8.75 8.35 090
removal,lymph
node(s).
38530 ......... A Biopsy/ 6.13 NA NA 5.80 4.62 0.69 NA NA 12.62 11.44 090
removal,lymph
node(s).
38542 ......... A Explore deep 5.91 NA NA 5.38 5.00 0.52 NA NA 11.81 11.43 090
node(s), neck.
38550 ......... A Removal neck/ 6.73 NA NA 11.94 7.73 0.51 NA NA 19.18 14.97 090
armpit lesion.
38555 ......... A Removal neck/ 14.27 NA NA 10.16 9.03 1.61 NA NA 26.04 24.91 090
armpit lesion.
38562 ......... A Removal, pelvic 10.49 NA NA 6.12 6.80 0.89 NA NA 17.50 18.18 090
lymph nodes.
38564 ......... A Removal, abdomen 10.83 NA NA 6.12 7.07 1.05 NA NA 18.00 18.95 090
lymph nodes.
38700 ......... A Removal of lymph 8.24 NA NA 11.98 10.91 0.66 NA NA 20.88 19.81 090
nodes, neck.
38720 ......... A Removal of lymph 13.61 NA NA 14.97 15.61 1.08 NA NA 29.66 30.30 090
nodes, neck.
38724 ......... A Removal of lymph 14.54 NA NA 15.35 15.47 1.15 NA NA 31.04 31.16 090
nodes, neck.
38740 ......... A Remove armpit 6.77 NA NA 4.51 4.82 0.70 NA NA 11.98 12.29 090
lymph nodes.
38745 ......... A Remove armpits 8.84 NA NA 6.48 7.74 0.90 NA NA 16.22 17.48 090
lymph nodes.
38746 ......... A Remove thoracic 4.39 NA NA 1.80 2.15 0.58 NA NA 6.77 7.12 ZZZ
lymph nodes.
38747 ......... A Remove abdominal 4.89 NA NA 1.83 2.31 0.47 NA NA 7.19 7.67 ZZZ
lymph nodes.
38760 ......... A Remove groin lymph 8.74 NA NA 5.36 6.28 0.87 NA NA 14.97 15.89 090
nodes.
38765 ......... A Remove groin lymph 16.06 NA NA 9.79 11.77 1.40 NA NA 27.25 29.23 090
nodes.
38770 ......... A Remove pelvis 13.23 NA NA 6.81 11.30 0.90 NA NA 20.94 25.43 090
lymph nodes.
38780 ......... A Remove abdomen 16.59 NA NA 8.58 13.01 1.34 NA NA 26.51 30.94 090
lymph nodes.
38790 ......... A Injection for 1.29 34.63 18.21 0.43 0.99 0.09 36.01 19.59 1.81 2.37 000
lymphatic xray.
38792 ......... C Identify sentinel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
node.
38794 ......... A Access thoracic 4.45 NA NA 1.31 2.20 0.18 NA NA 5.94 6.83 090
lymph duct.
38999 ......... C Blood/lymph system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
39000 ......... A Exploration of 6.10 NA NA 8.63 7.60 0.80 NA NA 15.53 14.50 090
chest.
39010 ......... A Exploration of 11.79 NA NA 11.62 12.03 1.57 NA NA 24.98 25.39 090
chest.
39200 ......... A Removal chest 13.62 NA NA 11.25 11.91 1.73 NA NA 26.60 27.26 090
lesion.
39220 ......... A Removal chest 17.42 NA NA 13.13 14.67 2.25 NA NA 32.80 34.34 090
lesion.
39400 ......... A Visualization of 5.61 NA NA 7.90 6.73 0.75 NA NA 14.26 13.09 010
chest.
39499 ......... C Chest procedure... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
39501 ......... A Repair diaphragm 13.19 NA NA 8.08 9.83 1.41 NA NA 22.68 24.43 090
laceration.
39502 ......... A Repair 16.33 NA NA 8.67 10.81 1.71 NA NA 26.71 28.85 090
paraesophageal
hernia.
39503 ......... A Repair of 34.85 NA NA 17.61 22.47 3.26 NA NA 55.72 60.58 090
diaphragm hernia.
39520 ......... A Repair of 16.10 NA NA 10.66 12.13 1.91 NA NA 28.67 30.14 090
diaphragm hernia.
39530 ......... A Repair of 15.41 NA NA 9.28 12.27 1.72 NA NA 26.41 29.40 090
diaphragm hernia.
39531 ......... A Repair of 16.42 NA NA 9.60 10.23 1.89 NA NA 27.91 28.54 090
diaphragm hernia.
39540 ......... A Repair of 13.32 NA NA 8.14 10.57 1.46 NA NA 22.92 25.35 090
diaphragm hernia.
39541 ......... A Repair of 14.41 NA NA 8.15 10.68 1.53 NA NA 24.09 26.62 090
diaphragm hernia.
39545 ......... A Revision of 13.37 NA NA 9.67 9.12 1.66 NA NA 24.70 24.15 090
diaphragm.
[[Page 39675]]
39599 ......... C Diaphragm surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
40490 ......... A Biopsy of lip..... 1.22 1.36 1.08 0.63 0.52 0.06 2.64 2.36 1.91 1.80 000
40500 ......... A Partial excision 4.28 4.53 4.82 4.53 4.82 0.33 9.14 9.43 9.14 9.43 090
of lip.
40510 ......... A Partial excision 4.70 5.42 5.52 5.31 5.46 0.39 10.51 10.61 10.40 10.55 090
of lip.
40520 ......... A Partial excision 4.67 5.94 5.41 5.43 5.16 0.43 11.04 10.51 10.53 10.26 090
of lip.
40525 ......... A Reconstruct lip 7.55 NA NA 6.93 7.98 0.72 NA NA 15.20 16.25 090
with flap.
40527 ......... A Reconstruct lip 9.13 NA NA 7.95 9.43 0.83 NA NA 17.91 19.39 090
with flap.
40530 ......... A Partial removal of 5.40 4.95 5.24 4.95 5.24 0.47 10.82 11.11 10.82 11.11 090
lip.
40650 ......... A Repair lip........ 3.64 4.12 4.23 3.93 4.14 0.35 8.11 8.22 7.92 8.13 090
40652 ......... A Repair lip........ 4.26 5.33 5.21 5.26 5.18 0.42 10.01 9.89 9.94 9.86 090
40654 ......... A Repair lip........ 5.31 5.92 6.13 5.91 6.13 0.50 11.73 11.94 11.72 11.94 090
40700 ......... A Repair cleft lip/ 12.79 NA NA 8.92 9.05 1.05 NA NA 22.76 22.89 090
nasal.
40701 ......... A Repair cleft lip/ 15.85 NA NA 9.60 15.29 1.48 NA NA 26.93 32.62 090
nasal.
40702 ......... A Repair cleft lip/ 13.04 NA NA 8.61 9.39 1.02 NA NA 22.67 23.45 090
nasal.
40720 ......... A Repair cleft lip/ 13.55 NA NA 10.04 10.23 1.34 NA NA 24.93 25.12 090
nasal.
40761 ......... A Repair cleft lip/ 14.72 NA NA 11.43 11.60 1.39 NA NA 27.54 27.71 090
nasal.
40799 ......... C Lip surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
40800 ......... A Drainage of mouth 1.17 1.68 1.24 0.48 0.44 0.09 2.94 2.50 1.74 1.70 010
lesion.
40801 ......... A Drainage of mouth 2.53 2.17 2.01 1.75 1.34 0.20 4.90 4.74 4.48 4.07 010
lesion.
40804 ......... A Removal foreign 1.24 2.15 1.39 1.99 1.16 0.10 3.49 2.73 3.33 2.50 010
body, mouth.
40805 ......... A Removal foreign 2.69 2.75 2.73 2.56 2.64 0.20 5.64 5.62 5.45 5.53 010
body, mouth.
40806 ......... A Incision of lip 0.31 0.79 0.59 0.53 0.46 0.03 1.13 0.93 0.87 0.80 000
fold.
40808 ......... A Biopsy of mouth 0.96 1.73 1.28 1.73 1.07 0.07 2.76 2.31 2.76 2.10 010
lesion.
40810 ......... A Excision of mouth 1.31 2.27 1.78 1.97 1.31 0.10 3.68 3.19 3.38 2.72 010
lesion.
40812 ......... A Excise/repair 2.31 2.52 2.08 2.48 1.65 0.18 5.01 4.57 4.97 4.14 010
mouth lesion.
40814 ......... A Excise/repair 3.42 3.50 3.51 3.50 2.63 0.26 7.18 7.19 7.18 6.31 090
mouth lesion.
40816 ......... A Excision of mouth 3.67 3.79 3.64 3.79 2.77 0.28 7.74 7.59 7.74 6.72 090
lesion.
40818 ......... A Excise oral mucosa 2.41 3.44 2.94 3.44 2.94 0.15 6.00 5.50 6.00 5.50 090
for graft.
40819 ......... A Excise lip or 2.41 3.03 2.18 3.03 1.85 0.18 5.62 4.77 5.62 4.44 090
cheek fold.
40820 ......... A Treatment of mouth 1.28 2.04 1.31 1.88 1.09 0.09 3.41 2.68 3.25 2.46 010
lesion.
40830 ......... A Repair mouth 1.76 2.13 1.43 2.12 1.43 0.16 4.05 3.35 4.04 3.35 010
laceration.
40831 ......... A Repair mouth 2.46 2.43 2.27 2.43 2.27 0.22 5.11 4.95 5.11 4.95 010
laceration.
40840 ......... R Reconstruction of 8.73 5.70 6.26 5.70 6.26 0.70 15.13 15.69 15.13 15.69 090
mouth.
40842 ......... R Reconstruction of 8.73 5.69 6.26 5.69 6.26 0.74 15.16 15.73 15.16 15.73 090
mouth.
40843 ......... R Reconstruction of 12.10 6.76 8.16 6.76 8.16 0.67 19.53 20.93 19.53 20.93 090
mouth.
40844 ......... R Reconstruction of 16.01 8.37 10.50 8.23 10.43 1.55 25.93 28.06 25.79 27.99 090
mouth.
40845 ......... R Reconstruction of 18.58 10.15 16.17 10.15 16.17 1.65 30.38 36.40 30.38 36.40 090
mouth.
40899 ......... C Mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
41000 ......... A Drainage of mouth 1.30 1.98 1.40 1.27 0.84 0.10 3.38 2.80 2.67 2.24 010
lesion.
41005 ......... A Drainage of mouth 1.26 1.88 1.28 1.41 1.04 0.10 3.24 2.64 2.77 2.40 010
lesion.
41006 ......... A Drainage of mouth 3.24 3.31 2.21 3.00 2.05 0.25 6.80 5.70 6.49 5.54 090
lesion.
41007 ......... A Drainage of mouth 3.10 3.13 3.14 2.72 2.94 0.18 6.41 6.42 6.00 6.22 090
lesion.
41008 ......... A Drainage of mouth 3.37 3.18 2.17 2.99 1.79 0.25 6.80 5.79 6.61 5.41 090
lesion.
41009 ......... A Drainage of mouth 3.59 3.17 3.38 2.98 3.29 0.29 7.05 7.26 6.86 7.17 090
lesion.
41010 ......... A Incision of tongue 1.06 2.54 1.47 2.54 1.47 0.07 3.67 2.60 3.67 2.60 010
fold.
41015 ......... A Drainage of mouth 3.96 3.51 2.23 2.79 1.87 0.30 7.77 6.49 7.05 6.13 090
lesion.
41016 ......... A Drainage of mouth 4.07 3.52 3.76 2.98 3.49 0.33 7.92 8.16 7.38 7.89 090
lesion.
41017 ......... A Drainage of mouth 4.07 3.53 2.53 2.93 2.23 0.33 7.93 6.93 7.33 6.63 090
lesion.
41018 ......... A Drainage of mouth 5.10 3.99 4.13 3.26 3.77 0.37 9.46 9.60 8.73 9.24 090
lesion.
41100 ......... A Biopsy of tongue.. 1.63 2.25 1.56 2.16 1.30 0.12 4.00 3.31 3.91 3.05 010
41105 ......... A Biopsy of tongue.. 1.42 2.09 1.61 2.09 1.33 0.11 3.62 3.14 3.62 2.86 010
41108 ......... A Biopsy of floor of 1.05 1.95 1.44 1.86 1.16 0.08 3.08 2.57 2.99 2.29 010
mouth.
41110 ......... A Excision of tongue 1.51 2.59 2.00 2.13 1.42 0.11 4.21 3.62 3.75 3.04 010
lesion.
41112 ......... A Excision of tongue 2.73 3.05 2.82 3.05 2.18 0.21 5.99 5.76 5.99 5.12 090
lesion.
41113 ......... A Excision of tongue 3.19 3.09 3.40 3.09 2.47 0.24 6.52 6.83 6.52 5.90 090
lesion.
41114 ......... A Excision of tongue 8.47 NA NA 5.87 6.40 0.65 NA NA 14.99 15.52 090
lesion.
41115 ......... A Excision of tongue 1.74 2.33 2.13 2.12 2.03 0.13 4.20 4.00 3.99 3.90 010
fold.
41116 ......... A Excision of mouth 2.44 2.87 2.79 2.87 2.79 0.19 5.50 5.42 5.50 5.42 090
lesion.
41120 ......... A Partial removal of 9.77 NA NA 7.97 7.94 0.75 NA NA 18.49 18.46 090
tongue.
41130 ......... A Partial removal of 11.15 NA NA 8.92 9.38 0.86 NA NA 20.93 21.39 090
tongue.
41135 ......... A Tongue and neck 23.09 NA NA 15.42 17.64 1.79 NA NA 40.30 42.52 090
surgery.
41140 ......... A Removal of tongue. 25.50 NA NA 17.25 18.88 1.99 NA NA 44.74 46.37 090
41145 ......... A Tongue removal; 30.06 NA NA 21.02 22.88 2.30 NA NA 53.38 55.24 090
neck surgery.
41150 ......... A Tongue, mouth, jaw 23.04 NA NA 16.22 18.40 1.78 NA NA 41.04 43.22 090
surgery.
41153 ......... A Tongue, mouth, 23.77 NA NA 16.84 21.99 1.87 NA NA 42.48 47.63 090
neck surgery.
41155 ......... A Tongue, jaw, & 27.72 NA NA 19.12 25.81 2.13 NA NA 48.97 55.66 090
neck surgery.
41250 ......... A Repair tongue 1.91 2.32 1.74 1.54 1.35 0.17 4.40 3.82 3.62 3.43 010
laceration.
41251 ......... A Repair tongue 2.27 2.09 2.17 1.76 2.01 0.18 4.54 4.62 4.21 4.46 010
laceration.
41252 ......... A Repair tongue 2.97 3.03 2.79 2.22 2.39 0.25 6.25 6.01 5.44 5.61 010
laceration.
41500 ......... A Fixation of tongue 3.71 NA NA 3.15 3.36 0.26 NA NA 7.12 7.33 090
41510 ......... A Tongue to lip 3.42 NA NA 4.12 3.44 0.22 NA NA 7.76 7.08 090
surgery.
41520 ......... A Reconstruction, 2.73 2.51 2.82 2.51 2.82 0.21 5.45 5.76 5.45 5.76 090
tongue fold.
41599 ......... C Tongue and mouth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
41800 ......... A Drainage of gum 1.17 1.66 1.21 1.19 0.79 0.10 2.93 2.48 2.46 2.06 010
lesion.
41805 ......... A Removal foreign 1.24 1.60 1.26 1.60 1.26 0.09 2.93 2.59 2.93 2.59 010
body, gum.
41806 ......... A Removal foreign 2.69 2.24 2.01 2.24 1.57 0.22 5.15 4.92 5.15 4.48 010
body,jawbone.
41820 ......... R Excision, gum, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each quadrant.
41821 ......... R Excision of gum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flap.
41822 ......... R Excision of gum 2.31 2.37 2.83 0.98 2.14 0.19 4.87 5.33 3.48 4.64 010
lesion.
41823 ......... R Excision of gum 3.30 3.07 3.51 2.60 3.27 0.25 6.62 7.06 6.15 6.82 090
lesion.
41825 ......... A Excision of gum 1.31 2.01 1.82 1.92 1.37 0.10 3.42 3.23 3.33 2.78 010
lesion.
41826 ......... A Excision of gum 2.31 2.32 2.29 2.22 1.68 0.18 4.81 4.78 4.71 4.17 010
lesion.
41827 ......... A Excision of gum 3.42 3.14 3.61 3.14 2.59 0.26 6.82 7.29 6.82 6.27 090
lesion.
41828 ......... R Excision of gum 3.09 2.72 3.57 2.19 3.31 0.22 6.03 6.88 5.50 6.62 010
lesion.
[[Page 39676]]
41830 ......... R Removal of gum 3.35 2.82 3.41 2.48 3.24 0.26 6.43 7.02 6.09 6.85 010
tissue.
41850 ......... R Treatment of gum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lesion.
41870 ......... R Gum graft......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
41872 ......... R Repair gum........ 2.59 2.44 2.77 2.44 2.77 0.21 5.24 5.57 5.24 5.57 090
41874 ......... R Repair tooth 3.09 2.52 3.11 2.15 2.92 0.26 5.87 6.46 5.50 6.27 090
socket.
41899 ......... C Dental surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
42000 ......... A Drainage mouth 1.23 2.03 1.35 1.34 0.84 0.10 3.36 2.68 2.67 2.17 010
roof lesion.
42100 ......... A Biopsy roof of 1.31 2.08 1.47 2.00 1.22 0.10 3.49 2.88 3.41 2.63 010
mouth.
42104 ......... A Excision lesion, 1.64 2.13 1.95 2.13 1.51 0.13 3.90 3.72 3.90 3.28 010
mouth roof.
42106 ......... A Excision lesion, 2.10 2.28 2.35 2.28 1.75 0.16 4.54 4.61 4.54 4.01 010
mouth roof.
42107 ......... A Excision lesion, 4.44 3.61 4.46 3.61 3.13 0.33 8.38 9.23 8.38 7.90 090
mouth roof.
42120 ......... A Remove palate/ 6.17 NA NA 5.45 6.41 0.47 NA NA 12.09 13.05 090
lesion.
42140 ......... A Excision of uvula. 1.62 3.06 2.27 2.68 2.08 0.12 4.80 4.01 4.42 3.82 090
42145 ......... A Repair, 8.05 NA NA 6.82 8.22 0.60 NA NA 15.47 16.87 090
palate,pharynx/
uvula.
42160 ......... A Treatment mouth 1.80 2.40 2.03 2.23 1.53 0.14 4.34 3.97 4.17 3.47 010
roof lesion.
42180 ......... A Repair palate..... 2.50 2.63 2.53 1.95 2.19 0.19 5.32 5.22 4.64 4.88 010
42182 ......... A Repair palate..... 3.83 2.78 3.28 2.78 3.28 0.30 6.91 7.41 6.91 7.41 010
42200 ......... A Reconstruct cleft 12.00 NA NA 9.50 8.65 1.08 NA NA 22.58 21.73 090
palate.
42205 ......... A Reconstruct cleft 9.59 NA NA 5.95 8.70 0.91 NA NA 16.45 19.20 090
palate.
42210 ......... A Reconstruct cleft 14.50 NA NA 8.88 11.23 1.21 NA NA 24.59 26.94 090
palate.
42215 ......... A Reconstruct cleft 8.82 NA NA 7.57 7.95 0.82 NA NA 17.21 17.59 090
palate.
42220 ......... A Reconstruct cleft 7.02 NA NA 5.49 5.68 0.51 NA NA 13.02 13.21 090
palate.
42225 ......... A Reconstruct cleft 9.54 NA NA 8.00 7.75 0.82 NA NA 18.36 18.11 090
palate.
42226 ......... A Lengthening of 10.01 NA NA 8.49 8.53 0.82 NA NA 19.32 19.36 090
palate.
42227 ......... A Lengthening of 9.52 NA NA 7.14 7.59 0.83 NA NA 17.49 17.94 090
palate.
42235 ......... A Repair palate..... 7.87 NA NA 5.83 5.93 0.62 NA NA 14.32 14.42 090
42260 ......... A Repair nose to lip 9.80 6.32 5.32 6.09 5.21 0.79 16.91 15.91 16.68 15.80 090
fistula.
42280 ......... A Preparation, 1.54 1.24 1.70 0.79 1.48 0.10 2.88 3.34 2.43 3.12 010
palate mold.
42281 ......... A Insertion, palate 1.93 1.40 1.50 1.00 1.30 0.14 3.47 3.57 3.07 3.37 010
prosthesis.
42299 ......... C Palate/uvula 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
42300 ......... A Drainage of 1.93 2.31 1.68 1.73 1.13 0.15 4.39 3.76 3.81 3.21 010
salivary gland.
42305 ......... A Drainage of 6.07 NA NA 4.88 3.63 0.48 NA NA 11.43 10.18 090
salivary gland.
42310 ......... A Drainage of 1.56 1.88 1.50 1.45 1.01 0.12 3.56 3.18 3.13 2.69 010
salivary gland.
42320 ......... A Drainage of 2.35 2.31 2.15 1.94 1.97 0.18 4.84 4.68 4.47 4.50 010
salivary gland.
42325 ......... A Create salivary 2.75 2.40 2.35 1.26 1.78 0.24 5.39 5.34 4.25 4.77 090
cyst drain.
42326 ......... A Create salivary 3.78 3.88 4.20 2.25 3.38 0.28 7.94 8.26 6.31 7.44 090
cyst drain.
42330 ......... A Removal of 2.21 2.42 1.81 0.88 0.74 0.17 4.80 4.19 3.26 3.12 010
salivary stone.
42335 ......... A Removal of 3.31 3.19 2.94 3.19 2.27 0.25 6.75 6.50 6.75 5.83 090
salivary stone.
42340 ......... A Removal of 4.60 4.09 4.35 4.09 3.20 0.34 9.03 9.29 9.03 8.14 090
salivary stone.
42400 ......... A Biopsy of salivary 0.78 2.38 1.62 0.41 0.42 0.06 3.22 2.46 1.25 1.26 000
gland.
42405 ......... A Biopsy of salivary 3.29 3.03 2.35 2.94 1.89 0.25 6.57 5.89 6.48 5.43 010
gland.
42408 ......... A Excision of 4.54 3.99 3.76 3.99 3.76 0.36 8.89 8.66 8.89 8.66 090
salivary cyst.
42409 ......... A Drainage of 2.81 2.86 2.96 2.86 2.96 0.21 5.88 5.98 5.88 5.98 090
salivary cyst.
42410 ......... A Excise parotid 9.34 NA NA 7.17 6.81 0.82 NA NA 17.33 16.97 090
gland/lesion.
42415 ......... A Excise parotid 16.89 NA NA 11.87 12.82 1.36 NA NA 30.12 31.07 090
gland/lesion.
42420 ......... A Excise parotid 19.59 NA NA 13.46 14.77 1.54 NA NA 34.59 35.90 090
gland/lesion.
42425 ......... A Excise parotid 13.02 NA NA 9.62 10.84 1.04 NA NA 23.68 24.90 090
gland/lesion.
42426 ......... A Excise parotid 21.26 NA NA 14.24 19.81 1.67 NA NA 37.17 42.74 090
gland/lesion.
42440 ......... A Excision 6.97 NA NA 5.49 6.91 0.55 NA NA 13.01 14.43 090
submaxillary
gland.
42450 ......... A Excision 4.62 4.19 3.95 4.19 3.95 0.37 9.18 8.94 9.18 8.94 090
sublingual gland.
42500 ......... A Repair salivary 4.30 4.23 4.62 4.23 4.62 0.34 8.87 9.26 8.87 9.26 090
duct.
42505 ......... A Repair salivary 6.18 4.99 6.19 4.99 6.19 0.50 11.67 12.87 11.67 12.87 090
duct.
42507 ......... A Parotid duct 6.11 NA NA 5.40 5.23 0.48 NA NA 11.99 11.82 090
diversion.
42508 ......... A Parotid duct 9.10 NA NA 6.98 7.62 0.70 NA NA 16.78 17.42 090
diversion.
42509 ......... A Parotid duct 11.54 NA NA 8.20 8.07 0.86 NA NA 20.60 20.47 090
diversion.
42510 ......... A Parotid duct 8.15 NA NA 4.81 6.56 0.85 NA NA 13.81 15.56 090
diversion.
42550 ......... A Injection for 1.25 12.42 6.45 0.34 0.41 0.05 13.72 7.75 1.64 1.71 000
salivary x-ray.
42600 ......... A Closure of 4.82 5.18 4.70 4.89 4.56 0.39 10.39 9.91 10.10 9.77 090
salivary fistula.
42650 ......... A Dilation of 0.77 0.93 0.68 0.40 0.31 0.06 1.76 1.51 1.23 1.14 000
salivary duct.
42660 ......... A Dilation of 1.13 1.06 0.80 1.06 0.67 0.07 2.26 2.00 2.26 1.87 000
salivary duct.
42665 ......... A Ligation of 2.53 3.15 2.68 3.15 2.68 0.19 5.87 5.40 5.87 5.40 090
salivary duct.
42699 ......... C Salivary surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
42700 ......... A Drainage of tonsil 1.62 2.64 1.78 1.66 1.06 0.12 4.38 3.52 3.40 2.80 010
abscess.
42720 ......... A Drainage of throat 5.42 4.47 3.26 4.33 3.19 0.41 10.30 9.09 10.16 9.02 010
abscess.
42725 ......... A Drainage of throat 10.72 NA NA 7.80 6.32 0.87 NA NA 19.39 17.91 090
abscess.
42800 ......... A Biopsy of throat.. 1.39 2.46 1.63 2.10 1.25 0.10 3.95 3.12 3.59 2.74 010
42802 ......... A Biopsy of throat.. 1.54 2.55 1.83 2.18 1.65 0.12 4.21 3.49 3.84 3.31 010
42804 ......... A Biopsy of upper 1.24 2.39 1.79 2.04 1.61 0.09 3.72 3.12 3.37 2.94 010
nose/throat.
42806 ......... A Biopsy of upper 1.58 2.77 2.15 2.23 1.88 0.12 4.47 3.85 3.93 3.58 010
nose/throat.
42808 ......... A Excise pharynx 2.30 3.71 3.22 2.66 2.70 0.17 6.18 5.69 5.13 5.17 010
lesion.
42809 ......... A Remove pharynx 1.81 2.88 1.89 1.53 1.21 0.15 4.84 3.85 3.49 3.17 010
foreign body.
42810 ......... A Excision of neck 3.33 4.53 3.97 3.77 3.59 0.28 8.14 7.58 7.38 7.20 090
cyst.
42815 ......... A Excision of neck 7.23 NA NA 6.02 7.33 0.58 NA NA 13.83 15.14 090
cyst.
42820 ......... A Remove tonsils and 3.91 NA NA 6.40 4.91 0.26 NA NA 10.57 9.08 090
adenoids.
42821 ......... A Remove tonsils and 4.29 NA NA 3.79 4.03 0.32 NA NA 8.40 8.64 090
adenoids.
42825 ......... A Removal of tonsils 3.42 NA NA 3.21 3.04 0.26 NA NA 6.89 6.72 090
42826 ......... A Removal of tonsils 3.38 NA NA 3.29 3.67 0.25 NA NA 6.92 7.30 090
42830 ......... A Removal of 2.57 NA NA 2.26 2.14 0.19 NA NA 5.02 4.90 090
adenoids.
42831 ......... A Removal of 2.71 NA NA 2.37 2.47 0.20 NA NA 5.28 5.38 090
adenoids.
42835 ......... A Removal of 2.30 NA NA 2.44 2.23 0.17 NA NA 4.91 4.70 090
adenoids.
42836 ......... A Removal of 3.18 NA NA 3.20 3.12 0.24 NA NA 6.62 6.54 090
adenoids.
42842 ......... A Extensive surgery 8.76 NA NA 7.13 7.20 0.65 NA NA 16.54 16.61 090
of throat.
42844 ......... A Extensive surgery 14.31 NA NA 10.42 11.10 1.12 NA NA 25.85 26.53 090
of throat.
42845 ......... A Extensive surgery 24.29 NA NA 16.63 18.42 1.91 NA NA 42.83 44.62 090
of throat.
[[Page 39677]]
42860 ......... A Excision of tonsil 2.22 NA NA 2.55 2.30 0.17 NA NA 4.94 4.69 090
tags.
42870 ......... A Excision of 5.40 NA NA 5.32 3.92 0.40 NA NA 11.12 9.72 090
lingual tonsil.
42890 ......... A Partial removal of 12.94 NA NA 10.40 10.08 0.98 NA NA 24.32 24.00 090
pharynx.
42892 ......... A Revision of 15.83 NA NA 11.69 11.77 1.20 NA NA 28.72 28.80 090
pharyngeal walls.
42894 ......... A Revision of 22.88 NA NA 15.93 16.68 1.76 NA NA 40.57 41.32 090
pharyngeal walls.
42900 ......... A Repair throat 5.25 NA NA 3.68 4.15 0.41 NA NA 9.34 9.81 010
wound.
42950 ......... A Reconstruction of 8.10 NA NA 6.84 8.26 0.65 NA NA 15.59 17.01 090
throat.
42953 ......... A Repair throat, 8.96 NA NA 7.95 7.42 0.79 NA NA 17.70 17.17 090
esophagus.
42955 ......... A Surgical opening 7.39 NA NA 6.16 4.88 0.62 NA NA 14.17 12.89 090
of throat.
42960 ......... A Control throat 2.33 NA NA 1.97 1.57 0.18 NA NA 4.48 4.08 010
bleeding.
42961 ......... A Control throat 5.59 NA NA 4.66 3.28 0.42 NA NA 10.67 9.29 090
bleeding.
42962 ......... A Control throat 7.14 NA NA 5.57 6.03 0.54 NA NA 13.25 13.71 090
bleeding.
42970 ......... A Control nose/ 5.43 NA NA 3.43 2.28 0.37 NA NA 9.23 8.08 090
throat bleeding.
42971 ......... A Control nose/ 6.21 NA NA 5.32 4.24 0.47 NA NA 12.00 10.92 090
throat bleeding.
42972 ......... A Control nose/ 7.20 NA NA 5.29 5.12 0.56 NA NA 13.05 12.88 090
throat bleeding.
42999 ......... C Throat surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
43020 ......... A Incision of 8.09 NA NA 6.10 6.62 0.79 NA NA 14.98 15.50 090
esophagus.
43030 ......... A Throat muscle 7.69 NA NA 6.44 7.81 0.64 NA NA 14.77 16.14 090
surgery.
43045 ......... A Incision of 20.12 NA NA 12.68 13.10 2.48 NA NA 35.28 35.70 090
esophagus.
43100 ......... A Excision of 9.19 NA NA 7.82 7.27 0.91 NA NA 17.92 17.37 090
esophagus lesion.
43101 ......... A Excision of 16.24 NA NA 9.79 10.04 1.94 NA NA 27.97 28.22 090
esophagus lesion.
43107 ......... A Removal of 28.79 NA NA 16.33 20.38 3.42 NA NA 48.54 52.59 090
esophagus.
43108 ......... A Removal of 34.19 NA NA 17.67 22.55 3.99 NA NA 55.85 60.73 090
esophagus.
43112 ......... A Removal of 31.22 NA NA 17.63 20.57 3.73 NA NA 52.58 55.52 090
esophagus.
43113 ......... A Removal of 35.27 NA NA 18.59 23.01 4.09 NA NA 57.95 62.37 090
esophagus.
43116 ......... A Partial removal of 31.22 NA NA 19.09 23.26 3.14 NA NA 53.45 57.62 090
esophagus.
43117 ......... A Partial removal of 30.02 NA NA 16.71 22.07 3.58 NA NA 50.31 55.67 090
esophagus.
43118 ......... A Partial removal of 33.20 NA NA 15.93 21.68 3.47 NA NA 52.60 58.35 090
esophagus.
43121 ......... A Partial removal of 29.19 NA NA 16.75 19.97 3.50 NA NA 49.44 52.66 090
esophagus.
43122 ......... A Parital removal of 29.11 NA NA 15.46 19.32 3.34 NA NA 47.91 51.77 090
esophagus.
43123 ......... A Partial removal of 33.20 NA NA 16.35 21.89 3.52 NA NA 53.07 58.61 090
esophagus.
43124 ......... A Removal of 27.32 NA NA 16.25 20.34 2.97 NA NA 46.54 50.63 090
esophagus.
43130 ......... A Removal of 11.75 NA NA 9.10 10.26 1.11 NA NA 21.96 23.12 090
esophagus pouch.
43135 ......... A Removal of 16.10 NA NA 11.64 12.18 1.99 NA NA 29.73 30.27 090
esophagus pouch.
43200 ......... A Esophagus 1.59 5.73 3.97 0.79 1.35 0.12 7.44 5.68 2.50 3.06 000
endoscopy.
43202 ......... A Esophagus 1.89 5.08 3.85 0.77 1.52 0.14 7.11 5.88 2.80 3.55 000
endoscopy, biopsy.
43204 ......... A Esophagus 3.77 NA NA 1.30 2.90 0.25 NA NA 5.32 6.92 000
endoscopy &
inject.
43205 ......... A Esophagus 3.79 NA NA 1.32 2.13 0.25 NA NA 5.36 6.17 000
endoscopy/
ligation.
43215 ......... A Esophagus 2.60 NA NA 1.04 2.07 0.20 NA NA 3.84 4.87 000
endoscopy.
43216 ......... A Esophagus 2.40 NA NA 0.89 1.88 0.18 NA NA 3.47 4.46 000
endoscopy/lesion.
43217 ......... A Esophagus 2.90 NA NA 1.02 2.24 0.20 NA NA 4.12 5.34 000
endoscopy.
43219 ......... A Esophagus 2.80 NA NA 1.03 2.19 0.22 NA NA 4.05 5.21 000
endoscopy.
43220 ......... A Esophagus 2.10 NA NA 0.77 1.64 0.15 NA NA 3.02 3.89 000
endoscopy,dilatio
n.
43226 ......... A Esophagus 2.34 NA NA 0.82 1.81 0.16 NA NA 3.32 4.31 000
endoscopy,dilatio
n.
43227 ......... A Esophagus 3.60 NA NA 1.25 2.78 0.24 NA NA 5.09 6.62 000
endoscopy, repair.
43228 ......... A Esophagus 3.77 NA NA 1.35 2.93 0.28 NA NA 5.40 6.98 000
endoscopy,ablatio
n.
43234 ......... A Upper GI 2.01 3.07 2.93 0.71 1.56 0.16 5.24 5.10 2.88 3.73 000
endoscopy, exam.
43235 ......... A Upper gi 2.39 5.05 4.19 0.83 1.84 0.17 7.61 6.75 3.39 4.40 000
endoscopy,diagnos
is.
43239 ......... A Upper GI 2.69 5.12 4.43 0.93 2.07 0.18 7.99 7.30 3.80 4.94 000
endoscopy, biopsy.
43241 ......... A Upper GI endoscopy 2.59 NA NA 0.90 2.00 0.18 NA NA 3.67 4.77 000
with tube.
43243 ......... A Upper GI endoscopy 4.57 NA NA 1.57 3.52 0.30 NA NA 6.44 8.39 000
& inject..
43244 ......... A Upper GI endoscopy/ 4.59 NA NA 1.58 2.68 0.30 NA NA 6.47 7.57 000
ligation.
43245 ......... A Operative upper GI 3.39 NA NA 1.18 2.62 0.24 NA NA 4.81 6.25 000
endoscopy.
43246 ......... A Place gastrostomy 4.33 NA NA 1.51 3.34 0.31 NA NA 6.15 7.98 000
tube.
43247 ......... A Operative upper GI 3.39 NA NA 1.18 2.62 0.24 NA NA 4.81 6.25 000
endoscopy.
43248 ......... A Upper GI endoscopy/ 3.15 NA NA 1.09 2.43 0.21 NA NA 4.45 5.79 000
guidewire.
43249 ......... A Esophagus 2.90 NA NA 1.01 2.24 0.20 NA NA 4.11 5.34 000
endoscopy,dilatio
n.
43250 ......... A Upper GI endoscopy/ 3.20 NA NA 1.11 2.47 0.23 NA NA 4.54 5.90 000
tumor.
43251 ......... A Operative upper GI 3.70 NA NA 1.28 2.85 0.25 NA NA 5.23 6.80 000
endoscopy.
43255 ......... A Operative upper GI 4.40 NA NA 1.51 3.38 0.29 NA NA 6.20 8.07 000
endoscopy.
43258 ......... A Operative upper GI 4.55 NA NA 1.57 3.51 0.30 NA NA 6.42 8.36 000
endoscopy.
43259 ......... A Endoscopic 4.89 NA NA 1.66 3.01 0.31 NA NA 6.86 8.21 000
ultrasound exam.
43260 ......... A Endoscopy,bile 5.96 NA NA 2.05 4.27 0.39 NA NA 8.40 10.62 000
duct/pancreas.
43261 ......... A Endoscopy,bile 6.27 NA NA 2.16 4.33 0.41 NA NA 8.84 11.01 000
duct/pancreas.
43262 ......... A Endoscopy,bile 7.39 NA NA 2.55 5.69 0.49 NA NA 10.43 13.57 000
duct/pancreas.
43263 ......... A Endoscopy,bile 6.19 NA NA 2.14 4.24 0.41 NA NA 8.74 10.84 000
duct/pancreas.
43264 ......... A Endoscopy,bile 8.90 NA NA 3.06 6.37 0.59 NA NA 12.55 15.86 000
duct/pancreas.
43265 ......... A Endoscopy,bile 8.90 NA NA 3.06 5.23 0.59 NA NA 12.55 14.72 000
duct/pancreas.
43267 ......... A Endoscopy,bile 7.39 NA NA 2.54 5.29 0.49 NA NA 10.42 13.17 000
duct/pancreas.
43268 ......... A Endoscopy,bile 7.39 NA NA 2.55 5.69 0.49 NA NA 10.43 13.57 000
duct/pancreas.
43269 ......... A Endoscopy,bile 6.04 NA NA 2.08 4.65 0.40 NA NA 8.52 11.09 000
duct/pancreas.
43271 ......... A Endoscopy,bile 7.39 NA NA 2.54 5.41 0.48 NA NA 10.41 13.28 000
duct/pancreas.
43272 ......... A Endoscopy,bile 7.39 NA NA 2.50 4.29 0.47 NA NA 10.36 12.15 000
duct/pancreas.
43300 ......... A Repair of 9.14 NA NA 7.44 9.18 0.91 NA NA 17.49 19.23 090
esophagus.
43305 ......... A Repair esophagus 17.15 NA NA 13.18 14.03 1.38 NA NA 31.71 32.56 090
and fistula.
43310 ......... A Repair of 25.39 NA NA 17.03 17.74 3.22 NA NA 45.64 46.35 090
esophagus.
43312 ......... A Repair esophagus 28.42 NA NA 22.02 18.46 3.58 NA NA 54.02 50.46 090
and fistula.
43320 ......... A Fuse esophagus & 16.07 NA NA 9.56 11.12 1.77 NA NA 27.40 28.96 090
stomach.
43324 ......... A Revise esophagus & 16.58 NA NA 8.70 10.80 1.73 NA NA 27.01 29.11 090
stomach.
43325 ......... A Revise esophagus & 16.17 NA NA 8.92 10.76 1.73 NA NA 26.82 28.66 090
stomach.
43326 ......... A Revise esophagus & 15.91 NA NA 10.50 9.33 1.91 NA NA 28.32 27.15 090
stomach.
43330 ......... A Repair of 15.94 NA NA 8.75 10.54 1.59 NA NA 26.28 28.07 090
esophagus.
43331 ......... A Repair of 16.23 NA NA 10.45 13.00 1.79 NA NA 28.47 31.02 090
esophagus.
43340 ......... A Fuse esophagus & 15.81 NA NA 21.35 17.43 1.79 NA NA 38.95 35.03 090
intestine.
[[Page 39678]]
43341 ......... A Fuse esophagus & 16.81 NA NA 10.66 10.70 1.42 NA NA 28.89 28.93 090
intestine.
43350 ......... A Surgical opening, 12.72 NA NA 9.10 8.83 1.24 NA NA 23.06 22.79 090
esophagus.
43351 ......... A Surgical opening, 14.79 NA NA 10.59 10.06 1.86 NA NA 27.24 26.71 090
esophagus.
43352 ......... A Surgical opening, 12.30 NA NA 9.23 9.43 1.34 NA NA 22.87 23.07 090
esophagus.
43360 ......... A Gastrointestinal 28.78 NA NA 14.66 18.92 3.14 NA NA 46.58 50.84 090
repair.
43361 ......... A Gastrointestinal 32.65 NA NA 16.30 21.86 3.35 NA NA 52.30 57.86 090
repair.
43400 ......... A Ligate esophagus 17.09 NA NA 8.57 10.16 1.48 NA NA 27.14 28.73 090
veins.
43401 ......... A Esophagus surgery 17.81 NA NA 9.41 9.91 1.81 NA NA 29.03 29.53 090
for veins.
43405 ......... A Ligate/staple 16.13 NA NA 8.93 12.24 1.83 NA NA 26.89 30.20 090
esophagus.
43410 ......... A Repair esophagus 10.86 NA NA 8.27 8.97 1.21 NA NA 20.34 21.04 090
wound.
43415 ......... A Repair esophagus 17.06 NA NA 10.64 12.24 1.98 NA NA 29.68 31.28 090
wound.
43420 ......... A Repair esophagus 11.57 NA NA 7.43 6.91 0.90 NA NA 19.90 19.38 090
opening.
43425 ......... A Repair esophagus 16.95 NA NA 10.99 10.89 2.09 NA NA 30.03 29.93 090
opening.
43450 ......... A Dilate esophagus.. 1.38 1.19 0.97 0.48 0.61 0.10 2.67 2.45 1.96 2.09 000
43453 ......... A Dilate esophagus.. 1.51 NA NA 0.52 1.08 0.10 NA NA 2.13 2.69 000
43456 ......... A Dilate esophagus.. 2.57 NA NA 0.90 1.79 0.18 NA NA 3.65 4.54 000
43458 ......... A Dilation of 3.06 NA NA 1.08 1.37 0.21 NA NA 4.35 4.64 000
esophagus.
43460 ......... A Pressure treatment 3.80 NA NA 1.50 1.66 0.30 NA NA 5.60 5.76 000
esophagus.
43496 ......... C Free jejunum flap, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
microvasc.
43499 ......... C Esophagus surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
43500 ......... A Surgical opening 8.44 NA NA 4.32 5.49 0.85 NA NA 13.61 14.78 090
of stomach.
43501 ......... A Surgical repair of 15.31 NA NA 7.26 8.29 1.58 NA NA 24.15 25.18 090
stomach.
43502 ......... A Surgical repair of 17.67 NA NA 8.16 8.74 1.87 NA NA 27.70 28.28 090
stomach.
43510 ......... A Surgical opening 9.99 NA NA 6.17 7.59 0.82 NA NA 16.98 18.40 090
of stomach.
43520 ......... A Incision of 7.63 NA NA 5.89 5.38 0.92 NA NA 14.44 13.93 090
pyloric muscle.
43600 ......... A Biopsy of stomach. 1.91 NA NA 0.65 0.60 0.13 NA NA 2.69 2.64 000
43605 ......... A Biopsy of stomach. 9.15 NA NA 4.63 5.52 0.94 NA NA 14.72 15.61 090
43610 ......... A Excision of 11.15 NA NA 5.73 7.30 1.14 NA NA 18.02 19.59 090
stomach lesion.
43611 ......... A Excision of 13.63 NA NA 6.67 7.77 1.39 NA NA 21.69 22.79 090
stomach lesion.
43620 ......... A Removal of stomach 22.54 NA NA 10.74 13.72 2.33 NA NA 35.61 38.59 090
43621 ......... A Removal of stomach 23.06 NA NA 10.68 13.69 2.37 NA NA 36.11 39.12 090
43622 ......... A Removal of stomach 24.41 NA NA 11.22 13.96 2.54 NA NA 38.17 40.91 090
43631 ......... A Removal of 19.66 NA NA 8.87 11.18 2.04 NA NA 30.57 32.88 090
stomach, partial.
43632 ......... A Removal stomach, 19.66 NA NA 8.88 11.18 2.02 NA NA 30.56 32.86 090
partial.
43633 ......... A Removal stomach, 20.10 NA NA 9.14 11.31 2.07 NA NA 31.31 33.48 090
partial.
43634 ......... A Removal stomach, 21.86 NA NA 10.08 16.35 2.28 NA NA 34.22 40.49 090
partial.
43635 ......... A Partial removal of 2.06 NA NA 0.78 0.98 0.21 NA NA 3.05 3.25 ZZZ
stomach.
43638 ......... A Partial removal of 21.76 NA NA 9.86 11.85 2.27 NA NA 33.89 35.88 090
stomach.
43639 ......... A Removal stomach, 22.25 NA NA 10.14 11.99 2.35 NA NA 34.74 36.59 090
partial.
43640 ......... A Vagotomy & pylorus 14.81 NA NA 7.08 9.15 1.53 NA NA 23.42 25.49 090
repair.
43641 ......... A Vagotomy & pylorus 15.03 NA NA 7.11 9.17 1.57 NA NA 23.71 25.77 090
repair.
43750 ......... A Place gastrostomy 4.49 NA NA 2.42 3.57 0.37 NA NA 7.28 8.43 010
tube.
43760 ......... A Change gastrostomy 1.10 1.19 0.97 0.36 0.56 0.08 2.37 2.15 1.54 1.74 000
tube.
43761 ......... A Reposition 2.01 NA NA 0.58 0.87 0.10 NA NA 2.69 2.98 000
gastrostomy tube.
43800 ......... A Reconstruction of 10.46 NA NA 5.47 6.45 1.08 NA NA 17.01 17.99 090
pylorus.
43810 ......... A Fusion of stomach 11.19 NA NA 5.76 7.03 1.11 NA NA 18.06 19.33 090
and bowel.
43820 ......... A Fusion of stomach 11.74 NA NA 5.92 7.46 1.20 NA NA 18.86 20.40 090
and bowel.
43825 ......... A Fusion of stomach 14.68 NA NA 7.02 9.52 1.50 NA NA 23.20 25.70 090
and bowel.
43830 ......... A Place gastrostomy 7.28 NA NA 4.17 5.45 0.73 NA NA 12.18 13.46 090
tube.
43831 ......... A Place gastrostomy 7.33 NA NA 4.24 4.94 0.78 NA NA 12.35 13.05 090
tube.
43832 ......... A Place gastrostomy 11.92 NA NA 6.28 7.46 1.19 NA NA 19.39 20.57 090
tube.
43840 ......... A Repair of stomach 11.89 NA NA 5.96 7.24 1.23 NA NA 19.08 20.36 090
lesion.
43842 ......... A Gastroplasty for 14.71 NA NA 9.78 12.34 1.55 NA NA 26.04 28.60 090
obesity.
43843 ......... A Gastroplasty for 14.85 NA NA 9.07 11.98 1.55 NA NA 25.47 28.38 090
obesity.
43846 ......... A Gastric bypass for 19.15 NA NA 11.39 13.73 1.96 NA NA 32.50 34.84 090
obesity.
43847 ......... A Gastric bypass for 21.44 NA NA 14.28 15.17 2.13 NA NA 37.85 38.74 090
obesity.
43848 ......... A Revision 23.41 NA NA 13.77 14.92 2.44 NA NA 39.62 40.77 090
gastroplasty.
43850 ......... A Revise stomach- 19.69 NA NA 8.77 10.70 1.99 NA NA 30.45 32.38 090
bowel fusion.
43855 ......... A Revise stomach- 20.83 NA NA 9.70 10.52 2.02 NA NA 32.55 33.37 090
bowel fusion.
43860 ......... A Revise stomach- 19.91 NA NA 9.00 10.72 2.04 NA NA 30.95 32.67 090
bowel fusion.
43865 ......... A Revise stomach- 21.12 NA NA 9.44 11.99 2.20 NA NA 32.76 35.31 090
bowel fusion.
43870 ......... A Repair stomach 7.40 NA NA 4.26 5.26 0.74 NA NA 12.40 13.40 090
opening.
43880 ......... A Repair stomach- 19.63 NA NA 9.39 9.17 2.02 NA NA 31.04 30.82 090
bowel fistula.
43999 ......... C Stomach surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44005 ......... A Freeing of bowel 13.84 NA NA 6.62 7.81 1.42 NA NA 21.88 23.07 090
adhesion.
44010 ......... A Incision of small 10.68 NA NA 5.84 6.67 1.10 NA NA 17.62 18.45 090
bowel.
44015 ......... A Insert needle 2.62 NA NA 0.96 2.05 0.26 NA NA 3.84 4.93 ZZZ
catheter,bowel.
44020 ......... A Exploration of 11.93 NA NA 5.85 7.17 1.20 NA NA 18.98 20.30 090
small bowel.
44021 ......... A Decompress small 12.01 NA NA 6.33 6.97 1.23 NA NA 19.57 20.21 090
bowel.
44025 ......... A Incision of large 12.18 NA NA 5.98 7.19 1.25 NA NA 19.41 20.62 090
bowel.
44050 ......... A Reduce bowel 11.40 NA NA 5.68 7.06 1.18 NA NA 18.26 19.64 090
obstruction.
44055 ......... A Correct 13.14 NA NA 6.39 7.35 1.31 NA NA 20.84 21.80 090
malrotation of
bowel.
44100 ......... A Biopsy of bowel... 2.01 NA NA 0.72 1.11 0.15 NA NA 2.88 3.27 000
44110 ......... A Excision of bowel 10.07 NA NA 5.22 6.77 1.02 NA NA 16.31 17.86 090
lesion(s).
44111 ......... A Excision of bowel 12.19 NA NA 6.55 8.52 1.21 NA NA 19.95 21.92 090
lesion(s).
44120 ......... A Removal of small 14.50 NA NA 6.88 8.58 1.49 NA NA 22.87 24.57 090
intestine.
44121 ......... A Removal of small 4.45 NA NA 1.68 2.10 0.46 NA NA 6.59 7.01 ZZZ
intestine.
44125 ......... A Removal of small 14.96 NA NA 6.99 9.33 1.54 NA NA 23.49 25.83 090
intestine.
44130 ......... A Bowel to bowel 12.36 NA NA 6.07 7.74 1.27 NA NA 19.70 21.37 090
fusion.
44139 ......... A Mobilization of 2.23 NA NA 0.84 1.06 0.23 NA NA 3.30 3.52 ZZZ
colon.
44140 ......... A Partial removal of 18.35 NA NA 8.84 10.59 1.89 NA NA 29.08 30.83 090
colon.
44141 ......... A Partial removal of 19.51 NA NA 11.65 12.26 2.02 NA NA 33.18 33.79 090
colon.
44143 ......... A Partial removal of 20.17 NA NA 11.91 12.61 2.08 NA NA 34.16 34.86 090
colon.
44144 ......... A Partial removal of 18.89 NA NA 10.59 11.84 1.95 NA NA 31.43 32.68 090
colon.
[[Page 39679]]
44145 ......... A Partial removal of 23.18 NA NA 10.93 12.66 2.40 NA NA 36.51 38.24 090
colon.
44146 ......... A Partial removal of 24.16 NA NA 13.82 15.04 2.50 NA NA 40.48 41.70 090
colon.
44147 ......... A Partial removal of 18.17 NA NA 9.35 13.00 1.91 NA NA 29.43 33.08 090
colon.
44150 ......... A Removal of colon.. 21.01 NA NA 12.81 14.46 2.19 NA NA 36.01 37.66 090
44151 ......... A Removal of colon/ 20.04 NA NA 12.63 11.86 2.06 NA NA 34.73 33.96 090
ileostomy.
44152 ......... A Removal of colon/ 24.41 NA NA 15.07 15.92 2.42 NA NA 41.90 42.75 090
ileostomy.
44153 ......... A Removal of colon/ 26.83 NA NA 15.21 18.11 2.81 NA NA 44.85 47.75 090
ileostomy.
44155 ......... A Removal of colon.. 24.44 NA NA 13.74 15.91 2.53 NA NA 40.71 42.88 090
44156 ......... A Removal of colon/ 23.01 NA NA 14.13 13.25 2.46 NA NA 39.60 38.72 090
ileostomy.
44160 ......... A Removal of colon.. 15.88 NA NA 7.75 10.63 1.65 NA NA 25.28 28.16 090
44300 ......... A Open bowel to skin 8.88 NA NA 5.51 6.03 0.91 NA NA 15.30 15.82 090
44310 ......... A Ileostomy/ 11.70 NA NA 8.40 8.48 1.21 NA NA 21.31 21.39 090
jejunostomy.
44312 ......... A Revision of 5.88 NA NA 4.26 3.80 0.55 NA NA 10.69 10.23 090
ileostomy.
44314 ......... A Revision of 11.04 NA NA 8.53 7.89 1.09 NA NA 20.66 20.02 090
ileostomy.
44316 ......... A Devise bowel pouch 15.47 NA NA 12.09 11.28 1.55 NA NA 29.11 28.30 090
44320 ......... A Colostomy......... 12.94 NA NA 9.90 9.00 1.33 NA NA 24.17 23.27 090
44322 ......... A Colostomy with 11.98 NA NA 9.74 9.79 1.22 NA NA 22.94 22.99 090
biopsies.
44340 ......... A Revision of 5.66 NA NA 4.22 3.02 0.57 NA NA 10.45 9.25 090
colostomy.
44345 ......... A Revision of 11.32 NA NA 6.74 6.00 1.17 NA NA 19.23 18.49 090
colostomy.
44346 ......... A Revision of 12.46 NA NA 7.20 7.21 1.28 NA NA 20.94 20.95 090
colostomy.
44360 ......... A Small bowel 2.92 NA NA 1.01 2.25 0.20 NA NA 4.13 5.37 000
endoscopy.
44361 ......... A Small bowel 3.23 NA NA 1.11 2.48 0.21 NA NA 4.55 5.92 000
endoscopy,biopsy.
44363 ......... A Small bowel 3.94 NA NA 1.33 2.29 0.25 NA NA 5.52 6.48 000
endoscopy.
44364 ......... A Small bowel 4.22 NA NA 1.48 3.26 0.29 NA NA 5.99 7.77 000
endoscopy.
44365 ......... A Small bowel 3.73 NA NA 1.30 2.88 0.26 NA NA 5.29 6.87 000
endoscopy.
44366 ......... A Small bowel 4.97 NA NA 1.70 3.82 0.32 NA NA 6.99 9.11 000
endoscopy.
44369 ......... A Small bowel 5.09 NA NA 1.76 3.92 0.35 NA NA 7.20 9.36 000
endoscopy.
44372 ......... A Small bowel 4.97 NA NA 1.74 3.84 0.36 NA NA 7.07 9.17 000
endoscopy.
44373 ......... A Small bowel 3.94 NA NA 1.34 3.02 0.27 NA NA 5.55 7.23 000
endoscopy.
44376 ......... A Small bowel 5.69 NA NA 1.97 3.19 0.39 NA NA 8.05 9.27 000
endoscopy.
44377 ......... A Small bowel 5.98 NA NA 2.06 3.34 0.40 NA NA 8.44 9.72 000
endoscopy.
44378 ......... A Small bowel 7.71 NA NA 2.68 4.20 0.53 NA NA 10.92 12.44 000
endoscopy.
44380 ......... A Small bowel 1.51 NA NA 0.53 1.17 0.11 NA NA 2.15 2.79 000
endoscopy.
44382 ......... A Small bowel 1.82 NA NA 0.63 1.40 0.13 NA NA 2.58 3.35 000
endoscopy.
44385 ......... A Endoscopy of bowel 1.82 3.47 3.00 0.63 1.40 0.14 5.43 4.96 2.59 3.36 000
pouch.
44386 ......... A Endoscopy,bowel 2.12 4.98 3.33 0.76 1.22 0.18 7.28 5.63 3.06 3.52 000
pouch,biopsy.
44388 ......... A Colon endoscopy... 2.82 4.85 4.39 1.01 2.19 0.23 7.90 7.44 4.06 5.24 000
44389 ......... A Colonoscopy with 3.13 5.45 4.90 1.10 2.42 0.23 8.81 8.26 4.46 5.78 000
biopsy.
44390 ......... A Colonoscopy for 3.83 4.13 3.49 1.39 2.12 0.32 8.28 7.64 5.54 6.27 000
foreign body.
44391 ......... A Colonoscopy for 4.32 3.75 4.73 1.51 3.33 0.31 8.38 9.36 6.14 7.96 000
bleeding.
44392 ......... A Colonoscopy & 3.82 5.65 5.63 1.35 2.96 0.30 9.77 9.75 5.47 7.08 000
polypectomy.
44393 ......... A Colonoscopy, 4.84 5.37 5.62 1.69 3.73 0.36 10.57 10.82 6.89 8.93 000
lesion removal.
44394 ......... A Colonoscopy w/ 4.43 5.98 5.79 1.57 3.43 0.35 10.76 10.57 6.35 8.21 000
snare.
44500 ......... A Intro, 0.49 NA NA 0.13 0.26 0.02 NA NA 0.64 0.77 000
gastrointestinal
tube.
44602 ......... A Suture, small 10.61 NA NA 5.38 6.84 1.09 NA NA 17.08 18.54 090
intestine.
44603 ......... A Suture, small 14.00 NA NA 6.68 8.27 1.44 NA NA 22.12 23.71 090
intestine.
44604 ......... A Suture, large 14.28 NA NA 23.11 15.83 1.45 NA NA 38.84 31.56 090
intestine.
44605 ......... A Repair of bowel 15.37 NA NA 7.59 8.88 1.56 NA NA 24.52 25.81 090
lesion.
44615 ......... A Intestinal 14.19 NA NA 6.73 7.02 1.43 NA NA 22.35 22.64 090
stricturoplasty.
44620 ......... A Repair bowel 10.87 NA NA 5.46 5.97 1.12 NA NA 17.45 17.96 090
opening.
44625 ......... A Repair bowel 13.41 NA NA 6.43 8.42 1.38 NA NA 21.22 23.21 090
opening.
44626 ......... A Repair bowel 22.59 NA NA 9.92 11.13 2.33 NA NA 34.84 36.05 090
opening.
44640 ......... A Repair bowel-skin 14.83 NA NA 7.40 7.25 1.54 NA NA 23.77 23.62 090
fistula.
44650 ......... A Repair bowel 15.25 NA NA 7.57 7.76 1.57 NA NA 24.39 24.58 090
fistula.
44660 ......... A Repair bowel- 14.63 NA NA 7.00 8.03 1.29 NA NA 22.92 23.95 090
bladder fistula.
44661 ......... A Repair bowel- 16.99 NA NA 7.97 11.55 1.62 NA NA 26.58 30.16 090
bladder fistula.
44680 ......... A Surgical revision, 13.72 NA NA 6.87 8.71 1.44 NA NA 22.03 23.87 090
intestine.
44700 ......... A Suspend bowel w/ 14.35 NA NA 7.20 9.77 1.32 NA NA 22.87 25.44 090
prosthesis.
44799 ......... C Intestine surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44800 ......... A Excision of bowel 11.23 NA NA 5.64 5.67 1.14 NA NA 18.01 18.04 090
pouch.
44820 ......... A Excision of 10.31 NA NA 5.34 5.82 1.06 NA NA 16.71 17.19 090
mesentery lesion.
44850 ......... A Repair of 9.57 NA NA 5.40 5.74 0.98 NA NA 15.95 16.29 090
mesentery.
44899 ......... C Bowel surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44900 ......... A Drain, app 8.82 NA NA 5.34 4.99 0.85 NA NA 15.01 14.66 090
abscess, open.
44901 ......... A Drain, app 3.38 NA NA 3.33 3.06 0.33 NA NA 7.04 6.77 000
abscess, perc.
44950 ......... A Appendectomy...... 8.70 NA NA 4.79 5.05 0.89 NA NA 14.38 14.64 090
44955 ......... A Appendectomy add- 1.53 NA NA 0.58 1.20 0.15 NA NA 2.26 2.88 ZZZ
on.
44960 ......... A Appendectomy...... 10.74 NA NA 5.91 6.15 1.11 NA NA 17.76 18.00 090
45000 ......... A Drainage of pelvic 4.52 NA NA 3.50 2.62 0.39 NA NA 8.41 7.53 090
abscess.
45005 ......... A Drainage of rectal 1.99 4.01 2.71 1.43 1.42 0.19 6.19 4.89 3.61 3.60 010
abscess.
45020 ......... A Drainage of rectal 4.72 NA NA 3.37 3.10 0.46 NA NA 8.55 8.28 090
abscess.
45100 ......... A Biopsy of rectum.. 3.68 4.31 3.18 1.99 2.02 0.37 8.36 7.23 6.04 6.07 090
45108 ......... A Removal of 4.76 6.20 4.55 2.77 2.83 0.49 11.45 9.80 8.02 8.08 090
anorectal lesion.
45110 ......... A Removal of rectum. 23.80 NA NA 12.38 15.05 2.42 NA NA 38.60 41.27 090
45111 ......... A Partial removal of 16.48 NA NA 8.71 10.74 1.69 NA NA 26.88 28.91 090
rectum.
45112 ......... A Removal of rectum. 25.96 NA NA 12.14 14.79 2.63 NA NA 40.73 43.38 090
45113 ......... A Partial 25.99 NA NA 11.54 14.49 2.59 NA NA 40.12 43.07 090
proctectomy.
45114 ......... A Partial removal of 23.22 NA NA 11.27 13.99 2.39 NA NA 36.88 39.60 090
rectum.
45116 ......... A Partial removal of 20.89 NA NA 9.91 10.80 2.09 NA NA 32.89 33.78 090
rectum.
45119 ......... A Remove, rectum w/ 26.21 NA NA 12.24 14.84 2.66 NA NA 41.11 43.71 090
reservoir.
45120 ......... A Removal of rectum. 24.60 NA NA 11.85 14.82 2.44 NA NA 38.89 41.86 090
45121 ......... A Removal of rectum 27.04 NA NA 12.77 12.24 2.75 NA NA 42.56 42.03 090
and colon.
45123 ......... A Partial 14.20 NA NA 7.15 9.96 1.47 NA NA 22.82 25.63 090
proctectomy.
45126 ......... A Pelvic 38.39 14.06 14.06 13.78 13.78 2.89 55.34 55.34 55.06 55.06 090
exenteration.
[[Page 39680]]
45130 ......... A Excision of rectal 13.97 NA NA 6.93 8.31 1.47 NA NA 22.37 23.75 090
prolapse.
45135 ......... A Excision of rectal 16.39 NA NA 8.28 12.80 1.70 NA NA 26.37 30.89 090
prolapse.
45150 ......... A Excision of rectal 5.67 5.06 4.37 3.02 3.35 0.59 11.32 10.63 9.28 9.61 090
stricture.
45160 ......... A Excision of rectal 13.02 NA NA 6.40 7.25 1.36 NA NA 20.78 21.63 090
lesion.
45170 ......... A Excision of rectal 9.77 NA NA 5.15 5.08 1.02 NA NA 15.94 15.87 090
lesion.
45190 ......... A Destruction, 8.28 NA NA 4.68 5.10 0.86 NA NA 13.82 14.24 090
rectal tumor.
45300 ......... A Proctosigmoidoscop 0.70 3.52 2.06 0.25 0.28 0.06 4.28 2.82 1.01 1.04 000
y.
45303 ......... A Proctosigmoidoscop 0.80 4.55 2.62 0.29 0.32 0.07 5.42 3.49 1.16 1.19 000
y.
45305 ......... A Proctosigmoidoscop 1.01 3.47 2.19 0.37 0.42 0.10 4.58 3.30 1.48 1.53 000
y; biopsy.
45307 ......... A Proctosigmoidoscop 1.71 5.25 3.32 0.61 1.00 0.17 7.13 5.20 2.49 2.88 000
y.
45308 ......... A Proctosigmoidoscop 1.51 2.70 1.97 0.56 0.59 0.15 4.36 3.63 2.22 2.25 000
y.
45309 ......... A Proctosigmoidoscop 2.01 3.87 2.55 0.74 0.68 0.20 6.08 4.76 2.95 2.89 000
y.
45315 ......... A Proctosigmoidoscop 2.54 4.71 3.00 0.93 1.11 0.24 7.49 5.78 3.71 3.89 000
y.
45317 ......... A Proctosigmoidoscop 2.73 3.16 2.27 1.00 1.19 0.27 6.16 5.27 4.00 4.19 000
y.
45320 ......... A Proctosigmoidoscop 2.88 3.45 2.74 1.05 1.54 0.28 6.61 5.90 4.21 4.70 000
y.
45321 ......... A Proctosigmoidoscop 2.12 NA NA 0.77 1.19 0.19 NA NA 3.08 3.50 000
y.
45330 ......... A Sigmoidoscopy, 0.96 4.53 2.93 0.33 0.46 0.07 5.56 3.96 1.36 1.49 000
diagnostic.
45331 ......... A Sigmoidoscopy and 1.26 4.61 3.18 0.43 0.97 0.09 5.96 4.53 1.78 2.32 000
biopsy.
45332 ......... A Sigmoidoscopy..... 1.96 5.82 3.87 0.68 1.30 0.15 7.93 5.98 2.79 3.41 000
45333 ......... A Sigmoidoscopy & 1.96 4.88 3.66 0.69 1.52 0.15 6.99 5.77 2.80 3.63 000
polypectomy.
45334 ......... A Sigmoidoscopy for 2.99 NA NA 1.04 1.99 0.21 NA NA 4.24 5.19 000
bleeding.
45337 ......... A Sigmoidoscopy, 2.36 NA NA 0.83 1.83 0.18 NA NA 3.37 4.37 000
decompression.
45338 ......... A Sigmoidoscopy..... 2.57 5.47 3.95 0.91 1.67 0.19 8.23 6.71 3.67 4.43 000
45339 ......... A Sigmoidoscopy..... 3.14 4.52 4.02 1.10 2.31 0.23 7.89 7.39 4.47 5.68 000
45355 ......... A Surgical 3.52 NA NA 1.25 1.26 0.29 NA NA 5.06 5.07 000
colonoscopy.
45378 ......... A Diagnostic 3.70 5.85 5.17 1.30 2.86 0.27 9.82 9.14 5.27 6.83 000
colonoscopy.
45378 53 A Diagnostic 0.96 1.27 1.30 0.58 0.87 0.07 2.30 2.33 1.61 1.90 000
colonoscopy.
45379 ......... A Colonoscopy....... 4.72 6.32 6.05 1.68 3.66 0.37 11.41 11.14 6.77 8.75 000
45380 ......... A Colonoscopy and 4.01 5.95 5.58 1.39 3.09 0.28 10.24 9.87 5.68 7.38 000
biopsy.
45382 ......... A Colonoscopy,contro 5.73 6.99 6.68 1.98 4.18 0.39 13.11 12.80 8.10 10.30 000
l bleeding.
45383 ......... A Colonoscopy, 5.87 7.09 6.76 2.05 4.24 0.43 13.39 13.06 8.35 10.54 000
lesion removal.
45384 ......... A Colonoscopy....... 4.70 6.50 6.06 1.64 3.63 0.34 11.54 11.10 6.68 8.67 000
45385 ......... A Colonoscopy, 5.31 6.65 6.94 1.85 4.10 0.38 12.34 12.63 7.54 9.79 000
lesion removal.
45500 ......... A Repair of rectum.. 7.29 NA NA 3.98 5.22 0.76 NA NA 12.03 13.27 090
45505 ......... A Repair of rectum.. 6.02 NA NA 3.11 4.97 0.64 NA NA 9.77 11.63 090
45520 ......... A Treatment of 0.55 0.68 0.67 0.18 0.26 0.06 1.29 1.28 0.79 0.87 000
rectal prolapse.
45540 ......... A Correct rectal 12.92 NA NA 6.88 8.81 1.32 NA NA 21.12 23.05 090
prolapse.
45541 ......... A Correct rectal 10.64 NA NA 5.85 8.45 1.11 NA NA 17.60 20.20 090
prolapse.
45550 ......... A Repair 18.26 NA NA 8.82 10.65 1.91 NA NA 28.99 30.82 090
rectum;remove
sigmoid.
45560 ......... A Repair of 8.40 NA NA 5.19 5.20 0.72 NA NA 14.31 14.32 090
rectocele.
45562 ......... A Exploration/repair 12.21 NA NA 6.09 7.44 1.18 NA NA 19.48 20.83 090
of rectum.
45563 ......... A Exploration/repair 18.63 NA NA 9.20 11.53 1.89 NA NA 29.72 32.05 090
of rectum.
45800 ......... A Repair 14.11 NA NA 6.59 8.63 1.16 NA NA 21.86 23.90 090
rectumbladder
fistula.
45805 ......... A Repair fistula; 16.50 NA NA 8.37 10.87 1.56 NA NA 26.43 28.93 090
colostomy.
45820 ......... A Repair 14.67 NA NA 6.80 8.28 1.36 NA NA 22.83 24.31 090
rectourethral
fistula.
45825 ......... A Repair fistula; 16.87 NA NA 8.55 9.63 1.57 NA NA 26.99 28.07 090
colostomy.
45900 ......... A Reduction of 1.83 NA NA 0.79 0.71 0.19 NA NA 2.81 2.73 010
rectal prolapse.
45905 ......... A Dilation of anal 1.61 2.45 1.61 0.71 0.74 0.16 4.22 3.38 2.48 2.51 010
sphincter.
45910 ......... A Dilation of rectal 1.96 3.07 2.01 0.83 0.89 0.17 5.20 4.14 2.96 3.02 010
narrowing.
45915 ......... A Remove rectal 2.20 3.54 2.20 0.80 0.83 0.20 5.94 4.60 3.20 3.23 010
obstruction.
45999 ......... C Rectum surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
46030 ......... A Removal of rectal 1.23 2.11 1.27 1.08 0.76 0.13 3.47 2.63 2.44 2.12 010
marker.
46040 ......... A Incision of rectal 4.96 4.67 3.25 2.93 2.38 0.51 10.14 8.72 8.40 7.85 090
abscess.
46045 ......... A Incision of rectal 4.32 NA NA 2.62 2.32 0.45 NA NA 7.39 7.09 090
abscess.
46050 ......... A Incision of anal 1.19 2.90 1.78 1.21 0.77 0.12 4.21 3.09 2.52 2.08 010
abscess.
46060 ......... A Incision of rectal 5.69 NA NA 3.51 4.66 0.60 NA NA 9.80 10.95 090
abscess.
46070 ......... A Incision of anal 2.71 NA NA 2.47 1.98 0.28 NA NA 5.46 4.97 090
septum.
46080 ......... A Incision of anal 2.49 2.74 2.53 1.54 1.93 0.26 5.49 5.28 4.29 4.68 010
sphincter.
46083 ......... A Incise external 1.40 3.96 2.32 1.34 0.84 0.12 5.48 3.84 2.86 2.36 010
hemorrhoid.
46200 ......... A Removal of anal 3.42 3.12 3.35 2.22 2.90 0.36 6.90 7.13 6.00 6.68 090
fissure.
46210 ......... A Removal of anal 2.67 4.30 2.57 2.33 1.59 0.25 7.22 5.49 5.25 4.51 090
crypt.
46211 ......... A Removal of anal 4.25 4.93 3.50 4.93 3.50 0.42 9.60 8.17 9.60 8.17 090
crypts.
46220 ......... A Removal of anal 1.56 1.21 0.95 0.59 0.64 0.16 2.93 2.67 2.31 2.36 010
tab.
46221 ......... A Ligation of 1.43 2.49 1.61 0.53 0.45 0.15 4.07 3.19 2.11 2.03 010
hemorrhoid(s).
46230 ......... A Removal of anal 2.57 3.70 2.30 1.57 1.01 0.26 6.53 5.13 4.40 3.84 010
tabs.
46250 ......... A Hemorrhoidectomy.. 4.53 4.75 3.92 3.00 3.04 0.46 9.74 8.91 7.99 8.03 090
46255 ......... A Hemorrhoidectomy.. 5.36 5.09 5.11 3.06 4.09 0.55 11.00 11.02 8.97 10.00 090
46257 ......... A Remove hemorrhoids 6.28 NA NA 3.35 4.52 0.66 NA NA 10.29 11.46 090
& fissure.
46258 ......... A Remove hemorrhoids 6.67 NA NA 3.48 4.93 0.69 NA NA 10.84 12.29 090
& fistula.
46260 ......... A Hemorrhoidectomy.. 7.42 NA NA 4.24 5.42 0.78 NA NA 12.44 13.62 090
46261 ......... A Remove hemorrhoids 8.24 NA NA 4.35 5.77 0.88 NA NA 13.47 14.89 090
& fissure.
46262 ......... A Remove hemorrhoids 8.73 NA NA 4.62 5.96 0.91 NA NA 14.26 15.60 090
& fistula.
46270 ......... A Removal of anal 3.72 4.31 3.17 2.62 2.33 0.38 8.41 7.27 6.72 6.43 090
fistula.
46275 ......... A Removal of anal 4.56 4.05 4.75 2.66 4.06 0.48 9.09 9.79 7.70 9.10 090
fistula.
46280 ......... A Removal of anal 5.98 NA NA 3.55 5.08 0.64 NA NA 10.17 11.70 090
fistula.
46285 ......... A Removal of anal 4.09 3.57 3.02 2.59 2.53 0.43 8.09 7.54 7.11 7.05 090
fistula.
46288 ......... A Repair anal 7.13 NA NA 4.09 3.98 0.73 NA NA 11.95 11.84 090
fistula.
46320 ......... A Removal of 1.61 3.25 2.01 1.41 0.90 0.16 5.02 3.78 3.18 2.67 010
hemorrhoid clot.
46500 ......... A Injection into 1.61 2.07 1.21 0.58 0.38 0.17 3.85 2.99 2.36 2.16 010
hemorrhoids.
46600 ......... A Diagnostic 0.50 0.75 0.53 0.15 0.15 0.04 1.29 1.07 0.69 0.69 000
anoscopy.
46604 ......... A Anoscopy and 1.31 0.91 0.66 0.48 0.35 0.13 2.35 2.10 1.92 1.79 000
dilation.
46606 ......... A Anoscopy and 0.81 0.83 0.61 0.30 0.25 0.08 1.72 1.50 1.19 1.14 000
biopsy.
46608 ......... A Anoscopy;remove 1.51 1.71 1.44 0.47 0.82 0.14 3.36 3.09 2.12 2.47 000
foreign body.
46610 ......... A Anoscopy; remove 1.32 1.38 1.15 0.49 0.71 0.12 2.82 2.59 1.93 2.15 000
lesion.
[[Page 39681]]
46611 ......... A Anoscopy.......... 1.81 1.80 1.36 0.67 0.57 0.17 3.78 3.34 2.65 2.55 000
46612 ......... A Anoscopy; remove 2.34 1.93 1.72 0.85 1.18 0.21 4.48 4.27 3.40 3.73 000
lesions.
46614 ......... A Anoscopy; control 2.01 1.55 1.62 0.71 0.78 0.18 3.74 3.81 2.90 2.97 000
bleeding.
46615 ......... A Anoscopy.......... 2.68 1.80 1.74 1.00 0.92 0.23 4.71 4.65 3.91 3.83 000
46700 ......... A Repair of anal 7.25 NA NA 3.89 5.28 0.78 NA NA 11.92 13.31 090
stricture.
46705 ......... A Repair of anal 7.17 NA NA 4.83 4.37 0.77 NA NA 12.77 12.31 090
stricture.
46715 ......... A Repair of 7.46 NA NA 4.47 4.14 0.92 NA NA 12.85 12.52 090
anovaginal
fistula.
46716 ......... A Repair of 12.15 NA NA 6.26 6.42 1.27 NA NA 19.68 19.84 090
anovaginal
fistula.
46730 ......... A Construction of 21.57 NA NA 10.69 11.18 2.03 NA NA 34.29 34.78 090
absent anus.
46735 ......... A Construction of 25.94 NA NA 13.24 13.70 2.72 NA NA 41.90 42.36 090
absent anus.
46740 ......... A Construction of 23.11 NA NA 10.37 11.45 2.42 NA NA 35.90 36.98 090
absent anus.
46742 ......... A Repair, 29.67 NA NA 14.66 18.05 3.14 NA NA 47.47 50.86 090
imperforated anus.
46744 ......... A Repair, cloacal 33.21 NA NA 16.01 20.04 2.70 NA NA 51.92 55.95 090
anomaly.
46746 ......... A Repair, cloacal 36.74 NA NA 16.97 21.65 3.41 NA NA 57.12 61.80 090
anomaly.
46748 ......... A Repair, cloacal 40.52 NA NA 17.11 23.22 2.05 NA NA 59.68 65.79 090
anomaly.
46750 ......... A Repair of anal 8.14 NA NA 4.60 5.56 0.79 NA NA 13.53 14.49 090
sphincter.
46751 ......... A Repair of anal 8.56 NA NA 5.36 4.89 0.91 NA NA 14.83 14.36 090
sphincter.
46753 ......... A Reconstruction of 6.58 NA NA 3.40 4.36 0.70 NA NA 10.68 11.64 090
anus.
46754 ......... A Removal of suture 1.54 4.43 3.02 1.09 1.35 0.14 6.11 4.70 2.77 3.03 010
from anus.
46760 ......... A Repair of anal 11.46 NA NA 5.90 6.64 1.13 NA NA 18.49 19.23 090
sphincter.
46761 ......... A Repair of anal 10.99 NA NA 5.63 6.52 1.11 NA NA 17.73 18.62 090
sphincter.
46762 ......... A Implant artificial 10.09 NA NA 4.73 5.47 0.99 NA NA 15.81 16.55 090
sphincter.
46900 ......... A Destruction, anal 1.91 2.81 1.62 0.78 0.50 0.17 4.89 3.70 2.86 2.58 010
lesion(s).
46910 ......... A Destruction, anal 1.86 2.83 1.76 1.34 0.85 0.16 4.85 3.78 3.36 2.87 010
lesion(s).
46916 ......... A Cryosurgery, anal 1.86 2.62 1.68 1.37 0.87 0.10 4.58 3.64 3.33 2.83 010
lesion(s).
46917 ......... A Laser surgery,anal 1.86 3.66 2.89 1.36 1.21 0.17 5.69 4.92 3.39 3.24 010
lesion(s).
46922 ......... A Excision of anal 1.86 3.25 2.32 1.37 1.38 0.18 5.29 4.36 3.41 3.42 010
lesion(s).
46924 ......... A Destruction, anal 2.76 4.05 3.42 1.63 2.21 0.24 7.05 6.42 4.63 5.21 010
lesion(s).
46934 ......... A Destruction of 4.08 4.97 3.13 3.28 1.97 0.35 9.40 7.56 7.71 6.40 090
hemorrhoids.
46935 ......... A Destruction of 2.43 3.32 2.54 0.89 0.89 0.23 5.98 5.20 3.55 3.55 010
hemorrhoids.
46936 ......... A Destruction of 4.30 4.60 3.55 4.60 2.93 0.40 9.30 8.25 9.30 7.63 090
hemorrhoids.
46937 ......... A Cryotherapy of 2.69 3.20 2.88 1.55 2.05 0.13 6.02 5.70 4.37 4.87 010
rectal lesion.
46938 ......... A Cryotherapy of 4.66 3.64 3.18 3.14 2.93 0.50 8.80 8.34 8.30 8.09 090
rectal lesion.
46940 ......... A Treatment of anal 2.32 2.49 1.52 0.84 0.56 0.24 5.05 4.08 3.40 3.12 010
fissure.
46942 ......... A Treatment of anal 2.04 2.07 1.29 0.72 0.49 0.22 4.33 3.55 2.98 2.75 010
fissure.
46945 ......... A Ligation of 2.14 3.40 2.04 1.93 1.14 0.21 5.75 4.39 4.28 3.49 090
hemorrhoids.
46946 ......... A Ligation of 3.00 3.94 2.48 2.18 1.35 0.28 7.22 5.76 5.46 4.63 090
hemorrhoids.
46999 ......... C Anus surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
47000 ......... A Needle biopsy of 1.90 8.19 4.86 0.56 1.04 0.10 10.19 6.86 2.56 3.04 000
liver.
47001 ......... A Needle biopsy, 1.90 NA NA 0.71 1.12 0.19 NA NA 2.80 3.21 ZZZ
liver add-on.
47010 ......... A Open drainage, 10.28 NA NA 6.98 7.16 0.58 NA NA 17.84 18.02 090
liver lesion.
47011 ......... A Percut drain, 3.70 NA NA 5.03 4.04 0.21 NA NA 8.94 7.95 000
liver lesion.
47015 ......... A Inject/aspirate 9.70 NA NA 5.97 6.65 0.89 NA NA 16.56 17.24 090
liver cyst.
47100 ......... A Wedge biopsy of 7.49 NA NA 4.87 4.22 0.77 NA NA 13.13 12.48 090
liver.
47120 ......... A Partial removal of 22.79 NA NA 12.41 12.72 2.30 NA NA 37.50 37.81 090
liver.
47122 ......... A Extensive removal 35.39 NA NA 17.25 18.17 3.49 NA NA 56.13 57.05 090
of liver.
47125 ......... A Partial removal of 31.58 NA NA 15.92 17.42 3.17 NA NA 50.67 52.17 090
liver.
47130 ......... A Partial removal of 34.25 NA NA 16.66 18.75 3.43 NA NA 54.34 56.43 090
liver.
47133 ......... X Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
liver.
47134 ......... R Partial removal, 39.15 NA NA 14.95 18.59 3.92 NA NA 58.02 61.66 XXX
donor liver.
47135 ......... R Transplantation of 81.52 NA NA 43.54 51.33 8.00 NA NA 133.06 140.85 090
liver.
47136 ......... R Transplantation of 68.60 NA NA 42.26 39.31 6.86 NA NA 117.72 114.77 090
liver.
47300 ......... A Surgery for liver 9.68 NA NA 5.87 7.10 0.97 NA NA 16.52 17.75 090
lesion.
47350 ......... A Repair liver wound 12.56 NA NA 6.88 7.49 1.27 NA NA 20.71 21.32 090
47360 ......... A Repair liver wound 17.28 NA NA 9.30 10.58 1.77 NA NA 28.35 29.63 090
47361 ......... A Repair liver wound 30.25 NA NA 14.12 15.01 3.05 NA NA 47.42 48.31 090
47362 ......... A Repair liver wound 11.88 NA NA 12.76 9.22 1.17 NA NA 25.81 22.27 090
47399 ......... C Liver surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
47400 ......... A Incision of liver 20.86 NA NA 11.23 10.25 2.05 NA NA 34.14 33.16 090
duct.
47420 ......... A Incision of bile 16.72 NA NA 8.36 9.33 1.73 NA NA 26.81 27.78 090
duct.
47425 ......... A Incision of bile 16.68 NA NA 8.44 10.58 1.69 NA NA 26.81 28.95 090
duct.
47460 ......... A Incise bile duct 15.17 NA NA 7.61 12.24 1.32 NA NA 24.10 28.73 090
sphincter.
47480 ......... A Incision of 9.10 NA NA 6.03 7.14 0.92 NA NA 16.05 17.16 090
gallbladder.
47490 ......... A Incision of 7.23 NA NA 6.28 5.08 0.32 NA NA 13.83 12.63 090
gallbladder.
47500 ......... A Injection for 1.96 NA NA 0.53 1.09 0.08 NA NA 2.57 3.13 000
liver x-rays.
47505 ......... A Injection for 0.76 14.90 7.98 0.21 0.56 0.03 15.69 8.77 1.00 1.35 000
liver x-rays.
47510 ......... A Insert catheter, 7.83 NA NA 29.38 16.25 0.36 NA NA 37.57 24.44 090
bile duct.
47511 ......... A Insert bile duct 10.50 NA NA 30.68 16.90 0.45 NA NA 41.63 27.85 090
drain.
47525 ......... A Change bile duct 5.55 NA NA 2.68 2.21 0.23 NA NA 8.46 7.99 010
catheter.
47530 ......... A Revise, reinsert 5.85 NA NA 4.14 2.89 0.30 NA NA 10.29 9.04 090
bile tube.
47550 ......... A Bile duct 3.02 NA NA 1.12 1.41 0.31 NA NA 4.45 4.74 ZZZ
endoscopy add-on.
47552 ......... A Biliary endoscopy, 6.04 NA NA 2.08 1.78 0.51 NA NA 8.63 8.33 000
thru skin.
47553 ......... A Biliary endoscopy, 6.35 NA NA 1.76 2.94 0.30 NA NA 8.41 9.59 000
thru skin.
47554 ......... A Biliary endoscopy, 9.06 NA NA 3.15 3.71 0.78 NA NA 12.99 13.55 000
thru skin.
47555 ......... A Biliary endoscopy, 7.56 NA NA 2.06 2.46 0.33 NA NA 9.95 10.35 000
thru skin.
47556 ......... A Biliary endoscopy, 8.56 NA NA 2.32 2.59 0.37 NA NA 11.25 11.52 000
thru skin.
47600 ......... A Removal of 11.42 NA NA 6.11 7.14 1.18 NA NA 18.71 19.74 090
gallbladder.
47605 ......... A Removal of 12.36 NA NA 6.45 7.64 1.28 NA NA 20.09 21.28 090
gallbladder.
47610 ......... A Removal of 15.83 NA NA 7.86 9.02 1.63 NA NA 25.32 26.48 090
gallbladder.
47612 ......... A Removal of 15.80 NA NA 7.73 11.59 1.63 NA NA 25.16 29.02 090
gallbladder.
47620 ......... A Removal of 17.36 NA NA 8.28 10.24 1.80 NA NA 27.44 29.40 090
gallbladder.
47630 ......... A Remove bile duct 9.11 NA NA 2.67 3.37 0.50 NA NA 12.28 12.98 090
stone.
47700 ......... A Exploration of 14.93 NA NA 8.15 8.22 1.42 NA NA 24.50 24.57 090
bile ducts.
47701 ......... A Bile duct revision 27.81 NA NA 107.69 58.30 3.05 NA NA 138.55 89.16 090
[[Page 39682]]
47711 ......... A Excision of bile 19.37 NA NA 10.05 11.57 1.93 NA NA 31.35 32.87 090
duct tumor.
47712 ......... A Excision of bile 25.44 NA NA 13.00 13.05 2.82 NA NA 41.26 41.31 090
duct tumor.
47715 ......... A Excision of bile 15.81 NA NA 8.15 8.54 1.63 NA NA 25.59 25.98 090
duct cyst.
47716 ......... A Fusion of bile 13.83 NA NA 7.32 7.22 1.37 NA NA 22.52 22.42 090
duct cyst.
47720 ......... A Fuse gallbladder & 13.38 NA NA 7.68 8.81 1.38 NA NA 22.44 23.57 090
bowel.
47721 ......... A Fuse upper gi 16.08 NA NA 8.66 10.53 1.64 NA NA 26.38 28.25 090
structures.
47740 ......... A Fuse gallbladder & 15.54 NA NA 8.56 9.82 1.63 NA NA 25.73 26.99 090
bowel.
47741 ......... A Fuse gallbladder & 17.95 NA NA 9.55 12.56 1.85 NA NA 29.35 32.36 090
bowel.
47760 ......... A Fuse bile ducts 21.74 NA NA 10.93 11.77 2.24 NA NA 34.91 35.75 090
and bowel.
47765 ......... A Fuse liver ducts & 20.93 NA NA 11.31 13.59 2.10 NA NA 34.34 36.62 090
bowel.
47780 ......... A Fuse bile ducts 22.29 NA NA 11.12 12.65 2.29 NA NA 35.70 37.23 090
and bowel.
47785 ......... A Fuse bile ducts 26.23 NA NA 13.49 13.84 2.73 NA NA 42.45 42.80 090
and bowel.
47800 ......... A Reconstruction of 19.60 NA NA 9.92 12.14 1.97 NA NA 31.49 33.71 090
bile ducts.
47801 ......... A Placement, bile 12.76 NA NA 7.95 6.95 0.78 NA NA 21.49 20.49 090
duct support.
47802 ......... A Fuse liver duct & 18.13 NA NA 10.71 10.93 1.95 NA NA 30.79 31.01 090
intestine.
47900 ......... A Suture bile duct 16.74 NA NA 8.81 11.58 1.77 NA NA 27.32 30.09 090
injury.
47999 ......... C Bile tract surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
48000 ......... A Drainage of 14.91 NA NA 7.87 7.76 1.38 NA NA 24.16 24.05 090
abdomen.
48001 ......... A Placement of 18.83 NA NA 9.27 9.05 1.91 NA NA 30.01 29.79 090
drain, pancreas.
48005 ......... A Resect/debride 22.40 NA NA 10.50 10.24 2.26 NA NA 35.16 34.90 090
pancreas.
48020 ......... A Removal of 14.22 NA NA 6.84 7.10 1.07 NA NA 22.13 22.39 090
pancreatic stone.
48100 ......... A Biopsy of pancreas 11.08 NA NA 6.39 5.48 1.12 NA NA 18.59 17.68 090
48102 ......... A Needle biopsy, 4.68 8.07 5.35 1.99 2.31 0.21 12.96 10.24 6.88 7.20 010
pancreas.
48120 ......... A Removal of 14.36 NA NA 7.01 8.78 1.47 NA NA 22.84 24.61 090
pancreas lesion.
48140 ......... A Partial removal of 20.78 NA NA 10.01 12.22 2.13 NA NA 32.92 35.13 090
pancreas.
48145 ......... A Partial removal of 21.76 NA NA 10.62 13.84 2.20 NA NA 34.58 37.80 090
pancreas.
48146 ......... A Pancreatectomy.... 23.91 NA NA 12.71 15.31 2.54 NA NA 39.16 41.76 090
48148 ......... A Removal of 15.71 NA NA 8.30 8.62 1.60 NA NA 25.61 25.93 090
pancreatic duct.
48150 ......... A Partial removal of 43.48 NA NA 20.84 22.65 4.44 NA NA 68.76 70.57 090
pancreas.
48152 ......... A Pancreatectomy.... 39.63 NA NA 21.07 22.77 4.25 NA NA 64.95 66.65 090
48153 ......... A Pancreatectomy.... 43.38 NA NA 20.69 22.58 4.45 NA NA 68.52 70.41 090
48154 ......... A Pancreatectomy.... 39.95 NA NA 19.21 21.84 4.08 NA NA 63.24 65.87 090
48155 ......... A Removal of 22.32 NA NA 13.26 17.70 2.30 NA NA 37.88 42.32 090
pancreas.
48160 ......... N Pancreas removal, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
48180 ......... A Fuse pancreas and 22.39 NA NA 10.62 12.15 2.31 NA NA 35.32 36.85 090
bowel.
48400 ......... A Injection, intraop 1.95 NA NA 0.56 0.84 0.10 NA NA 2.61 2.89 ZZZ
add-on.
48500 ......... A Surgery of 13.84 NA NA 6.96 8.11 1.28 NA NA 22.08 23.23 090
pancreas cyst.
48510 ......... A Drain pancreatic 12.96 NA NA 6.66 7.42 0.96 NA NA 20.58 21.34 090
pseudocyst.
48511 ......... A Drain pancreatic 4.00 NA NA 3.74 3.52 0.30 NA NA 8.04 7.82 000
pseudocyst.
48520 ......... A Fuse pancreas cyst 14.12 NA NA 7.02 9.64 1.45 NA NA 22.59 25.21 090
and bowel.
48540 ......... A Fuse pancreas cyst 17.86 NA NA 8.43 11.09 1.87 NA NA 28.16 30.82 090
and bowel.
48545 ......... A Pancreatorrhaphy.. 16.47 NA NA 8.97 8.64 1.83 NA NA 27.27 26.94 090
48547 ......... A Duodenal exclusion 23.40 NA NA 10.53 11.28 2.48 NA NA 36.41 37.16 090
48550 ......... X Donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pancreatectomy.
48554 ......... R Transplantallograf 34.17 NA NA 13.05 16.22 3.27 NA NA 50.49 53.66 XXX
t pancreas.
48556 ......... A Removal, allograft 15.71 NA NA 8.51 8.20 1.50 NA NA 25.72 25.41 090
pancreas.
48999 ......... C Pancreas surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
49000 ......... A Exploration of 11.68 NA NA 6.26 6.82 1.18 NA NA 19.12 19.68 090
abdomen.
49002 ......... A Reopening of 10.49 NA NA 6.04 6.31 1.07 NA NA 17.60 17.87 090
abdomen.
49010 ......... A Exploration behind 12.28 NA NA 7.03 7.29 1.28 NA NA 20.59 20.85 090
abdomen.
49020 ......... A Drain abdominal 16.79 NA NA 8.79 7.01 1.17 NA NA 26.75 24.97 090
abscess.
49021 ......... A Drain abdominal 3.38 NA NA 4.68 4.36 0.22 NA NA 8.28 7.96 000
abscess.
49040 ......... A Open drainage 9.94 NA NA 6.68 6.89 0.70 NA NA 17.32 17.53 090
abdom abscess.
49041 ......... A Percut drain abdom 4.00 NA NA 4.77 4.03 0.28 NA NA 9.05 8.31 000
abscess.
49060 ......... A Open drain 11.66 NA NA 7.29 6.65 0.69 NA NA 19.64 19.00 090
retroper abscess.
49061 ......... A Percutdrain 3.70 NA NA 4.90 3.97 0.22 NA NA 8.82 7.89 000
retroper abscess.
49062 ......... A Drain to 11.36 NA NA 6.89 7.83 1.12 NA NA 19.37 20.31 090
peritoneal cavity.
49080 ......... A Puncture, 1.35 3.17 2.06 0.43 0.69 0.08 4.60 3.49 1.86 2.12 000
peritoneal cavity.
49081 ......... A Removal of 1.26 3.36 2.09 0.41 0.61 0.08 4.70 3.43 1.75 1.95 000
abdominal fluid.
49085 ......... A Remove abdomen 8.93 NA NA 5.32 4.54 0.93 NA NA 15.18 14.40 090
foreign body.
49180 ......... A Biopsy, abdominal 1.73 6.81 4.40 0.47 1.23 0.08 8.62 6.21 2.28 3.04 000
mass.
49200 ......... A Removal of 10.25 NA NA 5.98 7.54 0.96 NA NA 17.19 18.75 090
abdominal lesion.
49201 ......... A Removal of 14.84 NA NA 8.22 10.68 1.34 NA NA 24.40 26.86 090
abdominal lesion.
49215 ......... A Excise sacral 22.36 NA NA 10.50 9.86 2.25 NA NA 35.11 34.47 090
spine tumor.
49220 ......... A Multiple surgery, 14.88 NA NA 7.61 10.48 1.52 NA NA 24.01 26.88 090
abdomen.
49250 ......... A Excision of 8.35 NA NA 4.92 4.92 0.83 NA NA 14.10 14.10 090
umbilicus.
49255 ......... A Removal of omentum 11.14 NA NA 6.59 6.10 1.08 NA NA 18.81 18.32 090
49400 ......... A Air injection into 1.88 NA NA 0.57 0.90 0.12 NA NA 2.57 2.90 000
abdomen.
49420 ......... A Insert abdominal 2.22 NA NA 0.91 1.31 0.17 NA NA 3.30 3.70 000
drain.
49421 ......... A Insert abdominal 5.54 NA NA 3.98 4.24 0.58 NA NA 10.10 10.36 090
drain.
49422 ......... A Remove perm 6.25 NA NA 3.03 3.76 0.66 NA NA 9.94 10.67 010
cannula/catheter.
49423 ......... A Exchange drainage 1.46 NA NA 0.56 0.88 0.15 NA NA 2.17 2.49 000
cath.
49424 ......... A Assess cyst, 0.76 NA NA 0.29 0.46 0.05 NA NA 1.10 1.27 000
contrast inj.
49425 ......... A Insert abdomen- 11.37 NA NA 6.85 8.03 1.25 NA NA 19.47 20.65 090
venous drain.
49426 ......... A Revise abdomen- 9.63 NA NA 5.93 5.89 1.04 NA NA 16.60 16.56 090
venous shunt.
49427 ......... A Injection, 0.89 NA NA 0.25 0.39 0.04 NA NA 1.18 1.32 000
abdominal shunt.
49428 ......... A Ligation of shunt. 2.38 NA NA 1.70 1.42 0.31 NA NA 4.39 4.11 010
49429 ......... A Removal of shunt.. 7.40 NA NA 3.58 3.59 0.82 NA NA 11.80 11.81 010
49495 ......... A Repair inguinal 5.89 NA NA 3.45 4.43 0.59 NA NA 9.93 10.91 090
hernia, init.
49496 ......... A Repair inguinal 8.79 NA NA 5.64 5.56 0.90 NA NA 15.33 15.25 090
hernia, init.
49500 ......... A Repair inguinal 4.68 NA NA 2.95 4.18 0.45 NA NA 8.08 9.31 090
hernia.
49501 ......... A Repair inguinal 7.58 NA NA 3.94 4.71 0.80 NA NA 12.32 13.09 090
hernia, init.
49505 ......... A Repair inguinal 6.49 3.97 4.43 3.91 4.40 0.67 11.13 11.59 11.07 11.56 090
hernia.
49507 ......... A Repair, inguinal 8.17 NA NA 5.38 5.43 0.84 NA NA 14.39 14.44 090
hernia.
[[Page 39683]]
49520 ......... A Rerepair inguinal 8.22 NA NA 4.82 5.25 0.85 NA NA 13.89 14.32 090
hernia.
49521 ......... A Repair inguinal 10.22 NA NA 5.17 5.32 1.06 NA NA 16.45 16.60 090
hernia, rec.
49525 ......... A Repair inguinal 7.32 NA NA 4.37 5.20 0.75 NA NA 12.44 13.27 090
hernia.
49540 ......... A Repair lumbar 8.87 NA NA 4.99 5.32 0.93 NA NA 14.79 15.12 090
hernia.
49550 ......... A Repair femoral 7.37 NA NA 3.99 4.50 0.76 NA NA 12.12 12.63 090
hernia.
49553 ......... A Repair femoral 8.06 NA NA 4.38 4.69 0.84 NA NA 13.28 13.59 090
hernia, init.
49555 ......... A Repair femoral 7.71 NA NA 4.60 5.60 0.80 NA NA 13.11 14.11 090
hernia.
49557 ......... A Repair femoral 9.52 NA NA 4.87 5.73 0.99 NA NA 15.38 16.24 090
hernia, recur.
49560 ......... A Repair abdominal 9.88 NA NA 5.40 5.77 1.03 NA NA 16.31 16.68 090
hernia.
49561 ......... A Repair incisional 12.17 NA NA 5.98 6.06 1.26 NA NA 19.41 19.49 090
hernia.
49565 ......... A Rerepair abdominal 9.88 NA NA 5.50 6.23 1.02 NA NA 16.40 17.13 090
hernia.
49566 ......... A Repair incisional 12.30 NA NA 6.00 6.48 1.27 NA NA 19.57 20.05 090
hernia.
49568 ......... A Hernia repair w/ 4.89 NA NA 1.85 2.32 0.51 NA NA 7.25 7.72 ZZZ
mesh.
49570 ......... A Repair epigastric 4.86 NA NA 3.15 3.95 0.51 NA NA 8.52 9.32 090
hernia.
49572 ......... A Repair, epigastric 5.75 NA NA 3.54 4.81 0.59 NA NA 9.88 11.15 090
hernia.
49580 ......... A Repair umbilical 3.51 NA NA 2.74 3.47 0.35 NA NA 6.60 7.33 090
hernia.
49582 ......... A Repair umbilical 5.68 NA NA 4.24 4.62 0.60 NA NA 10.52 10.90 090
hernia.
49585 ......... A Repair umbilical 5.32 NA NA 4.79 4.79 0.55 NA NA 10.66 10.66 090
hernia.
49587 ......... A Repair umbilical 6.46 NA NA 3.89 4.34 0.66 NA NA 11.01 11.46 090
hernia.
49590 ......... A Repair abdominal 7.29 NA NA 4.38 5.25 0.75 NA NA 12.42 13.29 090
hernia.
49600 ......... A Repair umbilical 10.35 NA NA 5.41 5.56 1.00 NA NA 16.76 16.91 090
lesion.
49605 ......... A Repair umbilical 22.66 NA NA 11.02 10.16 2.31 NA NA 35.99 35.13 090
lesion.
49606 ......... A Repair umbilical 18.60 NA NA 9.91 9.47 2.01 NA NA 30.52 30.08 090
lesion.
49610 ......... A Repair umbilical 10.50 NA NA 6.27 6.11 0.90 NA NA 17.67 17.51 090
lesion.
49611 ......... A Repair umbilical 8.92 NA NA 6.92 8.35 0.73 NA NA 16.57 18.00 090
lesion.
49900 ......... A Repair of 12.28 NA NA 6.74 5.36 1.25 NA NA 20.27 18.89 090
abdominal wall.
49905 ......... A Omental flap...... 6.55 NA NA 2.57 3.14 0.67 NA NA 9.79 10.36 ZZZ
49906 ......... C Free omental flap, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
microvasc.
49999 ......... C Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
50010 ......... A Exploration of 10.98 NA NA 6.45 8.41 0.80 NA NA 18.23 20.19 090
kidney.
50020 ......... A Open drain renal 14.66 NA NA 11.66 9.52 0.72 NA NA 27.04 24.90 090
abscess.
50021 ......... A Percut drain renal 3.38 NA NA 8.43 5.61 0.17 NA NA 11.98 9.16 000
abscess.
50040 ......... A Drainage of kidney 14.94 NA NA 10.25 9.02 0.87 NA NA 26.06 24.83 090
50045 ......... A Exploration of 15.46 NA NA 7.92 9.29 1.18 NA NA 24.56 25.93 090
kidney.
50060 ......... A Removal of kidney 19.30 NA NA 9.16 11.23 1.20 NA NA 29.66 31.73 090
stone.
50065 ......... A Incision of kidney 20.79 NA NA 10.17 12.65 1.27 NA NA 32.23 34.71 090
50070 ......... A Incision of kidney 20.32 NA NA 9.68 11.83 1.51 NA NA 31.51 33.66 090
50075 ......... A Removal of kidney 25.34 NA NA 11.49 14.90 1.58 NA NA 38.41 41.82 090
stone.
50080 ......... A Removal of kidney 14.71 NA NA 9.62 11.43 0.86 NA NA 25.19 27.00 090
stone.
50081 ......... A Removal of kidney 21.80 NA NA 11.90 14.07 1.30 NA NA 35.00 37.17 090
stone.
50100 ......... A Revise kidney 16.09 NA NA 11.26 11.24 1.76 NA NA 29.11 29.09 090
blood vessels.
50120 ......... A Exploration of 15.91 NA NA 7.97 9.91 0.99 NA NA 24.87 26.81 090
kidney.
50125 ......... A Explore and drain 16.52 NA NA 8.33 10.11 1.30 NA NA 26.15 27.93 090
kidney.
50130 ......... A Removal of kidney 17.29 NA NA 8.47 11.18 1.11 NA NA 26.87 29.58 090
stone.
50135 ......... A Exploration of 19.18 NA NA 9.28 13.89 1.24 NA NA 29.70 34.31 090
kidney.
50200 ......... A Biopsy of kidney.. 2.63 NA NA 0.79 1.81 0.15 NA NA 3.57 4.59 000
50205 ......... A Biopsy of kidney.. 11.31 NA NA 6.24 6.18 0.91 NA NA 18.46 18.40 090
50220 ......... A Removal of kidney. 17.15 NA NA 8.69 11.57 1.24 NA NA 27.08 29.96 090
50225 ......... A Removal of kidney. 20.23 NA NA 9.56 13.75 1.32 NA NA 31.11 35.30 090
50230 ......... A Removal of kidney. 22.07 NA NA 10.18 15.08 1.45 NA NA 33.70 38.60 090
50234 ......... A Removal of kidney 22.40 NA NA 10.30 14.19 1.46 NA NA 34.16 38.05 090
& ureter.
50236 ......... A Removal of kidney 24.86 NA NA 12.97 16.11 1.59 NA NA 39.42 42.56 090
& ureter.
50240 ......... A Partial removal of 22.00 NA NA 12.27 14.82 1.44 NA NA 35.71 38.26 090
kidney.
50280 ......... A Removal of kidney 15.67 NA NA 8.04 9.92 1.06 NA NA 24.77 26.65 090
lesion.
50290 ......... A Removal of kidney 14.73 NA NA 7.68 8.66 1.21 NA NA 23.62 24.60 090
lesion.
50300 ......... X Removal of donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kidney.
50320 ......... A Removal of donor 22.21 NA NA 11.66 14.78 1.80 NA NA 35.67 38.79 090
kidney.
50340 ......... A Removal of kidney. 12.15 NA NA 9.58 11.57 1.07 NA NA 22.80 24.79 090
50360 ......... A Transplantation of 31.53 NA NA 17.26 21.90 2.99 NA NA 51.78 56.42 090
kidney.
50365 ......... A Transplantation of 36.81 NA NA 21.31 27.32 3.16 NA NA 61.28 67.29 090
kidney.
50370 ......... A Remove 13.72 NA NA 9.15 10.59 1.27 NA NA 24.14 25.58 090
transplanted
kidney.
50380 ......... A Reimplantation of 20.76 NA NA 13.28 12.13 1.70 NA NA 35.74 34.59 090
kidney.
50390 ......... A Drainage of kidney 1.96 NA NA 0.54 1.19 0.09 NA NA 2.59 3.24 000
lesion.
50392 ......... A Insert kidney 3.38 NA NA 0.92 1.74 0.15 NA NA 4.45 5.27 000
drain.
50393 ......... A Insert ureteral 4.16 NA NA 1.14 2.21 0.18 NA NA 5.48 6.55 000
tube.
50394 ......... A Injection for 0.76 15.00 7.80 0.21 0.41 0.03 15.79 8.59 1.00 1.20 000
kidney x-ray.
50395 ......... A Create passage to 3.38 NA NA 0.93 2.27 0.15 NA NA 4.46 5.80 000
kidney.
50396 ......... A Measure kidney 2.09 NA NA 0.58 0.56 0.09 NA NA 2.76 2.74 000
pressure.
50398 ......... A Change kidney tube 1.46 0.89 0.74 0.40 0.49 0.07 2.42 2.27 1.93 2.02 000
50400 ......... A Revision of kidney/ 19.50 NA NA 9.19 12.01 1.24 NA NA 29.93 32.75 090
ureter.
50405 ......... A Revision of kidney/ 23.93 NA NA 12.34 15.55 1.56 NA NA 37.83 41.04 090
ureter.
50500 ......... A Repair of kidney 19.57 NA NA 10.70 12.11 1.61 NA NA 31.88 33.29 090
wound.
50520 ......... A Close kidney-skin 17.23 NA NA 9.78 10.50 1.14 NA NA 28.15 28.87 090
fistula.
50525 ......... A Repair renal- 22.27 NA NA 12.11 12.90 2.10 NA NA 36.48 37.27 090
abdomen fistula.
50526 ......... A Repair renal- 24.02 NA NA 12.97 10.50 2.52 NA NA 39.51 37.04 090
abdomen fistula.
50540 ......... A Revision of 19.93 NA NA 9.54 12.05 1.44 NA NA 30.91 33.42 090
horseshoe kidney.
50551 ......... A Kidney endoscopy.. 5.60 4.33 3.36 1.89 2.14 0.34 10.27 9.30 7.83 8.08 000
50553 ......... A Kidney endoscopy.. 5.99 16.37 9.09 2.00 1.90 0.36 22.72 15.44 8.35 8.25 000
50555 ......... A Kidney endoscopy & 6.53 68.91 37.01 2.09 3.60 0.36 75.80 43.90 8.98 10.49 000
biopsy.
50557 ......... A Kidney endoscopy & 6.62 10.79 7.95 2.23 3.67 0.39 17.80 14.96 9.24 10.68 000
treatment.
50559 ......... A Renal endoscopy; 6.78 NA NA 2.05 1.75 0.32 NA NA 9.15 8.85 000
radiotracer.
50561 ......... A Kidney endoscopy & 7.59 14.22 9.89 2.50 4.03 0.44 22.25 17.92 10.53 12.06 000
treatment.
50570 ......... A Kidney endoscopy.. 9.54 NA NA 3.22 2.40 0.57 NA NA 13.33 12.51 000
50572 ......... A Kidney endoscopy.. 10.35 NA NA 3.37 5.62 0.59 NA NA 14.31 16.56 000
[[Page 39684]]
50574 ......... A Kidney endoscopy & 11.02 NA NA 3.70 5.69 0.65 NA NA 15.37 17.36 000
biopsy.
50575 ......... A Kidney endoscopy.. 13.98 NA NA 4.72 7.75 0.84 NA NA 19.54 22.57 000
50576 ......... A Kidney endoscopy & 10.99 NA NA 3.74 6.59 0.68 NA NA 15.41 18.26 000
treatment.
50578 ......... A Renal endoscopy; 11.35 NA NA 3.75 3.93 0.60 NA NA 15.70 15.88 000
radiotracer.
50580 ......... A Kidney endoscopy & 11.86 NA NA 3.97 3.93 0.71 NA NA 16.54 16.50 000
treatment.
50590 ......... A Fragmenting of 9.09 5.64 8.25 4.68 7.77 0.54 15.27 17.88 14.31 17.40 090
kidney stone.
50600 ......... A Exploration of 15.84 NA NA 8.04 9.28 1.05 NA NA 24.93 26.17 090
ureter.
50605 ......... A Insert ureteral 15.46 NA NA 8.07 7.35 1.16 NA NA 24.69 23.97 090
support.
50610 ......... A Removal of ureter 15.92 NA NA 8.18 10.48 1.05 NA NA 25.15 27.45 090
stone.
50620 ......... A Removal of ureter 15.16 NA NA 7.67 10.07 0.95 NA NA 23.78 26.18 090
stone.
50630 ......... A Removal of ureter 14.94 NA NA 7.70 10.75 0.96 NA NA 23.60 26.65 090
stone.
50650 ......... A Removal of ureter. 17.41 NA NA 8.88 10.99 1.12 NA NA 27.41 29.52 090
50660 ......... A Removal of ureter. 19.55 NA NA 9.50 11.53 1.27 NA NA 30.32 32.35 090
50684 ......... A Injection for 0.76 15.39 7.96 0.24 0.39 0.04 16.19 8.76 1.04 1.19 000
ureter x-ray.
50686 ......... A Measure ureter 1.51 4.33 2.37 0.45 0.43 0.09 5.93 3.97 2.05 2.03 000
pressure.
50688 ......... A Change of ureter 1.17 NA NA 1.43 0.93 0.06 NA NA 2.66 2.16 010
tube.
50690 ......... A Injection for 1.16 15.99 8.17 0.34 0.35 0.06 17.21 9.39 1.56 1.57 000
ureter x-ray.
50700 ......... A Revision of ureter 15.21 NA NA 8.29 10.97 0.99 NA NA 24.49 27.17 090
50715 ......... A Release of ureter. 18.90 NA NA 10.75 11.48 1.47 NA NA 31.12 31.85 090
50722 ......... A Release of ureter. 16.35 NA NA 8.87 10.04 1.26 NA NA 26.48 27.65 090
50725 ......... A Release/revise 18.49 NA NA 10.30 11.69 1.42 NA NA 30.21 31.60 090
ureter.
50727 ......... A Revise ureter..... 8.18 NA NA 5.91 5.87 0.54 NA NA 14.63 14.59 090
50728 ......... A Revise ureter..... 12.02 NA NA 7.48 8.03 0.94 NA NA 20.44 20.99 090
50740 ......... A Fusion of ureter & 18.42 NA NA 9.13 11.64 1.55 NA NA 29.10 31.61 090
kidney.
50750 ......... A Fusion of ureter & 19.51 NA NA 10.20 12.72 1.19 NA NA 30.90 33.42 090
kidney.
50760 ......... A Fusion of ureters. 18.42 NA NA 9.23 11.93 1.26 NA NA 28.91 31.61 090
50770 ......... A Splicing of 19.51 NA NA 9.74 13.14 1.26 NA NA 30.51 33.91 090
ureters.
50780 ......... A Reimplant ureter 18.36 NA NA 9.16 12.06 1.25 NA NA 28.77 31.67 090
in bladder.
50782 ......... A Reimplant ureter 19.54 NA NA 10.13 12.54 1.36 NA NA 31.03 33.44 090
in bladder.
50783 ......... A Reimplant ureter 20.55 NA NA 10.10 12.53 1.38 NA NA 32.03 34.46 090
in bladder.
50785 ......... A Reimplant ureter 20.52 NA NA 9.95 13.34 1.37 NA NA 31.84 35.23 090
in bladder.
50800 ......... A Implant ureter in 14.52 NA NA 8.70 12.31 0.97 NA NA 24.19 27.80 090
bowel.
50810 ......... A Fusion of ureter & 20.05 NA NA 12.19 12.92 1.69 NA NA 33.93 34.66 090
bowel.
50815 ......... A Urine shunt to 19.93 NA NA 10.65 16.05 1.34 NA NA 31.92 37.32 090
bowel.
50820 ......... A Construct bowel 21.89 NA NA 11.28 15.94 1.53 NA NA 34.70 39.36 090
bladder.
50825 ......... A Construct bowel 28.18 NA NA 13.70 23.42 1.81 NA NA 43.69 53.41 090
bladder.
50830 ......... A Revise urine flow. 31.28 NA NA 15.00 18.86 2.26 NA NA 48.54 52.40 090
50840 ......... A Replace ureter by 20.00 NA NA 10.72 12.59 1.32 NA NA 32.04 33.91 090
bowel.
50845 ......... A Appendico- 20.89 NA NA 9.68 12.37 1.33 NA NA 31.90 34.59 090
vesicostomy.
50860 ......... A Transplant ureter 15.36 NA NA 8.14 10.00 1.06 NA NA 24.56 26.42 090
to skin.
50900 ......... A Repair of ureter.. 13.62 NA NA 7.38 9.11 1.03 NA NA 22.03 23.76 090
50920 ......... A Closure ureter/ 14.33 NA NA 7.73 9.03 1.09 NA NA 23.15 24.45 090
skin fistula.
50930 ......... A Closure ureter/ 18.72 NA NA 9.23 11.40 1.38 NA NA 29.33 31.50 090
bowel fistula.
50940 ......... A Release of ureter. 14.51 NA NA 7.58 9.16 1.01 NA NA 23.10 24.68 090
50951 ......... A Endoscopy of 5.84 4.61 3.21 1.97 1.89 0.36 10.81 9.41 8.17 8.09 000
ureter.
50953 ......... A Endoscopy of 6.24 16.06 8.93 2.12 1.96 0.38 22.68 15.55 8.74 8.58 000
ureter.
50955 ......... A Ureter endoscopy & 6.75 14.51 8.64 2.19 2.48 0.39 21.65 15.78 9.33 9.62 000
biopsy.
50957 ......... A Ureter endoscopy & 6.79 8.69 5.70 2.25 2.48 0.41 15.89 12.90 9.45 9.68 000
treatment.
50959 ......... A Ureter endoscopy & 4.40 NA NA 1.51 2.59 0.26 NA NA 6.17 7.25 000
tracer.
50961 ......... A Ureter endoscopy & 6.05 21.37 12.11 1.99 2.42 0.35 27.77 18.51 8.39 8.82 000
treatment.
50970 ......... A Ureter endoscopy.. 7.14 NA NA 2.40 4.01 0.43 NA NA 9.97 11.58 000
50972 ......... A Ureter endoscopy & 6.89 NA NA 2.33 2.00 0.42 NA NA 9.64 9.31 000
catheter.
50974 ......... A Ureter endoscopy & 9.17 NA NA 3.03 5.32 0.53 NA NA 12.73 15.02 000
biopsy.
50976 ......... A Ureter endoscopy & 9.04 NA NA 3.05 5.01 0.54 NA NA 12.63 14.59 000
treatment.
50978 ......... A Ureter endoscopy & 5.10 NA NA 1.84 3.12 0.36 NA NA 7.30 8.58 000
tracer.
50980 ......... A Ureter endoscopy & 6.85 NA NA 2.32 2.86 0.41 NA NA 9.58 10.12 000
treatment.
51000 ......... A Drainage of 0.78 1.72 1.12 0.24 0.38 0.06 2.56 1.96 1.08 1.22 000
bladder.
51005 ......... A Drainage of 1.02 2.68 1.59 0.35 0.43 0.08 3.78 2.69 1.45 1.53 000
bladder.
51010 ......... A Drainage of 3.53 6.26 3.66 1.73 1.39 0.23 10.02 7.42 5.49 5.15 010
bladder.
51020 ......... A Incise & treat 6.71 NA NA 4.94 6.19 0.44 NA NA 12.09 13.34 090
bladder.
51030 ......... A Incise & treat 6.77 NA NA 5.59 5.26 0.42 NA NA 12.78 12.45 090
bladder.
51040 ......... A Incise & drain 4.40 NA NA 3.75 4.50 0.28 NA NA 8.43 9.18 090
bladder.
51045 ......... A Incise bladder, 6.77 NA NA 5.00 5.19 0.46 NA NA 12.23 12.42 090
drain ureter.
51050 ......... A Removal of bladder 6.92 NA NA 4.61 6.17 0.43 NA NA 11.96 13.52 090
stone.
51060 ......... A Removal of ureter 8.85 NA NA 5.53 8.05 0.55 NA NA 14.93 17.45 090
stone.
51065 ......... A Removal of ureter 8.85 NA NA 5.51 6.60 0.54 NA NA 14.90 15.99 090
stone.
51080 ......... A Drainage of 5.96 NA NA 4.77 5.20 0.39 NA NA 11.12 11.55 090
bladder abscess.
51500 ......... A Removal of bladder 10.14 NA NA 5.75 6.60 0.86 NA NA 16.75 17.60 090
cyst.
51520 ......... A Removal of bladder 9.29 NA NA 5.82 7.54 0.60 NA NA 15.71 17.43 090
lesion.
51525 ......... A Removal of bladder 13.97 NA NA 7.32 9.45 0.89 NA NA 22.18 24.31 090
lesion.
51530 ......... A Removal of bladder 12.38 NA NA 7.22 8.63 0.89 NA NA 20.49 21.90 090
lesion.
51535 ......... A Repair of ureter 12.57 NA NA 7.23 7.78 0.89 NA NA 20.69 21.24 090
lesion.
51550 ......... A Partial removal of 15.66 NA NA 8.05 9.84 1.15 NA NA 24.86 26.65 090
bladder.
51555 ......... A Partial removal of 21.23 NA NA 10.12 11.72 1.46 NA NA 32.81 34.41 090
bladder.
51565 ......... A Revise bladder & 21.62 NA NA 10.59 13.89 1.45 NA NA 33.66 36.96 090
ureter(s).
51570 ......... A Removal of bladder 24.24 NA NA 11.60 14.30 1.58 NA NA 37.42 40.12 090
51575 ......... A Removal of bladder 30.45 NA NA 14.20 19.51 2.01 NA NA 46.66 51.97 090
& nodes.
51580 ......... A Remove bladder; 31.08 NA NA 14.71 18.18 2.03 NA NA 47.82 51.29 090
revise tract.
51585 ......... A Removal of bladder 35.23 NA NA 16.42 21.84 2.33 NA NA 53.98 59.40 090
& nodes.
51590 ......... A Remove bladder; 32.66 NA NA 14.93 20.77 2.13 NA NA 49.72 55.56 090
revise tract.
51595 ......... A Remove bladder; 37.14 NA NA 16.33 26.51 2.33 NA NA 55.80 65.98 090
revise tract.
51596 ......... A Remove bladder, 39.52 NA NA 17.57 27.72 2.50 NA NA 59.59 69.74 090
create pouch.
51597 ......... A Removal of pelvic 38.35 NA NA 17.36 25.30 2.66 NA NA 58.37 66.31 090
structures.
51600 ......... A Injection for 0.88 16.22 8.26 0.25 0.28 0.04 17.14 9.18 1.17 1.20 000
bladder x-ray.
[[Page 39685]]
51605 ......... A Preparation for 0.64 15.99 8.16 0.20 0.27 0.03 16.66 8.83 0.87 0.94 000
bladder xray.
51610 ......... A Injection for 1.05 29.58 14.94 0.32 0.31 0.05 30.68 16.04 1.42 1.41 000
bladder x-ray.
51700 ......... A Irrigation of 0.88 3.43 1.84 0.29 0.21 0.05 4.36 2.77 1.22 1.14 000
bladder.
51705 ......... A Change of bladder 1.02 2.29 1.35 1.16 0.69 0.06 3.37 2.43 2.24 1.77 010
tube.
51710 ......... A Change of bladder 1.49 4.33 2.48 1.29 0.80 0.09 5.91 4.06 2.87 2.38 010
tube.
51715 ......... A Endoscopic 3.74 3.75 3.32 1.27 2.08 0.23 7.72 7.29 5.24 6.05 000
injection/implant.
51720 ......... A Treatment of 1.96 3.61 2.05 0.66 0.46 0.12 5.69 4.13 2.74 2.54 000
bladder lesion.
51725 ......... A Simple 1.51 0.93 1.01 0.93 1.01 0.13 2.57 2.65 2.57 2.65 000
cystometrogram.
51725 26 A Simple 1.51 0.52 0.60 0.52 0.60 0.10 2.13 2.21 2.13 2.21 000
cystometrogram.
51725 TC A Simple 0.00 0.41 0.41 0.41 0.41 0.03 0.44 0.44 0.44 0.44 000
cystometrogram.
51726 ......... A Complex 1.71 1.11 1.26 1.11 1.26 0.14 2.96 3.11 2.96 3.11 000
cystometrogram.
51726 26 A Complex 1.71 0.58 0.73 0.58 0.73 0.10 2.39 2.54 2.39 2.54 000
cystometrogram.
51726 TC A Complex 0.00 0.52 0.52 0.52 0.52 0.04 0.56 0.56 0.56 0.56 000
cystometrogram.
51736 ......... A Urine flow 0.61 0.37 0.41 0.37 0.41 0.05 1.03 1.07 1.03 1.07 000
measurement.
51736 26 A Urine flow 0.61 0.21 0.25 0.21 0.25 0.04 0.86 0.90 0.86 0.90 000
measurement.
51736 TC A Urine flow 0.00 0.16 0.16 0.16 0.16 0.01 0.17 0.17 0.17 0.17 000
measurement.
51741 ......... A Electro- 1.14 0.62 0.62 0.62 0.62 0.09 1.85 1.85 1.85 1.85 000
uroflowmetry,
first.
51741 26 A Electro- 1.14 0.39 0.39 0.39 0.39 0.07 1.60 1.60 1.60 1.60 000
uroflowmetry,
first.
51741 TC A Electro- 0.00 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 000
uroflowmetry,
first.
51772 ......... A Urethra pressure 1.61 1.03 1.03 1.03 1.03 0.14 2.78 2.78 2.78 2.78 000
profile.
51772 26 A Urethra pressure 1.61 0.56 0.56 0.56 0.56 0.10 2.27 2.27 2.27 2.27 000
profile.
51772 TC A Urethra pressure 0.00 0.46 0.46 0.46 0.46 0.04 0.50 0.50 0.50 0.50 000
profile.
51784 ......... A Anal/urinary 1.53 0.96 1.05 0.96 1.05 0.13 2.62 2.71 2.62 2.71 000
muscle study.
51784 26 A Anal/urinary 1.53 0.53 0.62 0.53 0.62 0.10 2.16 2.25 2.16 2.25 000
muscle study.
51784 TC A Anal/urinary 0.00 0.43 0.43 0.43 0.43 0.03 0.46 0.46 0.46 0.46 000
muscle study.
51785 ......... A Anal/urinary 1.53 0.96 1.05 0.96 1.05 0.13 2.62 2.71 2.62 2.71 000
muscle study.
51785 26 A Anal/urinary 1.53 0.53 0.62 0.53 0.62 0.10 2.16 2.25 2.16 2.25 000
muscle study.
51785 TC A Anal/urinary 0.00 0.43 0.43 0.43 0.43 0.03 0.46 0.46 0.46 0.46 000
muscle study.
51792 ......... A Urinary reflex 1.10 1.88 1.99 1.88 1.99 0.17 3.15 3.26 3.15 3.26 000
study.
51792 26 A Urinary reflex 1.10 0.42 0.53 0.42 0.53 0.06 1.58 1.69 1.58 1.69 000
study.
51792 TC A Urinary reflex 0.00 1.47 1.46 1.47 1.46 0.11 1.58 1.57 1.58 1.57 000
study.
51795 ......... A Urine voiding 1.53 1.48 1.52 1.48 1.52 0.17 3.18 3.22 3.18 3.22 000
pressure study.
51795 26 A Urine voiding 1.53 0.52 0.57 0.52 0.57 0.09 2.14 2.19 2.14 2.19 000
pressure study.
51795 TC A Urine voiding 0.00 0.96 0.95 0.96 0.95 0.08 1.04 1.03 1.04 1.03 000
pressure study.
51797 ......... A Intraabdominal 1.60 1.04 1.04 1.04 1.04 0.14 2.78 2.78 2.78 2.78 000
pressure test.
51797 26 A Intraabdominal 1.60 0.55 0.55 0.55 0.55 0.10 2.25 2.25 2.25 2.25 000
pressure test.
51797 TC A Intraabdominal 0.00 0.49 0.49 0.49 0.49 0.04 0.53 0.53 0.53 0.53 000
pressure test.
51800 ......... A Revision of 17.42 NA NA 8.62 10.83 1.16 NA NA 27.20 29.41 090
bladder/urethra.
51820 ......... A Revision of 17.89 NA NA 10.26 9.14 1.45 NA NA 29.60 28.48 090
urinary tract.
51840 ......... A Attach bladder/ 10.71 NA NA 6.14 8.08 0.78 NA NA 17.63 19.57 090
urethra.
51841 ......... A Attach bladder/ 13.03 NA NA 7.43 9.69 0.96 NA NA 21.42 23.68 090
urethra.
51845 ......... A Repair bladder 9.73 NA NA 6.18 8.90 0.62 NA NA 16.53 19.25 090
neck.
51860 ......... A Repair of bladder 12.02 NA NA 7.14 7.71 0.97 NA NA 20.13 20.70 090
wound.
51865 ......... A Repair of bladder 15.04 NA NA 8.24 10.07 1.11 NA NA 24.39 26.22 090
wound.
51880 ......... A Repair of bladder 7.66 NA NA 4.99 5.19 0.55 NA NA 13.20 13.40 090
opening.
51900 ......... A Repair bladder/ 12.97 NA NA 7.75 10.20 0.94 NA NA 21.66 24.11 090
vagina lesion.
51920 ......... A Close bladder- 11.81 NA NA 6.57 7.36 0.90 NA NA 19.28 20.07 090
uterus fistula.
51925 ......... A Hysterectomy/ 15.58 NA NA 8.92 9.93 1.27 NA NA 25.77 26.78 090
bladder repair.
51940 ......... A Correction of 26.81 NA NA 14.59 17.58 1.99 NA NA 43.39 46.38 090
bladder defect.
51960 ......... A Revision of 23.01 NA NA 11.97 17.60 1.47 NA NA 36.45 42.08 090
bladder & bowel.
51980 ......... A Construct bladder 11.36 NA NA 6.57 7.34 0.77 NA NA 18.70 19.47 090
opening.
52000 ......... A Cystoscopy........ 2.01 2.87 2.16 0.68 0.70 0.12 5.00 4.29 2.81 2.83 000
52005 ......... A Cystoscopy & 2.37 4.51 3.45 0.80 1.60 0.14 7.02 5.96 3.31 4.11 000
ureter catheter.
52007 ......... A Cystoscopy and 3.02 NA NA 1.02 2.04 0.18 NA NA 4.22 5.24 000
biopsy.
52010 ......... A Cystoscopy & duct 3.02 4.85 3.46 1.02 1.03 0.18 8.05 6.66 4.22 4.23 000
catheter.
52204 ......... A Cystoscopy........ 2.37 5.22 3.90 0.80 1.69 0.14 7.73 6.41 3.31 4.20 000
52214 ......... A Cystoscopy and 3.71 5.60 4.32 1.25 2.15 0.22 9.53 8.25 5.18 6.08 000
treatment.
52224 ......... A Cystoscopy and 3.14 5.47 4.31 1.06 2.11 0.19 8.80 7.64 4.39 5.44 000
treatment.
52234 ......... A Cystoscopy and 4.63 6.31 5.71 1.56 3.34 0.28 11.22 10.62 6.47 8.25 000
treatment.
52235 ......... A Cystoscopy and 5.45 6.59 6.55 1.84 4.18 0.33 12.37 12.33 7.62 9.96 000
treatment.
52240 ......... A Cystoscopy and 9.72 8.03 9.80 3.28 7.42 0.58 18.33 20.10 13.58 17.72 000
treatment.
52250 ......... A Cystoscopy & 4.50 NA NA 1.52 2.31 0.27 NA NA 6.29 7.08 000
radiotracer.
52260 ......... A Cystoscopy & 3.92 NA NA 1.32 1.81 0.24 NA NA 5.48 5.97 000
treatment.
52265 ......... A Cystoscopy & 2.94 3.26 2.37 0.99 0.87 0.18 6.38 5.49 4.11 3.99 000
treatment.
52270 ......... A Cystoscopy & 3.37 5.82 4.80 1.14 2.46 0.20 9.39 8.37 4.71 6.03 000
revise urethra.
52275 ......... A Cystoscopy & 4.70 6.40 5.06 1.58 2.65 0.28 11.38 10.04 6.56 7.63 000
revise urethra.
52276 ......... A Cystoscopy and 5.00 6.51 5.74 1.69 3.33 0.30 11.81 11.04 6.99 8.63 000
treatment.
52277 ......... A Cystoscopy and 6.17 NA NA 2.09 3.66 0.38 NA NA 8.64 10.21 000
treatment.
52281 ......... A Cystoscopy and 2.80 3.25 2.88 0.94 1.10 0.17 6.22 5.85 3.91 4.07 000
treatment.
52282 ......... A Cystoscopy, 6.40 6.77 5.87 2.16 3.57 0.38 13.55 12.65 8.94 10.35 000
implant stent.
52283 ......... A Cystoscopy and 3.74 5.84 3.74 1.27 1.46 0.22 9.80 7.70 5.23 5.42 000
treatment.
52285 ......... A Cystoscopy and 3.61 6.04 4.62 1.22 1.41 0.22 9.87 8.45 5.05 5.24 000
treatment.
52290 ......... A Cystoscopy and 4.59 NA NA 1.55 2.05 0.27 NA NA 6.41 6.91 000
treatment.
52300 ......... A Cystoscopy and 5.31 NA NA 1.79 2.78 0.32 NA NA 7.42 8.41 000
treatment.
52301 ......... A Cystoscopy and 5.51 NA NA 1.76 2.77 0.43 NA NA 7.70 8.71 000
treatment.
52305 ......... A Cystoscopy and 5.31 NA NA 1.79 2.80 0.32 NA NA 7.42 8.43 000
treatment.
52310 ......... A Cystoscopy and 2.81 13.28 8.26 0.95 2.10 0.17 16.26 11.24 3.93 5.08 000
treatment.
52315 ......... A Cystoscopy and 5.21 14.26 9.34 1.76 3.09 0.31 19.78 14.86 7.28 8.61 000
treatment.
52317 ......... A Remove bladder 6.72 20.88 13.80 2.27 4.50 0.40 28.00 20.92 9.39 11.62 000
stone.
52318 ......... A Remove bladder 9.19 NA NA 3.10 5.83 0.55 NA NA 12.84 15.57 000
stone.
52320 ......... A Cystoscopy and 4.70 NA NA 1.56 3.42 0.28 NA NA 6.54 8.40 000
treatment.
52325 ......... A Cystoscopy, stone 6.16 NA NA 2.08 4.72 0.37 NA NA 8.61 11.25 000
removal.
52327 ......... A Cystoscopy, inject 5.19 NA NA 1.74 2.87 0.31 NA NA 7.24 8.37 000
material.
52330 ......... A Cystoscopy and 5.04 17.88 10.83 1.70 2.74 0.30 23.22 16.17 7.04 8.08 000
treatment.
[[Page 39686]]
52332 ......... A Cystoscopy and 2.83 26.08 14.78 0.95 2.17 0.17 29.08 17.78 3.95 5.17 000
treatment.
52334 ......... A Create passage to 4.83 NA NA 1.61 2.61 0.29 NA NA 6.73 7.73 000
kidney.
52335 ......... A Endoscopy of 5.86 NA NA 1.97 3.53 0.35 NA NA 8.18 9.74 000
urinary tract.
52336 ......... A Cystoscopy, stone 6.88 NA NA 2.32 5.27 0.41 NA NA 9.61 12.56 000
removal.
52337 ......... A Cystoscopy, stone 7.97 NA NA 2.69 6.11 0.48 NA NA 11.14 14.56 000
removal.
52338 ......... A Cystoscopy and 7.34 NA NA 2.47 4.45 0.44 NA NA 10.25 12.23 000
treatment.
52339 ......... A Cystoscopy and 8.82 NA NA 2.95 4.69 0.53 NA NA 12.30 14.04 000
treatment.
52340 ......... A Cystoscopy and 9.68 NA NA 5.03 5.31 0.58 NA NA 15.29 15.57 090
treatment.
52450 ......... A Incision of 7.64 NA NA 5.72 5.57 0.46 NA NA 13.82 13.67 090
prostate.
52500 ......... A Revision of 8.47 NA NA 5.98 7.03 0.51 NA NA 14.96 16.01 090
bladder neck.
52510 ......... A Dilation prostatic 6.72 NA NA 5.06 6.54 0.40 NA NA 12.18 13.66 090
urethra.
52601 ......... A Prostatectomy 12.37 NA NA 7.30 10.09 0.74 NA NA 20.41 23.20 090
(TURP).
52606 ......... A Control postop 8.13 NA NA 6.39 5.00 0.49 NA NA 15.01 13.62 090
bleeding.
52612 ......... A Prostatectomy, 7.98 NA NA 6.75 8.14 0.48 NA NA 15.21 16.60 090
first stage.
52614 ......... A Prostatectomy, 6.84 NA NA 5.44 6.57 0.41 NA NA 12.69 13.82 090
second stage.
52620 ......... A Remove residual 6.61 NA NA 5.35 5.57 0.39 NA NA 12.35 12.57 090
prostate.
52630 ......... A Remove prostate 7.26 NA NA 5.58 7.13 0.43 NA NA 13.27 14.82 090
regrowth.
52640 ......... A Relieve bladder 6.62 NA NA 5.03 6.01 0.40 NA NA 12.05 13.03 090
contracture.
52647 ......... A Laser surgery of 10.36 NA NA 6.64 9.51 0.62 NA NA 17.62 20.49 090
prostate.
52648 ......... A Laser surgery of 11.21 NA NA 6.90 9.89 0.67 NA NA 18.78 21.77 090
prostate.
52700 ......... A Drainage of 6.80 NA NA 5.41 4.50 0.42 NA NA 12.63 11.72 090
prostate abscess.
53000 ......... A Incision of 2.28 6.24 4.08 2.18 2.05 0.15 8.67 6.51 4.61 4.48 010
urethra.
53010 ......... A Incision of 3.64 NA NA 4.59 4.21 0.31 NA NA 8.54 8.16 090
urethra.
53020 ......... A Incision of 1.77 3.70 2.30 0.60 0.75 0.11 5.58 4.18 2.48 2.63 000
urethra.
53025 ......... A Incision of 1.13 2.98 1.93 0.38 0.63 0.07 4.18 3.13 1.58 1.83 000
urethra.
53040 ......... A Drainage of 6.40 8.22 5.12 8.22 5.12 0.40 15.02 11.92 15.02 11.92 090
urethra abscess.
53060 ......... A Drainage of 2.63 5.63 3.09 2.46 1.51 0.20 8.46 5.92 5.29 4.34 010
urethra abscess.
53080 ......... A Drainage of 6.29 NA NA 7.34 5.83 0.38 NA NA 14.01 12.50 090
urinary leakage.
53085 ......... A Drainage of 10.27 NA NA 8.60 7.97 0.64 NA NA 19.51 18.88 090
urinary leakage.
53200 ......... A Biopsy of urethra. 2.59 4.66 2.93 0.88 1.04 0.16 7.41 5.68 3.63 3.79 000
53210 ......... A Removal of urethra 12.57 NA NA 7.31 7.26 0.85 NA NA 20.73 20.68 090
53215 ......... A Removal of urethra 15.58 NA NA 8.02 9.44 0.99 NA NA 24.59 26.01 090
53220 ......... A Treatment of 7.00 NA NA 4.74 4.96 0.43 NA NA 12.17 12.39 090
urethra lesion.
53230 ......... A Removal of urethra 9.58 NA NA 5.62 7.12 0.59 NA NA 15.79 17.29 090
lesion.
53235 ......... A Removal of urethra 10.14 NA NA 6.04 5.75 0.63 NA NA 16.81 16.52 090
lesion.
53240 ......... A Surgery for 6.45 NA NA 4.78 4.74 0.44 NA NA 11.67 11.63 090
urethra pouch.
53250 ......... A Removal of urethra 5.89 NA NA 3.97 4.19 0.40 NA NA 10.26 10.48 090
gland.
53260 ......... A Treatment of 2.98 5.19 3.21 2.09 1.66 0.20 8.37 6.39 5.27 4.84 010
urethra lesion.
53265 ......... A Treatment of 3.12 5.61 3.83 2.05 2.05 0.20 8.93 7.15 5.37 5.37 010
urethra lesion.
53270 ......... A Removal of urethra 3.09 5.37 3.14 2.18 1.32 0.22 8.68 6.45 5.49 4.63 010
gland.
53275 ......... A Repair of urethra 4.53 NA NA 3.13 2.85 0.27 NA NA 7.93 7.65 010
defect.
53400 ......... A Revise urethra, 12.77 NA NA 6.95 7.53 0.79 NA NA 20.51 21.09 090
1st stage.
53405 ......... A Revise urethra, 14.48 NA NA 7.84 9.55 0.86 NA NA 23.18 24.89 090
2nd stage.
53410 ......... A Reconstruction of 16.44 NA NA 8.25 8.77 1.01 NA NA 25.70 26.22 090
urethra.
53415 ......... A Reconstruction of 19.41 NA NA 16.31 14.60 1.21 NA NA 36.93 35.22 090
urethra.
53420 ......... A Reconstruct 14.08 NA NA 7.81 9.81 0.89 NA NA 22.78 24.78 090
urethra, stage 1.
53425 ......... A Reconstruct 15.98 NA NA 8.25 9.15 0.96 NA NA 25.19 26.09 090
urethra, stage 2.
53430 ......... A Reconstruction of 16.34 NA NA 8.32 8.05 1.03 NA NA 25.69 25.42 090
urethra.
53440 ......... A Correct bladder 12.34 NA NA 7.12 10.69 0.76 NA NA 20.22 23.79 090
function.
53442 ......... A Remove perineal 8.27 NA NA 5.17 5.76 0.50 NA NA 13.94 14.53 090
prosthesis.
53443 ......... A Reconstruction of 19.89 NA NA 9.12 10.01 1.32 NA NA 30.33 31.22 090
urethra.
53445 ......... A Correct urine flow 14.06 NA NA 7.79 12.29 0.86 NA NA 22.71 27.21 090
control.
53447 ......... A Remove artificial 13.17 NA NA 7.24 8.59 0.80 NA NA 21.21 22.56 090
sphincter.
53449 ......... A Correct artificial 9.70 NA NA 5.87 7.50 0.58 NA NA 16.15 17.78 090
sphincter.
53450 ......... A Revision of 6.14 NA NA 4.29 3.63 0.37 NA NA 10.80 10.14 090
urethra.
53460 ......... A Revision of 7.12 NA NA 4.71 3.68 0.44 NA NA 12.27 11.24 090
urethra.
53502 ......... A Repair of urethra 7.63 NA NA 5.05 5.22 0.50 NA NA 13.18 13.35 090
injury.
53505 ......... A Repair of urethra 7.63 NA NA 4.87 5.25 0.47 NA NA 12.97 13.35 090
injury.
53510 ......... A Repair of urethra 10.11 NA NA 6.10 6.84 0.72 NA NA 16.93 17.67 090
injury.
53515 ......... A Repair of urethra 13.31 NA NA 6.93 8.37 0.83 NA NA 21.07 22.51 090
injury.
53520 ......... A Repair of urethra 8.68 NA NA 5.36 5.88 0.55 NA NA 14.59 15.11 090
defect.
53600 ......... A Dilate urethra 1.21 3.62 1.99 0.41 0.30 0.07 4.90 3.27 1.69 1.58 000
stricture.
53601 ......... A Dilate urethra 0.98 3.54 1.93 0.33 0.25 0.06 4.58 2.97 1.37 1.29 000
stricture.
53605 ......... A Dilate urethra 1.28 NA NA 0.43 0.47 0.08 NA NA 1.79 1.83 000
stricture.
53620 ......... A Dilate urethra 1.62 5.37 2.94 0.55 0.41 0.10 7.09 4.66 2.27 2.13 000
stricture.
53621 ......... A Dilate urethra 1.35 5.35 2.88 0.46 0.34 0.08 6.78 4.31 1.89 1.77 000
stricture.
53660 ......... A Dilation of 0.71 3.37 1.84 0.24 0.20 0.04 4.12 2.59 0.99 0.95 000
urethra.
53661 ......... A Dilation of 0.72 3.43 1.85 0.24 0.19 0.04 4.19 2.61 1.00 0.95 000
urethra.
53665 ......... A Dilation of 0.76 NA NA 0.26 0.33 0.05 NA NA 1.07 1.14 000
urethra.
53670 ......... A Insert urinary 0.50 3.27 1.76 0.14 0.13 0.03 3.80 2.29 0.67 0.66 000
catheter.
53675 ......... A Insert urinary 1.47 4.35 2.43 0.47 0.49 0.09 5.91 3.99 2.03 2.05 000
catheter.
53850 ......... A Prostatic 9.45 NA NA 6.32 6.80 0.57 NA NA 16.34 16.82 090
microwave
thermotx.
53852 ......... A Prostatic rf 9.88 NA NA 6.46 7.04 0.59 NA NA 16.93 17.51 090
thermotx.
53899 ......... C Urology surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
54000 ......... A Slitting of 1.54 5.00 2.84 1.31 1.00 0.10 6.64 4.48 2.95 2.64 010
prepuce.
54001 ......... A Slitting of 2.19 5.41 3.16 1.84 1.38 0.14 7.74 5.49 4.17 3.71 010
prepuce.
54015 ......... A Drain penis lesion 5.32 6.52 3.71 2.94 1.92 0.34 12.18 9.37 8.60 7.58 010
54050 ......... A Destruction, penis 1.24 2.05 1.23 0.52 0.37 0.07 3.36 2.54 1.83 1.68 010
lesion(s).
54055 ......... A Destruction, penis 1.22 5.25 2.96 1.23 0.78 0.07 6.54 4.25 2.52 2.07 010
lesion(s).
54056 ......... A Cryosurgery, penis 1.24 2.27 1.43 0.55 0.42 0.06 3.57 2.73 1.85 1.72 010
lesion(s).
54057 ......... A Laser surg, penis 1.24 2.24 1.95 1.23 1.36 0.07 3.55 3.26 2.54 2.67 010
lesion(s).
54060 ......... A Excision of penis 1.93 4.48 2.88 1.46 1.37 0.12 6.53 4.93 3.51 3.42 010
lesion(s).
54065 ......... A Destruction, penis 2.42 4.46 3.57 1.93 1.64 0.14 7.02 6.13 4.49 4.20 010
lesion(s).
54100 ......... A Biopsy of penis... 1.90 2.98 1.85 0.65 0.68 0.10 4.98 3.85 2.65 2.68 000
[[Page 39687]]
54105 ......... A Biopsy of penis... 3.50 5.65 3.38 1.99 1.55 0.21 9.36 7.09 5.70 5.26 010
54110 ......... A Treatment of penis 10.13 NA NA 7.36 6.95 0.63 NA NA 18.12 17.71 090
lesion.
54111 ......... A Treat penis 13.57 NA NA 8.52 9.24 0.82 NA NA 22.91 23.63 090
lesion, graft.
54112 ......... A Treat penis 15.86 NA NA 9.63 10.70 1.02 NA NA 26.51 27.58 090
lesion, graft.
54115 ......... A Treatment of penis 6.15 9.98 7.26 6.08 5.31 0.38 16.51 13.79 12.61 11.84 090
lesion.
54120 ......... A Partial removal of 9.97 NA NA 7.45 7.24 0.61 NA NA 18.03 17.82 090
penis.
54125 ......... A Removal of penis.. 13.53 NA NA 8.53 10.54 0.83 NA NA 22.89 24.90 090
54130 ......... A Remove penis & 20.14 NA NA 11.08 13.50 1.26 NA NA 32.48 34.90 090
nodes.
54135 ......... A Remove penis & 26.36 NA NA 13.15 16.21 1.62 NA NA 41.13 44.19 090
nodes.
54150 ......... A Circumcision...... 1.81 4.93 2.76 1.69 1.14 0.13 6.87 4.70 3.63 3.08 010
54152 ......... A Circumcision...... 2.31 NA NA 1.62 1.80 0.16 NA NA 4.09 4.27 010
54160 ......... A Circumcision...... 2.48 4.76 3.28 1.68 1.74 0.18 7.42 5.94 4.34 4.40 010
54161 ......... A Circumcision...... 3.27 NA NA 1.91 2.14 0.20 NA NA 5.38 5.61 010
54200 ......... A Treatment of penis 1.06 2.21 1.28 0.37 0.28 0.06 3.33 2.40 1.49 1.40 010
lesion.
54205 ......... A Treatment of penis 7.93 NA NA 8.51 7.03 0.47 NA NA 16.91 15.43 090
lesion.
54220 ......... A Treatment of penis 2.42 2.12 1.92 0.82 1.27 0.15 4.69 4.49 3.39 3.84 000
lesion.
54230 ......... A Prepare penis 1.34 NA NA 0.45 0.59 0.08 NA NA 1.87 2.01 000
study.
54231 ......... A Dynamic 2.04 2.00 1.78 0.69 1.13 0.15 4.19 3.97 2.88 3.32 000
cavernosometry.
54235 ......... A Penile injection.. 1.19 1.07 0.77 0.40 0.32 0.07 2.33 2.03 1.66 1.58 000
54240 ......... A Penis study....... 1.31 0.97 1.02 0.97 1.02 0.15 2.43 2.48 2.43 2.48 000
54240 26 A Penis study....... 1.31 0.45 0.50 0.45 0.50 0.10 1.86 1.91 1.86 1.91 000
54240 TC A Penis study....... 0.00 0.52 0.52 0.52 0.52 0.05 0.57 0.57 0.57 0.57 000
54250 ......... A Penis study....... 2.22 1.08 0.98 1.08 0.98 0.16 3.46 3.36 3.46 3.36 000
54250 26 A Penis study....... 2.22 0.75 0.65 0.75 0.65 0.14 3.11 3.01 3.11 3.01 000
54250 TC A Penis study....... 0.00 0.33 0.33 0.33 0.33 0.02 0.35 0.35 0.35 0.35 000
54300 ......... A Revision of penis. 10.41 NA NA 7.92 7.70 0.64 NA NA 18.97 18.75 090
54304 ......... A Revision of penis. 12.49 NA NA 9.13 9.27 0.83 NA NA 22.45 22.59 090
54308 ......... A Reconstruction of 11.83 NA NA 12.43 9.39 0.82 NA NA 25.08 22.04 090
urethra.
54312 ......... A Reconstruction of 13.57 NA NA 10.82 10.50 0.72 NA NA 25.11 24.79 090
urethra.
54316 ......... A Reconstruction of 16.82 NA NA 11.29 11.80 1.01 NA NA 29.12 29.63 090
urethra.
54318 ......... A Reconstruction of 11.25 NA NA 9.16 8.67 0.68 NA NA 21.09 20.60 090
urethra.
54322 ......... A Reconstruction of 13.01 NA NA 8.42 8.34 0.78 NA NA 22.21 22.13 090
urethra.
54324 ......... A Reconstruction of 16.31 NA NA 10.80 11.36 1.24 NA NA 28.35 28.91 090
urethra.
54326 ......... A Reconstruction of 15.72 NA NA 10.84 11.13 1.18 NA NA 27.74 28.03 090
urethra.
54328 ......... A Revise penis, 15.65 NA NA 10.06 10.85 0.93 NA NA 26.64 27.43 090
urethra.
54332 ......... A Revise penis, 17.08 NA NA 10.54 12.07 1.08 NA NA 28.70 30.23 090
urethra.
54336 ......... A Revise penis, 20.04 NA NA 13.55 16.97 1.56 NA NA 35.15 38.57 090
urethra.
54340 ......... A Secondary urethral 8.91 NA NA 7.09 6.84 0.66 NA NA 16.66 16.41 090
surgery.
54344 ......... A Secondary urethral 15.94 NA NA 10.54 14.29 1.09 NA NA 27.57 31.32 090
surgery.
54348 ......... A Secondary urethral 17.15 NA NA 11.47 12.04 1.21 NA NA 29.83 30.40 090
surgery.
54352 ......... A Reconstruct 24.74 NA NA 14.01 15.79 1.19 NA NA 39.94 41.72 090
urethra, penis.
54360 ......... A Penis plastic 11.93 NA NA 8.17 7.90 0.74 NA NA 20.84 20.57 090
surgery.
54380 ......... A Repair penis...... 13.18 NA NA 9.01 9.62 0.91 NA NA 23.10 23.71 090
54385 ......... A Repair penis...... 15.39 NA NA 10.40 10.88 1.07 NA NA 26.86 27.34 090
54390 ......... A Repair penis and 21.61 NA NA 13.12 13.93 1.50 NA NA 36.23 37.04 090
bladder.
54400 ......... A Insert semi-rigid 8.99 NA NA 5.97 8.35 0.56 NA NA 15.52 17.90 090
prosthesis.
54401 ......... A Insert self-contd 10.28 NA NA 6.61 9.44 0.64 NA NA 17.53 20.36 090
prosthesis.
54402 ......... A Remove penis 9.21 NA NA 5.82 6.17 0.57 NA NA 15.60 15.95 090
prosthesis.
54405 ......... A Insert multi-comp 13.43 NA NA 7.52 11.78 0.83 NA NA 21.78 26.04 090
prosthesis.
54407 ......... A Remove multi-comp 13.34 NA NA 7.24 9.71 0.82 NA NA 21.40 23.87 090
prosthesis.
54409 ......... A Revise penis 12.20 NA NA 6.76 8.25 0.75 NA NA 19.71 21.20 090
prosthesis.
54420 ......... A Revision of penis. 11.42 NA NA 7.83 8.12 0.70 NA NA 19.95 20.24 090
54430 ......... A Revision of penis. 10.15 NA NA 7.37 7.48 0.63 NA NA 18.15 18.26 090
54435 ......... A Revision of penis. 6.12 NA NA 5.67 5.09 0.36 NA NA 12.15 11.57 090
54440 ......... C Repair of penis... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
54450 ......... A Preputial 1.12 0.97 0.86 0.38 0.56 0.07 2.16 2.05 1.57 1.75 000
stretching.
54500 ......... A Biopsy of testis.. 1.31 5.64 3.06 0.44 0.46 0.08 7.03 4.45 1.83 1.85 000
54505 ......... A Biopsy of testis.. 3.46 NA NA 2.41 2.22 0.22 NA NA 6.09 5.90 010
54510 ......... A Removal of testis 5.45 NA NA 3.23 3.26 0.36 NA NA 9.04 9.07 090
lesion.
54520 ......... A Removal of testis. 5.23 NA NA 3.30 4.53 0.33 NA NA 8.86 10.09 090
54530 ......... A Removal of testis. 8.58 NA NA 4.86 6.40 0.55 NA NA 13.99 15.53 090
54535 ......... A Extensive testis 12.16 NA NA 6.61 7.94 0.83 NA NA 19.60 20.93 090
surgery.
54550 ......... A Exploration for 7.78 NA NA 4.54 5.12 0.49 NA NA 12.81 13.39 090
testis.
54560 ......... A Exploration for 11.13 NA NA 6.25 7.05 0.80 NA NA 18.18 18.98 090
testis.
54600 ......... A Reduce testis 7.01 NA NA 3.92 4.47 0.44 NA NA 11.37 11.92 090
torsion.
54620 ......... A Suspension of 4.90 NA NA 2.90 3.25 0.30 NA NA 8.10 8.45 010
testis.
54640 ......... A Suspension of 6.90 NA NA 3.94 6.09 0.49 NA NA 11.33 13.48 090
testis.
54650 ......... A Orchiopexy (Fowler- 11.45 NA NA 6.43 7.46 0.66 NA NA 18.54 19.57 090
Stephens).
54660 ......... A Revision of testis 5.11 NA NA 3.10 3.40 0.30 NA NA 8.51 8.81 090
54670 ......... A Repair testis 6.41 NA NA 3.98 4.33 0.44 NA NA 10.83 11.18 090
injury.
54680 ......... A Relocation of 12.65 NA NA 6.39 7.64 0.90 NA NA 19.94 21.19 090
testis(es).
54700 ......... A Drainage of 3.43 7.98 4.48 3.05 2.02 0.24 11.65 8.15 6.72 5.69 010
scrotum.
54800 ......... A Biopsy of 2.33 4.68 3.41 0.79 1.47 0.16 7.17 5.90 3.28 3.96 000
epididymis.
54820 ......... A Exploration of 5.14 NA NA 3.28 3.06 0.38 NA NA 8.80 8.58 090
epididymis.
54830 ......... A Remove epididymis 5.38 NA NA 3.37 3.59 0.35 NA NA 9.10 9.32 090
lesion.
54840 ......... A Remove epididymis 5.20 NA NA 3.45 4.35 0.32 NA NA 8.97 9.87 090
lesion.
54860 ......... A Removal of 6.32 NA NA 3.86 4.74 0.38 NA NA 10.56 11.44 090
epididymis.
54861 ......... A Removal of 8.90 NA NA 4.71 6.32 0.53 NA NA 14.14 15.75 090
epididymis.
54900 ......... A Fusion of 13.20 NA NA 6.34 8.03 0.78 NA NA 20.32 22.01 090
spermatic ducts.
54901 ......... A Fusion of 17.94 NA NA 8.30 10.82 1.26 NA NA 27.50 30.02 090
spermatic ducts.
55000 ......... A Drainage of 1.43 1.73 1.08 0.50 0.36 0.10 3.26 2.61 2.03 1.89 000
hydrocele.
55040 ......... A Removal of 5.36 NA NA 3.18 4.24 0.37 NA NA 8.91 9.97 090
hydrocele.
55041 ......... A Removal of 7.74 NA NA 4.20 6.16 0.52 NA NA 12.46 14.42 090
hydroceles.
55060 ......... A Repair of 5.52 NA NA 3.25 3.87 0.40 NA NA 9.17 9.79 090
hydrocele.
[[Page 39688]]
55100 ......... A Drainage of 2.13 9.23 4.96 3.22 1.95 0.14 11.50 7.23 5.49 4.22 010
scrotum abscess.
55110 ......... A Explore scrotum... 5.70 NA NA 3.32 3.55 0.37 NA NA 9.39 9.62 090
55120 ......... A Removal of scrotum 5.09 NA NA 3.10 2.52 0.32 NA NA 8.51 7.93 090
lesion.
55150 ......... A Removal of scrotum 7.22 NA NA 4.22 5.07 0.49 NA NA 11.93 12.78 090
55175 ......... A Revision of 5.24 NA NA 3.33 4.10 0.32 NA NA 8.89 9.66 090
scrotum.
55180 ......... A Revision of 10.72 NA NA 5.93 6.67 0.75 NA NA 17.40 18.14 090
scrotum.
55200 ......... A Incision of sperm 4.24 NA NA 2.85 2.50 0.28 NA NA 7.37 7.02 090
duct.
55250 ......... A Removal of sperm 3.29 8.49 5.67 2.75 2.09 0.21 11.99 9.17 6.25 5.59 090
duct(s).
55300 ......... A Preparation,sperm 3.51 NA NA 1.31 2.13 0.20 NA NA 5.02 5.84 000
duct x-ray.
55400 ......... A Repair of sperm 8.49 NA NA 5.63 6.38 0.55 NA NA 14.67 15.42 090
duct.
55450 ......... A Ligation of sperm 4.12 4.40 3.62 2.27 2.55 0.32 8.84 8.06 6.71 6.99 010
duct.
55500 ......... A Removal of 5.59 NA NA 3.46 4.08 0.45 NA NA 9.50 10.12 090
hydrocele.
55520 ......... A Removal of sperm 6.03 NA NA 3.56 3.48 0.60 NA NA 10.19 10.11 090
cord lesion.
55530 ......... A Revise spermatic 5.66 NA NA 3.47 4.56 0.38 NA NA 9.51 10.60 090
cord veins.
55535 ......... A Revise spermatic 6.56 NA NA 4.07 4.43 0.43 NA NA 11.06 11.42 090
cord veins.
55540 ......... A Revise hernia & 7.67 NA NA 4.17 4.55 0.76 NA NA 12.60 12.98 090
sperm veins.
55600 ......... A Incise sperm duct 6.38 NA NA 3.91 4.30 0.38 NA NA 10.67 11.06 090
pouch.
55605 ......... A Incise sperm duct 7.96 NA NA 4.79 5.44 0.55 NA NA 13.30 13.95 090
pouch.
55650 ......... A Remove sperm duct 11.80 NA NA 5.86 6.85 0.73 NA NA 18.39 19.38 090
pouch.
55680 ......... A Remove sperm pouch 5.19 NA NA 3.30 4.06 0.31 NA NA 8.80 9.56 090
lesion.
55700 ......... A Biopsy of prostate 1.57 3.30 2.47 0.52 0.67 0.09 4.96 4.13 2.18 2.33 000
55705 ......... A Biopsy of prostate 4.57 NA NA 3.42 3.54 0.26 NA NA 8.25 8.37 010
55720 ......... A Drainage of 7.64 NA NA 5.19 4.50 0.47 NA NA 13.30 12.61 090
prostate abscess.
55725 ......... A Drainage of 8.68 NA NA 5.67 5.89 0.54 NA NA 14.89 15.11 090
prostate abscess.
55801 ......... A Removal of 17.80 NA NA 8.94 11.40 1.14 NA NA 27.88 30.34 090
prostate.
55810 ......... A Extensive prostate 22.58 NA NA 10.80 15.10 1.40 NA NA 34.78 39.08 090
surgery.
55812 ......... A Extensive prostate 27.51 NA NA 12.71 15.95 1.74 NA NA 41.96 45.20 090
surgery.
55815 ......... A Extensive prostate 30.46 NA NA 13.90 20.63 1.98 NA NA 46.34 53.07 090
surgery.
55821 ......... A Removal of 14.25 NA NA 7.42 11.09 0.89 NA NA 22.56 26.23 090
prostate.
55831 ......... A Removal of 15.62 NA NA 7.90 11.85 0.99 NA NA 24.51 28.46 090
prostate.
55840 ......... A Extensive prostate 22.69 NA NA 11.52 14.77 1.44 NA NA 35.65 38.90 090
surgery.
55842 ......... A Extensive prostate 24.38 NA NA 12.19 16.49 1.58 NA NA 38.15 42.45 090
surgery.
55845 ......... A Extensive prostate 28.55 NA NA 13.23 20.24 1.78 NA NA 43.56 50.57 090
surgery.
55859 ......... A Percut/needle 12.52 NA NA 7.53 6.96 0.73 NA NA 20.78 20.21 090
insert, pros.
55860 ......... A Surgical exposure, 14.45 NA NA 7.75 7.75 0.82 NA NA 23.02 23.02 090
prostate.
55862 ......... A Extensive prostate 18.39 NA NA 8.96 10.83 1.26 NA NA 28.61 30.48 090
surgery.
55865 ......... A Extensive prostate 22.87 NA NA 10.55 18.58 1.48 NA NA 34.90 42.93 090
surgery.
55870 ......... A Electroejaculation 2.58 1.76 1.88 0.88 1.44 0.16 4.50 4.62 3.62 4.18 000
55899 ......... C Genital surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
55970 ......... N Sex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transformation, M
to F.
55980 ......... N Sex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transformation, F
to M.
56300 ......... A Laparoscopy; 5.10 NA NA 3.67 4.25 0.49 NA NA 9.26 9.84 010
diagnostic.
56301 ......... A Laparoscopy; tubal 5.60 NA NA 3.33 4.22 0.45 NA NA 9.38 10.27 010
cautery.
56302 ......... A Laparoscopy; tubal 5.60 NA NA 3.35 4.53 0.45 NA NA 9.40 10.58 010
block.
56303 ......... A Laparoscopy; 11.79 NA NA 15.77 10.89 0.98 NA NA 28.54 23.66 090
excise lesions.
56304 ......... A Laparoscopy; lysis 11.29 NA NA 5.30 5.69 1.09 NA NA 17.68 18.07 090
56305 ......... A Laparoscopy; 5.40 NA NA 3.16 4.24 0.51 NA NA 9.07 10.15 010
biopsy.
56306 ......... A Laparoscopy; 5.70 NA NA 3.25 4.27 0.51 NA NA 9.46 10.48 010
aspiration.
56307 ......... A Laparoscopy; 11.05 NA NA 4.95 6.36 0.91 NA NA 16.91 18.32 010
remove adnexa.
56308 ......... A Laparoscopy; 14.19 NA NA 6.39 8.29 1.16 NA NA 21.74 23.64 010
hysterectomy.
56309 ......... A Laparoscopy; 14.21 NA NA 6.37 5.77 1.20 NA NA 21.78 21.18 010
remove myoma.
56310 ......... A Laparoscopic 14.44 NA NA 6.85 7.92 1.48 NA NA 22.77 23.84 090
enterolysis.
56311 ......... A Laparoscopic lymph 9.25 NA NA 4.62 5.77 0.85 NA NA 14.72 15.87 010
node biop.
56312 ......... A Laparoscopic 12.38 NA NA 5.36 7.33 0.82 NA NA 18.56 20.53 010
lymphadenectomy.
56313 ......... A Laparoscopic 14.32 NA NA 6.09 8.48 1.09 NA NA 21.50 23.89 010
lymphadenectomy.
56314 ......... A Lapar; drain 9.48 NA NA 4.30 5.80 0.94 NA NA 14.72 16.22 090
lymphocele.
56315 ......... A Laparoscopic 8.70 NA NA 4.28 4.80 0.90 NA NA 13.88 14.40 090
appendectomy.
56316 ......... A Laparoscopic 6.27 NA NA 3.42 4.16 0.65 NA NA 10.34 11.08 090
hernia repair.
56317 ......... A Laparoscopic 8.24 NA NA 4.47 5.07 0.86 NA NA 13.57 14.17 090
hernia repair.
56318 ......... A Laparoscopic 10.96 NA NA 6.75 7.30 0.72 NA NA 18.43 18.98 090
orchiectomy.
56320 ......... A Laparoscopy, 6.57 NA NA 3.64 4.21 0.43 NA NA 10.64 11.21 090
spermatic veins.
56321 ......... C Laparoscopy; 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
adrenalectomy.
56322 ......... A Laparoscopy, vagus 10.15 NA NA 4.75 5.13 1.06 NA NA 15.96 16.34 090
nerves.
56323 ......... A Laparoscopy, vagus 12.15 NA NA 5.73 6.17 1.08 NA NA 18.96 19.40 090
nerves.
56324 ......... A Laparoscopy, 12.58 NA NA 6.08 8.01 1.33 NA NA 19.99 21.92 090
cholecystoenter.
56340 ......... A Laparoscopic 11.09 NA NA 5.20 6.94 1.14 NA NA 17.43 19.17 090
cholecystectomy.
56341 ......... A Laparoscopic 11.94 NA NA 5.55 7.35 1.23 NA NA 18.72 20.52 090
cholecystectomy.
56342 ......... A Laparoscopic 14.23 NA NA 7.42 8.80 1.44 NA NA 23.09 24.47 090
cholecystectomy.
56343 ......... A Laparoscopic 13.74 NA NA 6.64 6.19 1.17 NA NA 21.55 21.10 090
salpingostomy.
56344 ......... A Laparoscopic 12.88 NA NA 6.35 5.95 1.15 NA NA 20.38 19.98 090
fimbrioplasty.
56345 ......... C Laparoscopic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
splenectomy.
56346 ......... A Laparoscopic 7.73 NA NA 4.34 5.53 0.77 NA NA 12.84 14.03 090
gastrostomy.
56347 ......... C Laparoscopic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
jejunostomy.
56348 ......... A Laparo; resect 22.04 NA NA 10.18 12.28 2.27 NA NA 34.49 36.59 090
intestine.
56349 ......... A Laparoscopy; 17.25 NA NA 8.95 10.92 1.80 NA NA 28.00 29.97 090
fundoplasty.
56350 ......... A Hysteroscopy; 3.33 2.83 2.50 1.28 1.72 0.27 6.43 6.10 4.88 5.32 000
diagnostic.
56351 ......... A Hysteroscopy; 4.75 3.37 2.77 1.82 1.99 0.38 8.50 7.90 6.95 7.12 000
biopsy.
56352 ......... A Hysteroscopy; 6.17 NA NA 2.35 3.22 0.50 NA NA 9.02 9.89 000
lysis.
56353 ......... A Hysteroscopy; 7.00 NA NA 2.68 3.39 0.57 NA NA 10.25 10.96 000
resect septum.
56354 ......... A Hysteroscopy; 10.00 NA NA 3.85 4.60 0.81 NA NA 14.66 15.41 000
remove myoma.
56355 ......... A Hysteroscopy; 5.21 NA NA 1.96 2.06 0.42 NA NA 7.59 7.69 000
remove impact.
56356 ......... A Hysteroscopy; 6.17 NA NA 2.37 3.57 0.50 NA NA 9.04 10.24 000
ablation.
56362 ......... A Laparoscopy w/ 4.89 NA NA 2.59 2.80 0.48 NA NA 7.96 8.17 000
cholangio.
56363 ......... A Laparoscopy w/ 5.18 NA NA 2.07 3.17 0.49 NA NA 7.74 8.84 000
biopsy.
[[Page 39689]]
56399 ......... C Laparoscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
56405 ......... A I & D of vulva/ 1.44 2.22 1.52 1.26 0.84 0.12 3.78 3.08 2.82 2.40 010
perineum.
56420 ......... A Drainage of gland 1.39 2.21 1.54 1.14 0.79 0.12 3.72 3.05 2.65 2.30 010
abscess.
56440 ......... A Surgery for vulva 2.84 3.32 3.09 2.19 2.52 0.24 6.40 6.17 5.27 5.60 010
lesion.
56441 ......... A Lysis of labial 1.97 2.49 2.14 2.01 1.90 0.15 4.61 4.26 4.13 4.02 010
lesion(s).
56501 ......... A Destruction, vulva 1.53 2.16 1.38 1.29 0.80 0.12 3.81 3.03 2.94 2.45 010
lesion(s).
56515 ......... A Destruction, vulva 1.88 2.52 2.54 2.04 2.15 0.15 4.55 4.57 4.07 4.18 010
lesion(s).
56605 ......... A Biopsy of vulva/ 1.10 1.68 1.21 0.42 0.40 0.09 2.87 2.40 1.61 1.59 000
perineum.
56606 ......... A Biopsy of vulva/ 0.55 1.48 0.93 0.21 0.20 0.04 2.07 1.52 0.80 0.79 ZZZ
perineum.
56620 ......... A Partial removal of 7.47 NA NA 4.57 5.80 0.60 NA NA 12.64 13.87 090
vulva.
56625 ......... A Complete removal 8.40 NA NA 5.51 7.77 0.67 NA NA 14.58 16.84 090
of vulva.
56630 ......... A Extensive vulva 12.36 NA NA 7.08 10.85 1.00 NA NA 20.44 24.21 090
surgery.
56631 ......... A Extensive vulva 16.20 NA NA 9.67 14.51 1.30 NA NA 27.17 32.01 090
surgery.
56632 ......... A Extensive vulva 20.29 NA NA 11.15 17.15 1.63 NA NA 33.07 39.07 090
surgery.
56633 ......... A Extensive vulva 16.47 NA NA 8.71 13.02 1.32 NA NA 26.50 30.81 090
surgery.
56634 ......... A Extensive vulva 17.88 NA NA 10.34 15.85 1.43 NA NA 29.65 35.16 090
surgery.
56637 ......... A Extensive vulva 21.97 NA NA 11.75 17.50 1.76 NA NA 35.48 41.23 090
surgery.
56640 ......... A Extensive vulva 22.17 NA NA 11.67 16.66 1.75 NA NA 35.59 40.58 090
surgery.
56700 ......... A Partial removal of 2.52 2.80 2.39 2.04 2.01 0.20 5.52 5.11 4.76 4.73 010
hymen.
56720 ......... A Incision of hymen. 0.68 1.53 1.03 0.66 0.59 0.06 2.27 1.77 1.40 1.33 000
56740 ......... A Remove vagina 3.76 3.22 3.17 2.51 2.81 0.32 7.30 7.25 6.59 6.89 010
gland lesion.
56800 ......... A Repair of vagina.. 3.89 NA NA 2.73 2.95 0.30 NA NA 6.92 7.14 010
56805 ......... A Repair clitoris... 18.86 NA NA 8.41 10.58 1.16 NA NA 28.43 30.60 090
56810 ......... A Repair of perineum 4.13 NA NA 2.67 2.76 0.34 NA NA 7.14 7.23 010
57000 ......... A Exploration of 2.97 NA NA 2.30 2.25 0.23 NA NA 5.50 5.45 010
vagina.
57010 ......... A Drainage of pelvic 6.03 NA NA 3.71 3.30 0.51 NA NA 10.25 9.84 090
abscess.
57020 ......... A Drainage of pelvic 1.50 1.48 1.10 0.55 0.63 0.12 3.10 2.72 2.17 2.25 000
fluid.
57061 ......... A Destruction vagina 1.25 2.11 1.50 1.18 0.82 0.10 3.46 2.85 2.53 2.17 010
lesion(s).
57065 ......... A Destruction vagina 2.61 2.73 2.92 2.19 2.65 0.21 5.55 5.74 5.01 5.47 010
lesion(s).
57100 ......... A Biopsy of vagina.. 0.97 1.37 1.02 0.36 0.35 0.08 2.42 2.07 1.41 1.40 000
57105 ......... A Biopsy of vagina.. 1.69 2.35 2.03 1.81 1.76 0.14 4.18 3.86 3.64 3.59 010
57106 ......... A Remove vagina 6.36 2.48 2.48 2.40 2.40 0.54 9.38 9.38 9.30 9.30 090
wall, partial.
57107 ......... A Remove vagina 23.00 8.81 8.81 8.63 8.63 1.87 33.68 33.68 33.50 33.50 090
tissue/partial.
57109 ......... A Vaginectomy 27.00 9.91 9.91 9.47 9.47 1.92 38.83 38.83 38.39 38.39 090
partial w/nodes.
57110 ......... A Remove vagina 14.29 NA NA 6.89 7.72 1.14 NA NA 22.32 23.15 090
wall, complete.
57111 ......... A Remove vagina 27.00 9.70 9.70 9.70 9.70 2.17 38.87 38.87 38.87 38.87 090
tissue/compl.
57112 ......... A Vaginectomy 29.00 10.17 10.17 10.07 10.07 1.99 41.16 41.16 41.06 41.06 090
complete w/nodes.
57120 ......... A Closure of vagina. 7.41 NA NA 4.53 6.06 0.60 NA NA 12.54 14.07 090
57130 ......... A Remove vagina 2.43 NA NA 2.05 2.45 0.20 NA NA 4.68 5.08 010
lesion.
57135 ......... A Remove vagina 2.67 2.72 2.41 2.13 2.11 0.22 5.61 5.30 5.02 5.00 010
lesion.
57150 ......... A Treat vagina 0.55 0.95 0.58 0.21 0.16 0.04 1.54 1.17 0.80 0.75 000
infection.
57160 ......... A Insertion of 0.89 1.25 0.76 0.33 0.24 0.07 2.21 1.72 1.29 1.20 000
pessary/device.
57170 ......... A Fitting of 0.91 1.27 0.81 0.33 0.26 0.07 2.25 1.79 1.31 1.24 000
diaphragm/cap.
57180 ......... A Treat vaginal 1.58 2.12 1.36 1.34 0.82 0.13 3.83 3.07 3.05 2.53 010
bleeding.
57200 ......... A Repair of vagina.. 3.94 NA NA 2.89 2.92 0.33 NA NA 7.16 7.19 090
57210 ......... A Repair vagina/ 5.17 NA NA 3.36 3.46 0.42 NA NA 8.95 9.05 090
perineum.
57220 ......... A Revision of 4.31 NA NA 3.27 4.05 0.34 NA NA 7.92 8.70 090
urethra.
57230 ......... A Repair of urethral 5.64 NA NA 3.87 4.02 0.43 NA NA 9.94 10.09 090
lesion.
57240 ......... A Repair bladder & 6.07 NA NA 4.12 5.69 0.47 NA NA 10.66 12.23 090
vagina.
57250 ......... A Repair rectum & 5.53 NA NA 3.68 5.14 0.45 NA NA 9.66 11.12 090
vagina.
57260 ......... A Repair of vagina.. 8.27 NA NA 4.73 7.06 0.67 NA NA 13.67 16.00 090
57265 ......... A Extensive repair 11.34 NA NA 6.38 8.30 0.92 NA NA 18.64 20.56 090
of vagina.
57268 ......... A Repair of bowel 6.76 NA NA 4.14 5.88 0.55 NA NA 11.45 13.19 090
bulge.
57270 ......... A Repair of bowel 12.11 NA NA 6.06 6.74 0.98 NA NA 19.15 19.83 090
pouch.
57280 ......... A Suspension of 15.04 NA NA 7.18 8.22 1.20 NA NA 23.42 24.46 090
vagina.
57282 ......... A Repair of vaginal 8.86 NA NA 4.97 7.22 0.71 NA NA 14.54 16.79 090
prolapse.
57284 ......... A Repair paravaginal 12.70 NA NA 6.67 8.00 0.99 NA NA 20.36 21.69 090
defect.
57288 ......... A Repair bladder 13.02 NA NA 6.68 9.16 0.84 NA NA 20.54 23.02 090
defect.
57289 ......... A Repair bladder & 11.58 NA NA 6.30 7.60 0.83 NA NA 18.71 20.01 090
vagina.
57291 ......... A Construction of 7.95 NA NA 5.00 5.41 0.65 NA NA 13.60 14.01 090
vagina.
57292 ......... A Construct vagina 13.09 NA NA 7.06 7.09 1.14 NA NA 21.29 21.32 090
with graft.
57300 ......... A Repair rectum- 7.61 NA NA 4.48 6.53 0.73 NA NA 12.82 14.87 090
vagina fistula.
57305 ......... A Repair rectum- 13.77 NA NA 6.81 7.50 1.38 NA NA 21.96 22.65 090
vagina fistula.
57307 ......... A Fistula repair & 15.93 NA NA 7.85 7.24 1.60 NA NA 25.38 24.77 090
colostomy.
57308 ......... A Fistula repair, 9.94 NA NA 4.66 6.26 0.91 NA NA 15.51 17.11 090
transperine.
57310 ......... A Repair 6.78 NA NA 4.44 4.57 0.46 NA NA 11.68 11.81 090
urethrovaginal
lesion.
57311 ......... A Repair 7.98 NA NA 4.75 5.41 0.43 NA NA 13.16 13.82 090
urethrovaginal
lesion.
57320 ......... A Repair bladder- 8.01 NA NA 4.95 7.26 0.54 NA NA 13.50 15.81 090
vagina lesion.
57330 ......... A Repair bladder- 12.35 NA NA 6.60 7.80 0.83 NA NA 19.78 20.98 090
vagina lesion.
57335 ......... A Repair vagina..... 18.73 NA NA 8.90 8.20 1.46 NA NA 29.09 28.39 090
57400 ......... A Dilation of vagina 2.27 NA NA 1.45 0.91 0.17 NA NA 3.89 3.35 000
57410 ......... A Pelvic examination 1.75 2.50 1.45 1.14 0.77 0.12 4.37 3.32 3.01 2.64 000
57415 ......... A Removal vaginal 2.17 3.24 1.82 1.98 1.19 0.17 5.58 4.16 4.32 3.53 010
foreign body.
57452 ......... A Examination of 0.99 1.56 1.14 0.36 0.36 0.08 2.63 2.21 1.43 1.43 000
vagina.
57454 ......... A Vagina examination 1.27 1.64 1.48 0.48 0.57 0.10 3.01 2.85 1.85 1.94 000
& biopsy.
57460 ......... A Cervix excision... 2.83 1.94 2.07 1.08 1.09 0.23 5.00 5.13 4.14 4.15 000
57500 ......... A Biopsy of cervix.. 0.97 1.37 1.00 0.37 0.34 0.08 2.42 2.05 1.42 1.39 000
57505 ......... A Endocervical 1.14 1.83 1.26 1.19 0.77 0.09 3.06 2.49 2.42 2.00 010
curettage.
57510 ......... A Cauterization of 1.90 2.89 1.73 1.49 0.89 0.15 4.94 3.78 3.54 2.94 010
cervix.
57511 ......... A Cryocautery of 1.90 2.27 1.60 0.71 0.59 0.15 4.32 3.65 2.76 2.64 010
cervix.
57513 ......... A Laser surgery of 1.90 2.40 2.34 1.46 1.87 0.15 4.45 4.39 3.51 3.92 010
cervix.
57520 ......... A Conization of 4.04 3.90 3.82 2.69 3.22 0.33 8.27 8.19 7.06 7.59 090
cervix.
57522 ......... A Conization of 3.36 3.54 3.64 2.43 3.09 0.27 7.17 7.27 6.06 6.72 090
cervix.
57530 ......... A Removal of cervix. 4.79 NA NA 3.39 3.66 0.39 NA NA 8.57 8.84 090
[[Page 39690]]
57531 ......... A Removal of cervix, 28.00 NA NA 12.26 15.78 2.29 NA NA 42.55 46.07 090
radical.
57540 ......... A Removal of 12.22 NA NA 5.99 6.65 1.06 NA NA 19.27 19.93 090
residual cervix.
57545 ......... A Remove cervix, 13.03 NA NA 6.38 5.68 1.09 NA NA 20.50 19.80 090
repair pelvis.
57550 ......... A Removal of 5.53 NA NA 3.66 5.13 0.45 NA NA 9.64 11.11 090
residual cervix.
57555 ......... A Remove cervix, 8.95 NA NA 5.20 7.95 0.74 NA NA 14.89 17.64 090
repair vagina.
57556 ......... A Remove cervix, 8.37 NA NA 5.19 7.60 0.68 NA NA 14.24 16.65 090
repair bowel.
57700 ......... A Revision of cervix 3.55 NA NA 2.50 2.55 0.27 NA NA 6.32 6.37 090
57720 ......... A Revision of cervix 4.13 NA NA 3.16 3.08 0.33 NA NA 7.62 7.54 090
57800 ......... A Dilation of 0.77 1.15 0.84 0.28 0.27 0.06 1.98 1.67 1.11 1.10 000
cervical canal.
57820 ......... A D&c of residual 1.67 2.28 2.27 2.15 2.21 0.14 4.09 4.08 3.96 4.02 010
cervix.
58100 ......... A Biopsy of uterus 0.71 1.09 0.91 0.27 0.32 0.06 1.86 1.68 1.04 1.09 000
lining.
58120 ......... A Dilation and 3.27 3.52 3.23 2.34 2.64 0.27 7.06 6.77 5.88 6.18 010
curettage (D&C).
58140 ......... A Removal of uterus 14.60 NA NA 6.83 7.94 1.31 NA NA 22.74 23.85 090
lesion.
58145 ......... A Removal of uterus 8.04 NA NA 4.69 6.82 0.65 NA NA 13.38 15.51 090
lesion.
58150 ......... A Total hysterectomy 15.24 NA NA 7.25 8.82 1.26 NA NA 23.75 25.32 090
58152 ......... A Total hysterectomy 15.09 NA NA 7.21 10.11 1.25 NA NA 23.55 26.45 090
58180 ......... A Partial 15.29 NA NA 7.23 8.91 1.30 NA NA 23.82 25.50 090
hysterectomy.
58200 ......... A Extensive 21.59 NA NA 10.54 12.32 1.76 NA NA 33.89 35.67 090
hysterectomy.
58210 ......... A Extensive 28.85 NA NA 13.30 16.30 2.32 NA NA 44.47 47.47 090
hysterectomy.
58240 ......... A Removal of pelvis 38.39 NA NA 17.87 24.53 3.16 NA NA 59.42 66.08 090
contents.
58260 ......... A Vaginal 12.20 NA NA 5.72 7.96 0.99 NA NA 18.91 21.15 090
hysterectomy.
58262 ......... A Vaginal 13.99 NA NA 6.42 8.31 1.13 NA NA 21.54 23.43 090
hysterectomy.
58263 ......... A Vaginal 15.28 NA NA 6.91 9.06 1.24 NA NA 23.43 25.58 090
hysterectomy.
58267 ......... A Hysterectomy & 15.00 NA NA 6.80 9.66 1.22 NA NA 23.02 25.88 090
vagina repair.
58270 ......... A Hysterectomy & 13.48 NA NA 6.26 8.73 1.10 NA NA 20.84 23.31 090
vagina repair.
58275 ......... A Hysterectomy, 14.98 NA NA 6.72 9.34 1.25 NA NA 22.95 25.57 090
revise vagina.
58280 ......... A Hysterectomy, 15.41 NA NA 6.89 9.15 1.26 NA NA 23.56 25.82 090
revise vagina.
58285 ......... A Extensive 18.57 NA NA 9.34 10.97 1.53 NA NA 29.44 31.07 090
hysterectomy.
58300 ......... N Insert +1.01 1.24 1.04 0.39 0.62 0.08 2.33 2.13 1.48 1.71 XXX
intrauterine
device.
58301 ......... A Remove 1.27 1.40 0.95 0.47 0.36 0.10 2.77 2.32 1.84 1.73 000
intrauterine
device.
58321 ......... A Artificial 0.92 0.91 0.84 0.36 0.57 0.07 1.90 1.83 1.35 1.56 000
insemination.
58322 ......... A Artificial 1.10 1.00 0.89 0.42 0.60 0.09 2.19 2.08 1.61 1.79 000
insemination.
58323 ......... A Sperm washing..... 0.23 0.47 0.32 0.09 0.13 0.02 0.72 0.57 0.34 0.38 000
58340 ......... A Catheter for 0.88 14.10 7.36 0.27 0.45 0.06 15.04 8.30 1.21 1.39 000
hysterography.
58345 ......... A Reopen fallopian 4.66 NA NA 1.50 2.65 0.28 NA NA 6.44 7.59 010
tube.
58350 ......... A Reopen fallopian 1.01 1.85 1.30 1.06 0.91 0.08 2.94 2.39 2.15 2.00 010
tube.
58400 ......... A Suspension of 6.36 NA NA 3.85 4.99 0.52 NA NA 10.73 11.87 090
uterus.
58410 ......... A Suspension of 12.73 NA NA 6.64 6.32 0.99 NA NA 20.36 20.04 090
uterus.
58520 ......... A Repair of ruptured 11.92 NA NA 6.00 5.30 1.10 NA NA 19.02 18.32 090
uterus.
58540 ......... A Revision of uterus 14.64 NA NA 7.08 6.87 1.19 NA NA 22.91 22.70 090
58600 ......... A Division of 3.84 NA NA 2.52 3.55 0.32 NA NA 6.68 7.71 090
fallopian tube.
58605 ......... A Division of 3.34 NA NA 2.38 3.18 0.27 NA NA 5.99 6.79 090
fallopian tube.
58611 ......... A Ligate oviduct(s) 0.63 NA NA 0.24 0.38 0.05 NA NA 0.92 1.06 ZZZ
add-on.
58615 ......... A Occlude fallopian 3.90 NA NA 2.53 2.85 0.32 NA NA 6.75 7.07 010
tube(s).
58700 ......... A Removal of 6.49 NA NA 3.62 5.25 0.61 NA NA 10.72 12.35 090
fallopian tube.
58720 ......... A Removal of ovary/ 11.36 NA NA 5.67 6.91 1.00 NA NA 18.03 19.27 090
tube(s).
58740 ......... A Revise fallopian 5.83 NA NA 3.62 5.29 0.49 NA NA 9.94 11.61 090
tube(s).
58750 ......... A Repair oviduct.... 14.84 NA NA 7.36 7.11 1.26 NA NA 23.46 23.21 090
58752 ......... A Revise ovarian 14.84 NA NA 7.10 7.21 1.17 NA NA 23.11 23.22 090
tube(s).
58760 ......... A Remove tubal 13.13 NA NA 6.50 6.03 1.05 NA NA 20.68 20.21 090
obstruction.
58770 ......... A Create new tubal 13.97 NA NA 6.70 6.22 1.20 NA NA 21.87 21.39 090
opening.
58800 ......... A Drainage of 4.14 3.94 3.43 3.78 3.35 0.30 8.38 7.87 8.22 7.79 090
ovarian cyst(s).
58805 ......... A Drainage of 5.88 NA NA 3.39 5.16 0.54 NA NA 9.81 11.58 090
ovarian cyst(s).
58820 ......... A Open drain ovary 4.22 NA NA 3.12 3.06 0.26 NA NA 7.60 7.54 090
abscess.
58822 ......... A Percut drain ovary 10.13 NA NA 4.82 4.34 0.89 NA NA 15.84 15.36 090
abscess.
58823 ......... A Percut drain 3.38 NA NA 2.71 2.75 0.25 NA NA 6.34 6.38 000
pelvic abscess.
58825 ......... A Transposition, 6.13 NA NA 3.69 4.03 0.51 NA NA 10.33 10.67 090
ovary(s).
58900 ......... A Biopsy of ovary(s) 5.99 NA NA 3.50 4.57 0.53 NA NA 10.02 11.09 090
58920 ......... A Partial removal of 6.78 NA NA 4.02 5.69 0.63 NA NA 11.43 13.10 090
ovary(s).
58925 ......... A Removal of ovarian 11.36 NA NA 5.59 6.36 1.06 NA NA 18.01 18.78 090
cyst(s).
58940 ......... A Removal of 7.29 NA NA 3.99 5.52 0.69 NA NA 11.97 13.50 090
ovary(s).
58943 ......... A Removal of 18.43 NA NA 9.16 11.15 1.62 NA NA 29.21 31.20 090
ovary(s).
58950 ......... A Resect ovarian 15.27 NA NA 8.02 10.11 1.31 NA NA 24.60 26.69 090
malignancy.
58951 ......... A Resect ovarian 21.81 NA NA 10.54 15.22 1.81 NA NA 34.16 38.84 090
malignancy.
58952 ......... A Resect ovarian 25.01 NA NA 11.81 15.73 2.05 NA NA 38.87 42.79 090
malignancy.
58960 ......... A Exploration of 14.65 NA NA 7.75 10.92 1.24 NA NA 23.64 26.81 090
abdomen.
58970 ......... A Retrieval of 3.53 7.19 4.96 0.90 1.82 0.25 10.97 8.74 4.68 5.60 000
oocyte.
58974 ......... C Transfer of embryo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
58976 ......... A Transfer of embryo 3.83 2.16 2.56 1.48 2.22 0.31 6.30 6.70 5.62 6.36 000
58999 ......... C Genital surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
59000 ......... A Amniocentesis..... 1.30 1.53 1.29 0.49 0.77 0.21 3.04 2.80 2.00 2.28 000
59012 ......... A Fetal cord 3.45 NA NA 1.33 2.09 0.57 NA NA 5.35 6.11 000
puncture,prenatal.
59015 ......... A Chorion biopsy.... 2.20 1.26 1.28 0.85 1.08 0.36 3.82 3.84 3.41 3.64 000
59020 ......... A Fetal contract 0.66 0.81 1.07 0.81 1.07 0.19 1.66 1.92 1.66 1.92 000
stress test.
59020 26 A Fetal contract 0.66 NA NA 0.25 0.52 0.11 NA NA 1.02 1.29 000
stress test.
59020 TC A Fetal contract 0.00 0.55 0.55 0.55 0.55 0.08 0.63 0.63 0.63 0.63 000
stress test.
59025 ......... A Fetal non-stress 0.53 0.44 0.55 0.44 0.55 0.12 1.09 1.20 1.09 1.20 000
test.
59025 26 A Fetal non-stress 0.53 NA NA 0.20 0.31 0.09 NA NA 0.82 0.93 000
test.
59025 TC A Fetal non-stress 0.00 0.24 0.24 0.24 0.24 0.03 0.27 0.27 0.27 0.27 000
test.
59030 ......... A Fetal scalp blood 1.99 NA NA 0.75 1.23 0.33 NA NA 3.07 3.55 000
sample.
59050 ......... A Fetal monitor w/ 0.89 NA NA 0.34 0.61 0.15 NA NA 1.38 1.65 XXX
report.
59051 ......... A Fetal monitor/ 0.74 NA NA 0.29 0.59 0.12 NA NA 1.15 1.45 XXX
interpret only.
59100 ......... A Remove uterus 12.35 NA NA 6.06 5.28 2.02 NA NA 20.43 19.65 090
lesion.
59120 ......... A Treat ectopic 11.49 NA NA 5.81 7.17 1.88 NA NA 19.18 20.54 090
pregnancy.
[[Page 39691]]
59121 ......... A Treat ectopic 11.67 NA NA 5.92 5.88 1.91 NA NA 19.50 19.46 090
pregnancy.
59130 ......... A Treat ectopic 14.22 NA NA 5.44 5.96 2.33 NA NA 21.99 22.51 090
pregnancy.
59135 ......... A Treat ectopic 13.88 NA NA 6.61 8.65 2.27 NA NA 22.76 24.80 090
pregnancy.
59136 ......... A Treat ectopic 13.18 NA NA 6.35 6.55 2.16 NA NA 21.69 21.89 090
pregnancy.
59140 ......... A Treat ectopic 5.46 NA NA 3.38 4.22 0.89 NA NA 9.73 10.57 090
pregnancy.
59150 ......... A Treat ectopic 6.89 NA NA 4.38 4.65 1.13 NA NA 12.40 12.67 090
pregnancy.
59151 ......... A Treat ectopic 7.86 NA NA 4.05 6.70 1.29 NA NA 13.20 15.85 090
pregnancy.
59160 ......... A D&C after delivery 2.71 3.23 3.21 2.15 2.67 0.44 6.38 6.36 5.30 5.82 010
59200 ......... A Insert cervical 0.79 1.22 0.91 0.28 0.29 0.13 2.14 1.83 1.20 1.21 000
dilator.
59300 ......... A Episiotomy or 2.41 1.86 1.47 0.88 0.71 0.39 4.66 4.27 3.68 3.51 000
vaginal repair.
59320 ......... A Revision of cervix 2.48 NA NA 1.35 1.64 0.41 NA NA 4.24 4.53 000
59325 ......... A Revision of cervix 4.07 NA NA 1.96 2.55 0.67 NA NA 6.70 7.29 000
59350 ......... A Repair of uterus.. 4.95 NA NA 1.81 2.83 0.81 NA NA 7.57 8.59 000
59400 ......... A Obstetrical care.. 23.06 NA NA 13.42 14.85 3.78 NA NA 40.26 41.69 MMM
59409 ......... A Obstetrical care.. 13.50 NA NA 5.09 7.69 2.21 NA NA 20.80 23.40 MMM
59410 ......... A Obstetrical care.. 14.78 NA NA 6.32 8.76 2.42 NA NA 23.52 25.96 MMM
59412 ......... A Antepartum 1.71 1.38 1.35 0.65 0.99 0.28 3.37 3.34 2.64 2.98 MMM
manipulation.
59414 ......... A Deliver placenta.. 1.61 NA NA 1.14 1.20 0.26 NA NA 3.01 3.07 MMM
59425 ......... A Antepartum care 4.81 4.58 3.86 4.58 3.08 0.79 10.18 9.46 10.18 8.68 MMM
only.
59426 ......... A Antepartum care 8.28 7.80 6.58 7.80 5.24 1.36 17.44 16.22 17.44 14.88 MMM
only.
59430 ......... A Care after 2.13 1.13 0.77 1.13 0.67 0.35 3.61 3.25 3.61 3.15 MMM
delivery.
59510 ......... A Cesarean delivery. 26.22 NA NA 15.33 16.84 4.29 NA NA 45.84 47.35 MMM
59514 ......... A Cesarean delivery 15.97 NA NA 5.99 8.96 2.62 NA NA 24.58 27.55 MMM
only.
59515 ......... A Cesarean delivery. 17.37 NA NA 7.66 10.25 2.85 NA NA 27.88 30.47 MMM
59525 ......... A Remove uterus 8.54 NA NA 3.23 3.68 1.40 NA NA 13.17 13.62 ZZZ
after cesarean.
59610 ......... A Vbac delivery..... 24.62 NA NA 9.27 12.77 4.03 NA NA 37.92 41.42 MMM
59612 ......... A Vbac delivery only 15.06 NA NA 5.74 8.02 2.47 NA NA 23.27 25.55 MMM
59614 ......... A Vbac care after 16.34 NA NA 6.20 8.70 2.68 NA NA 25.22 27.72 MMM
delivery.
59618 ......... A Attempted vbac 27.78 NA NA 10.69 14.52 4.55 NA NA 43.02 46.85 MMM
delivery.
59620 ......... A Attempted vbac 17.53 NA NA 6.65 9.29 2.87 NA NA 27.05 29.69 MMM
delivery only.
59622 ......... A Attempted vbac 18.93 NA NA 7.31 10.07 3.10 NA NA 29.34 32.10 MMM
after care.
59812 ......... A Treatment of 3.25 4.25 4.09 2.30 3.10 0.53 8.03 7.87 6.08 6.88 090
miscarriage.
59820 ......... A Care of 4.01 4.55 4.31 2.61 3.34 0.66 9.22 8.98 7.28 8.01 090
miscarriage.
59821 ......... A Treatment of 4.47 4.70 3.83 2.77 2.86 0.73 9.90 9.03 7.97 8.06 090
miscarriage.
59830 ......... A Treat uterus 6.11 NA NA 3.83 4.38 1.00 NA NA 10.94 11.49 090
infection.
59840 ......... R Abortion.......... 3.01 4.65 4.07 2.22 2.86 0.49 8.15 7.57 5.72 6.36 010
59841 ......... R Abortion.......... 5.24 7.06 5.57 3.45 3.76 0.86 13.16 11.67 9.55 9.86 010
59850 ......... R Abortion.......... 5.91 NA NA 2.64 3.49 0.97 NA NA 9.52 10.37 090
59851 ......... R Abortion.......... 5.93 NA NA 3.02 3.83 0.97 NA NA 9.92 10.73 090
59852 ......... R Abortion.......... 8.24 NA NA 4.28 5.13 1.35 NA NA 13.87 14.72 090
59855 ......... R Abortion.......... 6.12 NA NA 3.01 3.75 1.00 NA NA 10.13 10.87 090
59856 ......... R Abortion.......... 7.48 NA NA 3.63 4.59 1.23 NA NA 12.34 13.30 090
59857 ......... R Abortion.......... 9.29 NA NA 4.25 5.50 1.52 NA NA 15.06 16.31 090
59866 ......... R Abortion.......... 4.00 NA NA 1.87 2.49 0.66 NA NA 6.53 7.15 000
59870 ......... A Evacuate mole of 4.28 NA NA 3.17 3.17 0.70 NA NA 8.15 8.15 090
uterus.
59871 ......... A Remove cerclage 2.13 1.78 1.86 0.81 1.37 0.35 4.26 4.34 3.29 3.85 000
suture.
59899 ......... C Maternity care 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
60000 ......... A Drain thyroid/ 1.76 2.13 1.39 1.81 1.07 0.12 4.01 3.27 3.69 2.95 010
tongue cyst.
60001 ......... A Aspirate/inject 0.97 1.93 1.54 0.33 0.74 0.08 2.98 2.59 1.38 1.79 000
thyriod cyst.
60100 ......... A Biopsy of thyroid. 0.97 2.50 1.82 0.30 0.44 0.06 3.53 2.85 1.33 1.47 000
60200 ......... A Remove thyroid 9.55 NA NA 6.28 6.41 0.91 NA NA 16.74 16.87 090
lesion.
60210 ......... A Partial excision 10.88 NA NA 6.43 7.93 1.05 NA NA 18.36 19.86 090
thyroid.
60212 ......... A Parital thyroid 16.03 NA NA 8.25 9.03 1.61 NA NA 25.89 26.67 090
excision.
60220 ......... A Partial removal of 10.53 NA NA 6.37 7.82 1.01 NA NA 17.91 19.36 090
thyroid.
60225 ......... A Partial removal of 14.19 NA NA 7.92 9.65 1.36 NA NA 23.47 25.20 090
thyroid.
60240 ......... A Removal of thyroid 16.06 NA NA 9.08 10.28 1.54 NA NA 26.68 27.88 090
60252 ......... A Removal of thyroid 18.20 NA NA 10.45 12.63 1.71 NA NA 30.36 32.54 090
60254 ......... A Extensive thyroid 23.88 NA NA 14.12 17.49 2.07 NA NA 40.07 43.44 090
surgery.
60260 ......... A Repeat thyroid 15.46 NA NA 9.26 6.34 1.48 NA NA 26.20 23.28 090
surgery.
60270 ......... A Removal of thyroid 17.94 NA NA 10.99 13.08 1.93 NA NA 30.86 32.95 090
60271 ......... A Removal of thyroid 14.89 NA NA 8.99 11.09 1.45 NA NA 25.33 27.43 090
60280 ......... A Remove thyroid 6.08 NA NA 4.93 6.10 0.49 NA NA 11.50 12.67 090
duct lesion.
60281 ......... A Remove thyroid 8.53 NA NA 5.38 5.43 0.75 NA NA 14.66 14.71 090
duct lesion.
60500 ......... A Explore 16.23 NA NA 7.98 10.16 1.63 NA NA 25.84 28.02 090
parathyroid
glands.
60502 ......... A Re-explore 20.35 NA NA 9.90 11.13 2.04 NA NA 32.29 33.52 090
parathyroids.
60505 ......... A Explore 21.49 NA NA 12.06 13.16 2.28 NA NA 35.83 36.93 090
parathyroid
glands.
60512 ......... A Autotransplant, 4.45 NA NA 1.77 2.15 0.45 NA NA 6.67 7.05 ZZZ
parathyroid.
60520 ......... A Removal of thymus 16.81 NA NA 11.35 13.02 1.97 NA NA 30.13 31.80 090
gland.
60521 ......... A Removal thymus 18.87 NA NA 14.37 14.53 2.54 NA NA 35.78 35.94 090
gland.
60522 ......... A Removal of thymus 23.09 NA NA 15.13 14.91 2.98 NA NA 41.20 40.98 090
gland.
60540 ......... A Explore adrenal 17.03 NA NA 7.85 10.47 1.47 NA NA 26.35 28.97 090
gland.
60545 ......... A Explore adrenal 19.88 NA NA 9.51 12.50 1.75 NA NA 31.14 34.13 090
gland.
60600 ......... A Remove carotid 17.93 NA NA 13.86 13.15 2.03 NA NA 33.82 33.11 090
body lesion.
60605 ......... A Remove carotid 20.24 NA NA 18.28 14.95 1.88 NA NA 40.40 37.07 090
body lesion.
60699 ......... C Endocrine surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
61000 ......... A Remove cranial 1.58 1.52 1.34 1.48 1.32 0.14 3.24 3.06 3.20 3.04 000
cavity fluid.
61001 ......... A Remove cranial 1.49 1.41 1.19 1.19 0.84 0.13 3.03 2.81 2.81 2.46 000
cavity fluid.
61020 ......... A Remove brain 1.51 1.98 1.68 1.33 1.35 0.29 3.78 3.48 3.13 3.15 000
cavity fluid.
61026 ......... A Injection into 1.69 2.11 2.07 1.37 1.70 0.25 4.05 4.01 3.31 3.64 000
brain canal.
61050 ......... A Remove brain canal 1.51 NA NA 1.18 1.26 0.17 NA NA 2.86 2.94 000
fluid.
61055 ......... A Injection into 2.10 NA NA 1.72 1.88 0.14 NA NA 3.96 4.12 000
brain canal.
61070 ......... A Brain canal shunt 0.89 7.07 3.80 1.38 0.83 0.09 8.05 4.78 2.36 1.81 000
procedure.
61105 ......... A Twist drill hole.. 5.14 NA NA 3.65 4.89 1.08 NA NA 9.87 11.11 090
61107 ......... A Drill skull for 5.00 NA NA 3.00 4.49 1.04 NA NA 9.04 10.53 000
implantation.
[[Page 39692]]
61108 ......... A Drill skull for 10.19 NA NA 7.05 9.61 2.12 NA NA 19.36 21.92 090
drainage.
61120 ......... A Burr hole for 8.76 NA NA 5.86 6.16 1.82 NA NA 16.44 16.74 090
puncture.
61140 ......... A Pierce skull for 15.90 NA NA 10.06 12.70 3.11 NA NA 29.07 31.71 090
biopsy.
61150 ......... A Pierce skull for 17.57 NA NA 10.73 13.32 3.54 NA NA 31.84 34.43 090
drainage.
61151 ......... A Pierce skull for 12.42 NA NA 8.09 5.20 2.40 NA NA 22.91 20.02 090
drainage.
61154 ......... A Pierce skull, 14.99 NA NA 9.68 13.79 3.06 NA NA 27.73 31.84 090
remove clot.
61156 ......... A Pierce skull for 16.32 NA NA 10.33 13.95 3.40 NA NA 30.05 33.67 090
drainage.
61210 ......... A Pierce skull; 5.84 NA NA 3.42 4.99 1.18 NA NA 10.44 12.01 000
implant device.
61215 ......... A Insert brain-fluid 4.89 NA NA 4.27 5.06 0.99 NA NA 10.15 10.94 090
device.
61250 ......... A Pierce skull & 10.42 NA NA 6.66 7.69 2.19 NA NA 19.27 20.30 090
explore.
61253 ......... A Pierce skull & 12.36 NA NA 8.23 9.34 2.54 NA NA 23.13 24.24 090
explore.
61304 ......... A Open skull for 21.96 NA NA 12.86 19.54 4.39 NA NA 39.21 45.89 090
exploration.
61305 ......... A Open skull for 26.61 NA NA 15.10 23.35 5.10 NA NA 46.81 55.06 090
exploration.
61312 ......... A Open skull for 24.57 NA NA 14.72 20.46 4.97 NA NA 44.26 50.00 090
drainage.
61313 ......... A Open skull for 24.93 NA NA 14.85 20.47 4.99 NA NA 44.77 50.39 090
drainage.
61314 ......... A Open skull for 24.23 NA NA 14.27 21.04 4.95 NA NA 43.45 50.22 090
drainage.
61315 ......... A Open skull for 27.68 NA NA 16.29 21.39 5.56 NA NA 49.53 54.63 090
drainage.
61320 ......... A Open skull for 25.62 NA NA 15.24 17.77 5.15 NA NA 46.01 48.54 090
drainage.
61321 ......... A Open skull for 28.50 NA NA 15.97 18.75 5.58 NA NA 50.05 52.83 090
drainage.
61330 ......... A Decompress eye 23.32 NA NA 18.51 16.30 2.88 NA NA 44.71 42.50 090
socket.
61332 ......... A Explore/biopsy eye 27.28 NA NA 19.54 21.02 4.57 NA NA 51.39 52.87 090
socket.
61333 ......... A Explore orbit; 27.95 NA NA 16.94 19.57 3.22 NA NA 48.11 50.74 090
remove lesion.
61334 ......... A Explore orbit; 18.27 NA NA 10.70 13.30 2.64 NA NA 31.61 34.21 090
remove object.
61340 ......... A Relieve cranial 18.66 NA NA 11.45 13.76 3.64 NA NA 33.75 36.06 090
pressure.
61343 ......... A Incise 29.77 NA NA 18.19 25.40 6.00 NA NA 53.96 61.17 090
skull,pressure
relief.
61345 ......... A Relieve cranial 27.20 NA NA 16.44 18.63 5.60 NA NA 49.24 51.43 090
pressure.
61440 ......... A Incise skull for 26.63 NA NA 13.76 18.14 3.13 NA NA 43.52 47.90 090
surgery.
61450 ......... A Incise skull for 25.95 NA NA 15.55 18.86 5.20 NA NA 46.70 50.01 090
surgery.
61458 ......... A Incise skull for 27.29 NA NA 16.24 22.93 5.37 NA NA 48.90 55.59 090
brain wound.
61460 ......... A Incise skull for 28.39 NA NA 17.29 22.24 4.94 NA NA 50.62 55.57 090
surgery.
61470 ......... A Incise skull for 26.06 NA NA 14.36 14.70 4.56 NA NA 44.98 45.32 090
surgery.
61480 ......... A Incise skull for 26.49 NA NA 11.66 14.01 5.10 NA NA 43.25 45.60 090
surgery.
61490 ......... A Incise skull for 25.66 NA NA 14.62 13.67 4.94 NA NA 45.22 44.27 090
surgery.
61500 ......... A Removal of skull 17.92 NA NA 11.30 16.35 3.28 NA NA 32.50 37.55 090
lesion.
61501 ......... A Remove infected 14.84 NA NA 9.59 13.65 2.67 NA NA 27.10 31.16 090
skull bone.
61510 ......... A Removal of brain 28.45 NA NA 16.77 23.06 5.74 NA NA 50.96 57.25 090
lesion.
61512 ......... A Remove brain 35.09 NA NA 20.42 25.96 7.07 NA NA 62.58 68.12 090
lining lesion.
61514 ......... A Removal of brain 25.26 NA NA 14.68 21.19 4.89 NA NA 44.83 51.34 090
abscess.
61516 ......... A Removal of brain 24.61 NA NA 14.83 21.79 4.89 NA NA 44.33 51.29 090
lesion.
61518 ......... A Removal of brain 37.32 NA NA 22.51 27.55 7.46 NA NA 67.29 72.33 090
lesion.
61519 ......... A Remove brain 41.39 NA NA 24.38 29.13 8.32 NA NA 74.09 78.84 090
lining lesion.
61520 ......... A Removal of brain 54.84 NA NA 32.31 34.53 9.99 NA NA 97.14 99.36 090
lesion.
61521 ......... A Removal of brain 44.48 NA NA 25.89 30.84 8.59 NA NA 78.96 83.91 090
lesion.
61522 ......... A Removal of brain 29.45 NA NA 17.53 19.60 6.14 NA NA 53.12 55.19 090
abscess.
61524 ......... A Removal of brain 27.86 NA NA 16.68 23.24 5.46 NA NA 50.00 56.56 090
lesion.
61526 ......... A Removal of brain 52.17 NA NA 31.56 34.24 6.63 NA NA 90.36 93.04 090
lesion.
61530 ......... A Removal of brain 43.86 NA NA 27.17 32.04 6.44 NA NA 77.47 82.34 090
lesion.
61531 ......... A Implant brain 14.63 NA NA 9.63 12.95 2.90 NA NA 27.16 30.48 090
electrodes.
61533 ......... A Implant brain 19.71 NA NA 12.32 15.40 4.05 NA NA 36.08 39.16 090
electrodes.
61534 ......... A Removal of brain 20.97 NA NA 12.88 9.90 3.92 NA NA 37.77 34.79 090
lesion.
61535 ......... A Remove brain 11.63 NA NA 8.04 8.18 2.21 NA NA 21.88 22.02 090
electrodes.
61536 ......... A Removal of brain 35.52 NA NA 21.34 22.59 7.46 NA NA 64.32 65.57 090
lesion.
61538 ......... A Removal of brain 26.81 NA NA 16.37 23.97 5.27 NA NA 48.45 56.05 090
tissue.
61539 ......... A Removal of brain 32.08 NA NA 18.69 21.81 5.80 NA NA 56.57 59.69 090
tissue.
61541 ......... A Incision of brain 28.85 NA NA 16.83 19.16 5.44 NA NA 51.12 53.45 090
tissue.
61542 ......... A Removal of brain 31.02 NA NA 16.58 19.10 6.64 NA NA 54.24 56.76 090
tissue.
61543 ......... A Removal of brain 29.22 NA NA 17.61 18.16 5.30 NA NA 52.13 52.68 090
tissue.
61544 ......... A Remove & treat 25.50 NA NA 12.74 21.59 4.06 NA NA 42.30 51.15 090
brain lesion.
61545 ......... A Excision of brain 43.80 NA NA 25.09 26.47 8.43 NA NA 77.32 78.70 090
tumor.
61546 ......... A Removal of 31.30 NA NA 18.92 24.12 6.15 NA NA 56.37 61.57 090
pituitary gland.
61548 ......... A Removal of 21.53 NA NA 13.66 19.68 3.62 NA NA 38.81 44.83 090
pituitary gland.
61550 ......... A Release of skull 14.65 NA NA 6.64 9.73 0.61 NA NA 21.90 24.99 090
seams.
61552 ......... A Release of skull 19.56 NA NA 8.58 11.80 1.59 NA NA 29.73 32.95 090
seams.
61556 ......... A Incise skull/ 22.26 NA NA 12.48 14.67 2.86 NA NA 37.60 39.79 090
sutures.
61557 ......... A Incise skull/ 22.38 NA NA 14.47 15.71 4.36 NA NA 41.21 42.45 090
sutures.
61558 ......... A Excision of skull/ 25.58 NA NA 14.05 16.65 5.48 NA NA 45.11 47.71 090
sutures.
61559 ......... A Excision of skull/ 32.79 NA NA 17.40 21.19 7.02 NA NA 57.21 61.00 090
sutures.
61563 ......... A Excision of skull 26.83 NA NA 15.93 18.17 4.56 NA NA 47.32 49.56 090
tumor.
61564 ......... A Excision of skull 33.83 NA NA 19.46 22.61 5.28 NA NA 58.57 61.72 090
tumor.
61570 ......... A Remove brain 24.60 NA NA 13.93 15.92 4.71 NA NA 43.24 45.23 090
foreign body.
61571 ......... A Incise skull for 26.39 NA NA 15.18 17.53 4.79 NA NA 46.36 48.71 090
brain wound.
61575 ......... A Skull base/ 34.36 NA NA 21.57 28.69 5.34 NA NA 61.27 68.39 090
brainstem surgery.
61576 ......... A Skull base/ 52.43 NA NA 31.05 30.85 6.91 NA NA 90.39 90.19 090
brainstem surgery.
61580 ......... A Craniofacial 30.35 NA NA 18.93 20.87 3.10 NA NA 52.38 54.32 090
approach, skull.
61581 ......... A Craniofacial 34.60 NA NA 20.76 23.32 2.47 NA NA 57.83 60.39 090
approach, skull.
61582 ......... A Craniofacial 31.66 NA NA 19.04 21.27 5.44 NA NA 56.14 58.37 090
approach, skull.
61583 ......... A Craniofacial 36.21 NA NA 22.48 24.65 7.12 NA NA 65.81 67.98 090
approach, skull.
61584 ......... A Orbitocranial 34.65 NA NA 20.74 23.35 6.50 NA NA 61.89 64.50 090
approach/skull.
61585 ......... A Orbitocranial 38.61 NA NA 21.90 25.47 6.67 NA NA 67.18 70.75 090
approach/skull.
61586 ......... A Resect 25.10 NA NA 16.12 19.66 3.11 NA NA 44.33 47.87 090
nasopharynx,
skull.
61590 ......... A Infratemporal 41.78 NA NA 26.11 28.85 4.98 NA NA 72.87 75.61 090
approach/skull.
61591 ......... A Infratemporal 43.68 NA NA 25.43 29.28 5.39 NA NA 74.50 78.35 090
approach/skull.
61592 ......... A Orbitocranial 39.64 NA NA 23.98 27.01 7.72 NA NA 71.34 74.37 090
approach/skull.
61595 ......... A Transtemporal 29.57 NA NA 19.23 20.71 3.10 NA NA 51.90 53.38 090
approach/skull.
[[Page 39693]]
61596 ......... A Transcochlear 35.63 NA NA 22.55 24.76 4.20 NA NA 62.38 64.59 090
approach/skull.
61597 ......... A Transcondylar 37.96 NA NA 21.92 25.21 5.86 NA NA 65.74 69.03 090
approach/skull.
61598 ......... A Transpetrosal 33.41 NA NA 20.66 22.88 5.32 NA NA 59.39 61.61 090
approach/skull.
61600 ......... A Resect/excise 25.85 NA NA 16.33 17.79 2.87 NA NA 45.05 46.51 090
cranial lesion.
61601 ......... A Resect/excise 27.89 NA NA 17.35 19.00 5.30 NA NA 50.54 52.19 090
cranial lesion.
61605 ......... A Resect/excise 29.33 NA NA 18.51 20.16 2.76 NA NA 50.60 52.25 090
cranial lesion.
61606 ......... A Resect/excise 38.83 NA NA 23.14 26.17 7.24 NA NA 69.21 72.24 090
cranial lesion.
61607 ......... A Resect/excise 36.27 NA NA 22.47 24.87 6.89 NA NA 65.63 68.03 090
cranial lesion.
61608 ......... A Resect/excise 42.10 NA NA 24.84 28.29 8.47 NA NA 75.41 78.86 090
cranial lesion.
61609 ......... A Transect, artery, 9.89 NA NA 5.00 6.40 2.12 NA NA 17.01 18.41 ZZZ
sinus.
61610 ......... A Transect, artery, 29.67 NA NA 12.09 17.75 4.84 NA NA 46.60 52.26 ZZZ
sinus.
61611 ......... A Transect, artery, 7.42 NA NA 2.83 4.34 1.59 NA NA 11.84 13.35 ZZZ
sinus.
61612 ......... A Transect, artery, 27.88 NA NA 12.16 17.08 4.44 NA NA 44.48 49.40 ZZZ
sinus.
61613 ......... A Remove aneurysm, 40.86 NA NA 24.17 27.64 8.58 NA NA 73.61 77.08 090
sinus.
61615 ......... A Resect/excise 32.07 NA NA 20.95 22.45 4.65 NA NA 57.67 59.17 090
lesion, skull.
61616 ......... A Resect/excise 43.33 NA NA 26.56 29.58 7.40 NA NA 77.29 80.31 090
lesion, skull.
61618 ......... A Repair dura....... 16.99 NA NA 11.27 11.80 2.89 NA NA 31.15 31.68 090
61619 ......... A Repair dura....... 20.71 NA NA 13.15 14.28 3.46 NA NA 37.32 38.45 090
61624 ......... A Occlusion/ 20.15 NA NA 5.92 11.25 1.13 NA NA 27.20 32.53 000
embolization cath.
61626 ......... A Occlusion/ 16.62 NA NA 4.60 9.14 0.79 NA NA 22.01 26.55 000
embolization cath.
61680 ......... A Intracranial 30.71 NA NA 18.51 26.11 6.09 NA NA 55.31 62.91 090
vessel surgery.
61682 ......... A Intracranial 61.57 NA NA 34.37 36.35 12.04 NA NA 107.98 109.96 090
vessel surgery.
61684 ......... A Intracranial 39.81 NA NA 23.74 28.02 8.53 NA NA 72.08 76.36 090
vessel surgery.
61686 ......... A Intracranial 64.49 NA NA 36.28 37.67 13.09 NA NA 113.86 115.25 090
vessel surgery.
61690 ......... A Intracranial 29.31 NA NA 18.03 23.92 5.79 NA NA 53.13 59.02 090
vessel surgery.
61692 ......... A Intracranial 51.87 NA NA 27.48 29.36 9.03 NA NA 88.38 90.26 090
vessel surgery.
61700 ......... A Inner skull vessel 50.52 NA NA 28.46 31.43 10.20 NA NA 89.18 92.15 090
surgery.
61702 ......... A Inner skull vessel 48.41 NA NA 27.29 33.35 9.70 NA NA 85.40 91.46 090
surgery.
61703 ......... A Clamp neck artery. 17.47 NA NA 11.25 12.25 3.48 NA NA 32.20 33.20 090
61705 ......... A Revise circulation 36.20 NA NA 19.64 26.32 7.06 NA NA 62.90 69.58 090
to head.
61708 ......... A Revise circulation 35.30 NA NA 13.75 20.55 2.56 NA NA 51.61 58.41 090
to head.
61710 ......... A Revise circulation 29.67 NA NA 14.29 16.17 3.75 NA NA 47.71 49.59 090
to head.
61711 ......... A Fusion of skull 36.33 NA NA 21.15 28.51 7.35 NA NA 64.83 72.19 090
arteries.
61720 ......... A Incise skull/brain 16.77 NA NA 10.70 15.36 3.36 NA NA 30.83 35.49 090
surgery.
61735 ......... A Incise skull/brain 20.43 NA NA 12.57 13.32 3.93 NA NA 36.93 37.68 090
surgery.
61750 ......... A Incise skull; 18.20 NA NA 11.24 12.97 3.59 NA NA 33.03 34.76 090
brain biopsy.
61751 ......... A Brain biopsy with 17.62 NA NA 10.98 16.01 3.58 NA NA 32.18 37.21 090
cat scan.
61760 ......... A Implant brain 22.27 NA NA 13.12 14.69 4.12 NA NA 39.51 41.08 090
electrodes.
61770 ......... A Incise skull for 21.44 NA NA 12.75 16.89 4.00 NA NA 38.19 42.33 090
treatment.
61790 ......... A Treat trigeminal 10.86 NA NA 7.37 10.17 1.80 NA NA 20.03 22.83 090
nerve.
61791 ......... A Treat trigeminal 14.61 NA NA 9.23 9.92 2.92 NA NA 26.76 27.45 090
tract.
61793 ......... A Focus radiation 17.24 NA NA 10.98 15.78 3.38 NA NA 31.60 36.40 090
beam.
61795 ......... A Brain surgery 4.04 NA NA 2.14 3.48 0.81 NA NA 6.99 8.33 ZZZ
using computer.
61850 ......... A Implant 12.39 NA NA 7.97 10.30 2.22 NA NA 22.58 24.91 090
neuroelectrodes.
61855 ......... A Implant 13.39 NA NA 9.32 10.30 2.77 NA NA 25.48 26.46 090
neuroelectrodes.
61860 ......... A Implant 20.87 NA NA 12.50 10.67 4.47 NA NA 37.84 36.01 090
neuroelectrodes.
61865 ......... A Implant 22.97 NA NA 13.80 15.47 4.92 NA NA 41.69 43.36 090
neuroelectrodes.
61870 ......... A Implant 14.94 NA NA 8.70 6.63 3.20 NA NA 26.84 24.77 090
neuroelectrodes.
61875 ......... A Implant 15.06 NA NA 7.48 7.37 3.22 NA NA 25.76 25.65 090
neuroelectrodes.
61880 ......... A Revise/remove 6.29 NA NA 5.36 5.28 1.27 NA NA 12.92 12.84 090
neuroelectrode.
61885 ......... A Implant 5.85 NA NA 4.98 3.56 1.25 NA NA 12.08 10.66 090
neuroreceiver.
61888 ......... A Revise/remove 5.07 NA NA 3.85 3.15 1.09 NA NA 10.01 9.31 010
neuroreceiver.
62000 ......... A Repair of skull 12.53 NA NA 5.36 5.79 0.94 NA NA 18.83 19.26 090
fracture.
62005 ......... A Repair of skull 16.17 NA NA 9.11 10.57 2.58 NA NA 27.86 29.32 090
fracture.
62010 ......... A Treatment of head 19.81 NA NA 11.72 16.28 3.91 NA NA 35.44 40.00 090
injury.
62100 ......... A Repair brain fluid 22.03 NA NA 13.87 18.67 3.78 NA NA 39.68 44.48 090
leakage.
62115 ......... A Reduction of skull 21.66 NA NA 12.80 14.82 3.12 NA NA 37.58 39.60 090
defect.
62116 ......... A Reduction of skull 23.59 NA NA 14.17 16.30 4.73 NA NA 42.49 44.62 090
defect.
62117 ......... A Reduction of skull 26.60 NA NA 15.28 18.06 5.70 NA NA 47.58 50.36 090
defect.
62120 ......... A Repair skull 23.35 NA NA 14.21 16.28 3.34 NA NA 40.90 42.97 090
cavity lesion.
62121 ......... A Incise skull 21.58 NA NA 14.12 16.56 3.73 NA NA 39.43 41.87 090
repair.
62140 ......... A Repair of skull 13.51 NA NA 8.87 11.73 2.65 NA NA 25.03 27.89 090
defect.
62141 ......... A Repair of skull 14.91 NA NA 9.82 13.81 2.93 NA NA 27.66 31.65 090
defect.
62142 ......... A Remove skull plate/ 10.79 NA NA 7.35 10.12 2.14 NA NA 20.28 23.05 090
flap.
62143 ......... A Replace skull 13.05 NA NA 8.68 9.32 2.59 NA NA 24.32 24.96 090
plate/flap.
62145 ......... A Repair of skull & 18.82 NA NA 11.96 13.12 3.98 NA NA 34.76 35.92 090
brain.
62146 ......... A Repair of skull 16.12 NA NA 10.48 11.21 3.02 NA NA 29.62 30.35 090
with graft.
62147 ......... A Repair of skull 19.34 NA NA 12.22 13.26 3.37 NA NA 34.93 35.97 090
with graft.
62180 ......... A Establish brain 21.06 NA NA 13.17 14.30 4.21 NA NA 38.44 39.57 090
cavity shunt.
62190 ......... A Establish brain 11.07 NA NA 7.80 10.51 2.30 NA NA 21.17 23.88 090
cavity shunt.
62192 ......... A Establish brain 12.25 NA NA 8.26 11.45 2.35 NA NA 22.86 26.05 090
cavity shunt.
62194 ......... A Replace/irrigate 5.03 NA NA 2.75 2.40 0.49 NA NA 8.27 7.92 010
catheter.
62200 ......... A Establish brain 18.32 NA NA 11.78 15.09 3.86 NA NA 33.96 37.27 090
cavity shunt.
62201 ......... A Establish brain 14.86 NA NA 9.61 9.57 2.87 NA NA 27.34 27.30 090
cavity shunt.
62220 ......... A Establish brain 13.00 NA NA 8.77 12.15 2.63 NA NA 24.40 27.78 090
cavity shunt.
62223 ......... A Establish brain 12.87 NA NA 8.57 11.97 2.52 NA NA 23.96 27.36 090
cavity shunt.
62225 ......... A Replace/irrigate 5.41 NA NA 4.12 4.67 1.10 NA NA 10.63 11.18 090
catheter.
62230 ......... A Replace/revise 10.54 NA NA 6.77 8.72 2.08 NA NA 19.39 21.34 090
brain shunt.
62256 ......... A Remove brain 6.60 NA NA 5.41 6.17 1.34 NA NA 13.35 14.11 090
cavity shunt.
62258 ......... A Replace brain 14.54 NA NA 8.81 12.43 2.84 NA NA 26.19 29.81 090
cavity shunt.
62268 ......... A Drain spinal cord 4.74 NA NA 2.80 3.02 0.73 NA NA 8.27 8.49 000
cyst.
62269 ......... A Needle biopsy 5.02 NA NA 2.71 2.31 0.77 NA NA 8.50 8.10 000
spinal cord.
62270 ......... A Spinal fluid tap, 1.13 0.79 0.78 0.37 0.57 0.17 2.09 2.08 1.67 1.87 000
diagnostic.
62272 ......... A Drain spinal fluid 1.35 1.84 1.47 0.53 0.82 0.21 3.40 3.03 2.09 2.38 000
[[Page 39694]]
62273 ......... A Treat lumbar spine 2.15 2.99 2.11 2.99 2.11 0.33 5.47 4.59 5.47 4.59 000
lesion.
62274 ......... A Inject spinal 1.78 9.63 5.22 0.32 0.56 0.27 11.68 7.27 2.37 2.61 000
anesthetic.
62275 ......... A Inject spinal 1.79 10.01 5.33 0.32 0.48 0.27 12.07 7.39 2.38 2.54 000
anesthetic.
62276 ......... A Inject spinal 2.04 11.04 6.19 0.39 0.86 0.31 13.39 8.54 2.74 3.21 000
anesthetic.
62277 ......... A Inject spinal 2.15 7.57 4.24 0.37 0.64 0.33 10.05 6.72 2.85 3.12 000
anesthetic.
62278 ......... A Inject spinal 1.51 9.19 5.13 0.30 0.68 0.23 10.93 6.87 2.04 2.42 000
anesthetic.
62279 ......... A Inject spinal 1.58 12.54 6.72 0.26 0.58 0.24 14.36 8.54 2.08 2.40 000
anesthetic.
62280 ......... A Treat spinal cord 2.63 8.67 4.72 0.56 0.67 0.40 11.70 7.75 3.59 3.70 010
lesion.
62281 ......... A Treat spinal cord 2.66 9.57 5.26 0.48 0.71 0.41 12.64 8.33 3.55 3.78 010
lesion.
62282 ......... A Treat spinal canal 2.33 7.83 4.84 0.49 1.17 0.36 10.52 7.53 3.18 3.86 010
lesion.
62284 ......... A Injection for 1.54 5.23 3.69 0.44 1.14 0.24 7.01 5.47 2.22 2.92 000
myelogram.
62287 ......... A Percutaneous 8.08 NA NA 5.14 6.35 1.24 NA NA 14.46 15.67 090
diskectomy.
62288 ......... A Injection into 1.74 5.86 3.54 0.38 0.80 0.27 7.87 5.55 2.39 2.81 000
spinal canal.
62289 ......... A Injection into 1.64 13.23 7.20 0.30 0.73 0.25 15.12 9.09 2.19 2.62 000
spinal canal.
62290 ......... A Inject for spine 3.00 5.05 3.54 1.02 1.52 0.46 8.51 7.00 4.48 4.98 000
disk x-ray.
62291 ......... A Inject for spine 2.91 7.04 4.49 0.81 1.37 0.45 10.40 7.85 4.17 4.73 000
disk x-ray.
62292 ......... A Injection into 7.86 NA NA 7.79 8.59 1.20 NA NA 16.85 17.65 090
disk lesion.
62294 ......... A Injection into 11.83 NA NA 7.58 6.96 1.81 NA NA 21.22 20.60 090
spinal artery.
62298 ......... A Injection into 2.20 11.75 6.44 0.38 0.76 0.34 14.29 8.98 2.92 3.30 000
spinal canal.
62350 ......... A Implant spinal 6.87 NA NA 7.80 5.80 1.05 NA NA 15.72 13.72 090
catheter.
62351 ......... A Implant spinal 10.00 NA NA 7.47 6.54 1.53 NA NA 19.00 18.07 090
catheter.
62355 ......... A Remove spinal 5.45 NA NA 6.15 4.97 0.84 NA NA 12.44 11.26 090
canal catheter.
62360 ......... A Insert spine 2.62 NA NA 6.90 4.06 0.40 NA NA 9.92 7.08 090
infusion device.
62361 ......... A Implant spine 5.42 NA NA 7.00 4.96 0.83 NA NA 13.25 11.21 090
infusion pump.
62362 ......... A Implant spine 7.04 NA NA 7.09 5.45 1.08 NA NA 15.21 13.57 090
infusion pump.
62365 ......... A Remove spine 5.42 NA NA 5.04 4.41 0.83 NA NA 11.29 10.66 090
infusion device.
62367 ......... C Analyze spine 0.00 0.00 0.00 0.00 0.00 0.07 0.07 0.07 0.07 0.07 XXX
infusion pump.
62367 26 A Analyze spine 0.48 0.12 0.25 0.12 0.25 0.07 0.67 0.80 0.67 0.80 XXX
infusion pump.
62367 TC C Analyze spine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infusion pump.
62368 ......... C Analyze spine 0.00 0.00 0.00 0.00 0.00 0.11 0.11 0.11 0.11 0.11 XXX
infusion pump.
62368 26 A Analyze spine 0.75 0.16 0.38 0.16 0.38 0.11 1.02 1.24 1.02 1.24 XXX
infusion pump.
62368 TC C Analyze spine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infusion pump.
63001 ......... A Removal of spinal 15.82 NA NA 12.31 15.60 2.43 NA NA 30.56 33.85 090
lamina.
63003 ......... A Removal of spinal 15.95 NA NA 11.73 15.39 2.45 NA NA 30.13 33.79 090
lamina.
63005 ......... A Removal of spinal 14.92 NA NA 11.07 14.44 2.29 NA NA 28.28 31.65 090
lamina.
63011 ......... A Removal of spinal 14.52 NA NA 13.93 12.39 2.23 NA NA 30.68 29.14 090
lamina.
63012 ......... A Removal of spinal 15.40 NA NA 10.26 14.32 2.36 NA NA 28.02 32.08 090
lamina.
63015 ......... A Removal of spinal 19.35 NA NA 13.40 18.22 2.97 NA NA 35.72 40.54 090
lamina.
63016 ......... A Removal of spinal 19.20 NA NA 13.27 18.10 2.94 NA NA 35.41 40.24 090
lamina.
63017 ......... A Removal of spinal 15.94 NA NA 11.70 15.36 2.44 NA NA 30.08 33.74 090
lamina.
63020 ......... A Neck spine disk 14.81 NA NA 11.05 14.23 2.27 NA NA 28.13 31.31 090
surgery.
63030 ......... A Low back disk 12.00 NA NA 9.75 12.04 1.84 NA NA 23.59 25.88 090
surgery.
63035 ......... A Spinal disk 3.15 NA NA 1.65 2.71 0.48 NA NA 5.28 6.34 ZZZ
surgery add-on.
63040 ......... A Neck spine disk 18.81 NA NA 13.04 17.75 2.88 NA NA 34.73 39.44 090
surgery.
63042 ......... A Low back disk 17.47 NA NA 12.56 16.71 2.68 NA NA 32.71 36.86 090
surgery.
63045 ......... A Removal of spinal 16.50 NA NA 11.94 15.82 2.53 NA NA 30.97 34.85 090
lamina.
63046 ......... A Removal of spinal 15.80 NA NA 11.46 15.16 2.42 NA NA 29.68 33.38 090
lamina.
63047 ......... A Removal of spinal 14.61 NA NA 11.04 14.24 2.24 NA NA 27.89 31.09 090
lamina.
63048 ......... A Remove spinal 3.26 NA NA 1.73 2.82 0.50 NA NA 5.49 6.58 ZZZ
lamina add-on.
63055 ......... A Decompress spinal 21.99 NA NA 15.01 20.38 3.37 NA NA 40.37 45.74 090
cord.
63056 ......... A Decompress spinal 20.36 NA NA 13.82 18.76 3.12 NA NA 37.30 42.24 090
cord.
63057 ......... A Decompress spine 5.26 NA NA 2.79 3.48 0.81 NA NA 8.86 9.55 ZZZ
cord add-on.
63064 ......... A Decompress spinal 24.61 NA NA 16.50 21.18 3.77 NA NA 44.88 49.56 090
cord.
63066 ......... A Decompress spine 3.26 NA NA 1.73 2.21 0.50 NA NA 5.49 5.97 ZZZ
cord add-on.
63075 ......... A Neck spine disk 19.41 NA NA 13.66 16.37 2.98 NA NA 36.05 38.76 090
surgery.
63076 ......... A Neck spine disk 4.05 NA NA 2.14 3.49 0.62 NA NA 6.81 8.16 ZZZ
surgery.
63077 ......... A Spine disk 21.44 NA NA 14.76 17.38 3.29 NA NA 39.49 42.11 090
surgery, thorax.
63078 ......... A Spine disk 3.28 NA NA 1.71 2.27 0.50 NA NA 5.49 6.05 ZZZ
surgery, thorax.
63081 ......... A Removal of 23.73 NA NA 16.27 22.30 3.64 NA NA 43.64 49.67 090
vertebral body.
63082 ......... A Remove vertebral 4.37 NA NA 2.33 3.78 0.67 NA NA 7.37 8.82 ZZZ
body add-on.
63085 ......... A Removal of 26.92 NA NA 17.96 23.85 4.13 NA NA 49.01 54.90 090
vertebral body.
63086 ......... A Remove vertebral 3.19 NA NA 1.68 2.75 0.49 NA NA 5.36 6.43 ZZZ
body add-on.
63087 ......... A Removal of 35.57 NA NA 22.78 26.72 5.45 NA NA 63.80 67.74 090
vertebral body.
63088 ......... A Remove vertebral 4.33 NA NA 2.26 3.72 0.66 NA NA 7.25 8.71 ZZZ
body add-on.
63090 ......... A Removal of 28.16 NA NA 18.05 24.88 4.32 NA NA 50.53 57.36 090
vertebral body.
63091 ......... A Remove vertebral 3.03 NA NA 1.55 2.26 0.46 NA NA 5.04 5.75 ZZZ
body add-on.
63170 ......... A Incise spinal cord 19.83 NA NA 13.62 17.06 3.04 NA NA 36.49 39.93 090
tract(s).
63172 ......... A Drainage of spinal 17.66 NA NA 13.29 17.19 2.71 NA NA 33.66 37.56 090
cyst.
63173 ......... A Drainage of spinal 21.99 NA NA 15.43 16.11 3.37 NA NA 40.79 41.47 090
cyst.
63180 ......... A Revise spinal cord 18.27 NA NA 11.32 11.96 2.80 NA NA 32.39 33.03 090
ligaments.
63182 ......... A Revise spinal cord 20.50 NA NA 12.47 15.16 3.14 NA NA 36.11 38.80 090
ligaments.
63185 ......... A Incise spinal 15.04 NA NA 13.05 14.97 2.31 NA NA 30.40 32.32 090
column/nerves.
63190 ......... A Incise spinal 17.45 NA NA 12.97 16.91 2.68 NA NA 33.10 37.04 090
column/nerves.
63191 ......... A Incise spinal 17.54 NA NA 11.37 12.76 2.69 NA NA 31.60 32.99 090
column/nerves.
63194 ......... A Incise spinal 19.19 NA NA 11.91 13.02 2.94 NA NA 34.04 35.15 090
column & cord.
63195 ......... A Incise spinal 18.84 NA NA 12.91 13.98 2.89 NA NA 34.64 35.71 090
column & cord.
63196 ......... A Incise spinal 22.30 NA NA 11.47 14.20 3.42 NA NA 37.19 39.92 090
column & cord.
63197 ......... A Incise spinal 21.11 NA NA 13.87 14.73 3.24 NA NA 38.22 39.08 090
column & cord.
63198 ......... A Incise spinal 25.38 NA NA 12.65 15.18 3.89 NA NA 41.92 44.45 090
column & cord.
63199 ......... A Incise spinal 26.89 NA NA 15.23 19.23 4.12 NA NA 46.24 50.24 090
column & cord.
63200 ......... A Release of spinal 19.18 NA NA 12.93 13.24 2.94 NA NA 35.05 35.36 090
cord.
63250 ......... A Revise spinal cord 40.76 NA NA 20.31 25.35 6.25 NA NA 67.32 72.36 090
vessels.
63251 ......... A Revise spinal cord 41.20 NA NA 22.83 23.76 6.32 NA NA 70.35 71.28 090
vessels.
63252 ......... A Revise spinal cord 41.19 NA NA 23.19 26.93 6.31 NA NA 70.69 74.43 090
vessels.
[[Page 39695]]
63265 ......... A Excise intraspinal 21.56 NA NA 13.38 18.64 3.31 NA NA 38.25 43.51 090
lesion.
63266 ......... A Excise intraspinal 22.30 NA NA 13.81 20.22 3.42 NA NA 39.53 45.94 090
lesion.
63267 ......... A Excise intraspinal 17.95 NA NA 11.42 16.43 2.75 NA NA 32.12 37.13 090
lesion.
63268 ......... A Excise intraspinal 18.52 NA NA 11.81 12.72 2.84 NA NA 33.17 34.08 090
lesion.
63270 ......... A Excise intraspinal 26.80 NA NA 16.21 17.95 4.11 NA NA 47.12 48.86 090
lesion.
63271 ......... A Excise intraspinal 26.92 NA NA 16.46 22.67 4.13 NA NA 47.51 53.72 090
lesion.
63272 ......... A Excise intraspinal 25.32 NA NA 15.32 20.22 3.88 NA NA 44.52 49.42 090
lesion.
63273 ......... A Excise intraspinal 24.29 NA NA 14.43 16.75 3.72 NA NA 42.44 44.76 090
lesion.
63275 ......... A Biopsy/excise 23.68 NA NA 14.36 21.32 3.63 NA NA 41.67 48.63 090
spinal tumor.
63276 ......... A Biopsy/excise 23.45 NA NA 14.23 20.85 3.59 NA NA 41.27 47.89 090
spinal tumor.
63277 ......... A Biopsy/excise 20.83 NA NA 12.97 18.92 3.19 NA NA 36.99 42.94 090
spinal tumor.
63278 ......... A Biopsy/excise 20.56 NA NA 12.95 18.75 3.15 NA NA 36.66 42.46 090
spinal tumor.
63280 ......... A Biopsy/excise 28.35 NA NA 17.01 23.74 4.35 NA NA 49.71 56.44 090
spinal tumor.
63281 ......... A Biopsy/excise 28.05 NA NA 16.92 23.48 4.30 NA NA 49.27 55.83 090
spinal tumor.
63282 ......... A Biopsy/excise 26.39 NA NA 15.72 20.95 4.05 NA NA 46.16 51.39 090
spinal tumor.
63283 ......... A Biopsy/excise 25.00 NA NA 15.06 17.72 3.83 NA NA 43.89 46.55 090
spinal tumor.
63285 ......... A Biopsy/excise 36.00 NA NA 20.52 23.55 5.52 NA NA 62.04 65.07 090
spinal tumor.
63286 ......... A Biopsy/excise 35.63 NA NA 21.00 26.11 5.46 NA NA 62.09 67.20 090
spinal tumor.
63287 ......... A Biopsy/excise 36.70 NA NA 21.23 24.57 5.63 NA NA 63.56 66.90 090
spinal tumor.
63290 ......... A Biopsy/excise 37.38 NA NA 20.55 25.02 5.73 NA NA 63.66 68.13 090
spinal tumor.
63300 ......... A Removal of 24.43 NA NA 14.87 16.81 3.74 NA NA 43.04 44.98 090
vertebral body.
63301 ......... A Removal of 27.60 NA NA 16.34 18.18 4.23 NA NA 48.17 50.01 090
vertebral body.
63302 ......... A Removal of 27.81 NA NA 16.14 19.66 4.26 NA NA 48.21 51.73 090
vertebral body.
63303 ......... A Removal of 30.50 NA NA 17.35 18.72 4.68 NA NA 52.53 53.90 090
vertebral body.
63304 ......... A Removal of 30.33 NA NA 17.75 20.44 4.65 NA NA 52.73 55.42 090
vertebral body.
63305 ......... A Removal of 32.03 NA NA 18.46 21.44 4.91 NA NA 55.40 58.38 090
vertebral body.
63306 ......... A Removal of 32.22 NA NA 17.80 21.25 4.94 NA NA 54.96 58.41 090
vertebral body.
63307 ......... A Removal of 31.63 NA NA 16.87 21.69 4.85 NA NA 53.35 58.17 090
vertebral body.
63308 ......... A Remove vertebral 5.25 NA NA 2.75 3.58 0.80 NA NA 8.80 9.63 ZZZ
body add-on.
63600 ......... A Remove spinal cord 14.02 NA NA 11.98 11.80 2.15 NA NA 28.15 27.97 090
lesion.
63610 ......... A Stimulation of 8.73 NA NA 5.35 6.33 1.34 NA NA 15.42 16.40 000
spinal cord.
63615 ......... A Remove lesion of 16.28 NA NA 10.71 11.62 2.50 NA NA 29.49 30.40 090
spinal cord.
63650 ......... A Implant 6.74 NA NA 6.63 7.34 1.03 NA NA 14.40 15.11 090
neuroelectrodes.
63655 ......... A Implant 10.29 NA NA 7.74 10.02 1.58 NA NA 19.61 21.89 090
neuroelectrodes.
63660 ......... A Revise/remove 6.16 NA NA 6.76 7.06 0.94 NA NA 13.86 14.16 090
neuroelectrode.
63685 ......... A Implant 7.04 NA NA 6.67 7.35 1.08 NA NA 14.79 15.47 090
neuroreceiver.
63688 ......... A Revise/remove 5.39 NA NA 5.79 6.12 0.83 NA NA 12.01 12.34 090
neuroreceiver.
63700 ......... A Repair of spinal 16.53 NA NA 10.40 11.36 2.53 NA NA 29.46 30.42 090
herniation.
63702 ......... A Repair of spinal 18.48 NA NA 11.47 12.67 2.83 NA NA 32.78 33.98 090
herniation.
63704 ......... A Repair of spinal 21.18 NA NA 12.84 14.12 3.25 NA NA 37.27 38.55 090
herniation.
63706 ......... A Repair of spinal 24.11 NA NA 13.95 15.84 3.70 NA NA 41.76 43.65 090
herniation.
63707 ......... A Repair spinal 11.26 NA NA 8.09 10.77 1.73 NA NA 21.08 23.76 090
fluid leakage.
63709 ......... A Repair spinal 14.32 NA NA 9.59 13.34 2.20 NA NA 26.11 29.86 090
fluid leakage.
63710 ......... A Graft repair of 14.07 NA NA 9.49 10.04 2.16 NA NA 25.72 26.27 090
spine defect.
63740 ......... A Install spinal 11.36 NA NA 7.99 10.78 1.74 NA NA 21.09 23.88 090
shunt.
63741 ......... A Install spinal 8.25 NA NA 6.34 8.10 1.26 NA NA 15.85 17.61 090
shunt.
63744 ......... A Revision of spinal 8.10 NA NA 6.15 7.50 1.24 NA NA 15.49 16.84 090
shunt.
63746 ......... A Removal of spinal 6.43 NA NA 7.52 6.76 0.99 NA NA 14.94 14.18 090
shunt.
64400 ......... A Injection for 1.11 3.18 1.85 0.25 0.26 0.09 4.38 3.05 1.45 1.46 000
nerve block.
64402 ......... A Injection for 1.25 5.02 2.85 0.47 0.57 0.08 6.35 4.18 1.80 1.90 000
nerve block.
64405 ......... A Injection for 1.32 4.36 2.53 0.24 0.30 0.13 5.81 3.98 1.69 1.75 000
nerve block.
64408 ......... A Injection for 1.41 2.50 1.82 0.43 0.50 0.14 4.05 3.37 1.98 2.05 000
nerve block.
64410 ......... A Injection for 1.43 5.34 3.06 0.29 0.53 0.09 6.86 4.58 1.81 2.05 000
nerve block.
64412 ......... A Injection for 1.18 4.16 2.42 0.22 0.28 0.10 5.44 3.70 1.50 1.56 000
nerve block.
64413 ......... A Injection for 1.40 3.79 2.30 0.30 0.35 0.12 5.31 3.82 1.82 1.87 000
nerve block.
64415 ......... A Injection for 1.48 4.32 2.30 0.25 0.27 0.11 5.91 3.89 1.84 1.86 000
nerve block.
64417 ......... A Injection for 1.44 10.05 5.37 0.28 0.48 0.11 11.60 6.92 1.83 2.03 000
nerve block.
64418 ......... A Injection for 1.32 5.38 3.15 0.23 0.35 0.09 6.79 4.56 1.64 1.76 000
nerve block.
64420 ......... A Injection for 1.18 4.01 2.35 0.22 0.46 0.08 5.27 3.61 1.48 1.72 000
nerve block.
64421 ......... A Injection for 1.68 7.69 4.30 0.31 0.61 0.11 9.48 6.09 2.10 2.40 000
nerve block.
64425 ......... A Injection for 1.75 6.52 3.57 0.32 0.47 0.13 8.40 5.45 2.20 2.35 000
nerve block.
64430 ......... A Injection for 1.46 3.93 2.35 0.38 0.57 0.10 5.49 3.91 1.94 2.13 000
nerve block.
64435 ......... A Injection for 1.45 3.17 1.84 0.52 0.39 0.11 4.73 3.40 2.08 1.95 000
nerve block.
64440 ......... A Injection for 1.34 4.11 2.49 0.32 0.38 0.10 5.55 3.93 1.76 1.82 000
nerve block.
64441 ......... A Injection for 1.79 4.46 2.78 0.36 0.46 0.13 6.38 4.70 2.28 2.38 000
nerve block.
64442 ......... A Injection for 1.41 6.57 3.93 0.33 0.81 0.10 8.08 5.44 1.84 2.32 000
nerve block.
64443 ......... A Inject, nerve 0.98 10.15 5.42 0.22 0.45 0.07 11.20 6.47 1.27 1.50 ZZZ
block add-on.
64445 ......... A Injection for 1.48 4.73 2.63 0.28 0.28 0.10 6.31 4.21 1.86 1.86 000
nerve block.
64450 ......... A Injection for 1.27 2.81 1.70 0.28 0.29 0.09 4.17 3.06 1.64 1.65 000
nerve block.
64505 ......... A Injection for 1.36 3.14 1.91 0.32 0.33 0.09 4.59 3.36 1.77 1.78 000
nerve block.
64508 ......... A Injection for 1.12 1.70 1.42 0.26 0.42 0.13 2.95 2.67 1.51 1.67 000
nerve block.
64510 ......... A Injection for 1.22 10.92 5.85 0.20 0.49 0.08 12.22 7.15 1.50 1.79 000
nerve block.
64520 ......... A Injection for 1.35 7.16 3.97 0.24 0.51 0.10 8.61 5.42 1.69 1.96 000
nerve block.
64530 ......... A Injection for 1.58 10.91 6.09 0.28 0.78 0.10 12.59 7.77 1.96 2.46 000
nerve block.
64550 ......... A Apply 0.18 0.53 0.51 0.05 0.15 0.01 0.72 0.70 0.24 0.34 000
neurostimulator.
64553 ......... A Implant 2.31 1.49 1.30 1.38 0.97 0.07 3.87 3.68 3.76 3.35 010
neuroelectrodes.
64555 ......... A Implant 2.27 2.94 1.70 0.46 0.35 0.17 5.38 4.14 2.90 2.79 010
neuroelectrodes.
64560 ......... A Implant 2.36 2.87 2.22 0.48 0.64 0.18 5.41 4.76 3.02 3.18 010
neuroelectrodes.
64565 ......... A Implant 1.76 3.39 2.11 0.72 0.57 0.14 5.29 4.01 2.62 2.47 010
neuroelectrodes.
64573 ......... A Implant 4.43 NA NA 3.85 3.64 0.89 NA NA 9.17 8.96 090
neuroelectrodes.
64575 ......... A Implant 4.35 NA NA 3.91 3.62 0.68 NA NA 8.94 8.65 090
neuroelectrodes.
64577 ......... A Implant 4.62 NA NA 4.11 3.56 0.66 NA NA 9.39 8.84 090
neuroelectrodes.
64580 ......... A Implant 4.12 NA NA 5.49 4.33 0.40 NA NA 10.01 8.85 090
neuroelectrodes.
64585 ......... A Revise/remove 2.06 5.45 3.25 3.81 2.43 0.27 7.78 5.58 6.14 4.76 010
neuroelectrode.
[[Page 39696]]
64590 ......... A Implant 2.40 NA NA 2.70 2.35 0.38 NA NA 5.48 5.13 010
neuroreceiver.
64595 ......... A Revise/remove 1.73 NA NA 5.25 3.24 0.15 NA NA 7.13 5.12 010
neuroreceiver.
64600 ......... A Injection 3.45 3.91 2.87 3.91 2.87 0.35 7.71 6.67 7.71 6.67 010
treatment of
nerve.
64605 ......... A Injection 5.61 9.81 5.75 5.85 3.77 0.43 15.85 11.79 11.89 9.81 010
treatment of
nerve.
64610 ......... A Injection 7.16 NA NA 5.20 6.54 1.33 NA NA 13.69 15.03 010
treatment of
nerve.
64612 ......... A Destroy nerve, 1.96 2.69 2.13 1.71 1.25 0.15 4.80 4.24 3.82 3.36 010
face muscle.
64613 ......... A Destroy nerve, 1.96 1.42 1.50 1.42 1.11 0.37 3.75 3.83 3.75 3.44 010
spine muscle.
64620 ......... A Injection 2.84 9.82 5.46 0.55 0.82 0.20 12.86 8.50 3.59 3.86 010
treatment of
nerve.
64622 ......... A Injection 3.00 10.51 6.25 0.60 1.29 0.21 13.72 9.46 3.81 4.50 010
treatment of
nerve.
64623 ......... A Inject, tx of 0.99 10.68 5.80 0.20 0.56 0.07 11.74 6.86 1.26 1.62 ZZZ
nerve add-on.
64630 ......... A Injection 3.00 3.53 2.71 0.57 1.23 0.25 6.78 5.96 3.82 4.48 010
treatment of
nerve.
64640 ......... A Injection 2.76 5.64 3.32 0.85 0.93 0.21 8.61 6.29 3.82 3.90 010
treatment of
nerve.
64680 ......... A Injection 2.62 11.74 6.71 0.60 1.14 0.17 14.53 9.50 3.39 3.93 010
treatment of
nerve.
64702 ......... A Revise finger/toe 4.23 NA NA 3.50 4.04 0.47 NA NA 8.20 8.74 090
nerve.
64704 ......... A Revise hand/foot 4.57 NA NA 2.92 4.19 0.39 NA NA 7.88 9.15 090
nerve.
64708 ......... A Revise arm/leg 6.12 NA NA 5.12 6.21 0.69 NA NA 11.93 13.02 090
nerve.
64712 ......... A Revision of 7.75 NA NA 7.46 8.36 0.78 NA NA 15.99 16.89 090
sciatic nerve.
64713 ......... A Revision of arm 11.00 NA NA 8.53 9.37 1.18 NA NA 20.71 21.55 090
nerve(s).
64714 ......... A Revise low back 10.33 NA NA 9.41 8.03 0.79 NA NA 20.53 19.15 090
nerve(s).
64716 ......... A Revision of 6.31 NA NA 4.51 4.88 0.62 NA NA 11.44 11.81 090
cranial nerve.
64718 ......... A Revise ulnar nerve 5.99 NA NA 4.83 5.99 0.78 NA NA 11.60 12.76 090
at elbow.
64719 ......... A Revise ulnar nerve 4.85 NA NA 4.21 4.79 0.56 NA NA 9.62 10.20 090
at wrist.
64721 ......... A Carpal tunnel 4.29 5.50 5.31 5.27 5.20 0.52 10.31 10.12 10.08 10.01 090
surgery.
64722 ......... A Relieve pressure 4.70 NA NA 6.26 5.94 0.41 NA NA 11.37 11.05 090
on nerve(s).
64726 ......... A Release foot/toe 4.18 NA NA 5.34 3.06 0.31 NA NA 9.83 7.55 090
nerve.
64727 ......... A Internal nerve 3.10 NA NA 1.46 2.49 0.35 NA NA 4.91 5.94 ZZZ
revision.
64732 ......... A Incision of brow 4.41 NA NA 3.97 4.33 0.78 NA NA 9.16 9.52 090
nerve.
64734 ......... A Incision of cheek 4.92 NA NA 3.52 4.26 0.75 NA NA 9.19 9.93 090
nerve.
64736 ......... A Incision of chin 4.60 NA NA 2.68 3.76 0.41 NA NA 7.69 8.77 090
nerve.
64738 ......... A Incision of jaw 5.73 NA NA 3.42 4.46 0.62 NA NA 9.77 10.81 090
nerve.
64740 ......... A Incision of tongue 5.59 NA NA 3.31 4.47 0.41 NA NA 9.31 10.47 090
nerve.
64742 ......... A Incision of facial 6.22 NA NA 4.55 4.99 0.57 NA NA 11.34 11.78 090
nerve.
64744 ......... A Incise nerve, back 5.24 NA NA 4.54 5.40 0.97 NA NA 10.75 11.61 090
of head.
64746 ......... A Incise diaphragm 5.93 NA NA 4.41 4.25 0.64 NA NA 10.98 10.82 090
nerve.
64752 ......... A Incision of vagus 7.06 NA NA 4.40 4.34 0.70 NA NA 12.16 12.10 090
nerve.
64755 ......... A Incision of 13.52 NA NA 6.60 8.98 1.28 NA NA 21.40 23.78 090
stomach nerves.
64760 ......... A Incision of vagus 6.96 NA NA 4.28 5.75 0.67 NA NA 11.91 13.38 090
nerve.
64761 ......... A Incision of pelvis 6.41 NA NA 4.19 4.63 0.46 NA NA 11.06 11.50 090
nerve.
64763 ......... A Incise hip/thigh 6.93 NA NA 6.00 5.61 0.76 NA NA 13.69 13.30 090
nerve.
64766 ......... A Incise hip/thigh 8.67 NA NA 5.93 6.59 1.42 NA NA 16.02 16.68 090
nerve.
64771 ......... A Sever cranial 7.35 NA NA 5.52 6.25 0.91 NA NA 13.78 14.51 090
nerve.
64772 ......... A Incision of spinal 7.21 NA NA 5.22 6.29 1.20 NA NA 13.63 14.70 090
nerve.
64774 ......... A Remove skin nerve 5.17 NA NA 4.00 3.49 0.54 NA NA 9.71 9.20 090
lesion.
64776 ......... A Remove digit nerve 5.12 NA NA 4.27 3.65 0.46 NA NA 9.85 9.23 090
lesion.
64778 ......... A Digit nerve 3.11 NA NA 1.58 2.27 0.37 NA NA 5.06 5.75 ZZZ
surgery add-on.
64782 ......... A Remove limb nerve 6.23 NA NA 3.38 4.24 0.48 NA NA 10.09 10.95 090
lesion.
64783 ......... A Limb nerve surgery 3.72 NA NA 1.85 2.70 0.39 NA NA 5.96 6.81 ZZZ
add-on.
64784 ......... A Remove nerve 9.82 NA NA 6.41 6.27 1.12 NA NA 17.35 17.21 090
lesion.
64786 ......... A Remove sciatic 15.46 NA NA 9.81 11.78 1.99 NA NA 27.26 29.23 090
nerve lesion.
64787 ......... A Implant nerve end. 4.30 NA NA 2.16 2.97 0.45 NA NA 6.91 7.72 ZZZ
64788 ......... A Remove skin nerve 4.61 NA NA 3.37 3.66 0.51 NA NA 8.49 8.78 090
lesion.
64790 ......... A Removal of nerve 11.31 NA NA 7.16 7.44 1.54 NA NA 20.01 20.29 090
lesion.
64792 ......... A Removal of nerve 14.92 NA NA 8.73 9.25 2.01 NA NA 25.66 26.18 090
lesion.
64795 ......... A Biopsy of nerve... 3.01 NA NA 1.80 2.19 0.44 NA NA 5.25 5.64 000
64802 ......... A Remove sympathetic 9.15 NA NA 7.49 6.68 1.04 NA NA 17.68 16.87 090
nerves.
64804 ......... A Remove sympathetic 14.64 NA NA 9.70 11.78 1.92 NA NA 26.26 28.34 090
nerves.
64809 ......... A Remove sympathetic 13.67 NA NA 9.16 10.31 1.77 NA NA 24.60 25.75 090
nerves.
64818 ......... A Remove sympathetic 10.30 NA NA 7.49 8.40 1.21 NA NA 19.00 19.91 090
nerves.
64820 ......... A Remove sympathetic 10.37 NA NA 7.36 7.63 1.11 NA NA 18.84 19.11 090
nerves.
64831 ......... A Repair of digit 9.44 NA NA 6.64 5.16 1.05 NA NA 17.13 15.65 090
nerve.
64832 ......... A Repair nerve add- 5.66 NA NA 2.99 2.26 0.62 NA NA 9.27 8.54 ZZZ
on.
64834 ......... A Repair of hand or 10.19 NA NA 6.67 5.24 1.13 NA NA 17.99 16.56 090
foot nerve.
64835 ......... A Repair of hand or 10.94 NA NA 7.33 6.90 1.20 NA NA 19.47 19.04 090
foot nerve.
64836 ......... A Repair of hand or 10.94 NA NA 7.56 7.42 1.25 NA NA 19.75 19.61 090
foot nerve.
64837 ......... A Repair nerve add- 6.26 NA NA 3.27 4.05 0.69 NA NA 10.22 11.00 ZZZ
on.
64840 ......... A Repair of leg 13.02 NA NA 8.66 9.95 1.09 NA NA 22.77 24.06 090
nerve.
64856 ......... A Repair/transpose 13.80 NA NA 8.86 8.89 1.59 NA NA 24.25 24.28 090
nerve.
64857 ......... A Repair arm/leg 14.49 NA NA 9.37 9.86 1.62 NA NA 25.48 25.97 090
nerve.
64858 ......... A Repair sciatic 16.49 NA NA 10.09 11.01 2.53 NA NA 29.11 30.03 090
nerve.
64859 ......... A Nerve surgery..... 4.26 NA NA 2.24 3.02 0.47 NA NA 6.97 7.75 ZZZ
64861 ......... A Repair of arm 19.24 NA NA 11.36 12.96 1.77 NA NA 32.37 33.97 090
nerves.
64862 ......... A Repair of low back 19.44 NA NA 11.36 17.38 4.16 NA NA 34.96 40.98 090
nerves.
64864 ......... A Repair of facial 12.55 NA NA 8.28 8.41 1.17 NA NA 22.00 22.13 090
nerve.
64865 ......... A Repair of facial 15.24 NA NA 9.69 11.54 1.44 NA NA 26.37 28.22 090
nerve.
64866 ......... A Fusion of facial/ 15.74 NA NA 10.04 11.09 1.50 NA NA 27.28 28.33 090
other nerve.
64868 ......... A Fusion of facial/ 14.04 NA NA 8.91 10.53 1.66 NA NA 24.61 26.23 090
other nerve.
64870 ......... A Fusion of facial/ 15.99 NA NA 8.91 12.01 1.83 NA NA 26.73 29.83 090
other nerve.
64872 ......... A Subsequent repair 1.99 NA NA 1.07 1.32 0.23 NA NA 3.29 3.54 ZZZ
of nerve.
64874 ......... A Repair & revise 2.98 NA NA 1.52 1.94 0.34 NA NA 4.84 5.26 ZZZ
nerve add-on.
64876 ......... A Repair nerve; 3.38 NA NA 1.29 1.98 0.39 NA NA 5.06 5.75 ZZZ
shorten bone.
64885 ......... A Nerve graft, head 17.53 NA NA 11.07 12.42 1.51 NA NA 30.11 31.46 090
or neck.
64886 ......... A Nerve graft, head 20.75 NA NA 13.02 14.72 1.82 NA NA 35.59 37.29 090
or neck.
64890 ......... A Nerve graft, hand 15.15 NA NA 9.97 11.64 1.63 NA NA 26.75 28.42 090
or foot.
64891 ......... A Nerve graft, hand 16.14 NA NA 8.89 10.10 1.62 NA NA 26.65 27.86 090
or foot.
[[Page 39697]]
64892 ......... A Nerve graft, arm 14.65 NA NA 8.79 10.39 1.77 NA NA 25.21 26.81 090
or leg.
64893 ......... A Nerve graft, arm 15.60 NA NA 8.37 11.75 2.25 NA NA 26.22 29.60 090
or leg.
64895 ......... A Nerve graft, hand 19.25 NA NA 11.09 12.69 1.93 NA NA 32.27 33.87 090
or foot.
64896 ......... A Nerve graft, hand 20.49 NA NA 11.91 15.47 2.21 NA NA 34.61 38.17 090
or foot.
64897 ......... A Nerve graft, arm 18.24 NA NA 10.47 12.09 1.97 NA NA 30.68 32.30 090
or leg.
64898 ......... A Nerve graft, arm 19.50 NA NA 12.22 13.93 2.06 NA NA 33.78 35.49 090
or leg.
64901 ......... A Nerve graft add-on 10.22 NA NA 5.30 8.17 1.09 NA NA 16.61 19.48 ZZZ
64902 ......... A Nerve graft add-on 11.83 NA NA 6.49 9.72 1.13 NA NA 19.45 22.68 ZZZ
64905 ......... A Nerve pedicle 14.02 NA NA 7.35 8.78 1.09 NA NA 22.46 23.89 090
transfer.
64907 ......... A Nerve pedicle 18.83 NA NA 11.15 12.64 2.12 NA NA 32.10 33.59 090
transfer.
64999 ......... C Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
65091 ......... A Revise eye........ 6.46 NA NA 8.36 8.04 0.28 NA NA 15.10 14.78 090
65093 ......... A Revise eye with 6.87 NA NA 9.10 8.65 0.29 NA NA 16.26 15.81 090
implant.
65101 ......... A Removal of eye.... 7.03 NA NA 9.29 8.84 0.31 NA NA 16.63 16.18 090
65103 ......... A Remove eye/insert 7.57 NA NA 9.33 9.19 0.31 NA NA 17.21 17.07 090
implant.
65105 ......... A Remove eye/attach 8.49 NA NA 9.87 10.01 0.35 NA NA 18.71 18.85 090
implant.
65110 ......... A Removal of eye.... 13.95 NA NA 13.20 14.93 0.71 NA NA 27.86 29.59 090
65112 ......... A Remove eye, revise 16.38 NA NA 15.84 14.52 1.26 NA NA 33.48 32.16 090
socket.
65114 ......... A Remove eye, revise 17.53 NA NA 15.08 14.63 0.86 NA NA 33.47 33.02 090
socket.
65125 ......... A Revise ocular 3.12 4.24 3.46 1.59 2.14 0.17 7.53 6.75 4.88 5.43 090
implant.
65130 ......... A Insert ocular 7.15 NA NA 8.57 8.56 0.32 NA NA 16.04 16.03 090
implant.
65135 ......... A Insert ocular 7.33 NA NA 8.76 7.32 0.33 NA NA 16.42 14.98 090
implant.
65140 ......... A Attach ocular 8.02 NA NA 8.96 7.86 0.34 NA NA 17.32 16.22 090
implant.
65150 ......... A Revise ocular 6.26 NA NA 7.96 7.72 0.26 NA NA 14.48 14.24 090
implant.
65155 ......... A Reinsert ocular 8.66 NA NA 9.69 10.02 0.42 NA NA 18.77 19.10 090
implant.
65175 ......... A Removal of ocular 6.28 NA NA 8.07 7.79 0.26 NA NA 14.61 14.33 090
implant.
65205 ......... A Remove foreign 0.71 3.76 2.08 0.19 0.20 0.04 4.51 2.83 0.94 0.95 000
body from eye.
65210 ......... A Remove foreign 0.84 3.71 2.11 0.29 0.27 0.04 4.59 2.99 1.17 1.15 000
body from eye.
65220 ......... A Remove foreign 0.71 5.82 3.19 0.18 0.23 0.06 6.59 3.96 0.95 1.00 000
body from eye.
65222 ......... A Remove foreign 0.93 3.70 2.16 0.28 0.30 0.04 4.67 3.13 1.25 1.27 000
body from eye.
65235 ......... A Remove foreign 7.57 NA NA 6.48 6.29 0.33 NA NA 14.38 14.19 090
body from eye.
65260 ......... A Remove foreign 10.96 NA NA 11.30 10.34 0.44 NA NA 22.70 21.74 090
body from eye.
65265 ......... A Remove foreign 12.59 NA NA 12.58 11.74 0.52 NA NA 25.69 24.85 090
body from eye.
65270 ......... A Repair of eye 1.90 3.21 2.24 1.83 1.55 0.09 5.20 4.23 3.82 3.54 010
wound.
65272 ......... A Repair of eye 3.82 4.52 3.15 3.82 2.80 0.16 8.50 7.13 7.80 6.78 090
wound.
65273 ......... A Repair of eye 4.36 NA NA 4.03 3.76 0.18 NA NA 8.57 8.30 090
wound.
65275 ......... A Repair of eye 5.34 4.68 2.70 4.40 2.56 0.28 10.30 8.32 10.02 8.18 090
wound.
65280 ......... A Repair of eye 7.66 NA NA 7.50 8.33 0.32 NA NA 15.48 16.31 090
wound.
65285 ......... A Repair of eye 12.90 NA NA 13.18 13.25 0.53 NA NA 26.61 26.68 090
wound.
65286 ......... A Repair of eye 5.51 7.10 6.15 6.08 4.34 0.23 12.84 11.89 11.82 10.08 090
wound.
65290 ......... A Repair of eye 5.41 NA NA 5.87 6.17 0.23 NA NA 11.51 11.81 090
socket wound.
65400 ......... A Removal of eye 6.06 7.99 7.50 6.70 6.86 0.25 14.30 13.81 13.01 13.17 090
lesion.
65410 ......... A Biopsy of cornea.. 1.47 1.62 1.68 0.72 1.23 0.06 3.15 3.21 2.25 2.76 000
65420 ......... A Removal of eye 4.17 6.31 5.48 5.43 5.04 0.17 10.65 9.82 9.77 9.38 090
lesion.
65426 ......... A Removal of eye 5.25 7.42 6.85 6.29 6.28 0.21 12.88 12.31 11.75 11.74 090
lesion.
65430 ......... A Corneal smear..... 1.47 4.15 2.37 0.74 0.52 0.06 5.68 3.90 2.27 2.05 000
65435 ......... A Curette/treat 0.92 1.25 1.05 0.44 0.43 0.04 2.21 2.01 1.40 1.39 000
cornea.
65436 ......... A Curette/treat 4.19 4.77 3.22 3.93 2.38 0.17 9.13 7.58 8.29 6.74 090
cornea.
65450 ......... A Treatment of 3.27 5.95 4.76 4.94 4.25 0.13 9.35 8.16 8.34 7.65 090
corneal lesion.
65600 ......... A Revision of cornea 3.40 4.35 3.60 1.43 1.43 0.15 7.90 7.15 4.98 4.98 090
65710 ......... A Corneal transplant 12.35 NA NA 12.66 13.08 0.51 NA NA 25.52 25.94 090
65730 ......... A Corneal transplant 14.25 NA NA 13.57 15.00 0.58 NA NA 28.40 29.83 090
65750 ......... A Corneal transplant 15.00 NA NA 13.96 15.72 0.61 NA NA 29.57 31.33 090
65755 ......... A Corneal transplant 14.89 NA NA 13.91 15.69 0.61 NA NA 29.41 31.19 090
65760 ......... N Revision of cornea 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65765 ......... N Revision of cornea 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65767 ......... N Corneal tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
65770 ......... A Revise cornea with 17.56 NA NA 15.13 15.06 0.71 NA NA 33.40 33.33 090
implant.
65771 ......... N Radial keratotomy. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
65772 ......... A Correction of 4.29 5.63 5.38 4.77 3.67 0.17 10.09 9.84 9.23 8.13 090
astigmatism.
65775 ......... A Correction of 5.79 NA NA 7.91 7.41 0.24 NA NA 13.94 13.44 090
astigmatism.
65800 ......... A Drainage of eye... 1.91 2.09 1.98 1.37 1.62 0.08 4.08 3.97 3.36 3.61 000
65805 ......... A Drainage of eye... 1.91 2.09 2.03 1.37 1.18 0.08 4.08 4.02 3.36 3.17 000
65810 ......... A Drainage of eye... 4.87 NA NA 6.55 6.19 0.20 NA NA 11.62 11.26 090
65815 ......... A Drainage of eye... 5.05 7.27 6.07 6.23 5.55 0.21 12.53 11.33 11.49 10.81 090
65820 ......... A Relieve inner eye 8.13 NA NA 8.72 9.54 0.33 NA NA 17.18 18.00 090
pressure.
65850 ......... A Incision of eye... 10.52 NA NA 9.76 11.16 0.43 NA NA 20.71 22.11 090
65855 ......... A Laser surgery of 4.30 4.88 5.70 3.99 3.63 0.18 9.36 10.18 8.47 8.11 090
eye.
65860 ......... A Incise inner eye 3.55 3.71 3.98 2.92 2.52 0.15 7.41 7.68 6.62 6.22 090
adhesions.
65865 ......... A Incise inner eye 5.60 NA NA 6.48 6.59 0.23 NA NA 12.31 12.42 090
adhesions.
65870 ......... A Incise inner eye 6.27 NA NA 6.81 6.59 0.26 NA NA 13.34 13.12 090
adhesions.
65875 ......... A Incise inner eye 6.54 NA NA 6.94 6.88 0.27 NA NA 13.75 13.69 090
adhesions.
65880 ......... A Incise inner eye 7.09 NA NA 7.23 7.33 0.29 NA NA 14.61 14.71 090
adhesions.
65900 ......... A Remove eye lesion. 10.93 NA NA 12.00 10.29 0.50 NA NA 23.43 21.72 090
65920 ......... A Remove implant 8.40 NA NA 7.88 8.48 0.35 NA NA 16.63 17.23 090
from eye.
65930 ......... A Remove blood clot 7.44 NA NA 8.22 8.28 0.30 NA NA 15.96 16.02 090
from eye.
66020 ......... A Injection 1.59 2.15 2.03 1.43 1.67 0.07 3.81 3.69 3.09 3.33 010
treatment of eye.
66030 ......... A Injection 1.25 1.96 1.28 1.24 0.77 0.05 3.26 2.58 2.54 2.07 010
treatment of eye.
66130 ......... A Remove eye lesion. 7.69 6.54 6.14 5.70 5.72 0.32 14.55 14.15 13.71 13.73 090
66150 ......... A Glaucoma surgery.. 8.30 NA NA 8.66 9.29 0.34 NA NA 17.30 17.93 090
66155 ......... A Glaucoma surgery.. 8.29 NA NA 8.64 9.27 0.35 NA NA 17.28 17.91 090
66160 ......... A Glaucoma surgery.. 10.17 NA NA 9.57 10.63 0.44 NA NA 20.18 21.24 090
66165 ......... A Glaucoma surgery.. 8.01 NA NA 8.53 9.05 0.32 NA NA 16.86 17.38 090
66170 ......... A Glaucoma surgery.. 12.16 11.11 12.15 10.63 11.91 0.50 23.77 24.81 23.29 24.57 090
[[Page 39698]]
66172 ......... A Incision of eye... 15.04 NA NA 12.11 12.65 0.62 NA NA 27.77 28.31 090
66180 ......... A Implant eye shunt. 14.55 NA NA 11.94 14.66 0.60 NA NA 27.09 29.81 090
66185 ......... A Revise eye shunt.. 8.14 NA NA 8.58 9.15 0.34 NA NA 17.06 17.63 090
66220 ......... A Repair eye lesion. 7.77 NA NA 9.12 7.79 0.33 NA NA 17.22 15.89 090
66225 ......... A Repair/graft eye 11.05 NA NA 9.42 11.31 0.45 NA NA 20.92 22.81 090
lesion.
66250 ......... A Follow-up surgery 5.98 7.99 7.57 6.66 6.90 0.25 14.22 13.80 12.89 13.13 090
of eye.
66500 ......... A Incision of iris.. 3.71 NA NA 3.71 4.07 0.15 NA NA 7.57 7.93 090
66505 ......... A Incision of iris.. 4.08 NA NA 3.94 3.75 0.17 NA NA 8.19 8.00 090
66600 ......... A Remove iris and 8.68 NA NA 8.46 9.31 0.36 NA NA 17.50 18.35 090
lesion.
66605 ......... A Removal of iris... 12.79 NA NA 12.78 12.83 0.54 NA NA 26.11 26.16 090
66625 ......... A Removal of iris... 5.13 7.26 6.69 6.28 6.20 0.21 12.60 12.03 11.62 11.54 090
66630 ......... A Removal of iris... 6.16 NA NA 7.19 7.28 0.25 NA NA 13.60 13.69 090
66635 ......... A Removal of iris... 6.25 NA NA 6.80 7.14 0.25 NA NA 13.30 13.64 090
66680 ......... A Repair iris & 5.44 NA NA 6.39 6.44 0.23 NA NA 12.06 12.11 090
ciliary body.
66682 ......... A Repair iris and 6.21 NA NA 7.26 7.34 0.25 NA NA 13.72 13.80 090
ciliary body.
66700 ......... A Destruction, 4.78 7.00 6.36 5.72 5.72 0.21 11.99 11.35 10.71 10.71 090
ciliary body.
66710 ......... A Destruction, 4.78 6.92 6.32 5.71 5.71 0.20 11.90 11.30 10.69 10.69 090
ciliary body.
66720 ......... A Destruction, 4.78 6.65 6.18 5.74 5.73 0.21 11.64 11.17 10.73 10.72 090
ciliary body.
66740 ......... A Destruction, 4.78 NA NA 6.05 5.88 0.19 NA NA 11.02 10.85 090
ciliary body.
66761 ......... A Revision of iris.. 4.07 3.95 4.41 3.17 2.80 0.17 8.19 8.65 7.41 7.04 090
66762 ......... A Revision of iris.. 4.58 4.20 4.84 3.40 3.07 0.19 8.97 9.61 8.17 7.84 090
66770 ......... A Removal of inner 5.18 4.45 5.32 3.69 3.40 0.21 9.84 10.71 9.08 8.79 090
eye lesion.
66820 ......... A Incision, 3.89 NA NA 6.03 5.34 0.16 NA NA 10.08 9.39 090
secondary
cataract.
66821 ......... A After cataract 2.35 3.01 2.91 2.30 2.56 0.10 5.46 5.36 4.75 5.01 090
laser surgery.
66825 ......... A Reposition 8.23 NA NA 8.24 8.10 0.34 NA NA 16.81 16.67 090
intraocular lens.
66830 ......... A Removal of lens 8.20 9.13 8.73 8.62 8.47 0.34 17.67 17.27 17.16 17.01 090
lesion.
66840 ......... A Removal of lens 7.91 NA NA 7.68 8.56 0.33 NA NA 15.92 16.80 090
material.
66850 ......... A Removal of lens 9.11 NA NA 7.94 9.41 0.38 NA NA 17.43 18.90 090
material.
66852 ......... A Removal of lens 9.97 NA NA 8.47 10.19 0.41 NA NA 18.85 20.57 090
material.
66920 ......... A Extraction of lens 8.86 NA NA 7.86 9.22 0.37 NA NA 17.09 18.45 090
66930 ......... A Extraction of lens 10.18 NA NA 8.48 9.93 0.42 NA NA 19.08 20.53 090
66940 ......... A Extraction of lens 8.93 NA NA 7.86 9.26 0.37 NA NA 17.16 18.56 090
66983 ......... A Remove cataract, 8.99 NA NA 5.95 8.34 0.51 NA NA 15.45 17.84 090
insert lens.
66984 ......... A Remove cataract, 10.28 NA NA 7.57 9.92 0.45 NA NA 18.30 20.65 090
insert lens.
66985 ......... A Insert lens 8.39 NA NA 6.71 8.37 0.36 NA NA 15.46 17.12 090
prosthesis.
66986 ......... A Exchange lens 12.28 NA NA 9.40 11.32 0.51 NA NA 22.19 24.11 090
prosthesis.
66999 ......... C Eye surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67005 ......... A Partial removal of 5.70 NA NA 2.87 4.84 0.24 NA NA 8.81 10.78 090
eye fluid.
67010 ......... A Partial removal of 6.87 NA NA 3.49 5.85 0.28 NA NA 10.64 13.00 090
eye fluid.
67015 ......... A Release of eye 6.92 NA NA 7.30 7.15 0.29 NA NA 14.51 14.36 090
fluid.
67025 ......... A Replace eye fluid. 6.84 11.93 9.63 6.77 7.05 0.29 19.06 16.76 13.90 14.18 090
67027 ......... A Implant eye drug 10.85 13.62 11.72 6.53 8.17 0.45 24.92 23.02 17.83 19.47 090
system.
67028 ......... A Injection eye drug 2.52 5.88 4.69 1.27 2.14 0.10 8.50 7.31 3.89 4.76 000
67030 ......... A Incise inner eye 4.84 NA NA 5.90 5.84 0.20 NA NA 10.94 10.88 090
strands.
67031 ......... A Laser surgery, eye 3.67 3.77 4.08 2.97 2.58 0.15 7.59 7.90 6.79 6.40 090
strands.
67036 ......... A Removal of inner 11.89 NA NA 8.46 11.33 0.49 NA NA 20.84 23.71 090
eye fluid.
67038 ......... A Strip retinal 21.24 NA NA 14.87 20.11 0.87 NA NA 36.98 42.22 090
membrane.
67039 ......... A Laser treatment of 14.52 NA NA 11.05 14.19 0.59 NA NA 26.16 29.30 090
retina.
67040 ......... A Laser treatment of 17.23 NA NA 12.84 16.71 0.71 NA NA 30.78 34.65 090
retina.
67101 ......... A Repair, detached 7.53 9.96 9.48 8.21 6.36 0.31 17.80 17.32 16.05 14.20 090
retina.
67105 ......... A Repair, detached 7.41 7.39 8.66 5.55 5.26 0.30 15.10 16.37 13.26 12.97 090
retina.
67107 ......... A Repair detached 14.84 NA NA 12.60 15.16 0.61 NA NA 28.05 30.61 090
retina.
67108 ......... A Repair detached 20.82 NA NA 16.74 20.80 0.86 NA NA 38.42 42.48 090
retina.
67110 ......... A Repair detached 8.81 15.24 12.88 9.52 10.02 0.36 24.41 22.05 18.69 19.19 090
retina.
67112 ......... A Re-repair detached 16.86 NA NA 14.76 16.34 0.69 NA NA 32.31 33.89 090
retina.
67115 ......... A Release, 4.99 NA NA 5.97 5.97 0.20 NA NA 11.16 11.16 090
encircling
material.
67120 ......... A Remove eye implant 5.98 11.39 9.27 6.41 6.78 0.25 17.62 15.50 12.64 13.01 090
material.
67121 ......... A Remove eye implant 10.67 NA NA 10.86 10.54 0.45 NA NA 21.98 21.66 090
material.
67141 ......... A Treatment of 5.20 7.03 6.62 6.13 4.62 0.21 12.44 12.03 11.54 10.03 090
retina.
67145 ......... A Treatment of 5.37 5.15 6.10 4.14 3.84 0.22 10.74 11.69 9.73 9.43 090
retina.
67208 ......... A Treatment of 6.70 7.50 7.75 6.53 5.27 0.27 14.47 14.72 13.50 12.24 090
retinal lesion.
67210 ......... A Treatment of 8.82 7.26 8.53 5.86 5.38 0.36 16.44 17.71 15.04 14.56 090
retinal lesion.
67218 ......... A Treatment of 13.52 NA NA 12.36 13.40 0.55 NA NA 26.43 27.47 090
retinal lesion.
67220 ......... A Treat choroid 13.13 6.68 6.68 6.62 6.62 0.53 20.34 20.34 20.28 20.28 090
lesion.
67227 ......... A Treatment of 6.58 7.79 7.83 6.46 7.16 0.28 14.65 14.69 13.32 14.02 090
retinal lesion.
67228 ......... A Treatment of 12.74 9.88 10.04 7.55 6.33 0.52 23.14 23.30 20.81 19.59 090
retinal lesion.
67250 ......... A Reinforce eye wall 8.66 NA NA 9.56 8.58 0.41 NA NA 18.63 17.65 090
67255 ......... A Reinforce/graft 8.90 NA NA 9.30 9.96 0.37 NA NA 18.57 19.23 090
eye wall.
67299 ......... C Eye surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67311 ......... A Revise eye muscle. 6.65 NA NA 6.18 7.06 0.28 NA NA 13.11 13.99 090
67312 ......... A Revise two eye 8.54 NA NA 7.15 8.67 0.35 NA NA 16.04 17.56 090
muscles.
67314 ......... A Revise eye muscle. 7.52 NA NA 6.62 7.80 0.31 NA NA 14.45 15.63 090
67316 ......... A Revise two eye 9.66 NA NA 7.64 9.40 0.41 NA NA 17.71 19.47 090
muscles.
67318 ......... A Revise eye 7.85 NA NA 7.12 6.93 0.32 NA NA 15.29 15.10 090
muscle(s).
67320 ......... A Revise eye 4.33 NA NA 6.46 8.40 0.18 NA NA 10.97 12.91 ZZZ
muscle(s) add-on.
67331 ......... A Eye surgery follow- 4.06 NA NA 4.92 7.31 0.17 NA NA 9.15 11.54 ZZZ
up add-on.
67332 ......... A Rerevise eye 4.49 NA NA 5.59 8.16 0.19 NA NA 10.27 12.84 ZZZ
muscles add-on.
67334 ......... A Revise eye muscle 3.98 NA NA 5.09 5.97 0.16 NA NA 9.23 10.11 ZZZ
w/suture.
67335 ......... A Eye suture during 2.49 NA NA 1.26 2.12 0.10 NA NA 3.85 4.71 ZZZ
surgery.
67340 ......... A Revise eye muscle 4.93 NA NA 6.64 7.60 0.21 NA NA 11.78 12.74 ZZZ
add-on.
67343 ......... A Release eye tissue 7.35 NA NA 6.88 6.61 0.30 NA NA 14.53 14.26 090
67345 ......... A Destroy nerve of 2.96 3.66 3.04 1.45 1.33 0.28 6.90 6.28 4.69 4.57 010
eye muscle.
67350 ......... A Biopsy eye muscle. 2.87 NA NA 2.31 2.45 0.12 NA NA 5.30 5.44 000
67399 ......... C Eye muscle surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
[[Page 39699]]
67400 ......... A Explore/biopsy eye 9.76 NA NA 10.99 11.33 0.45 NA NA 21.20 21.54 090
socket.
67405 ......... A Explore/drain eye 7.93 NA NA 9.99 9.73 0.41 NA NA 18.33 18.07 090
socket.
67412 ......... A Explore/treat eye 9.50 NA NA 12.17 11.76 0.43 NA NA 22.10 21.69 090
socket.
67413 ......... A Explore/treat eye 10.00 NA NA 11.36 10.07 0.51 NA NA 21.87 20.58 090
socket.
67414 ......... A Explore/decompress 11.13 NA NA 13.37 11.24 0.54 NA NA 25.04 22.91 090
eye socke.
67415 ......... A Aspiration orbital 1.76 NA NA 0.82 1.47 0.09 NA NA 2.67 3.32 000
contents.
67420 ......... A Explore/treat eye 20.06 NA NA 17.85 18.03 1.13 NA NA 39.04 39.22 090
socket.
67430 ......... A Explore/treat eye 13.39 NA NA 13.29 12.43 0.62 NA NA 27.30 26.44 090
socket.
67440 ......... A Explore/drain eye 13.09 NA NA 13.16 14.40 0.56 NA NA 26.81 28.05 090
socket.
67445 ......... A Explore/decompress 14.42 NA NA 14.44 13.26 0.63 NA NA 29.49 28.31 090
eye socke.
67450 ......... A Explore/biopsy eye 13.51 NA NA 13.94 15.04 0.69 NA NA 28.14 29.24 090
socket.
67500 ......... A Inject/treat eye 0.79 64.35 32.57 0.17 0.48 0.05 65.19 33.41 1.01 1.32 000
socket.
67505 ......... A Inject/treat eye 0.82 3.76 2.45 0.22 0.36 0.04 4.62 3.31 1.08 1.22 000
socket.
67515 ......... A Inject/treat eye 0.61 3.60 2.11 0.31 0.31 0.02 4.23 2.74 0.94 0.94 000
socket.
67550 ......... A Insert eye socket 10.19 NA NA 10.37 10.41 0.52 NA NA 21.08 21.12 090
implant.
67560 ......... A Revise eye socket 10.60 NA NA 10.39 9.70 0.50 NA NA 21.49 20.80 090
implant.
67570 ......... A Decompress optic 13.58 NA NA 14.38 11.29 0.85 NA NA 28.81 25.72 090
nerve.
67599 ......... C Orbit surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67700 ......... A Drainage of eyelid 1.35 5.13 2.83 0.60 0.44 0.06 6.54 4.24 2.01 1.85 010
abscess.
67710 ......... A Incision of eyelid 1.02 5.17 3.14 1.35 0.95 0.04 6.23 4.20 2.41 2.01 010
67715 ......... A Incision of eyelid 1.22 NA NA 1.49 1.47 0.05 NA NA 2.76 2.74 010
fold.
67800 ......... A Remove eyelid 1.38 5.26 3.14 0.70 0.61 0.06 6.70 4.58 2.14 2.05 010
lesion.
67801 ......... A Remove eyelid 1.88 3.30 2.41 1.82 1.29 0.08 5.26 4.37 3.78 3.25 010
lesions.
67805 ......... A Remove eyelid 2.22 7.23 4.37 1.96 1.36 0.09 9.54 6.68 4.27 3.67 010
lesions.
67808 ......... A Remove eyelid 3.80 NA NA 3.54 2.93 0.17 NA NA 7.51 6.90 090
lesion(s).
67810 ......... A Biopsy of eyelid.. 1.48 4.64 2.76 0.75 0.60 0.06 6.18 4.30 2.29 2.14 000
67820 ......... A Revise eyelashes.. 0.89 3.81 2.11 0.41 0.31 0.04 4.74 3.04 1.34 1.24 000
67825 ......... A Revise eyelashes.. 1.38 5.11 3.05 1.49 0.99 0.06 6.55 4.49 2.93 2.43 010
67830 ......... A Revise eyelashes.. 1.70 6.12 4.21 1.68 1.86 0.07 7.89 5.98 3.45 3.63 010
67835 ......... A Revise eyelashes.. 5.56 NA NA 4.48 5.56 0.24 NA NA 10.28 11.36 090
67840 ......... A Remove eyelid 2.04 6.83 4.08 2.44 1.55 0.09 8.96 6.21 4.57 3.68 010
lesion.
67850 ......... A Treat eyelid 1.69 5.56 3.23 1.68 1.07 0.08 7.33 5.00 3.45 2.84 010
lesion.
67875 ......... A Closure of eyelid 1.35 6.69 4.28 2.25 1.94 0.06 8.10 5.69 3.66 3.35 000
by suture.
67880 ......... A Revision of eyelid 3.80 7.90 6.09 3.36 3.82 0.16 11.86 10.05 7.32 7.78 090
67882 ......... A Revision of eyelid 5.07 9.65 7.86 4.16 5.11 0.22 14.94 13.15 9.45 10.40 090
67900 ......... A Repair brow defect 6.14 9.12 6.61 6.19 5.15 0.32 15.58 13.07 12.65 11.61 090
67901 ......... A Repair eyelid 6.97 NA NA 6.55 7.44 0.36 NA NA 13.88 14.77 090
defect.
67902 ......... A Repair eyelid 7.03 NA NA 6.54 7.47 0.34 NA NA 13.91 14.84 090
defect.
67903 ......... A Repair eyelid 6.37 10.62 9.12 6.57 7.09 0.43 17.42 15.92 13.37 13.89 090
defect.
67904 ......... A Repair eyelid 6.26 11.52 9.50 7.10 7.29 0.27 18.05 16.03 13.63 13.82 090
defect.
67906 ......... A Repair eyelid 6.79 8.54 7.24 6.21 6.07 0.27 15.60 14.30 13.27 13.13 090
defect.
67908 ......... A Repair eyelid 5.13 8.08 7.10 5.99 6.06 0.22 13.43 12.45 11.34 11.41 090
defect.
67909 ......... A Revise eyelid 5.40 8.32 7.39 6.07 6.26 0.24 13.96 13.03 11.71 11.90 090
defect.
67911 ......... A Revise eyelid 5.27 NA NA 6.14 6.22 0.25 NA NA 11.66 11.74 090
defect.
67914 ......... A Repair eyelid 3.68 8.28 6.34 3.70 4.05 0.16 12.12 10.18 7.54 7.89 090
defect.
67915 ......... A Repair eyelid 3.18 6.49 3.93 1.62 1.15 0.13 9.80 7.24 4.93 4.46 090
defect.
67916 ......... A Repair eyelid 5.31 10.24 8.29 4.69 5.52 0.24 15.79 13.84 10.24 11.07 090
defect.
67917 ......... A Repair eyelid 6.02 8.86 8.02 6.33 6.76 0.27 15.15 14.31 12.62 13.05 090
defect.
67921 ......... A Repair eyelid 3.40 7.97 6.02 3.45 3.76 0.14 11.51 9.56 6.99 7.30 090
defect.
67922 ......... A Repair eyelid 3.06 6.47 3.88 2.76 1.71 0.13 9.66 7.07 5.95 4.90 090
defect.
67923 ......... A Repair eyelid 5.88 10.36 8.69 4.95 5.99 0.25 16.49 14.82 11.08 12.12 090
defect.
67924 ......... A Repair eyelid 5.79 8.40 7.66 5.77 6.34 0.24 14.43 13.69 11.80 12.37 090
defect.
67930 ......... A Repair eyelid 3.61 8.27 4.83 3.27 1.98 0.17 12.05 8.61 7.05 5.76 010
wound.
67935 ......... A Repair eyelid 6.22 10.36 7.24 4.86 4.49 0.31 16.89 13.77 11.39 11.02 090
wound.
67938 ......... A Remove eyelid 1.33 4.98 2.77 0.52 0.40 0.07 6.38 4.17 1.92 1.80 010
foreign body.
67950 ......... A Revision of eyelid 5.82 7.05 7.00 6.48 6.72 0.29 13.16 13.11 12.59 12.83 090
67961 ......... A Revision of eyelid 5.69 6.90 6.85 6.06 6.43 0.27 12.86 12.81 12.02 12.39 090
67966 ......... A Revision of eyelid 6.57 7.34 7.60 5.68 6.77 0.32 14.23 14.49 12.57 13.66 090
67971 ......... A Reconstruction of 9.79 NA NA 7.74 9.67 0.43 NA NA 17.96 19.89 090
eyelid.
67973 ......... A Reconstruction of 12.87 NA NA 9.59 12.14 0.61 NA NA 23.07 25.62 090
eyelid.
67974 ......... A Reconstruction of 12.84 NA NA 9.36 12.32 0.62 NA NA 22.82 25.78 090
eyelid.
67975 ......... A Reconstruction of 9.13 NA NA 7.40 5.95 0.39 NA NA 16.92 15.47 090
eyelid.
67999 ......... C Revision of eyelid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
68020 ......... A Incise/drain 1.37 5.14 2.85 0.68 0.48 0.06 6.57 4.28 2.11 1.91 010
eyelid lining.
68040 ......... A Treatment of 0.85 4.11 2.30 0.41 0.33 0.04 5.00 3.19 1.30 1.22 000
eyelid lesions.
68100 ......... A Biopsy of eyelid 1.35 4.78 2.93 0.67 0.61 0.06 6.19 4.34 2.08 2.02 000
lining.
68110 ......... A Remove eyelid 1.77 5.46 3.41 1.69 1.19 0.07 7.30 5.25 3.53 3.03 010
lining lesion.
68115 ......... A Remove eyelid 2.36 6.47 4.28 2.01 2.05 0.10 8.93 6.74 4.47 4.51 010
lining lesion.
68130 ......... A Remove eyelid 4.93 NA NA 5.36 4.90 0.20 NA NA 10.49 10.03 090
lining lesion.
68135 ......... A Remove eyelid 1.84 5.46 3.13 1.73 1.07 0.08 7.38 5.05 3.65 2.99 010
lining lesion.
68200 ......... A Treat eyelid by 0.49 3.55 2.06 0.25 0.27 0.02 4.06 2.57 0.76 0.78 000
injection.
68320 ......... A Revise/graft 5.37 5.00 5.71 5.00 5.71 0.22 10.59 11.30 10.59 11.30 090
eyelid lining.
68325 ......... A Revise/graft 7.36 NA NA 6.20 7.50 0.36 NA NA 13.92 15.22 090
eyelid lining.
68326 ......... A Revise/graft 7.15 NA NA 6.11 7.33 0.32 NA NA 13.58 14.80 090
eyelid lining.
68328 ......... A Revise/graft 8.18 NA NA 6.64 8.21 0.41 NA NA 15.23 16.80 090
eyelid lining.
68330 ......... A Revise eyelid 4.83 6.62 6.19 5.39 5.58 0.20 11.65 11.22 10.42 10.61 090
lining.
68335 ......... A Revise/graft 7.19 NA NA 5.10 6.84 0.31 NA NA 12.60 14.34 090
eyelid lining.
68340 ......... A Separate eyelid 4.17 9.07 6.24 3.68 3.55 0.18 13.42 10.59 8.03 7.90 090
adhesions.
68360 ......... A Revise eyelid 4.37 6.29 5.76 5.08 5.15 0.18 10.84 10.31 9.63 9.70 090
lining.
68362 ......... A Revise eyelid 7.34 NA NA 7.37 8.03 0.30 NA NA 15.01 15.67 090
lining.
68399 ......... C Eyelid lining 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
68400 ......... A Incise/drain tear 1.69 6.89 3.99 2.18 1.37 0.07 8.65 5.75 3.94 3.13 010
gland.
68420 ......... A Incise/drain tear 2.30 7.24 4.18 2.63 1.60 0.10 9.64 6.58 5.03 4.00 010
sac.
68440 ......... A Incise tear duct 0.94 5.08 2.95 1.28 0.85 0.04 6.06 3.93 2.26 1.83 010
opening.
[[Page 39700]]
68500 ......... A Removal of tear 11.02 NA NA 9.24 8.75 0.54 NA NA 20.80 20.31 090
gland.
68505 ......... A Partial removal 10.94 NA NA 10.20 9.82 0.69 NA NA 21.83 21.45 090
tear gland.
68510 ......... A Biopsy of tear 4.61 7.61 5.81 2.33 3.17 0.19 12.41 10.61 7.13 7.97 000
gland.
68520 ......... A Removal of tear 7.51 NA NA 6.87 7.92 0.34 NA NA 14.72 15.77 090
sac.
68525 ......... A Biopsy of tear sac 4.43 NA NA 2.27 3.13 0.19 NA NA 6.89 7.75 000
68530 ......... A Clearance of tear 3.66 8.30 5.70 2.66 2.11 0.16 12.12 9.52 6.48 5.93 010
duct.
68540 ......... A Remove tear gland 10.60 NA NA 8.90 8.96 0.55 NA NA 20.05 20.11 090
lesion.
68550 ......... A Remove tear gland 13.26 NA NA 10.25 11.28 0.99 NA NA 24.50 25.53 090
lesion.
68700 ......... A Repair tear ducts. 6.60 NA NA 6.37 4.65 0.29 NA NA 13.26 11.54 090
68705 ......... A Revise tear duct 2.06 5.69 3.40 1.85 1.21 0.09 7.84 5.55 4.00 3.36 010
opening.
68720 ......... A Create tear sac 8.96 NA NA 7.57 9.13 0.40 NA NA 16.93 18.49 090
drain.
68745 ......... A Create tear duct 8.63 NA NA 7.41 7.27 0.37 NA NA 16.41 16.27 090
drain.
68750 ......... A Create tear duct 8.66 NA NA 8.02 9.18 0.38 NA NA 17.06 18.22 090
drain.
68760 ......... A Close tear duct 1.73 5.35 3.18 0.88 0.69 0.07 7.15 4.98 2.68 2.49 010
opening.
68761 ......... A Close tear duct 1.36 3.81 2.41 0.62 0.56 0.07 5.24 3.84 2.05 1.99 010
opening.
68770 ......... A Close tear system 7.02 10.97 7.79 5.49 3.90 0.32 18.31 15.13 12.83 11.24 090
fistula.
68801 ......... A Dilate tear duct 0.94 4.67 2.57 0.46 0.35 0.04 5.65 3.55 1.44 1.33 010
opening.
68810 ......... A Probe nasolacrimal 1.90 6.19 3.40 1.75 1.03 0.08 8.17 5.38 3.73 3.01 010
duct.
68811 ......... A Probe nasolacrimal 2.35 NA NA 2.01 1.82 0.10 NA NA 4.46 4.27 010
duct.
68815 ......... A Probe nasolacrimal 3.20 6.44 4.27 2.46 1.76 0.15 9.79 7.62 5.81 5.11 010
duct.
68840 ......... A Explore/irrigate 1.25 5.17 2.85 0.61 0.44 0.05 6.47 4.15 1.91 1.74 010
tear ducts.
68850 ......... A Injection for tear 0.80 11.44 6.00 0.28 0.42 0.03 12.27 6.83 1.11 1.25 000
sac x-ray.
68899 ......... C Tear duct system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
69000 ......... A Drain external ear 1.45 1.70 1.04 0.55 0.37 0.10 3.25 2.59 2.10 1.92 010
lesion.
69005 ......... A Drain external ear 2.11 2.16 1.71 2.16 1.40 0.16 4.43 3.98 4.43 3.67 010
lesion.
69020 ......... A Drain outer ear 1.48 1.82 1.16 0.71 0.48 0.11 3.41 2.75 2.30 2.07 010
canal lesion.
69090 ......... N Pierce earlobes... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
69100 ......... A Biopsy of external 0.81 1.23 0.98 0.41 0.39 0.04 2.08 1.83 1.26 1.24 000
ear.
69105 ......... A Biopsy of external 0.85 1.21 1.04 0.84 0.64 0.06 2.12 1.95 1.75 1.55 000
ear canal.
69110 ......... A Partial removal 3.44 2.93 2.89 2.48 2.67 0.26 6.63 6.59 6.18 6.37 090
external ear.
69120 ......... A Removal of 4.05 NA NA 3.77 2.31 0.33 NA NA 8.15 6.69 090
external ear.
69140 ......... A Remove ear canal 7.97 NA NA 7.01 7.85 0.59 NA NA 15.57 16.41 090
lesion(s).
69145 ......... A Remove ear canal 2.62 2.88 2.80 2.21 2.47 0.20 5.70 5.62 5.03 5.29 090
lesion(s).
69150 ......... A Extensive ear 13.43 NA NA 10.35 10.85 1.06 NA NA 24.84 25.34 090
canal surgery.
69155 ......... A Extensive ear/neck 20.80 NA NA 14.20 15.74 1.74 NA NA 36.74 38.28 090
surgery.
69200 ......... A Clear outer ear 0.77 1.17 0.82 0.66 0.45 0.06 2.00 1.65 1.49 1.28 000
canal.
69205 ......... A Clear outer ear 1.20 NA NA 1.25 1.21 0.09 NA NA 2.54 2.50 010
canal.
69210 ......... A Remove impacted 0.61 1.06 0.66 0.24 0.19 0.04 1.71 1.31 0.89 0.84 000
ear wax.
69220 ......... A Clean out mastoid 0.83 1.23 0.89 0.48 0.38 0.06 2.12 1.78 1.37 1.27 000
cavity.
69222 ......... A Clean out mastoid 1.40 1.82 1.31 1.41 0.91 0.10 3.32 2.81 2.91 2.41 010
cavity.
69300 ......... R Revise external 6.36 NA NA 4.16 4.96 0.53 NA NA 11.05 11.85 YYY
ear.
69310 ......... A Rebuild outer ear 10.79 NA NA 8.85 9.77 0.81 NA NA 20.45 21.37 090
canal.
69320 ......... A Rebuild outer ear 16.96 NA NA 13.07 14.49 1.27 NA NA 31.30 32.72 090
canal.
69399 ......... C Outer ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69400 ......... A Inflate middle ear 0.83 1.23 0.86 0.28 0.27 0.06 2.12 1.75 1.17 1.16 000
canal.
69401 ......... A Inflate middle ear 0.63 1.12 0.70 0.38 0.26 0.05 1.80 1.38 1.06 0.94 000
canal.
69405 ......... A Catheterize middle 2.63 2.61 1.57 1.57 0.92 0.19 5.43 4.39 4.39 3.74 010
ear canal.
69410 ......... A Inset middle ear 0.33 1.00 0.83 0.18 0.26 0.02 1.35 1.18 0.53 0.61 000
baffle.
69420 ......... A Incision of 1.33 1.84 1.30 0.73 0.56 0.10 3.27 2.73 2.16 1.99 010
eardrum.
69421 ......... A Incision of 1.73 2.10 1.67 1.62 1.43 0.13 3.96 3.53 3.48 3.29 010
eardrum.
69424 ......... A Remove ventilating 0.85 1.30 0.98 0.75 0.54 0.06 2.21 1.89 1.66 1.45 000
tube.
69433 ......... A Create eardrum 1.52 1.90 1.67 0.88 0.80 0.11 3.53 3.30 2.51 2.43 010
opening.
69436 ......... A Create eardrum 1.96 NA NA 1.75 2.03 0.15 NA NA 3.86 4.14 010
opening.
69440 ......... A Exploration of 7.57 NA NA 6.58 7.81 0.56 NA NA 14.71 15.94 090
middle ear.
69450 ......... A Eardrum revision.. 5.57 NA NA 5.31 5.98 0.42 NA NA 11.30 11.97 090
69501 ......... A Mastoidectomy..... 9.07 NA NA 7.33 9.08 0.68 NA NA 17.08 18.83 090
69502 ......... A Mastoidectomy..... 12.38 NA NA 9.77 12.14 0.93 NA NA 23.08 25.45 090
69505 ......... A Remove mastoid 12.99 NA NA 10.12 12.82 0.98 NA NA 24.09 26.79 090
structures.
69511 ......... A Extensive mastoid 13.52 NA NA 10.40 13.27 1.00 NA NA 24.92 27.79 090
surgery.
69530 ......... A Extensive mastoid 19.19 NA NA 14.16 16.15 1.50 NA NA 34.85 36.84 090
surgery.
69535 ......... A Remove part of 36.14 NA NA 23.61 25.52 2.71 NA NA 62.46 64.37 090
temporal bone.
69540 ......... A Remove ear lesion. 1.20 1.76 1.57 1.31 1.00 0.09 3.05 2.86 2.60 2.29 010
69550 ......... A Remove ear lesion. 10.99 NA NA 8.78 10.95 0.81 NA NA 20.58 22.75 090
69552 ......... A Remove ear lesion. 19.46 NA NA 13.05 15.61 1.44 NA NA 33.95 36.51 090
69554 ......... A Remove ear lesion. 33.16 NA NA 20.64 22.73 3.09 NA NA 56.89 58.98 090
69601 ......... A Mastoid surgery 13.24 NA NA 10.78 13.00 0.99 NA NA 25.01 27.23 090
revision.
69602 ......... A Mastoid surgery 13.58 NA NA 10.61 13.41 1.01 NA NA 25.20 28.00 090
revision.
69603 ......... A Mastoid surgery 14.02 NA NA 10.68 13.71 1.05 NA NA 25.75 28.78 090
revision.
69604 ......... A Mastoid surgery 14.02 NA NA 10.85 13.79 1.04 NA NA 25.91 28.85 090
revision.
69605 ......... A Mastoid surgery 18.49 NA NA 13.35 14.79 1.30 NA NA 33.14 34.58 090
revision.
69610 ......... A Repair of eardrum. 4.43 3.73 2.37 3.23 1.87 0.32 8.48 7.12 7.98 6.62 010
69620 ......... A Repair of eardrum. 5.89 5.89 6.46 3.47 5.25 0.44 12.22 12.79 9.80 11.58 090
69631 ......... A Repair eardrum 9.86 NA NA 8.76 10.27 0.72 NA NA 19.34 20.85 090
structures.
69632 ......... A Rebuild eardrum 12.75 NA NA 10.48 12.86 0.95 NA NA 24.18 26.56 090
structures.
69633 ......... A Rebuild eardrum 12.10 NA NA 10.11 12.28 0.90 NA NA 23.11 25.28 090
structures.
69635 ......... A Repair eardrum 13.33 NA NA 10.38 13.15 0.99 NA NA 24.70 27.47 090
structures.
69636 ......... A Rebuild eardrum 15.22 NA NA 12.01 15.09 1.13 NA NA 28.36 31.44 090
structures.
69637 ......... A Rebuild eardrum 15.11 NA NA 11.88 14.96 1.13 NA NA 28.12 31.20 090
structures.
69641 ......... A Revise middle ear 12.71 NA NA 10.03 12.60 0.94 NA NA 23.68 26.25 090
& mastoid.
69642 ......... A Revise middle ear 16.84 NA NA 12.84 16.47 1.25 NA NA 30.93 34.56 090
& mastoid.
69643 ......... A Revise middle ear 15.32 NA NA 11.96 15.13 1.15 NA NA 28.43 31.60 090
& mastoid.
69644 ......... A Revise middle ear 16.97 NA NA 12.99 16.63 1.26 NA NA 31.22 34.86 090
& mastoid.
69645 ......... A Revise middle ear 16.38 NA NA 12.62 16.09 1.21 NA NA 30.21 33.68 090
& mastoid.
69646 ......... A Revise middle ear 17.99 NA NA 13.70 17.59 1.35 NA NA 33.04 36.93 090
& mastoid.
[[Page 39701]]
69650 ......... A Release middle ear 9.66 NA NA 7.76 9.65 0.72 NA NA 18.14 20.03 090
bone.
69660 ......... A Revise middle ear 11.90 NA NA 8.98 11.60 0.88 NA NA 21.76 24.38 090
bone.
69661 ......... A Revise middle ear 15.74 NA NA 11.63 15.21 1.19 NA NA 28.56 32.14 090
bone.
69662 ......... A Revise middle ear 15.44 NA NA 11.54 14.99 1.15 NA NA 28.13 31.58 090
bone.
69666 ......... A Repair middle ear 9.75 NA NA 7.82 9.73 0.72 NA NA 18.29 20.20 090
structures.
69667 ......... A Repair middle ear 9.76 NA NA 7.88 9.77 0.72 NA NA 18.36 20.25 090
structures.
69670 ......... A Remove mastoid air 11.51 NA NA 9.28 10.17 0.83 NA NA 21.62 22.51 090
cells.
69676 ......... A Remove middle ear 9.52 NA NA 8.02 8.64 0.69 NA NA 18.23 18.85 090
nerve.
69700 ......... A Close mastoid 8.23 NA NA 5.35 6.94 0.64 NA NA 14.22 15.81 090
fistula.
69710 ......... N Implant/replace 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
69711 ......... A Remove/repair 10.44 NA NA 8.65 8.91 0.76 NA NA 19.85 20.11 090
hearing aid.
69720 ......... A Release facial 14.38 NA NA 11.27 14.22 1.07 NA NA 26.72 29.67 090
nerve.
69725 ......... A Release facial 25.38 NA NA 15.66 15.78 1.71 NA NA 42.75 42.87 090
nerve.
69740 ......... A Repair facial 15.96 NA NA 10.81 11.83 1.17 NA NA 27.94 28.96 090
nerve.
69745 ......... A Repair facial 16.69 NA NA 11.50 14.41 1.91 NA NA 30.10 33.01 090
nerve.
69799 ......... C Middle ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69801 ......... A Incise inner ear.. 8.56 NA NA 7.07 8.65 0.64 NA NA 16.27 17.85 090
69802 ......... A Incise inner ear.. 13.10 NA NA 10.12 11.16 1.09 NA NA 24.31 25.35 090
69805 ......... A Explore inner ear. 13.82 NA NA 10.24 12.25 1.02 NA NA 25.08 27.09 090
69806 ......... A Explore inner ear. 12.35 NA NA 9.84 12.30 0.92 NA NA 23.11 25.57 090
69820 ......... A Establish inner 10.34 NA NA 8.70 9.15 0.58 NA NA 19.62 20.07 090
ear window.
69840 ......... A Revise inner ear 10.26 NA NA 9.07 9.14 0.41 NA NA 19.74 19.81 090
window.
69905 ......... A Remove inner ear.. 11.10 NA NA 8.81 11.03 0.80 NA NA 20.71 22.93 090
69910 ......... A Remove inner ear & 13.63 NA NA 10.44 13.36 1.02 NA NA 25.09 28.01 090
mastoid.
69915 ......... A Incise inner ear 21.23 NA NA 15.02 17.12 1.58 NA NA 37.83 39.93 090
nerve.
69930 ......... A Implant cochlear 16.81 NA NA 12.23 16.15 1.26 NA NA 30.30 34.22 090
device.
69949 ......... C Inner ear surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
69950 ......... A Incise inner ear 25.64 NA NA 16.69 18.11 2.46 NA NA 44.79 46.21 090
nerve.
69955 ......... A Release facial 27.04 NA NA 17.53 19.77 2.36 NA NA 46.93 49.17 090
nerve.
69960 ......... A Release inner ear 27.04 NA NA 17.64 18.51 2.60 NA NA 47.28 48.15 090
canal.
69970 ......... A Remove inner ear 30.04 NA NA 19.06 20.22 2.23 NA NA 51.33 52.49 090
lesion.
69979 ......... C Temporal bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
69990 ......... R Microsurgery add- 3.47 1.85 1.85 1.85 1.85 0.67 5.99 5.99 5.99 5.99 ZZZ
on.
70010 ......... A Contrast x-ray of 1.19 4.87 4.96 4.87 4.96 0.25 6.31 6.40 6.31 6.40 XXX
brain.
70010 26 A Contrast x-ray of 1.19 0.34 0.45 0.34 0.45 0.05 1.58 1.69 1.58 1.69 XXX
brain.
70010 TC A Contrast x-ray of 0.00 4.53 4.51 4.53 4.51 0.20 4.73 4.71 4.73 4.71 XXX
brain.
70015 ......... A Contrast x-ray of 1.19 1.76 1.86 1.76 1.86 0.12 3.07 3.17 3.07 3.17 XXX
brain.
70015 26 A Contrast x-ray of 1.19 0.34 0.45 0.34 0.45 0.05 1.58 1.69 1.58 1.69 XXX
brain.
70015 TC A Contrast x-ray of 0.00 1.42 1.41 1.42 1.41 0.07 1.49 1.48 1.49 1.48 XXX
brain.
70030 ......... A X-ray eye for 0.17 0.49 0.51 0.49 0.51 0.03 0.69 0.71 0.69 0.71 XXX
foreign body.
70030 26 A X-ray eye for 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
foreign body.
70030 TC A X-ray eye for 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
foreign body.
70100 ......... A X-ray exam of jaw. 0.18 0.60 0.62 0.60 0.62 0.03 0.81 0.83 0.81 0.83 XXX
70100 26 A X-ray exam of jaw. 0.18 0.05 0.08 0.05 0.08 0.01 0.24 0.27 0.24 0.27 XXX
70100 TC A X-ray exam of jaw. 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
70110 ......... A X-ray exam of jaw. 0.25 0.71 0.74 0.71 0.74 0.04 1.00 1.03 1.00 1.03 XXX
70110 26 A X-ray exam of jaw. 0.25 0.07 0.10 0.07 0.10 0.01 0.33 0.36 0.33 0.36 XXX
70110 TC A X-ray exam of jaw. 0.00 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 XXX
70120 ......... A X-ray exam of 0.18 0.69 0.72 0.69 0.72 0.04 0.91 0.94 0.91 0.94 XXX
mastoids.
70120 26 A X-ray exam of 0.18 0.05 0.08 0.05 0.08 0.01 0.24 0.27 0.24 0.27 XXX
mastoids.
70120 TC A X-ray exam of 0.00 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 XXX
mastoids.
70130 ......... A X-ray exam of 0.34 0.92 0.95 0.92 0.95 0.05 1.31 1.34 1.31 1.34 XXX
mastoids.
70130 26 A X-ray exam of 0.34 0.09 0.13 0.09 0.13 0.01 0.44 0.48 0.44 0.48 XXX
mastoids.
70130 TC A X-ray exam of 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
mastoids.
70134 ......... A X-ray exam of 0.34 0.86 0.90 0.86 0.90 0.05 1.25 1.29 1.25 1.29 XXX
middle ear.
70134 26 A X-ray exam of 0.34 0.09 0.13 0.09 0.13 0.01 0.44 0.48 0.44 0.48 XXX
middle ear.
70134 TC A X-ray exam of 0.00 0.76 0.76 0.76 0.76 0.04 0.80 0.80 0.80 0.80 XXX
middle ear.
70140 ......... A X-ray exam of 0.19 0.69 0.72 0.69 0.72 0.04 0.92 0.95 0.92 0.95 XXX
facial bones.
70140 26 A X-ray exam of 0.19 0.05 0.08 0.05 0.08 0.01 0.25 0.28 0.25 0.28 XXX
facial bones.
70140 TC A X-ray exam of 0.00 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 XXX
facial bones.
70150 ......... A X-ray exam of 0.26 0.89 0.92 0.89 0.92 0.05 1.20 1.23 1.20 1.23 XXX
facial bones.
70150 26 A X-ray exam of 0.26 0.07 0.10 0.07 0.10 0.01 0.34 0.37 0.34 0.37 XXX
facial bones.
70150 TC A X-ray exam of 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
facial bones.
70160 ......... A X-ray exam of 0.17 0.60 0.62 0.60 0.62 0.03 0.80 0.82 0.80 0.82 XXX
nasal bones.
70160 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
nasal bones.
70160 TC A X-ray exam of 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
nasal bones.
70170 ......... A X-ray exam of tear 0.30 1.07 1.10 1.07 1.10 0.06 1.43 1.46 1.43 1.46 XXX
duct.
70170 26 A X-ray exam of tear 0.30 0.08 0.12 0.08 0.12 0.01 0.39 0.43 0.39 0.43 XXX
duct.
70170 TC A X-ray exam of tear 0.00 0.99 0.99 0.99 0.99 0.05 1.04 1.04 1.04 1.04 XXX
duct.
70190 ......... A X-ray exam of eye 0.21 0.70 0.73 0.70 0.73 0.04 0.95 0.98 0.95 0.98 XXX
sockets.
70190 26 A X-ray exam of eye 0.21 0.06 0.09 0.06 0.09 0.01 0.28 0.31 0.28 0.31 XXX
sockets.
70190 TC A X-ray exam of eye 0.00 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 XXX
sockets.
70200 ......... A X-ray exam of eye 0.28 0.90 0.93 0.90 0.93 0.05 1.23 1.26 1.23 1.26 XXX
sockets.
70200 26 A X-ray exam of eye 0.28 0.08 0.11 0.08 0.11 0.01 0.37 0.40 0.37 0.40 XXX
sockets.
70200 TC A X-ray exam of eye 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
sockets.
70210 ......... A X-ray exam of 0.17 0.69 0.71 0.69 0.71 0.04 0.90 0.92 0.90 0.92 XXX
sinuses.
70210 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
sinuses.
70210 TC A X-ray exam of 0.00 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 XXX
sinuses.
70220 ......... A X-ray exam of 0.25 0.89 0.92 0.89 0.92 0.05 1.19 1.22 1.19 1.22 XXX
sinuses.
70220 26 A X-ray exam of 0.25 0.07 0.10 0.07 0.10 0.01 0.33 0.36 0.33 0.36 XXX
sinuses.
70220 TC A X-ray exam of 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
sinuses.
70240 ......... A X-ray exam 0.19 0.49 0.51 0.49 0.51 0.03 0.71 0.73 0.71 0.73 XXX
pituitary saddle.
70240 26 A X-ray exam 0.19 0.05 0.08 0.05 0.08 0.01 0.25 0.28 0.25 0.28 XXX
pituitary saddle.
70240 TC A X-ray exam 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
pituitary saddle.
[[Page 39702]]
70250 ......... A X-ray exam of 0.24 0.71 0.74 0.71 0.74 0.04 0.99 1.02 0.99 1.02 XXX
skull.
70250 26 A X-ray exam of 0.24 0.06 0.09 0.06 0.09 0.01 0.31 0.34 0.31 0.34 XXX
skull.
70250 TC A X-ray exam of 0.00 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 XXX
skull.
70260 ......... A X-ray exam of 0.34 1.03 1.06 1.03 1.06 0.06 1.43 1.46 1.43 1.46 XXX
skull.
70260 26 A X-ray exam of 0.34 0.09 0.13 0.09 0.13 0.01 0.44 0.48 0.44 0.48 XXX
skull.
70260 TC A X-ray exam of 0.00 0.94 0.93 0.94 0.93 0.05 0.99 0.98 0.99 0.98 XXX
skull.
70300 ......... A X-ray exam of 0.10 0.31 0.32 0.31 0.32 0.03 0.44 0.45 0.44 0.45 XXX
teeth.
70300 26 A X-ray exam of 0.10 0.03 0.04 0.03 0.04 0.01 0.14 0.15 0.14 0.15 XXX
teeth.
70300 TC A X-ray exam of 0.00 0.27 0.27 0.27 0.27 0.02 0.29 0.29 0.29 0.29 XXX
teeth.
70310 ......... A X-ray exam of 0.16 0.50 0.51 0.50 0.51 0.03 0.69 0.70 0.69 0.70 XXX
teeth.
70310 26 A X-ray exam of 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 XXX
teeth.
70310 TC A X-ray exam of 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
teeth.
70320 ......... A Full mouth x-ray 0.22 0.89 0.91 0.89 0.91 0.05 1.16 1.18 1.16 1.18 XXX
of teeth.
70320 26 A Full mouth x-ray 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
of teeth.
70320 TC A Full mouth x-ray 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
of teeth.
70328 ......... A X-ray exam of jaw 0.18 0.56 0.59 0.56 0.59 0.03 0.77 0.80 0.77 0.80 XXX
joint.
70328 26 A X-ray exam of jaw 0.18 0.05 0.08 0.05 0.08 0.01 0.24 0.27 0.24 0.27 XXX
joint.
70328 TC A X-ray exam of jaw 0.00 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 XXX
joint.
70330 ......... A X-ray exam of jaw 0.24 0.94 0.97 0.94 0.97 0.05 1.23 1.26 1.23 1.26 XXX
joints.
70330 26 A X-ray exam of jaw 0.24 0.07 0.10 0.07 0.10 0.01 0.32 0.35 0.32 0.35 XXX
joints.
70330 TC A X-ray exam of jaw 0.00 0.88 0.88 0.88 0.88 0.04 0.92 0.92 0.92 0.92 XXX
joints.
70332 ......... A X-ray exam of jaw 0.54 2.35 2.40 2.35 2.40 0.12 3.01 3.06 3.01 3.06 XXX
joint.
70332 26 A X-ray exam of jaw 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
joint.
70332 TC A X-ray exam of jaw 0.00 2.19 2.18 2.19 2.18 0.10 2.29 2.28 2.29 2.28 XXX
joint.
70336 ......... A Magnetic image jaw 1.48 12.12 12.09 12.12 12.09 0.58 14.18 14.15 14.18 14.15 XXX
joint.
70336 26 A Magnetic image jaw 1.48 0.40 0.44 0.40 0.44 0.06 1.94 1.98 1.94 1.98 XXX
joint.
70336 TC A Magnetic image jaw 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
joint.
70350 ......... A X-ray head for 0.17 0.45 0.47 0.45 0.47 0.03 0.65 0.67 0.65 0.67 XXX
orthodontia.
70350 26 A X-ray head for 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
orthodontia.
70350 TC A X-ray head for 0.00 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 XXX
orthodontia.
70355 ......... A Panoramic x-ray of 0.20 0.65 0.67 0.65 0.67 0.04 0.89 0.91 0.89 0.91 XXX
jaws.
70355 26 A Panoramic x-ray of 0.20 0.06 0.08 0.06 0.08 0.01 0.27 0.29 0.27 0.29 XXX
jaws.
70355 TC A Panoramic x-ray of 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
jaws.
70360 ......... A X-ray exam of neck 0.17 0.49 0.51 0.49 0.51 0.03 0.69 0.71 0.69 0.71 XXX
70360 26 A X-ray exam of neck 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
70360 TC A X-ray exam of neck 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
70370 ......... A Throat x-ray & 0.32 1.44 1.48 1.44 1.48 0.07 1.83 1.87 1.83 1.87 XXX
fluoroscopy.
70370 26 A Throat x-ray & 0.32 0.09 0.13 0.09 0.13 0.01 0.42 0.46 0.42 0.46 XXX
fluoroscopy.
70370 TC A Throat x-ray & 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
fluoroscopy.
70371 ......... A Speech evaluation, 0.84 2.42 2.50 2.42 2.50 0.13 3.39 3.47 3.39 3.47 XXX
complex.
70371 26 A Speech evaluation, 0.84 0.23 0.32 0.23 0.32 0.03 1.10 1.19 1.10 1.19 XXX
complex.
70371 TC A Speech evaluation, 0.00 2.19 2.18 2.19 2.18 0.10 2.29 2.28 2.29 2.28 XXX
complex.
70373 ......... A Contrast x-ray of 0.44 1.98 2.02 1.98 2.02 0.11 2.53 2.57 2.53 2.57 XXX
larynx.
70373 26 A Contrast x-ray of 0.44 0.12 0.17 0.12 0.17 0.02 0.58 0.63 0.58 0.63 XXX
larynx.
70373 TC A Contrast x-ray of 0.00 1.86 1.85 1.86 1.85 0.09 1.95 1.94 1.95 1.94 XXX
larynx.
70380 ......... A X-ray exam of 0.17 0.75 0.77 0.75 0.77 0.04 0.96 0.98 0.96 0.98 XXX
salivary gland.
70380 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
salivary gland.
70380 TC A X-ray exam of 0.00 0.70 0.70 0.70 0.70 0.03 0.73 0.73 0.73 0.73 XXX
salivary gland.
70390 ......... A X-ray exam of 0.38 1.96 1.99 1.96 1.99 0.11 2.45 2.48 2.45 2.48 XXX
salivary duct.
70390 26 A X-ray exam of 0.38 0.10 0.14 0.10 0.14 0.02 0.50 0.54 0.50 0.54 XXX
salivary duct.
70390 TC A X-ray exam of 0.00 1.86 1.85 1.86 1.85 0.09 1.95 1.94 1.95 1.94 XXX
salivary duct.
70450 ......... A CAT scan of head 0.85 5.17 5.23 5.17 5.23 0.26 6.28 6.34 6.28 6.34 XXX
or brain.
70450 26 A CAT scan of head 0.85 0.23 0.32 0.23 0.32 0.03 1.11 1.20 1.11 1.20 XXX
or brain.
70450 TC A CAT scan of head 0.00 4.94 4.91 4.94 4.91 0.23 5.17 5.14 5.17 5.14 XXX
or brain.
70460 ......... A Contrast CAT scan 1.13 6.23 6.31 6.23 6.31 0.32 7.68 7.76 7.68 7.76 XXX
of head.
70460 26 A Contrast CAT scan 1.13 0.31 0.43 0.31 0.43 0.05 1.49 1.61 1.49 1.61 XXX
of head.
70460 TC A Contrast CAT scan 0.00 5.92 5.89 5.92 5.89 0.27 6.19 6.16 6.19 6.16 XXX
of head.
70470 ......... A Contrast CAT scans 1.27 7.74 7.83 7.74 7.83 0.39 9.40 9.49 9.40 9.49 XXX
of head.
70470 26 A Contrast CAT scans 1.27 0.34 0.48 0.34 0.48 0.05 1.66 1.80 1.66 1.80 XXX
of head.
70470 TC A Contrast CAT scans 0.00 7.39 7.35 7.39 7.35 0.34 7.73 7.69 7.73 7.69 XXX
of head.
70480 ......... A CAT scan of skull. 1.28 5.29 5.40 5.29 5.40 0.28 6.85 6.96 6.85 6.96 XXX
70480 26 A CAT scan of skull. 1.28 0.35 0.49 0.35 0.49 0.05 1.68 1.82 1.68 1.82 XXX
70480 TC A CAT scan of skull. 0.00 4.94 4.91 4.94 4.91 0.23 5.17 5.14 5.17 5.14 XXX
70481 ......... A Contrast CAT scan 1.38 6.29 6.40 6.29 6.40 0.33 8.00 8.11 8.00 8.11 XXX
of skull.
70481 26 A Contrast CAT scan 1.38 0.38 0.52 0.38 0.52 0.06 1.82 1.96 1.82 1.96 XXX
of skull.
70481 TC A Contrast CAT scan 0.00 5.92 5.89 5.92 5.89 0.27 6.19 6.16 6.19 6.16 XXX
of skull.
70482 ......... A Contrast CAT scans 1.45 7.79 7.90 7.79 7.90 0.40 9.64 9.75 9.64 9.75 XXX
of skull.
70482 26 A Contrast CAT scans 1.45 0.39 0.54 0.39 0.54 0.06 1.90 2.05 1.90 2.05 XXX
of skull.
70482 TC A Contrast CAT scans 0.00 7.39 7.35 7.39 7.35 0.34 7.73 7.69 7.73 7.69 XXX
of skull.
70486 ......... A CAT scan of face, 1.14 5.25 5.34 5.25 5.34 0.28 6.67 6.76 6.67 6.76 XXX
jaw.
70486 26 A CAT scan of face, 1.14 0.31 0.43 0.31 0.43 0.05 1.50 1.62 1.50 1.62 XXX
jaw.
70486 TC A CAT scan of face, 0.00 4.94 4.91 4.94 4.91 0.23 5.17 5.14 5.17 5.14 XXX
jaw.
70487 ......... A Contrast CAT scan, 1.30 6.27 6.37 6.27 6.37 0.32 7.89 7.99 7.89 7.99 XXX
face/jaw.
70487 26 A Contrast CAT scan, 1.30 0.35 0.49 0.35 0.49 0.05 1.70 1.84 1.70 1.84 XXX
face/jaw.
70487 TC A Contrast CAT scan, 0.00 5.92 5.89 5.92 5.89 0.27 6.19 6.16 6.19 6.16 XXX
face/jaw.
70488 ......... A Contrast CAT scans 1.42 7.78 7.89 7.78 7.89 0.40 9.60 9.71 9.60 9.71 XXX
face/jaw.
70488 26 A Contrast CAT scans 1.42 0.38 0.53 0.38 0.53 0.06 1.86 2.01 1.86 2.01 XXX
face/jaw.
70488 TC A Contrast CAT scans 0.00 7.39 7.35 7.39 7.35 0.34 7.73 7.69 7.73 7.69 XXX
face/jaw.
70490 ......... A CAT scan of neck 1.28 5.28 5.39 5.28 5.39 0.28 6.84 6.95 6.84 6.95 XXX
tissue.
70490 26 A CAT scan of neck 1.28 0.34 0.48 0.34 0.48 0.05 1.67 1.81 1.67 1.81 XXX
tissue.
70490 TC A CAT scan of neck 0.00 4.94 4.91 4.94 4.91 0.23 5.17 5.14 5.17 5.14 XXX
tissue.
70491 ......... A Contrast CAT of 1.38 6.29 6.40 6.29 6.40 0.33 8.00 8.11 8.00 8.11 XXX
neck tissue.
70491 26 A Contrast CAT of 1.38 0.37 0.52 0.37 0.52 0.06 1.81 1.96 1.81 1.96 XXX
neck tissue.
70491 TC A Contrast CAT of 0.00 5.92 5.89 5.92 5.89 0.27 6.19 6.16 6.19 6.16 XXX
neck tissue.
[[Page 39703]]
70492 ......... A Contrast CAT of 1.45 7.78 7.89 7.78 7.89 0.40 9.63 9.74 9.63 9.74 XXX
neck tissue.
70492 26 A Contrast CAT of 1.45 0.39 0.54 0.39 0.54 0.06 1.90 2.05 1.90 2.05 XXX
neck tissue.
70492 TC A Contrast CAT of 0.00 7.39 7.35 7.39 7.35 0.34 7.73 7.69 7.73 7.69 XXX
neck tissue.
70540 ......... A Magnetic image, 1.48 12.12 12.22 12.12 12.22 0.58 14.18 14.28 14.18 14.28 XXX
face, neck.
70540 26 A Magnetic image, 1.48 0.40 0.56 0.40 0.56 0.06 1.94 2.10 1.94 2.10 XXX
face, neck.
70540 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
face, neck.
70541 ......... R Magnetic image, 1.81 12.22 12.27 12.22 12.27 0.59 14.62 14.67 14.62 14.67 XXX
head (MRA).
70541 26 R Magnetic image, 1.81 0.50 0.61 0.50 0.61 0.07 2.38 2.49 2.38 2.49 XXX
head (MRA).
70541 TC R Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
head (MRA).
70551 ......... A Magnetic image, 1.48 12.13 12.22 12.13 12.22 0.58 14.19 14.28 14.19 14.28 XXX
brain (MRI).
70551 26 A Magnetic image, 1.48 0.41 0.57 0.41 0.57 0.06 1.95 2.11 1.95 2.11 XXX
brain (MRI).
70551 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
brain (MRI).
70552 ......... A Magnetic image, 1.78 14.55 14.66 14.55 14.66 0.70 17.03 17.14 17.03 17.14 XXX
brain (MRI).
70552 26 A Magnetic image, 1.78 0.50 0.69 0.50 0.69 0.07 2.35 2.54 2.35 2.54 XXX
brain (MRI).
70552 TC A Magnetic image, 0.00 14.05 13.98 14.05 13.98 0.63 14.68 14.61 14.68 14.61 XXX
brain (MRI).
70553 ......... A Magnetic image, 2.36 26.67 26.79 26.67 26.79 1.27 30.30 30.42 30.30 30.42 XXX
brain.
70553 26 A Magnetic image, 2.36 0.64 0.90 0.64 0.90 0.10 3.10 3.36 3.10 3.36 XXX
brain.
70553 TC A Magnetic image, 0.00 26.03 25.89 26.03 25.89 1.17 27.20 27.06 27.20 27.06 XXX
brain.
71010 ......... A Chest x-ray....... 0.18 0.54 0.56 0.54 0.56 0.03 0.75 0.77 0.75 0.77 XXX
71010 26 A Chest x-ray....... 0.18 0.05 0.07 0.05 0.07 0.01 0.24 0.26 0.24 0.26 XXX
71010 TC A Chest x-ray....... 0.00 0.49 0.49 0.49 0.49 0.02 0.51 0.51 0.51 0.51 XXX
71015 ......... A X-ray exam of 0.21 0.61 0.63 0.61 0.63 0.03 0.85 0.87 0.85 0.87 XXX
chest.
71015 26 A X-ray exam of 0.21 0.06 0.09 0.06 0.09 0.01 0.28 0.31 0.28 0.31 XXX
chest.
71015 TC A X-ray exam of 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
chest.
71020 ......... A Chest x-ray....... 0.22 0.70 0.73 0.70 0.73 0.04 0.96 0.99 0.96 0.99 XXX
71020 26 A Chest x-ray....... 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
71020 TC A Chest x-ray....... 0.00 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 XXX
71021 ......... A Chest x-ray....... 0.27 0.84 0.87 0.84 0.87 0.05 1.16 1.19 1.16 1.19 XXX
71021 26 A Chest x-ray....... 0.27 0.07 0.10 0.07 0.10 0.01 0.35 0.38 0.35 0.38 XXX
71021 TC A Chest x-ray....... 0.00 0.76 0.76 0.76 0.76 0.04 0.80 0.80 0.80 0.80 XXX
71022 ......... A Chest x-ray....... 0.31 0.85 0.88 0.85 0.88 0.05 1.21 1.24 1.21 1.24 XXX
71022 26 A Chest x-ray....... 0.31 0.08 0.12 0.08 0.12 0.01 0.40 0.44 0.40 0.44 XXX
71022 TC A Chest x-ray....... 0.00 0.76 0.76 0.76 0.76 0.04 0.80 0.80 0.80 0.80 XXX
71023 ......... A Chest x-ray and 0.38 0.95 0.97 0.95 0.97 0.05 1.38 1.40 1.38 1.40 XXX
fluoroscopy.
71023 26 A Chest x-ray and 0.38 0.12 0.15 0.12 0.15 0.01 0.51 0.54 0.51 0.54 XXX
fluoroscopy.
71023 TC A Chest x-ray and 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
fluoroscopy.
71030 ......... A Chest x-ray....... 0.31 0.91 0.94 0.91 0.94 0.05 1.27 1.30 1.27 1.30 XXX
71030 26 A Chest x-ray....... 0.31 0.08 0.12 0.08 0.12 0.01 0.40 0.44 0.40 0.44 XXX
71030 TC A Chest x-ray....... 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
71034 ......... A Chest x-ray & 0.46 1.64 1.68 1.64 1.68 0.09 2.19 2.23 2.19 2.23 XXX
fluoroscopy.
71034 26 A Chest x-ray & 0.46 0.15 0.19 0.15 0.19 0.02 0.63 0.67 0.63 0.67 XXX
fluoroscopy.
71034 TC A Chest x-ray & 0.00 1.50 1.50 1.50 1.50 0.07 1.57 1.57 1.57 1.57 XXX
fluoroscopy.
71035 ......... A Chest x-ray....... 0.18 0.60 0.62 0.60 0.62 0.03 0.81 0.83 0.81 0.83 XXX
71035 26 A Chest x-ray....... 0.18 0.05 0.07 0.05 0.07 0.01 0.24 0.26 0.24 0.26 XXX
71035 TC A Chest x-ray....... 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
71036 ......... A X-ray guidance for 0.54 1.80 1.85 1.80 1.85 0.10 2.44 2.49 2.44 2.49 XXX
biopsy.
71036 26 A X-ray guidance for 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
biopsy.
71036 TC A X-ray guidance for 0.00 1.65 1.64 1.65 1.64 0.08 1.73 1.72 1.73 1.72 XXX
biopsy.
71040 ......... A Contrast x-ray of 0.58 1.69 1.75 1.69 1.75 0.09 2.36 2.42 2.36 2.42 XXX
bronchi.
71040 26 A Contrast x-ray of 0.58 0.16 0.23 0.16 0.23 0.02 0.76 0.83 0.76 0.83 XXX
bronchi.
71040 TC A Contrast x-ray of 0.00 1.53 1.52 1.53 1.52 0.07 1.60 1.59 1.60 1.59 XXX
bronchi.
71060 ......... A Contrast x-ray of 0.74 2.50 2.58 2.50 2.58 0.14 3.38 3.46 3.38 3.46 XXX
bronchi.
71060 26 A Contrast x-ray of 0.74 0.20 0.29 0.20 0.29 0.03 0.97 1.06 0.97 1.06 XXX
bronchi.
71060 TC A Contrast x-ray of 0.00 2.30 2.29 2.30 2.29 0.11 2.41 2.40 2.41 2.40 XXX
bronchi.
71090 ......... A X-ray & pacemaker 0.54 1.97 1.99 1.97 1.99 0.11 2.62 2.64 2.62 2.64 XXX
insertion.
71090 26 A X-ray & pacemaker 0.54 0.22 0.25 0.22 0.25 0.02 0.78 0.81 0.78 0.81 XXX
insertion.
71090 TC A X-ray & pacemaker 0.00 1.75 1.75 1.75 1.75 0.09 1.84 1.84 1.84 1.84 XXX
insertion.
71100 ......... A X-ray exam of ribs 0.22 0.65 0.68 0.65 0.68 0.04 0.91 0.94 0.91 0.94 XXX
71100 26 A X-ray exam of ribs 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
71100 TC A X-ray exam of ribs 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
71101 ......... A X-ray exam of 0.27 0.78 0.81 0.78 0.81 0.04 1.09 1.12 1.09 1.12 XXX
ribs, chest.
71101 26 A X-ray exam of 0.27 0.07 0.11 0.07 0.11 0.01 0.35 0.39 0.35 0.39 XXX
ribs, chest.
71101 TC A X-ray exam of 0.00 0.70 0.70 0.70 0.70 0.03 0.73 0.73 0.73 0.73 XXX
ribs, chest.
71110 ......... A X-ray exam of ribs 0.27 0.90 0.93 0.90 0.93 0.05 1.22 1.25 1.22 1.25 XXX
71110 26 A X-ray exam of ribs 0.27 0.07 0.11 0.07 0.11 0.01 0.35 0.39 0.35 0.39 XXX
71110 TC A X-ray exam of ribs 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
71111 ......... A X-ray exam of 0.32 1.02 1.05 1.02 1.05 0.06 1.40 1.43 1.40 1.43 XXX
ribs, chest.
71111 26 A X-ray exam of 0.32 0.09 0.13 0.09 0.13 0.01 0.42 0.46 0.42 0.46 XXX
ribs, chest.
71111 TC A X-ray exam of 0.00 0.94 0.93 0.94 0.93 0.05 0.99 0.98 0.99 0.98 XXX
ribs, chest.
71120 ......... A X-ray exam of 0.20 0.74 0.76 0.74 0.76 0.04 0.98 1.00 0.98 1.00 XXX
breastbone.
71120 26 A X-ray exam of 0.20 0.05 0.08 0.05 0.08 0.01 0.26 0.29 0.26 0.29 XXX
breastbone.
71120 TC A X-ray exam of 0.00 0.68 0.68 0.68 0.68 0.03 0.71 0.71 0.71 0.71 XXX
breastbone.
71130 ......... A X-ray exam of 0.22 0.79 0.82 0.79 0.82 0.04 1.05 1.08 1.05 1.08 XXX
breastbone.
71130 26 A X-ray exam of 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
breastbone.
71130 TC A X-ray exam of 0.00 0.73 0.73 0.73 0.73 0.03 0.76 0.76 0.76 0.76 XXX
breastbone.
71250 ......... A Cat scan of chest. 1.16 6.49 6.58 6.49 6.58 0.33 7.98 8.07 7.98 8.07 XXX
71250 26 A Cat scan of chest. 1.16 0.31 0.43 0.31 0.43 0.05 1.52 1.64 1.52 1.64 XXX
71250 TC A Cat scan of chest. 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
71260 ......... A Contrast CAT scan 1.24 7.73 7.82 7.73 7.82 0.39 9.36 9.45 9.36 9.45 XXX
of chest.
71260 26 A Contrast CAT scan 1.24 0.33 0.47 0.33 0.47 0.05 1.62 1.76 1.62 1.76 XXX
of chest.
71260 TC A Contrast CAT scan 0.00 7.39 7.35 7.39 7.35 0.34 7.73 7.69 7.73 7.69 XXX
of chest.
71270 ......... A Contrast CAT scans 1.38 9.62 9.72 9.62 9.72 0.47 11.47 11.57 11.47 11.57 XXX
of chest.
71270 26 A Contrast CAT scans 1.38 0.37 0.52 0.37 0.52 0.06 1.81 1.96 1.81 1.96 XXX
of chest.
71270 TC A Contrast CAT scans 0.00 9.25 9.20 9.25 9.20 0.41 9.66 9.61 9.66 9.61 XXX
of chest.
[[Page 39704]]
71550 ......... A Magnetic image, 1.60 12.16 12.27 12.16 12.27 0.58 14.34 14.45 14.34 14.45 XXX
chest.
71550 26 A Magnetic image, 1.60 0.44 0.61 0.44 0.61 0.06 2.10 2.27 2.10 2.27 XXX
chest.
71550 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
chest.
71555 ......... R Magnetic imaging/ 1.81 12.41 12.39 12.41 12.39 0.59 14.81 14.79 14.81 14.79 XXX
chest (MRA).
71555 26 R Magnetic imaging/ 1.81 0.69 0.74 0.69 0.74 0.07 2.57 2.62 2.57 2.62 XXX
chest (MRA).
71555 TC R Magnetic imaging/ 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
chest (MRA).
72010 ......... A X-ray exam of 0.45 1.20 1.24 1.20 1.24 0.07 1.72 1.76 1.72 1.76 XXX
spine.
72010 26 A X-ray exam of 0.45 0.12 0.17 0.12 0.17 0.02 0.59 0.64 0.59 0.64 XXX
spine.
72010 TC A X-ray exam of 0.00 1.08 1.07 1.08 1.07 0.05 1.13 1.12 1.13 1.12 XXX
spine.
72020 ......... A X-ray exam of 0.15 0.48 0.50 0.48 0.50 0.03 0.66 0.68 0.66 0.68 XXX
spine.
72020 26 A X-ray exam of 0.15 0.04 0.06 0.04 0.06 0.01 0.20 0.22 0.20 0.22 XXX
spine.
72020 TC A X-ray exam of 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
spine.
72040 ......... A X-ray exam of neck 0.22 0.68 0.71 0.68 0.71 0.04 0.94 0.97 0.94 0.97 XXX
spine.
72040 26 A X-ray exam of neck 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
spine.
72040 TC A X-ray exam of neck 0.00 0.62 0.62 0.62 0.62 0.03 0.65 0.65 0.65 0.65 XXX
spine.
72050 ......... A X-ray exam of neck 0.31 1.02 1.05 1.02 1.05 0.06 1.39 1.42 1.39 1.42 XXX
spine.
72050 26 A X-ray exam of neck 0.31 0.08 0.12 0.08 0.12 0.01 0.40 0.44 0.40 0.44 XXX
spine.
72050 TC A X-ray exam of neck 0.00 0.94 0.93 0.94 0.93 0.05 0.99 0.98 0.99 0.98 XXX
spine.
72052 ......... A X-ray exam of neck 0.36 1.28 1.32 1.28 1.32 0.06 1.70 1.74 1.70 1.74 XXX
spine.
72052 26 A X-ray exam of neck 0.36 0.10 0.14 0.10 0.14 0.01 0.47 0.51 0.47 0.51 XXX
spine.
72052 TC A X-ray exam of neck 0.00 1.19 1.18 1.19 1.18 0.05 1.24 1.23 1.24 1.23 XXX
spine.
72069 ......... A X-ray exam of 0.22 0.57 0.60 0.57 0.60 0.03 0.82 0.85 0.82 0.85 XXX
trunk spine.
72069 26 A X-ray exam of 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
trunk spine.
72069 TC A X-ray exam of 0.00 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 XXX
trunk spine.
72070 ......... A X-ray exam of 0.22 0.74 0.76 0.74 0.76 0.04 1.00 1.02 1.00 1.02 XXX
thorax spine.
72070 26 A X-ray exam of 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
thorax spine.
72070 TC A X-ray exam of 0.00 0.68 0.68 0.68 0.68 0.03 0.71 0.71 0.71 0.71 XXX
thorax spine.
72072 ......... A X-ray exam of 0.22 0.82 0.85 0.82 0.85 0.05 1.09 1.12 1.09 1.12 XXX
thoracic spine.
72072 26 A X-ray exam of 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
thoracic spine.
72072 TC A X-ray exam of 0.00 0.76 0.76 0.76 0.76 0.04 0.80 0.80 0.80 0.80 XXX
thoracic spine.
72074 ......... A X-ray exam of 0.22 1.02 1.04 1.02 1.04 0.06 1.30 1.32 1.30 1.32 XXX
thoracic spine.
72074 26 A X-ray exam of 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
thoracic spine.
72074 TC A X-ray exam of 0.00 0.96 0.95 0.96 0.95 0.05 1.01 1.00 1.01 1.00 XXX
thoracic spine.
72080 ......... A X-ray exam of 0.22 0.77 0.79 0.77 0.79 0.04 1.03 1.05 1.03 1.05 XXX
trunk spine.
72080 26 A X-ray exam of 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
trunk spine.
72080 TC A X-ray exam of 0.00 0.70 0.70 0.70 0.70 0.03 0.73 0.73 0.73 0.73 XXX
trunk spine.
72090 ......... A X-ray exam of 0.28 0.78 0.81 0.78 0.81 0.04 1.10 1.13 1.10 1.13 XXX
trunk spine.
72090 26 A X-ray exam of 0.28 0.08 0.11 0.08 0.11 0.01 0.37 0.40 0.37 0.40 XXX
trunk spine.
72090 TC A X-ray exam of 0.00 0.70 0.70 0.70 0.70 0.03 0.73 0.73 0.73 0.73 XXX
trunk spine.
72100 ......... A X-ray exam of 0.22 0.76 0.78 0.76 0.78 0.04 1.02 1.04 1.02 1.04 XXX
lower spine.
72100 26 A X-ray exam of 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
lower spine.
72100 TC A X-ray exam of 0.00 0.70 0.70 0.70 0.70 0.03 0.73 0.73 0.73 0.73 XXX
lower spine.
72110 ......... A X-ray exam of 0.31 1.04 1.07 1.04 1.07 0.06 1.41 1.44 1.41 1.44 XXX
lower spine.
72110 26 A X-ray exam of 0.31 0.08 0.12 0.08 0.12 0.01 0.40 0.44 0.40 0.44 XXX
lower spine.
72110 TC A X-ray exam of 0.00 0.96 0.95 0.96 0.95 0.05 1.01 1.00 1.01 1.00 XXX
lower spine.
72114 ......... A X-ray exam of 0.36 1.34 1.38 1.34 1.38 0.07 1.77 1.81 1.77 1.81 XXX
lower spine.
72114 26 A X-ray exam of 0.36 0.10 0.14 0.10 0.14 0.02 0.48 0.52 0.48 0.52 XXX
lower spine.
72114 TC A X-ray exam of 0.00 1.24 1.24 1.24 1.24 0.05 1.29 1.29 1.29 1.29 XXX
lower spine.
72120 ......... A X-ray exam of 0.22 1.00 1.02 1.00 1.02 0.06 1.28 1.30 1.28 1.30 XXX
lower spine.
72120 26 A X-ray exam of 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
lower spine.
72120 TC A X-ray exam of 0.00 0.94 0.93 0.94 0.93 0.05 0.99 0.98 0.99 0.98 XXX
lower spine.
72125 ......... A CAT scan of neck 1.16 6.49 6.58 6.49 6.58 0.33 7.98 8.07 7.98 8.07 XXX
spine.
72125 26 A CAT scan of neck 1.16 0.31 0.43 0.31 0.43 0.05 1.52 1.64 1.52 1.64 XXX
spine.
72125 TC A CAT scan of neck 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
spine.
72126 ......... A Contrast CAT scan 1.22 7.72 7.81 7.72 7.81 0.39 9.33 9.42 9.33 9.42 XXX
of neck.
72126 26 A Contrast CAT scan 1.22 0.33 0.46 0.33 0.46 0.05 1.60 1.73 1.60 1.73 XXX
of neck.
72126 TC A Contrast CAT scan 0.00 7.39 7.35 7.39 7.35 0.34 7.73 7.69 7.73 7.69 XXX
of neck.
72127 ......... A Contrast CAT scans 1.27 9.59 9.68 9.59 9.68 0.46 11.32 11.41 11.32 11.41 XXX
of neck.
72127 26 A Contrast CAT scans 1.27 0.34 0.48 0.34 0.48 0.05 1.66 1.80 1.66 1.80 XXX
of neck.
72127 TC A Contrast CAT scans 0.00 9.25 9.20 9.25 9.20 0.41 9.66 9.61 9.66 9.61 XXX
of neck.
72128 ......... A CAT scan of thorax 1.16 6.49 6.58 6.49 6.58 0.33 7.98 8.07 7.98 8.07 XXX
spine.
72128 26 A CAT scan of thorax 1.16 0.31 0.43 0.31 0.43 0.05 1.52 1.64 1.52 1.64 XXX
spine.
72128 TC A CAT scan of thorax 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
spine.
72129 ......... A Contrast CAT scan 1.22 7.72 7.81 7.72 7.81 0.39 9.33 9.42 9.33 9.42 XXX
of thorax.
72129 26 A Contrast CAT scan 1.22 0.33 0.46 0.33 0.46 0.05 1.60 1.73 1.60 1.73 XXX
of thorax.
72129 TC A Contrast CAT scan 0.00 7.39 7.35 7.39 7.35 0.34 7.73 7.69 7.73 7.69 XXX
of thorax.
72130 ......... A Contrast CAT scans 1.27 9.59 9.68 9.59 9.68 0.46 11.32 11.41 11.32 11.41 XXX
of thorax.
72130 26 A Contrast CAT scans 1.27 0.34 0.48 0.34 0.48 0.05 1.66 1.80 1.66 1.80 XXX
of thorax.
72130 TC A Contrast CAT scans 0.00 9.25 9.20 9.25 9.20 0.41 9.66 9.61 9.66 9.61 XXX
of thorax.
72131 ......... A CAT scan of lower 1.16 6.49 6.58 6.49 6.58 0.33 7.98 8.07 7.98 8.07 XXX
spine.
72131 26 A CAT scan of lower 1.16 0.31 0.43 0.31 0.43 0.05 1.52 1.64 1.52 1.64 XXX
spine.
72131 TC A CAT scan of lower 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
spine.
72132 ......... A Contrast CAT of 1.22 7.72 7.81 7.72 7.81 0.39 9.33 9.42 9.33 9.42 XXX
lower spine.
72132 26 A Contrast CAT of 1.22 0.33 0.46 0.33 0.46 0.05 1.60 1.73 1.60 1.73 XXX
lower spine.
72132 TC A Contrast CAT of 0.00 7.39 7.35 7.39 7.35 0.34 7.73 7.69 7.73 7.69 XXX
lower spine.
72133 ......... A Contrast CAT 1.27 9.59 9.68 9.59 9.68 0.46 11.32 11.41 11.32 11.41 XXX
scans,low spine.
72133 26 A Contrast CAT 1.27 0.34 0.48 0.34 0.48 0.05 1.66 1.80 1.66 1.80 XXX
scans,low spine.
72133 TC A Contrast CAT 0.00 9.25 9.20 9.25 9.20 0.41 9.66 9.61 9.66 9.61 XXX
scans,low spine.
72141 ......... A Magnetic image, 1.60 12.16 12.27 12.16 12.27 0.59 14.35 14.46 14.35 14.46 XXX
neck spine.
72141 26 A Magnetic image, 1.60 0.44 0.61 0.44 0.61 0.07 2.11 2.28 2.11 2.28 XXX
neck spine.
72141 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
neck spine.
72142 ......... A Magnetic image, 1.92 14.59 14.71 14.59 14.71 0.71 17.22 17.34 17.22 17.34 XXX
neck spine.
72142 26 A Magnetic image, 1.92 0.54 0.74 0.54 0.74 0.08 2.54 2.74 2.54 2.74 XXX
neck spine.
72142 TC A Magnetic image, 0.00 14.05 13.98 14.05 13.98 0.63 14.68 14.61 14.68 14.61 XXX
neck spine.
[[Page 39705]]
72146 ......... A Magnetic image, 1.60 13.44 13.55 13.44 13.55 0.65 15.69 15.80 15.69 15.80 XXX
chest spine.
72146 26 A Magnetic image, 1.60 0.44 0.61 0.44 0.61 0.07 2.11 2.28 2.11 2.28 XXX
chest spine.
72146 TC A Magnetic image, 0.00 13.01 12.94 13.01 12.94 0.58 13.59 13.52 13.59 13.52 XXX
chest spine.
72147 ......... A Magnetic image, 1.92 14.59 14.71 14.59 14.71 0.71 17.22 17.34 17.22 17.34 XXX
chest spine.
72147 26 A Magnetic image, 1.92 0.53 0.73 0.53 0.73 0.08 2.53 2.73 2.53 2.73 XXX
chest spine.
72147 TC A Magnetic image, 0.00 14.05 13.98 14.05 13.98 0.63 14.68 14.61 14.68 14.61 XXX
chest spine.
72148 ......... A Magnetic image, 1.48 13.41 13.50 13.41 13.50 0.64 15.53 15.62 15.53 15.62 XXX
lumbar spine.
72148 26 A Magnetic image, 1.48 0.41 0.57 0.41 0.57 0.06 1.95 2.11 1.95 2.11 XXX
lumbar spine.
72148 TC A Magnetic image, 0.00 13.01 12.94 13.01 12.94 0.58 13.59 13.52 13.59 13.52 XXX
lumbar spine.
72149 ......... A Magnetic image, 1.78 14.55 14.66 14.55 14.66 0.70 17.03 17.14 17.03 17.14 XXX
lumbar spine.
72149 26 A Magnetic image, 1.78 0.50 0.69 0.50 0.69 0.07 2.35 2.54 2.35 2.54 XXX
lumbar spine.
72149 TC A Magnetic image, 0.00 14.05 13.98 14.05 13.98 0.63 14.68 14.61 14.68 14.61 XXX
lumbar spine.
72156 ......... A Magnetic image, 2.57 26.73 26.86 26.73 26.86 1.27 30.57 30.70 30.57 30.70 XXX
neck spine.
72156 26 A Magnetic image, 2.57 0.70 0.98 0.70 0.98 0.10 3.37 3.65 3.37 3.65 XXX
neck spine.
72156 TC A Magnetic image, 0.00 26.03 25.89 26.03 25.89 1.17 27.20 27.06 27.20 27.06 XXX
neck spine.
72157 ......... A Magnetic image, 2.57 26.73 26.86 26.73 26.86 1.27 30.57 30.70 30.57 30.70 XXX
chest spine.
72157 26 A Magnetic image, 2.57 0.70 0.98 0.70 0.98 0.10 3.37 3.65 3.37 3.65 XXX
chest spine.
72157 TC A Magnetic image, 0.00 26.03 25.89 26.03 25.89 1.17 27.20 27.06 27.20 27.06 XXX
chest spine.
72158 ......... A Magnetic image, 2.36 26.67 26.79 26.67 26.79 1.27 30.30 30.42 30.30 30.42 XXX
lumbar spine.
72158 26 A Magnetic image, 2.36 0.64 0.90 0.64 0.90 0.10 3.10 3.36 3.10 3.36 XXX
lumbar spine.
72158 TC A Magnetic image, 0.00 26.03 25.89 26.03 25.89 1.17 27.20 27.06 27.20 27.06 XXX
lumbar spine.
72159 ......... N Magnetic imaging/ +1.80 13.70 13.65 13.70 13.65 0.65 16.15 16.10 16.15 16.10 XXX
spine (MRA).
72159 26 N Magnetic imaging/ +1.80 0.69 0.71 0.69 0.71 0.07 2.56 2.58 2.56 2.58 XXX
spine (MRA).
72159 TC N Magnetic imaging/ +0.00 13.01 12.94 13.01 12.94 0.58 13.59 13.52 13.59 13.52 XXX
spine (MRA).
72170 ......... A X-ray exam of 0.17 0.60 0.61 0.60 0.61 0.03 0.80 0.81 0.80 0.81 XXX
pelvis.
72170 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
pelvis.
72170 TC A X-ray exam of 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
pelvis.
72190 ......... A X-ray exam of 0.21 0.76 0.78 0.76 0.78 0.04 1.01 1.03 1.01 1.03 XXX
pelvis.
72190 26 A X-ray exam of 0.21 0.06 0.09 0.06 0.09 0.01 0.28 0.31 0.28 0.31 XXX
pelvis.
72190 TC A X-ray exam of 0.00 0.70 0.70 0.70 0.70 0.03 0.73 0.73 0.73 0.73 XXX
pelvis.
72192 ......... A CAT scan of pelvis 1.09 6.47 6.55 6.47 6.55 0.32 7.88 7.96 7.88 7.96 XXX
72192 26 A CAT scan of pelvis 1.09 0.30 0.41 0.30 0.41 0.04 1.43 1.54 1.43 1.54 XXX
72192 TC A CAT scan of pelvis 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
72193 ......... A Contrast CAT scan 1.16 7.47 7.55 7.47 7.55 0.37 9.00 9.08 9.00 9.08 XXX
of pelvis.
72193 26 A Contrast CAT scan 1.16 0.31 0.43 0.31 0.43 0.05 1.52 1.64 1.52 1.64 XXX
of pelvis.
72193 TC A Contrast CAT scan 0.00 7.15 7.12 7.15 7.12 0.32 7.47 7.44 7.47 7.44 XXX
of pelvis.
72194 ......... A Contrast CAT scans 1.22 9.20 9.28 9.20 9.28 0.44 10.86 10.94 10.86 10.94 XXX
of pelvis.
72194 26 A Contrast CAT scans 1.22 0.33 0.46 0.33 0.46 0.05 1.60 1.73 1.60 1.73 XXX
of pelvis.
72194 TC A Contrast CAT scans 0.00 8.87 8.83 8.87 8.83 0.39 9.26 9.22 9.26 9.22 XXX
of pelvis.
72196 ......... A Magnetic image, 1.60 12.15 12.26 12.15 12.26 0.58 14.33 14.44 14.33 14.44 XXX
pelvis.
72196 26 A Magnetic image, 1.60 0.43 0.61 0.43 0.61 0.06 2.09 2.27 2.09 2.27 XXX
pelvis.
72196 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
pelvis.
72198 ......... N Magnetic imaging/ +1.80 12.41 12.39 12.41 12.39 0.59 14.80 14.78 14.80 14.78 XXX
pelvis(MRA).
72198 26 N Magnetic imaging/ +1.80 0.69 0.74 0.69 0.74 0.07 2.56 2.61 2.56 2.61 XXX
pelvis(MRA).
72198 TC N Magnetic imaging/ +0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
pelvis(MRA).
72200 ......... A X-ray exam 0.17 0.60 0.62 0.60 0.62 0.03 0.80 0.82 0.80 0.82 XXX
sacroiliac joints.
72200 26 A X-ray exam 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
sacroiliac joints.
72200 TC A X-ray exam 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
sacroiliac joints.
72202 ......... A X-ray exam 0.19 0.70 0.72 0.70 0.72 0.04 0.93 0.95 0.93 0.95 XXX
sacroiliac joints.
72202 26 A X-ray exam 0.19 0.05 0.08 0.05 0.08 0.01 0.25 0.28 0.25 0.28 XXX
sacroiliac joints.
72202 TC A X-ray exam 0.00 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 XXX
sacroiliac joints.
72220 ......... A X-ray exam of 0.17 0.64 0.66 0.64 0.66 0.04 0.85 0.87 0.85 0.87 XXX
tailbone.
72220 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
tailbone.
72220 TC A X-ray exam of 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
tailbone.
72240 ......... A Contrast x-ray of 0.91 5.20 5.28 5.20 5.28 0.27 6.38 6.46 6.38 6.46 XXX
neck spine.
72240 26 A Contrast x-ray of 0.91 0.24 0.34 0.24 0.34 0.04 1.19 1.29 1.19 1.29 XXX
neck spine.
72240 TC A Contrast x-ray of 0.00 4.96 4.94 4.96 4.94 0.23 5.19 5.17 5.19 5.17 XXX
neck spine.
72255 ......... A Contrast x-ray 0.91 4.76 4.84 4.76 4.84 0.24 5.91 5.99 5.91 5.99 XXX
thorax spine.
72255 26 A Contrast x-ray 0.91 0.23 0.34 0.23 0.34 0.04 1.18 1.29 1.18 1.29 XXX
thorax spine.
72255 TC A Contrast x-ray 0.00 4.53 4.51 4.53 4.51 0.20 4.73 4.71 4.73 4.71 XXX
thorax spine.
72265 ......... A Contrast x-ray 0.83 4.47 4.55 4.47 4.55 0.24 5.54 5.62 5.54 5.62 XXX
lower spine.
72265 26 A Contrast x-ray 0.83 0.21 0.31 0.21 0.31 0.04 1.08 1.18 1.08 1.18 XXX
lower spine.
72265 TC A Contrast x-ray 0.00 4.26 4.24 4.26 4.24 0.20 4.46 4.44 4.46 4.44 XXX
lower spine.
72270 ......... A Contrast x-ray of 1.33 6.74 6.85 6.74 6.85 0.35 8.42 8.53 8.42 8.53 XXX
spine.
72270 26 A Contrast x-ray of 1.33 0.36 0.50 0.36 0.50 0.06 1.75 1.89 1.75 1.89 XXX
spine.
72270 TC A Contrast x-ray of 0.00 6.38 6.35 6.38 6.35 0.29 6.67 6.64 6.67 6.64 XXX
spine.
72285 ......... A X-ray of neck 0.83 8.96 9.02 8.96 9.02 0.43 10.22 10.28 10.22 10.28 XXX
spine disk.
72285 26 A X-ray of neck 0.83 0.20 0.31 0.20 0.31 0.04 1.07 1.18 1.07 1.18 XXX
spine disk.
72285 TC A X-ray of neck 0.00 8.76 8.72 8.76 8.72 0.39 9.15 9.11 9.15 9.11 XXX
spine disk.
72295 ......... A X-ray of lower 0.83 8.44 8.49 8.44 8.49 0.40 9.67 9.72 9.67 9.72 XXX
spine disk.
72295 26 A X-ray of lower 0.83 0.23 0.32 0.23 0.32 0.04 1.10 1.19 1.10 1.19 XXX
spine disk.
72295 TC A X-ray of lower 0.00 8.22 8.18 8.22 8.18 0.36 8.58 8.54 8.58 8.54 XXX
spine disk.
73000 ......... A X-ray exam of 0.16 0.60 0.61 0.60 0.61 0.03 0.79 0.80 0.79 0.80 XXX
collarbone.
73000 26 A X-ray exam of 0.16 0.04 0.06 0.04 0.06 0.01 0.21 0.23 0.21 0.23 XXX
collarbone.
73000 TC A X-ray exam of 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
collarbone.
73010 ......... A X-ray exam of 0.17 0.60 0.62 0.60 0.62 0.03 0.80 0.82 0.80 0.82 XXX
shoulder blade.
73010 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
shoulder blade.
73010 TC A X-ray exam of 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
shoulder blade.
73020 ......... A X-ray exam of 0.15 0.53 0.55 0.53 0.55 0.03 0.71 0.73 0.71 0.73 XXX
shoulder.
73020 26 A X-ray exam of 0.15 0.04 0.06 0.04 0.06 0.01 0.20 0.22 0.20 0.22 XXX
shoulder.
73020 TC A X-ray exam of 0.00 0.49 0.49 0.49 0.49 0.02 0.51 0.51 0.51 0.51 XXX
shoulder.
73030 ......... A X-ray exam of 0.18 0.64 0.66 0.64 0.66 0.04 0.86 0.88 0.86 0.88 XXX
shoulder.
73030 26 A X-ray exam of 0.18 0.05 0.07 0.05 0.07 0.01 0.24 0.26 0.24 0.26 XXX
shoulder.
73030 TC A X-ray exam of 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
shoulder.
[[Page 39706]]
73040 ......... A Contrast x-ray of 0.54 2.34 2.39 2.34 2.39 0.12 3.00 3.05 3.00 3.05 XXX
shoulder.
73040 26 A Contrast x-ray of 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
shoulder.
73040 TC A Contrast x-ray of 0.00 2.19 2.18 2.19 2.18 0.10 2.29 2.28 2.29 2.28 XXX
shoulder.
73050 ......... A X-ray exam of 0.20 0.76 0.78 0.76 0.78 0.04 1.00 1.02 1.00 1.02 XXX
shoulders.
73050 26 A X-ray exam of 0.20 0.06 0.08 0.06 0.08 0.01 0.27 0.29 0.27 0.29 XXX
shoulders.
73050 TC A X-ray exam of 0.00 0.70 0.70 0.70 0.70 0.03 0.73 0.73 0.73 0.73 XXX
shoulders.
73060 ......... A X-ray exam of 0.17 0.64 0.66 0.64 0.66 0.04 0.85 0.87 0.85 0.87 XXX
humerus.
73060 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
humerus.
73060 TC A X-ray exam of 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
humerus.
73070 ......... A X-ray exam of 0.15 0.59 0.61 0.59 0.61 0.03 0.77 0.79 0.77 0.79 XXX
elbow.
73070 26 A X-ray exam of 0.15 0.04 0.06 0.04 0.06 0.01 0.20 0.22 0.20 0.22 XXX
elbow.
73070 TC A X-ray exam of 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
elbow.
73080 ......... A X-ray exam of 0.17 0.64 0.66 0.64 0.66 0.04 0.85 0.87 0.85 0.87 XXX
elbow.
73080 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
elbow.
73080 TC A X-ray exam of 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
elbow.
73085 ......... A Contrast x-ray of 0.54 2.35 2.40 2.35 2.40 0.12 3.01 3.06 3.01 3.06 XXX
elbow.
73085 26 A Contrast x-ray of 0.54 0.16 0.22 0.16 0.22 0.02 0.72 0.78 0.72 0.78 XXX
elbow.
73085 TC A Contrast x-ray of 0.00 2.19 2.18 2.19 2.18 0.10 2.29 2.28 2.29 2.28 XXX
elbow.
73090 ......... A X-ray exam of 0.16 0.60 0.61 0.60 0.61 0.03 0.79 0.80 0.79 0.80 XXX
forearm.
73090 26 A X-ray exam of 0.16 0.04 0.06 0.04 0.06 0.01 0.21 0.23 0.21 0.23 XXX
forearm.
73090 TC A X-ray exam of 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
forearm.
73092 ......... A X-ray exam of arm, 0.16 0.56 0.58 0.56 0.58 0.03 0.75 0.77 0.75 0.77 XXX
infant.
73092 26 A X-ray exam of arm, 0.16 0.04 0.06 0.04 0.06 0.01 0.21 0.23 0.21 0.23 XXX
infant.
73092 TC A X-ray exam of arm, 0.00 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 XXX
infant.
73100 ......... A X-ray exam of 0.16 0.56 0.58 0.56 0.58 0.03 0.75 0.77 0.75 0.77 XXX
wrist.
73100 26 A X-ray exam of 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 XXX
wrist.
73100 TC A X-ray exam of 0.00 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 XXX
wrist.
73110 ......... A X-ray exam of 0.17 0.61 0.63 0.61 0.63 0.03 0.81 0.83 0.81 0.83 XXX
wrist.
73110 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
wrist.
73110 TC A X-ray exam of 0.00 0.56 0.56 0.56 0.56 0.02 0.58 0.58 0.58 0.58 XXX
wrist.
73115 ......... A Contrast x-ray of 0.54 1.80 1.85 1.80 1.85 0.10 2.44 2.49 2.44 2.49 XXX
wrist.
73115 26 A Contrast x-ray of 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
wrist.
73115 TC A Contrast x-ray of 0.00 1.65 1.64 1.65 1.64 0.08 1.73 1.72 1.73 1.72 XXX
wrist.
73120 ......... A X-ray exam of hand 0.16 0.56 0.58 0.56 0.58 0.03 0.75 0.77 0.75 0.77 XXX
73120 26 A X-ray exam of hand 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 XXX
73120 TC A X-ray exam of hand 0.00 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 XXX
73130 ......... A X-ray exam of hand 0.17 0.61 0.63 0.61 0.63 0.03 0.81 0.83 0.81 0.83 XXX
73130 26 A X-ray exam of hand 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
73130 TC A X-ray exam of hand 0.00 0.56 0.56 0.56 0.56 0.02 0.58 0.58 0.58 0.58 XXX
73140 ......... A X-ray exam of 0.13 0.48 0.49 0.48 0.49 0.03 0.64 0.65 0.64 0.65 XXX
finger(s).
73140 26 A X-ray exam of 0.13 0.04 0.06 0.04 0.06 0.01 0.18 0.20 0.18 0.20 XXX
finger(s).
73140 TC A X-ray exam of 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
finger(s).
73200 ......... A CAT scan of arm... 1.09 5.49 5.57 5.49 5.57 0.27 6.85 6.93 6.85 6.93 XXX
73200 26 A CAT scan of arm... 1.09 0.30 0.41 0.30 0.41 0.04 1.43 1.54 1.43 1.54 XXX
73200 TC A CAT scan of arm... 0.00 5.19 5.16 5.19 5.16 0.23 5.42 5.39 5.42 5.39 XXX
73201 ......... A Contrast CAT scan 1.16 6.49 6.58 6.49 6.58 0.33 7.98 8.07 7.98 8.07 XXX
of arm.
73201 26 A Contrast CAT scan 1.16 0.32 0.44 0.32 0.44 0.05 1.53 1.65 1.53 1.65 XXX
of arm.
73201 TC A Contrast CAT scan 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
of arm.
73202 ......... A Contrast CAT scans 1.22 8.10 8.18 8.10 8.18 0.40 9.72 9.80 9.72 9.80 XXX
of arm.
73202 26 A Contrast CAT scans 1.22 0.33 0.46 0.33 0.46 0.05 1.60 1.73 1.60 1.73 XXX
of arm.
73202 TC A Contrast CAT scans 0.00 7.77 7.73 7.77 7.73 0.35 8.12 8.08 8.12 8.08 XXX
of arm.
73220 ......... A Magnetic image, 1.48 12.13 12.22 12.13 12.22 0.58 14.19 14.28 14.19 14.28 XXX
arm, hand.
73220 26 A Magnetic image, 1.48 0.41 0.57 0.41 0.57 0.06 1.95 2.11 1.95 2.11 XXX
arm, hand.
73220 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
arm, hand.
73221 ......... A Magnetic image, 1.48 12.12 12.09 12.12 12.09 0.58 14.18 14.15 14.18 14.15 XXX
joint of arm.
73221 26 A Magnetic image, 1.48 0.40 0.44 0.40 0.44 0.06 1.94 1.98 1.94 1.98 XXX
joint of arm.
73221 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
joint of arm.
73225 ......... N Magnetic imaging/ +1.75 12.38 12.35 12.38 12.35 0.59 14.70 14.67 14.70 14.67 XXX
upper (MRA).
73225 26 N Magnetic imaging/ +1.73 0.66 0.69 0.66 0.69 0.07 2.46 2.49 2.46 2.49 XXX
upper (MRA).
73225 TC N Magnetic imaging/ +0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
upper (MRA).
73500 ......... A X-ray exam of hip. 0.17 0.54 0.56 0.54 0.56 0.03 0.74 0.76 0.74 0.76 XXX
73500 26 A X-ray exam of hip. 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
73500 TC A X-ray exam of hip. 0.00 0.49 0.49 0.49 0.49 0.02 0.51 0.51 0.51 0.51 XXX
73510 ......... A X-ray exam of hip. 0.21 0.65 0.68 0.65 0.68 0.04 0.90 0.93 0.90 0.93 XXX
73510 26 A X-ray exam of hip. 0.21 0.06 0.09 0.06 0.09 0.01 0.28 0.31 0.28 0.31 XXX
73510 TC A X-ray exam of hip. 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
73520 ......... A X-ray exam of hips 0.26 0.78 0.80 0.78 0.80 0.04 1.08 1.10 1.08 1.10 XXX
73520 26 A X-ray exam of hips 0.26 0.07 0.10 0.07 0.10 0.01 0.34 0.37 0.34 0.37 XXX
73520 TC A X-ray exam of hips 0.00 0.70 0.70 0.70 0.70 0.03 0.73 0.73 0.73 0.73 XXX
73525 ......... A Contrast x-ray of 0.54 2.34 2.39 2.34 2.39 0.12 3.00 3.05 3.00 3.05 XXX
hip.
73525 26 A Contrast x-ray of 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
hip.
73525 TC A Contrast x-ray of 0.00 2.19 2.18 2.19 2.18 0.10 2.29 2.28 2.29 2.28 XXX
hip.
73530 ......... A X-ray exam of hip. 0.29 0.63 0.66 0.63 0.66 0.03 0.95 0.98 0.95 0.98 XXX
73530 26 A X-ray exam of hip. 0.29 0.08 0.11 0.08 0.11 0.01 0.38 0.41 0.38 0.41 XXX
73530 TC A X-ray exam of hip. 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
73540 ......... A X-ray exam of 0.20 0.65 0.68 0.65 0.68 0.04 0.89 0.92 0.89 0.92 XXX
pelvis & hips.
73540 26 A X-ray exam of 0.20 0.06 0.09 0.06 0.09 0.01 0.27 0.30 0.27 0.30 XXX
pelvis & hips.
73540 TC A X-ray exam of 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
pelvis & hips.
73550 ......... A X-ray exam of 0.17 0.64 0.66 0.64 0.66 0.04 0.85 0.87 0.85 0.87 XXX
thigh.
73550 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
thigh.
73550 TC A X-ray exam of 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
thigh.
73560 ......... A X-ray exam of 0.17 0.60 0.61 0.60 0.61 0.03 0.80 0.81 0.80 0.81 XXX
knee, 1 or 2.
73560 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
knee, 1 or 2.
73560 TC A X-ray exam of 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
knee, 1 or 2.
[[Page 39707]]
73562 ......... A X-ray exam of 0.18 0.64 0.67 0.64 0.67 0.04 0.86 0.89 0.86 0.89 XXX
knee, 3.
73562 26 A X-ray exam of 0.18 0.05 0.08 0.05 0.08 0.01 0.24 0.27 0.24 0.27 XXX
knee, 3.
73562 TC A X-ray exam of 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
knee, 3.
73564 ......... A X-ray exam of 0.22 0.71 0.73 0.71 0.73 0.04 0.97 0.99 0.97 0.99 XXX
knee, 4+.
73564 26 A X-ray exam of 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
knee, 4+.
73564 TC A X-ray exam of 0.00 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 XXX
knee, 4+.
73565 ......... A X-ray exam of knee 0.17 0.56 0.58 0.56 0.58 0.03 0.76 0.78 0.76 0.78 XXX
73565 26 A X-ray exam of knee 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
73565 TC A X-ray exam of knee 0.00 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 XXX
73580 ......... A Contrast x-ray of 0.54 2.89 2.94 2.89 2.94 0.15 3.58 3.63 3.58 3.63 XXX
knee joint.
73580 26 A Contrast x-ray of 0.54 0.14 0.21 0.14 0.21 0.02 0.70 0.77 0.70 0.77 XXX
knee joint.
73580 TC A Contrast x-ray of 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
knee joint.
73590 ......... A X-ray exam of 0.17 0.60 0.61 0.60 0.61 0.03 0.80 0.81 0.80 0.81 XXX
lower leg.
73590 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
lower leg.
73590 TC A X-ray exam of 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
lower leg.
73592 ......... A X-ray exam of leg, 0.16 0.56 0.58 0.56 0.58 0.03 0.75 0.77 0.75 0.77 XXX
infant.
73592 26 A X-ray exam of leg, 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 XXX
infant.
73592 TC A X-ray exam of leg, 0.00 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 XXX
infant.
73600 ......... A X-ray exam of 0.16 0.56 0.58 0.56 0.58 0.03 0.75 0.77 0.75 0.77 XXX
ankle.
73600 26 A X-ray exam of 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 XXX
ankle.
73600 TC A X-ray exam of 0.00 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 XXX
ankle.
73610 ......... A X-ray exam of 0.17 0.61 0.63 0.61 0.63 0.03 0.81 0.83 0.81 0.83 XXX
ankle.
73610 26 A X-ray exam of 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
ankle.
73610 TC A X-ray exam of 0.00 0.56 0.56 0.56 0.56 0.02 0.58 0.58 0.58 0.58 XXX
ankle.
73615 ......... A Contrast x-ray of 0.54 2.36 2.40 2.36 2.40 0.12 3.02 3.06 3.02 3.06 XXX
ankle.
73615 26 A Contrast x-ray of 0.54 0.16 0.22 0.16 0.22 0.02 0.72 0.78 0.72 0.78 XXX
ankle.
73615 TC A Contrast x-ray of 0.00 2.19 2.18 2.19 2.18 0.10 2.29 2.28 2.29 2.28 XXX
ankle.
73620 ......... A X-ray exam of foot 0.16 0.56 0.58 0.56 0.58 0.03 0.75 0.77 0.75 0.77 XXX
73620 26 A X-ray exam of foot 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 XXX
73620 TC A X-ray exam of foot 0.00 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 XXX
73630 ......... A X-ray exam of foot 0.17 0.61 0.63 0.61 0.63 0.03 0.81 0.83 0.81 0.83 XXX
73630 26 A X-ray exam of foot 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
73630 TC A X-ray exam of foot 0.00 0.56 0.56 0.56 0.56 0.02 0.58 0.58 0.58 0.58 XXX
73650 ......... A X-ray exam of heel 0.16 0.54 0.56 0.54 0.56 0.03 0.73 0.75 0.73 0.75 XXX
73650 26 A X-ray exam of heel 0.16 0.04 0.06 0.04 0.06 0.01 0.21 0.23 0.21 0.23 XXX
73650 TC A X-ray exam of heel 0.00 0.49 0.49 0.49 0.49 0.02 0.51 0.51 0.51 0.51 XXX
73660 ......... A X-ray exam of 0.13 0.48 0.49 0.48 0.49 0.03 0.64 0.65 0.64 0.65 XXX
toe(s).
73660 26 A X-ray exam of 0.13 0.04 0.06 0.04 0.06 0.01 0.18 0.20 0.18 0.20 XXX
toe(s).
73660 TC A X-ray exam of 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
toe(s).
73700 ......... A CAT scan of leg... 1.09 5.49 5.57 5.49 5.57 0.27 6.85 6.93 6.85 6.93 XXX
73700 26 A CAT scan of leg... 1.09 0.29 0.41 0.29 0.41 0.04 1.42 1.54 1.42 1.54 XXX
73700 TC A CAT scan of leg... 0.00 5.19 5.16 5.19 5.16 0.23 5.42 5.39 5.42 5.39 XXX
73701 ......... A Contrast CAT scan 1.16 6.49 6.58 6.49 6.58 0.33 7.98 8.07 7.98 8.07 XXX
of leg.
73701 26 A Contrast CAT scan 1.16 0.32 0.44 0.32 0.44 0.05 1.53 1.65 1.53 1.65 XXX
of leg.
73701 TC A Contrast CAT scan 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
of leg.
73702 ......... A Contrast CAT scans 1.22 8.10 8.18 8.10 8.18 0.40 9.72 9.80 9.72 9.80 XXX
of leg.
73702 26 A Contrast CAT scans 1.22 0.33 0.46 0.33 0.46 0.05 1.60 1.73 1.60 1.73 XXX
of leg.
73702 TC A Contrast CAT scans 0.00 7.77 7.73 7.77 7.73 0.35 8.12 8.08 8.12 8.08 XXX
of leg.
73720 ......... A Magnetic image, 1.48 12.12 12.22 12.12 12.22 0.58 14.18 14.28 14.18 14.28 XXX
leg, foot.
73720 26 A Magnetic image, 1.48 0.40 0.56 0.40 0.56 0.06 1.94 2.10 1.94 2.10 XXX
leg, foot.
73720 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
leg, foot.
73721 ......... A Magnetic image, 1.48 12.13 12.10 12.13 12.10 0.58 14.19 14.16 14.19 14.16 XXX
joint of leg.
73721 26 A Magnetic image, 1.48 0.41 0.44 0.41 0.44 0.06 1.95 1.98 1.95 1.98 XXX
joint of leg.
73721 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
joint of leg.
73725 ......... R Magnetic imaging/ 1.82 12.21 12.26 12.21 12.26 0.60 14.63 14.68 14.63 14.68 XXX
lower (MRA).
73725 26 R Magnetic imaging/ 1.82 0.49 0.61 0.49 0.61 0.08 2.39 2.51 2.39 2.51 XXX
lower (MRA).
73725 TC R Magnetic imaging/ 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
lower (MRA).
74000 ......... A X-ray exam of 0.18 0.60 0.62 0.60 0.62 0.03 0.81 0.83 0.81 0.83 XXX
abdomen.
74000 26 A X-ray exam of 0.18 0.05 0.07 0.05 0.07 0.01 0.24 0.26 0.24 0.26 XXX
abdomen.
74000 TC A X-ray exam of 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
abdomen.
74010 ......... A X-ray exam of 0.23 0.66 0.69 0.66 0.69 0.04 0.93 0.96 0.93 0.96 XXX
abdomen.
74010 26 A X-ray exam of 0.23 0.06 0.09 0.06 0.09 0.01 0.30 0.33 0.30 0.33 XXX
abdomen.
74010 TC A X-ray exam of 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
abdomen.
74020 ......... A X-ray exam of 0.27 0.72 0.75 0.72 0.75 0.04 1.03 1.06 1.03 1.06 XXX
abdomen.
74020 26 A X-ray exam of 0.27 0.07 0.11 0.07 0.11 0.01 0.35 0.39 0.35 0.39 XXX
abdomen.
74020 TC A X-ray exam of 0.00 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 XXX
abdomen.
74022 ......... A X-ray exam series, 0.32 0.85 0.89 0.85 0.89 0.05 1.22 1.26 1.22 1.26 XXX
abdomen.
74022 26 A X-ray exam series, 0.32 0.09 0.13 0.09 0.13 0.01 0.42 0.46 0.42 0.46 XXX
abdomen.
74022 TC A X-ray exam series, 0.00 0.76 0.76 0.76 0.76 0.04 0.80 0.80 0.80 0.80 XXX
abdomen.
74150 ......... A CAT scan of 1.19 6.24 6.33 6.24 6.33 0.32 7.75 7.84 7.75 7.84 XXX
abdomen.
74150 26 A CAT scan of 1.19 0.32 0.44 0.32 0.44 0.05 1.56 1.68 1.56 1.68 XXX
abdomen.
74150 TC A CAT scan of 0.00 5.92 5.89 5.92 5.89 0.27 6.19 6.16 6.19 6.16 XXX
abdomen.
74160 ......... A Contrast CAT scan 1.27 7.50 7.60 7.50 7.60 0.37 9.14 9.24 9.14 9.24 XXX
of abdomen.
74160 26 A Contrast CAT scan 1.27 0.34 0.48 0.34 0.48 0.05 1.66 1.80 1.66 1.80 XXX
of abdomen.
74160 TC A Contrast CAT scan 0.00 7.15 7.12 7.15 7.12 0.32 7.47 7.44 7.47 7.44 XXX
of abdomen.
74170 ......... A Contrast CAT 1.40 9.25 9.35 9.25 9.35 0.45 11.10 11.20 11.10 11.20 XXX
scans, abdomen.
74170 26 A Contrast CAT 1.40 0.38 0.53 0.38 0.53 0.06 1.84 1.99 1.84 1.99 XXX
scans, abdomen.
74170 TC A Contrast CAT 0.00 8.87 8.83 8.87 8.83 0.39 9.26 9.22 9.26 9.22 XXX
scans, abdomen.
74181 ......... A Magnetic 1.60 12.15 12.26 12.15 12.26 0.58 14.33 14.44 14.33 14.44 XXX
image,abdomen
(MRI).
74181 26 A Magnetic 1.60 0.43 0.61 0.43 0.61 0.06 2.09 2.27 2.09 2.27 XXX
image,abdomen
(MRI).
74181 TC A Magnetic 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
image,abdomen
(MRI).
74185 ......... R Magnetic image/ 1.80 12.41 12.39 12.41 12.39 0.59 14.80 14.78 14.80 14.78 XXX
abdomen (MRA).
74185 26 R Magnetic image/ 1.80 0.69 0.74 0.69 0.74 0.07 2.56 2.61 2.56 2.61 XXX
abdomen (MRA).
74185 TC R Magnetic image/ 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
abdomen (MRA).
[[Page 39708]]
74190 ......... A X-ray exam of 0.48 1.49 1.49 1.49 1.49 0.08 2.05 2.05 2.05 2.05 XXX
peritoneum.
74190 26 A X-ray exam of 0.48 0.13 0.14 0.13 0.14 0.02 0.63 0.64 0.63 0.64 XXX
peritoneum.
74190 TC A X-ray exam of 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
peritoneum.
74210 ......... A Contrast xray exam 0.36 1.34 1.37 1.34 1.37 0.06 1.76 1.79 1.76 1.79 XXX
of throat.
74210 26 A Contrast xray exam 0.36 0.10 0.14 0.10 0.14 0.01 0.47 0.51 0.47 0.51 XXX
of throat.
74210 TC A Contrast xray exam 0.00 1.24 1.24 1.24 1.24 0.05 1.29 1.29 1.29 1.29 XXX
of throat.
74220 ......... A Contrast xray 0.46 1.36 1.41 1.36 1.41 0.07 1.89 1.94 1.89 1.94 XXX
exam,esophagus.
74220 26 A Contrast xray 0.46 0.12 0.18 0.12 0.18 0.02 0.60 0.66 0.60 0.66 XXX
exam,esophagus.
74220 TC A Contrast xray 0.00 1.24 1.24 1.24 1.24 0.05 1.29 1.29 1.29 1.29 XXX
exam,esophagus.
74230 ......... A Cinema xray throat/ 0.53 1.50 1.56 1.50 1.56 0.08 2.11 2.17 2.11 2.17 XXX
esophagus.
74230 26 A Cinema xray throat/ 0.53 0.14 0.21 0.14 0.21 0.02 0.69 0.76 0.69 0.76 XXX
esophagus.
74230 TC A Cinema xray throat/ 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
esophagus.
74235 ......... A Remove esophagus 1.19 3.10 3.19 3.10 3.19 0.18 4.47 4.56 4.47 4.56 XXX
obstruction.
74235 26 A Remove esophagus 1.19 0.36 0.46 0.36 0.46 0.05 1.60 1.70 1.60 1.70 XXX
obstruction.
74235 TC A Remove esophagus 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
obstruction.
74240 ......... A X-ray exam upper 0.69 1.71 1.79 1.71 1.79 0.10 2.50 2.58 2.50 2.58 XXX
GI tract.
74240 26 A X-ray exam upper 0.69 0.19 0.27 0.19 0.27 0.03 0.91 0.99 0.91 0.99 XXX
GI tract.
74240 TC A X-ray exam upper 0.00 1.53 1.52 1.53 1.52 0.07 1.60 1.59 1.60 1.59 XXX
GI tract.
74241 ......... A X-ray exam upper 0.69 1.74 1.82 1.74 1.82 0.10 2.53 2.61 2.53 2.61 XXX
GI tract.
74241 26 A X-ray exam upper 0.69 0.19 0.27 0.19 0.27 0.03 0.91 0.99 0.91 0.99 XXX
GI tract.
74241 TC A X-ray exam upper 0.00 1.56 1.55 1.56 1.55 0.07 1.63 1.62 1.63 1.62 XXX
GI tract.
74245 ......... A X-ray exam upper 0.91 2.74 2.82 2.74 2.82 0.16 3.81 3.89 3.81 3.89 XXX
GI tract.
74245 26 A X-ray exam upper 0.91 0.24 0.34 0.24 0.34 0.04 1.19 1.29 1.19 1.29 XXX
GI tract.
74245 TC A X-ray exam upper 0.00 2.49 2.48 2.49 2.48 0.12 2.61 2.60 2.61 2.60 XXX
GI tract.
74246 ......... A Contrast xray 0.69 1.91 1.98 1.91 1.98 0.11 2.71 2.78 2.71 2.78 XXX
upper GI tract.
74246 26 A Contrast xray 0.69 0.19 0.27 0.19 0.27 0.03 0.91 0.99 0.91 0.99 XXX
upper GI tract.
74246 TC A Contrast xray 0.00 1.72 1.71 1.72 1.71 0.08 1.80 1.79 1.80 1.79 XXX
upper GI tract.
74247 ......... A Contrast xray 0.69 1.94 2.02 1.94 2.02 0.12 2.75 2.83 2.75 2.83 XXX
upper GI tract.
74247 26 A Contrast xray 0.69 0.19 0.27 0.19 0.27 0.03 0.91 0.99 0.91 0.99 XXX
upper GI tract.
74247 TC A Contrast xray 0.00 1.75 1.75 1.75 1.75 0.09 1.84 1.84 1.84 1.84 XXX
upper GI tract.
74249 ......... A Contrast xray 0.91 2.93 3.02 2.93 3.02 0.17 4.01 4.10 4.01 4.10 XXX
upper GI tract.
74249 26 A Contrast xray 0.91 0.24 0.34 0.24 0.34 0.04 1.19 1.29 1.19 1.29 XXX
upper GI tract.
74249 TC A Contrast xray 0.00 2.69 2.68 2.69 2.68 0.13 2.82 2.81 2.82 2.81 XXX
upper GI tract.
74250 ......... A X-ray exam of 0.47 1.48 1.53 1.48 1.53 0.08 2.03 2.08 2.03 2.08 XXX
small bowel.
74250 26 A X-ray exam of 0.47 0.13 0.18 0.13 0.18 0.02 0.62 0.67 0.62 0.67 XXX
small bowel.
74250 TC A X-ray exam of 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
small bowel.
74251 ......... A X-ray exam of 0.69 1.54 1.56 1.54 1.56 0.09 2.32 2.34 2.32 2.34 XXX
small bowel.
74251 26 A X-ray exam of 0.69 0.19 0.21 0.19 0.21 0.03 0.91 0.93 0.91 0.93 XXX
small bowel.
74251 TC A X-ray exam of 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
small bowel.
74260 ......... A X-ray exam of 0.50 1.69 1.74 1.69 1.74 0.09 2.28 2.33 2.28 2.33 XXX
small bowel.
74260 26 A X-ray exam of 0.50 0.13 0.19 0.13 0.19 0.02 0.65 0.71 0.65 0.71 XXX
small bowel.
74260 TC A X-ray exam of 0.00 1.56 1.55 1.56 1.55 0.07 1.63 1.62 1.63 1.62 XXX
small bowel.
74270 ......... A Contrast x-ray 0.69 1.97 2.04 1.97 2.04 0.12 2.78 2.85 2.78 2.85 XXX
exam of colon.
74270 26 A Contrast x-ray 0.69 0.19 0.27 0.19 0.27 0.03 0.91 0.99 0.91 0.99 XXX
exam of colon.
74270 TC A Contrast x-ray 0.00 1.78 1.77 1.78 1.77 0.09 1.87 1.86 1.87 1.86 XXX
exam of colon.
74280 ......... A Contrast x-ray 0.99 2.60 2.70 2.60 2.70 0.15 3.74 3.84 3.74 3.84 XXX
exam of colon.
74280 26 A Contrast x-ray 0.99 0.27 0.38 0.27 0.38 0.04 1.30 1.41 1.30 1.41 XXX
exam of colon.
74280 TC A Contrast x-ray 0.00 2.33 2.32 2.33 2.32 0.11 2.44 2.43 2.44 2.43 XXX
exam of colon.
74283 ......... A Contrast x-ray 2.02 3.22 3.43 3.22 3.43 0.21 5.45 5.66 5.45 5.66 XXX
exam of colon.
74283 26 A Contrast x-ray 2.02 0.54 0.76 0.54 0.76 0.08 2.64 2.86 2.64 2.86 XXX
exam of colon.
74283 TC A Contrast x-ray 0.00 2.68 2.67 2.68 2.67 0.13 2.81 2.80 2.81 2.80 XXX
exam of colon.
74290 ......... A Contrast x-ray, 0.32 0.85 0.89 0.85 0.89 0.05 1.22 1.26 1.22 1.26 XXX
gallbladder.
74290 26 A Contrast x-ray, 0.32 0.09 0.13 0.09 0.13 0.01 0.42 0.46 0.42 0.46 XXX
gallbladder.
74290 TC A Contrast x-ray, 0.00 0.76 0.76 0.76 0.76 0.04 0.80 0.80 0.80 0.80 XXX
gallbladder.
74291 ......... A Contrast x-rays, 0.20 0.50 0.52 0.50 0.52 0.03 0.73 0.75 0.73 0.75 XXX
gallbladder.
74291 26 A Contrast x-rays, 0.20 0.05 0.08 0.05 0.08 0.01 0.26 0.29 0.26 0.29 XXX
gallbladder.
74291 TC A Contrast x-rays, 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
gallbladder.
74300 ......... C X-ray bile ducts, 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 XXX
pancreas.
74300 26 A X-ray bile ducts, 0.36 0.10 0.14 0.10 0.14 0.01 0.47 0.51 0.47 0.51 XXX
pancreas.
74300 TC C X-ray bile ducts, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pancreas.
74301 ......... C X-rays at surgery 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 ZZZ
add-on.
74301 26 A X-rays at surgery 0.21 0.06 0.09 0.06 0.09 0.01 0.28 0.31 0.28 0.31 ZZZ
add-on.
74301 TC C X-rays at surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
add-on.
74305 ......... A X-ray bile ducts, 0.42 0.94 0.98 0.94 0.98 0.06 1.42 1.46 1.42 1.46 XXX
pancreas.
74305 26 A X-ray bile ducts, 0.42 0.11 0.16 0.11 0.16 0.02 0.55 0.60 0.55 0.60 XXX
pancreas.
74305 TC A X-ray bile ducts, 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
pancreas.
74320 ......... A Contrast x-ray of 0.54 3.44 3.49 3.44 3.49 0.17 4.15 4.20 4.15 4.20 XXX
bile ducts.
74320 26 A Contrast x-ray of 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
bile ducts.
74320 TC A Contrast x-ray of 0.00 3.29 3.28 3.29 3.28 0.15 3.44 3.43 3.44 3.43 XXX
bile ducts.
74327 ......... A X-ray for bile 0.70 2.03 2.10 2.03 2.10 0.12 2.85 2.92 2.85 2.92 XXX
stone removal.
74327 26 A X-ray for bile 0.70 0.19 0.27 0.19 0.27 0.03 0.92 1.00 0.92 1.00 XXX
stone removal.
74327 TC A X-ray for bile 0.00 1.84 1.83 1.84 1.83 0.09 1.93 1.92 1.93 1.92 XXX
stone removal.
74328 ......... A Xray for bile duct 0.70 3.48 3.55 3.48 3.55 0.18 4.36 4.43 4.36 4.43 XXX
endoscopy.
74328 26 A Xray for bile duct 0.70 0.19 0.27 0.19 0.27 0.03 0.92 1.00 0.92 1.00 XXX
endoscopy.
74328 TC A Xray for bile duct 0.00 3.29 3.28 3.29 3.28 0.15 3.44 3.43 3.44 3.43 XXX
endoscopy.
74329 ......... A X-ray for pancreas 0.70 3.48 3.55 3.48 3.55 0.18 4.36 4.43 4.36 4.43 XXX
endoscopy.
74329 26 A X-ray for pancreas 0.70 0.19 0.27 0.19 0.27 0.03 0.92 1.00 0.92 1.00 XXX
endoscopy.
74329 TC A X-ray for pancreas 0.00 3.29 3.28 3.29 3.28 0.15 3.44 3.43 3.44 3.43 XXX
endoscopy.
74330 ......... A Xray,bile/pancreas 0.90 3.53 3.57 3.53 3.57 0.19 4.62 4.66 4.62 4.66 XXX
endoscopy.
74330 26 A Xray,bile/pancreas 0.90 0.24 0.30 0.24 0.30 0.04 1.18 1.24 1.18 1.24 XXX
endoscopy.
74330 TC A Xray,bile/pancreas 0.00 3.29 3.28 3.29 3.28 0.15 3.44 3.43 3.44 3.43 XXX
endoscopy.
74340 ......... A X-ray guide for GI 0.54 2.89 2.94 2.89 2.94 0.15 3.58 3.63 3.58 3.63 XXX
tube.
74340 26 A X-ray guide for GI 0.54 0.14 0.21 0.14 0.21 0.02 0.70 0.77 0.70 0.77 XXX
tube.
74340 TC A X-ray guide for GI 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
tube.
[[Page 39709]]
74350 ......... A X-ray guide, 0.76 3.50 3.57 3.50 3.57 0.18 4.44 4.51 4.44 4.51 XXX
stomach tube.
74350 26 A X-ray guide, 0.76 0.21 0.30 0.21 0.30 0.03 1.00 1.09 1.00 1.09 XXX
stomach tube.
74350 TC A X-ray guide, 0.00 3.29 3.28 3.29 3.28 0.15 3.44 3.43 3.44 3.43 XXX
stomach tube.
74355 ......... A X-ray guide, 0.76 2.95 3.02 2.95 3.02 0.16 3.87 3.94 3.87 3.94 XXX
intestinal tube.
74355 26 A X-ray guide, 0.76 0.20 0.29 0.20 0.29 0.03 0.99 1.08 0.99 1.08 XXX
intestinal tube.
74355 TC A X-ray guide, 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
intestinal tube.
74360 ......... A X-ray guide, GI 0.54 3.47 3.50 3.47 3.50 0.17 4.18 4.21 4.18 4.21 XXX
dilation.
74360 26 A X-ray guide, GI 0.54 0.18 0.23 0.18 0.23 0.02 0.74 0.79 0.74 0.79 XXX
dilation.
74360 TC A X-ray guide, GI 0.00 3.29 3.28 3.29 3.28 0.15 3.44 3.43 3.44 3.43 XXX
dilation.
74363 ......... A X-ray, bile duct 0.88 6.61 6.68 6.61 6.68 0.33 7.82 7.89 7.82 7.89 XXX
dilation.
74363 26 A X-ray, bile duct 0.88 0.24 0.34 0.24 0.34 0.04 1.16 1.26 1.16 1.26 XXX
dilation.
74363 TC A X-ray, bile duct 0.00 6.38 6.35 6.38 6.35 0.29 6.67 6.64 6.67 6.64 XXX
dilation.
74400 ......... A Contrast x-ray 0.49 1.88 1.93 1.88 1.93 0.11 2.48 2.53 2.48 2.53 XXX
urinary tract.
74400 26 A Contrast x-ray 0.49 0.13 0.19 0.13 0.19 0.02 0.64 0.70 0.64 0.70 XXX
urinary tract.
74400 TC A Contrast x-ray 0.00 1.75 1.75 1.75 1.75 0.09 1.84 1.84 1.84 1.84 XXX
urinary tract.
74410 ......... A Contrast x-ray 0.49 2.17 2.22 2.17 2.22 0.11 2.77 2.82 2.77 2.82 XXX
urinary tract.
74410 26 A Contrast x-ray 0.49 0.13 0.19 0.13 0.19 0.02 0.64 0.70 0.64 0.70 XXX
urinary tract.
74410 TC A Contrast x-ray 0.00 2.04 2.03 2.04 2.03 0.09 2.13 2.12 2.13 2.12 XXX
urinary tract.
74415 ......... A Contrast x-ray 0.49 2.35 2.39 2.35 2.39 0.12 2.96 3.00 2.96 3.00 XXX
urinary tract.
74415 26 A Contrast x-ray 0.49 0.13 0.19 0.13 0.19 0.02 0.64 0.70 0.64 0.70 XXX
urinary tract.
74415 TC A Contrast x-ray 0.00 2.21 2.20 2.21 2.20 0.10 2.31 2.30 2.31 2.30 XXX
urinary tract.
74420 ......... A Contrast x-ray 0.36 2.85 2.87 2.85 2.87 0.15 3.36 3.38 3.36 3.38 XXX
urinary tract.
74420 26 A Contrast x-ray 0.36 0.10 0.14 0.10 0.14 0.02 0.48 0.52 0.48 0.52 XXX
urinary tract.
74420 TC A Contrast x-ray 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
urinary tract.
74425 ......... A Contrast x-ray 0.36 1.46 1.49 1.46 1.49 0.07 1.89 1.92 1.89 1.92 XXX
urinary tract.
74425 26 A Contrast x-ray 0.36 0.10 0.14 0.10 0.14 0.01 0.47 0.51 0.47 0.51 XXX
urinary tract.
74425 TC A Contrast x-ray 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
urinary tract.
74430 ......... A Contrast x-ray of 0.32 1.18 1.22 1.18 1.22 0.06 1.56 1.60 1.56 1.60 XXX
bladder.
74430 26 A Contrast x-ray of 0.32 0.09 0.13 0.09 0.13 0.01 0.42 0.46 0.42 0.46 XXX
bladder.
74430 TC A Contrast x-ray of 0.00 1.10 1.10 1.10 1.10 0.05 1.15 1.15 1.15 1.15 XXX
bladder.
74440 ......... A Xray exam male 0.38 1.29 1.32 1.29 1.32 0.07 1.74 1.77 1.74 1.77 XXX
genital tract.
74440 26 A Xray exam male 0.38 0.11 0.15 0.11 0.15 0.02 0.51 0.55 0.51 0.55 XXX
genital tract.
74440 TC A Xray exam male 0.00 1.19 1.18 1.19 1.18 0.05 1.24 1.23 1.24 1.23 XXX
genital tract.
74445 ......... A X-ray exam of 1.14 1.53 1.62 1.53 1.62 0.11 2.78 2.87 2.78 2.87 XXX
penis.
74445 26 A X-ray exam of 1.14 0.34 0.44 0.34 0.44 0.06 1.54 1.64 1.54 1.64 XXX
penis.
74445 TC A X-ray exam of 0.00 1.19 1.18 1.19 1.18 0.05 1.24 1.23 1.24 1.23 XXX
penis.
74450 ......... A X-ray exam urethra/ 0.33 1.62 1.65 1.62 1.65 0.08 2.03 2.06 2.03 2.06 XXX
bladder.
74450 26 A X-ray exam urethra/ 0.33 0.09 0.13 0.09 0.13 0.01 0.43 0.47 0.43 0.47 XXX
bladder.
74450 TC A X-ray exam urethra/ 0.00 1.53 1.52 1.53 1.52 0.07 1.60 1.59 1.60 1.59 XXX
bladder.
74455 ......... A X-ray exam urethra/ 0.33 1.74 1.77 1.74 1.77 0.09 2.16 2.19 2.16 2.19 XXX
bladder.
74455 26 A X-ray exam urethra/ 0.33 0.09 0.13 0.09 0.13 0.01 0.43 0.47 0.43 0.47 XXX
bladder.
74455 TC A X-ray exam urethra/ 0.00 1.65 1.64 1.65 1.64 0.08 1.73 1.72 1.73 1.72 XXX
bladder.
74470 ......... A X-ray exam of 0.54 1.45 1.51 1.45 1.51 0.08 2.07 2.13 2.07 2.13 XXX
kidney lesion.
74470 26 A X-ray exam of 0.54 0.14 0.21 0.14 0.21 0.02 0.70 0.77 0.70 0.77 XXX
kidney lesion.
74470 TC A X-ray exam of 0.00 1.31 1.30 1.31 1.30 0.06 1.37 1.36 1.37 1.36 XXX
kidney lesion.
74475 ......... A Xray control 0.54 4.40 4.44 4.40 4.44 0.22 5.16 5.20 5.16 5.20 XXX
catheter insert.
74475 26 A Xray control 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
catheter insert.
74475 TC A Xray control 0.00 4.26 4.24 4.26 4.24 0.20 4.46 4.44 4.46 4.44 XXX
catheter insert.
74480 ......... A Xray control 0.54 4.40 4.44 4.40 4.44 0.22 5.16 5.20 5.16 5.20 XXX
catheter insert.
74480 26 A Xray control 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
catheter insert.
74480 TC A Xray control 0.00 4.26 4.24 4.26 4.24 0.20 4.46 4.44 4.46 4.44 XXX
catheter insert.
74485 ......... A X-ray guide, GU 0.54 3.44 3.49 3.44 3.49 0.17 4.15 4.20 4.15 4.20 XXX
dilation.
74485 26 A X-ray guide, GU 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
dilation.
74485 TC A X-ray guide, GU 0.00 3.29 3.28 3.29 3.28 0.15 3.44 3.43 3.44 3.43 XXX
dilation.
74710 ......... A X-ray measurement 0.34 1.19 1.23 1.19 1.23 0.06 1.59 1.63 1.59 1.63 XXX
of pelvis.
74710 26 A X-ray measurement 0.34 0.09 0.13 0.09 0.13 0.01 0.44 0.48 0.44 0.48 XXX
of pelvis.
74710 TC A X-ray measurement 0.00 1.10 1.10 1.10 1.10 0.05 1.15 1.15 1.15 1.15 XXX
of pelvis.
74740 ......... A X-ray female 0.38 1.46 1.50 1.46 1.50 0.08 1.92 1.96 1.92 1.96 XXX
genital tract.
74740 26 A X-ray female 0.38 0.11 0.15 0.11 0.15 0.02 0.51 0.55 0.51 0.55 XXX
genital tract.
74740 TC A X-ray female 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
genital tract.
74742 ......... A X-ray fallopian 0.61 3.46 3.50 3.46 3.50 0.17 4.24 4.28 4.24 4.28 XXX
tube.
74742 26 A X-ray fallopian 0.61 0.17 0.22 0.17 0.22 0.02 0.80 0.85 0.80 0.85 XXX
tube.
74742 TC A X-ray fallopian 0.00 3.29 3.28 3.29 3.28 0.15 3.44 3.43 3.44 3.43 XXX
tube.
74775 ......... A X-ray exam of 0.62 1.70 1.76 1.70 1.76 0.10 2.42 2.48 2.42 2.48 XXX
perineum.
74775 26 A X-ray exam of 0.62 0.17 0.24 0.17 0.24 0.03 0.82 0.89 0.82 0.89 XXX
perineum.
74775 TC A X-ray exam of 0.00 1.53 1.52 1.53 1.52 0.07 1.60 1.59 1.60 1.59 XXX
perineum.
75552 ......... A Magnetic image, 1.60 12.17 12.27 12.17 12.27 0.58 14.35 14.45 14.35 14.45 XXX
myocardium.
75552 26 A Magnetic image, 1.60 0.45 0.62 0.45 0.62 0.06 2.11 2.28 2.11 2.28 XXX
myocardium.
75552 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
myocardium.
75553 ......... A Magnetic image, 2.00 12.26 12.32 12.26 12.32 0.60 14.86 14.92 14.86 14.92 XXX
myocardium.
75553 26 A Magnetic image, 2.00 0.54 0.66 0.54 0.66 0.08 2.62 2.74 2.62 2.74 XXX
myocardium.
75553 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
myocardium.
75554 ......... A Cardiac MRI/ 1.83 12.31 12.34 12.31 12.34 0.59 14.73 14.76 14.73 14.76 XXX
function.
75554 26 A Cardiac MRI/ 1.83 0.59 0.69 0.59 0.69 0.07 2.49 2.59 2.49 2.59 XXX
function.
75554 TC A Cardiac MRI/ 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
function.
75555 ......... A Cardiac MRI/ 1.74 12.38 12.38 12.38 12.38 0.58 14.70 14.70 14.70 14.70 XXX
limited study.
75555 26 A Cardiac MRI/ 1.74 0.66 0.72 0.66 0.72 0.06 2.46 2.52 2.46 2.52 XXX
limited study.
75555 TC A Cardiac MRI/ 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
limited study.
75556 ......... N Cardiac MRI/flow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mapping.
75600 ......... A Contrast x-ray 0.49 13.38 13.33 13.38 13.33 0.61 14.48 14.43 14.48 14.43 XXX
exam of aorta.
75600 26 A Contrast x-ray 0.49 0.20 0.22 0.20 0.22 0.02 0.71 0.73 0.71 0.73 XXX
exam of aorta.
75600 TC A Contrast x-ray 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
exam of aorta.
75605 ......... A Contrast x-ray 1.14 13.54 13.56 13.54 13.56 0.63 15.31 15.33 15.31 15.33 XXX
exam of aorta.
75605 26 A Contrast x-ray 1.14 0.36 0.45 0.36 0.45 0.04 1.54 1.63 1.54 1.63 XXX
exam of aorta.
[[Page 39710]]
75605 TC A Contrast x-ray 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
exam of aorta.
75625 ......... A Contrast x-ray 1.14 13.50 13.54 13.50 13.54 0.64 15.28 15.32 15.28 15.32 XXX
exam of aorta.
75625 26 A Contrast x-ray 1.14 0.32 0.43 0.32 0.43 0.05 1.51 1.62 1.51 1.62 XXX
exam of aorta.
75625 TC A Contrast x-ray 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
exam of aorta.
75630 ......... A X-ray aorta, leg 1.79 14.26 14.24 14.26 14.24 0.69 16.74 16.72 16.74 16.72 XXX
arteries.
75630 26 A X-ray aorta, leg 1.79 0.53 0.58 0.53 0.58 0.07 2.39 2.44 2.39 2.44 XXX
arteries.
75630 TC A X-ray aorta, leg 0.00 13.72 13.65 13.72 13.65 0.62 14.34 14.27 14.34 14.27 XXX
arteries.
75650 ......... A Artery x-rays, 1.49 13.59 13.67 13.59 13.67 0.65 15.73 15.81 15.73 15.81 XXX
head & neck.
75650 26 A Artery x-rays, 1.49 0.41 0.57 0.41 0.57 0.06 1.96 2.12 1.96 2.12 XXX
head & neck.
75650 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
head & neck.
75658 ......... A X-ray exam of arm 1.31 13.66 13.66 13.66 13.66 0.65 15.62 15.62 15.62 15.62 XXX
arteries.
75658 26 A X-ray exam of arm 1.31 0.48 0.56 0.48 0.56 0.06 1.85 1.93 1.85 1.93 XXX
arteries.
75658 TC A X-ray exam of arm 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
arteries.
75660 ......... A Artery x-rays, 1.31 13.56 13.61 13.56 13.61 0.65 15.52 15.57 15.52 15.57 XXX
head & neck.
75660 26 A Artery x-rays, 1.31 0.38 0.51 0.38 0.51 0.06 1.75 1.88 1.75 1.88 XXX
head & neck.
75660 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
head & neck.
75662 ......... A Artery x-rays, 1.66 13.71 13.77 13.71 13.77 0.65 16.02 16.08 16.02 16.08 XXX
head & neck.
75662 26 A Artery x-rays, 1.66 0.53 0.67 0.53 0.67 0.06 2.25 2.39 2.25 2.39 XXX
head & neck.
75662 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
head & neck.
75665 ......... A Artery x-rays, 1.31 13.55 13.61 13.55 13.61 0.65 15.51 15.57 15.51 15.57 XXX
head & neck.
75665 26 A Artery x-rays, 1.31 0.38 0.51 0.38 0.51 0.06 1.75 1.88 1.75 1.88 XXX
head & neck.
75665 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
head & neck.
75671 ......... A Artery x-rays, 1.66 13.64 13.74 13.64 13.74 0.66 15.96 16.06 15.96 16.06 XXX
head & neck.
75671 26 A Artery x-rays, 1.66 0.46 0.63 0.46 0.63 0.07 2.19 2.36 2.19 2.36 XXX
head & neck.
75671 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
head & neck.
75676 ......... A Artery x-rays, 1.31 13.56 13.61 13.56 13.61 0.65 15.52 15.57 15.52 15.57 XXX
neck.
75676 26 A Artery x-rays, 1.31 0.38 0.51 0.38 0.51 0.06 1.75 1.88 1.75 1.88 XXX
neck.
75676 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
neck.
75680 ......... A Artery x-rays, 1.66 13.64 13.74 13.64 13.74 0.66 15.96 16.06 15.96 16.06 XXX
neck.
75680 26 A Artery x-rays, 1.66 0.46 0.63 0.46 0.63 0.07 2.19 2.36 2.19 2.36 XXX
neck.
75680 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
neck.
75685 ......... A Artery x-rays, 1.31 13.54 13.60 13.54 13.60 0.64 15.49 15.55 15.49 15.55 XXX
spine.
75685 26 A Artery x-rays, 1.31 0.36 0.50 0.36 0.50 0.05 1.72 1.86 1.72 1.86 XXX
spine.
75685 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
spine.
75705 ......... A Artery x-rays, 2.18 13.80 13.95 13.80 13.95 0.68 16.66 16.81 16.66 16.81 XXX
spine.
75705 26 A Artery x-rays, 2.18 0.62 0.84 0.62 0.84 0.09 2.89 3.11 2.89 3.11 XXX
spine.
75705 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
spine.
75710 ......... A Artery x-rays, arm/ 1.14 13.51 13.54 13.51 13.54 0.64 15.29 15.32 15.29 15.32 XXX
leg.
75710 26 A Artery x-rays, arm/ 1.14 0.33 0.44 0.33 0.44 0.05 1.52 1.63 1.52 1.63 XXX
leg.
75710 TC A Artery x-rays, arm/ 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
leg.
75716 ......... A Artery x-rays, 1.31 13.55 13.61 13.55 13.61 0.64 15.50 15.56 15.50 15.56 XXX
arms/legs.
75716 26 A Artery x-rays, 1.31 0.37 0.50 0.37 0.50 0.05 1.73 1.86 1.73 1.86 XXX
arms/legs.
75716 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
arms/legs.
75722 ......... A Artery x-rays, 1.14 13.54 13.56 13.54 13.56 0.63 15.31 15.33 15.31 15.33 XXX
kidney.
75722 26 A Artery x-rays, 1.14 0.36 0.45 0.36 0.45 0.04 1.54 1.63 1.54 1.63 XXX
kidney.
75722 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
kidney.
75724 ......... A Artery x-rays, 1.49 13.73 13.74 13.73 13.74 0.64 15.86 15.87 15.86 15.87 XXX
kidneys.
75724 26 A Artery x-rays, 1.49 0.55 0.64 0.55 0.64 0.05 2.09 2.18 2.09 2.18 XXX
kidneys.
75724 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
kidneys.
75726 ......... A Artery x-rays, 1.14 13.49 13.53 13.49 13.53 0.64 15.27 15.31 15.27 15.31 XXX
abdomen.
75726 26 A Artery x-rays, 1.14 0.31 0.43 0.31 0.43 0.05 1.50 1.62 1.50 1.62 XXX
abdomen.
75726 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
abdomen.
75731 ......... A Artery x-rays, 1.14 13.49 13.53 13.49 13.53 0.64 15.27 15.31 15.27 15.31 XXX
adrenal gland.
75731 26 A Artery x-rays, 1.14 0.31 0.43 0.31 0.43 0.05 1.50 1.62 1.50 1.62 XXX
adrenal gland.
75731 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
adrenal gland.
75733 ......... A Artery x- 1.31 13.55 13.61 13.55 13.61 0.64 15.50 15.56 15.50 15.56 XXX
rays,adrenal
glands.
75733 26 A Artery x- 1.31 0.37 0.50 0.37 0.50 0.05 1.73 1.86 1.73 1.86 XXX
rays,adrenal
glands.
75733 TC A Artery x- 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
rays,adrenal
glands.
75736 ......... A Artery x-rays, 1.14 13.49 13.53 13.49 13.53 0.64 15.27 15.31 15.27 15.31 XXX
pelvis.
75736 26 A Artery x-rays, 1.14 0.31 0.43 0.31 0.43 0.05 1.50 1.62 1.50 1.62 XXX
pelvis.
75736 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
pelvis.
75741 ......... A Artery x-rays, 1.31 13.55 13.61 13.55 13.61 0.64 15.50 15.56 15.50 15.56 XXX
lung.
75741 26 A Artery x-rays, 1.31 0.37 0.50 0.37 0.50 0.05 1.73 1.86 1.73 1.86 XXX
lung.
75741 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
lung.
75743 ......... A Artery x-rays, 1.66 13.63 13.73 13.63 13.73 0.66 15.95 16.05 15.95 16.05 XXX
lungs.
75743 26 A Artery x-rays, 1.66 0.46 0.63 0.46 0.63 0.07 2.19 2.36 2.19 2.36 XXX
lungs.
75743 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
lungs.
75746 ......... A Artery x-rays, 1.14 13.51 13.54 13.51 13.54 0.63 15.28 15.31 15.28 15.31 XXX
lung.
75746 26 A Artery x-rays, 1.14 0.33 0.44 0.33 0.44 0.04 1.51 1.62 1.51 1.62 XXX
lung.
75746 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
lung.
75756 ......... A Artery x-rays, 1.14 13.66 13.62 13.66 13.62 0.63 15.43 15.39 15.43 15.39 XXX
chest.
75756 26 A Artery x-rays, 1.14 0.48 0.51 0.48 0.51 0.04 1.66 1.69 1.66 1.69 XXX
chest.
75756 TC A Artery x-rays, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
chest.
75774 ......... A Artery x-ray, each 0.36 13.29 13.25 13.29 13.25 0.60 14.25 14.21 14.25 14.21 ZZZ
vessel.
75774 26 A Artery x-ray, each 0.36 0.11 0.14 0.11 0.14 0.01 0.48 0.51 0.48 0.51 ZZZ
vessel.
75774 TC A Artery x-ray, each 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 ZZZ
vessel.
75790 ......... A Visualize A-V 1.84 1.92 2.11 1.92 2.11 0.15 3.91 4.10 3.91 4.10 XXX
shunt.
75790 26 A Visualize A-V 1.84 0.50 0.70 0.50 0.70 0.08 2.42 2.62 2.42 2.62 XXX
shunt.
75790 TC A Visualize A-V 0.00 1.42 1.41 1.42 1.41 0.07 1.49 1.48 1.49 1.48 XXX
shunt.
75801 ......... A Lymph vessel x- 0.81 5.90 5.95 5.90 5.95 0.30 7.01 7.06 7.01 7.06 XXX
ray, arm/leg.
75801 26 A Lymph vessel x- 0.81 0.23 0.32 0.23 0.32 0.04 1.08 1.17 1.08 1.17 XXX
ray, arm/leg.
75801 TC A Lymph vessel x- 0.00 5.66 5.63 5.66 5.63 0.26 5.92 5.89 5.92 5.89 XXX
ray, arm/leg.
75803 ......... A Lymph vessel x- 1.17 5.98 6.07 5.98 6.07 0.31 7.46 7.55 7.46 7.55 XXX
ray,arms/legs.
75803 26 A Lymph vessel x- 1.17 0.31 0.43 0.31 0.43 0.05 1.53 1.65 1.53 1.65 XXX
ray,arms/legs.
[[Page 39711]]
75803 TC A Lymph vessel x- 0.00 5.66 5.63 5.66 5.63 0.26 5.92 5.89 5.92 5.89 XXX
ray,arms/legs.
75805 ......... A Lymph vessel x- 0.81 6.60 6.66 6.60 6.66 0.32 7.73 7.79 7.73 7.79 XXX
ray, trunk.
75805 26 A Lymph vessel x- 0.81 0.22 0.31 0.22 0.31 0.03 1.06 1.15 1.06 1.15 XXX
ray, trunk.
75805 TC A Lymph vessel x- 0.00 6.38 6.35 6.38 6.35 0.29 6.67 6.64 6.67 6.64 XXX
ray, trunk.
75807 ......... A Lymph vessel x- 1.17 6.69 6.78 6.69 6.78 0.34 8.20 8.29 8.20 8.29 XXX
ray, trunk.
75807 26 A Lymph vessel x- 1.17 0.31 0.43 0.31 0.43 0.05 1.53 1.65 1.53 1.65 XXX
ray, trunk.
75807 TC A Lymph vessel x- 0.00 6.38 6.35 6.38 6.35 0.29 6.67 6.64 6.67 6.64 XXX
ray, trunk.
75809 ......... A Nonvascular shunt, 0.47 0.95 0.99 0.95 0.99 0.06 1.48 1.52 1.48 1.52 XXX
x-ray.
75809 26 A Nonvascular shunt, 0.47 0.13 0.17 0.13 0.17 0.02 0.62 0.66 0.62 0.66 XXX
x-ray.
75809 TC A Nonvascular shunt, 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
x-ray.
75810 ......... A Vein x-ray, spleen/ 1.14 13.49 13.53 13.49 13.53 0.64 15.27 15.31 15.27 15.31 XXX
liver.
75810 26 A Vein x-ray, spleen/ 1.14 0.31 0.43 0.31 0.43 0.05 1.50 1.62 1.50 1.62 XXX
liver.
75810 TC A Vein x-ray, spleen/ 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
liver.
75820 ......... A Vein x-ray, arm/ 0.70 1.18 1.26 1.18 1.26 0.08 1.96 2.04 1.96 2.04 XXX
leg.
75820 26 A Vein x-ray, arm/ 0.70 0.19 0.27 0.19 0.27 0.03 0.92 1.00 0.92 1.00 XXX
leg.
75820 TC A Vein x-ray, arm/ 0.00 0.99 0.99 0.99 0.99 0.05 1.04 1.04 1.04 1.04 XXX
leg.
75822 ......... A Vein x-ray, arms/ 1.06 1.84 1.94 1.84 1.94 0.11 3.01 3.11 3.01 3.11 XXX
legs.
75822 26 A Vein x-ray, arms/ 1.06 0.29 0.40 0.29 0.40 0.04 1.39 1.50 1.39 1.50 XXX
legs.
75822 TC A Vein x-ray, arms/ 0.00 1.55 1.54 1.55 1.54 0.07 1.62 1.61 1.62 1.61 XXX
legs.
75825 ......... A Vein x-ray, trunk. 1.14 13.50 13.54 13.50 13.54 0.64 15.28 15.32 15.28 15.32 XXX
75825 26 A Vein x-ray, trunk. 1.14 0.32 0.43 0.32 0.43 0.05 1.51 1.62 1.51 1.62 XXX
75825 TC A Vein x-ray, trunk. 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
75827 ......... A Vein x-ray, chest. 1.14 13.49 13.53 13.49 13.53 0.64 15.27 15.31 15.27 15.31 XXX
75827 26 A Vein x-ray, chest. 1.14 0.31 0.43 0.31 0.43 0.05 1.50 1.62 1.50 1.62 XXX
75827 TC A Vein x-ray, chest. 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
75831 ......... A Vein x-ray, kidney 1.14 13.48 13.53 13.48 13.53 0.64 15.26 15.31 15.26 15.31 XXX
75831 26 A Vein x-ray, kidney 1.14 0.30 0.42 0.30 0.42 0.05 1.49 1.61 1.49 1.61 XXX
75831 TC A Vein x-ray, kidney 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
75833 ......... A Vein x-ray, 1.49 13.60 13.68 13.60 13.68 0.65 15.74 15.82 15.74 15.82 XXX
kidneys.
75833 26 A Vein x-ray, 1.49 0.42 0.57 0.42 0.57 0.06 1.97 2.12 1.97 2.12 XXX
kidneys.
75833 TC A Vein x-ray, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
kidneys.
75840 ......... A Vein x-ray, 1.14 13.53 13.55 13.53 13.55 0.64 15.31 15.33 15.31 15.33 XXX
adrenal gland.
75840 26 A Vein x-ray, 1.14 0.35 0.45 0.35 0.45 0.05 1.54 1.64 1.54 1.64 XXX
adrenal gland.
75840 TC A Vein x-ray, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
adrenal gland.
75842 ......... A Vein x-ray, 1.49 13.58 13.67 13.58 13.67 0.65 15.72 15.81 15.72 15.81 XXX
adrenal glands.
75842 26 A Vein x-ray, 1.49 0.40 0.56 0.40 0.56 0.06 1.95 2.11 1.95 2.11 XXX
adrenal glands.
75842 TC A Vein x-ray, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
adrenal glands.
75860 ......... A Vein x-ray, neck.. 1.14 13.50 13.54 13.50 13.54 0.64 15.28 15.32 15.28 15.32 XXX
75860 26 A Vein x-ray, neck.. 1.14 0.32 0.43 0.32 0.43 0.05 1.51 1.62 1.51 1.62 XXX
75860 TC A Vein x-ray, neck.. 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
75870 ......... A Vein x-ray, skull. 1.14 13.50 13.54 13.50 13.54 0.64 15.28 15.32 15.28 15.32 XXX
75870 26 A Vein x-ray, skull. 1.14 0.33 0.44 0.33 0.44 0.05 1.52 1.63 1.52 1.63 XXX
75870 TC A Vein x-ray, skull. 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
75872 ......... A Vein x-ray, skull. 1.14 13.49 13.53 13.49 13.53 0.64 15.27 15.31 15.27 15.31 XXX
75872 26 A Vein x-ray, skull. 1.14 0.31 0.43 0.31 0.43 0.05 1.50 1.62 1.50 1.62 XXX
75872 TC A Vein x-ray, skull. 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
75880 ......... A Vein x-ray, eye 0.70 1.17 1.25 1.17 1.25 0.08 1.95 2.03 1.95 2.03 XXX
socket.
75880 26 A Vein x-ray, eye 0.70 0.19 0.27 0.19 0.27 0.03 0.92 1.00 0.92 1.00 XXX
socket.
75880 TC A Vein x-ray, eye 0.00 0.99 0.99 0.99 0.99 0.05 1.04 1.04 1.04 1.04 XXX
socket.
75885 ......... A Vein x-ray, liver. 1.44 13.57 13.65 13.57 13.65 0.65 15.66 15.74 15.66 15.74 XXX
75885 26 A Vein x-ray, liver. 1.44 0.39 0.54 0.39 0.54 0.06 1.89 2.04 1.89 2.04 XXX
75885 TC A Vein x-ray, liver. 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
75887 ......... A Vein x-ray, liver. 1.44 13.57 13.65 13.57 13.65 0.65 15.66 15.74 15.66 15.74 XXX
75887 26 A Vein x-ray, liver. 1.44 0.39 0.54 0.39 0.54 0.06 1.89 2.04 1.89 2.04 XXX
75887 TC A Vein x-ray, liver. 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
75889 ......... A Vein x-ray, liver. 1.14 13.49 13.53 13.49 13.53 0.64 15.27 15.31 15.27 15.31 XXX
75889 26 A Vein x-ray, liver. 1.14 0.31 0.43 0.31 0.43 0.05 1.50 1.62 1.50 1.62 XXX
75889 TC A Vein x-ray, liver. 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
75891 ......... A Vein x-ray, liver. 1.14 13.49 13.53 13.49 13.53 0.64 15.27 15.31 15.27 15.31 XXX
75891 26 A Vein x-ray, liver. 1.14 0.31 0.43 0.31 0.43 0.05 1.50 1.62 1.50 1.62 XXX
75891 TC A Vein x-ray, liver. 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
75893 ......... A Venous sampling by 0.54 13.33 13.32 13.33 13.32 0.61 14.48 14.47 14.48 14.47 XXX
catheter.
75893 26 A Venous sampling by 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
catheter.
75893 TC A Venous sampling by 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
catheter.
75894 ......... A Xrays, 1.31 25.61 25.60 25.61 25.60 1.18 28.10 28.09 28.10 28.09 XXX
transcatheter
therapy.
75894 26 A Xrays, 1.31 0.38 0.51 0.38 0.51 0.05 1.74 1.87 1.74 1.87 XXX
transcatheter
therapy.
75894 TC A Xrays, 0.00 25.23 25.10 25.23 25.10 1.13 26.36 26.23 26.36 26.23 XXX
transcatheter
therapy.
75896 ......... A Xrays, 1.31 22.36 22.35 22.36 22.35 1.03 24.70 24.69 24.70 24.69 XXX
transcatheter
therapy.
75896 26 A Xrays, 1.31 0.42 0.53 0.42 0.53 0.05 1.78 1.89 1.78 1.89 XXX
transcatheter
therapy.
75896 TC A Xrays, 0.00 21.94 21.83 21.94 21.83 0.98 22.92 22.81 22.92 22.81 XXX
transcatheter
therapy.
75898 ......... A Follow-up 1.65 1.57 1.73 1.57 1.73 0.12 3.34 3.50 3.34 3.50 XXX
angiogram.
75898 26 A Follow-up 1.65 0.48 0.64 0.48 0.64 0.07 2.20 2.36 2.20 2.36 XXX
angiogram.
75898 TC A Follow-up 0.00 1.10 1.10 1.10 1.10 0.05 1.15 1.15 1.15 1.15 XXX
angiogram.
75900 ......... A Arterial catheter 0.49 22.07 22.01 22.07 22.01 1.01 23.57 23.51 23.57 23.51 XXX
exchange.
75900 26 A Arterial catheter 0.49 0.14 0.20 0.14 0.20 0.02 0.65 0.71 0.65 0.71 XXX
exchange.
75900 TC A Arterial catheter 0.00 21.93 21.81 21.93 21.81 0.99 22.92 22.80 22.92 22.80 XXX
exchange.
75940 ......... A X-ray placement, 0.54 13.33 13.32 13.33 13.32 0.61 14.48 14.47 14.48 14.47 XXX
vein filter.
75940 26 A X-ray placement, 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
vein filter.
75940 TC A X-ray placement, 0.00 13.18 13.11 13.18 13.11 0.59 13.77 13.70 13.77 13.70 XXX
vein filter.
75945 ......... A Intravascular us.. 0.40 NA NA 4.92 4.94 0.25 NA NA 5.57 5.59 XXX
75945 26 A Intravascular us.. 0.40 NA NA 0.15 0.20 0.03 NA NA 0.58 0.63 XXX
75945 TC A Intravascular us.. 0.00 NA NA 4.77 4.75 0.22 NA NA 4.99 4.97 XXX
75946 ......... A Intravascular us 0.40 NA NA 2.55 2.58 0.14 NA NA 3.09 3.12 ZZZ
add-on.
75946 26 A Intravascular us 0.40 NA NA 0.15 0.20 0.03 NA NA 0.58 0.63 ZZZ
add-on.
[[Page 39712]]
75946 TC A Intravascular us 0.00 NA NA 2.39 2.38 0.11 NA NA 2.50 2.49 ZZZ
add-on.
75960 ......... A Transcatheter 0.82 15.84 15.83 15.84 15.83 0.73 17.39 17.38 17.39 17.38 XXX
intro, stent.
75960 26 A Transcatheter 0.82 0.26 0.33 0.26 0.33 0.04 1.12 1.19 1.12 1.19 XXX
intro, stent.
75960 TC A Transcatheter 0.00 15.58 15.50 15.58 15.50 0.69 16.27 16.19 16.27 16.19 XXX
intro, stent.
75961 ......... A Retrieval, broken 4.25 12.16 12.54 12.16 12.54 0.67 17.08 17.46 17.08 17.46 XXX
catheter.
75961 26 A Retrieval, broken 4.25 1.17 1.62 1.17 1.62 0.18 5.60 6.05 5.60 6.05 XXX
catheter.
75961 TC A Retrieval, broken 0.00 10.99 10.93 10.99 10.93 0.49 11.48 11.42 11.48 11.42 XXX
catheter.
75962 ......... A Repair arterial 0.54 16.62 16.59 16.62 16.59 0.76 17.92 17.89 17.92 17.89 XXX
blockage.
75962 26 A Repair arterial 0.54 0.16 0.22 0.16 0.22 0.02 0.72 0.78 0.72 0.78 XXX
blockage.
75962 TC A Repair arterial 0.00 16.46 16.37 16.46 16.37 0.74 17.20 17.11 17.20 17.11 XXX
blockage.
75964 ......... A Repair artery 0.36 8.88 8.87 8.88 8.87 0.41 9.65 9.64 9.65 9.64 ZZZ
blockage, each.
75964 26 A Repair artery 0.36 0.11 0.14 0.11 0.14 0.02 0.49 0.52 0.49 0.52 ZZZ
blockage, each.
75964 TC A Repair artery 0.00 8.77 8.73 8.77 8.73 0.39 9.16 9.12 9.16 9.12 ZZZ
blockage, each.
75966 ......... A Repair arterial 1.31 16.89 16.90 16.89 16.90 0.79 18.99 19.00 18.99 19.00 XXX
blockage.
75966 26 A Repair arterial 1.31 0.43 0.53 0.43 0.53 0.05 1.79 1.89 1.79 1.89 XXX
blockage.
75966 TC A Repair arterial 0.00 16.46 16.37 16.46 16.37 0.74 17.20 17.11 17.20 17.11 XXX
blockage.
75968 ......... A Repair artery 0.36 8.89 8.87 8.89 8.87 0.40 9.65 9.63 9.65 9.63 ZZZ
blockage, each.
75968 26 A Repair artery 0.36 0.12 0.15 0.12 0.15 0.01 0.49 0.52 0.49 0.52 ZZZ
blockage, each.
75968 TC A Repair artery 0.00 8.77 8.73 8.77 8.73 0.39 9.16 9.12 9.16 9.12 ZZZ
blockage, each.
75970 ......... A Vascular biopsy... 0.83 12.32 12.34 12.32 12.34 0.57 13.72 13.74 13.72 13.74 XXX
75970 26 A Vascular biopsy... 0.83 0.25 0.33 0.25 0.33 0.03 1.11 1.19 1.11 1.19 XXX
75970 TC A Vascular biopsy... 0.00 12.07 12.01 12.07 12.01 0.54 12.61 12.55 12.61 12.55 XXX
75978 ......... A Repair venous 0.54 16.61 16.71 16.61 16.71 0.76 17.91 18.01 17.91 18.01 XXX
blockage.
75978 26 A Repair venous 0.54 0.15 0.34 0.15 0.34 0.02 0.71 0.90 0.71 0.90 XXX
blockage.
75978 TC A Repair venous 0.00 16.46 16.37 16.46 16.37 0.74 17.20 17.11 17.20 17.11 XXX
blockage.
75980 ......... A Contrast xray exam 1.44 6.05 6.17 6.05 6.17 0.32 7.81 7.93 7.81 7.93 XXX
bile duct.
75980 26 A Contrast xray exam 1.44 0.39 0.54 0.39 0.54 0.06 1.89 2.04 1.89 2.04 XXX
bile duct.
75980 TC A Contrast xray exam 0.00 5.66 5.63 5.66 5.63 0.26 5.92 5.89 5.92 5.89 XXX
bile duct.
75982 ......... A Contrast xray exam 1.44 6.76 6.88 6.76 6.88 0.35 8.55 8.67 8.55 8.67 XXX
bile duct.
75982 26 A Contrast xray exam 1.44 0.38 0.54 0.38 0.54 0.06 1.88 2.04 1.88 2.04 XXX
bile duct.
75982 TC A Contrast xray exam 0.00 6.38 6.35 6.38 6.35 0.29 6.67 6.64 6.67 6.64 XXX
bile duct.
75984 ......... A Xray control 0.72 2.24 2.31 2.24 2.31 0.12 3.08 3.15 3.08 3.15 XXX
catheter change.
75984 26 A Xray control 0.72 0.19 0.28 0.19 0.28 0.03 0.94 1.03 0.94 1.03 XXX
catheter change.
75984 TC A Xray control 0.00 2.04 2.03 2.04 2.03 0.09 2.13 2.12 2.13 2.12 XXX
catheter change.
75989 ......... A Abscess drainage 1.19 3.61 3.72 3.61 3.72 0.20 5.00 5.11 5.00 5.11 XXX
under x-ray.
75989 26 A Abscess drainage 1.19 0.32 0.44 0.32 0.44 0.05 1.56 1.68 1.56 1.68 XXX
under x-ray.
75989 TC A Abscess drainage 0.00 3.29 3.28 3.29 3.28 0.15 3.44 3.43 3.44 3.43 XXX
under x-ray.
75992 ......... A Atherectomy, x-ray 0.54 16.64 16.60 16.64 16.60 0.76 17.94 17.90 17.94 17.90 XXX
exam.
75992 26 A Atherectomy, x-ray 0.54 0.18 0.23 0.18 0.23 0.02 0.74 0.79 0.74 0.79 XXX
exam.
75992 TC A Atherectomy, x-ray 0.00 16.46 16.37 16.46 16.37 0.74 17.20 17.11 17.20 17.11 XXX
exam.
75993 ......... A Atherectomy, x-ray 0.36 8.91 8.88 8.91 8.88 0.40 9.67 9.64 9.67 9.64 ZZZ
exam.
75993 26 A Atherectomy, x-ray 0.36 0.14 0.16 0.14 0.16 0.01 0.51 0.53 0.51 0.53 ZZZ
exam.
75993 TC A Atherectomy, x-ray 0.00 8.77 8.73 8.77 8.73 0.39 9.16 9.12 9.16 9.12 ZZZ
exam.
75994 ......... A Atherectomy, x-ray 1.31 16.91 16.91 16.91 16.91 0.80 19.02 19.02 19.02 19.02 XXX
exam.
75994 26 A Atherectomy, x-ray 1.31 0.45 0.54 0.45 0.54 0.06 1.82 1.91 1.82 1.91 XXX
exam.
75994 TC A Atherectomy, x-ray 0.00 16.46 16.37 16.46 16.37 0.74 17.20 17.11 17.20 17.11 XXX
exam.
75995 ......... A Atherectomy, x-ray 1.31 16.98 16.95 16.98 16.95 0.78 19.07 19.04 19.07 19.04 XXX
exam.
75995 26 A Atherectomy, x-ray 1.31 0.52 0.58 0.52 0.58 0.04 1.87 1.93 1.87 1.93 XXX
exam.
75995 TC A Atherectomy, x-ray 0.00 16.46 16.37 16.46 16.37 0.74 17.20 17.11 17.20 17.11 XXX
exam.
75996 ......... A Atherectomy, x-ray 0.36 8.89 8.87 8.89 8.87 0.40 9.65 9.63 9.65 9.63 ZZZ
exam.
75996 26 A Atherectomy, x-ray 0.36 0.11 0.14 0.11 0.14 0.01 0.48 0.51 0.48 0.51 ZZZ
exam.
75996 TC A Atherectomy, x-ray 0.00 8.77 8.73 8.77 8.73 0.39 9.16 9.12 9.16 9.12 ZZZ
exam.
76000 ......... A Fluoroscope 0.17 1.40 1.42 1.40 1.42 0.07 1.64 1.66 1.64 1.66 XXX
examination.
76000 26 A Fluoroscope 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
examination.
76000 TC A Fluoroscope 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
examination.
76001 ......... A Fluoroscope exam, 0.67 2.93 2.99 2.93 2.99 0.16 3.76 3.82 3.76 3.82 XXX
extensive.
76001 26 A Fluoroscope exam, 0.67 0.18 0.26 0.18 0.26 0.03 0.88 0.96 0.88 0.96 XXX
extensive.
76001 TC A Fluoroscope exam, 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
extensive.
76003 ......... A Needle 0.54 1.50 1.56 1.50 1.56 0.08 2.12 2.18 2.12 2.18 XXX
localization by x-
ray.
76003 26 A Needle 0.54 0.14 0.21 0.14 0.21 0.02 0.70 0.77 0.70 0.77 XXX
localization by x-
ray.
76003 TC A Needle 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
localization by x-
ray.
76006 ......... A X-ray stress view. 0.41 0.11 0.11 0.11 0.11 0.02 0.54 0.54 0.54 0.54 XXX
76010 ......... A X-ray, nose to 0.18 0.60 0.62 0.60 0.62 0.03 0.81 0.83 0.81 0.83 XXX
rectum.
76010 26 A X-ray, nose to 0.18 0.05 0.07 0.05 0.07 0.01 0.24 0.26 0.24 0.26 XXX
rectum.
76010 TC A X-ray, nose to 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
rectum.
76020 ......... A X-rays for bone 0.19 0.61 0.63 0.61 0.63 0.03 0.83 0.85 0.83 0.85 XXX
age.
76020 26 A X-rays for bone 0.19 0.05 0.08 0.05 0.08 0.01 0.25 0.28 0.25 0.28 XXX
age.
76020 TC A X-rays for bone 0.00 0.55 0.55 0.55 0.55 0.02 0.57 0.57 0.57 0.57 XXX
age.
76040 ......... A X-rays, bone 0.27 0.90 0.93 0.90 0.93 0.05 1.22 1.25 1.22 1.25 XXX
evaluation.
76040 26 A X-rays, bone 0.27 0.08 0.11 0.08 0.11 0.01 0.36 0.39 0.36 0.39 XXX
evaluation.
76040 TC A X-rays, bone 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 XXX
evaluation.
76061 ......... A X-rays, bone 0.45 1.17 1.21 1.17 1.21 0.07 1.69 1.73 1.69 1.73 XXX
survey.
76061 26 A X-rays, bone 0.45 0.12 0.17 0.12 0.17 0.02 0.59 0.64 0.59 0.64 XXX
survey.
76061 TC A X-rays, bone 0.00 1.05 1.04 1.05 1.04 0.05 1.10 1.09 1.10 1.09 XXX
survey.
76062 ......... A X-rays, bone 0.54 1.64 1.70 1.64 1.70 0.09 2.27 2.33 2.27 2.33 XXX
survey.
76062 26 A X-rays, bone 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
survey.
76062 TC A X-rays, bone 0.00 1.50 1.50 1.50 1.50 0.07 1.57 1.57 1.57 1.57 XXX
survey.
76065 ......... A X-rays, bone 0.28 0.84 0.87 0.84 0.87 0.05 1.17 1.20 1.17 1.20 XXX
evaluation.
76065 26 A X-rays, bone 0.28 0.08 0.11 0.08 0.11 0.01 0.37 0.40 0.37 0.40 XXX
evaluation.
76065 TC A X-rays, bone 0.00 0.76 0.76 0.76 0.76 0.04 0.80 0.80 0.80 0.80 XXX
evaluation.
76066 ......... A Joint(s) survey, 0.31 1.26 1.28 1.26 1.28 0.06 1.63 1.65 1.63 1.65 XXX
single film.
76066 26 A Joint(s) survey, 0.31 0.09 0.12 0.09 0.12 0.01 0.41 0.44 0.41 0.44 XXX
single film.
76066 TC A Joint(s) survey, 0.00 1.17 1.16 1.17 1.16 0.05 1.22 1.21 1.22 1.21 XXX
single film.
76070 ......... I CT scan, bone 0.25 3.17 3.18 3.17 3.18 0.15 3.57 3.58 3.57 3.58 XXX
density study.
[[Page 39713]]
76070 26 I CT scan, bone 0.25 0.10 0.12 0.10 0.12 0.01 0.36 0.38 0.36 0.38 XXX
density study.
76070 TC I CT scan, bone 0.00 3.08 3.07 3.08 3.07 0.14 3.22 3.21 3.22 3.21 XXX
density study.
76075 ......... A Dual energy x-ray 0.30 3.33 3.33 3.33 3.33 0.16 3.79 3.79 3.79 3.79 XXX
study.
76075 26 A Dual energy x-ray 0.30 0.09 0.11 0.09 0.11 0.01 0.40 0.42 0.40 0.42 XXX
study.
76075 TC A Dual energy x-ray 0.00 3.24 3.22 3.24 3.22 0.15 3.39 3.37 3.39 3.37 XXX
study.
76076 ......... A Dual energy x-ray 0.22 0.87 0.88 0.87 0.88 0.05 1.14 1.15 1.14 1.15 XXX
study.
76076 26 A Dual energy x-ray 0.22 0.08 0.10 0.08 0.10 0.01 0.31 0.33 0.31 0.33 XXX
study.
76076 TC A Dual energy x-ray 0.00 0.79 0.79 0.79 0.79 0.04 0.83 0.83 0.83 0.83 XXX
study.
76078 ......... A Photodensitometry. 0.20 0.87 0.88 0.87 0.88 0.05 1.12 1.13 1.12 1.13 XXX
76078 26 A Photodensitometry. 0.20 0.07 0.09 0.07 0.09 0.01 0.28 0.30 0.28 0.30 XXX
76078 TC A Photodensitometry. 0.00 0.79 0.79 0.79 0.79 0.04 0.83 0.83 0.83 0.83 XXX
76080 ......... A X-ray exam of 0.54 1.24 1.30 1.24 1.30 0.07 1.85 1.91 1.85 1.91 XXX
fistula.
76080 26 A X-ray exam of 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
fistula.
76080 TC A X-ray exam of 0.00 1.10 1.10 1.10 1.10 0.05 1.15 1.15 1.15 1.15 XXX
fistula.
76086 ......... A X-ray of mammary 0.36 2.84 2.87 2.84 2.87 0.14 3.34 3.37 3.34 3.37 XXX
duct.
76086 26 A X-ray of mammary 0.36 0.10 0.14 0.10 0.14 0.01 0.47 0.51 0.47 0.51 XXX
duct.
76086 TC A X-ray of mammary 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
duct.
76088 ......... A X-ray of mammary 0.45 3.96 3.99 3.96 3.99 0.19 4.60 4.63 4.60 4.63 XXX
ducts.
76088 26 A X-ray of mammary 0.45 0.12 0.17 0.12 0.17 0.02 0.59 0.64 0.59 0.64 XXX
ducts.
76088 TC A X-ray of mammary 0.00 3.83 3.81 3.83 3.81 0.17 4.00 3.98 4.00 3.98 XXX
ducts.
76090 ......... A Mammogram, one 0.58 1.25 1.24 1.25 1.24 0.07 1.90 1.89 1.90 1.89 XXX
breast.
76090 26 A Mammogram, one 0.58 0.16 0.15 0.16 0.15 0.02 0.76 0.75 0.76 0.75 XXX
breast.
76090 TC A Mammogram, one 0.00 1.10 1.10 1.10 1.10 0.05 1.15 1.15 1.15 1.15 XXX
breast.
76091 ......... A Mammogram, both 0.69 1.54 1.55 1.54 1.55 0.09 2.32 2.33 2.32 2.33 XXX
breasts.
76091 26 A Mammogram, both 0.69 0.19 0.20 0.19 0.20 0.03 0.91 0.92 0.91 0.92 XXX
breasts.
76091 TC A Mammogram, both 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
breasts.
76092 ......... X Mamm0gram, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screening.
76093 ......... A Magnetic image, 1.63 18.87 18.94 18.87 18.94 0.89 21.39 21.46 21.39 21.46 XXX
breast.
76093 26 A Magnetic image, 1.63 0.44 0.61 0.44 0.61 0.07 2.14 2.31 2.14 2.31 XXX
breast.
76093 TC A Magnetic image, 0.00 18.43 18.33 18.43 18.33 0.82 19.25 19.15 19.25 19.15 XXX
breast.
76094 ......... A Magnetic image, 1.63 25.44 25.48 25.44 25.48 1.18 28.25 28.29 28.25 28.29 XXX
both breasts.
76094 26 A Magnetic image, 1.63 0.44 0.61 0.44 0.61 0.07 2.14 2.31 2.14 2.31 XXX
both breasts.
76094 TC A Magnetic image, 0.00 25.00 24.87 25.00 24.87 1.11 26.11 25.98 26.11 25.98 XXX
both breasts.
76095 ......... A Stereotactic 1.59 7.95 8.07 7.95 8.07 0.42 9.96 10.08 9.96 10.08 XXX
breast biopsy.
76095 26 A Stereotactic 1.59 0.45 0.61 0.45 0.61 0.08 2.12 2.28 2.12 2.28 XXX
breast biopsy.
76095 TC A Stereotactic 0.00 7.49 7.45 7.49 7.45 0.34 7.83 7.79 7.83 7.79 XXX
breast biopsy.
76096 ......... A X-ray of needle 0.56 1.51 1.57 1.51 1.57 0.08 2.15 2.21 2.15 2.21 XXX
wire, breast.
76096 26 A X-ray of needle 0.56 0.15 0.22 0.15 0.22 0.02 0.73 0.80 0.73 0.80 XXX
wire, breast.
76096 TC A X-ray of needle 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
wire, breast.
76098 ......... A X-ray exam, breast 0.16 0.49 0.50 0.49 0.50 0.03 0.68 0.69 0.68 0.69 XXX
specimen.
76098 26 A X-ray exam, breast 0.16 0.04 0.06 0.04 0.06 0.01 0.21 0.23 0.21 0.23 XXX
specimen.
76098 TC A X-ray exam, breast 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
specimen.
76100 ......... A X-ray exam of body 0.58 1.46 1.52 1.46 1.52 0.08 2.12 2.18 2.12 2.18 XXX
section.
76100 26 A X-ray exam of body 0.58 0.16 0.23 0.16 0.23 0.02 0.76 0.83 0.76 0.83 XXX
section.
76100 TC A X-ray exam of body 0.00 1.31 1.30 1.31 1.30 0.06 1.37 1.36 1.37 1.36 XXX
section.
76101 ......... A Complex body 0.58 1.63 1.70 1.63 1.70 0.09 2.30 2.37 2.30 2.37 XXX
section x-ray.
76101 26 A Complex body 0.58 0.16 0.23 0.16 0.23 0.02 0.76 0.83 0.76 0.83 XXX
section x-ray.
76101 TC A Complex body 0.00 1.48 1.48 1.48 1.48 0.07 1.55 1.55 1.55 1.55 XXX
section x-ray.
76102 ......... A Complex body 0.58 1.97 2.03 1.97 2.03 0.11 2.66 2.72 2.66 2.72 XXX
section x-rays.
76102 26 A Complex body 0.58 0.16 0.23 0.16 0.23 0.02 0.76 0.83 0.76 0.83 XXX
section x-rays.
76102 TC A Complex body 0.00 1.81 1.80 1.81 1.80 0.09 1.90 1.89 1.90 1.89 XXX
section x-rays.
76120 ......... A Cinematic x-rays.. 0.38 1.23 1.25 1.23 1.25 0.07 1.68 1.70 1.68 1.70 XXX
76120 26 A Cinematic x-rays.. 0.38 0.13 0.16 0.13 0.16 0.02 0.53 0.56 0.53 0.56 XXX
76120 TC A Cinematic x-rays.. 0.00 1.10 1.10 1.10 1.10 0.05 1.15 1.15 1.15 1.15 XXX
76125 ......... A Cinematic x-rays 0.27 0.91 0.93 0.91 0.93 0.05 1.23 1.25 1.23 1.25 ZZZ
add-on.
76125 26 A Cinematic x-rays 0.27 0.08 0.11 0.08 0.11 0.01 0.36 0.39 0.36 0.39 ZZZ
add-on.
76125 TC A Cinematic x-rays 0.00 0.82 0.82 0.82 0.82 0.04 0.86 0.86 0.86 0.86 ZZZ
add-on.
76140 ......... I X-ray consultation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76150 ......... A X-ray exam, dry 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
process.
76350 ......... C Special x-ray 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contrast study.
76355 ......... A CAT scan for 1.21 8.97 9.05 8.97 9.05 0.43 10.61 10.69 10.61 10.69 XXX
localization.
76355 26 A CAT scan for 1.21 0.34 0.46 0.34 0.46 0.05 1.60 1.72 1.60 1.72 XXX
localization.
76355 TC A CAT scan for 0.00 8.63 8.59 8.63 8.59 0.38 9.01 8.97 9.01 8.97 XXX
localization.
76360 ......... A CAT scan for 1.16 8.94 9.01 8.94 9.01 0.43 10.53 10.60 10.53 10.60 XXX
needle biopsy.
76360 26 A CAT scan for 1.16 0.31 0.43 0.31 0.43 0.05 1.52 1.64 1.52 1.64 XXX
needle biopsy.
76360 TC A CAT scan for 0.00 8.63 8.59 8.63 8.59 0.38 9.01 8.97 9.01 8.97 XXX
needle biopsy.
76365 ......... A CAT scan for cyst 1.16 8.94 9.01 8.94 9.01 0.43 10.53 10.60 10.53 10.60 XXX
aspiration.
76365 26 A CAT scan for cyst 1.16 0.31 0.43 0.31 0.43 0.05 1.52 1.64 1.52 1.64 XXX
aspiration.
76365 TC A CAT scan for cyst 0.00 8.63 8.59 8.63 8.59 0.38 9.01 8.97 9.01 8.97 XXX
aspiration.
76370 ......... A CAT scan for 0.85 3.31 3.39 3.31 3.39 0.17 4.33 4.41 4.33 4.41 XXX
therapy guide.
76370 26 A CAT scan for 0.85 0.23 0.32 0.23 0.32 0.03 1.11 1.20 1.11 1.20 XXX
therapy guide.
76370 TC A CAT scan for 0.00 3.08 3.07 3.08 3.07 0.14 3.22 3.21 3.22 3.21 XXX
therapy guide.
76375 ......... A 3d/holograph 0.16 3.75 3.75 3.75 3.75 0.17 4.08 4.08 4.08 4.08 XXX
reconstr add-on.
76375 26 A 3d/holograph 0.16 0.04 0.06 0.04 0.06 0.01 0.21 0.23 0.21 0.23 XXX
reconstr add-on.
76375 TC A 3d/holograph 0.00 3.70 3.68 3.70 3.68 0.16 3.86 3.84 3.86 3.84 XXX
reconstr add-on.
76380 ......... A CAT scan follow-up 0.98 3.93 4.02 3.93 4.02 0.20 5.11 5.20 5.11 5.20 XXX
study.
76380 26 A CAT scan follow-up 0.98 0.26 0.37 0.26 0.37 0.04 1.28 1.39 1.28 1.39 XXX
study.
76380 TC A CAT scan follow-up 0.00 3.66 3.64 3.66 3.64 0.16 3.82 3.80 3.82 3.80 XXX
study.
76390 ......... A Mr spectroscopy... 1.40 12.25 12.28 12.25 12.28 0.58 14.23 14.26 14.23 14.26 XXX
76390 26 A Mr spectroscopy... 1.40 0.53 0.63 0.53 0.63 0.06 1.99 2.09 1.99 2.09 XXX
76390 TC A Mr spectroscopy... 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
76400 ......... A Magnetic image, 1.60 12.15 12.26 12.15 12.26 0.58 14.33 14.44 14.33 14.44 XXX
bone marrow.
76400 26 A Magnetic image, 1.60 0.43 0.61 0.43 0.61 0.06 2.09 2.27 2.09 2.27 XXX
bone marrow.
76400 TC A Magnetic image, 0.00 11.72 11.66 11.72 11.66 0.52 12.24 12.18 12.24 12.18 XXX
bone marrow.
[[Page 39714]]
76499 ......... C Radiographic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76499 26 C Radiographic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76499 TC C Radiographic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76506 ......... A Echo exam of head. 0.63 1.70 1.74 1.70 1.74 0.10 2.43 2.47 2.43 2.47 XXX
76506 26 A Echo exam of head. 0.63 0.22 0.27 0.22 0.27 0.03 0.88 0.93 0.88 0.93 XXX
76506 TC A Echo exam of head. 0.00 1.48 1.48 1.48 1.48 0.07 1.55 1.55 1.55 1.55 XXX
76511 ......... A Echo exam of eye.. 0.94 1.71 1.64 1.71 1.64 0.09 2.74 2.67 2.74 2.67 XXX
76511 26 A Echo exam of eye.. 0.94 0.40 0.34 0.40 0.34 0.03 1.37 1.31 1.37 1.31 XXX
76511 TC A Echo exam of eye.. 0.00 1.31 1.30 1.31 1.30 0.06 1.37 1.36 1.37 1.36 XXX
76512 ......... A Echo exam of eye.. 0.66 1.91 1.91 1.91 1.91 0.10 2.67 2.67 2.67 2.67 XXX
76512 26 A Echo exam of eye.. 0.66 0.32 0.33 0.32 0.33 0.02 1.00 1.01 1.00 1.01 XXX
76512 TC A Echo exam of eye.. 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
76513 ......... A Echo exam of eye, 0.66 1.90 1.90 1.90 1.90 0.10 2.66 2.66 2.66 2.66 XXX
water bath.
76513 26 A Echo exam of eye, 0.66 0.31 0.32 0.31 0.32 0.02 0.99 1.00 0.99 1.00 XXX
water bath.
76513 TC A Echo exam of eye, 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
water bath.
76516 ......... A Echo exam of eye.. 0.54 1.57 1.57 1.57 1.57 0.08 2.19 2.19 2.19 2.19 XXX
76516 26 A Echo exam of eye.. 0.54 0.27 0.27 0.27 0.27 0.02 0.83 0.83 0.83 0.83 XXX
76516 TC A Echo exam of eye.. 0.00 1.31 1.30 1.31 1.30 0.06 1.37 1.36 1.37 1.36 XXX
76519 ......... A Echo exam of eye.. 0.54 1.58 1.57 1.58 1.57 0.08 2.20 2.19 2.20 2.19 XXX
76519 26 A Echo exam of eye.. 0.54 0.27 0.27 0.27 0.27 0.02 0.83 0.83 0.83 0.83 XXX
76519 TC A Echo exam of eye.. 0.00 1.31 1.30 1.31 1.30 0.06 1.37 1.36 1.37 1.36 XXX
76529 ......... A Echo exam of eye.. 0.57 1.68 1.69 1.68 1.69 0.09 2.34 2.35 2.34 2.35 XXX
76529 26 A Echo exam of eye.. 0.57 0.25 0.27 0.25 0.27 0.02 0.84 0.86 0.84 0.86 XXX
76529 TC A Echo exam of eye.. 0.00 1.43 1.42 1.43 1.42 0.07 1.50 1.49 1.50 1.49 XXX
76536 ......... A Echo exam of head 0.56 1.63 1.69 1.63 1.69 0.09 2.28 2.34 2.28 2.34 XXX
and neck.
76536 26 A Echo exam of head 0.56 0.15 0.22 0.15 0.22 0.02 0.73 0.80 0.73 0.80 XXX
and neck.
76536 TC A Echo exam of head 0.00 1.48 1.48 1.48 1.48 0.07 1.55 1.55 1.55 1.55 XXX
and neck.
76604 ......... A Echo exam of chest 0.55 1.51 1.57 1.51 1.57 0.08 2.14 2.20 2.14 2.20 XXX
76604 26 A Echo exam of chest 0.55 0.15 0.22 0.15 0.22 0.02 0.72 0.79 0.72 0.79 XXX
76604 TC A Echo exam of chest 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
76645 ......... A Echo exam of 0.54 1.24 1.30 1.24 1.30 0.07 1.85 1.91 1.85 1.91 XXX
breast.
76645 26 A Echo exam of 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
breast.
76645 TC A Echo exam of 0.00 1.10 1.10 1.10 1.10 0.05 1.15 1.15 1.15 1.15 XXX
breast.
76700 ......... A Echo exam of 0.81 2.28 2.36 2.28 2.36 0.12 3.21 3.29 3.21 3.29 XXX
abdomen.
76700 26 A Echo exam of 0.81 0.22 0.31 0.22 0.31 0.03 1.06 1.15 1.06 1.15 XXX
abdomen.
76700 TC A Echo exam of 0.00 2.06 2.05 2.06 2.05 0.09 2.15 2.14 2.15 2.14 XXX
abdomen.
76705 ......... A Echo exam of 0.59 1.64 1.70 1.64 1.70 0.09 2.32 2.38 2.32 2.38 XXX
abdomen.
76705 26 A Echo exam of 0.59 0.16 0.23 0.16 0.23 0.02 0.77 0.84 0.77 0.84 XXX
abdomen.
76705 TC A Echo exam of 0.00 1.48 1.48 1.48 1.48 0.07 1.55 1.55 1.55 1.55 XXX
abdomen.
76770 ......... A Echo exam abdomen 0.74 2.26 2.34 2.26 2.34 0.12 3.12 3.20 3.12 3.20 XXX
back wall.
76770 26 A Echo exam abdomen 0.74 0.20 0.29 0.20 0.29 0.03 0.97 1.06 0.97 1.06 XXX
back wall.
76770 TC A Echo exam abdomen 0.00 2.06 2.05 2.06 2.05 0.09 2.15 2.14 2.15 2.14 XXX
back wall.
76775 ......... A Echo exam abdomen 0.58 1.64 1.70 1.64 1.70 0.09 2.31 2.37 2.31 2.37 XXX
back wall.
76775 26 A Echo exam abdomen 0.58 0.16 0.23 0.16 0.23 0.02 0.76 0.83 0.76 0.83 XXX
back wall.
76775 TC A Echo exam abdomen 0.00 1.48 1.48 1.48 1.48 0.07 1.55 1.55 1.55 1.55 XXX
back wall.
76778 ......... A Echo exam kidney 0.74 2.27 2.34 2.27 2.34 0.12 3.13 3.20 3.13 3.20 XXX
transplant.
76778 26 A Echo exam kidney 0.74 0.20 0.29 0.20 0.29 0.03 0.97 1.06 0.97 1.06 XXX
transplant.
76778 TC A Echo exam kidney 0.00 2.06 2.05 2.06 2.05 0.09 2.15 2.14 2.15 2.14 XXX
transplant.
76800 ......... A Echo exam spinal 1.13 1.80 1.91 1.80 1.91 0.12 3.05 3.16 3.05 3.16 XXX
canal.
76800 26 A Echo exam spinal 1.13 0.32 0.43 0.32 0.43 0.05 1.50 1.61 1.50 1.61 XXX
canal.
76800 TC A Echo exam spinal 0.00 1.48 1.48 1.48 1.48 0.07 1.55 1.55 1.55 1.55 XXX
canal.
76805 ......... A Echo exam of 0.99 2.49 2.58 2.49 2.58 0.14 3.62 3.71 3.62 3.71 XXX
pregnant uterus.
76805 26 A Echo exam of 0.99 0.29 0.39 0.29 0.39 0.04 1.32 1.42 1.32 1.42 XXX
pregnant uterus.
76805 TC A Echo exam of 0.00 2.19 2.18 2.19 2.18 0.10 2.29 2.28 2.29 2.28 XXX
pregnant uterus.
76810 ......... A Echo exam of 1.97 4.98 5.14 4.98 5.14 0.27 7.22 7.38 7.22 7.38 XXX
pregnant uterus.
76810 26 A Echo exam of 1.97 0.60 0.78 0.60 0.78 0.07 2.64 2.82 2.64 2.82 XXX
pregnant uterus.
76810 TC A Echo exam of 0.00 4.39 4.37 4.39 4.37 0.20 4.59 4.57 4.59 4.57 XXX
pregnant uterus.
76815 ......... A Echo exam of 0.65 1.68 1.74 1.68 1.74 0.09 2.42 2.48 2.42 2.48 XXX
pregnant uterus.
76815 26 A Echo exam of 0.65 0.20 0.27 0.20 0.27 0.02 0.87 0.94 0.87 0.94 XXX
pregnant uterus.
76815 TC A Echo exam of 0.00 1.48 1.48 1.48 1.48 0.07 1.55 1.55 1.55 1.55 XXX
pregnant uterus.
76816 ......... A Echo exam followup 0.57 1.36 1.40 1.36 1.40 0.07 2.00 2.04 2.00 2.04 XXX
or repeat.
76816 26 A Echo exam followup 0.57 0.19 0.24 0.19 0.24 0.02 0.78 0.83 0.78 0.83 XXX
or repeat.
76816 TC A Echo exam followup 0.00 1.17 1.16 1.17 1.16 0.05 1.22 1.21 1.22 1.21 XXX
or repeat.
76818 ......... A Fetal biophysical 0.77 1.95 2.00 1.95 2.00 0.11 2.83 2.88 2.83 2.88 XXX
profile.
76818 26 A Fetal biophysical 0.77 0.26 0.32 0.26 0.32 0.03 1.06 1.12 1.06 1.12 XXX
profile.
76818 TC A Fetal biophysical 0.00 1.69 1.68 1.69 1.68 0.08 1.77 1.76 1.77 1.76 XXX
profile.
76825 ......... A Echo exam of fetal 1.67 2.65 2.54 2.65 2.54 0.15 4.47 4.36 4.47 4.36 XXX
heart.
76825 26 A Echo exam of fetal 1.67 0.59 0.49 0.59 0.49 0.06 2.32 2.22 2.32 2.22 XXX
heart.
76825 TC A Echo exam of fetal 0.00 2.06 2.05 2.06 2.05 0.09 2.15 2.14 2.15 2.14 XXX
heart.
76826 ......... A Echo exam of fetal 0.83 1.01 1.24 1.01 1.24 0.07 1.91 2.14 1.91 2.14 XXX
heart.
76826 26 A Echo exam of fetal 0.83 0.27 0.51 0.27 0.51 0.03 1.13 1.37 1.13 1.37 XXX
heart.
76826 TC A Echo exam of fetal 0.00 0.73 0.73 0.73 0.73 0.04 0.77 0.77 0.77 0.77 XXX
heart.
76827 ......... A Echo exam of fetal 0.58 2.01 2.24 2.01 2.24 0.12 2.71 2.94 2.71 2.94 XXX
heart.
76827 26 A Echo exam of fetal 0.58 0.21 0.45 0.21 0.45 0.02 0.81 1.05 0.81 1.05 XXX
heart.
76827 TC A Echo exam of fetal 0.00 1.80 1.79 1.80 1.79 0.10 1.90 1.89 1.90 1.89 XXX
heart.
76828 ......... A Echo exam of fetal 0.56 1.38 1.42 1.38 1.42 0.09 2.03 2.07 2.03 2.07 XXX
heart.
76828 26 A Echo exam of fetal 0.56 0.21 0.26 0.21 0.26 0.02 0.79 0.84 0.79 0.84 XXX
heart.
76828 TC A Echo exam of fetal 0.00 1.17 1.16 1.17 1.16 0.07 1.24 1.23 1.24 1.23 XXX
heart.
76830 ......... A Echo exam, 0.69 1.78 1.85 1.78 1.85 0.11 2.58 2.65 2.58 2.65 XXX
transvaginal.
76830 26 A Echo exam, 0.69 0.19 0.27 0.19 0.27 0.03 0.91 0.99 0.91 0.99 XXX
transvaginal.
76830 TC A Echo exam, 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
transvaginal.
76831 ......... A Echo exam, uterus. 0.72 1.79 1.86 1.79 1.86 0.11 2.62 2.69 2.62 2.69 XXX
76831 26 A Echo exam, uterus. 0.72 0.20 0.28 0.20 0.28 0.03 0.95 1.03 0.95 1.03 XXX
76831 TC A Echo exam, uterus. 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
[[Page 39715]]
76856 ......... A Echo exam of 0.69 1.78 1.85 1.78 1.85 0.11 2.58 2.65 2.58 2.65 XXX
pelvis.
76856 26 A Echo exam of 0.69 0.19 0.27 0.19 0.27 0.03 0.91 0.99 0.91 0.99 XXX
pelvis.
76856 TC A Echo exam of 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
pelvis.
76857 ......... A Echo exam of 0.38 1.21 1.24 1.21 1.24 0.07 1.66 1.69 1.66 1.69 XXX
pelvis.
76857 26 A Echo exam of 0.38 0.11 0.15 0.11 0.15 0.02 0.51 0.55 0.51 0.55 XXX
pelvis.
76857 TC A Echo exam of 0.00 1.10 1.10 1.10 1.10 0.05 1.15 1.15 1.15 1.15 XXX
pelvis.
76870 ......... A Echo exam of 0.64 1.76 1.82 1.76 1.82 0.11 2.51 2.57 2.51 2.57 XXX
scrotum.
76870 26 A Echo exam of 0.64 0.17 0.24 0.17 0.24 0.03 0.84 0.91 0.84 0.91 XXX
scrotum.
76870 TC A Echo exam of 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
scrotum.
76872 ......... A Echo exam, 0.69 1.80 1.86 1.80 1.86 0.11 2.60 2.66 2.60 2.66 XXX
transrectal.
76872 26 A Echo exam, 0.69 0.21 0.28 0.21 0.28 0.03 0.93 1.00 0.93 1.00 XXX
transrectal.
76872 TC A Echo exam, 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
transrectal.
76880 ......... A Echo exam of 0.59 1.64 1.70 1.64 1.70 0.09 2.32 2.38 2.32 2.38 XXX
extremity.
76880 26 A Echo exam of 0.59 0.16 0.23 0.16 0.23 0.02 0.77 0.84 0.77 0.84 XXX
extremity.
76880 TC A Echo exam of 0.00 1.48 1.48 1.48 1.48 0.07 1.55 1.55 1.55 1.55 XXX
extremity.
76885 ......... A Echo exam, infant 0.74 1.79 1.86 1.79 1.86 0.11 2.64 2.71 2.64 2.71 XXX
hips.
76885 26 A Echo exam, infant 0.74 0.20 0.28 0.20 0.28 0.03 0.97 1.05 0.97 1.05 XXX
hips.
76885 TC A Echo exam, infant 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
hips.
76886 ......... A Echo exam, infant 0.62 1.65 1.71 1.65 1.71 0.09 2.36 2.42 2.36 2.42 XXX
hips.
76886 26 A Echo exam, infant 0.62 0.17 0.23 0.17 0.23 0.02 0.81 0.87 0.81 0.87 XXX
hips.
76886 TC A Echo exam, infant 0.00 1.48 1.48 1.48 1.48 0.07 1.55 1.55 1.55 1.55 XXX
hips.
76930 ......... A Echo guide for 0.67 1.84 1.88 1.84 1.88 0.10 2.61 2.65 2.61 2.65 XXX
heart sac tap.
76930 26 A Echo guide for 0.67 0.26 0.30 0.26 0.30 0.02 0.95 0.99 0.95 0.99 XXX
heart sac tap.
76930 TC A Echo guide for 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
heart sac tap.
76932 ......... A Echo guide for 0.67 1.85 1.88 1.85 1.88 0.10 2.62 2.65 2.62 2.65 XXX
heart biopsy.
76932 26 A Echo guide for 0.67 0.26 0.30 0.26 0.30 0.02 0.95 0.99 0.95 0.99 XXX
heart biopsy.
76932 TC A Echo guide for 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
heart biopsy.
76934 ......... A Echo guide for 0.67 1.77 1.84 1.77 1.84 0.11 2.55 2.62 2.55 2.62 XXX
chest tap.
76934 26 A Echo guide for 0.67 0.18 0.26 0.18 0.26 0.03 0.88 0.96 0.88 0.96 XXX
chest tap.
76934 TC A Echo guide for 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
chest tap.
76936 ......... A Echo guide for 1.99 7.18 7.52 7.18 7.52 0.41 9.58 9.92 9.58 9.92 XXX
artery repair.
76936 26 A Echo guide for 1.99 0.60 0.98 0.60 0.98 0.11 2.70 3.08 2.70 3.08 XXX
artery repair.
76936 TC A Echo guide for 0.00 6.58 6.55 6.58 6.55 0.30 6.88 6.85 6.88 6.85 XXX
artery repair.
76938 ......... A Echo exam for 0.67 1.77 1.84 1.77 1.84 0.11 2.55 2.62 2.55 2.62 XXX
drainage.
76938 26 A Echo exam for 0.67 0.18 0.26 0.18 0.26 0.03 0.88 0.96 0.88 0.96 XXX
drainage.
76938 TC A Echo exam for 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
drainage.
76941 ......... A Echo guide for 1.34 2.00 2.12 2.00 2.12 0.12 3.46 3.58 3.46 3.58 XXX
transfusion.
76941 26 A Echo guide for 1.34 0.40 0.53 0.40 0.53 0.05 1.79 1.92 1.79 1.92 XXX
transfusion.
76941 TC A Echo guide for 0.00 1.60 1.59 1.60 1.59 0.07 1.67 1.66 1.67 1.66 XXX
transfusion.
76942 ......... A Echo guide for 0.67 1.79 1.85 1.79 1.85 0.11 2.57 2.63 2.57 2.63 XXX
biopsy.
76942 26 A Echo guide for 0.67 0.20 0.27 0.20 0.27 0.03 0.90 0.97 0.90 0.97 XXX
biopsy.
76942 TC A Echo guide for 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
biopsy.
76945 ......... A Echo guide, villus 0.67 1.79 2.02 1.79 2.02 0.10 2.56 2.79 2.56 2.79 XXX
sampling.
76945 26 A Echo guide, villus 0.67 0.19 0.43 0.19 0.43 0.03 0.89 1.13 0.89 1.13 XXX
sampling.
76945 TC A Echo guide, villus 0.00 1.60 1.59 1.60 1.59 0.07 1.67 1.66 1.67 1.66 XXX
sampling.
76946 ......... A Echo guide for 0.38 1.72 1.74 1.72 1.74 0.09 2.19 2.21 2.19 2.21 XXX
amniocentesis.
76946 26 A Echo guide for 0.38 0.13 0.16 0.13 0.16 0.01 0.52 0.55 0.52 0.55 XXX
amniocentesis.
76946 TC A Echo guide for 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
amniocentesis.
76948 ......... A Echo guide, ova 0.38 1.70 1.73 1.70 1.73 0.10 2.18 2.21 2.18 2.21 XXX
aspiration.
76948 26 A Echo guide, ova 0.38 0.11 0.15 0.11 0.15 0.02 0.51 0.55 0.51 0.55 XXX
aspiration.
76948 TC A Echo guide, ova 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
aspiration.
76950 ......... A Echo guidance 0.58 1.53 1.59 1.53 1.59 0.09 2.20 2.26 2.20 2.26 XXX
radiotherapy.
76950 26 A Echo guidance 0.58 0.18 0.24 0.18 0.24 0.03 0.79 0.85 0.79 0.85 XXX
radiotherapy.
76950 TC A Echo guidance 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
radiotherapy.
76960 ......... A Echo guidance 0.58 1.54 1.59 1.54 1.59 0.08 2.20 2.25 2.20 2.25 XXX
radiotherapy.
76960 26 A Echo guidance 0.58 0.18 0.24 0.18 0.24 0.02 0.78 0.84 0.78 0.84 XXX
radiotherapy.
76960 TC A Echo guidance 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
radiotherapy.
76965 ......... A Echo guidance 1.34 6.25 6.81 6.25 6.81 0.33 7.92 8.48 7.92 8.48 XXX
radiotherapy.
76965 26 A Echo guidance 1.34 0.42 1.01 0.42 1.01 0.07 1.83 2.42 1.83 2.42 XXX
radiotherapy.
76965 TC A Echo guidance 0.00 5.82 5.79 5.82 5.79 0.26 6.08 6.05 6.08 6.05 XXX
radiotherapy.
76970 ......... A Ultrasound exam 0.40 1.21 1.25 1.21 1.25 0.07 1.68 1.72 1.68 1.72 XXX
follow-up.
76970 26 A Ultrasound exam 0.40 0.11 0.16 0.11 0.16 0.02 0.53 0.58 0.53 0.58 XXX
follow-up.
76970 TC A Ultrasound exam 0.00 1.10 1.10 1.10 1.10 0.05 1.15 1.15 1.15 1.15 XXX
follow-up.
76975 ......... A GI endoscopic 0.81 1.85 1.90 1.85 1.90 0.11 2.77 2.82 2.77 2.82 XXX
ultrasound.
76975 26 A GI endoscopic 0.81 0.26 0.32 0.26 0.32 0.03 1.10 1.16 1.10 1.16 XXX
ultrasound.
76975 TC A GI endoscopic 0.00 1.59 1.58 1.59 1.58 0.08 1.67 1.66 1.67 1.66 XXX
ultrasound.
76977 ......... A Us bone density 0.05 0.94 0.94 0.94 0.94 0.05 1.04 1.04 1.04 1.04 XXX
measure.
76977 26 A Us bone density 0.05 0.08 0.08 0.08 0.08 0.01 0.14 0.14 0.14 0.14 XXX
measure.
76977 TC A Us bone density 0.00 0.86 0.86 0.86 0.86 0.04 0.90 0.90 0.90 0.90 XXX
measure.
76986 ......... A Echo exam at 1.20 3.11 3.20 3.11 3.20 0.19 4.50 4.59 4.50 4.59 XXX
surgery.
76986 26 A Echo exam at 1.20 0.36 0.47 0.36 0.47 0.06 1.62 1.73 1.62 1.73 XXX
surgery.
76986 TC A Echo exam at 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
surgery.
76999 ......... C Echo examination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76999 26 C Echo examination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76999 TC C Echo examination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
77261 ......... A Radiation therapy 1.39 0.47 0.57 0.47 0.57 0.05 1.91 2.01 1.91 2.01 XXX
planning.
77262 ......... A Radiation therapy 2.11 0.69 0.86 0.69 0.86 0.08 2.88 3.05 2.88 3.05 XXX
planning.
77263 ......... A Radiation therapy 3.14 1.01 1.27 1.01 1.27 0.13 4.28 4.54 4.28 4.54 XXX
planning.
77280 ......... A Set radiation 0.70 3.83 3.89 3.83 3.89 0.19 4.72 4.78 4.72 4.78 XXX
therapy field.
77280 26 A Set radiation 0.70 0.20 0.28 0.20 0.28 0.03 0.93 1.01 0.93 1.01 XXX
therapy field.
77280 TC A Set radiation 0.00 3.63 3.61 3.63 3.61 0.16 3.79 3.77 3.79 3.77 XXX
therapy field.
77285 ......... A Set radiation 1.05 6.12 6.19 6.12 6.19 0.31 7.48 7.55 7.48 7.55 XXX
therapy field.
77285 26 A Set radiation 1.05 0.29 0.40 0.29 0.40 0.04 1.38 1.49 1.38 1.49 XXX
therapy field.
77285 TC A Set radiation 0.00 5.82 5.79 5.82 5.79 0.27 6.09 6.06 6.09 6.06 XXX
therapy field.
[[Page 39716]]
77290 ......... A Set radiation 1.56 7.24 7.37 7.24 7.37 0.37 9.17 9.30 9.17 9.30 XXX
therapy field.
77290 26 A Set radiation 1.56 0.44 0.60 0.44 0.60 0.06 2.06 2.22 2.06 2.22 XXX
therapy field.
77290 TC A Set radiation 0.00 6.80 6.77 6.80 6.77 0.31 7.11 7.08 7.11 7.08 XXX
therapy field.
77295 ......... A Set radiation 4.57 30.49 30.81 30.49 30.81 1.51 36.57 36.89 36.57 36.89 XXX
therapy field.
77295 26 A Set radiation 4.57 1.29 1.77 1.29 1.77 0.18 6.04 6.52 6.04 6.52 XXX
therapy field.
77295 TC A Set radiation 0.00 29.20 29.05 29.20 29.05 1.33 30.53 30.38 30.53 30.38 XXX
therapy field.
77299 ......... C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
planning.
77299 26 C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
planning.
77299 TC C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
planning.
77300 ......... A Radiation therapy 0.62 1.58 1.64 1.58 1.64 0.08 2.28 2.34 2.28 2.34 XXX
dose plan.
77300 26 A Radiation therapy 0.62 0.17 0.24 0.17 0.24 0.02 0.81 0.88 0.81 0.88 XXX
dose plan.
77300 TC A Radiation therapy 0.00 1.41 1.40 1.41 1.40 0.06 1.47 1.46 1.47 1.46 XXX
dose plan.
77305 ......... A Radiation therapy 0.70 2.14 2.21 2.14 2.21 0.12 2.96 3.03 2.96 3.03 XXX
dose plan.
77305 26 A Radiation therapy 0.70 0.20 0.28 0.20 0.28 0.03 0.93 1.01 0.93 1.01 XXX
dose plan.
77305 TC A Radiation therapy 0.00 1.94 1.93 1.94 1.93 0.09 2.03 2.02 2.03 2.02 XXX
dose plan.
77310 ......... A Radiation therapy 1.05 2.73 2.82 2.73 2.82 0.16 3.94 4.03 3.94 4.03 XXX
dose plan.
77310 26 A Radiation therapy 1.05 0.29 0.40 0.29 0.40 0.04 1.38 1.49 1.38 1.49 XXX
dose plan.
77310 TC A Radiation therapy 0.00 2.43 2.42 2.43 2.42 0.12 2.55 2.54 2.55 2.54 XXX
dose plan.
77315 ......... A Radiation therapy 1.56 3.22 3.37 3.22 3.37 0.19 4.97 5.12 4.97 5.12 XXX
dose plan.
77315 26 A Radiation therapy 1.56 0.44 0.60 0.44 0.60 0.06 2.06 2.22 2.06 2.22 XXX
dose plan.
77315 TC A Radiation therapy 0.00 2.78 2.77 2.78 2.77 0.13 2.91 2.90 2.91 2.90 XXX
dose plan.
77321 ......... A Radiation therapy 0.95 4.49 4.57 4.49 4.57 0.23 5.67 5.75 5.67 5.75 XXX
port plan.
77321 26 A Radiation therapy 0.95 0.27 0.37 0.27 0.37 0.04 1.26 1.36 1.26 1.36 XXX
port plan.
77321 TC A Radiation therapy 0.00 4.23 4.21 4.23 4.21 0.19 4.42 4.40 4.42 4.40 XXX
port plan.
77326 ......... A Radiation therapy 0.93 2.73 2.82 2.73 2.82 0.16 3.82 3.91 3.82 3.91 XXX
dose plan.
77326 26 A Radiation therapy 0.93 0.26 0.36 0.26 0.36 0.04 1.23 1.33 1.23 1.33 XXX
dose plan.
77326 TC A Radiation therapy 0.00 2.46 2.45 2.46 2.45 0.12 2.58 2.57 2.58 2.57 XXX
dose plan.
77327 ......... A Radiation therapy 1.39 4.02 4.14 4.02 4.14 0.22 5.63 5.75 5.63 5.75 XXX
dose plan.
77327 26 A Radiation therapy 1.39 0.39 0.53 0.39 0.53 0.06 1.84 1.98 1.84 1.98 XXX
dose plan.
77327 TC A Radiation therapy 0.00 3.63 3.61 3.63 3.61 0.16 3.79 3.77 3.79 3.77 XXX
dose plan.
77328 ......... A Radiation therapy 2.09 5.78 5.96 5.78 5.96 0.31 8.18 8.36 8.18 8.36 XXX
dose plan.
77328 26 A Radiation therapy 2.09 0.59 0.80 0.59 0.80 0.08 2.76 2.97 2.76 2.97 XXX
dose plan.
77328 TC A Radiation therapy 0.00 5.19 5.16 5.19 5.16 0.23 5.42 5.39 5.42 5.39 XXX
dose plan.
77331 ......... A Special radiation 0.87 0.77 0.86 0.77 0.86 0.05 1.69 1.78 1.69 1.78 XXX
dosimetry.
77331 26 A Special radiation 0.87 0.25 0.34 0.25 0.34 0.03 1.15 1.24 1.15 1.24 XXX
dosimetry.
77331 TC A Special radiation 0.00 0.52 0.52 0.52 0.52 0.02 0.54 0.54 0.54 0.54 XXX
dosimetry.
77332 ......... A Radiation 0.54 1.56 1.61 1.56 1.61 0.08 2.18 2.23 2.18 2.23 XXX
treatment aid(s).
77332 26 A Radiation 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
treatment aid(s).
77332 TC A Radiation 0.00 1.41 1.40 1.41 1.40 0.06 1.47 1.46 1.47 1.46 XXX
treatment aid(s).
77333 ......... A Radiation 0.84 2.22 2.30 2.22 2.30 0.12 3.18 3.26 3.18 3.26 XXX
treatment aid(s).
77333 26 A Radiation 0.84 0.24 0.33 0.24 0.33 0.03 1.11 1.20 1.11 1.20 XXX
treatment aid(s).
77333 TC A Radiation 0.00 1.98 1.97 1.98 1.97 0.09 2.07 2.06 2.07 2.06 XXX
treatment aid(s).
77334 ......... A Radiation 1.24 3.75 3.85 3.75 3.85 0.20 5.19 5.29 5.19 5.29 XXX
treatment aid(s).
77334 26 A Radiation 1.24 0.35 0.47 0.35 0.47 0.05 1.64 1.76 1.64 1.76 XXX
treatment aid(s).
77334 TC A Radiation 0.00 3.40 3.38 3.40 3.38 0.15 3.55 3.53 3.55 3.53 XXX
treatment aid(s).
77336 ......... A Radiation physics 0.00 3.12 3.10 3.12 3.10 0.14 3.26 3.24 3.26 3.24 XXX
consult.
77370 ......... A Radiation physics 0.00 3.65 3.63 3.65 3.63 0.16 3.81 3.79 3.81 3.79 XXX
consult.
77380 ......... C Proton beam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
delivery.
77380 26 C Proton beam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
delivery.
77380 TC C Proton beam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
delivery.
77381 ......... C Proton beam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
77381 26 C Proton beam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
77381 TC C Proton beam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
77399 ......... C External radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dosimetry.
77399 26 C External radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dosimetry.
77399 TC C External radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dosimetry.
77401 ......... A Radiation 0.00 1.85 1.84 1.85 1.84 0.09 1.94 1.93 1.94 1.93 XXX
treatment
delivery.
77402 ......... A Radiation 0.00 1.85 1.84 1.85 1.84 0.09 1.94 1.93 1.94 1.93 XXX
treatment
delivery.
77403 ......... A Radiation 0.00 1.85 1.84 1.85 1.84 0.09 1.94 1.93 1.94 1.93 XXX
treatment
delivery.
77404 ......... A Radiation 0.00 1.85 1.84 1.85 1.84 0.09 1.94 1.93 1.94 1.93 XXX
treatment
delivery.
77406 ......... A Radiation 0.00 1.85 1.84 1.85 1.84 0.09 1.94 1.93 1.94 1.93 XXX
treatment
delivery.
77407 ......... A Radiation 0.00 2.18 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 XXX
treatment
delivery.
77408 ......... A Radiation 0.00 2.18 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 XXX
treatment
delivery.
77409 ......... A Radiation 0.00 2.18 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 XXX
treatment
delivery.
77411 ......... A Radiation 0.00 2.18 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 XXX
treatment
delivery.
77412 ......... A Radiation 0.00 2.43 2.42 2.43 2.42 0.12 2.55 2.54 2.55 2.54 XXX
treatment
delivery.
77413 ......... A Radiation 0.00 2.43 2.42 2.43 2.42 0.12 2.55 2.54 2.55 2.54 XXX
treatment
delivery.
77414 ......... A Radiation 0.00 2.43 2.42 2.43 2.42 0.12 2.55 2.54 2.55 2.54 XXX
treatment
delivery.
77416 ......... A Radiation 0.00 2.43 2.42 2.43 2.42 0.12 2.55 2.54 2.55 2.54 XXX
treatment
delivery.
77417 ......... A Radiology port 0.00 0.61 0.61 0.61 0.61 0.03 0.64 0.64 0.64 0.64 XXX
film(s).
77419 ......... A Weekly radiation 3.60 1.16 1.46 1.16 1.46 0.14 4.90 5.20 4.90 5.20 XXX
therapy.
77420 ......... A Weekly radiation 1.61 0.55 0.67 0.55 0.67 0.06 2.22 2.34 2.22 2.34 XXX
therapy.
77425 ......... A Weekly radiation 2.44 0.80 1.00 0.80 1.00 0.10 3.34 3.54 3.34 3.54 XXX
therapy.
77430 ......... A Weekly radiation 3.60 1.16 1.46 1.16 1.46 0.14 4.90 5.20 4.90 5.20 XXX
therapy.
77431 ......... A Radiation therapy 1.81 0.64 0.76 0.64 0.76 0.07 2.52 2.64 2.52 2.64 XXX
management.
77432 ......... A Stereotactic 7.93 2.62 3.99 2.62 3.99 0.32 10.87 12.24 10.87 12.24 XXX
radiation trmt.
77470 ......... A Special radiation 2.09 12.23 12.39 12.23 12.39 0.60 14.92 15.08 14.92 15.08 XXX
treatment.
77470 26 A Special radiation 2.09 0.59 0.80 0.59 0.80 0.08 2.76 2.97 2.76 2.97 XXX
treatment.
77470 TC A Special radiation 0.00 11.65 11.59 11.65 11.59 0.52 12.17 12.11 12.17 12.11 XXX
treatment.
77499 ......... C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
management.
77499 26 C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
management.
77499 TC C Radiation therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
management.
77600 ......... R Hyperthermia 1.56 3.62 3.77 3.62 3.77 0.21 5.39 5.54 5.39 5.54 XXX
treatment.
77600 26 R Hyperthermia 1.56 0.44 0.60 0.44 0.60 0.07 2.07 2.23 2.07 2.23 XXX
treatment.
[[Page 39717]]
77600 TC R Hyperthermia 0.00 3.18 3.17 3.18 3.17 0.14 3.32 3.31 3.32 3.31 XXX
treatment.
77605 ......... R Hyperthermia 2.09 4.83 5.02 4.83 5.02 0.29 7.21 7.40 7.21 7.40 XXX
treatment.
77605 26 R Hyperthermia 2.09 0.59 0.80 0.59 0.80 0.09 2.77 2.98 2.77 2.98 XXX
treatment.
77605 TC R Hyperthermia 0.00 4.25 4.23 4.25 4.23 0.20 4.45 4.43 4.45 4.43 XXX
treatment.
77610 ......... R Hyperthermia 1.56 3.67 3.79 3.67 3.79 0.20 5.43 5.55 5.43 5.55 XXX
treatment.
77610 26 R Hyperthermia 1.56 0.49 0.63 0.49 0.63 0.06 2.11 2.25 2.11 2.25 XXX
treatment.
77610 TC R Hyperthermia 0.00 3.18 3.17 3.18 3.17 0.14 3.32 3.31 3.32 3.31 XXX
treatment.
77615 ......... R Hyperthermia 2.09 4.82 5.02 4.82 5.02 0.28 7.19 7.39 7.19 7.39 XXX
treatment.
77615 26 R Hyperthermia 2.09 0.57 0.79 0.57 0.79 0.08 2.74 2.96 2.74 2.96 XXX
treatment.
77615 TC R Hyperthermia 0.00 4.25 4.23 4.25 4.23 0.20 4.45 4.43 4.45 4.43 XXX
treatment.
77620 ......... R Hyperthermia 1.56 3.69 3.80 3.69 3.80 0.20 5.45 5.56 5.45 5.56 XXX
treatment.
77620 26 R Hyperthermia 1.56 0.52 0.64 0.52 0.64 0.06 2.14 2.26 2.14 2.26 XXX
treatment.
77620 TC R Hyperthermia 0.00 3.18 3.17 3.18 3.17 0.14 3.32 3.31 3.32 3.31 XXX
treatment.
77750 ......... A Infuse radioactive 4.91 2.77 3.19 2.77 3.19 0.26 7.94 8.36 7.94 8.36 090
materials.
77750 26 A Infuse radioactive 4.91 1.39 1.81 1.39 1.81 0.20 6.50 6.92 6.50 6.92 090
materials.
77750 TC A Infuse radioactive 0.00 1.39 1.39 1.39 1.39 0.06 1.45 1.45 1.45 1.45 090
materials.
77761 ......... A Radioelement 3.81 3.61 3.97 3.61 3.97 0.30 7.72 8.08 7.72 8.08 090
application.
77761 26 A Radioelement 3.81 0.98 1.36 0.98 1.36 0.17 4.96 5.34 4.96 5.34 090
application.
77761 TC A Radioelement 0.00 2.63 2.61 2.63 2.61 0.13 2.76 2.74 2.76 2.74 090
application.
77762 ......... A Radioelement 5.72 5.35 5.84 5.35 5.84 0.42 11.49 11.98 11.49 11.98 090
application.
77762 26 A Radioelement 5.72 1.57 2.08 1.57 2.08 0.25 7.54 8.05 7.54 8.05 090
application.
77762 TC A Radioelement 0.00 3.77 3.75 3.77 3.75 0.17 3.94 3.92 3.94 3.92 090
application.
77763 ......... A Radioelement 8.57 7.01 7.77 7.01 7.77 0.58 16.16 16.92 16.16 16.92 090
application.
77763 26 A Radioelement 8.57 2.31 3.10 2.31 3.10 0.37 11.25 12.04 11.25 12.04 090
application.
77763 TC A Radioelement 0.00 4.70 4.67 4.70 4.67 0.21 4.91 4.88 4.91 4.88 090
application.
77776 ......... A Radioelement 4.66 3.48 4.00 3.48 4.00 0.32 8.46 8.98 8.46 8.98 XXX
application.
77776 26 A Radioelement 4.66 1.20 1.74 1.20 1.74 0.21 6.07 6.61 6.07 6.61 XXX
application.
77776 TC A Radioelement 0.00 2.27 2.26 2.27 2.26 0.11 2.38 2.37 2.38 2.37 XXX
application.
77777 ......... A Radioelement 7.48 6.67 7.23 6.67 7.23 0.52 14.67 15.23 14.67 15.23 090
application.
77777 26 A Radioelement 7.48 2.23 2.82 2.23 2.82 0.32 10.03 10.62 10.03 10.62 090
application.
77777 TC A Radioelement 0.00 4.44 4.41 4.44 4.41 0.20 4.64 4.61 4.64 4.61 090
application.
77778 ......... A Radioelement 11.19 8.56 9.48 8.56 9.48 0.71 20.46 21.38 20.46 21.38 090
application.
77778 26 A Radioelement 11.19 3.20 4.15 3.20 4.15 0.47 14.86 15.81 14.86 15.81 090
application.
77778 TC A Radioelement 0.00 5.36 5.34 5.36 5.34 0.24 5.60 5.58 5.60 5.58 090
application.
77781 ......... A High intensity 1.66 21.71 21.73 21.71 21.73 1.02 24.39 24.41 24.39 24.41 090
brachytherapy.
77781 26 A High intensity 1.66 0.49 0.62 0.49 0.62 0.07 2.22 2.35 2.22 2.35 090
brachytherapy.
77781 TC A High intensity 0.00 21.23 21.12 21.23 21.12 0.95 22.18 22.07 22.18 22.07 090
brachytherapy.
77782 ......... A High intensity 2.49 21.93 22.04 21.93 22.04 1.05 25.47 25.58 25.47 25.58 090
brachytherapy.
77782 26 A High intensity 2.49 0.71 0.93 0.71 0.93 0.10 3.30 3.52 3.30 3.52 090
brachytherapy.
77782 TC A High intensity 0.00 21.23 21.12 21.23 21.12 0.95 22.18 22.07 22.18 22.07 090
brachytherapy.
77783 ......... A High intensity 3.73 22.28 22.48 22.28 22.48 1.10 27.11 27.31 27.11 27.31 090
brachytherapy.
77783 26 A High intensity 3.73 1.05 1.37 1.05 1.37 0.15 4.93 5.25 4.93 5.25 090
brachytherapy.
77783 TC A High intensity 0.00 21.23 21.12 21.23 21.12 0.95 22.18 22.07 22.18 22.07 090
brachytherapy.
77784 ......... A High intensity 5.61 22.82 23.18 22.82 23.18 1.18 29.61 29.97 29.61 29.97 090
brachytherapy.
77784 26 A High intensity 5.61 1.59 2.07 1.59 2.07 0.23 7.43 7.91 7.43 7.91 090
brachytherapy.
77784 TC A High intensity 0.00 21.23 21.12 21.23 21.12 0.95 22.18 22.07 22.18 22.07 090
brachytherapy.
77789 ......... A Radioelement 1.12 0.80 0.89 0.80 0.89 0.06 1.98 2.07 1.98 2.07 090
application.
77789 26 A Radioelement 1.12 0.33 0.42 0.33 0.42 0.04 1.49 1.58 1.49 1.58 090
application.
77789 TC A Radioelement 0.00 0.47 0.47 0.47 0.47 0.02 0.49 0.49 0.49 0.49 090
application.
77790 ......... A Radioelement 1.05 0.82 0.92 0.82 0.92 0.06 1.93 2.03 1.93 2.03 XXX
handling.
77790 26 A Radioelement 1.05 0.30 0.40 0.30 0.40 0.04 1.39 1.49 1.39 1.49 XXX
handling.
77790 TC A Radioelement 0.00 0.52 0.52 0.52 0.52 0.02 0.54 0.54 0.54 0.54 XXX
handling.
77799 ......... C Radium/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radioisotope
therapy.
77799 26 C Radium/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radioisotope
therapy.
77799 TC C Radium/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radioisotope
therapy.
78000 ......... A Thyroid, single 0.19 1.06 1.08 1.06 1.08 0.06 1.31 1.33 1.31 1.33 XXX
uptake.
78000 26 A Thyroid, single 0.19 0.05 0.08 0.05 0.08 0.01 0.25 0.28 0.25 0.28 XXX
uptake.
78000 TC A Thyroid, single 0.00 1.01 1.01 1.01 1.01 0.05 1.06 1.06 1.06 1.06 XXX
uptake.
78001 ......... A Thyroid, multiple 0.26 1.43 1.46 1.43 1.46 0.07 1.76 1.79 1.76 1.79 XXX
uptakes.
78001 26 A Thyroid, multiple 0.26 0.07 0.10 0.07 0.10 0.01 0.34 0.37 0.34 0.37 XXX
uptakes.
78001 TC A Thyroid, multiple 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
uptakes.
78003 ......... A Thyroid suppress/ 0.33 1.10 1.13 1.10 1.13 0.06 1.49 1.52 1.49 1.52 XXX
stimul.
78003 26 A Thyroid suppress/ 0.33 0.09 0.13 0.09 0.13 0.01 0.43 0.47 0.43 0.47 XXX
stimul.
78003 TC A Thyroid suppress/ 0.00 1.01 1.01 1.01 1.01 0.05 1.06 1.06 1.06 1.06 XXX
stimul.
78006 ......... A Thyroid,imaging 0.49 2.63 2.67 2.63 2.67 0.14 3.26 3.30 3.26 3.30 XXX
with uptake.
78006 26 A Thyroid,imaging 0.49 0.14 0.19 0.14 0.19 0.02 0.65 0.70 0.65 0.70 XXX
with uptake.
78006 TC A Thyroid,imaging 0.00 2.49 2.48 2.49 2.48 0.12 2.61 2.60 2.61 2.60 XXX
with uptake.
78007 ......... A Thyroid, image, 0.50 2.82 2.87 2.82 2.87 0.15 3.47 3.52 3.47 3.52 XXX
mult uptakes.
78007 26 A Thyroid, image, 0.50 0.14 0.20 0.14 0.20 0.02 0.66 0.72 0.66 0.72 XXX
mult uptakes.
78007 TC A Thyroid, image, 0.00 2.69 2.68 2.69 2.68 0.13 2.82 2.81 2.82 2.81 XXX
mult uptakes.
78010 ......... A Thyroid imaging... 0.39 2.01 2.04 2.01 2.04 0.11 2.51 2.54 2.51 2.54 XXX
78010 26 A Thyroid imaging... 0.39 0.11 0.15 0.11 0.15 0.02 0.52 0.56 0.52 0.56 XXX
78010 TC A Thyroid imaging... 0.00 1.90 1.89 1.90 1.89 0.09 1.99 1.98 1.99 1.98 XXX
78011 ......... A Thyroid imaging 0.45 2.64 2.68 2.64 2.68 0.14 3.23 3.27 3.23 3.27 XXX
with flow.
78011 26 A Thyroid imaging 0.45 0.12 0.18 0.12 0.18 0.02 0.59 0.65 0.59 0.65 XXX
with flow.
78011 TC A Thyroid imaging 0.00 2.52 2.51 2.52 2.51 0.12 2.64 2.63 2.64 2.63 XXX
with flow.
78015 ......... A Thyroid met 0.67 2.87 2.94 2.87 2.94 0.16 3.70 3.77 3.70 3.77 XXX
imaging.
78015 26 A Thyroid met 0.67 0.18 0.26 0.18 0.26 0.03 0.88 0.96 0.88 0.96 XXX
imaging.
78015 TC A Thyroid met 0.00 2.69 2.68 2.69 2.68 0.13 2.82 2.81 2.82 2.81 XXX
imaging.
78016 ......... A Thyroid met 0.82 3.87 3.94 3.87 3.94 0.19 4.88 4.95 4.88 4.95 XXX
imaging/studies.
78016 26 A Thyroid met 0.82 0.23 0.32 0.23 0.32 0.03 1.08 1.17 1.08 1.17 XXX
imaging/studies.
78016 TC A Thyroid met 0.00 3.64 3.62 3.64 3.62 0.16 3.80 3.78 3.80 3.78 XXX
imaging/studies.
78018 ......... A Thyroid, met 0.86 5.92 6.00 5.92 6.00 0.29 7.07 7.15 7.07 7.15 XXX
imaging, body.
78018 26 A Thyroid, met 0.86 0.25 0.36 0.25 0.36 0.03 1.14 1.25 1.14 1.25 XXX
imaging, body.
[[Page 39718]]
78018 TC A Thyroid, met 0.00 5.67 5.64 5.67 5.64 0.26 5.93 5.90 5.93 5.90 XXX
imaging, body.
78020 ......... A Thyroid met uptake 0.60 0.17 0.17 0.17 0.17 0.08 0.85 0.85 0.85 0.85 ZZZ
78020 26 A Thyroid met uptake #0.60 0.02 0.02 0.02 0.02 0.02 0.64 0.64 0.64 0.64 ZZZ
78020 TC A Thyroid met uptake #0.00 0.15 0.15 0.15 0.15 0.06 0.21 0.21 0.21 0.21 ZZZ
78070 ......... A Parathyroid 0.82 2.13 2.13 2.13 2.13 0.12 3.07 3.07 3.07 3.07 XXX
nuclear imaging.
78070 26 A Parathyroid 0.82 0.23 0.24 0.23 0.24 0.03 1.08 1.09 1.08 1.09 XXX
nuclear imaging.
78070 TC A Parathyroid 0.00 1.90 1.89 1.90 1.89 0.09 1.99 1.98 1.99 1.98 XXX
nuclear imaging.
78075 ......... A Adrenal nuclear 0.74 5.88 5.93 5.88 5.93 0.29 6.91 6.96 6.91 6.96 XXX
imaging.
78075 26 A Adrenal nuclear 0.74 0.21 0.29 0.21 0.29 0.03 0.98 1.06 0.98 1.06 XXX
imaging.
78075 TC A Adrenal nuclear 0.00 5.67 5.64 5.67 5.64 0.26 5.93 5.90 5.93 5.90 XXX
imaging.
78099 ......... C Endocrine nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78099 26 C Endocrine nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78099 TC C Endocrine nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78102 ......... A Bone marrow 0.55 2.29 2.34 2.29 2.34 0.12 2.96 3.01 2.96 3.01 XXX
imaging, ltd.
78102 26 A Bone marrow 0.55 0.16 0.22 0.16 0.22 0.02 0.73 0.79 0.73 0.79 XXX
imaging, ltd.
78102 TC A Bone marrow 0.00 2.13 2.12 2.13 2.12 0.10 2.23 2.22 2.23 2.22 XXX
imaging, ltd.
78103 ......... A Bone marrow 0.75 3.52 3.59 3.52 3.59 0.18 4.45 4.52 4.45 4.52 XXX
imaging, mult.
78103 26 A Bone marrow 0.75 0.21 0.29 0.21 0.29 0.03 0.99 1.07 0.99 1.07 XXX
imaging, mult.
78103 TC A Bone marrow 0.00 3.31 3.30 3.31 3.30 0.15 3.46 3.45 3.46 3.45 XXX
imaging, mult.
78104 ......... A Bone marrow 0.80 4.48 4.55 4.48 4.55 0.23 5.51 5.58 5.51 5.58 XXX
imaging, body.
78104 26 A Bone marrow 0.80 0.22 0.31 0.22 0.31 0.03 1.05 1.14 1.05 1.14 XXX
imaging, body.
78104 TC A Bone marrow 0.00 4.26 4.24 4.26 4.24 0.20 4.46 4.44 4.46 4.44 XXX
imaging, body.
78110 ......... A Plasma volume, 0.19 1.04 1.06 1.04 1.06 0.06 1.29 1.31 1.29 1.31 XXX
single.
78110 26 A Plasma volume, 0.19 0.06 0.08 0.06 0.08 0.01 0.26 0.28 0.26 0.28 XXX
single.
78110 TC A Plasma volume, 0.00 0.99 0.99 0.99 0.99 0.05 1.04 1.04 1.04 1.04 XXX
single.
78111 ......... A Plasma volume, 0.22 2.75 2.76 2.75 2.76 0.14 3.11 3.12 3.11 3.12 XXX
multiple.
78111 26 A Plasma volume, 0.22 0.06 0.09 0.06 0.09 0.01 0.29 0.32 0.29 0.32 XXX
multiple.
78111 TC A Plasma volume, 0.00 2.69 2.68 2.69 2.68 0.13 2.82 2.81 2.82 2.81 XXX
multiple.
78120 ......... A Red cell mass, 0.23 1.88 1.90 1.88 1.90 0.10 2.21 2.23 2.21 2.23 XXX
single.
78120 26 A Red cell mass, 0.23 0.07 0.10 0.07 0.10 0.01 0.31 0.34 0.31 0.34 XXX
single.
78120 TC A Red cell mass, 0.00 1.81 1.80 1.81 1.80 0.09 1.90 1.89 1.90 1.89 XXX
single.
78121 ......... A Red cell mass, 0.32 3.13 3.15 3.13 3.15 0.14 3.59 3.61 3.59 3.61 XXX
multiple.
78121 26 A Red cell mass, 0.32 0.09 0.13 0.09 0.13 0.01 0.42 0.46 0.42 0.46 XXX
multiple.
78121 TC A Red cell mass, 0.00 3.04 3.03 3.04 3.03 0.13 3.17 3.16 3.17 3.16 XXX
multiple.
78122 ......... A Blood volume...... 0.45 4.95 4.97 4.95 4.97 0.24 5.64 5.66 5.64 5.66 XXX
78122 26 A Blood volume...... 0.45 0.13 0.18 0.13 0.18 0.02 0.60 0.65 0.60 0.65 XXX
78122 TC A Blood volume...... 0.00 4.82 4.79 4.82 4.79 0.22 5.04 5.01 5.04 5.01 XXX
78130 ......... A Red cell survival 0.61 3.17 3.21 3.17 3.21 0.15 3.93 3.97 3.93 3.97 XXX
study.
78130 26 A Red cell survival 0.61 0.18 0.24 0.18 0.24 0.02 0.81 0.87 0.81 0.87 XXX
study.
78130 TC A Red cell survival 0.00 2.99 2.97 2.99 2.97 0.13 3.12 3.10 3.12 3.10 XXX
study.
78135 ......... A Red cell survival 0.64 5.27 5.31 5.27 5.31 0.25 6.16 6.20 6.16 6.20 XXX
kinetics.
78135 26 A Red cell survival 0.64 0.18 0.25 0.18 0.25 0.02 0.84 0.91 0.84 0.91 XXX
kinetics.
78135 TC A Red cell survival 0.00 5.09 5.07 5.09 5.07 0.23 5.32 5.30 5.32 5.30 XXX
kinetics.
78140 ......... A Red cell 0.61 4.30 4.34 4.30 4.34 0.21 5.12 5.16 5.12 5.16 XXX
sequestration.
78140 26 A Red cell 0.61 0.18 0.24 0.18 0.24 0.02 0.81 0.87 0.81 0.87 XXX
sequestration.
78140 TC A Red cell 0.00 4.11 4.09 4.11 4.09 0.19 4.30 4.28 4.30 4.28 XXX
sequestration.
78160 ......... A Plasma iron 0.33 3.96 3.96 3.96 3.96 0.18 4.47 4.47 4.47 4.47 XXX
turnover.
78160 26 A Plasma iron 0.33 0.13 0.15 0.13 0.15 0.01 0.47 0.49 0.47 0.49 XXX
turnover.
78160 TC A Plasma iron 0.00 3.83 3.81 3.83 3.81 0.17 4.00 3.98 4.00 3.98 XXX
turnover.
78162 ......... A Iron absorption 0.45 3.54 3.54 3.54 3.54 0.16 4.15 4.15 4.15 4.15 XXX
exam.
78162 26 A Iron absorption 0.45 0.19 0.21 0.19 0.21 0.01 0.65 0.67 0.65 0.67 XXX
exam.
78162 TC A Iron absorption 0.00 3.35 3.33 3.35 3.33 0.15 3.50 3.48 3.50 3.48 XXX
exam.
78170 ......... A Red cell iron 0.41 5.67 5.68 5.67 5.68 0.27 6.35 6.36 6.35 6.36 XXX
utilization.
78170 26 A Red cell iron 0.41 0.12 0.16 0.12 0.16 0.02 0.55 0.59 0.55 0.59 XXX
utilization.
78170 TC A Red cell iron 0.00 5.55 5.52 5.55 5.52 0.25 5.80 5.77 5.80 5.77 XXX
utilization.
78172 ......... C Total body iron 0.00 0.00 0.00 0.00 0.00 0.02 0.02 0.02 0.02 0.02 XXX
estimation.
78172 26 A Total body iron 0.53 0.15 0.21 0.15 0.21 0.02 0.70 0.76 0.70 0.76 XXX
estimation.
78172 TC C Total body iron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
estimation.
78185 ......... A Spleen imaging.... 0.40 2.58 2.61 2.58 2.61 0.14 3.12 3.15 3.12 3.15 XXX
78185 26 A Spleen imaging.... 0.40 0.11 0.16 0.11 0.16 0.02 0.53 0.58 0.53 0.58 XXX
78185 TC A Spleen imaging.... 0.00 2.46 2.45 2.46 2.45 0.12 2.58 2.57 2.58 2.57 XXX
78190 ......... A Platelet survival, 1.09 6.30 6.37 6.30 6.37 0.31 7.70 7.77 7.70 7.77 XXX
kinetics.
78190 26 A Platelet survival, 1.09 0.33 0.43 0.33 0.43 0.04 1.46 1.56 1.46 1.56 XXX
kinetics.
78190 TC A Platelet survival, 0.00 5.98 5.95 5.98 5.95 0.27 6.25 6.22 6.25 6.22 XXX
kinetics.
78191 ......... A Platelet survival. 0.61 7.84 7.87 7.84 7.87 0.36 8.81 8.84 8.81 8.84 XXX
78191 26 A Platelet survival. 0.61 0.18 0.24 0.18 0.24 0.02 0.81 0.87 0.81 0.87 XXX
78191 TC A Platelet survival. 0.00 7.67 7.63 7.67 7.63 0.34 8.01 7.97 8.01 7.97 XXX
78195 ......... A Lymph system 1.20 4.60 4.58 4.60 4.58 0.25 6.05 6.03 6.05 6.03 XXX
imaging.
78195 26 A Lymph system 1.20 0.35 0.35 0.35 0.35 0.05 1.60 1.60 1.60 1.60 XXX
imaging.
78195 TC A Lymph system 0.00 4.26 4.24 4.26 4.24 0.20 4.46 4.44 4.46 4.44 XXX
imaging.
78199 ......... C Blood/lymph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78199 26 C Blood/lymph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78199 TC C Blood/lymph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78201 ......... A Liver imaging..... 0.44 2.59 2.62 2.59 2.62 0.14 3.17 3.20 3.17 3.20 XXX
78201 26 A Liver imaging..... 0.44 0.12 0.17 0.12 0.17 0.02 0.58 0.63 0.58 0.63 XXX
78201 TC A Liver imaging..... 0.00 2.46 2.45 2.46 2.45 0.12 2.58 2.57 2.58 2.57 XXX
78202 ......... A Liver imaging with 0.51 3.16 3.20 3.16 3.20 0.15 3.82 3.86 3.82 3.86 XXX
flow.
78202 26 A Liver imaging with 0.51 0.14 0.20 0.14 0.20 0.02 0.67 0.73 0.67 0.73 XXX
flow.
78202 TC A Liver imaging with 0.00 3.02 3.00 3.02 3.00 0.13 3.15 3.13 3.15 3.13 XXX
flow.
78205 ......... A Liver imaging (3D) 0.71 6.38 6.43 6.38 6.43 0.31 7.40 7.45 7.40 7.45 XXX
78205 26 A Liver imaging (3D) 0.71 0.20 0.28 0.20 0.28 0.03 0.94 1.02 0.94 1.02 XXX
78205 TC A Liver imaging (3D) 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
78206 ......... A Liver image (3-d) 0.96 6.46 6.46 6.46 6.46 0.13 7.55 7.55 7.55 7.55 XXX
w/flow.
78206 26 A Liver image (3-d) 0.96 0.28 0.28 0.28 0.28 0.04 1.28 1.28 1.28 1.28 XXX
w/flow.
[[Page 39719]]
78206 TC A Liver image (3-d) 0.00 6.18 6.18 6.18 6.18 0.09 6.27 6.27 6.27 6.27 XXX
w/flow.
78215 ......... A Liver and spleen 0.49 3.20 3.24 3.20 3.24 0.15 3.84 3.88 3.84 3.88 XXX
imaging.
78215 26 A Liver and spleen 0.49 0.14 0.19 0.14 0.19 0.02 0.65 0.70 0.65 0.70 XXX
imaging.
78215 TC A Liver and spleen 0.00 3.07 3.06 3.07 3.06 0.13 3.20 3.19 3.20 3.19 XXX
imaging.
78216 ......... A Liver & spleen 0.57 3.80 3.84 3.80 3.84 0.18 4.55 4.59 4.55 4.59 XXX
image, flow.
78216 26 A Liver & spleen 0.57 0.16 0.22 0.16 0.22 0.02 0.75 0.81 0.75 0.81 XXX
image, flow.
78216 TC A Liver & spleen 0.00 3.64 3.62 3.64 3.62 0.16 3.80 3.78 3.80 3.78 XXX
image, flow.
78220 ......... A Liver function 0.49 4.03 4.06 4.03 4.06 0.19 4.71 4.74 4.71 4.74 XXX
study.
78220 26 A Liver function 0.49 0.14 0.19 0.14 0.19 0.02 0.65 0.70 0.65 0.70 XXX
study.
78220 TC A Liver function 0.00 3.89 3.87 3.89 3.87 0.17 4.06 4.04 4.06 4.04 XXX
study.
78223 ......... A Hepatobiliary 0.84 4.06 4.13 4.06 4.13 0.20 5.10 5.17 5.10 5.17 XXX
imaging.
78223 26 A Hepatobiliary 0.84 0.23 0.32 0.23 0.32 0.03 1.10 1.19 1.10 1.19 XXX
imaging.
78223 TC A Hepatobiliary 0.00 3.83 3.81 3.83 3.81 0.17 4.00 3.98 4.00 3.98 XXX
imaging.
78230 ......... A Salivary gland 0.45 2.40 2.44 2.40 2.44 0.13 2.98 3.02 2.98 3.02 XXX
imaging.
78230 26 A Salivary gland 0.45 0.13 0.18 0.13 0.18 0.02 0.60 0.65 0.60 0.65 XXX
imaging.
78230 TC A Salivary gland 0.00 2.27 2.26 2.27 2.26 0.11 2.38 2.37 2.38 2.37 XXX
imaging.
78231 ......... A Serial salivary 0.52 3.46 3.50 3.46 3.50 0.17 4.15 4.19 4.15 4.19 XXX
imaging.
78231 26 A Serial salivary 0.52 0.15 0.21 0.15 0.21 0.02 0.69 0.75 0.69 0.75 XXX
imaging.
78231 TC A Serial salivary 0.00 3.31 3.30 3.31 3.30 0.15 3.46 3.45 3.46 3.45 XXX
imaging.
78232 ......... A Salivary gland 0.47 3.83 3.87 3.83 3.87 0.18 4.48 4.52 4.48 4.52 XXX
function exam.
78232 26 A Salivary gland 0.47 0.13 0.19 0.13 0.19 0.02 0.62 0.68 0.62 0.68 XXX
function exam.
78232 TC A Salivary gland 0.00 3.70 3.68 3.70 3.68 0.16 3.86 3.84 3.86 3.84 XXX
function exam.
78258 ......... A Esophageal 0.74 3.22 3.29 3.22 3.29 0.16 4.12 4.19 4.12 4.19 XXX
motility study.
78258 26 A Esophageal 0.74 0.21 0.29 0.21 0.29 0.03 0.98 1.06 0.98 1.06 XXX
motility study.
78258 TC A Esophageal 0.00 3.02 3.00 3.02 3.00 0.13 3.15 3.13 3.15 3.13 XXX
motility study.
78261 ......... A Gastric mucosa 0.69 4.48 4.54 4.48 4.54 0.23 5.40 5.46 5.40 5.46 XXX
imaging.
78261 26 A Gastric mucosa 0.69 0.19 0.27 0.19 0.27 0.03 0.91 0.99 0.91 0.99 XXX
imaging.
78261 TC A Gastric mucosa 0.00 4.29 4.27 4.29 4.27 0.20 4.49 4.47 4.49 4.47 XXX
imaging.
78262 ......... A Gastroesophageal 0.68 4.64 4.69 4.64 4.69 0.23 5.55 5.60 5.55 5.60 XXX
reflux exam.
78262 26 A Gastroesophageal 0.68 0.20 0.27 0.20 0.27 0.03 0.91 0.98 0.91 0.98 XXX
reflux exam.
78262 TC A Gastroesophageal 0.00 4.45 4.43 4.45 4.43 0.20 4.65 4.63 4.65 4.63 XXX
reflux exam.
78264 ......... A Gastric emptying 0.78 4.53 4.60 4.53 4.60 0.23 5.54 5.61 5.54 5.61 XXX
study.
78264 26 A Gastric emptying 0.78 0.22 0.31 0.22 0.31 0.03 1.03 1.12 1.03 1.12 XXX
study.
78264 TC A Gastric emptying 0.00 4.32 4.30 4.32 4.30 0.20 4.52 4.50 4.52 4.50 XXX
study.
78270 ......... A Vit B-12 0.20 1.67 1.69 1.67 1.69 0.09 1.96 1.98 1.96 1.98 XXX
absorption exam.
78270 26 A Vit B-12 0.20 0.06 0.09 0.06 0.09 0.01 0.27 0.30 0.27 0.30 XXX
absorption exam.
78270 TC A Vit B-12 0.00 1.61 1.61 1.61 1.61 0.08 1.69 1.69 1.69 1.69 XXX
absorption exam.
78271 ......... A Vit B-12 absorp 0.20 1.78 1.80 1.78 1.80 0.09 2.07 2.09 2.07 2.09 XXX
exam, IF.
78271 26 A Vit B-12 absorp 0.20 0.06 0.09 0.06 0.09 0.01 0.27 0.30 0.27 0.30 XXX
exam, IF.
78271 TC A Vit B-12 absorp 0.00 1.72 1.71 1.72 1.71 0.08 1.80 1.79 1.80 1.79 XXX
exam, IF.
78272 ......... A Vit B-12 absorp, 0.27 2.50 2.52 2.50 2.52 0.13 2.90 2.92 2.90 2.92 XXX
combined.
78272 26 A Vit B-12 absorp, 0.27 0.08 0.11 0.08 0.11 0.01 0.36 0.39 0.36 0.39 XXX
combined.
78272 TC A Vit B-12 absorp, 0.00 2.42 2.41 2.42 2.41 0.12 2.54 2.53 2.54 2.53 XXX
combined.
78278 ......... A Acute GI blood 0.99 5.36 5.45 5.36 5.45 0.27 6.62 6.71 6.62 6.71 XXX
loss imaging.
78278 26 A Acute GI blood 0.99 0.27 0.38 0.27 0.38 0.04 1.30 1.41 1.30 1.41 XXX
loss imaging.
78278 TC A Acute GI blood 0.00 5.09 5.07 5.09 5.07 0.23 5.32 5.30 5.32 5.30 XXX
loss imaging.
78282 ......... C GI protein loss 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 XXX
exam.
78282 26 A GI protein loss 0.38 0.11 0.15 0.11 0.15 0.01 0.50 0.54 0.50 0.54 XXX
exam.
78282 TC C GI protein loss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78290 ......... A Meckel's divert 0.68 3.37 3.43 3.37 3.43 0.17 4.22 4.28 4.22 4.28 XXX
exam.
78290 26 A Meckel's divert 0.68 0.19 0.27 0.19 0.27 0.03 0.90 0.98 0.90 0.98 XXX
exam.
78290 TC A Meckel's divert 0.00 3.18 3.17 3.18 3.17 0.14 3.32 3.31 3.32 3.31 XXX
exam.
78291 ......... A Leveen/shunt 0.88 3.44 3.52 3.44 3.52 0.17 4.49 4.57 4.49 4.57 XXX
patency exam.
78291 26 A Leveen/shunt 0.88 0.24 0.33 0.24 0.33 0.03 1.15 1.24 1.15 1.24 XXX
patency exam.
78291 TC A Leveen/shunt 0.00 3.20 3.19 3.20 3.19 0.14 3.34 3.33 3.34 3.33 XXX
patency exam.
78299 ......... C GI nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78299 26 C GI nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78299 TC C GI nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78300 ......... A Bone imaging, 0.62 2.77 2.83 2.77 2.83 0.15 3.54 3.60 3.54 3.60 XXX
limited area.
78300 26 A Bone imaging, 0.62 0.17 0.24 0.17 0.24 0.02 0.81 0.88 0.81 0.88 XXX
limited area.
78300 TC A Bone imaging, 0.00 2.60 2.59 2.60 2.59 0.13 2.73 2.72 2.73 2.72 XXX
limited area.
78305 ......... A Bone imaging, 0.83 4.06 4.13 4.06 4.13 0.20 5.09 5.16 5.09 5.16 XXX
multiple areas.
78305 26 A Bone imaging, 0.83 0.23 0.32 0.23 0.32 0.03 1.09 1.18 1.09 1.18 XXX
multiple areas.
78305 TC A Bone imaging, 0.00 3.83 3.81 3.83 3.81 0.17 4.00 3.98 4.00 3.98 XXX
multiple areas.
78306 ......... A Bone imaging, 0.86 4.70 4.77 4.70 4.77 0.23 5.79 5.86 5.79 5.86 XXX
whole body.
78306 26 A Bone imaging, 0.86 0.24 0.33 0.24 0.33 0.03 1.13 1.22 1.13 1.22 XXX
whole body.
78306 TC A Bone imaging, 0.00 4.47 4.45 4.47 4.45 0.20 4.67 4.65 4.67 4.65 XXX
whole body.
78315 ......... A Bone imaging, 3 1.02 5.27 5.35 5.27 5.35 0.27 6.56 6.64 6.56 6.64 XXX
phase.
78315 26 A Bone imaging, 3 1.02 0.28 0.39 0.28 0.39 0.04 1.34 1.45 1.34 1.45 XXX
phase.
78315 TC A Bone imaging, 3 0.00 4.99 4.97 4.99 4.97 0.23 5.22 5.20 5.22 5.20 XXX
phase.
78320 ......... A Bone imaging (3D). 1.04 6.48 6.55 6.48 6.55 0.32 7.84 7.91 7.84 7.91 XXX
78320 26 A Bone imaging (3D). 1.04 0.30 0.40 0.30 0.40 0.04 1.38 1.48 1.38 1.48 XXX
78320 TC A Bone imaging (3D). 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
78350 ......... A Bone mineral, 0.22 0.87 0.88 0.87 0.88 0.05 1.14 1.15 1.14 1.15 XXX
single photon.
78350 26 A Bone mineral, 0.22 0.08 0.10 0.08 0.10 0.01 0.31 0.33 0.31 0.33 XXX
single photon.
78350 TC A Bone mineral, 0.00 0.79 0.79 0.79 0.79 0.04 0.83 0.83 0.83 0.83 XXX
single photon.
78351 ......... N Bone mineral, dual +0.30 1.42 0.82 0.11 0.16 0.01 1.73 1.13 0.42 0.47 XXX
photon.
78399 ......... C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78399 26 C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78399 TC C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78414 ......... C Non-imaging heart 0.00 0.00 0.00 0.00 0.00 0.02 0.02 0.02 0.02 0.02 XXX
function.
78414 26 A Non-imaging heart 0.45 0.15 0.19 0.15 0.19 0.02 0.62 0.66 0.62 0.66 XXX
function.
78414 TC C Non-imaging heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
function.
78428 ......... A Cardiac shunt 0.78 2.64 2.68 2.64 2.68 0.14 3.56 3.60 3.56 3.60 XXX
imaging.
[[Page 39720]]
78428 26 A Cardiac shunt 0.78 0.29 0.34 0.29 0.34 0.03 1.10 1.15 1.10 1.15 XXX
imaging.
78428 TC A Cardiac shunt 0.00 2.35 2.34 2.35 2.34 0.11 2.46 2.45 2.46 2.45 XXX
imaging.
78445 ......... A Vascular flow 0.49 2.09 2.14 2.09 2.14 0.11 2.69 2.74 2.69 2.74 XXX
imaging.
78445 26 A Vascular flow 0.49 0.14 0.20 0.14 0.20 0.02 0.65 0.71 0.65 0.71 XXX
imaging.
78445 TC A Vascular flow 0.00 1.94 1.93 1.94 1.93 0.09 2.03 2.02 2.03 2.02 XXX
imaging.
78455 ......... A Venous thrombosis 0.73 4.37 4.43 4.37 4.43 0.22 5.32 5.38 5.32 5.38 XXX
study.
78455 26 A Venous thrombosis 0.73 0.20 0.28 0.20 0.28 0.03 0.96 1.04 0.96 1.04 XXX
study.
78455 TC A Venous thrombosis 0.00 4.16 4.14 4.16 4.14 0.19 4.35 4.33 4.35 4.33 XXX
study.
78457 ......... A Venous thrombosis 0.77 2.99 3.06 2.99 3.06 0.16 3.92 3.99 3.92 3.99 XXX
imaging.
78457 26 A Venous thrombosis 0.77 0.22 0.30 0.22 0.30 0.03 1.02 1.10 1.02 1.10 XXX
imaging.
78457 TC A Venous thrombosis 0.00 2.78 2.77 2.78 2.77 0.13 2.91 2.90 2.91 2.90 XXX
imaging.
78458 ......... A Ven thrombosis 0.90 4.48 4.54 4.48 4.54 0.22 5.60 5.66 5.60 5.66 XXX
images, bilat.
78458 26 A Ven thrombosis 0.90 0.27 0.35 0.27 0.35 0.03 1.20 1.28 1.20 1.28 XXX
images, bilat.
78458 TC A Ven thrombosis 0.00 4.21 4.19 4.21 4.19 0.19 4.40 4.38 4.40 4.38 XXX
images, bilat.
78459 ......... I Heart muscle 0.00 0.00 0.00 0.00 0.00 0.07 0.07 0.07 0.07 0.07 XXX
imaging (PET).
78459 26 I Heart muscle 1.88 0.72 1.09 0.72 1.09 0.07 2.67 3.04 2.67 3.04 XXX
imaging (PET).
78459 TC I Heart muscle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
imaging (PET).
78460 ......... A Heart muscle blood 0.86 2.73 2.80 2.73 2.80 0.15 3.74 3.81 3.74 3.81 XXX
single.
78460 26 A Heart muscle blood 0.86 0.26 0.34 0.26 0.34 0.03 1.15 1.23 1.15 1.23 XXX
single.
78460 TC A Heart muscle blood 0.00 2.46 2.45 2.46 2.45 0.12 2.58 2.57 2.58 2.57 XXX
single.
78461 ......... A Heart muscle blood 1.23 5.34 5.41 5.34 5.41 0.28 6.85 6.92 6.85 6.92 XXX
multiple.
78461 26 A Heart muscle blood 1.23 0.40 0.50 0.40 0.50 0.05 1.68 1.78 1.68 1.78 XXX
multiple.
78461 TC A Heart muscle blood 0.00 4.94 4.91 4.94 4.91 0.23 5.17 5.14 5.17 5.14 XXX
multiple.
78464 ......... A Heart image (3D) 1.09 7.73 7.78 7.73 7.78 0.38 9.20 9.25 9.20 9.25 XXX
single.
78464 26 A Heart image (3D) 1.09 0.33 0.43 0.33 0.43 0.04 1.46 1.56 1.46 1.56 XXX
single.
78464 TC A Heart image (3D) 0.00 7.39 7.35 7.39 7.35 0.34 7.73 7.69 7.73 7.69 XXX
single.
78465 ......... A Heart image (3D) 1.46 12.81 12.86 12.81 12.86 0.60 14.87 14.92 14.87 14.92 XXX
multiple.
78465 26 A Heart image (3D) 1.46 0.48 0.60 0.48 0.60 0.05 1.99 2.11 1.99 2.11 XXX
multiple.
78465 TC A Heart image (3D) 0.00 12.33 12.27 12.33 12.27 0.55 12.88 12.82 12.88 12.82 XXX
multiple.
78466 ......... A Heart infarct 0.69 2.95 3.01 2.95 3.01 0.16 3.80 3.86 3.80 3.86 XXX
image.
78466 26 A Heart infarct 0.69 0.20 0.28 0.20 0.28 0.03 0.92 1.00 0.92 1.00 XXX
image.
78466 TC A Heart infarct 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
image.
78468 ......... A Heart infarct 0.80 4.07 4.13 4.07 4.13 0.20 5.07 5.13 5.07 5.13 XXX
image, EF.
78468 26 A Heart infarct 0.80 0.24 0.32 0.24 0.32 0.03 1.07 1.15 1.07 1.15 XXX
image, EF.
78468 TC A Heart infarct 0.00 3.83 3.81 3.83 3.81 0.17 4.00 3.98 4.00 3.98 XXX
image, EF.
78469 ......... A Heart infarct 0.92 5.75 5.80 5.75 5.80 0.28 6.95 7.00 6.95 7.00 XXX
image (3D).
78469 26 A Heart infarct 0.92 0.28 0.36 0.28 0.36 0.03 1.23 1.31 1.23 1.31 XXX
image (3D).
78469 TC A Heart infarct 0.00 5.46 5.43 5.46 5.43 0.25 5.71 5.68 5.71 5.68 XXX
image (3D).
78472 ......... A Gated heart, 0.98 6.07 6.13 6.07 6.13 0.31 7.36 7.42 7.36 7.42 XXX
planar single.
78472 26 A Gated heart, 0.98 0.30 0.39 0.30 0.39 0.04 1.32 1.41 1.32 1.41 XXX
planar single.
78472 TC A Gated heart, 0.00 5.76 5.73 5.76 5.73 0.27 6.03 6.00 6.03 6.00 XXX
planar single.
78473 ......... A Gated heart, 1.47 9.09 9.17 9.09 9.17 0.43 10.99 11.07 10.99 11.07 XXX
multiple.
78473 26 A Gated heart, 1.47 0.46 0.59 0.46 0.59 0.05 1.98 2.11 1.98 2.11 XXX
multiple.
78473 TC A Gated heart, 0.00 8.63 8.59 8.63 8.59 0.38 9.01 8.97 9.01 8.97 XXX
multiple.
78478 ......... A Heart wall motion 0.62 1.83 1.87 1.83 1.87 0.10 2.55 2.59 2.55 2.59 ZZZ
add-on.
78478 26 A Heart wall motion 0.62 0.21 0.26 0.21 0.26 0.02 0.85 0.90 0.85 0.90 ZZZ
add-on.
78478 TC A Heart wall motion 0.00 1.62 1.62 1.62 1.62 0.08 1.70 1.70 1.70 1.70 ZZZ
add-on.
78480 ......... A Heart function add- 0.62 1.83 1.87 1.83 1.87 0.10 2.55 2.59 2.55 2.59 ZZZ
on.
78480 26 A Heart function add- 0.62 0.21 0.26 0.21 0.26 0.02 0.85 0.90 0.85 0.90 ZZZ
on.
78480 TC A Heart function add- 0.00 1.62 1.62 1.62 1.62 0.08 1.70 1.70 1.70 1.70 ZZZ
on.
78481 ......... A Heart first pass 0.98 5.80 5.84 5.80 5.84 0.28 7.06 7.10 7.06 7.10 XXX
single.
78481 26 A Heart first pass 0.98 0.34 0.41 0.34 0.41 0.03 1.35 1.42 1.35 1.42 XXX
single.
78481 TC A Heart first pass 0.00 5.46 5.43 5.46 5.43 0.25 5.71 5.68 5.71 5.68 XXX
single.
78483 ......... A Heart first pass 1.47 8.76 8.81 8.76 8.81 0.42 10.65 10.70 10.65 10.70 XXX
multiple.
78483 26 A Heart first pass 1.47 0.53 0.62 0.53 0.62 0.05 2.05 2.14 2.05 2.14 XXX
multiple.
78483 TC A Heart first pass 0.00 8.23 8.19 8.23 8.19 0.37 8.60 8.56 8.60 8.56 XXX
multiple.
78491 ......... I Heart image (pet) 0.00 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.06 0.06 XXX
single.
78491 26 I Heart image (pet) 1.50 0.57 1.01 0.57 1.01 0.06 2.13 2.57 2.13 2.57 XXX
single.
78491 TC I Heart image (pet) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single.
78492 ......... I Heart image (pet) 0.00 0.00 0.00 0.00 0.00 0.07 0.07 0.07 0.07 0.07 XXX
multiple.
78492 26 I Heart image (pet) 1.87 0.71 1.08 0.71 1.08 0.07 2.65 3.02 2.65 3.02 XXX
multiple.
78492 TC I Heart image (pet) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
multiple.
78494 ......... A Heart image, spect 1.19 6.13 6.13 6.13 6.13 0.31 7.63 7.63 7.63 7.63 XXX
78494 26 A Heart image, spect 1.19 0.37 0.37 0.37 0.37 0.04 1.60 1.60 1.60 1.60 XXX
78494 TC A Heart image, spect 0.00 5.76 5.76 5.76 5.76 0.27 6.03 6.03 6.03 6.03 XXX
78496 ......... A Heart first pass 0.50 1.81 1.81 1.81 1.81 0.29 2.60 2.60 2.60 2.60 ZZZ
add-on.
78496 26 A Heart first pass 0.50 0.19 0.19 0.19 0.19 0.02 0.71 0.71 0.71 0.71 ZZZ
add-on.
78496 TC A Heart first pass 0.00 1.62 1.62 1.62 1.62 0.27 1.89 1.89 1.89 1.89 ZZZ
add-on.
78499 ......... C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78499 26 C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78499 TC C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78580 ......... A Lung perfusion 0.74 3.80 3.86 3.80 3.86 0.19 4.73 4.79 4.73 4.79 XXX
imaging.
78580 26 A Lung perfusion 0.74 0.21 0.29 0.21 0.29 0.03 0.98 1.06 0.98 1.06 XXX
imaging.
78580 TC A Lung perfusion 0.00 3.59 3.57 3.59 3.57 0.16 3.75 3.73 3.75 3.73 XXX
imaging.
78584 ......... A Lung V/Q image 0.99 3.62 3.71 3.62 3.71 0.19 4.80 4.89 4.80 4.89 XXX
single breath.
78584 26 A Lung V/Q image 0.99 0.27 0.38 0.27 0.38 0.04 1.30 1.41 1.30 1.41 XXX
single breath.
78584 TC A Lung V/Q image 0.00 3.35 3.33 3.35 3.33 0.15 3.50 3.48 3.50 3.48 XXX
single breath.
78585 ......... A Lung V/Q imaging.. 1.09 6.19 6.27 6.19 6.27 0.31 7.59 7.67 7.59 7.67 XXX
78585 26 A Lung V/Q imaging.. 1.09 0.30 0.41 0.30 0.41 0.04 1.43 1.54 1.43 1.54 XXX
78585 TC A Lung V/Q imaging.. 0.00 5.90 5.87 5.90 5.87 0.27 6.17 6.14 6.17 6.14 XXX
78586 ......... A Aerosol lung 0.40 2.81 2.85 2.81 2.85 0.15 3.36 3.40 3.36 3.40 XXX
image, single.
78586 26 A Aerosol lung 0.40 0.11 0.16 0.11 0.16 0.02 0.53 0.58 0.53 0.58 XXX
image, single.
78586 TC A Aerosol lung 0.00 2.71 2.70 2.71 2.70 0.13 2.84 2.83 2.84 2.83 XXX
image, single.
78587 ......... A Aerosol lung 0.49 3.06 3.10 3.06 3.10 0.15 3.70 3.74 3.70 3.74 XXX
image, multiple.
[[Page 39721]]
78587 26 A Aerosol lung 0.49 0.14 0.19 0.14 0.19 0.02 0.65 0.70 0.65 0.70 XXX
image, multiple.
78587 TC A Aerosol lung 0.00 2.93 2.92 2.93 2.92 0.13 3.06 3.05 3.06 3.05 XXX
image, multiple.
78588 ......... A Perfusion lung 1.09 3.89 3.89 3.89 3.89 0.20 5.18 5.18 5.18 5.18 XXX
image.
78588 26 A Perfusion lung 1.09 0.30 0.30 0.30 0.30 0.04 1.43 1.43 1.43 1.43 XXX
image.
78588 TC A Perfusion lung 0.00 3.59 3.59 3.59 3.59 0.16 3.75 3.75 3.75 3.75 XXX
image.
78591 ......... A Vent image, 1 0.40 3.10 3.13 3.10 3.13 0.15 3.65 3.68 3.65 3.68 XXX
breath, 1 proj.
78591 26 A Vent image, 1 0.40 0.11 0.16 0.11 0.16 0.02 0.53 0.58 0.53 0.58 XXX
breath, 1 proj.
78591 TC A Vent image, 1 0.00 2.99 2.97 2.99 2.97 0.13 3.12 3.10 3.12 3.10 XXX
breath, 1 proj.
78593 ......... A Vent image, 1 0.49 3.75 3.78 3.75 3.78 0.18 4.42 4.45 4.42 4.45 XXX
proj, gas.
78593 26 A Vent image, 1 0.49 0.14 0.19 0.14 0.19 0.02 0.65 0.70 0.65 0.70 XXX
proj, gas.
78593 TC A Vent image, 1 0.00 3.61 3.59 3.61 3.59 0.16 3.77 3.75 3.77 3.75 XXX
proj, gas.
78594 ......... A Vent image, mult 0.53 5.36 5.39 5.36 5.39 0.25 6.14 6.17 6.14 6.17 XXX
proj, gas.
78594 26 A Vent image, mult 0.53 0.15 0.21 0.15 0.21 0.02 0.70 0.76 0.70 0.76 XXX
proj, gas.
78594 TC A Vent image, mult 0.00 5.21 5.18 5.21 5.18 0.23 5.44 5.41 5.44 5.41 XXX
proj, gas.
78596 ......... A Lung differential 1.27 7.75 7.84 7.75 7.84 0.39 9.41 9.50 9.41 9.50 XXX
function.
78596 26 A Lung differential 1.27 0.36 0.49 0.36 0.49 0.05 1.68 1.81 1.68 1.81 XXX
function.
78596 TC A Lung differential 0.00 7.39 7.35 7.39 7.35 0.34 7.73 7.69 7.73 7.69 XXX
function.
78599 ......... C Respiratory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78599 26 C Respiratory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78599 TC C Respiratory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78600 ......... A Brain imaging, ltd 0.44 3.14 3.17 3.14 3.17 0.15 3.73 3.76 3.73 3.76 XXX
static.
78600 26 A Brain imaging, ltd 0.44 0.12 0.17 0.12 0.17 0.02 0.58 0.63 0.58 0.63 XXX
static.
78600 TC A Brain imaging, ltd 0.00 3.02 3.00 3.02 3.00 0.13 3.15 3.13 3.15 3.13 XXX
static.
78601 ......... A Brain ltd imaging 0.51 3.70 3.74 3.70 3.74 0.18 4.39 4.43 4.39 4.43 XXX
& flow.
78601 26 A Brain ltd imaging 0.51 0.14 0.20 0.14 0.20 0.02 0.67 0.73 0.67 0.73 XXX
& flow.
78601 TC A Brain ltd imaging 0.00 3.55 3.54 3.55 3.54 0.16 3.71 3.70 3.71 3.70 XXX
& flow.
78605 ......... A Brain imaging, 0.53 3.70 3.75 3.70 3.75 0.18 4.41 4.46 4.41 4.46 XXX
complete.
78605 26 A Brain imaging, 0.53 0.15 0.21 0.15 0.21 0.02 0.70 0.76 0.70 0.76 XXX
complete.
78605 TC A Brain imaging, 0.00 3.55 3.54 3.55 3.54 0.16 3.71 3.70 3.71 3.70 XXX
complete.
78606 ......... A Brain imaging comp 0.64 4.22 4.27 4.22 4.27 0.20 5.06 5.11 5.06 5.11 XXX
& flow.
78606 26 A Brain imaging comp 0.64 0.18 0.25 0.18 0.25 0.02 0.84 0.91 0.84 0.91 XXX
& flow.
78606 TC A Brain imaging comp 0.00 4.04 4.02 4.04 4.02 0.18 4.22 4.20 4.22 4.20 XXX
& flow.
78607 ......... A Brain imaging (3D) 1.23 7.22 7.30 7.22 7.30 0.36 8.81 8.89 8.81 8.89 XXX
78607 26 A Brain imaging (3D) 1.23 0.36 0.48 0.36 0.48 0.05 1.64 1.76 1.64 1.76 XXX
78607 TC A Brain imaging (3D) 0.00 6.86 6.82 6.86 6.82 0.31 7.17 7.13 7.17 7.13 XXX
78608 ......... N Brain imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(PET).
78609 ......... N Brain imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(PET).
78610 ......... A Brain flow imaging 0.30 1.74 1.76 1.74 1.76 0.09 2.13 2.15 2.13 2.15 XXX
only.
78610 26 A Brain flow imaging 0.30 0.09 0.12 0.09 0.12 0.01 0.40 0.43 0.40 0.43 XXX
only.
78610 TC A Brain flow imaging 0.00 1.65 1.64 1.65 1.64 0.08 1.73 1.72 1.73 1.72 XXX
only.
78615 ......... A Cerebral blood 0.42 4.16 4.18 4.16 4.18 0.20 4.78 4.80 4.78 4.80 XXX
flow imaging.
78615 26 A Cerebral blood 0.42 0.13 0.17 0.13 0.17 0.02 0.57 0.61 0.57 0.61 XXX
flow imaging.
78615 TC A Cerebral blood 0.00 4.02 4.00 4.02 4.00 0.18 4.20 4.18 4.20 4.18 XXX
flow imaging.
78630 ......... A Cerebrospinal 0.68 5.45 5.50 5.45 5.50 0.27 6.40 6.45 6.40 6.45 XXX
fluid scan.
78630 26 A Cerebrospinal 0.68 0.19 0.27 0.19 0.27 0.03 0.90 0.98 0.90 0.98 XXX
fluid scan.
78630 TC A Cerebrospinal 0.00 5.26 5.24 5.26 5.24 0.24 5.50 5.48 5.50 5.48 XXX
fluid scan.
78635 ......... A CSF 0.61 2.89 2.91 2.89 2.91 0.15 3.65 3.67 3.65 3.67 XXX
ventriculography.
78635 26 A CSF 0.61 0.23 0.27 0.23 0.27 0.02 0.86 0.90 0.86 0.90 XXX
ventriculography.
78635 TC A CSF 0.00 2.66 2.65 2.66 2.65 0.13 2.79 2.78 2.79 2.78 XXX
ventriculography.
78645 ......... A CSF shunt 0.57 3.75 3.79 3.75 3.79 0.18 4.50 4.54 4.50 4.54 XXX
evaluation.
78645 26 A CSF shunt 0.57 0.16 0.22 0.16 0.22 0.02 0.75 0.81 0.75 0.81 XXX
evaluation.
78645 TC A CSF shunt 0.00 3.59 3.57 3.59 3.57 0.16 3.75 3.73 3.75 3.73 XXX
evaluation.
78647 ......... A Cerebrospinal 0.90 6.44 6.50 6.44 6.50 0.31 7.65 7.71 7.65 7.71 XXX
fluid scan.
78647 26 A Cerebrospinal 0.90 0.26 0.35 0.26 0.35 0.03 1.19 1.28 1.19 1.28 XXX
fluid scan.
78647 TC A Cerebrospinal 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
fluid scan.
78650 ......... A CSF leakage 0.61 5.03 5.07 5.03 5.07 0.24 5.88 5.92 5.88 5.92 XXX
imaging.
78650 26 A CSF leakage 0.61 0.18 0.24 0.18 0.24 0.02 0.81 0.87 0.81 0.87 XXX
imaging.
78650 TC A CSF leakage 0.00 4.85 4.83 4.85 4.83 0.22 5.07 5.05 5.07 5.05 XXX
imaging.
78660 ......... A Nuclear exam of 0.53 2.36 2.41 2.36 2.41 0.12 3.01 3.06 3.01 3.06 XXX
tear flow.
78660 26 A Nuclear exam of 0.53 0.14 0.21 0.14 0.21 0.02 0.69 0.76 0.69 0.76 XXX
tear flow.
78660 TC A Nuclear exam of 0.00 2.21 2.20 2.21 2.20 0.10 2.31 2.30 2.31 2.30 XXX
tear flow.
78699 ......... C Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78699 26 C Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78699 TC C Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78700 ......... A Kidney imaging, 0.45 3.30 3.34 3.30 3.34 0.16 3.91 3.95 3.91 3.95 XXX
static.
78700 26 A Kidney imaging, 0.45 0.12 0.17 0.12 0.17 0.02 0.59 0.64 0.59 0.64 XXX
static.
78700 TC A Kidney imaging, 0.00 3.18 3.17 3.18 3.17 0.14 3.32 3.31 3.32 3.31 XXX
static.
78701 ......... A Kidney imaging 0.49 3.86 3.89 3.86 3.89 0.18 4.53 4.56 4.53 4.56 XXX
with flow.
78701 26 A Kidney imaging 0.49 0.13 0.19 0.13 0.19 0.02 0.64 0.70 0.64 0.70 XXX
with flow.
78701 TC A Kidney imaging 0.00 3.72 3.70 3.72 3.70 0.16 3.88 3.86 3.88 3.86 XXX
with flow.
78704 ......... A Imaging renogram.. 0.74 4.34 4.40 4.34 4.40 0.22 5.30 5.36 5.30 5.36 XXX
78704 26 A Imaging renogram.. 0.74 0.20 0.29 0.20 0.29 0.03 0.97 1.06 0.97 1.06 XXX
78704 TC A Imaging renogram.. 0.00 4.13 4.11 4.13 4.11 0.19 4.32 4.30 4.32 4.30 XXX
78707 ......... A Kidney flow & 0.96 4.94 5.01 4.94 5.01 0.25 6.15 6.22 6.15 6.22 XXX
function image.
78707 26 A Kidney flow & 0.96 0.27 0.37 0.27 0.37 0.04 1.27 1.37 1.27 1.37 XXX
function image.
78707 TC A Kidney flow & 0.00 4.68 4.65 4.68 4.65 0.21 4.89 4.86 4.89 4.86 XXX
function image.
78708 ......... A Kidney flow & 1.21 5.01 5.05 5.01 5.05 0.26 6.48 6.52 6.48 6.52 XXX
function image.
78708 26 A Kidney flow & 1.21 0.34 0.40 0.34 0.40 0.05 1.60 1.66 1.60 1.66 XXX
function image.
78708 TC A Kidney flow & 0.00 4.68 4.65 4.68 4.65 0.21 4.89 4.86 4.89 4.86 XXX
function image.
78709 ......... A Kidney flow & 1.41 5.07 5.08 5.07 5.08 0.27 6.75 6.76 6.75 6.76 XXX
function image.
78709 26 A Kidney flow & 1.41 0.39 0.43 0.39 0.43 0.06 1.86 1.90 1.86 1.90 XXX
function image.
78709 TC A Kidney flow & 0.00 4.68 4.65 4.68 4.65 0.21 4.89 4.86 4.89 4.86 XXX
function image.
78710 ......... A Kidney imaging 0.66 6.36 6.40 6.36 6.40 0.31 7.33 7.37 7.33 7.37 XXX
(3D).
78710 26 A Kidney imaging 0.66 0.18 0.26 0.18 0.26 0.03 0.87 0.95 0.87 0.95 XXX
(3D).
[[Page 39722]]
78710 TC A Kidney imaging 0.00 6.18 6.15 6.18 6.15 0.28 6.46 6.43 6.46 6.43 XXX
(3D).
78715 ......... A Renal vascular 0.30 1.74 1.76 1.74 1.76 0.09 2.13 2.15 2.13 2.15 XXX
flow exam.
78715 26 A Renal vascular 0.30 0.09 0.12 0.09 0.12 0.01 0.40 0.43 0.40 0.43 XXX
flow exam.
78715 TC A Renal vascular 0.00 1.65 1.64 1.65 1.64 0.08 1.73 1.72 1.73 1.72 XXX
flow exam.
78725 ......... A Kidney function 0.38 1.97 2.00 1.97 2.00 0.10 2.45 2.48 2.45 2.48 XXX
study.
78725 26 A Kidney function 0.38 0.11 0.15 0.11 0.15 0.01 0.50 0.54 0.50 0.54 XXX
study.
78725 TC A Kidney function 0.00 1.86 1.85 1.86 1.85 0.09 1.95 1.94 1.95 1.94 XXX
study.
78730 ......... A Urinary bladder 0.36 1.64 1.66 1.64 1.66 0.09 2.09 2.11 2.09 2.11 XXX
retention.
78730 26 A Urinary bladder 0.36 0.11 0.14 0.11 0.14 0.02 0.49 0.52 0.49 0.52 XXX
retention.
78730 TC A Urinary bladder 0.00 1.53 1.52 1.53 1.52 0.07 1.60 1.59 1.60 1.59 XXX
retention.
78740 ......... A Ureteral reflux 0.57 2.37 2.42 2.37 2.42 0.12 3.06 3.11 3.06 3.11 XXX
study.
78740 26 A Ureteral reflux 0.57 0.16 0.22 0.16 0.22 0.02 0.75 0.81 0.75 0.81 XXX
study.
78740 TC A Ureteral reflux 0.00 2.21 2.20 2.21 2.20 0.10 2.31 2.30 2.31 2.30 XXX
study.
78760 ......... A Testicular imaging 0.66 2.97 3.04 2.97 3.04 0.16 3.79 3.86 3.79 3.86 XXX
78760 26 A Testicular imaging 0.66 0.18 0.26 0.18 0.26 0.03 0.87 0.95 0.87 0.95 XXX
78760 TC A Testicular imaging 0.00 2.80 2.79 2.80 2.79 0.13 2.93 2.92 2.93 2.92 XXX
78761 ......... A Testicular imaging 0.71 3.55 3.61 3.55 3.61 0.18 4.44 4.50 4.44 4.50 XXX
& flow.
78761 26 A Testicular imaging 0.71 0.20 0.28 0.20 0.28 0.03 0.94 1.02 0.94 1.02 XXX
& flow.
78761 TC A Testicular imaging 0.00 3.35 3.33 3.35 3.33 0.15 3.50 3.48 3.50 3.48 XXX
& flow.
78799 ......... C Genitourinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78799 26 C Genitourinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78799 TC C Genitourinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78800 ......... A Tumor imaging, 0.66 3.74 3.80 3.74 3.80 0.19 4.59 4.65 4.59 4.65 XXX
limited area.
78800 26 A Tumor imaging, 0.66 0.19 0.26 0.19 0.26 0.03 0.88 0.95 0.88 0.95 XXX
limited area.
78800 TC A Tumor imaging, 0.00 3.55 3.54 3.55 3.54 0.16 3.71 3.70 3.71 3.70 XXX
limited area.
78801 ......... A Tumor imaging, 0.79 4.64 4.70 4.64 4.70 0.23 5.66 5.72 5.66 5.72 XXX
mult areas.
78801 26 A Tumor imaging, 0.79 0.22 0.31 0.22 0.31 0.03 1.04 1.13 1.04 1.13 XXX
mult areas.
78801 TC A Tumor imaging, 0.00 4.42 4.40 4.42 4.40 0.20 4.62 4.60 4.62 4.60 XXX
mult areas.
78802 ......... A Tumor imaging, 0.86 6.03 6.09 6.03 6.09 0.30 7.19 7.25 7.19 7.25 XXX
whole body.
78802 26 A Tumor imaging, 0.86 0.24 0.33 0.24 0.33 0.03 1.13 1.22 1.13 1.22 XXX
whole body.
78802 TC A Tumor imaging, 0.00 5.78 5.75 5.78 5.75 0.27 6.05 6.02 6.05 6.02 XXX
whole body.
78803 ......... A Tumor imaging (3D) 1.09 7.19 7.25 7.19 7.25 0.35 8.63 8.69 8.63 8.69 XXX
78803 26 A Tumor imaging (3D) 1.09 0.32 0.42 0.32 0.42 0.04 1.45 1.55 1.45 1.55 XXX
78803 TC A Tumor imaging (3D) 0.00 6.86 6.82 6.86 6.82 0.31 7.17 7.13 7.17 7.13 XXX
78805 ......... A Abscess imaging, 0.73 3.76 3.82 3.76 3.82 0.19 4.68 4.74 4.68 4.74 XXX
ltd area.
78805 26 A Abscess imaging, 0.73 0.20 0.28 0.20 0.28 0.03 0.96 1.04 0.96 1.04 XXX
ltd area.
78805 TC A Abscess imaging, 0.00 3.55 3.54 3.55 3.54 0.16 3.71 3.70 3.71 3.70 XXX
ltd area.
78806 ......... A Abscess imaging, 0.86 6.96 7.01 6.96 7.01 0.34 8.16 8.21 8.16 8.21 XXX
whole body.
78806 26 A Abscess imaging, 0.86 0.24 0.33 0.24 0.33 0.03 1.13 1.22 1.13 1.22 XXX
whole body.
78806 TC A Abscess imaging, 0.00 6.72 6.69 6.72 6.69 0.31 7.03 7.00 7.03 7.00 XXX
whole body.
78807 ......... A Nuclear 1.09 7.18 7.24 7.18 7.24 0.35 8.62 8.68 8.62 8.68 XXX
localization/
abscess.
78807 26 A Nuclear 1.09 0.32 0.42 0.32 0.42 0.04 1.45 1.55 1.45 1.55 XXX
localization/
abscess.
78807 TC A Nuclear 0.00 6.86 6.82 6.86 6.82 0.31 7.17 7.13 7.17 7.13 XXX
localization/
abscess.
78810 ......... N Tumor imaging 0.00 0.00 0.00 0.00 0.00 0.07 0.07 0.07 0.07 0.07 XXX
(PET).
78810 26 N Tumor imaging +1.93 0.74 1.12 0.74 1.12 0.07 2.74 3.12 2.74 3.12 XXX
(PET).
78810 TC N Tumor imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(PET).
78890 ......... B Nuclear medicine 0.05 1.38 1.38 1.38 1.38 0.06 1.49 1.49 1.49 1.49 XXX
data proc.
78890 26 B Nuclear medicine 0.05 0.02 0.02 0.02 0.02 0.00 0.07 0.07 0.07 0.07 XXX
data proc.
78890 TC B Nuclear medicine 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
data proc.
78891 ......... B Nuclear med data 0.10 2.78 2.77 2.78 2.77 0.13 3.01 3.00 3.01 3.00 XXX
proc.
78891 26 B Nuclear med data 0.10 0.04 0.05 0.04 0.05 0.00 0.14 0.15 0.14 0.15 XXX
proc.
78891 TC B Nuclear med data 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
proc.
78990 ......... I Provide diag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radionuclide(s).
78999 ......... C Nuclear diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78999 26 C Nuclear diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78999 TC C Nuclear diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
79000 ......... A Intial 1.80 3.26 3.43 3.26 3.43 0.20 5.26 5.43 5.26 5.43 XXX
hyperthyroid
therapy.
79000 26 A Intial 1.80 0.51 0.70 0.51 0.70 0.07 2.38 2.57 2.38 2.57 XXX
hyperthyroid
therapy.
79000 TC A Intial 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
hyperthyroid
therapy.
79001 ......... A Repeat 1.05 1.66 1.76 1.66 1.76 0.10 2.81 2.91 2.81 2.91 XXX
hyperthyroid
therapy.
79001 26 A Repeat 1.05 0.30 0.40 0.30 0.40 0.04 1.39 1.49 1.39 1.49 XXX
hyperthyroid
therapy.
79001 TC A Repeat 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
hyperthyroid
therapy.
79020 ......... A Thyroid ablation.. 1.81 3.24 3.42 3.24 3.42 0.20 5.25 5.43 5.25 5.43 XXX
79020 26 A Thyroid ablation.. 1.81 0.49 0.69 0.49 0.69 0.07 2.37 2.57 2.37 2.57 XXX
79020 TC A Thyroid ablation.. 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
79030 ......... A Thyroid ablation, 2.10 3.34 3.54 3.34 3.54 0.21 5.65 5.85 5.65 5.85 XXX
carcinoma.
79030 26 A Thyroid ablation, 2.10 0.59 0.81 0.59 0.81 0.08 2.77 2.99 2.77 2.99 XXX
carcinoma.
79030 TC A Thyroid ablation, 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
carcinoma.
79035 ......... A Thyroid metastatic 2.52 3.48 3.71 3.48 3.71 0.22 6.22 6.45 6.22 6.45 XXX
therapy.
79035 26 A Thyroid metastatic 2.52 0.73 0.98 0.73 0.98 0.09 3.34 3.59 3.34 3.59 XXX
therapy.
79035 TC A Thyroid metastatic 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
therapy.
79100 ......... A Hematopoetic 1.32 3.14 3.24 3.14 3.24 0.18 4.64 4.74 4.64 4.74 XXX
nuclear therapy.
79100 26 A Hematopoetic 1.32 0.39 0.51 0.39 0.51 0.05 1.76 1.88 1.76 1.88 XXX
nuclear therapy.
79100 TC A Hematopoetic 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
nuclear therapy.
79200 ......... A Intracavitary nuc 1.99 3.36 3.52 3.36 3.52 0.21 5.56 5.72 5.56 5.72 XXX
treatment.
79200 26 A Intracavitary nuc 1.99 0.61 0.79 0.61 0.79 0.08 2.68 2.86 2.68 2.86 XXX
treatment.
79200 TC A Intracavitary nuc 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
treatment.
79300 ......... C Interstitial 0.00 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.06 0.06 XXX
nuclear therapy.
79300 26 A Interstitial 1.60 0.43 0.60 0.43 0.60 0.06 2.09 2.26 2.09 2.26 XXX
nuclear therapy.
79300 TC C Interstitial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear therapy.
79400 ......... A Nonhemato nuclear 1.96 3.31 3.48 3.31 3.48 0.21 5.48 5.65 5.48 5.65 XXX
therapy.
79400 26 A Nonhemato nuclear 1.96 0.56 0.75 0.56 0.75 0.08 2.60 2.79 2.60 2.79 XXX
therapy.
79400 TC A Nonhemato nuclear 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
therapy.
79420 ......... C Intravascular nuc 0.00 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.06 0.06 XXX
therapy.
[[Page 39723]]
79420 26 A Intravascular nuc 1.51 0.42 0.58 0.42 0.58 0.06 1.99 2.15 1.99 2.15 XXX
therapy.
79420 TC C Intravascular nuc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
79440 ......... A Nuclear joint 1.99 3.31 3.50 3.31 3.50 0.21 5.51 5.70 5.51 5.70 XXX
therapy.
79440 26 A Nuclear joint 1.99 0.56 0.77 0.56 0.77 0.08 2.63 2.84 2.63 2.84 XXX
therapy.
79440 TC A Nuclear joint 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
therapy.
79900 ......... C Provide ther 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radiopharm(s).
79999 ......... C Nuclear medicine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
79999 26 C Nuclear medicine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
79999 TC C Nuclear medicine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
80049 ......... X Metabolic panel, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
basic.
80050 ......... N General health 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80051 ......... X Electrolyte panel. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80054 ......... X Comprehen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metabolic panel.
80055 ......... I Obstetric panel... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80058 ......... X Hepatic function 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80059 ......... X Hepatitis panel... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80061 ......... X Lipid panel....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80072 ......... X Arthritis panel... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80090 ......... X Torch antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80091 ......... X Thyroid panel..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80092 ......... X Thyroid panel w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
TSH.
80100 ......... X Drug screen....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80101 ......... X Drug screen....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80102 ......... X Drug confirmation. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80103 ......... X Drug analysis, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue prep.
80150 ......... X Assay of amikacin. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80152 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amitriptyline.
80154 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzodiazepines.
80156 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
carbamazepine.
80158 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyclosporine.
80160 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
desipramine.
80162 ......... X Assay for digoxin. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80164 ......... X Assay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dipropylacetic
acid.
80166 ......... X Assay of doxepin.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80168 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ethosuximide.
80170 ......... X Gentamicin........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80172 ......... X Assay for gold.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80174 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
imipramine.
80176 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lidocaine.
80178 ......... X Assay for lithium. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80182 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nortriptyline.
80184 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenobarbital.
80185 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenytoin.
80186 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenytoin, free.
80188 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primidone.
80190 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procainamide.
80192 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procainamide.
80194 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quinidine.
80196 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
salicylate.
80197 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tacrolimus.
80198 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
theophylline.
80200 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tobramycin.
80201 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
topiramate.
80202 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vancomycin.
80299 ......... X Quantitative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay, drug.
80400 ......... X Acth stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80402 ......... X Acth stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80406 ......... X Acth stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80408 ......... X Aldosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suppression eval.
80410 ......... X Calcitonin stimul 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80412 ......... X CRH stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80414 ......... X Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
response.
80415 ......... X Estradiol response 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80416 ......... X Renin stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80417 ......... X Renin stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80418 ......... X Pituitary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation panel.
80420 ......... X Dexamethasone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80422 ......... X Glucagon tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80424 ......... X Glucagon tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80426 ......... X Gonadotropin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone panel.
80428 ......... X Growth hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80430 ......... X Growth hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80432 ......... X Insulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suppression panel.
80434 ......... X Insulin tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80435 ......... X Insulin tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80436 ......... X Metyrapone panel.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80438 ......... X TRH stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80439 ......... X TRH stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80440 ......... X TRH stimulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
panel.
80500 ......... A Lab pathology 0.37 0.20 0.21 0.16 0.19 0.01 0.58 0.59 0.54 0.57 XXX
consultation.
80502 ......... A Lab pathology 1.33 0.63 0.50 0.59 0.48 0.04 2.00 1.87 1.96 1.85 XXX
consultation.
81000 ......... X Urinalysis, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonauto, w/scope.
81001 ......... X Urinalysis, auto, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/scope.
81002 ......... X Urinalysis nonauto 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o scope.
[[Page 39724]]
81003 ......... X Urinalysis, auto, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o scope.
81005 ......... X Urinalysis........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
81007 ......... X Urine screen for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
81015 ......... X Microscopic exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
of urine.
81020 ......... X Urinalysis, glass 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
81025 ......... X Urine pregnancy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
81050 ......... X Urinalysis, volume 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
measure.
81099 ......... X Urinalysis test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
82000 ......... X Assay blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetaldehyde.
82003 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetaminophen.
82009 ......... X Test for acetone/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ketones.
82010 ......... X Acetone assay..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82013 ......... X Acetylcholinestera 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
se assay.
82016 ......... X Acylcarnitines, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
82017 ......... X Acylcarnitines, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
82024 ......... X ACTH.............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82030 ......... X ADP & AMP......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82040 ......... X Assay serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
albumin.
82042 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
albumin.
82043 ......... X Microalbumin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quantitative.
82044 ......... X Microalbumin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
semiquant.
82055 ......... X Assay ethanol..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82075 ......... X Assay breath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ethanol.
82085 ......... X Assay of aldolase. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82088 ......... X Aldosterone....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82101 ......... X Assay of urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
alkaloids.
82103 ......... X Alpha-1- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitrypsin,
total.
82104 ......... X Alpha-1- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitrypsin,
pheno.
82105 ......... X Alpha-fetoprotein, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
82106 ......... X Alpha-fetoprotein; 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amniotic.
82108 ......... X Assay, aluminum... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82127 ......... X Amino acid, single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
82128 ......... X Amino acids, mult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
82131 ......... X Amino acids, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single quant.
82135 ......... X Assay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aminolevulinic
acid.
82136 ......... X Amino acids, 2-5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
82139 ......... X Amino acids, 6+ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
82140 ......... X Assay of ammonia.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82143 ......... X Amniotic fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
scan.
82145 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amphetamines.
82150 ......... X Assay of amylase.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82154 ......... X Androstanediol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucuronide.
82157 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
androstenedione.
82160 ......... X Androsterone assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82163 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
angiotensin II.
82164 ......... X Angiotensin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme test.
82172 ......... X Apolipoprotein.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82175 ......... X Assay of arsenic.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82180 ......... X Assay of ascorbic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
82190 ......... X Atomic absorption. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82205 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barbiturates.
82232 ......... X Beta-2 protein.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82239 ......... X Bile acids, total. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82240 ......... X Bile acids, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cholylglycine.
82247 ......... X Bilirubin total... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82248 ......... X Bilirubin direct.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82251 ......... X Assay bilirubin... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82252 ......... X Fecal bilirubin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82261 ......... X Assay biotinidase. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82270 ......... X Test feces for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blood.
82273 ......... X Test for blood, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
other source.
82286 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bradykinin.
82300 ......... X Assay cadmium..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82306 ......... X Assay of vitamin D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82307 ......... X Assay of vitamin D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82308 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
calcitonin.
82310 ......... X Assay calcium..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82330 ......... X Assay calcium..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82331 ......... X Calcium infusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82340 ......... X Assay calcium in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urine.
82355 ......... X Calculus (stone) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
82360 ......... X Calculus (stone) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
82365 ......... X Calculus (stone) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
82370 ......... X X-ray 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay,calculus
(stone).
82374 ......... X Assay blood carbon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dioxide.
82375 ......... X Assay blood carbon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monoxide.
82376 ......... X Test for carbon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monoxide.
82378 ......... X Carcinoembryonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen.
82379 ......... X Assay carnitine... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82380 ......... X Assay carotene.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82382 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catecholamines.
82383 ......... X Assay blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catecholamines.
82384 ......... X Assay three 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catecholamines.
82387 ......... X Cathepsin-D....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 39725]]
82390 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceruloplasmin.
82397 ......... X Chemiluminescent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
82415 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloramphenicol.
82435 ......... X Assay blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride.
82436 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride.
82438 ......... X Assay other fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chlorides.
82441 ......... X Test for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chlorohydrocarbon
s.
82465 ......... X Assay serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cholesterol.
82480 ......... X Assay serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cholinesterase.
82482 ......... X Assay rbc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cholinesterase.
82485 ......... X Assay chondroitin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
82486 ......... X Gas/liquid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromatography.
82487 ......... X Paper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromatography.
82488 ......... X Paper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromatography.
82489 ......... X Thin layer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromatography.
82491 ......... X Chromotography, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quantitative.
82492 ......... X Chromotography, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant, mult.
82495 ......... X Assay chromium.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82507 ......... X Assay citrate..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82520 ......... X Assay for cocaine. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82523 ......... X Collagen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crosslinks.
82525 ......... X Assay copper...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82528 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
corticosterone.
82530 ......... X Cortisol, free.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82533 ......... X Total cortisol.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82540 ......... X Assay creatine.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82541 ......... X Column 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromotography
qual.
82542 ......... X Column 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromotography
quant.
82543 ......... X Column 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromotograph/
isotope.
82544 ......... X Column 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromotography
quant.
82550 ......... X Assay CK (CPK).... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82552 ......... X Assay CPK in blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82553 ......... X Creatine, MB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fraction.
82554 ......... X Creatine, isoforms 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82565 ......... X Assay creatinine.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82570 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
creatinine.
82575 ......... X Creatinine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clearance test.
82585 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cryofibrinogen.
82595 ......... X Assay cryoglobulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82600 ......... X Assay cyanide..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82607 ......... X Vitamin B-12...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82608 ......... X B-12 binding 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
capacity.
82615 ......... X Test for urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cystines.
82626 ......... X Dehydroepiandroste 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rone.
82627 ......... X Dehydroepiandroste 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rone.
82633 ......... X Desoxycorticostero 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ne.
82634 ......... X Deoxycortisol..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82638 ......... X Assay dibucaine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
number.
82646 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydrocodeinone.
82649 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydromorphinone.
82651 ......... X Dihydrotestosteron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
e assay.
82652 ......... X Assay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydroxyvitamin
D.
82654 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dimethadione.
82657 ......... X Enzyme cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
activity.
82658 ......... X Enzyme cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
activity ra.
82664 ......... X Electrophoretic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82666 ......... X Epiandrosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
82668 ......... X Erythropoietin.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82670 ......... X Estradiol......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82671 ......... X Estrogens assay... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82672 ......... X Estrogen assay.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82677 ......... X Estriol........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82679 ......... X Estrone........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82690 ......... X Ethchlorvynol..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82693 ......... X Ethylene glycol... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82696 ......... X Etiocholanolone... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82705 ......... X Fats/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipids,feces,qual
itativ.
82710 ......... X Fats/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipids,feces,quan
titati.
82715 ......... X Fecal fat assay... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82725 ......... X Assay blood fatty 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acids.
82726 ......... X Long chain fatty 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acids.
82728 ......... X Assay ferritin.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82731 ......... X Fetal fibronectin. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82735 ......... X Assay fluoride.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82742 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flurazepam.
82746 ......... X Blood folic acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
82747 ......... X Folic acid, RBC... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82757 ......... X Assay semen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fructose.
82759 ......... X RBC galactokinase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
82760 ......... X Assay galactose... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82775 ......... X Assay galactose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transferase.
82776 ......... X Galactose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transferase test.
82784 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gammaglobulin IgM.
82785 ......... X Assay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gammaglobulin IgE.
[[Page 39726]]
82787 ......... X IgG1, 2, 3 and 4.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82800 ......... X Blood pH.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82803 ......... X Blood gases: pH, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pO2 & pCO2.
82805 ......... X Blood gases W/02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saturation.
82810 ......... X Blood gases, O2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sat only.
82820 ......... X Hemoglobin-oxygen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
affinity.
82926 ......... X Assay gastric acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82928 ......... X Assay gastric acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82938 ......... X Gastrin test...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82941 ......... X Assay of gastrin.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82943 ......... X Assay of glucagon. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82946 ......... X Glucagon tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
82947 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quantitative,
glucose.
82948 ......... X Reagent strip/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blood glucose.
82950 ......... X Glucose test...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82951 ......... X Glucose tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test (GTT).
82952 ......... X GTT-added samples. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82953 ......... X Glucose- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tolbutamide test.
82955 ......... X Assay G6PD enzyme. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82960 ......... X Test for G6PD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme.
82962 ......... X Glucose blood test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82963 ......... X Glucosidase assay. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82965 ......... X Assay GDH enzyme.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82975 ......... X Assay glutamine... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82977 ......... X Assay of GGT...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82978 ......... X Glutathione assay. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
82979 ......... X Assay RBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glutathione
enzyme.
82980 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glutethimide.
82985 ......... X Glycated protein.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83001 ......... X Gonadotropin (FSH) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83002 ......... X Gonadotropin (LH). 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83003 ......... X Assay growth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone (HGH).
83008 ......... X Assay guanosine... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83010 ......... X Quant assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
haptoglobin.
83012 ......... X Assay haptoglobins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83013 ......... X H pylori breath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test anal.
83014 ......... X H pylori drug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
admin/collect.
83015 ......... X Heavy metal screen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83018 ......... X Quantitative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen, metals.
83020 ......... X Hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
electrophoresis.
83020 26 A Hemoglobin 0.37 0.16 0.19 0.16 0.19 0.01 0.54 0.57 0.54 0.57 XXX
electrophoresis.
83021 ......... X Hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chromotography.
83026 ......... X Hemoglobin, copper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
83030 ......... X Fetal hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83033 ......... X Fetal fecal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemoglobin assay.
83036 ......... X Glycated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemoglobin test.
83045 ......... X Blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
methemoglobin
test.
83050 ......... X Blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
methemoglobin
assay.
83051 ......... X Assay plasma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemoglobin.
83055 ......... X Blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfhemoglobin
test.
83060 ......... X Blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfhemoglobin
assay.
83065 ......... X Hemoglobin heat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83068 ......... X Hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stability screen.
83069 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemoglobin.
83070 ......... X Qualt assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemosiderin.
83071 ......... X Quant assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemosiderin.
83080 ......... X B hexosaminidase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83088 ......... X Assay histamine... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83150 ......... X Assay for HVA..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83491 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
corticosteroids.
83497 ......... X Assay 5-HIAA...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83498 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
progesterone.
83499 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
progesterone.
83500 ......... X Assay free 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroxyproline.
83505 ......... X Assay total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroxyproline.
83516 ......... X Immunoassay, non 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
83518 ......... X Immunoassay, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dipstick.
83519 ......... X Immunoassay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonantibody.
83520 ......... X Immunoassay, RIA.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83525 ......... X Assay of insulin.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83527 ......... X Assay of insulin.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83528 ......... X Assay intrinsic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
factor.
83540 ......... X Assay iron........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83550 ......... X Iron binding test. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83570 ......... X Assay IDH enzyme.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83582 ......... X Assay ketogenic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
steroids.
83586 ......... X Assay 17-(17- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
KS)ketosteroids.
83593 ......... X Fractionation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ketosteroids.
83605 ......... X Lactic acid assay. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83615 ......... X Lactate (LD) (LDH) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme.
83625 ......... X Assay LDH enzymes. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83632 ......... X Placental lactogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83633 ......... X Test urine for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lactose.
83634 ......... X Assay urine for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lactose.
[[Page 39727]]
83655 ......... X Assay for lead.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83661 ......... X Assay L/S ratio... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83662 ......... X L/S ratio, foam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stability.
83670 ......... X Assay LAP enzyme.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83690 ......... X Assay lipase...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83715 ......... X Assay blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipoproteins.
83716 ......... X Assay blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipoproteins.
83718 ......... X Blood lipoprotein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83719 ......... X Blood lipoprotein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83721 ......... X Blood lipoprotein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
83727 ......... X LRH hormone assay. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83735 ......... X Assay magnesium... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83775 ......... X Assay of md enzyme 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83785 ......... X Assay of manganese 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83788 ......... X Mass spectrometry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
83789 ......... X Mass spectrometry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
83805 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meprobamate.
83825 ......... X Assay mercury..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83835 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metanephrines.
83840 ......... X Assay methadone... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83857 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
methemalbumin.
83858 ......... X Assay methsuximide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83864 ......... X Mucopolysaccharide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
s.
83866 ......... X Mucopolysaccharide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
s screen.
83872 ......... X Assay synovial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluid mucin.
83873 ......... X Assay, CSF protein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83874 ......... X Myoglobin......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83883 ......... X Nephelometry, not 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specified.
83885 ......... X Assay for nickel.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83887 ......... X Assay nicotine.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83890 ......... X Molecule isolate.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83891 ......... X Molecule isolate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nucleic.
83892 ......... X Molecular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diagnostics.
83893 ......... X Molecule dot/slot/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blot.
83894 ......... X Molecule gel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
electrophor.
83896 ......... X Molecular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diagnostics.
83897 ......... X Molecule nucleic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transfer.
83898 ......... X Molecule nucleic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp.
83901 ......... X Molecule nucleic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp.
83902 ......... X Molecular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diagnostics.
83903 ......... X Molecule mutation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
scan.
83904 ......... X Molecule mutation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identify.
83905 ......... X Molecule mutation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identify.
83906 ......... X Molecule mutation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identify.
83912 ......... X Genetic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
83912 26 A Genetic 0.37 0.14 0.18 0.14 0.18 0.01 0.52 0.56 0.52 0.56 XXX
examination.
83915 ......... X Assay nucleotidase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83916 ......... X Oligoclonal bands. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83918 ......... X Assay organic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acids quant.
83919 ......... X Assay organic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acids qual.
83925 ......... X Opiates........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83930 ......... X Assay blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
osmolality.
83935 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
osmolality.
83937 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
osteocalcin.
83945 ......... X Assay oxalate..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
83970 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parathormone.
83986 ......... X Assay body fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acidity.
83992 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phencyclidine.
84022 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenothiazine.
84030 ......... X Assay blood PKU... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84035 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenylketones.
84060 ......... X Assay acid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
84061 ......... X Phosphatase, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
forensic exam.
84066 ......... X Assay prostate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
84075 ......... X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
84078 ......... X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
84080 ......... X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatases.
84081 ......... X Amniotic fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme test.
84085 ......... X Assay RBC PG6D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enzyme.
84087 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphohexose
enzymes.
84100 ......... X Assay phosphorus.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84105 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphorus.
84106 ......... X Test for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphobilinogen.
84110 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphobilinogen.
84119 ......... X Test urine for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphyrins.
84120 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphyrins.
84126 ......... X Assay feces 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porphyrins.
84127 ......... X Porphyrins, feces. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84132 ......... X Assay serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
potassium.
84133 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
potassium.
84134 ......... X Prealbumin........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84135 ......... X Assay pregnanediol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84138 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pregnanetriol.
84140 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pregnenolone.
[[Page 39728]]
84143 ......... X Assay/17- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroxypregnenolo
ne.
84144 ......... X Assay progesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84146 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prolactin.
84150 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prostaglandin.
84153 ......... X Psa total......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84154 ......... X Psa free.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84155 ......... X Assay protein..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84160 ......... X Assay serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
protein.
84165 ......... X Assay serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proteins.
84165 26 A Assay serum 0.37 0.16 0.19 0.16 0.19 0.01 0.54 0.57 0.54 0.57 XXX
proteins.
84181 ......... X Western blot test. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84181 26 A Western blot test. 0.37 0.14 0.18 0.14 0.18 0.01 0.52 0.56 0.52 0.56 XXX
84182 ......... X Protein, western 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blot test.
84182 26 A Protein, western 0.37 0.14 0.18 0.14 0.18 0.01 0.52 0.56 0.52 0.56 XXX
blot test.
84202 ......... X Assay RBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
protoporphyrin.
84203 ......... X Test RBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
protoporphyrin.
84206 ......... X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proinsulin.
84207 ......... X Assay vitamin B-6. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84210 ......... X Assay pyruvate.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84220 ......... X Assay pyruvate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kinase.
84228 ......... X Assay quinine..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84233 ......... X Assay estrogen.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84234 ......... X Assay progesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84235 ......... X Assay endocrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone.
84238 ......... X Assay non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
endocrine
receptor.
84244 ......... X Assay of renin.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84252 ......... X Assay vitamin B-2. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84255 ......... X Assay selenium.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84260 ......... X Assay serotonin... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84270 ......... X Sex hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
globulin (SHBG).
84275 ......... X Assay sialic acid. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84285 ......... X Assay silica...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84295 ......... X Assay serum sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84300 ......... X Assay urine sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84305 ......... X Somatomedin....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84307 ......... X Somatostatin...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84311 ......... X Spectrophotometry. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84315 ......... X Body fluid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specific gravity.
84375 ......... X Chromatogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay, sugars.
84376 ......... X Sugars single qual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84377 ......... X Sugars multiple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual.
84378 ......... X Sugars single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
84379 ......... X Sugars multiple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
84392 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
84402 ......... X Testosterone...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84403 ......... X Assay total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testosterone.
84425 ......... X Assay vitamin B-1. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84430 ......... X Assay thiocyanate. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84432 ......... X Thyroglobulin..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84436 ......... X Assay, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thyroxine.
84437 ......... X Assay neonatal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thyroxine.
84439 ......... X Assay, free 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thyroxine.
84442 ......... X Thyroid activity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(TBG) assay.
84443 ......... X Assay thyroid stim 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hormone.
84445 ......... X Thyroid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunoglobulins
TSI.
84446 ......... X Assay vitamin E... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84449 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transcortin.
84450 ......... X Transferase (AST) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(SGOT).
84460 ......... X Alanine amino 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(ALT) (SGPT).
84466 ......... X Transferrin....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84478 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
triglycerides.
84479 ......... X Assay thyroid (t-3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
or t-4).
84480 ......... X Assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
triiodothyronine
(t-3).
84481 ......... X Free assay (FT-3). 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84482 ......... X T3 reverse........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84484 ......... X Troponin, quant... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84485 ......... X Assay duodenal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluid trypsin.
84488 ......... X Test feces for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trypsin.
84490 ......... X Assay feces for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trypsin.
84510 ......... X Assay tyrosine.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84512 ......... X Troponin, qual.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84520 ......... X Assay urea 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nitrogen.
84525 ......... X Urea nitrogen semi- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
84540 ......... X Assay urine urea-N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84545 ......... X Urea-N clearance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
84550 ......... X Assay blood uric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
84560 ......... X Assay urine uric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acid.
84577 ......... X Assay feces 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urobilinogen.
84578 ......... X Test urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urobilinogen.
84580 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urobilinogen.
84583 ......... X Assay urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urobilinogen.
84585 ......... X Assay urine VMA... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84586 ......... X VIP assay......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84588 ......... X Assay vasopressin. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 39729]]
84590 ......... X Assay vitamin-A... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84597 ......... X Assay vitamin-K... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84600 ......... X Assay for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
volatiles.
84620 ......... X Xylose tolerance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
84630 ......... X Assay zinc........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84681 ......... X Assay C-peptide... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84702 ......... X Chorionic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gonadotropin test.
84703 ......... X Chorionic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gonadotropin
assay.
84830 ......... X Ovulation tests... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
84999 ......... X Clinical chemistry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85002 ......... X Bleeding time test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85007 ......... X Differential WBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
85008 ......... X Nondifferential 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
WBC count.
85009 ......... X Differential WBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
85013 ......... X Hematocrit........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85014 ......... X Hematocrit........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85018 ......... X Hemoglobin........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85021 ......... X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85022 ......... X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85023 ......... X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85024 ......... X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85025 ......... X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85027 ......... X Automated hemogram 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85031 ......... X Manual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemogram,complete
cbc.
85041 ......... X Red blood cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(RBC) count.
85044 ......... X Reticulocyte count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85045 ......... X Reticulocyte count 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85046 ......... X Reticyte, hgb 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
concentrate.
85048 ......... X White blood cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(WBC) count.
85060 ......... A Blood smear 0.45 0.72 0.48 0.20 0.22 0.01 1.18 0.94 0.66 0.68 XXX
interpretation.
85095 ......... A Bone marrow 1.08 4.38 2.56 0.43 0.58 0.03 5.49 3.67 1.54 1.69 XXX
aspiration.
85097 ......... A Bone marrow 0.94 2.81 1.67 0.41 0.47 0.03 3.78 2.64 1.38 1.44 XXX
interpretation.
85102 ......... A Bone marrow biopsy 1.37 4.50 2.69 0.54 0.71 0.04 5.91 4.10 1.95 2.12 XXX
85130 ......... X Chromogenic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
substrate assay.
85170 ......... X Blood clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retraction.
85175 ......... X Blood clot lysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
time.
85210 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
II test.
85220 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V test.
85230 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VII test.
85240 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VIII test.
85244 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VIII test.
85245 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VIII test.
85246 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VIII test.
85247 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
VIII test.
85250 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
IX test.
85260 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
X test.
85270 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
XI test.
85280 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
XII test.
85290 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
XIII test.
85291 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
XIII test.
85292 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
85293 ......... X Blood clot factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
85300 ......... X Antithrombin III 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85301 ......... X Antithrombin III 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85302 ......... X Blood clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitor antigen.
85303 ......... X Blood clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitor test.
85305 ......... X Blood clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitor assay.
85306 ......... X Blood clot 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitor test.
85335 ......... X Factor inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85337 ......... X Thrombomodulin.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85345 ......... X Coagulation time.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85347 ......... X Coagulation time.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85348 ......... X Coagulation time.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85360 ......... X Euglobulin lysis.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85362 ......... X Fibrin degradation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
products.
85366 ......... X Fibrinogen test... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85370 ......... X Fibrinogen test... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85378 ......... X Fibrin degradation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85379 ......... X Fibrin degradation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85384 ......... X Fibrinogen........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85385 ......... X Fibrinogen........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85390 ......... X Fibrinolysins 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
85390 26 A Fibrinolysins 0.37 0.15 0.19 0.15 0.19 0.01 0.53 0.57 0.53 0.57 XXX
screen.
85400 ......... X Fibrinolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasmin.
85410 ......... X Fibrinolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antiplasmin.
85415 ......... X Fibrinolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasminogen.
85420 ......... X Fibrinolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasminogen.
85421 ......... X Fibrinolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasminogen.
85441 ......... X Heinz bodies; 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct.
85445 ......... X Heinz bodies; 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
induced.
85460 ......... X Hemoglobin, fetal. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85461 ......... X Hemoglobin, fetal. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85475 ......... X Hemolysin......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85520 ......... X Heparin assay..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 39730]]
85525 ......... X Heparin........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85530 ......... X Heparin-protamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tolerance.
85535 ......... X Iron stain, blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cells.
85540 ......... X Wbc alkaline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphatase.
85547 ......... X RBC mechanical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fragility.
85549 ......... X Muramidase........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85555 ......... X RBC osmotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fragility.
85557 ......... X RBC osmotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fragility.
85576 ......... X Blood platelet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aggregation.
85576 26 A Blood platelet 0.37 0.16 0.19 0.16 0.19 0.01 0.54 0.57 0.54 0.57 XXX
aggregation.
85585 ......... X Blood platelet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
estimation.
85590 ......... X Platelet manual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
85595 ......... X Platelet count, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
automated.
85597 ......... X Platelet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
neutralization.
85610 ......... X Prothrombin time.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85611 ......... X Prothrombin test.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85612 ......... X Viper venom 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prothrombin time.
85613 ......... X Russell viper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
venom, diluted.
85635 ......... X Reptilase test.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85651 ......... X Rbc sed rate, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonauto.
85652 ......... X Rbc sed rate, auto 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
85660 ......... X RBC sickle cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
85670 ......... X Thrombin time, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasma.
85675 ......... X Thrombin time, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
titer.
85705 ......... X Thromboplastin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibition.
85730 ......... X Thromboplastin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
time, partial.
85732 ......... X Thromboplastin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
time, partial.
85810 ......... X Blood viscosity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
85999 ......... X Hematology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
86000 ......... X Agglutinins; 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
febrile.
86003 ......... X Allergen specific 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
IgE.
86005 ......... X Allergen specific 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
IgE.
86021 ......... X WBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
86022 ......... X Platelet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
86023 ......... X Immunoglobulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86038 ......... X Antinuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
86039 ......... X Antinuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies (ANA).
86060 ......... X Antistreptolysin O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
titer.
86063 ......... X Antistreptolysin O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
86077 ......... A Physician blood 0.94 0.48 0.41 0.41 0.37 0.03 1.45 1.38 1.38 1.34 XXX
bank service.
86078 ......... A Physician blood 0.94 0.54 0.46 0.41 0.39 0.03 1.51 1.43 1.38 1.36 XXX
bank service.
86079 ......... A Physician blood 0.94 0.53 0.45 0.42 0.39 0.03 1.50 1.42 1.39 1.36 XXX
bank service.
86140 ......... X C-reactive protein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86147 ......... X Cardiolipin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86148 ......... X Phospholipid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86155 ......... X Chemotaxis assay.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86156 ......... X Cold agglutinin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
86157 ......... X Cold agglutinin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
titer.
86160 ......... X Complement, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen.
86161 ......... X Complement/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
function activity.
86162 ......... X Complement, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(CH50).
86171 ......... X Complement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fixation, each.
86185 ......... X Counterimmunoelect 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rophoresis.
86215 ......... X Deoxyribonuclease, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86225 ......... X DNA antibody...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86226 ......... X DNA antibody, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single strand.
86235 ......... X Nuclear antigen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86243 ......... X Fc receptor....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86255 ......... X Fluorescent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody; screen.
86255 26 A Fluorescent 0.37 0.17 0.20 0.16 0.19 0.01 0.55 0.58 0.54 0.57 XXX
antibody; screen.
86256 ......... X Fluorescent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody; titer.
86256 26 A Fluorescent 0.37 0.16 0.19 0.16 0.19 0.01 0.54 0.57 0.54 0.57 XXX
antibody; titer.
86277 ......... X Growth hormone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86280 ......... X Hemagglutination 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibition.
86308 ......... X Heterophile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
86309 ......... X Heterophile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
86310 ......... X Heterophile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
86316 ......... X Immunoassay, tumor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen.
86317 ......... X Immunoassay,infect 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ious agent.
86318 ......... X Immunoassay,infect 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ious agent.
86320 ......... X Serum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunoelectrophor
esis.
86320 26 A Serum 0.37 0.17 0.20 0.16 0.19 0.01 0.55 0.58 0.54 0.57 XXX
immunoelectrophor
esis.
86325 ......... X Other 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunoelectrophor
esis.
86325 26 A Other 0.37 0.16 0.19 0.16 0.19 0.01 0.54 0.57 0.54 0.57 XXX
immunoelectrophor
esis.
86327 ......... X Immunoelectrophore 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sis assay.
86327 26 A Immunoelectrophore 0.42 0.16 0.19 0.16 0.19 0.01 0.59 0.62 0.59 0.62 XXX
sis assay.
86329 ......... X Immunodiffusion... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86331 ......... X Immunodiffusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ouchterlony.
86332 ......... X Immune complex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86334 ......... X Immunofixation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
86334 26 A Immunofixation 0.37 0.15 0.19 0.15 0.19 0.01 0.53 0.57 0.53 0.57 XXX
procedure.
86337 ......... X Insulin antibodies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86340 ......... X Intrinsic factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86341 ......... X Islet cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
[[Page 39731]]
86343 ......... X Leukocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
histamine release.
86344 ......... X Leukocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phagocytosis.
86353 ......... X Lymphocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transformation.
86359 ......... X T cells, total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
86360 ......... X T cell absolute 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count/ratio.
86361 ......... X T cell absolute 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
86376 ......... X Microsomal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86378 ......... X Migration 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitory factor.
86382 ......... X Neutralization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, viral.
86384 ......... X Nitroblue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tetrazolium dye.
86403 ......... X Particle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agglutination
test.
86406 ......... X Particle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agglutination
test.
86430 ......... X Rheumatoid factor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86431 ......... X Rheumatoid factor, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
86485 ......... C Skin test, candida 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86490 ......... A Coccidioidomycosis 0.00 0.31 0.31 0.31 0.31 0.02 0.33 0.33 0.33 0.33 XXX
skin test.
86510 ......... A Histoplasmosis 0.00 0.33 0.33 0.33 0.33 0.02 0.35 0.35 0.35 0.35 XXX
skin test.
86580 ......... A TB intradermal 0.00 0.26 0.26 0.26 0.26 0.02 0.28 0.28 0.28 0.28 XXX
test.
86585 ......... A TB tine test...... 0.00 0.21 0.21 0.21 0.21 0.01 0.22 0.22 0.22 0.22 XXX
86586 ......... C Skin test, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unlisted.
86588 ......... X Streptocollus, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct screen.
86590 ......... X Streptokinase, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86592 ......... X Blood serology, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qualitative.
86593 ......... X Blood serology, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quantitative.
86602 ......... X Antinomyces 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86603 ......... X Adenovirus, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86606 ......... X Aspergillus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86609 ......... X Bacterium, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86612 ......... X Blastomyces, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86615 ......... X Bordetella 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86617 ......... X Lyme disease 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86618 ......... X Lyme disease 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86619 ......... X Borrelia antibody. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86622 ......... X Brucella, antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86625 ......... X Campylobacter, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86628 ......... X Candida, antibody. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86631 ......... X Chlamydia, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86632 ......... X Chlamydia, IgM, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86635 ......... X Coccidioides, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86638 ......... X Q fever antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86641 ......... X Cryptococcus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86644 ......... X CMV antibody...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86645 ......... X CMV antibody, IgM. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86648 ......... X Diphtheria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86651 ......... X Encephalitis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86652 ......... X Encephalitis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86653 ......... X Encephalitis, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86654 ......... X Encephalitis, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86658 ......... X Enterovirus, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86663 ......... X Epstein-barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86664 ......... X Epstein-barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86665 ......... X Epstein-barr, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86668 ......... X Francisella 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tularensis.
86671 ......... X Fungus, antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86674 ......... X Giardia lamblia... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86677 ......... X Helicobacter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pylori.
86682 ......... X Helminth, antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86684 ......... X Hemophilus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
influenza.
86687 ......... X HTLV I............ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86688 ......... X HTLV-II........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86689 ......... X HTLV/HIV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
confirmatory test.
86692 ......... X Hepatitis, delta 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
86694 ......... X Herpes simplex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86695 ......... X Herpes simplex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86698 ......... X Histoplasma....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86701 ......... X HIV-1............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86702 ......... X HIV-2............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86703 ......... X HIV-1/HIV-2, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single assay.
86704 ......... X Hep b core ab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, igg & m.
86705 ......... X Hep b core ab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, igm.
86706 ......... X Hepatitis b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surface ab test.
86707 ......... X Hepatitis be ab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86708 ......... X Hep a ab test, igg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
& m.
86709 ......... X Hep a ab test, igm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86710 ......... X Influenza virus... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86713 ......... X Legionella........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86717 ......... X Leishmania........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86720 ......... X Leptospira........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86723 ......... X Listeria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monocytogenes.
86727 ......... X Lymph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
choriomeningitis.
86729 ......... X Lympho venereum... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86732 ......... X Mucormycosis...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86735 ......... X Mumps............. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86738 ......... X Mycoplasma........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 39732]]
86741 ......... X Neisseria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meningitidis.
86744 ......... X Nocardia.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86747 ......... X Parvovirus........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86750 ......... X Malaria........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86753 ......... X Protozoa, not 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
elsewhere.
86756 ......... X Respiratory virus. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86759 ......... X Rotavirus......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86762 ......... X Rubella........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86765 ......... X Rubeola........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86768 ......... X Salmonella........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86771 ......... X Shigella.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86774 ......... X Tetanus........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86777 ......... X Toxoplasma........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86778 ......... X Toxoplasma, IgM... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86781 ......... X Treponema pallidum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
confirm.
86784 ......... X Trichinella....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86787 ......... X Varicella-zoster.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86790 ......... X Virus, not 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specified.
86793 ......... X Yersinia.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86800 ......... X Thyroglobulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
86803 ......... X Hepatitis c ab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
86804 ......... X Hep c ab test, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
confirm.
86805 ......... X Lymphocytotoxicity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86806 ......... X Lymphocytotoxicity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay.
86807 ......... X Cytotoxic antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screening.
86808 ......... X Cytotoxic antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screening.
86812 ......... X HLA typing, A, B, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
or C.
86813 ......... X HLA typing, A, B, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
or C.
86816 ......... X HLA typing, DR/DQ. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86817 ......... X HLA typing, DR/DQ. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86821 ......... X Lymphocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture, mixed.
86822 ......... X Lymphocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture, primed.
86849 ......... X Immunology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
86850 ......... X RBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
86860 ......... X RBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
elution.
86870 ......... X RBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
86880 ......... X Coombs test....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86885 ......... X Coombs test....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86886 ......... X Coombs test....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86890 ......... X Autologous blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
process.
86891 ......... X Autologous blood, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
op salvage.
86900 ......... X Blood typing, ABO. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86901 ......... X Blood typing, Rh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(D).
86903 ......... X Blood typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen screen.
86904 ......... X Blood typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
patient serum.
86905 ......... X Blood typing, RBC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigens.
86906 ......... X Blood typing, Rh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenotype.
86910 ......... N Blood typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
paternity test.
86911 ......... N Blood typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antigen system.
86915 ......... X Bone marrow....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86920 ......... X Compatibility test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86921 ......... X Compatibility test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86922 ......... X Compatibility test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86927 ......... X Plasma, fresh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
frozen.
86930 ......... X Frozen blood prep. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86931 ......... X Frozen blood thaw. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86932 ......... X Frozen blood, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
freeze/thaw.
86940 ......... X Hemolysins/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agglutinins auto.
86941 ......... X Hemolysins/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agglutinins.
86945 ......... X Blood product/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
irradiation.
86950 ......... X Leukacyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transfusion.
86965 ......... X Pooling blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
platelets.
86970 ......... X RBC pretreatment.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86971 ......... X RBC pretreatment.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86972 ......... X RBC pretreatment.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
86975 ......... X RBC pretreatment, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
86976 ......... X RBC pretreatment, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
86977 ......... X RBC pretreatment, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
86978 ......... X RBC pretreatment, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serum.
86985 ......... X Split blood or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
products.
86999 ......... X Transfusion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
87001 ......... X Small animal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inoculation.
87003 ......... X Small animal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inoculation.
87015 ......... X Specimen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
concentration.
87040 ......... X Blood culture for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87045 ......... X Stool culture for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87060 ......... X Nose/throat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture,bacteria.
87070 ......... X Culture specimen, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87072 ......... X Culture of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specimen by kit.
87075 ......... X Culture specimen, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacteria.
87076 ......... X Bacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
87081 ......... X Bacteria culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
87082 ......... X Culture of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specimen by kit.
87083 ......... X Culture of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specimen by kit.
[[Page 39733]]
87084 ......... X Culture of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specimen by kit.
87085 ......... X Culture of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specimen by kit.
87086 ......... X Urine culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
colony count.
87087 ......... X Urine bacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87088 ......... X Urine bacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87101 ......... X Skin fungus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87102 ......... X Fungus isolation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87103 ......... X Blood fungus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87106 ......... X Fungus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
87109 ......... X Mycoplasma culture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87110 ......... X Culture, chlamydia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87116 ......... X Mycobacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87117 ......... X Mycobacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
culture.
87118 ......... X Mycobacteria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
87140 ......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluorescent.
87143 ......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
GLC method.
87145 ......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phage method.
87147 ......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serologic.
87151 ......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serologic.
87155 ......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
precipitin.
87158 ......... X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
added method.
87163 ......... X Special 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
microbiology
culture.
87164 ......... X Dark field 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
87164 26 A Dark field 0.37 0.11 0.17 0.11 0.17 0.01 0.49 0.55 0.49 0.55 XXX
examination.
87166 ......... X Dark field 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
87174 ......... X Endotoxin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacterial.
87175 ......... X Assay, endotoxin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacterial.
87176 ......... X Endotoxin, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bacterial.
87177 ......... X Ova and parasites 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
smears.
87181 ......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, each.
87184 ......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, each.
87186 ......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, MIC.
87187 ......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, MBC.
87188 ......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, each.
87190 ......... X TB antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity.
87192 ......... X Antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensitivity, each.
87197 ......... X Bactericidal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
level, serum.
87205 ......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87206 ......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87207 ......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87207 26 A Smear, stain & 0.37 0.17 0.20 0.17 0.20 0.01 0.55 0.58 0.55 0.58 XXX
interpret.
87208 ......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87210 ......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87211 ......... X Smear, stain & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interpret.
87220 ......... X Tissue exam for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fungi.
87230 ......... X Assay, toxin or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitoxin.
87250 ......... X Virus inoculation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for test.
87252 ......... X Virus inoculation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for test.
87253 ......... X Virus inoculation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for test.
87260 ......... X Adenovirus ag, dfa 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87265 ......... X Pertussis ag, dfa. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87270 ......... X Chylmd trach ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87272 ......... X Cryptosporidum ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87274 ......... X Herpes simplex ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87276 ......... X Influenza ag, dfa. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87278 ......... X Legion pneumo ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87280 ......... X Resp syncytial ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87285 ......... X Trepon pallidum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ag, dfa.
87290 ......... X Varicella ag, dfa. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87299 ......... X Ag detection nos, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dfa.
87301 ......... X Adenovirus ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87320 ......... X Chylmd trach ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87324 ......... X Clostridium ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87328 ......... X Cryptospor ag, eia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87332 ......... X Cytomegalovirus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ag, eia.
87335 ......... X E coli 0157 ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87340 ......... X Hepatitis b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surface ag, eia.
87350 ......... X Hepatitis b ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87380 ......... X Hepatitis delta 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ag, eia.
87385 ......... X Histoplasma capsul 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ag, eia.
87390 ......... X Hiv-1 ag, eia..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87391 ......... X Hiv-2 ag, eia..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87420 ......... X Resp syncytial ag, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia.
87425 ......... X Rotavirus ag, eia. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87430 ......... X Strep a ag, eia... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87449 ......... X Ag detect nos, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia, mult.
87450 ......... X Ag detect nos, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eia, single.
87470 ......... X Bartonella, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87471 ......... X Bartonella, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87472 ......... X Bartonella, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87475 ......... X Lyme dis, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87476 ......... X Lyme dis, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87477 ......... X Lyme dis, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87480 ......... X Candida, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
[[Page 39734]]
87481 ......... X Candida, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87482 ......... X Candida, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87485 ......... X Chylmd pneum, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87486 ......... X Chylmd pneum, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87487 ......... X Chylmd pneum, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87490 ......... X Chylmd trach, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87491 ......... X Chylmd trach, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87492 ......... X Chylmd trach, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87495 ......... X Cytomeg, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87496 ......... X Cytomeg, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87497 ......... X Cytomeg, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87510 ......... X Gardner vag, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87511 ......... X Gardner vag, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87512 ......... X Gardner vag, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87515 ......... X Hepatitis b, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87516 ......... X Hepatitis b , dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87517 ......... X Hepatitis b , dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87520 ......... X Hepatitis c , rna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87521 ......... X Hepatitis c , rna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87522 ......... X Hepatitis c, rna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87525 ......... X Hepatitis g , dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87526 ......... X Hepatitis g, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87527 ......... X Hepatitis g, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87528 ......... X Hsv, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87529 ......... X Hsv, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87530 ......... X Hsv, dna, quant... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87531 ......... X Hhv-6, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87532 ......... X Hhv-6, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87533 ......... X Hhv-6, dna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87534 ......... X Hiv-1, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87535 ......... X Hiv-1, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87536 ......... X Hiv-1, dna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87537 ......... X Hiv-2, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87538 ......... X Hiv-2, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87539 ......... X Hiv-2, dna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87540 ......... X Legion pneumo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, dir prob.
87541 ......... X Legion pneumo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, amp prob.
87542 ......... X Legion pneumo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, quant.
87550 ......... X Mycobacteria, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87551 ......... X Mycobacteria, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87552 ......... X Mycobacteria, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87555 ......... X M.tuberculo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87556 ......... X M.tuberculo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87557 ......... X M.tuberculo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87560 ......... X M.avium-intra, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, dir prob.
87561 ......... X M.avium-intra, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, amp prob.
87562 ......... X M.avium-intra, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, quant.
87580 ......... X M.pneumon, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dir probe.
87581 ......... X M.pneumon, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
amp probe.
87582 ......... X M.pneumon, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87590 ......... X N.gonorrhoeae, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, dir prob.
87591 ......... X N.gonorrhoeae, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, amp prob.
87592 ......... X N.gonorrhoeae, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, quant.
87620 ......... X Hpv, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87621 ......... X Hpv, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87622 ......... X Hpv, dna, quant... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
87650 ......... X Strep a, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87651 ......... X Strep a, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
87652 ......... X Strep a, dna, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quant.
87797 ......... X Detect agent nos, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, dir.
87798 ......... X Detect agent nos, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, amp.
87799 ......... X Detect agent nos, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dna, quant.
87810 ......... X Chylmd trach assay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/optic.
87850 ......... X N. gonorrhoeae 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assay w/optic.
87880 ......... X Strep a assay w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
optic.
87899 ......... X Agent nos assay w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
optic.
87999 ......... X Microbiology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88000 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy), gross.
88005 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy), gross.
88007 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy), gross.
88012 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy), gross.
88014 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy), gross.
88016 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy), gross.
88020 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy),
complete.
88025 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy),
complete.
88027 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy),
complete.
88028 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy),
complete.
88029 ......... N Autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy),
complete.
88036 ......... N Limited autopsy... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88037 ......... N Limited autopsy... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88040 ......... N Forensic autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy).
88045 ......... N Coroner's autopsy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(necropsy).
88099 ......... N Necropsy (autopsy) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88104 ......... A Cytopathology, 0.56 0.48 0.48 0.48 0.48 0.04 1.08 1.08 1.08 1.08 XXX
fluids.
[[Page 39735]]
88104 26 A Cytopathology, 0.56 0.25 0.25 0.25 0.25 0.02 0.83 0.83 0.83 0.83 XXX
fluids.
88104 TC A Cytopathology, 0.00 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 XXX
fluids.
88106 ......... A Cytopathology, 0.56 0.44 0.42 0.44 0.42 0.03 1.03 1.01 1.03 1.01 XXX
fluids.
88106 26 A Cytopathology, 0.56 0.25 0.24 0.25 0.24 0.01 0.82 0.81 0.82 0.81 XXX
fluids.
88106 TC A Cytopathology, 0.00 0.19 0.19 0.19 0.19 0.02 0.21 0.21 0.21 0.21 XXX
fluids.
88107 ......... A Cytopathology, 0.76 0.59 0.55 0.59 0.55 0.04 1.39 1.35 1.39 1.35 XXX
fluids.
88107 26 A Cytopathology, 0.76 0.34 0.30 0.34 0.30 0.02 1.12 1.08 1.12 1.08 XXX
fluids.
88107 TC A Cytopathology, 0.00 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 XXX
fluids.
88108 ......... A Cytopath, 0.56 0.50 0.51 0.50 0.51 0.03 1.09 1.10 1.09 1.10 XXX
concentrate tech.
88108 26 A Cytopath, 0.56 0.25 0.26 0.25 0.26 0.01 0.82 0.83 0.82 0.83 XXX
concentrate tech.
88108 TC A Cytopath, 0.00 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 XXX
concentrate tech.
88125 ......... A Forensic 0.26 0.16 0.14 0.16 0.14 0.01 0.43 0.41 0.43 0.41 XXX
cytopathology.
88125 26 A Forensic 0.26 0.12 0.10 0.12 0.10 0.01 0.39 0.37 0.39 0.37 XXX
cytopathology.
88125 TC A Forensic 0.00 0.04 0.04 0.04 0.04 0.00 0.04 0.04 0.04 0.04 XXX
cytopathology.
88130 ......... X Sex chromatin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
88140 ......... X Sex chromatin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
88141 ......... A Cytpath c/vag 0.42 0.18 0.31 0.18 0.31 0.01 0.61 0.74 0.61 0.74 ZZZ
interpret.
88142 ......... X Cytpath c/vag t/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
layer.
88143 ......... X Cytpath c/vag t/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
layer redo.
88144 ......... X Cytpathc/vagt/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
layerauto redo.
88145 ......... X Cytpath c/vag t/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
layer select.
88147 ......... X Cytpath c/vag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
automated.
88148 ......... X Cytpath c/vag auto 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rescreen.
88150 ......... X Cytpath c/vag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manual.
88152 ......... X Cytpath c/vag auto 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
redo.
88153 ......... X Cytpath c/vag redo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88154 ......... X Cytpath c/vag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
select.
88155 ......... X Cytpath c/vag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
index add-on.
88160 ......... A Cytopath smear, 0.50 0.39 0.37 0.39 0.37 0.03 0.92 0.90 0.92 0.90 XXX
other source.
88160 26 A Cytopath smear, 0.50 0.22 0.20 0.22 0.20 0.01 0.73 0.71 0.73 0.71 XXX
other source.
88160 TC A Cytopath smear, 0.00 0.17 0.17 0.17 0.17 0.02 0.19 0.19 0.19 0.19 XXX
other source.
88161 ......... A Cytopath smear, 0.50 0.43 0.43 0.43 0.43 0.03 0.96 0.96 0.96 0.96 XXX
other source.
88161 26 A Cytopath smear, 0.50 0.22 0.22 0.22 0.22 0.01 0.73 0.73 0.73 0.73 XXX
other source.
88161 TC A Cytopath smear, 0.00 0.21 0.21 0.21 0.21 0.02 0.23 0.23 0.23 0.23 XXX
other source.
88162 ......... A Cytopath smear, 0.76 0.75 0.80 0.75 0.80 0.04 1.55 1.60 1.55 1.60 XXX
other source.
88162 26 A Cytopath smear, 0.76 0.34 0.39 0.34 0.39 0.02 1.12 1.17 1.12 1.17 XXX
other source.
88162 TC A Cytopath smear, 0.00 0.41 0.41 0.41 0.41 0.02 0.43 0.43 0.43 0.43 XXX
other source.
88164 ......... X Cytpath tbs c/vag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manual.
88165 ......... X Cytpath tbs c/vag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
redo.
88166 ......... X Cytpath tbs c/vag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
auto redo.
88167 ......... X Cytpath tbs c/vag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
select.
88170 ......... A Fine needle 1.27 1.05 1.06 1.05 1.06 0.08 2.40 2.41 2.40 2.41 XXX
aspiration.
88170 26 A Fine needle 1.27 0.54 0.55 0.54 0.55 0.05 1.86 1.87 1.86 1.87 XXX
aspiration.
88170 TC A Fine needle 0.00 0.51 0.51 0.51 0.51 0.03 0.54 0.54 0.54 0.54 XXX
aspiration.
88171 ......... A Fine needle 1.27 1.16 1.31 1.16 1.31 0.07 2.50 2.65 2.50 2.65 XXX
aspiration.
88171 26 A Fine needle 1.27 0.46 0.62 0.46 0.62 0.04 1.77 1.93 1.77 1.93 XXX
aspiration.
88171 TC A Fine needle 0.00 0.70 0.70 0.70 0.70 0.03 0.73 0.73 0.73 0.73 XXX
aspiration.
88172 ......... A Evaluation of 0.60 0.65 0.71 0.65 0.71 0.04 1.29 1.35 1.29 1.35 XXX
smear.
88172 26 A Evaluation of 0.60 0.27 0.33 0.27 0.33 0.02 0.89 0.95 0.89 0.95 XXX
smear.
88172 TC A Evaluation of 0.00 0.38 0.38 0.38 0.38 0.02 0.40 0.40 0.40 0.40 XXX
smear.
88173 ......... A Interpretation of 1.39 1.08 1.02 1.08 1.02 0.06 2.53 2.47 2.53 2.47 XXX
smear.
88173 26 A Interpretation of 1.39 0.62 0.56 0.62 0.56 0.04 2.05 1.99 2.05 1.99 XXX
smear.
88173 TC A Interpretation of 0.00 0.46 0.46 0.46 0.46 0.02 0.48 0.48 0.48 0.48 XXX
smear.
88180 ......... A Cell marker study. 0.36 0.33 0.34 0.33 0.34 0.03 0.72 0.73 0.72 0.73 XXX
88180 26 A Cell marker study. 0.36 0.16 0.17 0.16 0.17 0.01 0.53 0.54 0.53 0.54 XXX
88180 TC A Cell marker study. 0.00 0.17 0.17 0.17 0.17 0.02 0.19 0.19 0.19 0.19 XXX
88182 ......... A Cell marker study. 0.77 0.82 0.90 0.82 0.90 0.05 1.64 1.72 1.64 1.72 XXX
88182 26 A Cell marker study. 0.77 0.34 0.42 0.34 0.42 0.02 1.13 1.21 1.13 1.21 XXX
88182 TC A Cell marker study. 0.00 0.48 0.48 0.48 0.48 0.03 0.51 0.51 0.51 0.51 XXX
88199 ......... C Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88199 26 C Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88199 TC C Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88230 ......... X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lymphocyte.
88233 ......... X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
skin/biopsy.
88235 ......... X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
placenta.
88237 ......... X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bone marrow.
88239 ......... X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tumor.
88240 ......... X Cell cryopreserve/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
storage.
88241 ......... X Frozen cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preparation.
88245 ......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 20-25.
88248 ......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 50-100.
88249 ......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 100.
88261 ......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 5.
88262 ......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 15-20.
88263 ......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 45.
88264 ......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis, 20-25.
88267 ......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis:placenta.
88269 ......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis:amniotic.
88271 ......... X Cytogenetics, dna 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
88272 ......... X Cytogenetics, 3-5. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88273 ......... X Cytogenetics, 10- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
30.
88274 ......... X Cytogenetics, 25- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99.
88275 ......... X Cytogenetics, 100- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
300.
88280 ......... X Chromosome 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
karyotype study.
[[Page 39736]]
88283 ......... X Chromosome banding 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
study.
88285 ......... X Chromosome count: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
additional.
88289 ......... X Chromosome study: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
additional.
88291 ......... A Cyto/molecular 0.52 0.21 0.21 0.21 0.21 0.01 0.74 0.74 0.74 0.74 XXX
report.
88299 ......... C Cytogenetic study. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88300 ......... A Surg path, gross.. 0.08 0.15 0.19 0.15 0.19 0.00 0.23 0.27 0.23 0.27 XXX
88300 26 A Surg path, gross.. 0.08 0.04 0.08 0.04 0.08 0.00 0.12 0.16 0.12 0.16 XXX
88300 TC A Surg path, gross.. 0.00 0.11 0.11 0.11 0.11 0.00 0.11 0.11 0.11 0.11 XXX
88302 ......... A Tissue exam by 0.13 0.31 0.37 0.31 0.37 0.02 0.46 0.52 0.46 0.52 XXX
pathologist.
88302 26 A Tissue exam by 0.13 0.06 0.12 0.06 0.12 0.00 0.19 0.25 0.19 0.25 XXX
pathologist.
88302 TC A Tissue exam by 0.00 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 XXX
pathologist.
88304 ......... A Tissue exam by 0.22 0.46 0.54 0.46 0.54 0.03 0.71 0.79 0.71 0.79 XXX
pathologist.
88304 26 A Tissue exam by 0.22 0.10 0.18 0.10 0.18 0.01 0.33 0.41 0.33 0.41 XXX
pathologist.
88304 TC A Tissue exam by 0.00 0.36 0.36 0.36 0.36 0.02 0.38 0.38 0.38 0.38 XXX
pathologist.
88305 ......... A Tissue exam by 0.75 0.89 1.01 0.89 1.01 0.05 1.69 1.81 1.69 1.81 XXX
pathologist.
88305 26 A Tissue exam by 0.75 0.34 0.46 0.34 0.46 0.02 1.11 1.23 1.11 1.23 XXX
pathologist.
88305 TC A Tissue exam by 0.00 0.55 0.55 0.55 0.55 0.03 0.58 0.58 0.58 0.58 XXX
pathologist.
88307 ......... A Tissue exam by 1.59 1.52 1.59 1.52 1.59 0.09 3.20 3.27 3.20 3.27 XXX
pathologist.
88307 26 A Tissue exam by 1.59 0.70 0.78 0.70 0.78 0.04 2.33 2.41 2.33 2.41 XXX
pathologist.
88307 TC A Tissue exam by 0.00 0.81 0.81 0.81 0.81 0.05 0.86 0.86 0.86 0.86 XXX
pathologist.
88309 ......... A Tissue exam by 2.28 2.02 2.05 2.02 2.05 0.11 4.41 4.44 4.41 4.44 XXX
pathologist.
88309 26 A Tissue exam by 2.28 1.01 1.04 1.01 1.04 0.06 3.35 3.38 3.35 3.38 XXX
pathologist.
88309 TC A Tissue exam by 0.00 1.02 1.02 1.02 1.02 0.05 1.07 1.07 1.07 1.07 XXX
pathologist.
88311 ......... A Decalcify tissue.. 0.24 0.22 0.23 0.22 0.23 0.01 0.47 0.48 0.47 0.48 XXX
88311 26 A Decalcify tissue.. 0.24 0.11 0.12 0.11 0.12 0.01 0.36 0.37 0.36 0.37 XXX
88311 TC A Decalcify tissue.. 0.00 0.11 0.11 0.11 0.11 0.00 0.11 0.11 0.11 0.11 XXX
88312 ......... A Special stains.... 0.54 0.37 0.33 0.37 0.33 0.01 0.92 0.88 0.92 0.88 XXX
88312 26 A Special stains.... 0.54 0.24 0.20 0.24 0.20 0.01 0.79 0.75 0.79 0.75 XXX
88312 TC A Special stains.... 0.00 0.13 0.13 0.13 0.13 0.00 0.13 0.13 0.13 0.13 XXX
88313 ......... A Special stains.... 0.24 0.22 0.23 0.22 0.23 0.01 0.47 0.48 0.47 0.48 XXX
88313 26 A Special stains.... 0.24 0.11 0.12 0.11 0.12 0.01 0.36 0.37 0.36 0.37 XXX
88313 TC A Special stains.... 0.00 0.11 0.11 0.11 0.11 0.00 0.11 0.11 0.11 0.11 XXX
88314 ......... A Histochemical 0.45 0.49 0.58 0.49 0.58 0.03 0.97 1.06 0.97 1.06 XXX
stain.
88314 26 A Histochemical 0.45 0.20 0.29 0.20 0.29 0.01 0.66 0.75 0.66 0.75 XXX
stain.
88314 TC A Histochemical 0.00 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 XXX
stain.
88318 ......... A Chemical 0.42 0.32 0.29 0.32 0.29 0.01 0.75 0.72 0.75 0.72 XXX
histochemistry.
88318 26 A Chemical 0.42 0.19 0.16 0.19 0.16 0.01 0.62 0.59 0.62 0.59 XXX
histochemistry.
88318 TC A Chemical 0.00 0.13 0.13 0.13 0.13 0.00 0.13 0.13 0.13 0.13 XXX
histochemistry.
88319 ......... A Enzyme 0.53 0.48 0.51 0.48 0.51 0.03 1.04 1.07 1.04 1.07 XXX
histochemistry.
88319 26 A Enzyme 0.53 0.23 0.26 0.23 0.26 0.01 0.77 0.80 0.77 0.80 XXX
histochemistry.
88319 TC A Enzyme 0.00 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 XXX
histochemistry.
88321 ......... A Microslide 1.30 1.02 0.73 0.57 0.51 0.04 2.36 2.07 1.91 1.85 XXX
consultation.
88323 ......... A Microslide 1.35 0.97 0.88 0.97 0.88 0.06 2.38 2.29 2.38 2.29 XXX
consultation.
88323 26 A Microslide 1.35 0.60 0.51 0.60 0.51 0.04 1.99 1.90 1.99 1.90 XXX
consultation.
88323 TC A Microslide 0.00 0.36 0.36 0.36 0.36 0.02 0.38 0.38 0.38 0.38 XXX
consultation.
88325 ......... A Comprehensive 2.22 1.30 0.91 0.97 0.74 0.07 3.59 3.20 3.26 3.03 XXX
review of data.
88329 ......... A Pathology consult 0.67 0.40 0.40 0.30 0.35 0.02 1.09 1.09 0.99 1.04 XXX
in surgery.
88331 ......... A Pathology consult 1.19 1.12 1.16 1.12 1.16 0.06 2.37 2.41 2.37 2.41 XXX
in surgery.
88331 26 A Pathology consult 1.19 0.53 0.57 0.53 0.57 0.03 1.75 1.79 1.75 1.79 XXX
in surgery.
88331 TC A Pathology consult 0.00 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 XXX
in surgery.
88332 ......... A Pathology consult 0.59 0.55 0.58 0.55 0.58 0.04 1.18 1.21 1.18 1.21 XXX
in surgery.
88332 26 A Pathology consult 0.59 0.26 0.29 0.26 0.29 0.02 0.87 0.90 0.87 0.90 XXX
in surgery.
88332 TC A Pathology consult 0.00 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 XXX
in surgery.
88342 ......... A Immunocytochemistr 0.85 0.72 0.71 0.72 0.71 0.04 1.61 1.60 1.61 1.60 XXX
y.
88342 26 A Immunocytochemistr 0.85 0.38 0.37 0.38 0.37 0.02 1.25 1.24 1.25 1.24 XXX
y.
88342 TC A Immunocytochemistr 0.00 0.34 0.34 0.34 0.34 0.02 0.36 0.36 0.36 0.36 XXX
y.
88346 ......... A Immunofluorescent 0.86 0.67 0.65 0.67 0.65 0.04 1.57 1.55 1.57 1.55 XXX
study.
88346 26 A Immunofluorescent 0.86 0.38 0.36 0.38 0.36 0.02 1.26 1.24 1.26 1.24 XXX
study.
88346 TC A Immunofluorescent 0.00 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 XXX
study.
88347 ......... A Immunofluorescent 0.86 0.65 0.55 0.65 0.55 0.04 1.55 1.45 1.55 1.45 XXX
study.
88347 26 A Immunofluorescent 0.86 0.36 0.26 0.36 0.26 0.02 1.24 1.14 1.24 1.14 XXX
study.
88347 TC A Immunofluorescent 0.00 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 XXX
study.
88348 ......... A Electron 1.51 1.86 2.17 1.86 2.17 0.10 3.47 3.78 3.47 3.78 XXX
microscopy.
88348 26 A Electron 1.51 0.66 0.98 0.66 0.98 0.04 2.21 2.53 2.21 2.53 XXX
microscopy.
88348 TC A Electron 0.00 1.20 1.19 1.20 1.19 0.06 1.26 1.25 1.26 1.25 XXX
microscopy.
88349 ......... A Scanning electron 0.76 1.17 1.43 1.17 1.43 0.07 2.00 2.26 2.00 2.26 XXX
microscopy.
88349 26 A Scanning electron 0.76 0.34 0.60 0.34 0.60 0.02 1.12 1.38 1.12 1.38 XXX
microscopy.
88349 TC A Scanning electron 0.00 0.83 0.83 0.83 0.83 0.05 0.88 0.88 0.88 0.88 XXX
microscopy.
88355 ......... A Analysis, skeletal 1.85 1.67 1.78 1.67 1.78 0.11 3.63 3.74 3.63 3.74 XXX
muscle.
88355 26 A Analysis, skeletal 1.85 0.78 0.89 0.78 0.89 0.06 2.69 2.80 2.69 2.80 XXX
muscle.
88355 TC A Analysis, skeletal 0.00 0.90 0.90 0.90 0.90 0.05 0.95 0.95 0.95 0.95 XXX
muscle.
88356 ......... A Analysis, nerve... 3.02 2.63 2.76 2.63 2.76 0.16 5.81 5.94 5.81 5.94 XXX
88356 26 A Analysis, nerve... 3.02 1.24 1.38 1.24 1.38 0.10 4.36 4.50 4.36 4.50 XXX
88356 TC A Analysis, nerve... 0.00 1.39 1.39 1.39 1.39 0.06 1.45 1.45 1.45 1.45 XXX
88358 ......... A Analysis, tumor... 2.82 2.52 2.52 2.52 2.52 0.14 5.48 5.48 5.48 5.48 XXX
88358 26 A Analysis, tumor... 2.82 1.25 1.26 1.25 1.26 0.08 4.15 4.16 4.15 4.16 XXX
88358 TC A Analysis, tumor... 0.00 1.27 1.27 1.27 1.27 0.06 1.33 1.33 1.33 1.33 XXX
88362 ......... A Nerve teasing 2.17 1.98 2.06 1.98 2.06 0.12 4.27 4.35 4.27 4.35 XXX
preparations.
88362 26 A Nerve teasing 2.17 0.91 1.00 0.91 1.00 0.07 3.15 3.24 3.15 3.24 XXX
preparations.
88362 TC A Nerve teasing 0.00 1.07 1.06 1.07 1.06 0.05 1.12 1.11 1.12 1.11 XXX
preparations.
88365 ......... A Tissue 0.93 0.81 0.81 0.81 0.81 0.05 1.79 1.79 1.79 1.79 XXX
hybridization.
88365 26 A Tissue 0.93 0.41 0.41 0.41 0.41 0.03 1.37 1.37 1.37 1.37 XXX
hybridization.
88365 TC A Tissue 0.00 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 XXX
hybridization.
88371 ......... X Protein, western 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blot tissue.
[[Page 39737]]
88371 26 A Protein, western 0.37 0.12 0.17 0.12 0.17 0.01 0.50 0.55 0.50 0.55 XXX
blot tissue.
88372 ......... X Protein analysis w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probe.
88372 26 A Protein analysis w/ 0.37 0.14 0.18 0.14 0.18 0.01 0.52 0.56 0.52 0.56 XXX
probe.
88399 ......... C Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88399 26 C Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88399 TC C Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
89050 ......... X Body fluid cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
89051 ......... X Body fluid cell 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
count.
89060 ......... X Exam,synovial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fluid crystals.
89060 26 A Exam,synovial 0.37 0.17 0.20 0.16 0.19 0.01 0.55 0.58 0.54 0.57 XXX
fluid crystals.
89100 ......... A Sample intestinal 0.60 1.14 0.80 0.21 0.34 0.02 1.76 1.42 0.83 0.96 XXX
contents.
89105 ......... A Sample intestinal 0.50 3.18 1.80 0.17 0.30 0.02 3.70 2.32 0.69 0.82 XXX
contents.
89125 ......... X Specimen fat stain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89130 ......... A Sample stomach 0.45 1.57 1.01 0.14 0.29 0.02 2.04 1.48 0.61 0.76 XXX
contents.
89132 ......... A Sample stomach 0.19 1.54 0.88 0.07 0.14 0.01 1.74 1.08 0.27 0.34 XXX
contents.
89135 ......... A Sample stomach 0.79 0.80 0.72 0.25 0.44 0.03 1.62 1.54 1.07 1.26 XXX
contents.
89136 ......... A Sample stomach 0.21 1.68 0.96 0.08 0.16 0.01 1.90 1.18 0.30 0.38 XXX
contents.
89140 ......... A Sample stomach 0.94 1.42 1.15 0.33 0.61 0.04 2.40 2.13 1.31 1.59 XXX
contents.
89141 ......... A Sample stomach 0.85 2.06 1.43 0.30 0.55 0.03 2.94 2.31 1.18 1.43 XXX
contents.
89160 ......... X Exam feces for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meat fibers.
89190 ......... X Nasal smear for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eosinophils.
89250 ......... X Fertilization of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oocyte.
89251 ......... X Culture oocyte w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
embryos.
89252 ......... X Assist oocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fertilization.
89253 ......... X Embryo hatching... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89254 ......... X Oocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
89255 ......... X Prepare embryo for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transfer.
89256 ......... X Prepare 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cryopreserved
embryo.
89257 ......... X Sperm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identification.
89258 ......... X Cryopreservation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
embryo.
89259 ......... X Cryopreservation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sperm.
89260 ......... X Sperm isolation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
simple.
89261 ......... X Sperm isolation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complex.
89264 ......... X Sperm tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
identify.
89300 ......... X Semen analysis.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89310 ......... X Semen analysis.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89320 ......... X Semen analysis.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89325 ......... X Sperm antibody 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
89329 ......... X Sperm evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
89330 ......... X Evaluation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cervical mucus.
89350 ......... A Sputum specimen 0.00 0.43 0.43 0.43 0.43 0.02 0.45 0.45 0.45 0.45 XXX
collection.
89355 ......... X Exam feces for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
starch.
89360 ......... A Collect sweat for 0.00 0.47 0.47 0.47 0.47 0.02 0.49 0.49 0.49 0.49 XXX
test.
89365 ......... X Water load test... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
89399 ......... C Pathology lab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
89399 26 C Pathology lab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
89399 TC C Pathology lab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
90281 ......... I Human ig, im...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90283 ......... I Human ig, iv...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90287 ......... I Botulinum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitoxin.
90288 ......... I Botulism ig, iv... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90291 ......... I Cmv ig, iv........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90296 ......... E Diphtheria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antitoxin.
90371 ......... X Hepb ig, im....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90375 ......... E Rabies ig, im/sc.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90376 ......... E Rabies ig, heat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treated.
90379 ......... E Rsv ig, iv........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90384 ......... I Rh ig, full-dose, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90385 ......... E Rh ig, minidose, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90386 ......... I Rh ig, iv......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90389 ......... E Tetanus ig, im.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90393 ......... E Vaccina ig, im.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90396 ......... E Varicella-zoster 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ig, im.
90399 ......... I Immune globulin... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90471 ......... X Immunization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
admin, single.
90472 ......... X Immunization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
admin, 2+.
90476 ......... E Adenovirus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, type 4.
90477 ......... E Adenovirus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, type 7.
90581 ......... E Anthrax vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sc.
90585 ......... E Bcg vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
percut.
90586 ......... E Bcg vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intravesical.
90592 ......... E Cholera vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
90632 ......... E Hepa vaccine adult 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90633 ......... E Hepa vaccine ped/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adol-2 dose.
90634 ......... E Hepa vaccine ped/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adol-3 dose.
90636 ......... E Hepa/hepb vaccine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult im.
90645 ......... E Hib vaccine, hboc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90646 ......... E Hib vaccine, prp- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
d, im.
90647 ......... E Hib vaccine, prp- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
omp, im.
90648 ......... E Hib vaccine, prp- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
t, im.
90657 ......... X Flu vaccine, 6-35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mo, im.
90658 ......... X Flu vaccine, 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
yrs, im.
90659 ......... X Flu vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
whole, im.
90660 ......... X Flu vaccine, nasal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 39738]]
90665 ......... E Lyme disease 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, im.
90669 ......... X Pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, ped.
90675 ......... E Rabies vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90676 ......... E Rabies vaccine, id 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90680 ......... E Rotovirus vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
90690 ......... E Typhoid vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
90691 ......... E Typhoid vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90692 ......... E Typhoid vaccine, h- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
p, sc/id.
90693 ......... E Typhoid vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
akd, sc.
90700 ......... E Dtap vaccine, im.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90701 ......... E Dtp vaccine, im... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90702 ......... E Dt vaccine, im.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90703 ......... E Tetanus vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90704 ......... E Mumps vaccine, sc. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90705 ......... E Measles vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sc.
90706 ......... E Rubella vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sc.
90707 ......... E Mmr vaccine, sc... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90708 ......... E Measles-rubella 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine sc.
90709 ......... E Rubella & mumps 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine sc.
90710 ......... E Mmrv vaccine, sc.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90712 ......... E Oral poliovirus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
90713 ......... E Poliovirus, ipv, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sc.
90716 ......... E Chicken pox 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90717 ......... E Yellow fever 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90718 ......... E Td vaccine, im.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90719 ......... E Diphtheria 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, im.
90720 ......... E Dtp/hib vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90721 ......... E Dtap/hib vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90725 ......... E Cholera vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injectable.
90727 ......... E Plague vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90732 ......... X Pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, adult.
90733 ......... E Meningococcal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90735 ......... E Encephalitis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, sc.
90744 ......... X Hepb vaccine, ped/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adol, im.
90745 ......... X Hepb vaccine, adol/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
risk, im.
90746 ......... X Hepb vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult, im.
90747 ......... X Hepb vaccine, ill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pat, im.
90748 ......... E Hepb/hib vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90749 ......... E Vaccine toxoid.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90780 ......... A IV infusion 0.00 1.17 1.16 1.17 1.16 0.06 1.23 1.22 1.23 1.22 XXX
therapy, 1 hour.
90781 ......... A IV infusion, 0.00 0.58 0.58 0.58 0.58 0.03 0.61 0.61 0.61 0.61 ZZZ
additional hour.
90782 ......... T Injection (SC)/ 0.00 0.11 0.11 0.11 0.11 0.01 0.12 0.12 0.12 0.12 XXX
(IM).
90783 ......... T Injection (IA).... 0.00 0.43 0.43 0.43 0.43 0.02 0.45 0.45 0.45 0.45 XXX
90784 ......... T Injection (IV).... 0.00 0.49 0.49 0.49 0.49 0.03 0.52 0.52 0.52 0.52 XXX
90788 ......... T Injection of 0.00 0.12 0.12 0.12 0.12 0.01 0.13 0.13 0.13 0.13 XXX
antibiotic.
90799 ......... C Therapeutic/diag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
90801 ......... A Psy dx interview.. 2.80 1.13 0.93 0.91 0.82 0.08 4.01 3.81 3.79 3.70 XXX
90802 ......... A Intac psy dx 3.01 1.24 0.83 0.99 0.70 0.08 4.33 3.92 4.08 3.79 XXX
interview.
90804 ......... A Psytx, office (20- 1.21 0.53 0.46 0.40 0.39 0.03 1.77 1.70 1.64 1.63 XXX
30).
90805 ......... A Psytx, office (20- 1.37 0.56 0.47 0.44 0.41 0.04 1.97 1.88 1.85 1.82 XXX
30) w/e&m.
90806 ......... A Psytx, office (45- 1.86 0.79 0.69 0.64 0.62 0.05 2.70 2.60 2.55 2.53 XXX
50).
90807 ......... A Psytx, office (45- 2.02 0.76 0.68 0.65 0.62 0.05 2.83 2.75 2.72 2.69 XXX
50) w/e&m.
90808 ......... A Psytx, office (75- 2.79 1.14 1.14 0.95 1.05 0.08 4.01 4.01 3.82 3.92 XXX
80).
90809 ......... A Psytx, office (75- 2.95 1.08 1.11 0.95 1.05 0.08 4.11 4.14 3.98 4.08 XXX
80) w/e&m.
90810 ......... A Intac psytx, 1.32 0.56 0.60 0.44 0.54 0.03 1.91 1.95 1.79 1.89 XXX
office (20-30).
90811 ......... A Intac psytx, off 1.48 0.58 0.61 0.46 0.55 0.04 2.10 2.13 1.98 2.07 XXX
20-30 w/e&m.
90812 ......... A Intac psytx, 1.97 0.87 0.76 0.65 0.65 0.05 2.89 2.78 2.67 2.67 XXX
office (45-50).
90813 ......... A Intac psytx, off 2.13 0.81 0.73 0.66 0.65 0.06 3.00 2.92 2.85 2.84 XXX
45-50 w/e&m.
90814 ......... A Intac psytx, 2.90 1.22 0.93 1.05 0.85 0.08 4.20 3.91 4.03 3.83 XXX
office (75-80).
90815 ......... A Intac psytx, off 3.06 1.16 0.90 0.94 0.79 0.08 4.30 4.04 4.08 3.93 XXX
75-80 w/e&m.
90816 ......... A Psytx, hosp (20- 1.25 0.60 0.49 0.43 0.41 0.03 1.88 1.77 1.71 1.69 XXX
30).
90817 ......... A Psytx, hosp (20- 1.41 0.60 0.49 0.43 0.41 0.04 2.05 1.94 1.88 1.86 XXX
30) w/e&m.
90818 ......... A Psytx, hosp (45- 1.89 0.83 0.71 0.67 0.63 0.05 2.77 2.65 2.61 2.57 XXX
50).
90819 ......... A Psytx, hosp (45- 2.05 0.83 0.71 0.63 0.61 0.05 2.93 2.81 2.73 2.71 XXX
50) w/e&m.
90821 ......... A Psytx, hosp (75- 2.83 1.18 1.16 0.96 1.05 0.08 4.09 4.07 3.87 3.96 XXX
80).
90822 ......... A Psytx, hosp (75- 2.99 1.13 1.14 0.92 1.03 0.08 4.20 4.21 3.99 4.10 XXX
80) w/e&m.
90823 ......... A Intac psytx, hosp 1.36 0.70 0.67 0.45 0.55 0.04 2.10 2.07 1.85 1.95 XXX
(20-30).
90824 ......... A Intac psytx, hsp 1.52 0.67 0.66 0.46 0.55 0.04 2.23 2.22 2.02 2.11 XXX
20-30 w/e&m.
90826 ......... A Intac psytx, hosp 2.01 0.95 0.80 0.68 0.66 0.05 3.01 2.86 2.74 2.72 XXX
(45-50).
90827 ......... A Intac psytx, hsp 2.16 0.88 0.76 0.66 0.65 0.06 3.10 2.98 2.88 2.87 XXX
45-50 w/e&m.
90828 ......... A Intac psytx, hosp 2.94 1.30 0.97 0.98 0.81 0.08 4.32 3.99 4.00 3.83 XXX
(75-80).
90829 ......... A Intac psytx, hsp 3.10 1.18 0.91 0.94 0.79 0.08 4.36 4.09 4.12 3.97 XXX
75-80 w/e&m.
90845 ......... A Psychoanalysis.... 1.79 0.68 0.56 0.54 0.49 0.05 2.52 2.40 2.38 2.33 XXX
90846 ......... R Family psytx w/o 1.83 0.77 0.72 0.61 0.64 0.05 2.65 2.60 2.49 2.52 XXX
patient.
90847 ......... R Family psytx w/ 2.21 0.86 0.75 0.73 0.68 0.06 3.13 3.02 3.00 2.95 XXX
patient.
90849 ......... R Multiple family 0.59 0.37 0.33 0.20 0.24 0.02 0.98 0.94 0.81 0.85 XXX
group psytx.
90853 ......... A Group 0.59 0.35 0.32 0.20 0.24 0.02 0.96 0.93 0.81 0.85 XXX
psychotherapy.
90857 ......... A Intac group psytx. 0.63 0.36 0.26 0.22 0.19 0.02 1.01 0.91 0.87 0.84 XXX
90862 ......... A Medication 0.95 0.42 0.41 0.29 0.35 0.03 1.40 1.39 1.27 1.33 XXX
management.
90865 ......... A Narcosynthesis.... 2.84 4.63 2.59 0.87 0.71 0.10 7.57 5.53 3.81 3.65 XXX
90870 ......... A Electroconvulsive 1.88 0.70 0.65 0.57 0.59 0.05 2.63 2.58 2.50 2.52 000
therapy.
90871 ......... A Electroconvulsive 2.72 NA NA 0.83 0.87 0.07 NA NA 3.62 3.66 000
therapy.
90875 ......... N Psychophysiologica +1.20 0.80 0.80 0.46 0.46 0.03 2.03 2.03 1.69 1.69 XXX
l therapy.
90876 ......... N Psychophysiologica +1.90 1.06 1.06 0.73 0.73 0.05 3.01 3.01 2.68 2.68 XXX
l therapy.
[[Page 39739]]
90880 ......... A Hypnotherapy...... 2.19 0.90 0.80 0.69 0.69 0.06 3.15 3.05 2.94 2.94 XXX
90882 ......... N Environmental 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manipulation.
90885 ......... B Psy evaluation of 0.97 0.37 0.36 0.37 0.36 0.03 1.37 1.36 1.37 1.36 XXX
records.
90887 ......... B Consultation with 1.48 0.76 0.56 0.57 0.47 0.04 2.28 2.08 2.09 1.99 XXX
family.
90889 ......... B Preparation of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
report.
90899 ......... C Psychiatric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service/therapy.
90901 ......... A Biofeedback, any 0.41 0.86 0.96 0.44 0.75 0.02 1.29 1.39 0.87 1.18 000
method.
90911 ......... A Biofeedback peri/ 0.89 0.72 0.98 0.36 0.80 0.05 1.66 1.92 1.30 1.74 000
uro/rectal.
90918 ......... A ESRD related 11.18 5.02 3.70 4.10 3.24 0.51 16.71 15.39 15.79 14.93 XXX
services, month.
90919 ......... A ESRD related 8.54 4.02 3.20 3.17 2.78 0.42 12.98 12.16 12.13 11.74 XXX
services, month.
90920 ......... A ESRD related 7.27 3.43 2.91 2.67 2.53 0.40 11.10 10.58 10.34 10.20 XXX
services, month.
90921 ......... A ESRD related 4.47 2.42 2.40 1.71 2.05 0.28 7.17 7.15 6.46 6.80 XXX
services, month.
90922 ......... A ESRD related 0.37 0.14 0.11 0.12 0.10 0.02 0.53 0.50 0.51 0.49 XXX
services, day.
90923 ......... A Esrd related 0.28 0.13 0.11 0.10 0.09 0.01 0.42 0.40 0.39 0.38 XXX
services, day.
90924 ......... A Esrd related 0.24 0.11 0.10 0.09 0.09 0.01 0.36 0.35 0.34 0.34 XXX
services, day.
90925 ......... A Esrd related 0.15 0.08 0.08 0.06 0.07 0.01 0.24 0.24 0.22 0.23 XXX
services, day.
90935 ......... A Hemodialysis, one 1.22 NA NA 0.38 0.92 0.08 NA NA 1.68 2.22 000
evaluation.
90937 ......... A Hemodialysis, 2.11 NA NA 0.65 1.59 0.12 NA NA 2.88 3.82 000
repeated eval..
90945 ......... A Dialysis, one 1.28 NA NA 0.40 0.89 0.08 NA NA 1.76 2.25 000
evaluation.
90947 ......... A Dialysis, repeated 2.16 NA NA 0.67 1.47 0.13 NA NA 2.96 3.76 000
eval..
90989 ......... X Dialysis training/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
90993 ......... X Dialysis training/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
incomplete.
90997 ......... A Hemoperfusion..... 1.84 NA NA 0.59 1.39 0.10 NA NA 2.53 3.33 000
90999 ......... C Dialysis procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
91000 ......... A Esophageal 0.73 0.33 0.53 0.33 0.53 0.03 1.09 1.29 1.09 1.29 000
intubation.
91000 26 A Esophageal 0.73 0.25 0.45 0.25 0.45 0.02 1.00 1.20 1.00 1.20 000
intubation.
91000 TC A Esophageal 0.00 0.08 0.08 0.08 0.08 0.01 0.09 0.09 0.09 0.09 000
intubation.
91010 ......... A Esophagus motility 1.25 1.29 1.82 1.29 1.82 0.09 2.63 3.16 2.63 3.16 000
study.
91010 26 A Esophagus motility 1.25 0.43 0.97 0.43 0.97 0.04 1.72 2.26 1.72 2.26 000
study.
91010 TC A Esophagus motility 0.00 0.86 0.86 0.86 0.86 0.05 0.91 0.91 0.91 0.91 000
study.
91011 ......... A Esophagus motility 1.50 1.60 2.23 1.60 2.23 0.10 3.20 3.83 3.20 3.83 000
study.
91011 26 A Esophagus motility 1.50 0.52 1.16 0.52 1.16 0.05 2.07 2.71 2.07 2.71 000
study.
91011 TC A Esophagus motility 0.00 1.08 1.07 1.08 1.07 0.05 1.13 1.12 1.13 1.12 000
study.
91012 ......... A Esophagus motility 1.46 1.72 2.33 1.72 2.33 0.12 3.30 3.91 3.30 3.91 000
study.
91012 26 A Esophagus motility 1.46 0.51 1.13 0.51 1.13 0.06 2.03 2.65 2.03 2.65 000
study.
91012 TC A Esophagus motility 0.00 1.21 1.20 1.21 1.20 0.06 1.27 1.26 1.27 1.26 000
study.
91020 ......... A Gastric motility.. 1.44 1.29 1.90 1.29 1.90 0.11 2.84 3.45 2.84 3.45 000
91020 26 A Gastric motility.. 1.44 0.49 1.10 0.49 1.10 0.06 1.99 2.60 1.99 2.60 000
91020 TC A Gastric motility.. 0.00 0.80 0.80 0.80 0.80 0.05 0.85 0.85 0.85 0.85 000
91030 ......... A Acid perfusion of 0.91 0.55 0.58 0.55 0.58 0.05 1.51 1.54 1.51 1.54 000
esophagus.
91030 26 A Acid perfusion of 0.91 0.32 0.35 0.32 0.35 0.03 1.26 1.29 1.26 1.29 000
esophagus.
91030 TC A Acid perfusion of 0.00 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 000
esophagus.
91032 ......... A Esophagus, acid 1.21 1.20 1.67 1.20 1.67 0.10 2.51 2.98 2.51 2.98 000
reflux test.
91032 26 A Esophagus, acid 1.21 0.42 0.89 0.42 0.89 0.05 1.68 2.15 1.68 2.15 000
reflux test.
91032 TC A Esophagus, acid 0.00 0.77 0.77 0.77 0.77 0.05 0.82 0.82 0.82 0.82 000
reflux test.
91033 ......... A Prolonged acid 1.30 1.86 2.40 1.86 2.40 0.14 3.30 3.84 3.30 3.84 000
reflux test.
91033 26 A Prolonged acid 1.30 0.45 1.00 0.45 1.00 0.05 1.80 2.35 1.80 2.35 000
reflux test.
91033 TC A Prolonged acid 0.00 1.41 1.40 1.41 1.40 0.09 1.50 1.49 1.50 1.49 000
reflux test.
91052 ......... A Gastric analysis 0.79 0.63 0.76 0.63 0.76 0.05 1.47 1.60 1.47 1.60 000
test.
91052 26 A Gastric analysis 0.79 0.27 0.41 0.27 0.41 0.03 1.09 1.23 1.09 1.23 000
test.
91052 TC A Gastric analysis 0.00 0.35 0.35 0.35 0.35 0.02 0.37 0.37 0.37 0.37 000
test.
91055 ......... A Gastric intubation 0.94 0.59 0.73 0.59 0.73 0.07 1.60 1.74 1.60 1.74 000
for smear.
91055 26 A Gastric intubation 0.94 0.27 0.41 0.27 0.41 0.05 1.26 1.40 1.26 1.40 000
for smear.
91055 TC A Gastric intubation 0.00 0.32 0.32 0.32 0.32 0.02 0.34 0.34 0.34 0.34 000
for smear.
91060 ......... A Gastric saline 0.45 0.36 0.57 0.36 0.57 0.04 0.85 1.06 0.85 1.06 000
load test.
91060 26 A Gastric saline 0.45 0.13 0.34 0.13 0.34 0.02 0.60 0.81 0.60 0.81 000
load test.
91060 TC A Gastric saline 0.00 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 000
load test.
91065 ......... A Breath hydrogen 0.20 0.44 0.53 0.44 0.53 0.03 0.67 0.76 0.67 0.76 000
test.
91065 26 A Breath hydrogen 0.20 0.07 0.16 0.07 0.16 0.01 0.28 0.37 0.28 0.37 000
test.
91065 TC A Breath hydrogen 0.00 0.37 0.37 0.37 0.37 0.02 0.39 0.39 0.39 0.39 000
test.
91100 ......... A Pass intestine 1.08 NA NA 0.28 0.45 0.07 NA NA 1.43 1.60 000
bleeding tube.
91105 ......... A Gastric intubation 0.37 NA NA 0.09 0.27 0.02 NA NA 0.48 0.66 000
treatment.
91122 ......... A Anal pressure 1.77 1.36 1.62 1.36 1.62 0.19 3.32 3.58 3.32 3.58 000
record.
91122 26 A Anal pressure 1.77 0.63 0.89 0.63 0.89 0.12 2.52 2.78 2.52 2.78 000
record.
91122 TC A Anal pressure 0.00 0.73 0.73 0.73 0.73 0.07 0.80 0.80 0.80 0.80 000
record.
91299 ......... C Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
91299 26 C Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
91299 TC C Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92002 ......... A Eye exam, new 0.88 1.06 0.80 0.35 0.31 0.03 1.97 1.71 1.26 1.22 XXX
patient.
92004 ......... A Eye exam, new 1.67 1.67 1.15 0.69 0.50 0.06 3.40 2.88 2.42 2.23 XXX
patient.
92012 ......... A Eye exam 0.67 1.43 0.96 0.31 0.28 0.02 2.12 1.65 1.00 0.97 XXX
established pt.
92014 ......... A Eye exam & 1.10 1.33 0.96 0.49 0.40 0.04 2.47 2.10 1.63 1.54 XXX
treatment.
92015 ......... N Refraction........ +0.38 1.27 0.81 0.15 0.25 0.01 1.66 1.20 0.54 0.64 XXX
92018 ......... A New eye exam & 1.51 NA NA 0.71 0.61 0.05 NA NA 2.27 2.17 XXX
treatment.
92019 ......... A Eye exam & 1.31 NA NA 0.56 0.41 0.05 NA NA 1.92 1.77 XXX
treatment.
92020 ......... A Special eye 0.37 0.55 0.43 0.18 0.17 0.01 0.93 0.81 0.56 0.55 XXX
evaluation.
92060 ......... A Special eye 0.69 0.51 0.47 0.51 0.47 0.03 1.23 1.19 1.23 1.19 XXX
evaluation.
92060 26 A Special eye 0.69 0.30 0.27 0.30 0.27 0.02 1.01 0.98 1.01 0.98 XXX
evaluation.
92060 TC A Special eye 0.00 0.20 0.20 0.20 0.20 0.01 0.21 0.21 0.21 0.21 XXX
evaluation.
92065 ......... A Orthoptic/pleoptic 0.37 0.36 0.38 0.36 0.38 0.01 0.74 0.76 0.74 0.76 XXX
training.
92065 26 A Orthoptic/pleoptic 0.37 0.19 0.21 0.19 0.21 0.01 0.57 0.59 0.57 0.59 XXX
training.
92065 TC A Orthoptic/pleoptic 0.00 0.17 0.17 0.17 0.17 0.00 0.17 0.17 0.17 0.17 XXX
training.
92070 ......... A Fitting of contact 0.70 0.95 1.13 0.35 0.50 0.02 1.67 1.85 1.07 1.22 XXX
lens.
92081 ......... A Visual field 0.36 0.32 0.33 0.32 0.33 0.01 0.69 0.70 0.69 0.70 XXX
examination(s).
[[Page 39740]]
92081 26 A Visual field 0.36 0.16 0.17 0.16 0.17 0.01 0.53 0.54 0.53 0.54 XXX
examination(s).
92081 TC A Visual field 0.00 0.16 0.16 0.16 0.16 0.00 0.16 0.16 0.16 0.16 XXX
examination(s).
92082 ......... A Visual field 0.44 0.42 0.48 0.42 0.48 0.02 0.88 0.94 0.88 0.94 XXX
examination(s).
92082 26 A Visual field 0.44 0.21 0.27 0.21 0.27 0.01 0.66 0.72 0.66 0.72 XXX
examination(s).
92082 TC A Visual field 0.00 0.21 0.21 0.21 0.21 0.01 0.22 0.22 0.22 0.22 XXX
examination(s).
92083 ......... A Visual field 0.50 0.56 0.73 0.56 0.73 0.03 1.09 1.26 1.09 1.26 XXX
examination(s).
92083 26 A Visual field 0.50 0.25 0.43 0.25 0.43 0.02 0.77 0.95 0.77 0.95 XXX
examination(s).
92083 TC A Visual field 0.00 0.31 0.31 0.31 0.31 0.01 0.32 0.32 0.32 0.32 XXX
examination(s).
92100 ......... A Serial tonometry 0.92 0.74 0.51 0.33 0.24 0.03 1.69 1.46 1.28 1.19 XXX
exam(s).
92120 ......... A Tonography & eye 0.81 0.75 0.55 0.35 0.26 0.03 1.59 1.39 1.19 1.10 XXX
evaluation.
92130 ......... A Water provocation 0.81 0.85 0.69 0.41 0.34 0.03 1.69 1.53 1.25 1.18 XXX
tonography.
92135 ......... A Opthalmic dx 0.35 0.48 0.48 0.48 0.48 0.02 0.85 0.85 0.85 0.85 XXX
imaging.
92135 26 A Opthalmic dx 0.35 0.17 0.17 0.17 0.17 0.01 0.53 0.53 0.53 0.53 XXX
imaging.
92135 TC A Opthalmic dx 0.00 0.31 0.31 0.31 0.31 0.01 0.32 0.32 0.32 0.32 XXX
imaging.
92140 ......... A Glaucoma 0.50 0.86 0.60 0.24 0.21 0.02 1.38 1.12 0.76 0.73 XXX
provocative tests.
92225 ......... A Special eye exam, 0.38 1.12 0.81 0.16 0.21 0.01 1.51 1.20 0.55 0.60 XXX
initial.
92226 ......... A Special eye exam, 0.33 1.18 0.81 0.15 0.19 0.01 1.52 1.15 0.49 0.53 XXX
subsequent.
92230 ......... A Eye exam with 0.60 2.13 1.44 0.21 0.30 0.02 2.75 2.06 0.83 0.92 XXX
photos.
92235 ......... A Eye exam with 0.81 1.49 1.60 1.49 1.60 0.08 2.38 2.49 2.38 2.49 XXX
photos.
92235 26 A Eye exam with 0.81 0.41 0.53 0.41 0.53 0.03 1.25 1.37 1.25 1.37 XXX
photos.
92235 TC A Eye exam with 0.00 1.09 1.08 1.09 1.08 0.05 1.14 1.13 1.14 1.13 XXX
photos.
92240 ......... A Icg angiography... 1.10 1.64 1.68 1.64 1.68 0.09 2.83 2.87 2.83 2.87 XXX
92240 26 A Icg angiography... 1.10 0.56 0.60 0.56 0.60 0.04 1.70 1.74 1.70 1.74 XXX
92240 TC A Icg angiography... 0.00 1.09 1.08 1.09 1.08 0.05 1.14 1.13 1.14 1.13 XXX
92250 ......... A Eye exam with 0.44 0.41 0.43 0.41 0.43 0.02 0.87 0.89 0.87 0.89 XXX
photos.
92250 26 A Eye exam with 0.44 0.22 0.25 0.22 0.25 0.01 0.67 0.70 0.67 0.70 XXX
photos.
92250 TC A Eye exam with 0.00 0.19 0.19 0.19 0.19 0.01 0.20 0.20 0.20 0.20 XXX
photos.
92260 ......... A Ophthalmoscopy/ 0.20 0.19 0.39 0.08 0.19 0.01 0.40 0.60 0.29 0.40 XXX
dynamometry.
92265 ......... A Eye muscle 0.81 0.50 0.41 0.50 0.41 0.05 1.36 1.27 1.36 1.27 XXX
evaluation.
92265 26 A Eye muscle 0.81 0.25 0.17 0.25 0.17 0.03 1.09 1.01 1.09 1.01 XXX
evaluation.
92265 TC A Eye muscle 0.00 0.24 0.24 0.24 0.24 0.02 0.26 0.26 0.26 0.26 XXX
evaluation.
92270 ......... A Electro- 0.81 0.65 0.69 0.65 0.69 0.05 1.51 1.55 1.51 1.55 XXX
oculography.
92270 26 A Electro- 0.81 0.32 0.36 0.32 0.36 0.03 1.16 1.20 1.16 1.20 XXX
oculography.
92270 TC A Electro- 0.00 0.33 0.33 0.33 0.33 0.02 0.35 0.35 0.35 0.35 XXX
oculography.
92275 ......... A Electroretinograph 1.01 0.87 0.92 0.87 0.92 0.06 1.94 1.99 1.94 1.99 XXX
y.
92275 26 A Electroretinograph 1.01 0.44 0.50 0.44 0.50 0.04 1.49 1.55 1.49 1.55 XXX
y.
92275 TC A Electroretinograph 0.00 0.43 0.43 0.43 0.43 0.02 0.45 0.45 0.45 0.45 XXX
y.
92283 ......... A Color vision 0.17 0.20 0.26 0.20 0.26 0.01 0.38 0.44 0.38 0.44 XXX
examination.
92283 26 A Color vision 0.17 0.07 0.13 0.07 0.13 0.01 0.25 0.31 0.25 0.31 XXX
examination.
92283 TC A Color vision 0.00 0.13 0.13 0.13 0.13 0.00 0.13 0.13 0.13 0.13 XXX
examination.
92284 ......... A Dark adaptation 0.24 0.27 0.38 0.27 0.38 0.02 0.53 0.64 0.53 0.64 XXX
eye exam.
92284 26 A Dark adaptation 0.24 0.08 0.19 0.08 0.19 0.01 0.33 0.44 0.33 0.44 XXX
eye exam.
92284 TC A Dark adaptation 0.00 0.19 0.19 0.19 0.19 0.01 0.20 0.20 0.20 0.20 XXX
eye exam.
92285 ......... A Eye photography... 0.20 0.22 0.27 0.22 0.27 0.01 0.43 0.48 0.43 0.48 XXX
92285 26 A Eye photography... 0.20 0.09 0.15 0.09 0.15 0.01 0.30 0.36 0.30 0.36 XXX
92285 TC A Eye photography... 0.00 0.12 0.12 0.12 0.12 0.00 0.12 0.12 0.12 0.12 XXX
92286 ......... A Internal eye 0.66 0.75 1.04 0.75 1.04 0.04 1.45 1.74 1.45 1.74 XXX
photography.
92286 26 A Internal eye 0.66 0.32 0.61 0.32 0.61 0.02 1.00 1.29 1.00 1.29 XXX
photography.
92286 TC A Internal eye 0.00 0.43 0.43 0.43 0.43 0.02 0.45 0.45 0.45 0.45 XXX
photography.
92287 ......... A Internal eye 0.81 3.16 2.41 0.33 0.58 0.03 4.00 3.25 1.17 1.42 XXX
photography.
92310 ......... N Contact lens +1.17 0.93 1.17 0.45 0.93 0.05 2.15 2.39 1.67 2.15 XXX
fitting.
92311 ......... A Contact lens 1.08 0.99 0.99 0.40 0.45 0.04 2.11 2.11 1.52 1.57 XXX
fitting.
92312 ......... A Contact lens 1.26 0.96 1.11 0.58 0.61 0.05 2.27 2.42 1.89 1.92 XXX
fitting.
92313 ......... A Contact lens 0.92 0.88 0.92 0.27 0.38 0.03 1.83 1.87 1.22 1.33 XXX
fitting.
92314 ......... N Prescription of +0.69 0.75 0.79 0.26 0.54 0.03 1.47 1.51 0.98 1.26 XXX
contact lens.
92315 ......... A Prescription of 0.45 0.69 0.71 0.16 0.26 0.02 1.16 1.18 0.63 0.73 XXX
contact lens.
92316 ......... A Prescription of 0.68 0.77 0.90 0.35 0.44 0.02 1.47 1.60 1.05 1.14 XXX
contact lens.
92317 ......... A Prescription of 0.45 0.84 0.63 0.17 0.19 0.01 1.30 1.09 0.63 0.65 XXX
contact lens.
92325 ......... A Modification of 0.00 0.41 0.41 0.41 0.41 0.01 0.42 0.42 0.42 0.42 XXX
contact lens.
92326 ......... A Replacement of 0.00 1.71 1.70 1.71 1.70 0.05 1.76 1.75 1.76 1.75 XXX
contact lens.
92330 ......... A Fitting of 1.08 0.85 1.04 0.38 0.50 0.04 1.97 2.16 1.50 1.62 XXX
artificial eye.
92335 ......... A Fitting of 0.45 0.79 1.47 0.15 0.61 0.02 1.26 1.94 0.62 1.08 XXX
artificial eye.
92340 ......... N Fitting of +0.37 0.55 0.51 0.14 0.29 0.01 0.93 0.89 0.52 0.67 XXX
spectacles.
92341 ......... N Fitting of +0.47 0.59 0.59 0.18 0.37 0.02 1.08 1.08 0.67 0.86 XXX
spectacles.
92342 ......... N Fitting of +0.53 0.61 0.63 0.20 0.42 0.02 1.16 1.18 0.75 0.97 XXX
spectacles.
92352 ......... B Special spectacles 0.37 0.55 0.44 0.14 0.24 0.01 0.93 0.82 0.52 0.62 XXX
fitting.
92353 ......... B Special spectacles 0.50 0.60 0.52 0.19 0.31 0.02 1.12 1.04 0.71 0.83 XXX
fitting.
92354 ......... B Special spectacles 0.00 9.26 9.21 9.26 9.21 0.08 9.34 9.29 9.34 9.29 XXX
fitting.
92355 ......... B Special spectacles 0.00 4.53 4.51 4.53 4.51 0.01 4.54 4.52 4.54 4.52 XXX
fitting.
92358 ......... B Eye prosthesis 0.00 1.01 1.01 1.01 1.01 0.04 1.05 1.05 1.05 1.05 XXX
service.
92370 ......... N Repair & adjust +0.32 0.41 0.40 0.12 0.25 0.01 0.74 0.73 0.45 0.58 XXX
spectacles.
92371 ......... B Repair & adjust 0.00 0.64 0.64 0.64 0.64 0.02 0.66 0.66 0.66 0.66 XXX
spectacles.
92390 ......... N Supply of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spectacles.
92391 ......... N Supply of contact 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lenses.
92392 ......... I Supply of low 0.00 4.23 4.21 4.23 4.21 0.02 4.25 4.23 4.25 4.23 XXX
vision aids.
92393 ......... I Supply of 0.00 13.12 13.05 13.12 13.05 0.52 13.64 13.57 13.64 13.57 XXX
artificial eye.
92395 ......... I Supply of 0.00 1.44 1.43 1.44 1.43 0.08 1.52 1.51 1.52 1.51 XXX
spectacles.
92396 ......... I Supply of contact 0.00 2.40 2.39 2.40 2.39 0.06 2.46 2.45 2.46 2.45 XXX
lenses.
92499 ......... C Eye service or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92499 26 C Eye service or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92499 TC C Eye service or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92502 ......... A Ear and throat 1.51 NA NA 1.21 1.22 0.05 NA NA 2.77 2.78 000
examination.
92504 ......... A Ear microscopy 0.18 0.80 0.54 0.10 0.12 0.01 0.99 0.73 0.29 0.31 XXX
examination.
92506 ......... A Speech & hearing 0.86 1.14 0.85 0.39 0.34 0.03 2.03 1.74 1.28 1.23 XXX
evaluation.
[[Page 39741]]
92507 ......... A Speech/hearing 0.52 1.11 0.74 0.22 0.20 0.02 1.65 1.28 0.76 0.74 XXX
therapy.
92508 ......... A Speech/hearing 0.26 0.85 0.53 0.16 0.13 0.01 1.12 0.80 0.43 0.40 XXX
therapy.
92510 ......... A Rehab for ear 1.50 1.58 1.53 0.83 0.79 0.05 3.13 3.08 2.38 2.34 XXX
implant.
92511 ......... A Nasopharyngoscopy. 0.84 0.98 0.95 0.44 0.45 0.03 1.85 1.82 1.31 1.32 000
92512 ......... A Nasal function 0.55 0.96 0.74 0.17 0.22 0.02 1.53 1.31 0.74 0.79 XXX
studies.
92516 ......... A Facial nerve 0.43 0.75 0.59 0.20 0.21 0.01 1.19 1.03 0.64 0.65 XXX
function test.
92520 ......... A Laryngeal function 0.76 0.56 0.57 0.38 0.34 0.03 1.35 1.36 1.17 1.13 XXX
studies.
92525 ......... A Oral function 1.50 1.45 1.28 0.69 0.63 0.05 3.00 2.83 2.24 2.18 XXX
evaluation.
92526 ......... A Oral function 0.55 1.24 0.88 0.18 0.22 0.02 1.81 1.45 0.75 0.79 XXX
therapy.
92531 ......... B Spontaneous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nystagmus study.
92532 ......... B Positional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nystagmus study.
92533 ......... B Caloric vestibular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
92534 ......... B Optokinetic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nystagmus.
92541 ......... A Spontaneous 0.40 0.43 0.58 0.43 0.58 0.03 0.86 1.01 0.86 1.01 XXX
nystagmus test.
92541 26 A Spontaneous 0.40 0.19 0.34 0.19 0.34 0.01 0.60 0.75 0.60 0.75 XXX
nystagmus test.
92541 TC A Spontaneous 0.00 0.24 0.24 0.24 0.24 0.02 0.26 0.26 0.26 0.26 XXX
nystagmus test.
92542 ......... A Positional 0.33 0.43 0.55 0.43 0.55 0.03 0.79 0.91 0.79 0.91 XXX
nystagmus test.
92542 26 A Positional 0.33 0.16 0.28 0.16 0.28 0.01 0.50 0.62 0.50 0.62 XXX
nystagmus test.
92542 TC A Positional 0.00 0.27 0.27 0.27 0.27 0.02 0.29 0.29 0.29 0.29 XXX
nystagmus test.
92543 ......... A Caloric vestibular 0.10 0.16 0.20 0.16 0.20 0.01 0.27 0.31 0.27 0.31 XXX
test.
92543 26 A Caloric vestibular 0.10 0.05 0.09 0.05 0.09 0.00 0.15 0.19 0.15 0.19 XXX
test.
92543 TC A Caloric vestibular 0.00 0.11 0.11 0.11 0.11 0.01 0.12 0.12 0.12 0.12 XXX
test.
92544 ......... A Optokinetic 0.26 0.34 0.43 0.34 0.43 0.03 0.63 0.72 0.63 0.72 XXX
nystagmus test.
92544 26 A Optokinetic 0.26 0.12 0.21 0.12 0.21 0.01 0.39 0.48 0.39 0.48 XXX
nystagmus test.
92544 TC A Optokinetic 0.00 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 XXX
nystagmus test.
92545 ......... A Oscillating 0.23 0.33 0.39 0.33 0.39 0.03 0.59 0.65 0.59 0.65 XXX
tracking test.
92545 26 A Oscillating 0.23 0.11 0.17 0.11 0.17 0.01 0.35 0.41 0.35 0.41 XXX
tracking test.
92545 TC A Oscillating 0.00 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 XXX
tracking test.
92546 ......... A Sinusoidal 0.29 0.38 0.48 0.38 0.48 0.03 0.70 0.80 0.70 0.80 XXX
rotational test.
92546 26 A Sinusoidal 0.29 0.13 0.23 0.13 0.23 0.01 0.43 0.53 0.43 0.53 XXX
rotational test.
92546 TC A Sinusoidal 0.00 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 XXX
rotational test.
92547 ......... A Supplemental 0.00 0.58 0.58 0.58 0.58 0.05 0.63 0.63 0.63 0.63 ZZZ
electrical test.
92548 ......... A Posturography..... 0.50 1.81 1.91 1.81 1.91 0.13 2.44 2.54 2.44 2.54 XXX
92548 26 A Posturography..... 0.50 0.27 0.38 0.27 0.38 0.02 0.79 0.90 0.79 0.90 XXX
92548 TC A Posturography..... 0.00 1.54 1.53 1.54 1.53 0.11 1.65 1.64 1.65 1.64 XXX
92551 ......... N Pure tone hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, air.
92552 ......... A Pure tone 0.00 0.46 0.46 0.46 0.46 0.03 0.49 0.49 0.49 0.49 XXX
audiometry, air.
92553 ......... A Audiometry, air & 0.00 0.69 0.69 0.69 0.69 0.05 0.74 0.74 0.74 0.74 XXX
bone.
92555 ......... A Speech threshold 0.00 0.39 0.39 0.39 0.39 0.03 0.42 0.42 0.42 0.42 XXX
audiometry.
92556 ......... A Speech audiometry, 0.00 0.59 0.59 0.59 0.59 0.05 0.64 0.64 0.64 0.64 XXX
complete.
92557 ......... A Comprehensive 0.00 1.24 1.24 1.24 1.24 0.10 1.34 1.34 1.34 1.34 XXX
hearing test.
92559 ......... N Group audiometric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testing.
92560 ......... N Bekesy audiometry, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screen.
92561 ......... A Bekesy audiometry, 0.00 0.74 0.74 0.74 0.74 0.05 0.79 0.79 0.79 0.79 XXX
diagnosis.
92562 ......... A Loudness balance 0.00 0.43 0.43 0.43 0.43 0.03 0.46 0.46 0.46 0.46 XXX
test.
92563 ......... A Tone decay hearing 0.00 0.39 0.39 0.39 0.39 0.03 0.42 0.42 0.42 0.42 XXX
test.
92564 ......... A Sisi hearing test. 0.00 0.49 0.49 0.49 0.49 0.04 0.53 0.53 0.53 0.53 XXX
92565 ......... A Stenger test, pure 0.00 0.41 0.41 0.41 0.31 0.03 0.44 0.44 0.44 0.34 XXX
tone.
92567 ......... A Tympanometry...... 0.00 0.55 0.55 0.55 0.55 0.05 0.60 0.60 0.60 0.60 XXX
92568 ......... A Acoustic reflex 0.00 0.39 0.39 0.39 0.39 0.03 0.42 0.42 0.42 0.42 XXX
testing.
92569 ......... A Acoustic reflex 0.00 0.43 0.43 0.43 0.43 0.03 0.46 0.46 0.46 0.46 XXX
decay test.
92571 ......... A Filtered speech 0.00 0.40 0.40 0.40 0.30 0.03 0.43 0.43 0.43 0.33 XXX
hearing test.
92572 ......... A Staggered spondaic 0.00 0.09 0.09 0.09 0.09 0.01 0.10 0.10 0.10 0.10 XXX
word test.
92573 ......... A Lombard test...... 0.00 0.36 0.36 0.36 0.36 0.03 0.39 0.39 0.39 0.39 XXX
92575 ......... A Sensorineural 0.00 0.32 0.32 0.32 0.24 0.02 0.34 0.34 0.34 0.26 XXX
acuity test.
92576 ......... A Synthetic sentence 0.00 0.46 0.46 0.46 0.35 0.04 0.50 0.50 0.50 0.39 XXX
test.
92577 ......... A Stenger test, 0.00 0.74 0.74 0.74 0.56 0.06 0.80 0.80 0.80 0.62 XXX
speech.
92579 ......... A Visual audiometry 0.00 0.75 0.75 0.75 0.75 0.05 0.80 0.80 0.80 0.80 XXX
(vra).
92582 ......... A Conditioning play 0.00 0.74 0.75 0.74 0.56 0.05 0.79 0.80 0.79 0.61 XXX
audiometry.
92583 ......... A Select picture 0.00 0.94 0.93 0.94 0.93 0.07 1.01 1.00 1.01 1.00 XXX
audiometry.
92584 ......... A Electrocochleograp 0.00 2.59 2.58 2.59 2.58 0.19 2.78 2.77 2.78 2.77 XXX
hy.
92585 ......... A Auditory evoked 0.50 2.14 2.84 2.14 2.84 0.15 2.79 3.49 2.79 3.49 XXX
potential.
92585 26 A Auditory evoked 0.50 0.21 0.92 0.21 0.92 0.02 0.73 1.44 0.73 1.44 XXX
potential.
92585 TC A Auditory evoked 0.00 1.93 1.92 1.93 1.92 0.13 2.06 2.05 2.06 2.05 XXX
potential.
92587 ......... A Evoked auditory 0.13 1.43 1.45 1.43 1.45 0.09 1.65 1.67 1.65 1.67 XXX
test.
92587 26 A Evoked auditory 0.13 0.07 0.10 0.07 0.10 0.01 0.21 0.24 0.21 0.24 XXX
test.
92587 TC A Evoked auditory 0.00 1.36 1.36 1.36 1.36 0.09 1.45 1.45 1.45 1.45 XXX
test.
92588 ......... A Evoked auditory 0.36 1.71 1.78 1.71 1.78 0.12 2.19 2.26 2.19 2.26 XXX
test.
92588 26 A Evoked auditory 0.36 0.17 0.25 0.17 0.25 0.01 0.54 0.62 0.54 0.62 XXX
test.
92588 TC A Evoked auditory 0.00 1.54 1.53 1.54 1.53 0.11 1.65 1.64 1.65 1.64 XXX
test.
92589 ......... A Auditory function 0.00 0.56 0.56 0.56 0.56 0.05 0.61 0.61 0.61 0.61 XXX
test(s).
92590 ......... N Hearing aid exam, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one ear.
92591 ......... N Hearing aid exam, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
both ears.
92592 ......... N Hearing aid check, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one ear.
92593 ......... N Hearing aid check, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
both ears.
92594 ......... N Electro hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid test,one.
92595 ......... N Electro hearingaid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test,both.
92596 ......... A Ear protector 0.00 0.61 0.61 0.61 0.61 0.05 0.66 0.66 0.66 0.66 XXX
evaluation.
92597 ......... A Oral speech device 1.35 1.53 1.32 0.73 0.92 0.05 2.93 2.72 2.13 2.32 XXX
eval.
92598 ......... A Modify oral speech 0.99 1.00 0.86 0.56 0.64 0.03 2.02 1.88 1.58 1.66 XXX
device.
92599 ......... C ENT procedure/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
92599 26 C ENT procedure/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
92599 TC C ENT procedure/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
92950 ......... A Heart/lung 3.80 1.61 2.04 1.00 1.73 0.22 5.63 6.06 5.02 5.75 000
resuscitation(CPR.
[[Page 39742]]
92953 ......... A Temporary external 0.23 NA NA 0.07 0.17 0.01 NA NA 0.31 0.41 000
pacing.
92960 ......... A Heart 2.25 2.09 2.07 0.88 1.46 0.08 4.42 4.40 3.21 3.79 000
electroconversion.
92970 ......... A Cardioassist, 3.52 NA NA 1.22 2.50 0.17 NA NA 4.91 6.19 000
internal.
92971 ......... A Cardioassist, 1.77 NA NA 0.74 0.97 0.06 NA NA 2.57 2.80 000
external.
92975 ......... A Dissolve clot, 7.25 NA NA 3.04 4.62 0.24 NA NA 10.53 12.11 000
heart vessel.
92977 ......... A Dissolve clot, 0.00 NA NA 8.43 8.38 0.41 NA NA 8.84 8.79 XXX
heart vessel.
92978 ......... A Intravas us, heart 1.80 NA NA 5.53 5.70 0.28 NA NA 7.61 7.78 ZZZ
add-on.
92978 26 A Intravas us, heart 1.80 NA NA 0.76 0.96 0.06 NA NA 2.62 2.82 ZZZ
add-on.
92978 TC A Intravas us, heart 0.00 NA NA 4.77 4.75 0.22 NA NA 4.99 4.97 ZZZ
add-on.
92979 ......... A Intravas us, heart 1.44 NA NA 3.01 3.15 0.16 NA NA 4.61 4.75 ZZZ
(add-on).
92979 26 A Intravas us, heart 1.44 NA NA 0.61 0.77 0.05 NA NA 2.10 2.26 ZZZ
(add-on).
92979 TC A Intravas us, heart 0.00 NA NA 2.39 2.38 0.11 NA NA 2.50 2.49 ZZZ
(add-on).
92980 ......... A Insert 14.84 NA NA 6.27 11.99 0.48 NA NA 21.59 27.31 000
intracoronary
stent.
92981 ......... A Insert 4.17 NA NA 1.75 3.37 0.14 NA NA 6.06 7.68 ZZZ
intracoronary
stent.
92982 ......... A Coronary artery 10.98 NA NA 4.65 8.88 0.36 NA NA 15.99 20.22 000
dilation.
92984 ......... A Coronary artery 2.97 NA NA 1.25 2.40 0.10 NA NA 4.32 5.47 ZZZ
dilation.
92986 ......... A Revision of aortic 21.80 NA NA 10.82 11.95 0.73 NA NA 33.35 34.48 090
valve.
92987 ......... A Revision of mitral 22.70 NA NA 11.17 12.21 0.79 NA NA 34.66 35.70 090
valve.
92990 ......... A Revision of 17.34 NA NA 8.68 9.55 0.65 NA NA 26.67 27.54 090
pulmonary valve.
92992 ......... C Revision of heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
chamber.
92993 ......... C Revision of heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
chamber.
92995 ......... A Coronary 12.09 NA NA 5.12 9.78 0.39 NA NA 17.60 22.26 000
atherectomy.
92996 ......... A Coronary 3.26 NA NA 1.41 2.66 0.11 NA NA 4.78 6.03 ZZZ
atherectomy add-
on.
92997 ......... A Pul art balloon 12.00 NA NA 4.61 9.47 0.38 NA NA 16.99 21.85 000
repair, perc.
92998 ......... A Pul art balloon 6.00 NA NA 2.32 3.22 0.19 NA NA 8.51 9.41 ZZZ
repair, perc.
93000 ......... A Electrocardiogram, 0.17 0.54 0.59 0.54 0.59 0.01 0.72 0.77 0.72 0.77 XXX
complete.
93005 ......... A Electrocardiogram, 0.00 0.47 0.47 0.47 0.47 0.02 0.49 0.49 0.49 0.49 XXX
tracing.
93010 ......... A Electrocardiogram 0.17 0.06 0.12 0.06 0.12 0.01 0.24 0.30 0.24 0.30 XXX
report.
93012 ......... A Transmission of 0.00 2.46 2.45 2.46 2.45 0.16 2.62 2.61 2.62 2.61 XXX
ecg.
93014 ......... A Report on 0.52 0.20 0.32 0.20 0.32 0.02 0.74 0.86 0.74 0.86 XXX
transmitted ecg.
93015 ......... A Cardiovascular 0.75 2.05 2.29 2.05 2.29 0.02 2.82 3.06 2.82 3.06 XXX
stress test.
93016 ......... A Cardiovascular 0.45 0.18 0.30 0.18 0.30 0.01 0.64 0.76 0.64 0.76 XXX
stress test.
93017 ......... A Cardiovascular 0.00 1.75 1.75 1.75 1.75 0.09 1.84 1.84 1.84 1.84 XXX
stress test.
93018 ......... A Cardiovascular 0.30 0.12 0.24 0.12 0.24 0.01 0.43 0.55 0.43 0.55 XXX
stress test.
93024 ......... A Cardiac drug 1.17 1.66 2.11 1.66 2.11 0.11 2.94 3.39 2.94 3.39 XXX
stress test.
93024 26 A Cardiac drug 1.17 0.48 0.94 0.48 0.94 0.04 1.69 2.15 1.69 2.15 XXX
stress test.
93024 TC A Cardiac drug 0.00 1.18 1.17 1.18 1.17 0.07 1.25 1.24 1.25 1.24 XXX
stress test.
93040 ......... A Rhythm ECG with 0.16 0.36 0.32 0.36 0.32 0.01 0.53 0.49 0.53 0.49 XXX
report.
93041 ......... A Rhythm ECG, 0.00 0.15 0.15 0.15 0.15 0.01 0.16 0.16 0.16 0.16 XXX
tracing.
93042 ......... A Rhythm ECG, report 0.16 0.05 0.09 0.05 0.09 0.01 0.22 0.26 0.22 0.26 XXX
93224 ......... A ECG monitor/ 0.52 0.70 2.43 0.70 2.43 0.02 1.24 2.97 1.24 2.97 XXX
report, 24 hrs.
93225 ......... A ECG monitor/ 0.00 1.30 1.29 1.30 1.29 0.07 1.37 1.36 1.37 1.36 XXX
record, 24 hrs.
93226 ......... A ECG monitor/ 0.00 2.28 2.27 2.28 2.27 0.13 2.41 2.40 2.41 2.40 XXX
report, 24 hrs.
93227 ......... A ECG monitor/ 0.52 0.20 0.41 0.20 0.41 0.02 0.74 0.95 0.74 0.95 XXX
review, 24 hrs.
93230 ......... A ECG monitor/ 0.52 0.66 2.55 0.66 2.55 0.02 1.20 3.09 1.20 3.09 XXX
report, 24 hrs.
93231 ......... A Ecg monitor/ 0.00 1.59 1.58 1.59 1.58 0.09 1.68 1.67 1.68 1.67 XXX
record, 24 hrs.
93232 ......... A ECG monitor/ 0.00 2.27 2.26 2.27 2.26 0.12 2.39 2.38 2.39 2.38 XXX
report, 24 hrs.
93233 ......... A ECG monitor/ 0.52 0.20 0.41 0.20 0.41 0.02 0.74 0.95 0.74 0.95 XXX
review, 24 hrs.
93235 ......... A ECG monitor/ 0.45 0.53 1.89 0.53 1.89 0.01 0.99 2.35 0.99 2.35 XXX
report, 24 hrs.
93236 ......... A ECG monitor/ 0.00 2.75 2.73 2.75 2.73 0.13 2.88 2.86 2.88 2.86 XXX
report, 24 hrs.
93237 ......... A ECG monitor/ 0.45 0.17 0.36 0.17 0.36 0.01 0.63 0.82 0.63 0.82 XXX
review, 24 hrs.
93268 ......... A ECG record/review. 0.52 0.89 2.53 0.89 2.53 0.02 1.43 3.07 1.43 3.07 XXX
93270 ......... A ECG recording..... 0.00 1.30 1.29 1.30 1.29 0.07 1.37 1.36 1.37 1.36 XXX
93271 ......... A Ecg/monitoring and 0.00 2.46 2.45 2.46 2.45 0.16 2.62 2.61 2.62 2.61 XXX
anaylysis.
93272 ......... A Ecg/ 0.52 0.20 0.32 0.20 0.32 0.02 0.74 0.86 0.74 0.86 XXX
review,interpret
only.
93278 ......... A ECG/signal- 0.25 1.31 1.40 1.31 1.40 0.10 1.66 1.75 1.66 1.75 XXX
averaged.
93278 26 A ECG/signal- 0.25 0.10 0.20 0.10 0.20 0.01 0.36 0.46 0.36 0.46 XXX
averaged.
93278 TC A ECG/signal- 0.00 1.21 1.20 1.21 1.20 0.09 1.30 1.29 1.30 1.29 XXX
averaged.
93303 ......... A Echo transthoracic 1.30 4.56 4.82 4.56 4.82 0.25 6.11 6.37 6.11 6.37 XXX
93303 26 A Echo transthoracic 1.30 0.53 0.81 0.53 0.81 0.04 1.87 2.15 1.87 2.15 XXX
93303 TC A Echo transthoracic 0.00 4.03 4.01 4.03 4.01 0.21 4.24 4.22 4.24 4.22 XXX
93304 ......... A Echo transthoracic 0.75 2.33 2.54 2.33 2.54 0.13 3.21 3.42 3.21 3.42 XXX
93304 26 A Echo transthoracic 0.75 0.30 0.52 0.30 0.52 0.02 1.07 1.29 1.07 1.29 XXX
93304 TC A Echo transthoracic 0.00 2.03 2.02 2.03 2.02 0.11 2.14 2.13 2.14 2.13 XXX
93307 ......... A Echo exam of heart 0.92 4.41 4.75 4.41 4.75 0.24 5.57 5.91 5.57 5.91 XXX
93307 26 A Echo exam of heart 0.92 0.37 0.73 0.37 0.73 0.03 1.32 1.68 1.32 1.68 XXX
93307 TC A Echo exam of heart 0.00 4.03 4.01 4.03 4.01 0.21 4.24 4.22 4.24 4.22 XXX
93308 ......... A Echo exam of heart 0.53 2.24 2.44 2.24 2.44 0.13 2.90 3.10 2.90 3.10 XXX
93308 26 A Echo exam of heart 0.53 0.21 0.42 0.21 0.42 0.02 0.76 0.97 0.76 0.97 XXX
93308 TC A Echo exam of heart 0.00 2.03 2.02 2.03 2.02 0.11 2.14 2.13 2.14 2.13 XXX
93312 ......... A Echo 2.20 4.71 5.05 4.71 5.05 0.35 7.26 7.60 7.26 7.60 XXX
transesophageal.
93312 26 A Echo 2.20 0.76 1.12 0.76 1.12 0.09 3.05 3.41 3.05 3.41 XXX
transesophageal.
93312 TC A Echo 0.00 3.95 3.93 3.95 3.93 0.26 4.21 4.19 4.21 4.19 XXX
transesophageal.
93313 ......... A Echo 0.95 7.41 4.07 0.24 0.49 0.05 8.41 5.07 1.24 1.49 XXX
transesophageal.
93314 ......... A Echo 1.25 4.45 4.55 4.45 4.55 0.30 6.00 6.10 6.00 6.10 XXX
transesophageal.
93314 26 A Echo 1.25 0.49 0.61 0.49 0.61 0.04 1.78 1.90 1.78 1.90 XXX
transesophageal.
93314 TC A Echo 0.00 3.95 3.93 3.95 3.93 0.26 4.21 4.19 4.21 4.19 XXX
transesophageal.
93315 ......... A Echo 2.78 4.97 5.18 4.97 5.18 0.38 8.13 8.34 8.13 8.34 XXX
transesophageal.
93315 26 A Echo 2.78 1.02 1.25 1.02 1.25 0.12 3.92 4.15 3.92 4.15 XXX
transesophageal.
93315 TC A Echo 0.00 3.95 3.93 3.95 3.93 0.26 4.21 4.19 4.21 4.19 XXX
transesophageal.
93316 ......... A Echo 0.95 1.14 0.94 0.24 0.49 0.05 2.14 1.94 1.24 1.49 XXX
transesophageal.
93317 ......... A Echo 1.83 4.59 4.62 4.59 4.62 0.33 6.75 6.78 6.75 6.78 XXX
transesophageal.
93317 26 A Echo 1.83 0.64 0.69 0.64 0.69 0.07 2.54 2.59 2.54 2.59 XXX
transesophageal.
93317 TC A Echo 0.00 3.95 3.93 3.95 3.93 0.26 4.21 4.19 4.21 4.19 XXX
transesophageal.
[[Page 39743]]
93320 ......... A Doppler echo exam, 0.38 1.94 2.09 1.94 2.09 0.11 2.43 2.58 2.43 2.58 ZZZ
heart.
93320 26 A Doppler echo exam, 0.38 0.15 0.31 0.15 0.31 0.01 0.54 0.70 0.54 0.70 ZZZ
heart.
93320 TC A Doppler echo exam, 0.00 1.79 1.78 1.79 1.78 0.10 1.89 1.88 1.89 1.88 ZZZ
heart.
93321 ......... A Doppler echo exam, 0.15 1.23 1.28 1.23 1.28 0.07 1.45 1.50 1.45 1.50 ZZZ
heart.
93321 26 A Doppler echo exam, 0.15 0.06 0.12 0.06 0.12 0.00 0.21 0.27 0.21 0.27 ZZZ
heart.
93321 TC A Doppler echo exam, 0.00 1.17 1.16 1.17 1.16 0.07 1.24 1.23 1.24 1.23 ZZZ
heart.
93325 ......... A Doppler color flow 0.07 3.06 3.05 3.06 3.05 0.19 3.32 3.31 3.32 3.31 ZZZ
add-on.
93325 26 A Doppler color flow 0.07 0.03 0.04 0.03 0.04 0.00 0.10 0.11 0.10 0.11 ZZZ
add-on.
93325 TC A Doppler color flow 0.00 3.03 3.02 3.03 3.02 0.19 3.22 3.21 3.22 3.21 ZZZ
add-on.
93350 ......... A Echo transthoracic 0.78 2.16 2.46 2.16 2.46 0.14 3.08 3.38 3.08 3.38 XXX
93350 26 A Echo transthoracic 0.78 0.32 0.63 0.32 0.63 0.03 1.13 1.44 1.13 1.44 XXX
93350 TC A Echo transthoracic 0.00 1.84 1.83 1.84 1.83 0.11 1.95 1.94 1.95 1.94 XXX
93501 ......... A Right heart 3.02 18.12 19.60 18.12 19.60 1.04 22.18 23.66 22.18 23.66 000
catheterization.
93501 26 A Right heart 3.02 1.21 2.41 1.21 2.41 0.10 4.33 5.53 4.33 5.53 000
catheterization.
93501 TC A Right heart 0.00 16.91 17.20 16.91 17.20 0.94 17.85 18.14 17.85 18.14 000
catheterization.
93503 ......... A Insert/place heart 2.91 1.08 1.83 0.67 1.62 0.17 4.16 4.91 3.75 4.70 000
catheter.
93505 ......... A Biopsy of heart 4.38 3.79 4.57 3.79 4.57 0.32 8.49 9.27 8.49 9.27 000
lining.
93505 26 A Biopsy of heart 4.38 1.82 2.56 1.82 2.56 0.18 6.38 7.12 6.38 7.12 000
lining.
93505 TC A Biopsy of heart 0.00 1.98 2.02 1.98 2.02 0.14 2.12 2.16 2.12 2.16 000
lining.
93508 ......... A Cath placement, 4.10 14.17 15.11 14.17 15.11 0.72 18.99 19.93 18.99 19.93 000
angiography.
93508 26 A Cath placement, 4.10 1.57 2.30 1.57 2.30 0.13 5.80 6.53 5.80 6.53 000
angiography.
93508 TC A Cath placement, 0.00 12.61 12.82 12.61 12.82 0.59 13.20 13.41 13.20 13.41 000
angiography.
93510 ......... A Left heart 4.33 38.75 40.15 38.75 40.15 2.20 45.28 46.68 45.28 46.68 000
catheterization.
93510 26 A Left heart 4.33 1.81 2.57 1.81 2.57 0.14 6.28 7.04 6.28 7.04 000
catheterization.
93510 TC A Left heart 0.00 36.94 37.58 36.94 37.58 2.06 39.00 39.64 39.00 39.64 000
catheterization.
93511 ......... A Left heart 5.03 38.07 39.06 38.07 39.06 2.16 45.26 46.25 45.26 46.25 000
catheterization.
93511 26 A Left heart 5.03 2.11 2.48 2.11 2.48 0.16 7.30 7.67 7.30 7.67 000
catheterization.
93511 TC A Left heart 0.00 35.96 36.59 35.96 36.59 2.00 37.96 38.59 37.96 38.59 000
catheterization.
93514 ......... A Left heart 7.05 38.96 40.56 38.96 40.56 2.22 48.23 49.83 48.23 49.83 000
catheterization.
93514 26 A Left heart 7.05 2.99 3.97 2.99 3.97 0.22 10.26 11.24 10.26 11.24 000
catheterization.
93514 TC A Left heart 0.00 35.96 36.59 35.96 36.59 2.00 37.96 38.59 37.96 38.59 000
catheterization.
93524 ......... A Left heart 6.95 49.92 51.80 49.92 51.80 2.84 59.71 61.59 59.71 61.59 000
catheterization.
93524 26 A Left heart 6.95 2.94 4.00 2.94 4.00 0.22 10.11 11.17 10.11 11.17 000
catheterization.
93524 TC A Left heart 0.00 46.99 47.81 46.99 47.81 2.62 49.61 50.43 49.61 50.43 000
catheterization.
93526 ......... A Rt & Lt heart 5.99 50.78 53.32 50.78 53.32 2.89 59.66 62.20 59.66 62.20 000
catheters.
93526 26 A Rt & Lt heart 5.99 2.50 4.21 2.50 4.21 0.20 8.69 10.40 8.69 10.40 000
catheters.
93526 TC A Rt & Lt heart 0.00 48.28 49.12 48.28 49.12 2.69 50.97 51.81 50.97 51.81 000
catheters.
93527 ......... A Rt & Lt heart 7.28 50.03 53.20 50.03 53.20 2.85 60.16 63.33 60.16 63.33 000
catheters.
93527 26 A Rt & Lt heart 7.28 3.04 5.40 3.04 5.40 0.23 10.55 12.91 10.55 12.91 000
catheters.
93527 TC A Rt & Lt heart 0.00 46.99 47.81 46.99 47.81 2.62 49.61 50.43 49.61 50.43 000
catheters.
93528 ......... A Rt & Lt heart 9.00 50.79 52.11 50.79 52.11 2.91 62.70 64.02 62.70 64.02 000
catheters.
93528 26 A Rt & Lt heart 9.00 3.81 4.31 3.81 4.31 0.29 13.10 13.60 13.10 13.60 000
catheters.
93528 TC A Rt & Lt heart 0.00 46.99 47.81 46.99 47.81 2.62 49.61 50.43 49.61 50.43 000
catheters.
93529 ......... A Rt, Lt heart 4.80 48.93 50.37 48.93 50.37 2.79 56.52 57.96 56.52 57.96 000
catheterization.
93529 26 A Rt, Lt heart 4.80 1.95 2.57 1.95 2.57 0.17 6.92 7.54 6.92 7.54 000
catheterization.
93529 TC A Rt, Lt heart 0.00 46.99 47.81 46.99 47.81 2.62 49.61 50.43 49.61 50.43 000
catheterization.
93530 ......... A Rt heart cath, 4.23 18.61 20.01 18.61 20.01 1.08 23.92 25.32 23.92 25.32 000
congenital.
93530 26 A Rt heart cath, 4.23 1.70 2.81 1.70 2.81 0.14 6.07 7.18 6.07 7.18 000
congenital.
93530 TC A Rt heart cath, 0.00 16.91 17.20 16.91 17.20 0.94 17.85 18.14 17.85 18.14 000
congenital.
93531 ......... A R & l heart cath, 8.35 51.76 53.81 51.76 53.81 2.96 63.07 65.12 63.07 65.12 000
congenital.
93531 26 A R & l heart cath, 8.35 3.48 4.70 3.48 4.70 0.27 12.10 13.32 12.10 13.32 000
congenital.
93531 TC A R & l heart cath, 0.00 48.28 49.12 48.28 49.12 2.69 50.97 51.81 50.97 51.81 000
congenital.
93532 ......... A R & l heart cath, 10.00 50.99 53.68 50.99 53.68 2.94 63.93 66.62 63.93 66.62 000
congenital.
93532 26 A R & l heart cath, 10.00 4.01 5.88 4.01 5.88 0.32 14.33 16.20 14.33 16.20 000
congenital.
93532 TC A R & l heart cath, 0.00 46.99 47.81 46.99 47.81 2.62 49.61 50.43 49.61 50.43 000
congenital.
93533 ......... A R & l heart cath, 6.70 49.56 50.68 49.56 50.68 2.84 59.10 60.22 59.10 60.22 000
congenital.
93533 26 A R & l heart cath, 6.70 2.57 2.88 2.57 2.88 0.22 9.49 9.80 9.49 9.80 000
congenital.
93533 TC A R & l heart cath, 0.00 46.99 47.81 46.99 47.81 2.62 49.61 50.43 49.61 50.43 000
congenital.
93536 ......... A Insert circulation 4.85 NA NA 2.06 3.93 0.23 NA NA 7.14 9.01 000
assi.
93539 ......... A Injection, cardiac 0.40 0.79 0.88 0.17 0.33 0.01 1.20 1.29 0.58 0.74 000
cath.
93540 ......... A Injection, cardiac 0.43 0.80 0.88 0.18 0.35 0.01 1.24 1.32 0.62 0.79 000
cath.
93541 ......... A Injection for lung 0.29 NA NA 0.12 0.24 0.01 NA NA 0.42 0.54 000
angiogram.
93542 ......... A Injection for 0.29 NA NA 0.12 0.24 0.01 NA NA 0.42 0.54 000
heart x-rays.
93543 ......... A Injection for 0.29 0.51 0.57 0.12 0.24 0.01 0.81 0.87 0.42 0.54 000
heart x-rays.
93544 ......... A Injection for 0.25 0.50 0.56 0.10 0.20 0.01 0.76 0.82 0.36 0.46 000
aortography.
93545 ......... A Injection for 0.40 0.79 0.64 0.17 0.33 0.01 1.20 1.05 0.58 0.74 000
coronary xrays.
93555 ......... A Imaging, cardiac 0.81 6.61 6.70 6.61 6.70 0.33 7.75 7.84 7.75 7.84 XXX
cath.
93555 26 A Imaging, cardiac 0.81 0.34 0.32 0.34 0.32 0.03 1.18 1.16 1.18 1.16 XXX
cath.
93555 TC A Imaging, cardiac 0.00 6.27 6.38 6.27 6.38 0.30 6.57 6.68 6.57 6.68 XXX
cath.
93556 ......... A Imaging, cardiac 0.83 10.23 10.48 10.23 10.48 0.48 11.54 11.79 11.54 11.79 XXX
cath.
93556 26 A Imaging, cardiac 0.83 0.35 0.42 0.35 0.42 0.03 1.21 1.28 1.21 1.28 XXX
cath.
93556 TC A Imaging, cardiac 0.00 9.89 10.06 9.89 10.06 0.45 10.34 10.51 10.34 10.51 XXX
cath.
93561 ......... A Cardiac output 0.50 0.70 0.92 0.70 0.92 0.07 1.27 1.49 1.27 1.49 000
measurement.
93561 26 A Cardiac output 0.50 0.17 0.39 0.17 0.39 0.02 0.69 0.91 0.69 0.91 000
measurement.
93561 TC A Cardiac output 0.00 0.53 0.54 0.53 0.54 0.05 0.58 0.59 0.58 0.59 000
measurement.
93562 ......... A Cardiac output 0.16 0.36 0.45 0.36 0.45 0.04 0.56 0.65 0.56 0.65 000
measurement.
93562 26 A Cardiac output 0.16 0.05 0.13 0.05 0.13 0.01 0.22 0.30 0.22 0.30 000
measurement.
93562 TC A Cardiac output 0.00 0.32 0.33 0.32 0.33 0.03 0.35 0.36 0.35 0.36 000
measurement.
93571 ......... A Heart flow reserve 1.80 5.46 5.46 5.46 5.46 0.28 7.54 7.54 7.54 7.54 ZZZ
measure.
93571 26 A Heart flow reserve 1.80 0.69 0.69 0.69 0.69 0.06 2.55 2.55 2.55 2.55 ZZZ
measure.
93571 TC A Heart flow reserve 0.00 4.77 4.77 4.77 4.77 0.22 4.99 4.99 4.99 4.99 ZZZ
measure.
93572 ......... A Heart flow reserve 1.44 5.32 5.32 5.32 5.32 0.16 6.92 6.92 6.92 6.92 ZZZ
measure.
93572 26 A Heart flow reserve 1.44 0.55 0.55 0.55 0.55 0.05 2.04 2.04 2.04 2.04 ZZZ
measure.
93572 TC A Heart flow reserve 0.00 4.77 4.77 4.77 4.77 0.11 4.88 4.88 4.88 4.88 ZZZ
measure.
[[Page 39744]]
93600 ......... A Bundle of His 2.12 2.93 3.74 2.93 3.74 0.18 5.23 6.04 5.23 6.04 000
recording.
93600 26 A Bundle of His 2.12 0.89 1.71 0.89 1.71 0.07 3.08 3.90 3.08 3.90 000
recording.
93600 TC A Bundle of His 0.00 2.04 2.03 2.04 2.03 0.11 2.15 2.14 2.15 2.14 000
recording.
93602 ......... A Intra-atrial 2.12 2.06 2.57 2.06 2.57 0.15 4.33 4.84 4.33 4.84 000
recording.
93602 26 A Intra-atrial 2.12 0.89 1.41 0.89 1.41 0.09 3.10 3.62 3.10 3.62 000
recording.
93602 TC A Intra-atrial 0.00 1.17 1.16 1.17 1.16 0.06 1.23 1.22 1.23 1.22 000
recording.
93603 ......... A Right ventricular 2.12 2.64 3.38 2.64 3.38 0.18 4.94 5.68 4.94 5.68 000
recording.
93603 26 A Right ventricular 2.12 0.89 1.64 0.89 1.64 0.09 3.10 3.85 3.10 3.85 000
recording.
93603 TC A Right ventricular 0.00 1.75 1.75 1.75 1.75 0.09 1.84 1.84 1.84 1.84 000
recording.
93607 ......... A Right ventricular 3.26 2.95 3.45 2.95 3.45 0.19 6.40 6.90 6.40 6.90 000
recording.
93607 26 A Right ventricular 3.26 1.39 1.90 1.39 1.90 0.10 4.75 5.26 4.75 5.26 000
recording.
93607 TC A Right ventricular 0.00 1.56 1.55 1.56 1.55 0.09 1.65 1.64 1.65 1.64 000
recording.
93609 ......... A Mapping of 10.07 7.05 7.02 7.05 7.02 0.49 17.61 17.58 17.61 17.58 000
tachycardia.
93609 26 A Mapping of 10.07 4.21 4.19 4.21 4.19 0.34 14.62 14.60 14.62 14.60 000
tachycardia.
93609 TC A Mapping of 0.00 2.84 2.83 2.84 2.83 0.15 2.99 2.98 2.99 2.98 000
tachycardia.
93610 ......... A Intra-atrial 3.02 2.68 3.30 2.68 3.30 0.20 5.90 6.52 5.90 6.52 000
pacing.
93610 26 A Intra-atrial 3.02 1.26 1.89 1.26 1.89 0.12 4.40 5.03 4.40 5.03 000
pacing.
93610 TC A Intra-atrial 0.00 1.42 1.41 1.42 1.41 0.08 1.50 1.49 1.50 1.49 000
pacing.
93612 ......... A Intraventricular 3.02 2.94 3.58 2.94 3.58 0.22 6.18 6.82 6.18 6.82 000
pacing.
93612 26 A Intraventricular 3.02 1.25 1.90 1.25 1.90 0.13 4.40 5.05 4.40 5.05 000
pacing.
93612 TC A Intraventricular 0.00 1.69 1.68 1.69 1.68 0.09 1.78 1.77 1.78 1.77 000
pacing.
93615 ......... A Esophageal 0.99 0.54 0.63 0.54 0.63 0.07 1.60 1.69 1.60 1.69 000
recording.
93615 26 A Esophageal 0.99 0.21 0.30 0.21 0.30 0.05 1.25 1.34 1.25 1.34 000
recording.
93615 TC A Esophageal 0.00 0.33 0.33 0.33 0.33 0.02 0.35 0.35 0.35 0.35 000
recording.
93616 ......... A Esophageal 1.49 0.73 1.27 0.73 1.27 0.09 2.31 2.85 2.31 2.85 000
recording.
93616 26 A Esophageal 1.49 0.40 0.94 0.40 0.94 0.07 1.96 2.50 1.96 2.50 000
recording.
93616 TC A Esophageal 0.00 0.33 0.33 0.33 0.33 0.02 0.35 0.35 0.35 0.35 000
recording.
93618 ......... A Heart rhythm 4.26 5.94 7.57 5.94 7.57 0.36 10.56 12.19 10.56 12.19 000
pacing.
93618 26 A Heart rhythm 4.26 1.80 3.45 1.80 3.45 0.14 6.20 7.85 6.20 7.85 000
pacing.
93618 TC A Heart rhythm 0.00 4.14 4.12 4.14 4.12 0.22 4.36 4.34 4.36 4.34 000
pacing.
93619 ......... A Electrophysiology 7.32 11.09 13.90 11.09 13.90 0.66 19.07 21.88 19.07 21.88 000
evaluation.
93619 26 A Electrophysiology 7.32 3.05 5.90 3.05 5.90 0.24 10.61 13.46 10.61 13.46 000
evaluation.
93619 TC A Electrophysiology 0.00 8.05 8.01 8.05 8.01 0.42 8.47 8.43 8.47 8.43 000
evaluation.
93620 ......... A Electrophysiology 11.59 14.20 18.66 14.20 18.66 0.85 26.64 31.10 26.64 31.10 000
evaluation.
93620 26 A Electrophysiology 11.59 4.84 9.34 4.84 9.34 0.38 16.81 21.31 16.81 21.31 000
evaluation.
93620 TC A Electrophysiology 0.00 9.37 9.32 9.37 9.32 0.47 9.84 9.79 9.84 9.79 000
evaluation.
93621 ......... C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.44 0.44 0.44 0.44 0.44 000
evaluation.
93621 26 A Electrophysiology 12.66 5.32 10.22 5.32 10.22 0.44 18.42 23.32 18.42 23.32 000
evaluation.
93621 TC C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
evaluation.
93622 ......... C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.42 0.42 0.42 0.42 0.42 000
evaluation.
93622 26 A Electrophysiology 12.74 5.31 10.26 5.31 10.26 0.42 18.47 23.42 18.47 23.42 000
evaluation.
93622 TC C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
evaluation.
93623 ......... C Stimulation, 0.00 0.00 0.00 0.00 0.00 0.10 0.10 0.10 0.10 0.10 ZZZ
pacing heart.
93623 26 A Stimulation, 2.85 1.19 2.11 1.19 2.11 0.10 4.14 5.06 4.14 5.06 ZZZ
pacing heart.
93623 TC C Stimulation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
pacing heart.
93624 ......... A Electrophysiologic 4.81 4.02 4.66 4.02 4.66 0.27 9.10 9.74 9.10 9.74 000
study.
93624 26 A Electrophysiologic 4.81 1.95 2.60 1.95 2.60 0.16 6.92 7.57 6.92 7.57 000
study.
93624 TC A Electrophysiologic 0.00 2.07 2.06 2.07 2.06 0.11 2.18 2.17 2.18 2.17 000
study.
93631 ......... A Heart pacing, 7.60 9.64 11.13 9.64 11.13 0.99 18.23 19.72 18.23 19.72 000
mapping.
93631 26 A Heart pacing, 7.60 3.21 4.73 3.21 4.73 0.44 11.25 12.77 11.25 12.77 000
mapping.
93631 TC A Heart pacing, 0.00 6.43 6.40 6.43 6.40 0.55 6.98 6.95 6.98 6.95 000
mapping.
93640 ......... A Evaluation heart 3.52 9.00 10.31 9.00 10.31 0.50 13.02 14.33 13.02 14.33 000
device.
93640 26 A Evaluation heart 3.52 1.49 2.85 1.49 2.85 0.12 5.13 6.49 5.13 6.49 000
device.
93640 TC A Evaluation heart 0.00 7.50 7.46 7.50 7.46 0.38 7.88 7.84 7.88 7.84 000
device.
93641 ......... A Electrophysiology 5.93 9.98 12.24 9.98 12.24 0.58 16.49 18.75 16.49 18.75 000
evaluation.
93641 26 A Electrophysiology 5.93 2.48 4.78 2.48 4.78 0.20 8.61 10.91 8.61 10.91 000
evaluation.
93641 TC A Electrophysiology 0.00 7.50 7.46 7.50 7.46 0.38 7.88 7.84 7.88 7.84 000
evaluation.
93642 ......... A Electrophysiology 4.89 9.55 11.41 9.55 11.41 0.54 14.98 16.84 14.98 16.84 000
evaluation.
93642 26 A Electrophysiology 4.89 2.05 3.95 2.05 3.95 0.16 7.10 9.00 7.10 9.00 000
evaluation.
93642 TC A Electrophysiology 0.00 7.50 7.46 7.50 7.46 0.38 7.88 7.84 7.88 7.84 000
evaluation.
93650 ......... A Ablate heart 10.51 NA NA 4.46 8.51 0.35 NA NA 15.32 19.37 000
dysrhythm focus.
93651 ......... A Ablate heart 16.25 NA NA 6.83 13.09 0.54 NA NA 23.62 29.88 000
dysrhythm focus.
93652 ......... A Ablate heart 17.68 NA NA 7.40 13.38 0.60 NA NA 25.68 31.66 000
dysrhythm focus.
93660 ......... C Tilt table 0.00 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.06 0.06 000
evaluation.
93660 26 A Tilt table 1.89 0.79 1.18 0.79 1.18 0.06 2.74 3.13 2.74 3.13 000
evaluation.
93660 TC C Tilt table 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
evaluation.
93720 ......... A Total body 0.17 0.72 0.85 0.72 0.65 0.01 0.90 1.03 0.90 0.83 XXX
plethysmography.
93721 ......... A Plethysmography 0.00 0.73 0.73 0.73 0.55 0.05 0.78 0.78 0.78 0.60 XXX
tracing.
93722 ......... A Plethysmography 0.17 0.05 0.15 0.05 0.13 0.01 0.23 0.33 0.23 0.31 XXX
report.
93724 ......... A Analyze pacemaker 4.89 6.21 6.72 6.21 6.72 0.38 11.48 11.99 11.48 11.99 000
system.
93724 26 A Analyze pacemaker 4.89 2.06 2.60 2.06 2.60 0.16 7.11 7.65 7.11 7.65 000
system.
93724 TC A Analyze pacemaker 0.00 4.14 4.12 4.14 4.12 0.22 4.36 4.34 4.36 4.34 000
system.
93731 ......... A Analyze pacemaker 0.45 0.70 0.78 0.70 0.78 0.05 1.20 1.28 1.20 1.28 XXX
system.
93731 26 A Analyze pacemaker 0.45 0.19 0.27 0.19 0.27 0.02 0.66 0.74 0.66 0.74 XXX
system.
93731 TC A Analyze pacemaker 0.00 0.51 0.51 0.51 0.51 0.03 0.54 0.54 0.54 0.54 XXX
system.
93732 ......... A Analyze pacemaker 0.92 0.91 0.95 0.91 0.95 0.06 1.89 1.93 1.89 1.93 XXX
system.
93732 26 A Analyze pacemaker 0.92 0.38 0.42 0.38 0.42 0.03 1.33 1.37 1.33 1.37 XXX
system.
93732 TC A Analyze pacemaker 0.00 0.53 0.53 0.53 0.53 0.03 0.56 0.56 0.56 0.56 XXX
system.
93733 ......... A Telephone 0.17 0.83 0.90 0.83 0.90 0.06 1.06 1.13 1.06 1.13 XXX
analysis,pacemake
r.
93733 26 A Telephone 0.17 0.07 0.14 0.07 0.14 0.01 0.25 0.32 0.25 0.32 XXX
analysis,pacemake
r.
93733 TC A Telephone 0.00 0.75 0.75 0.75 0.75 0.05 0.80 0.80 0.80 0.80 XXX
analysis,pacemake
r.
93734 ......... A Analyze pacemaker 0.38 0.52 0.61 0.52 0.61 0.03 0.93 1.02 0.93 1.02 XXX
system.
93734 26 A Analyze pacemaker 0.38 0.15 0.25 0.15 0.25 0.01 0.54 0.64 0.54 0.64 XXX
system.
93734 TC A Analyze pacemaker 0.00 0.36 0.36 0.36 0.36 0.02 0.38 0.38 0.38 0.38 XXX
system.
[[Page 39745]]
93735 ......... A Analyze pacemaker 0.74 0.77 0.85 0.77 0.85 0.06 1.57 1.65 1.57 1.65 XXX
system.
93735 26 A Analyze pacemaker 0.74 0.30 0.39 0.30 0.39 0.03 1.07 1.16 1.07 1.16 XXX
system.
93735 TC A Analyze pacemaker 0.00 0.46 0.46 0.46 0.46 0.03 0.49 0.49 0.49 0.49 XXX
system.
93736 ......... A Telephone 0.15 0.72 0.78 0.72 0.78 0.06 0.93 0.99 0.93 0.99 XXX
analysis,pacemake
r.
93736 26 A Telephone 0.15 0.06 0.12 0.06 0.12 0.01 0.22 0.28 0.22 0.28 XXX
analysis,pacemake
r.
93736 TC A Telephone 0.00 0.65 0.65 0.65 0.65 0.05 0.70 0.70 0.70 0.70 XXX
analysis,pacemake
r.
93737 ......... A Analyze cardio/ 0.45 0.70 0.75 0.70 0.75 0.04 1.19 1.24 1.19 1.24 XXX
defibrillator.
93737 26 A Analyze cardio/ 0.45 0.19 0.24 0.19 0.24 0.01 0.65 0.70 0.65 0.70 XXX
defibrillator.
93737 TC A Analyze cardio/ 0.00 0.51 0.51 0.51 0.51 0.03 0.54 0.54 0.54 0.54 XXX
defibrillator.
93738 ......... A Analyze cardio/ 0.92 0.91 0.93 0.91 0.93 0.06 1.89 1.91 1.89 1.91 XXX
defibrillator.
93738 26 A Analyze cardio/ 0.92 0.38 0.40 0.38 0.40 0.03 1.33 1.35 1.33 1.35 XXX
defibrillator.
93738 TC A Analyze cardio/ 0.00 0.53 0.53 0.53 0.53 0.03 0.56 0.56 0.56 0.56 XXX
defibrillator.
93740 ......... A Temperature 0.16 0.20 0.35 0.20 0.35 0.02 0.38 0.53 0.38 0.53 XXX
gradient studies.
93740 26 A Temperature 0.16 0.04 0.19 0.04 0.19 0.01 0.21 0.36 0.21 0.36 XXX
gradient studies.
93740 TC A Temperature 0.00 0.16 0.16 0.16 0.16 0.01 0.17 0.17 0.17 0.17 XXX
gradient studies.
93760 ......... N Cephalic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
thermogram.
93762 ......... N Peripheral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thermogram.
93770 ......... A Measure venous 0.16 0.08 0.15 0.08 0.15 0.01 0.25 0.32 0.25 0.32 XXX
pressure.
93770 26 A Measure venous 0.16 0.05 0.12 0.05 0.12 0.01 0.22 0.29 0.22 0.29 XXX
pressure.
93770 TC A Measure venous 0.00 0.03 0.03 0.03 0.03 0.00 0.03 0.03 0.03 0.03 XXX
pressure.
93784 ......... N Ambulatory BP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
monitoring.
93786 ......... N Ambulatory BP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recording.
93788 ......... N Ambulatory BP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
93790 ......... N Review/report BP 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recording.
93797 ......... A Cardiac rehab..... 0.18 0.38 0.30 0.07 0.09 0.01 0.57 0.49 0.26 0.28 000
93798 ......... A Cardiac rehab/ 0.28 0.43 0.47 0.11 0.19 0.01 0.72 0.76 0.40 0.48 000
monitor.
93799 ......... C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
93799 26 C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
93799 TC C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
93875 ......... A Extracranial study 0.22 1.23 1.32 1.23 1.32 0.10 1.55 1.64 1.55 1.64 XXX
93875 26 A Extracranial study 0.22 0.08 0.17 0.08 0.17 0.01 0.31 0.40 0.31 0.40 XXX
93875 TC A Extracranial study 0.00 1.16 1.15 1.16 1.15 0.09 1.25 1.24 1.25 1.24 XXX
93880 ......... A Extracranial study 0.60 4.09 4.18 4.09 4.18 0.35 5.04 5.13 5.04 5.13 XXX
93880 26 A Extracranial study 0.60 0.19 0.31 0.19 0.31 0.04 0.83 0.95 0.83 0.95 XXX
93880 TC A Extracranial study 0.00 3.89 3.87 3.89 3.87 0.31 4.20 4.18 4.20 4.18 XXX
93882 ......... A Extracranial study 0.40 2.72 2.78 2.72 2.78 0.23 3.35 3.41 3.35 3.41 XXX
93882 26 A Extracranial study 0.40 0.14 0.21 0.14 0.21 0.03 0.57 0.64 0.57 0.64 XXX
93882 TC A Extracranial study 0.00 2.59 2.58 2.59 2.58 0.20 2.79 2.78 2.79 2.78 XXX
93886 ......... A Intracranial study 0.94 4.76 4.79 4.76 4.79 0.40 6.10 6.13 6.10 6.13 XXX
93886 26 A Intracranial study 0.94 0.36 0.41 0.36 0.41 0.05 1.35 1.40 1.35 1.40 XXX
93886 TC A Intracranial study 0.00 4.41 4.39 4.41 4.39 0.35 4.76 4.74 4.76 4.74 XXX
93888 ......... A Intracranial study 0.62 3.16 3.19 3.16 3.19 0.28 4.06 4.09 4.06 4.09 XXX
93888 26 A Intracranial study 0.62 0.23 0.27 0.23 0.27 0.04 0.89 0.93 0.89 0.93 XXX
93888 TC A Intracranial study 0.00 2.94 2.93 2.94 2.93 0.24 3.18 3.17 3.18 3.17 XXX
93922 ......... A Extremity study... 0.25 1.30 1.40 1.30 1.40 0.13 1.68 1.78 1.68 1.78 XXX
93922 26 A Extremity study... 0.25 0.09 0.20 0.09 0.20 0.02 0.36 0.47 0.36 0.47 XXX
93922 TC A Extremity study... 0.00 1.21 1.20 1.21 1.20 0.11 1.32 1.31 1.32 1.31 XXX
93923 ......... A Extremity study... 0.45 2.44 2.62 2.44 2.62 0.24 3.13 3.31 3.13 3.31 XXX
93923 26 A Extremity study... 0.45 0.16 0.35 0.16 0.35 0.04 0.65 0.84 0.65 0.84 XXX
93923 TC A Extremity study... 0.00 2.28 2.27 2.28 2.27 0.20 2.48 2.47 2.48 2.47 XXX
93924 ......... A Extremity study... 0.50 2.65 2.85 2.65 2.85 0.28 3.43 3.63 3.43 3.63 XXX
93924 26 A Extremity study... 0.50 0.18 0.39 0.18 0.39 0.05 0.73 0.94 0.73 0.94 XXX
93924 TC A Extremity study... 0.00 2.47 2.46 2.47 2.46 0.23 2.70 2.69 2.70 2.69 XXX
93925 ......... A Lower extremity 0.58 4.10 4.20 4.10 4.20 0.35 5.03 5.13 5.03 5.13 XXX
study.
93925 26 A Lower extremity 0.58 0.19 0.31 0.19 0.31 0.04 0.81 0.93 0.81 0.93 XXX
study.
93925 TC A Lower extremity 0.00 3.91 3.89 3.91 3.89 0.31 4.22 4.20 4.22 4.20 XXX
study.
93926 ......... A Lower extremity 0.39 2.74 2.80 2.74 2.80 0.24 3.37 3.43 3.37 3.43 XXX
study.
93926 26 A Lower extremity 0.39 0.13 0.21 0.13 0.21 0.03 0.55 0.63 0.55 0.63 XXX
study.
93926 TC A Lower extremity 0.00 2.62 2.60 2.62 2.60 0.21 2.83 2.81 2.83 2.81 XXX
study.
93930 ......... A Upper extremity 0.46 4.31 4.42 4.31 4.42 0.36 5.13 5.24 5.13 5.24 XXX
study.
93930 26 A Upper extremity 0.46 0.15 0.29 0.15 0.29 0.03 0.64 0.78 0.64 0.78 XXX
study.
93930 TC A Upper extremity 0.00 4.15 4.13 4.15 4.13 0.33 4.48 4.46 4.48 4.46 XXX
study.
93931 ......... A Upper extremity 0.31 2.87 2.94 2.87 2.94 0.24 3.42 3.49 3.42 3.49 XXX
study.
93931 26 A Upper extremity 0.31 0.10 0.19 0.10 0.19 0.02 0.43 0.52 0.43 0.52 XXX
study.
93931 TC A Upper extremity 0.00 2.77 2.75 2.77 2.75 0.22 2.99 2.97 2.99 2.97 XXX
study.
93965 ......... A Extremity study... 0.35 1.25 1.40 1.25 1.40 0.12 1.72 1.87 1.72 1.87 XXX
93965 26 A Extremity study... 0.35 0.12 0.27 0.12 0.27 0.02 0.49 0.64 0.49 0.64 XXX
93965 TC A Extremity study... 0.00 1.14 1.14 1.14 1.14 0.10 1.24 1.24 1.24 1.24 XXX
93970 ......... A Extremity study... 0.68 4.53 4.62 4.53 4.62 0.41 5.62 5.71 5.62 5.71 XXX
93970 26 A Extremity study... 0.68 0.22 0.33 0.22 0.33 0.05 0.95 1.06 0.95 1.06 XXX
93970 TC A Extremity study... 0.00 4.32 4.30 4.32 4.30 0.36 4.68 4.66 4.68 4.66 XXX
93971 ......... A Extremity study... 0.45 3.01 3.07 3.01 3.07 0.27 3.73 3.79 3.73 3.79 XXX
93971 26 A Extremity study... 0.45 0.13 0.21 0.13 0.21 0.03 0.61 0.69 0.61 0.69 XXX
93971 TC A Extremity study... 0.00 2.88 2.86 2.88 2.86 0.24 3.12 3.10 3.12 3.10 XXX
93975 ......... A Vascular study.... 1.80 5.45 5.39 5.45 5.39 0.49 7.74 7.68 7.74 7.68 XXX
93975 26 A Vascular study.... 1.80 0.53 0.50 0.53 0.50 0.10 2.43 2.40 2.43 2.40 XXX
93975 TC A Vascular study.... 0.00 4.92 4.89 4.92 4.89 0.39 5.31 5.28 5.31 5.28 XXX
93976 ......... A Vascular study.... 1.21 3.62 3.58 3.62 3.58 0.33 5.16 5.12 5.16 5.12 XXX
93976 26 A Vascular study.... 1.21 0.34 0.32 0.34 0.32 0.06 1.61 1.59 1.61 1.59 XXX
93976 TC A Vascular study.... 0.00 3.28 3.26 3.28 3.26 0.27 3.55 3.53 3.55 3.53 XXX
93978 ......... A Vascular study.... 0.65 4.24 4.32 4.24 4.32 0.38 5.27 5.35 5.27 5.35 XXX
93978 26 A Vascular study.... 0.65 0.22 0.32 0.22 0.32 0.05 0.92 1.02 0.92 1.02 XXX
93978 TC A Vascular study.... 0.00 4.02 4.00 4.02 4.00 0.33 4.35 4.33 4.35 4.33 XXX
93979 ......... A Vascular study.... 0.44 2.84 2.89 2.84 2.89 0.25 3.53 3.58 3.53 3.58 XXX
[[Page 39746]]
93979 26 A Vascular study.... 0.44 0.16 0.22 0.16 0.22 0.03 0.63 0.69 0.63 0.69 XXX
93979 TC A Vascular study.... 0.00 2.68 2.67 2.68 2.67 0.22 2.90 2.89 2.90 2.89 XXX
93980 ......... A Penile vascular 1.25 4.06 4.28 4.06 4.28 0.38 5.69 5.91 5.69 5.91 XXX
study.
93980 26 A Penile vascular 1.25 0.40 0.65 0.40 0.65 0.08 1.73 1.98 1.73 1.98 XXX
study.
93980 TC A Penile vascular 0.00 3.65 3.63 3.65 3.63 0.30 3.95 3.93 3.95 3.93 XXX
study.
93981 ......... A Penile vascular 0.44 3.50 3.63 3.50 3.63 0.31 4.25 4.38 4.25 4.38 XXX
study.
93981 26 A Penile vascular 0.44 0.13 0.28 0.13 0.28 0.03 0.60 0.75 0.60 0.75 XXX
study.
93981 TC A Penile vascular 0.00 3.37 3.35 3.37 3.35 0.28 3.65 3.63 3.65 3.63 XXX
study.
93990 ......... A Doppler flow 0.25 2.72 2.76 2.72 2.76 0.22 3.19 3.23 3.19 3.23 XXX
testing.
93990 26 A Doppler flow 0.25 0.10 0.16 0.10 0.16 0.01 0.36 0.42 0.36 0.42 XXX
testing.
93990 TC A Doppler flow 0.00 2.62 2.60 2.62 2.60 0.21 2.83 2.81 2.83 2.81 XXX
testing.
94010 ......... A Breathing capacity 0.17 0.49 0.61 0.49 0.61 0.03 0.69 0.81 0.69 0.81 XXX
test.
94010 26 A Breathing capacity 0.17 0.05 0.18 0.05 0.18 0.01 0.23 0.36 0.23 0.36 XXX
test.
94010 TC A Breathing capacity 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
test.
94014 ......... A Patient recorded 0.52 0.64 0.64 0.64 0.64 0.04 1.20 1.20 1.20 1.20 XXX
spirometry.
94015 ......... A Patient recorded 0.00 0.44 0.00 0.44 0.00 0.02 0.46 0.02 0.46 0.02 XXX
spirometry.
94016 ......... A Review patient 0.52 0.20 0.20 0.20 0.20 0.02 0.74 0.74 0.74 0.74 XXX
spirometry.
94060 ......... A Evaluation of 0.31 1.07 1.21 1.07 1.21 0.06 1.44 1.58 1.44 1.58 XXX
wheezing.
94060 26 A Evaluation of 0.31 0.09 0.23 0.09 0.23 0.01 0.41 0.55 0.41 0.55 XXX
wheezing.
94060 TC A Evaluation of 0.00 0.98 0.98 0.98 0.98 0.05 1.03 1.03 1.03 1.03 XXX
wheezing.
94070 ......... A Evaluation of 0.60 1.71 1.82 1.71 1.82 0.10 2.41 2.52 2.41 2.52 XXX
wheezing.
94070 26 A Evaluation of 0.60 0.18 0.30 0.18 0.30 0.02 0.80 0.92 0.80 0.92 XXX
wheezing.
94070 TC A Evaluation of 0.00 1.53 1.52 1.53 1.52 0.08 1.61 1.60 1.61 1.60 XXX
wheezing.
94150 ......... B Vital capacity 0.07 0.12 0.15 0.12 0.15 0.01 0.20 0.23 0.20 0.23 XXX
test.
94150 26 B Vital capacity 0.07 0.03 0.06 0.03 0.06 0.00 0.10 0.13 0.10 0.13 XXX
test.
94150 TC B Vital capacity 0.00 0.09 0.09 0.09 0.09 0.01 0.10 0.10 0.10 0.10 XXX
test.
94200 ......... A Lung function test 0.11 0.29 0.34 0.29 0.34 0.02 0.42 0.47 0.42 0.47 XXX
(MBC/MVV).
94200 26 A Lung function test 0.11 0.03 0.08 0.03 0.08 0.00 0.14 0.19 0.14 0.19 XXX
(MBC/MVV).
94200 TC A Lung function test 0.00 0.26 0.26 0.26 0.26 0.02 0.28 0.28 0.28 0.28 XXX
(MBC/MVV).
94240 ......... A Residual lung 0.26 0.79 0.88 0.79 0.88 0.05 1.10 1.19 1.10 1.19 XXX
capacity.
94240 26 A Residual lung 0.26 0.08 0.17 0.08 0.17 0.01 0.35 0.44 0.35 0.44 XXX
capacity.
94240 TC A Residual lung 0.00 0.71 0.71 0.71 0.71 0.04 0.75 0.75 0.75 0.75 XXX
capacity.
94250 ......... A Expired gas 0.11 0.17 0.22 0.17 0.22 0.01 0.29 0.34 0.29 0.34 XXX
collection.
94250 26 A Expired gas 0.11 0.03 0.08 0.03 0.08 0.00 0.14 0.19 0.14 0.19 XXX
collection.
94250 TC A Expired gas 0.00 0.14 0.14 0.14 0.14 0.01 0.15 0.15 0.15 0.15 XXX
collection.
94260 ......... A Thoracic gas 0.13 0.61 0.66 0.61 0.66 0.03 0.77 0.82 0.77 0.82 XXX
volume.
94260 26 A Thoracic gas 0.13 0.04 0.10 0.04 0.10 0.00 0.17 0.23 0.17 0.23 XXX
volume.
94260 TC A Thoracic gas 0.00 0.57 0.57 0.57 0.57 0.03 0.60 0.60 0.60 0.60 XXX
volume.
94350 ......... A Lung nitrogen 0.26 0.65 0.72 0.65 0.72 0.04 0.95 1.02 0.95 1.02 XXX
washout curve.
94350 26 A Lung nitrogen 0.26 0.08 0.16 0.08 0.16 0.01 0.35 0.43 0.35 0.43 XXX
washout curve.
94350 TC A Lung nitrogen 0.00 0.57 0.57 0.57 0.57 0.03 0.60 0.60 0.60 0.60 XXX
washout curve.
94360 ......... A Measure airflow 0.26 1.08 1.15 1.08 1.15 0.06 1.40 1.47 1.40 1.47 XXX
resistance.
94360 26 A Measure airflow 0.26 0.08 0.15 0.08 0.15 0.01 0.35 0.42 0.35 0.42 XXX
resistance.
94360 TC A Measure airflow 0.00 1.01 1.01 1.01 1.01 0.05 1.06 1.06 1.06 1.06 XXX
resistance.
94370 ......... A Breath airway 0.26 0.36 0.40 0.36 0.40 0.03 0.65 0.69 0.65 0.69 XXX
closing volume.
94370 26 A Breath airway 0.26 0.08 0.12 0.08 0.12 0.01 0.35 0.39 0.35 0.39 XXX
closing volume.
94370 TC A Breath airway 0.00 0.28 0.28 0.28 0.28 0.02 0.30 0.30 0.30 0.30 XXX
closing volume.
94375 ......... A Respiratory flow 0.31 0.59 0.66 0.59 0.66 0.03 0.93 1.00 0.93 1.00 XXX
volume loop.
94375 26 A Respiratory flow 0.31 0.09 0.16 0.09 0.16 0.01 0.41 0.48 0.41 0.48 XXX
volume loop.
94375 TC A Respiratory flow 0.00 0.50 0.50 0.50 0.50 0.02 0.52 0.52 0.52 0.52 XXX
volume loop.
94400 ......... A CO2 breathing 0.40 0.45 0.65 0.45 0.65 0.07 0.92 1.12 0.92 1.12 XXX
response curve.
94400 26 A CO2 breathing 0.40 0.11 0.31 0.11 0.31 0.02 0.53 0.73 0.53 0.73 XXX
response curve.
94400 TC A CO2 breathing 0.00 0.33 0.33 0.33 0.33 0.05 0.38 0.38 0.38 0.38 XXX
response curve.
94450 ......... A Hypoxia response 0.40 0.53 0.60 0.53 0.60 0.03 0.96 1.03 0.96 1.03 XXX
curve.
94450 26 A Hypoxia response 0.40 0.12 0.19 0.12 0.19 0.01 0.53 0.60 0.53 0.60 XXX
curve.
94450 TC A Hypoxia response 0.00 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 XXX
curve.
94620 ......... A Pulmonary stress 0.64 1.74 2.11 1.74 2.11 0.11 2.49 2.86 2.49 2.86 XXX
test/simple.
94620 26 A Pulmonary stress 0.64 0.27 0.64 0.27 0.64 0.03 0.94 1.31 0.94 1.31 XXX
test/simple.
94620 TC A Pulmonary stress 0.00 1.47 1.47 1.47 1.47 0.08 1.55 1.55 1.55 1.55 XXX
test/simple.
94621 ......... A Pulm stress test/ 1.42 1.74 2.11 1.74 2.11 0.11 3.27 3.64 3.27 3.64 XXX
complex.
94621 26 A Pulm stress test/ 1.42 0.27 0.64 0.27 0.64 0.03 1.72 2.09 1.72 2.09 XXX
complex.
94621 TC A Pulm stress test/ 0.00 1.47 1.47 1.47 1.47 0.08 1.55 1.55 1.55 1.55 XXX
complex.
94640 ......... A Airway inhalation 0.00 0.43 0.43 0.43 0.43 0.02 0.45 0.45 0.45 0.45 XXX
treatment.
94642 ......... C Aerosol inhalation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
94650 ......... A Pressure breathing 0.00 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 XXX
(IPPB).
94651 ......... A Pressure breathing 0.00 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 XXX
(IPPB).
94652 ......... A Pressure breathing 0.00 NA NA 0.45 0.45 0.06 NA NA 0.51 0.51 XXX
(IPPB).
94656 ......... A Initial ventilator 1.22 NA NA 0.30 0.77 0.06 NA NA 1.58 2.05 XXX
mgmt.
94657 ......... A Cont. ventilator.. 0.83 NA NA 0.24 0.46 0.03 NA NA 1.10 1.32 XXX
94660 ......... A Pos airway 0.76 0.59 0.68 0.23 0.50 0.03 1.38 1.47 1.02 1.29 XXX
pressure, CPAP.
94662 ......... A Neg pressure 0.76 NA NA 0.23 0.28 0.02 NA NA 1.01 1.06 XXX
ventilation,cnp.
94664 ......... A Aerosol or vapor 0.00 0.55 0.55 0.55 0.55 0.03 0.58 0.58 0.58 0.58 XXX
inhalations.
94665 ......... A Aerosol or vapor 0.00 0.50 0.50 0.50 0.50 0.04 0.54 0.54 0.54 0.54 XXX
inhalations.
94667 ......... A Chest wall 0.00 0.60 0.60 0.60 0.60 0.04 0.64 0.64 0.64 0.64 XXX
manipulation.
94668 ......... A Chest wall 0.00 0.37 0.37 0.37 0.37 0.02 0.39 0.39 0.39 0.39 XXX
manipulation.
94680 ......... A Exhaled air 0.26 0.61 0.73 0.61 0.73 0.06 0.93 1.05 0.93 1.05 XXX
analysis: O2.
94680 26 A Exhaled air 0.26 0.08 0.20 0.08 0.20 0.01 0.35 0.47 0.35 0.47 XXX
analysis: O2.
94680 TC A Exhaled air 0.00 0.53 0.53 0.53 0.53 0.05 0.58 0.58 0.58 0.58 XXX
analysis: O2.
94681 ......... A Exhaled air 0.20 1.51 1.59 1.51 1.59 0.11 1.82 1.90 1.82 1.90 XXX
analysis: O2,CO2.
94681 26 A Exhaled air 0.20 0.06 0.15 0.06 0.15 0.01 0.27 0.36 0.27 0.36 XXX
analysis: O2,CO2.
94681 TC A Exhaled air 0.00 1.45 1.44 1.45 1.44 0.10 1.55 1.54 1.55 1.54 XXX
analysis: O2,CO2.
94690 ......... A Exhaled air 0.07 0.58 0.59 0.58 0.59 0.03 0.68 0.69 0.68 0.69 XXX
analysis.
94690 26 A Exhaled air 0.07 0.02 0.04 0.02 0.04 0.00 0.09 0.11 0.09 0.11 XXX
analysis.
94690 TC A Exhaled air 0.00 0.56 0.56 0.56 0.56 0.03 0.59 0.59 0.59 0.59 XXX
analysis.
[[Page 39747]]
94720 ......... A Monoxide diffusing 0.26 0.95 1.04 0.95 1.04 0.06 1.27 1.36 1.27 1.36 XXX
capacity.
94720 26 A Monoxide diffusing 0.26 0.08 0.17 0.08 0.17 0.01 0.35 0.44 0.35 0.44 XXX
capacity.
94720 TC A Monoxide diffusing 0.00 0.88 0.88 0.88 0.88 0.05 0.93 0.93 0.93 0.93 XXX
capacity.
94725 ......... A Membrane diffusion 0.26 1.90 1.95 1.90 1.95 0.11 2.27 2.32 2.27 2.32 XXX
capacity.
94725 26 A Membrane diffusion 0.26 0.08 0.14 0.08 0.14 0.01 0.35 0.41 0.35 0.41 XXX
capacity.
94725 TC A Membrane diffusion 0.00 1.82 1.81 1.82 1.81 0.10 1.92 1.91 1.92 1.91 XXX
capacity.
94750 ......... A Pulmonary 0.23 0.67 0.77 0.67 0.77 0.04 0.94 1.04 0.94 1.04 XXX
compliance study.
94750 26 A Pulmonary 0.23 0.07 0.17 0.07 0.17 0.01 0.31 0.41 0.31 0.41 XXX
compliance study.
94750 TC A Pulmonary 0.00 0.60 0.60 0.60 0.60 0.03 0.63 0.63 0.63 0.63 XXX
compliance study.
94760 ......... A Measure blood 0.00 0.27 0.27 0.27 0.27 0.02 0.29 0.29 0.29 0.29 XXX
oxygen level.
94761 ......... A Measure blood 0.00 0.70 0.70 0.70 0.70 0.05 0.75 0.75 0.75 0.75 XXX
oxygen level.
94762 ......... A Measure blood 0.00 1.19 1.18 1.19 1.18 0.08 1.27 1.26 1.27 1.26 XXX
oxygen level.
94770 ......... A Exhaled carbon 0.15 0.36 0.40 0.36 0.40 0.07 0.58 0.62 0.58 0.62 XXX
dioxide test.
94770 26 A Exhaled carbon 0.15 0.04 0.08 0.04 0.08 0.01 0.20 0.24 0.20 0.24 XXX
dioxide test.
94770 TC A Exhaled carbon 0.00 0.32 0.32 0.32 0.32 0.06 0.38 0.38 0.38 0.38 XXX
dioxide test.
94772 ......... C Breath recording, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infant.
94772 26 C Breath recording, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infant.
94772 TC C Breath recording, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infant.
94799 ......... C Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
94799 26 C Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
94799 TC C Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
95004 ......... A Allergy skin tests 0.00 0.10 0.10 0.10 0.10 0.01 0.11 0.11 0.11 0.11 XXX
95010 ......... A Sensitivity skin 0.15 0.36 0.24 0.06 0.06 0.00 0.51 0.39 0.21 0.21 XXX
tests.
95015 ......... A Sensitivity skin 0.15 0.42 0.27 0.06 0.06 0.00 0.57 0.42 0.21 0.21 XXX
tests.
95024 ......... A Allergy skin tests 0.00 0.15 0.15 0.15 0.15 0.01 0.16 0.16 0.16 0.16 XXX
95027 ......... A Skin end point 0.00 0.15 0.15 0.15 0.15 0.01 0.16 0.16 0.16 0.16 XXX
titration.
95028 ......... A Allergy skin tests 0.00 0.24 0.24 0.24 0.24 0.01 0.25 0.25 0.25 0.25 XXX
95044 ......... A Allergy patch 0.00 0.21 0.21 0.21 0.21 0.01 0.22 0.22 0.22 0.22 XXX
tests.
95052 ......... A Photo patch test.. 0.00 0.26 0.26 0.26 0.26 0.01 0.27 0.27 0.27 0.27 XXX
95056 ......... A Photosensitivity 0.00 0.19 0.19 0.10 0.10 0.01 0.20 0.20 0.11 0.11 XXX
tests.
95060 ......... A Eye allergy tests. 0.00 0.36 0.36 0.36 0.36 0.02 0.38 0.38 0.38 0.38 XXX
95065 ......... A Nose allergy test. 0.00 0.21 0.21 0.21 0.16 0.01 0.22 0.22 0.22 0.17 XXX
95070 ......... A Bronchial allergy 0.00 2.38 2.37 2.38 2.37 0.02 2.40 2.39 2.40 2.39 XXX
tests.
95071 ......... A Bronchial allergy 0.00 3.05 3.04 3.05 3.04 0.02 3.07 3.06 3.07 3.06 XXX
tests.
95075 ......... A Ingestion 0.95 0.73 1.44 0.38 0.73 0.03 1.71 2.42 1.36 1.71 XXX
challenge test.
95078 ......... A Provocative 0.00 0.26 0.26 0.26 0.26 0.02 0.28 0.28 0.28 0.28 XXX
testing.
95115 ......... A Immunotherapy, one 0.00 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 000
injection.
95117 ......... A Immunotherapy 0.00 0.52 0.52 0.52 0.52 0.02 0.54 0.54 0.54 0.54 000
injections.
95120 ......... I Immunotherapy, one 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
95125 ......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
many antigens.
95130 ......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venom.
95131 ......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95132 ......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95133 ......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95134 ......... I Immunotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insect venoms.
95144 ......... A Antigen therapy 0.06 0.23 0.19 0.02 0.05 0.00 0.29 0.25 0.08 0.11 000
services.
95145 ......... A Antigen therapy 0.06 0.42 0.40 0.02 0.11 0.00 0.48 0.46 0.08 0.17 000
services.
95146 ......... A Antigen therapy 0.06 0.28 0.47 0.02 0.18 0.00 0.34 0.53 0.08 0.24 000
services.
95147 ......... A Antigen therapy 0.06 0.31 0.65 0.02 0.26 0.00 0.37 0.71 0.08 0.32 000
services.
95148 ......... A Antigen therapy 0.06 0.34 0.67 0.02 0.26 0.00 0.40 0.73 0.08 0.32 000
services.
95149 ......... A Antigen therapy 0.06 0.49 0.87 0.02 0.32 0.00 0.55 0.93 0.08 0.38 000
services.
95165 ......... A Antigen therapy 0.06 0.23 0.17 0.02 0.04 0.00 0.29 0.23 0.08 0.10 000
services.
95170 ......... A Antigen therapy 0.06 0.24 0.31 0.02 0.11 0.00 0.30 0.37 0.08 0.17 000
services.
95180 ......... A Rapid 2.01 1.56 0.86 0.84 0.46 0.06 3.63 2.93 2.91 2.53 000
desensitization.
95199 ......... C Allergy immunology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
services.
95805 ......... A Multiple sleep 1.88 6.07 6.03 6.07 6.03 0.37 8.32 8.28 8.32 8.28 XXX
latency test.
95805 26 A Multiple sleep 1.88 0.63 0.62 0.63 0.62 0.07 2.58 2.57 2.58 2.57 XXX
latency test.
95805 TC A Multiple sleep 0.00 5.43 5.40 5.43 5.40 0.30 5.73 5.70 5.73 5.70 XXX
latency test.
95806 ......... A Sleep study, 1.66 5.83 6.81 5.83 6.48 0.34 7.83 8.81 7.83 8.48 XXX
unattended.
95806 26 A Sleep study, 1.66 0.63 1.65 0.63 1.31 0.06 2.35 3.37 2.35 3.03 XXX
unattended.
95806 TC A Sleep study, 0.00 5.19 5.16 5.19 5.16 0.28 5.47 5.44 5.47 5.44 XXX
unattended.
95807 ......... A Sleep study, 1.66 7.43 8.13 7.43 8.13 0.44 9.53 10.23 9.53 10.23 XXX
attended.
95807 26 A Sleep study, 1.66 0.51 1.25 0.51 1.25 0.06 2.23 2.97 2.23 2.97 XXX
attended.
95807 TC A Sleep study, 0.00 6.91 6.88 6.91 6.88 0.38 7.29 7.26 7.29 7.26 XXX
attended.
95808 ......... A Polysomnography, 1- 2.65 7.80 8.65 7.80 8.65 0.47 10.92 11.77 10.92 11.77 XXX
3.
95808 26 A Polysomnography, 1- 2.65 0.89 1.78 0.89 1.78 0.09 3.63 4.52 3.63 4.52 XXX
3.
95808 TC A Polysomnography, 1- 0.00 6.91 6.88 6.91 6.88 0.38 7.29 7.26 7.29 7.26 XXX
3.
95810 ......... A Polysomnography, 4 3.53 8.06 8.78 8.06 8.78 0.50 12.09 12.81 12.09 12.81 XXX
or more.
95810 26 A Polysomnography, 4 3.53 1.15 1.91 1.15 1.91 0.12 4.80 5.56 4.80 5.56 XXX
or more.
95810 TC A Polysomnography, 4 0.00 6.91 6.88 6.91 6.88 0.38 7.29 7.26 7.29 7.26 XXX
or more.
95811 ......... A Polysomnography w/ 3.80 8.50 9.24 8.50 9.24 0.52 12.82 13.56 12.82 13.56 XXX
cpap.
95811 26 A Polysomnography w/ 3.80 1.24 2.02 1.24 2.02 0.13 5.17 5.95 5.17 5.95 XXX
cpap.
95811 TC A Polysomnography w/ 0.00 7.26 7.22 7.26 7.22 0.39 7.65 7.61 7.65 7.61 XXX
cpap.
95812 ......... A Electroencephalogr 1.08 1.91 1.96 1.91 1.96 0.13 3.12 3.17 3.12 3.17 XXX
am (EEG).
95812 26 A Electroencephalogr 1.08 0.43 0.49 0.43 0.49 0.04 1.55 1.61 1.55 1.61 XXX
am (EEG).
95812 TC A Electroencephalogr 0.00 1.48 1.48 1.48 1.48 0.09 1.57 1.57 1.57 1.57 XXX
am (EEG).
95813 ......... A Electroencephalogr 1.73 2.15 2.08 2.15 2.08 0.16 4.04 3.97 4.04 3.97 XXX
am (EEG).
95813 26 A Electroencephalogr 1.73 0.67 0.61 0.67 0.61 0.07 2.47 2.41 2.47 2.41 XXX
am (EEG).
95813 TC A Electroencephalogr 0.00 1.48 1.48 1.48 1.48 0.09 1.57 1.57 1.57 1.57 XXX
am (EEG).
95816 ......... A Electroencephalogr 1.08 1.81 1.74 1.81 1.74 0.13 3.02 2.95 3.02 2.95 XXX
am (EEG).
95816 26 A Electroencephalogr 1.08 0.43 0.37 0.43 0.37 0.05 1.56 1.50 1.56 1.50 XXX
am (EEG).
95816 TC A Electroencephalogr 0.00 1.38 1.38 1.38 1.38 0.08 1.46 1.46 1.46 1.46 XXX
am (EEG).
95819 ......... A Electroencephalogr 1.08 1.86 1.91 1.86 1.91 0.13 3.07 3.12 3.07 3.12 XXX
am (EEG).
95819 26 A Electroencephalogr 1.08 0.43 0.49 0.43 0.49 0.05 1.56 1.62 1.56 1.62 XXX
am (EEG).
[[Page 39748]]
95819 TC A Electroencephalogr 0.00 1.43 1.42 1.43 1.42 0.08 1.51 1.50 1.51 1.50 XXX
am (EEG).
95822 ......... A Sleep 1.08 2.32 2.40 2.32 2.40 0.16 3.56 3.64 3.56 3.64 XXX
electroencephalog
ram.
95822 26 A Sleep 1.08 0.43 0.52 0.43 0.52 0.05 1.56 1.65 1.56 1.65 XXX
electroencephalog
ram.
95822 TC A Sleep 0.00 1.89 1.88 1.89 1.88 0.11 2.00 1.99 2.00 1.99 XXX
electroencephalog
ram.
95824 ......... A Electroencephalogr 0.74 0.74 0.90 0.74 0.90 0.05 1.53 1.69 1.53 1.69 XXX
aphy.
95824 26 A Electroencephalogr 0.74 0.30 0.47 0.30 0.47 0.03 1.07 1.24 1.07 1.24 XXX
aphy.
95824 TC A Electroencephalogr 0.00 0.44 0.44 0.44 0.44 0.02 0.46 0.46 0.46 0.46 XXX
aphy.
95827 ......... A Night 1.08 2.79 3.06 2.79 3.06 0.17 4.04 4.31 4.04 4.31 XXX
electroencephalog
ram.
95827 26 A Night 1.08 0.40 0.68 0.40 0.68 0.04 1.52 1.80 1.52 1.80 XXX
electroencephalog
ram.
95827 TC A Night 0.00 2.39 2.38 2.39 2.38 0.13 2.52 2.51 2.52 2.51 XXX
electroencephalog
ram.
95829 ......... A Surgery 6.21 2.72 1.68 2.72 1.68 0.28 9.21 8.17 9.21 8.17 XXX
electrocorticogra
m.
95829 26 A Surgery 6.21 2.57 1.53 2.57 1.53 0.26 9.04 8.00 9.04 8.00 XXX
electrocorticogra
m.
95829 TC A Surgery 0.00 0.15 0.15 0.15 0.15 0.02 0.17 0.17 0.17 0.17 XXX
electrocorticogra
m.
95830 ......... A Insert electrodes 1.70 3.10 1.98 0.69 0.77 0.07 4.87 3.75 2.46 2.54 XXX
for EEG.
95831 ......... A Limb muscle 0.28 0.49 0.40 0.13 0.15 0.01 0.78 0.69 0.42 0.44 XXX
testing, manual.
95832 ......... A Hand muscle 0.29 0.33 0.30 0.13 0.14 0.01 0.63 0.60 0.43 0.44 XXX
testing, manual.
95833 ......... A Body muscle 0.47 0.54 0.48 0.23 0.22 0.02 1.03 0.97 0.72 0.71 XXX
testing, manual.
95834 ......... A Body muscle 0.60 0.57 0.62 0.28 0.31 0.02 1.19 1.24 0.90 0.93 XXX
testing, manual.
95851 ......... A Range of motion 0.16 0.46 0.36 0.08 0.11 0.01 0.63 0.53 0.25 0.28 XXX
measurements.
95852 ......... A Range of motion 0.11 0.36 0.26 0.05 0.07 0.01 0.48 0.38 0.17 0.19 XXX
measurements.
95857 ......... A Tensilon test..... 0.53 0.58 0.56 0.22 0.25 0.02 1.13 1.11 0.77 0.80 XXX
95858 ......... A Tensilon test & 1.56 1.06 1.08 1.06 1.08 0.09 2.71 2.73 2.71 2.73 XXX
myogram.
95858 26 A Tensilon test & 1.56 0.64 0.67 0.64 0.67 0.06 2.26 2.29 2.26 2.29 XXX
myogram.
95858 TC A Tensilon test & 0.00 0.41 0.41 0.41 0.41 0.03 0.44 0.44 0.44 0.44 XXX
myogram.
95860 ......... A Muscle test, one 0.96 0.80 0.99 0.80 0.99 0.06 1.82 2.01 1.82 2.01 XXX
limb.
95860 26 A Muscle test, one 0.96 0.40 0.60 0.40 0.60 0.04 1.40 1.60 1.40 1.60 XXX
limb.
95860 TC A Muscle test, one 0.00 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 XXX
limb.
95861 ......... A Muscle test, two 1.54 1.42 1.78 1.42 1.78 0.11 3.07 3.43 3.07 3.43 XXX
limbs.
95861 26 A Muscle test, two 1.54 0.65 1.02 0.65 1.02 0.06 2.25 2.62 2.25 2.62 XXX
limbs.
95861 TC A Muscle test, two 0.00 0.76 0.76 0.76 0.76 0.05 0.81 0.81 0.81 0.81 XXX
limbs.
95863 ......... A Muscle test, 3 1.87 1.74 2.12 1.74 2.12 0.12 3.73 4.11 3.73 4.11 XXX
limbs.
95863 26 A Muscle test, 3 1.87 0.77 1.15 0.77 1.15 0.07 2.71 3.09 2.71 3.09 XXX
limbs.
95863 TC A Muscle test, 3 0.00 0.98 0.98 0.98 0.98 0.05 1.03 1.03 1.03 1.03 XXX
limbs.
95864 ......... A Muscle test, 4 1.99 2.69 3.22 2.69 3.22 0.18 4.86 5.39 4.86 5.39 XXX
limbs.
95864 26 A Muscle test, 4 1.99 0.83 1.37 0.83 1.37 0.08 2.90 3.44 2.90 3.44 XXX
limbs.
95864 TC A Muscle test, 4 0.00 1.86 1.85 1.86 1.85 0.10 1.96 1.95 1.96 1.95 XXX
limbs.
95867 ......... A Muscle test, head 0.79 0.95 1.09 0.95 1.09 0.06 1.80 1.94 1.80 1.94 XXX
or neck.
95867 26 A Muscle test, head 0.79 0.34 0.49 0.34 0.49 0.03 1.16 1.31 1.16 1.31 XXX
or neck.
95867 TC A Muscle test, head 0.00 0.60 0.60 0.60 0.60 0.03 0.63 0.63 0.63 0.63 XXX
or neck.
95868 ......... A Muscle test, head 1.18 1.20 1.65 1.20 1.65 0.09 2.47 2.92 2.47 2.92 XXX
or neck.
95868 26 A Muscle test, head 1.18 0.47 0.92 0.47 0.92 0.05 1.70 2.15 1.70 2.15 XXX
or neck.
95868 TC A Muscle test, head 0.00 0.72 0.72 0.72 0.72 0.04 0.76 0.76 0.76 0.76 XXX
or neck.
95869 ......... A Muscle test, thor 0.37 0.38 0.48 0.38 0.48 0.03 0.78 0.88 0.78 0.88 XXX
paraspinal.
95869 26 A Muscle test, thor 0.37 0.16 0.26 0.16 0.26 0.01 0.54 0.64 0.54 0.64 XXX
paraspinal.
95869 TC A Muscle test, thor 0.00 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 XXX
paraspinal.
95870 ......... A Muscle test, non- 0.37 0.36 0.47 0.36 0.47 0.03 0.76 0.87 0.76 0.87 XXX
paraspinal.
95870 26 A Muscle test, non- 0.37 0.14 0.25 0.14 0.25 0.01 0.52 0.63 0.52 0.63 XXX
paraspinal.
95870 TC A Muscle test, non- 0.00 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 XXX
paraspinal.
95872 ......... A Muscle test, one 1.50 1.22 1.29 1.22 1.29 0.10 2.82 2.89 2.82 2.89 XXX
fiber.
95872 26 A Muscle test, one 1.50 0.60 0.67 0.60 0.67 0.06 2.16 2.23 2.16 2.23 XXX
fiber.
95872 TC A Muscle test, one 0.00 0.62 0.62 0.62 0.62 0.04 0.66 0.66 0.66 0.66 XXX
fiber.
95875 ......... A Limb exercise test 1.34 0.95 0.80 0.95 0.80 0.11 2.40 2.25 2.40 2.25 XXX
95875 26 A Limb exercise test 1.34 0.54 0.39 0.54 0.39 0.06 1.94 1.79 1.94 1.79 XXX
95875 TC A Limb exercise test 0.00 0.41 0.41 0.41 0.41 0.05 0.46 0.46 0.46 0.46 XXX
95900 ......... A Motor nerve 0.42 0.47 0.57 0.47 0.57 0.04 0.93 1.03 0.93 1.03 XXX
conduction test.
95900 26 A Motor nerve 0.42 0.17 0.28 0.17 0.28 0.02 0.61 0.72 0.61 0.72 XXX
conduction test.
95900 TC A Motor nerve 0.00 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 XXX
conduction test.
95903 ......... A Motor nerve 0.60 0.51 0.58 0.51 0.58 0.04 1.15 1.22 1.15 1.22 XXX
conduction test.
95903 26 A Motor nerve 0.60 0.25 0.32 0.25 0.32 0.02 0.87 0.94 0.87 0.94 XXX
conduction test.
95903 TC A Motor nerve 0.00 0.26 0.26 0.26 0.26 0.02 0.28 0.28 0.28 0.28 XXX
conduction test.
95904 ......... A Sense nerve 0.34 0.37 0.49 0.37 0.49 0.03 0.74 0.86 0.74 0.86 XXX
conduction test.
95904 26 A Sense nerve 0.34 0.14 0.26 0.14 0.26 0.01 0.49 0.61 0.49 0.61 XXX
conduction test.
95904 TC A Sense nerve 0.00 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 XXX
conduction test.
95920 ......... A Intraop nerve test 2.11 NA NA 2.27 2.59 0.15 NA NA 4.53 4.85 ZZZ
add-on.
95920 26 A Intraop nerve test 2.11 NA NA 0.91 1.23 0.09 NA NA 3.11 3.43 ZZZ
add-on.
95920 TC A Intraop nerve test 0.00 NA NA 1.36 1.36 0.06 NA NA 1.42 1.42 ZZZ
add-on.
95921 ......... A Autonomic nervous 0.90 0.73 0.74 0.73 0.74 0.05 1.68 1.69 1.68 1.69 XXX
func test.
95921 26 A Autonomic nervous 0.90 0.34 0.35 0.34 0.35 0.03 1.27 1.28 1.27 1.28 XXX
func test.
95921 TC A Autonomic nervous 0.00 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 XXX
func test.
95922 ......... A Autonomic nervous 0.96 0.78 0.77 0.78 0.77 0.06 1.80 1.79 1.80 1.79 XXX
func test.
95922 26 A Autonomic nervous 0.96 0.39 0.38 0.39 0.38 0.04 1.39 1.38 1.39 1.38 XXX
func test.
95922 TC A Autonomic nervous 0.00 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 XXX
func test.
95923 ......... A Autonomic nervous 0.90 0.75 0.75 0.75 0.75 0.06 1.71 1.71 1.71 1.71 XXX
func test.
95923 26 A Autonomic nervous 0.90 0.36 0.36 0.36 0.36 0.04 1.30 1.30 1.30 1.30 XXX
func test.
95923 TC A Autonomic nervous 0.00 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 XXX
func test.
95925 ......... A Somatosensory 0.54 1.18 1.41 1.18 1.41 0.07 1.79 2.02 1.79 2.02 XXX
testing.
95925 26 A Somatosensory 0.54 0.22 0.46 0.22 0.46 0.02 0.78 1.02 0.78 1.02 XXX
testing.
95925 TC A Somatosensory 0.00 0.96 0.95 0.96 0.95 0.05 1.01 1.00 1.01 1.00 XXX
testing.
95926 ......... A Somatosensory 0.54 1.19 1.41 1.19 1.41 0.07 1.80 2.02 1.80 2.02 XXX
testing.
95926 26 A Somatosensory 0.54 0.23 0.46 0.23 0.46 0.02 0.79 1.02 0.79 1.02 XXX
testing.
95926 TC A Somatosensory 0.00 0.96 0.95 0.96 0.95 0.05 1.01 1.00 1.01 1.00 XXX
testing.
95927 ......... A Somatosensory 0.54 1.19 1.41 1.19 1.41 0.07 1.80 2.02 1.80 2.02 XXX
testing.
95927 26 A Somatosensory 0.54 0.23 0.46 0.23 0.46 0.02 0.79 1.02 0.79 1.02 XXX
testing.
95927 TC A Somatosensory 0.00 0.96 0.95 0.96 0.95 0.05 1.01 1.00 1.01 1.00 XXX
testing.
[[Page 39749]]
95930 ......... A Visual evoked 0.35 0.41 0.66 0.41 0.66 0.02 0.78 1.03 0.78 1.03 XXX
potential test.
95930 26 A Visual evoked 0.35 0.14 0.39 0.14 0.39 0.01 0.50 0.75 0.50 0.75 XXX
potential test.
95930 TC A Visual evoked 0.00 0.27 0.27 0.27 0.27 0.01 0.28 0.28 0.28 0.28 XXX
potential test.
95933 ......... A Blink reflex test. 0.59 1.06 1.21 1.06 1.21 0.07 1.72 1.87 1.72 1.87 XXX
95933 26 A Blink reflex test. 0.59 0.23 0.39 0.23 0.39 0.02 0.84 1.00 0.84 1.00 XXX
95933 TC A Blink reflex test. 0.00 0.82 0.82 0.82 0.82 0.05 0.87 0.87 0.87 0.87 XXX
95934 ......... A A reflex test..... 0.51 0.44 0.52 0.44 0.52 0.04 0.99 1.07 0.99 1.07 XXX
95934 26 A h reflex test..... 0.51 0.21 0.29 0.21 0.29 0.02 0.74 0.82 0.74 0.82 XXX
95934 TC A h reflex test..... 0.00 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 XXX
95936 ......... A h reflex test..... 0.55 0.46 0.53 0.46 0.53 0.04 1.05 1.12 1.05 1.12 XXX
95936 26 A h reflex test..... 0.55 0.24 0.31 0.24 0.31 0.02 0.81 0.88 0.81 0.88 XXX
95936 TC A h reflex test..... 0.00 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 XXX
95937 ......... A Neuromuscular 0.65 0.61 0.73 0.61 0.73 0.05 1.31 1.43 1.31 1.43 XXX
junction test.
95937 26 A Neuromuscular 0.65 0.26 0.38 0.26 0.38 0.03 0.94 1.06 0.94 1.06 XXX
junction test.
95937 TC A Neuromuscular 0.00 0.35 0.35 0.35 0.35 0.02 0.37 0.37 0.37 0.37 XXX
junction test.
95950 ......... A Ambulatory eeg 1.51 7.23 7.55 7.23 7.55 0.46 9.20 9.52 9.20 9.52 XXX
monitoring.
95950 26 A Ambulatory eeg 1.51 0.60 0.96 0.60 0.96 0.07 2.18 2.54 2.18 2.54 XXX
monitoring.
95950 TC A Ambulatory eeg 0.00 6.63 6.59 6.63 6.59 0.39 7.02 6.98 7.02 6.98 XXX
monitoring.
95951 ......... A EEG monitoring/ 6.00 10.45 10.02 10.45 10.02 0.66 17.11 16.68 17.11 16.68 XXX
videorecord.
95951 26 A EEG monitoring/ 6.00 2.42 2.03 2.42 2.03 0.25 8.67 8.28 8.67 8.28 XXX
videorecord.
95951 TC A EEG monitoring/ 0.00 8.04 8.00 8.04 8.00 0.41 8.45 8.41 8.45 8.41 XXX
videorecord.
95953 ......... A EEG monitoring/ 3.08 7.86 7.86 7.86 7.86 0.52 11.46 11.46 11.46 11.46 XXX
computer.
95953 26 A EEG monitoring/ 3.08 1.23 1.27 1.23 1.27 0.13 4.44 4.48 4.44 4.48 XXX
computer.
95953 TC A EEG monitoring/ 0.00 6.63 6.59 6.63 6.59 0.39 7.02 6.98 7.02 6.98 XXX
computer.
95954 ......... A EEG monitoring/ 2.45 1.49 2.01 1.49 2.01 0.15 4.09 4.61 4.09 4.61 XXX
giving drugs.
95954 26 A EEG monitoring/ 2.45 0.99 1.51 0.99 1.51 0.10 3.54 4.06 3.54 4.06 XXX
giving drugs.
95954 TC A EEG monitoring/ 0.00 0.49 0.49 0.49 0.49 0.05 0.54 0.54 0.54 0.54 XXX
giving drugs.
95955 ......... A EEG during surgery 1.01 2.40 2.78 2.40 2.78 0.20 3.61 3.99 3.61 3.99 XXX
95955 26 A EEG during surgery 1.01 0.35 0.74 0.35 0.74 0.05 1.41 1.80 1.41 1.80 XXX
95955 TC A EEG during surgery 0.00 2.05 2.04 2.05 2.04 0.15 2.20 2.19 2.20 2.19 XXX
95956 ......... A EEG monitoring/ 3.08 7.87 8.03 7.87 8.03 0.52 11.47 11.63 11.47 11.63 XXX
cable/radio.
95956 26 A EEG monitoring/ 3.08 1.24 1.44 1.24 1.44 0.13 4.45 4.65 4.45 4.65 XXX
cable/radio.
95956 TC A EEG monitoring/ 0.00 6.63 6.59 6.63 6.59 0.39 7.02 6.98 7.02 6.98 XXX
cable/radio.
95957 ......... A EEG digital 1.98 2.58 2.51 2.58 2.51 0.18 4.74 4.67 4.74 4.67 XXX
analysis.
95957 26 A EEG digital 1.98 0.80 0.74 0.80 0.74 0.08 2.86 2.80 2.86 2.80 XXX
analysis.
95957 TC A EEG digital 0.00 1.78 1.77 1.78 1.77 0.10 1.88 1.87 1.88 1.87 XXX
analysis.
95958 ......... A EEG monitoring/ 4.25 3.44 4.38 3.44 4.38 0.28 7.97 8.91 7.97 8.91 XXX
function test.
95958 26 A EEG monitoring/ 4.25 1.62 2.57 1.62 2.57 0.17 6.04 6.99 6.04 6.99 XXX
function test.
95958 TC A EEG monitoring/ 0.00 1.82 1.81 1.82 1.81 0.11 1.93 1.92 1.93 1.92 XXX
function test.
95961 ......... A Electrode 2.97 2.62 2.76 2.62 2.76 0.19 5.78 5.92 5.78 5.92 XXX
stimulation,
brain.
95961 26 A Electrode 2.97 1.27 1.41 1.27 1.41 0.13 4.37 4.51 4.37 4.51 XXX
stimulation,
brain.
95961 TC A Electrode 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 XXX
stimulation,
brain.
95962 ......... A Electrode 3.21 2.70 2.80 2.70 2.80 0.20 6.11 6.21 6.11 6.21 ZZZ
stimulation,
brain.
95962 26 A Electrode 3.21 1.34 1.45 1.34 1.45 0.14 4.69 4.80 4.69 4.80 ZZZ
stimulation,
brain.
95962 TC A Electrode 0.00 1.36 1.36 1.36 1.36 0.06 1.42 1.42 1.42 1.42 ZZZ
stimulation,
brain.
95970 ......... A Neurostim 0.45 0.12 0.12 0.11 0.11 0.03 0.60 0.60 0.59 0.59 XXX
analyze,no
program.
95971 ......... A Simple neurostim 0.78 0.21 0.21 0.18 0.18 0.05 1.04 1.04 1.01 1.01 XXX
analyze.
95972 ......... A Complex neurostim 1.50 0.40 0.40 0.35 0.35 0.09 1.99 1.99 1.94 1.94 XXX
analyze.
95973 ......... A Complex neurostim 0.92 0.25 0.25 0.22 0.22 0.05 1.22 1.22 1.19 1.19 ZZZ
analyze.
95974 ......... A Complex cranial 3.00 0.97 0.97 0.76 0.76 0.16 4.13 4.13 3.92 3.92 XXX
neurostim.
95975 ......... A Complex cranial 1.70 0.63 0.63 0.49 0.49 0.09 2.42 2.42 2.28 2.28 ZZZ
neurostim.
95999 ......... C Neurological 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
96100 ......... A Psychological 0.00 1.84 1.83 1.84 1.83 0.16 2.00 1.99 2.00 1.99 XXX
testing.
96105 ......... A Assessment of 0.00 1.84 1.83 1.84 1.83 0.16 2.00 1.99 2.00 1.99 XXX
aphasia.
96110 ......... C Developmental 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test, lim.
96111 ......... A Developmental 0.00 1.84 1.83 1.84 1.83 0.16 2.00 1.99 2.00 1.99 XXX
test, extend.
96115 ......... A Neurobehavior 0.00 1.84 1.83 1.84 1.83 0.16 2.00 1.99 2.00 1.99 XXX
status exam.
96117 ......... A Neuropsych test 0.00 1.84 1.83 1.84 1.83 0.16 2.00 1.99 2.00 1.99 XXX
battery.
96400 ......... A Chemotherapy, (SC)/ 0.00 0.14 0.14 0.14 0.14 0.01 0.15 0.15 0.15 0.15 XXX
(IM).
96405 ......... A Intralesional 0.52 1.51 0.96 0.23 0.22 0.02 2.05 1.50 0.77 0.76 000
chemo admin.
96406 ......... A Intralesional 0.80 1.85 1.23 0.29 0.30 0.02 2.67 2.05 1.11 1.12 000
chemo admin.
96408 ......... A Chemotherapy, push 0.00 1.01 1.01 1.01 1.01 0.05 1.06 1.06 1.06 1.06 XXX
technique.
96410 ......... A Chemotherapy,infus 0.00 1.61 1.61 1.61 1.61 0.07 1.68 1.68 1.68 1.68 XXX
ion method.
96412 ......... A Chemotx infuse 0.00 1.21 1.20 1.21 1.20 0.06 1.27 1.26 1.27 1.26 ZZZ
method add-on.
96414 ......... A Chemotx infuse 0.00 1.39 1.39 1.39 1.39 0.07 1.46 1.46 1.46 1.46 XXX
method add-on.
96420 ......... A Chemotherapy, push 0.00 1.31 1.30 1.31 1.30 0.07 1.38 1.37 1.38 1.37 XXX
technique.
96422 ......... A Chemotherapy,infus 0.00 1.29 1.28 1.29 1.28 0.07 1.36 1.35 1.36 1.35 XXX
ion method.
96423 ......... A Chemotx infuse 0.00 0.50 0.50 0.50 0.50 0.02 0.52 0.52 0.52 0.52 ZZZ
method add-on.
96425 ......... A Chemotherapy,infus 0.00 1.49 1.49 1.49 1.49 0.07 1.56 1.56 1.56 1.56 XXX
ion method.
96440 ......... A Chemotherapy, 2.37 6.70 3.79 0.91 0.90 0.09 9.16 6.25 3.37 3.36 000
intracavitary.
96445 ......... A Chemotherapy, 2.20 6.43 3.75 0.82 0.68 0.08 8.71 6.03 3.10 2.96 000
intracavitary.
96450 ......... A Chemotherapy, into 1.89 5.03 2.99 0.74 0.61 0.07 6.99 4.95 2.70 2.57 000
CNS.
96520 ......... A Pump refilling, 0.00 0.94 0.93 0.94 0.93 0.05 0.99 0.98 0.99 0.98 XXX
maintenance.
96530 ......... A Pump refilling, 0.00 1.11 1.11 1.11 1.11 0.05 1.16 1.16 1.16 1.16 XXX
maintenance.
96542 ......... A Chemotherapy 1.42 3.22 2.20 0.57 0.58 0.05 4.69 3.67 2.04 2.05 XXX
injection.
96545 ......... B Provide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chemotherapy
agent.
96549 ......... C Chemotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unspecified.
96900 ......... A Ultraviolet light 0.00 0.41 0.41 0.41 0.41 0.02 0.43 0.43 0.43 0.43 XXX
therapy.
96902 ......... B Trichogram........ 0.41 0.23 0.27 0.16 0.24 0.01 0.65 0.69 0.58 0.66 XXX
96910 ......... A Photochemotherapy 0.00 0.60 0.60 0.60 0.60 0.03 0.63 0.63 0.63 0.63 XXX
with UV-B.
96912 ......... A Photochemotherapy 0.00 0.69 0.69 0.69 0.69 0.04 0.73 0.73 0.73 0.73 XXX
with UV-A.
96913 ......... A Photochemotherapy, 0.00 1.42 1.41 1.42 1.41 0.08 1.50 1.49 1.50 1.49 XXX
UV-A or B.
96999 ......... C Dermatological 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
97001 ......... A Pt evaluation..... 1.20 0.41 0.40 0.41 0.40 0.05 1.66 1.65 1.66 1.65 XXX
[[Page 39750]]
97002 ......... A Pt re-evaluation.. 0.60 0.29 0.17 0.21 0.13 0.02 0.91 0.79 0.83 0.75 XXX
97003 ......... A Ot evaluation..... 1.20 0.56 0.47 0.46 0.42 0.05 1.81 1.72 1.71 1.67 XXX
97004 ......... A Ot re-evaluation.. 0.60 0.34 0.19 0.19 0.12 0.02 0.96 0.81 0.81 0.74 XXX
97010 ......... B Hot or cold packs 0.06 0.15 0.19 0.01 0.12 0.00 0.21 0.25 0.07 0.18 XXX
therapy.
97012 ......... A Mechanical 0.25 0.17 0.19 0.04 0.13 0.01 0.43 0.45 0.30 0.39 XXX
traction therapy.
97014 ......... A Electric 0.18 0.16 0.19 0.03 0.13 0.01 0.35 0.38 0.22 0.32 XXX
stimulation
therapy.
97016 ......... A Vasopneumatic 0.18 0.16 0.22 0.03 0.15 0.01 0.35 0.41 0.22 0.34 XXX
device therapy.
97018 ......... A Paraffin bath 0.06 0.14 0.20 0.01 0.14 0.00 0.20 0.26 0.07 0.20 XXX
therapy.
97020 ......... A Microwave therapy. 0.06 0.15 0.19 0.01 0.12 0.00 0.21 0.25 0.07 0.18 XXX
97022 ......... A Whirlpool therapy. 0.17 0.16 0.19 0.02 0.12 0.01 0.34 0.37 0.20 0.30 XXX
97024 ......... A Diathermy 0.06 0.15 0.19 0.01 0.12 0.00 0.21 0.25 0.07 0.18 XXX
treatment.
97026 ......... A Infrared therapy.. 0.06 0.14 0.18 0.01 0.11 0.00 0.20 0.24 0.07 0.17 XXX
97028 ......... A Ultraviolet 0.08 0.14 0.18 0.01 0.11 0.00 0.22 0.26 0.09 0.19 XXX
therapy.
97032 ......... A Electrical 0.25 0.18 0.17 0.04 0.10 0.01 0.44 0.43 0.30 0.36 XXX
stimulation.
97033 ......... A Electric current 0.26 0.20 0.18 0.04 0.10 0.01 0.47 0.45 0.31 0.37 XXX
therapy.
97034 ......... A Contrast bath 0.21 0.18 0.15 0.03 0.07 0.01 0.40 0.37 0.25 0.29 XXX
therapy.
97035 ......... A Ultrasound therapy 0.21 0.18 0.15 0.03 0.08 0.01 0.40 0.37 0.25 0.30 XXX
97036 ......... A Hydrotherapy...... 0.28 0.22 0.23 0.04 0.14 0.01 0.51 0.52 0.33 0.43 XXX
97039 ......... A Physical therapy 0.20 0.17 0.22 0.03 0.15 0.01 0.38 0.43 0.24 0.36 XXX
treatment.
97110 ......... A Therapeutic 0.45 0.24 0.19 0.06 0.10 0.02 0.71 0.66 0.53 0.57 XXX
exercises.
97112 ......... A Neuromuscular 0.45 0.20 0.17 0.06 0.10 0.02 0.67 0.64 0.53 0.57 XXX
reeducation.
97113 ......... A Aquatic therapy/ 0.44 0.21 0.22 0.06 0.14 0.02 0.67 0.68 0.52 0.60 XXX
exercises.
97116 ......... A Gait training 0.40 0.20 0.16 0.06 0.09 0.01 0.61 0.57 0.47 0.50 XXX
therapy.
97124 ......... A Massage therapy... 0.35 0.19 0.16 0.05 0.09 0.01 0.55 0.52 0.41 0.45 XXX
97139 ......... A Physical medicine 0.21 0.17 0.17 0.03 0.10 0.01 0.39 0.39 0.25 0.32 XXX
procedure.
97140 ......... A Manual therapy.... 0.43 0.21 0.21 0.06 0.06 0.02 0.66 0.66 0.51 0.51 XXX
97150 ......... A Group therapeutic 0.27 0.17 0.20 0.04 0.13 0.02 0.46 0.49 0.33 0.42 XXX
procedures.
97504 ......... A Orthotic training. 0.45 0.18 0.17 0.06 0.11 0.03 0.66 0.65 0.54 0.59 XXX
97520 ......... A Prosthetic 0.45 0.20 0.18 0.06 0.11 0.02 0.67 0.65 0.53 0.58 XXX
training.
97530 ......... A Therapeutic 0.44 0.20 0.19 0.06 0.12 0.02 0.66 0.65 0.52 0.58 XXX
activities.
97535 ......... A Self care mngment 0.45 0.20 0.19 0.06 0.12 0.02 0.67 0.66 0.53 0.59 XXX
training.
97537 ......... A Community/work 0.45 0.20 0.19 0.06 0.12 0.01 0.66 0.65 0.52 0.58 XXX
reintegration.
97542 ......... A Wheelchair 0.25 0.17 0.18 0.04 0.11 0.01 0.43 0.44 0.30 0.37 XXX
mngement training.
97545 ......... R Work hardening.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97546 ......... R Work hardening add- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
on.
97703 ......... A Prosthetic 0.25 0.08 0.14 0.04 0.12 0.01 0.34 0.40 0.30 0.38 XXX
checkout.
97750 ......... A Physical 0.45 0.19 0.23 0.06 0.16 0.02 0.66 0.70 0.53 0.63 XXX
performance test.
97770 ......... A Cognitive skills 0.44 0.18 0.24 0.06 0.18 0.01 0.63 0.69 0.51 0.63 XXX
development.
97780 ......... N Acupuncture w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stim.
97781 ......... N Acupuncture w/stim 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97799 ......... C Physical medicine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
98925 ......... A Osteopathic 0.45 0.35 0.31 0.15 0.21 0.02 0.82 0.78 0.62 0.68 000
manipulation.
98926 ......... A Osteopathic 0.65 0.44 0.44 0.27 0.35 0.02 1.11 1.11 0.94 1.02 000
manipulation.
98927 ......... A Osteopathic 0.87 0.49 0.45 0.30 0.36 0.03 1.39 1.35 1.20 1.26 000
manipulation.
98928 ......... A Osteopathic 1.03 0.57 0.52 0.34 0.40 0.04 1.64 1.59 1.41 1.47 000
manipulation.
98929 ......... A Osteopathic 1.19 0.63 0.53 0.38 0.40 0.04 1.86 1.76 1.61 1.63 000
manipulation.
98940 ......... A Chiropractic 0.45 0.24 0.28 0.12 0.14 0.01 0.70 0.74 0.58 0.60 000
manipulation.
98941 ......... A Chiropractic 0.65 0.29 0.30 0.17 0.17 0.02 0.96 0.97 0.84 0.84 000
manipulation.
98942 ......... A Chiropractic 0.87 0.35 0.33 0.23 0.20 0.03 1.25 1.23 1.13 1.10 000
manipulation.
98943 ......... N Chiropractic +0.40 0.34 0.33 0.15 0.23 0.01 0.75 0.74 0.56 0.64 XXX
manipulation.
99000 ......... B Specimen handling. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99001 ......... B Specimen handling. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99002 ......... B Device handling... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99024 ......... B Post-op follow-up 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
visit.
99025 ......... B Initial surgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
99050 ......... B Medical services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
after hrs.
99052 ......... B Medical services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
at night.
99054 ......... B Medical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services,unusual
hrs.
99056 ......... B Non-office medical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99058 ......... B Office emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
care.
99070 ......... B Special supplies.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99071 ......... B Patient education 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
materials.
99075 ......... N Medical testimony. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99078 ......... B Group health 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
education.
99080 ......... B Special reports or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
forms.
99082 ......... C Unusual physician 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
travel.
99090 ......... B Computer data 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
99100 ......... B Special anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
service.
99116 ......... B Anesthesia with 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
hypothermia.
99135 ......... B Special anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
procedure.
99140 ......... B Emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
anesthesia.
99141 ......... B Sedation, iv/im or 0.80 1.63 1.27 0.31 0.61 0.05 2.48 2.12 1.16 1.46 XXX
inhalant.
99142 ......... B Sedation, oral/ 0.60 1.55 1.11 0.23 0.45 0.04 2.19 1.75 0.87 1.09 XXX
rectal/nasal.
99175 ......... A Induction of 0.00 1.46 1.45 1.46 1.45 0.08 1.54 1.53 1.54 1.53 XXX
vomiting.
99183 ......... A Hyperbaric oxygen 2.34 0.77 1.29 0.73 1.27 0.13 3.24 3.76 3.20 3.74 XXX
therapy.
99185 ......... A Regional 0.00 NA NA 0.67 0.67 0.03 NA NA 0.70 0.70 XXX
hypothermia.
99186 ......... A Total body 0.00 NA NA 1.86 1.85 0.40 NA NA 2.26 2.25 XXX
hypothermia.
99190 ......... X Special pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99191 ......... X Special pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99192 ......... X Special pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99195 ......... A Phlebotomy........ 0.00 0.46 0.46 0.46 0.46 0.02 0.48 0.48 0.48 0.48 XXX
99199 ......... C Special service or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
report.
99201 ......... A Office/outpatient 0.45 0.78 0.62 0.15 0.18 0.02 1.25 1.09 0.62 0.65 XXX
visit, new.
99202 ......... A Office/outpatient 0.88 1.03 0.79 0.32 0.29 0.04 1.95 1.71 1.24 1.21 XXX
visit, new.
[[Page 39751]]
99203 ......... A Office/outpatient 1.34 1.37 1.01 0.49 0.39 0.07 2.78 2.42 1.90 1.80 XXX
visit, new.
99204 ......... A Office/outpatient 2.00 1.86 1.41 0.72 0.58 0.09 3.95 3.50 2.81 2.67 XXX
visit, new.
99205 ......... A Office/outpatient 2.67 2.13 1.59 0.93 0.70 0.11 4.91 4.37 3.71 3.48 XXX
visit, new.
99211 ......... A Office/outpatient 0.17 0.52 0.38 0.06 0.09 0.01 0.70 0.56 0.24 0.27 XXX
visit, est.
99212 ......... A Office/outpatient 0.45 0.59 0.47 0.16 0.16 0.02 1.06 0.94 0.63 0.63 XXX
visit, est.
99213 ......... A Office/outpatient 0.67 0.72 0.60 0.23 0.22 0.03 1.42 1.30 0.93 0.92 XXX
visit, est.
99214 ......... A Office/outpatient 1.10 1.06 0.84 0.39 0.33 0.04 2.20 1.98 1.53 1.47 XXX
visit, est.
99215 ......... A Office/outpatient 1.77 1.33 1.13 0.62 0.52 0.07 3.17 2.97 2.46 2.36 XXX
visit, est.
99217 ......... A Observation care 1.28 NA NA 0.44 0.50 0.05 NA NA 1.77 1.83 XXX
discharge.
99218 ......... A Observation care.. 1.28 NA NA 0.44 0.59 0.05 NA NA 1.77 1.92 XXX
99219 ......... A Observation care.. 2.14 NA NA 0.72 0.93 0.08 NA NA 2.94 3.15 XXX
99220 ......... A Observation care.. 2.99 NA NA 1.02 1.13 0.11 NA NA 4.12 4.23 XXX
99221 ......... A Initial hospital 1.28 NA NA 0.45 0.59 0.05 NA NA 1.78 1.92 XXX
care.
99222 ......... A Initial hospital 2.14 NA NA 0.73 0.93 0.08 NA NA 2.95 3.15 XXX
care.
99223 ......... A Initial hospital 2.99 NA NA 1.02 1.13 0.11 NA NA 4.12 4.23 XXX
care.
99231 ......... A Subsequent 0.64 NA NA 0.23 0.32 0.02 NA NA 0.89 0.98 XXX
hospital care.
99232 ......... A Subsequent 1.06 NA NA 0.36 0.43 0.04 NA NA 1.46 1.53 XXX
hospital care.
99233 ......... A Subsequent 1.51 NA NA 0.51 0.58 0.05 NA NA 2.07 2.14 XXX
hospital care.
99234 ......... A Observ/hosp same 2.56 NA NA 0.87 0.81 0.11 NA NA 3.54 3.48 XXX
date.
99235 ......... A Observ/hosp same 3.42 NA NA 1.15 1.15 0.13 NA NA 4.70 4.70 XXX
date.
99236 ......... A Observ/hosp same 4.27 NA NA 1.46 1.35 0.16 NA NA 5.89 5.78 XXX
date.
99238 ......... A Hospital discharge 1.28 NA NA 0.43 0.49 0.05 NA NA 1.76 1.82 XXX
day.
99239 ......... A Hospital discharge 1.75 NA NA 0.60 0.58 0.06 NA NA 2.41 2.39 XXX
day.
99241 ......... A Office 0.64 1.01 0.85 0.20 0.28 0.04 1.69 1.53 0.88 0.96 XXX
consultation.
99242 ......... A Office 1.29 1.43 1.14 0.45 0.44 0.08 2.80 2.51 1.82 1.81 XXX
consultation.
99243 ......... A Office 1.72 1.75 1.40 0.62 0.58 0.09 3.56 3.21 2.43 2.39 XXX
consultation.
99244 ......... A Office 2.58 2.19 1.76 0.89 0.78 0.12 4.89 4.46 3.59 3.48 XXX
consultation.
99245 ......... A Office 3.43 2.59 2.21 1.18 1.05 0.16 6.18 5.80 4.77 4.64 XXX
consultation.
99251 ......... A Initial inpatient 0.66 NA NA 0.29 0.51 0.04 NA NA 0.99 1.21 XXX
consult.
99252 ......... A Initial inpatient 1.32 NA NA 0.55 0.69 0.08 NA NA 1.95 2.09 XXX
consult.
99253 ......... A Initial inpatient 1.82 NA NA 0.74 0.89 0.09 NA NA 2.65 2.80 XXX
consult.
99254 ......... A Initial inpatient 2.64 NA NA 1.03 1.17 0.12 NA NA 3.79 3.93 XXX
consult.
99255 ......... A Initial inpatient 3.65 NA NA 1.39 1.55 0.16 NA NA 5.20 5.36 XXX
consult.
99261 ......... A Follow-up 0.42 NA NA 0.20 0.28 0.02 NA NA 0.64 0.72 XXX
inpatient consult.
99262 ......... A Follow-up 0.85 NA NA 0.36 0.43 0.03 NA NA 1.24 1.31 XXX
inpatient consult.
99263 ......... A Follow-up 1.27 NA NA 0.51 0.62 0.05 NA NA 1.83 1.94 XXX
inpatient consult.
99271 ......... A Confirmatory 0.45 0.59 0.61 0.19 0.26 0.02 1.06 1.08 0.66 0.73 XXX
consultation.
99272 ......... A Confirmatory 0.84 0.79 0.78 0.36 0.38 0.05 1.68 1.67 1.25 1.27 XXX
consultation.
99273 ......... A Confirmatory 1.19 1.02 1.07 0.49 0.53 0.07 2.28 2.33 1.75 1.79 XXX
consultation.
99274 ......... A Confirmatory 1.73 1.32 1.32 0.69 0.68 0.09 3.14 3.14 2.51 2.50 XXX
consultation.
99275 ......... A Confirmatory 2.31 1.55 1.72 0.87 1.38 0.10 3.96 4.13 3.28 3.79 XXX
consultation.
99281 ......... A Emergency dept 0.33 NA NA 0.09 0.20 0.02 NA NA 0.44 0.55 XXX
visit.
99282 ......... A Emergency dept 0.55 NA NA 0.15 0.28 0.03 NA NA 0.73 0.86 XXX
visit.
99283 ......... A Emergency dept 1.24 NA NA 0.31 0.42 0.08 NA NA 1.63 1.74 XXX
visit.
99284 ......... A Emergency dept 1.95 NA NA 0.48 0.62 0.12 NA NA 2.55 2.69 XXX
visit.
99285 ......... A Emergency dept 3.06 NA NA 0.75 0.99 0.20 NA NA 4.01 4.25 XXX
visit.
99288 ......... B Direct advanced 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
life support.
99291 ......... A Critical care, 4.00 1.48 1.52 1.27 1.41 0.16 5.64 5.68 5.43 5.57 XXX
first hour.
99292 ......... A Critical care, 2.00 0.80 0.74 0.64 0.66 0.08 2.88 2.82 2.72 2.74 ZZZ
addl 30 min.
99295 ......... A Neonatal critical 16.00 NA NA 5.02 5.27 0.66 NA NA 21.68 21.93 XXX
care.
99296 ......... A Neonatal critical 8.00 NA NA 2.67 2.67 0.26 NA NA 10.93 10.93 XXX
care.
99297 ......... A Neonatal critical 4.00 NA NA 1.30 1.32 0.13 NA NA 5.43 5.45 XXX
care.
99298 ......... A Neonatal critical 2.75 0.95 0.95 0.89 0.89 0.09 3.79 3.79 3.73 3.73 XXX
care.
99301 ......... A Nursing facility 1.20 NA NA 0.41 0.45 0.04 NA NA 1.65 1.69 XXX
care.
99302 ......... A Nursing facility 1.61 NA NA 0.54 0.54 0.06 NA NA 2.21 2.21 XXX
care.
99303 ......... A Nursing facility 2.01 NA NA 0.66 0.85 0.07 NA NA 2.74 2.93 XXX
care.
99311 ......... A Nursing facility 0.60 NA NA 0.20 0.29 0.02 NA NA 0.82 0.91 XXX
care,subseq.
99312 ......... A Nursing facility 1.00 NA NA 0.33 0.39 0.03 NA NA 1.36 1.42 XXX
care,subseq.
99313 ......... A Nursing facility 1.42 NA NA 0.47 0.49 0.05 NA NA 1.94 1.96 XXX
care,subseq.
99315 ......... A Nursing fac 1.13 NA NA 0.43 0.49 0.04 NA NA 1.60 1.66 XXX
discharge day.
99316 ......... A Nursing fac 1.50 NA NA 0.57 0.56 0.05 NA NA 2.12 2.11 XXX
discharge day.
99321 ......... A Rest home visit, 0.71 0.41 0.41 0.32 0.36 0.03 1.15 1.15 1.06 1.10 XXX
new patient.
99322 ......... A Rest home visit, 1.01 0.64 0.60 0.43 0.49 0.04 1.69 1.65 1.48 1.54 XXX
new patient.
99323 ......... A Rest home visit, 1.28 0.83 0.81 0.52 0.66 0.05 2.16 2.14 1.85 1.99 XXX
new patient.
99331 ......... A Rest home visit, 0.60 0.42 0.36 0.29 0.30 0.02 1.04 0.98 0.91 0.92 XXX
estab pat.
99332 ......... A Rest home visit, 0.80 0.52 0.46 0.36 0.38 0.03 1.35 1.29 1.19 1.21 XXX
estab pat.
99333 ......... A Rest home visit, 1.00 0.64 0.56 0.44 0.46 0.03 1.67 1.59 1.47 1.49 XXX
estab pat.
99341 ......... A Home visit, new 1.01 0.50 0.54 0.43 0.51 0.04 1.55 1.59 1.48 1.56 XXX
patient.
99342 ......... A Home visit, new 1.52 0.78 0.72 0.63 0.64 0.06 2.36 2.30 2.21 2.22 XXX
patient.
99343 ......... A Home visit, new 2.27 1.19 1.02 0.92 0.88 0.08 3.54 3.37 3.27 3.23 XXX
patient.
99344 ......... A Home visit, new 3.03 1.45 1.19 1.19 1.06 0.11 4.59 4.33 4.33 4.20 XXX
patient.
99345 ......... A Home visit, new 3.79 1.70 1.31 1.46 1.19 0.14 5.63 5.24 5.39 5.12 XXX
patient.
99347 ......... A Home visit, estab 0.76 0.44 0.47 0.34 0.42 0.03 1.23 1.26 1.13 1.21 XXX
patient.
99348 ......... A Home visit, estab 1.26 0.67 0.63 0.52 0.55 0.04 1.97 1.93 1.82 1.85 XXX
patient.
99349 ......... A Home visit, estab 2.02 0.97 0.82 0.71 0.69 0.07 3.06 2.91 2.80 2.78 XXX
patient.
99350 ......... A Home visit, estab 3.03 1.30 1.06 1.00 0.91 0.10 4.43 4.19 4.13 4.04 XXX
patient.
99354 ......... A Prolonged service, 1.77 1.29 1.06 0.58 0.50 0.06 3.12 2.89 2.41 2.33 ZZZ
office.
99355 ......... A Prolonged service, 1.77 1.13 0.98 0.53 0.47 0.06 2.96 2.81 2.36 2.30 ZZZ
office.
99356 ......... A Prolonged service, 1.71 NA NA 0.58 0.75 0.06 NA NA 2.35 2.52 ZZZ
inpatient.
99357 ......... A Prolonged service, 1.71 NA NA 0.60 0.76 0.07 NA NA 2.38 2.54 ZZZ
inpatient.
99358 ......... B Prolonged serv, w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
o contact.
99359 ......... B Prolonged serv, w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
o contact.
99360 ......... X Physician standby 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
services.
99361 ......... B Physician/team 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conference.
[[Page 39752]]
99362 ......... B Physician/team 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conference.
99371 ......... B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
consultation.
99372 ......... B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
consultation.
99373 ......... B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
consultation.
99374 ......... B Home health care 1.10 1.24 0.90 0.42 0.49 0.04 2.38 2.04 1.56 1.63 XXX
supervision.
99375 ......... A Home health care 1.73 1.27 0.91 0.59 0.57 0.06 3.06 2.70 2.38 2.36 XXX
supervision.
99377 ......... B Hospice care 1.10 1.24 0.90 0.42 0.49 0.04 2.38 2.04 1.56 1.63 XXX
supervision.
99378 ......... A Hospice care 1.73 1.34 0.95 0.57 0.56 0.06 3.13 2.74 2.36 2.35 XXX
supervision.
99379 ......... B Nursing fac care 1.10 1.24 0.90 0.42 0.49 0.04 2.38 2.04 1.56 1.63 XXX
supervision.
99380 ......... B Nursing fac care 1.73 1.48 1.02 0.66 0.61 0.06 3.27 2.81 2.45 2.40 XXX
supervision.
99381 ......... N Preventive visit, +1.19 1.28 1.31 0.45 0.89 0.19 2.66 2.69 1.83 2.27 XXX
new,infant.
99382 ......... N Preventive +1.36 1.33 1.43 0.52 1.03 0.04 2.73 2.83 1.92 2.43 XXX
visit,new,age 1-4.
99383 ......... N Preventive +1.36 1.28 1.41 0.52 1.03 0.04 2.68 2.81 1.92 2.43 XXX
visit,new,age5-11.
99384 ......... N Preventive visit, +1.53 1.35 1.54 0.58 1.16 0.05 2.93 3.12 2.16 2.74 XXX
new, 12-17.
99385 ......... N Preventive visit, +1.53 1.35 1.44 0.58 1.05 0.05 2.93 3.02 2.16 2.63 XXX
new, 18-39.
99386 ......... N Preventive visit, +1.88 1.53 1.70 0.72 1.30 0.06 3.47 3.64 2.66 3.24 XXX
new, 40-64.
99387 ......... N Preventive +2.06 1.64 1.84 0.79 1.42 0.07 3.77 3.97 2.92 3.55 XXX
visit,new,65&over.
99391 ......... N Preventive visit, +1.02 0.88 1.02 0.39 0.77 0.17 2.07 2.21 1.58 1.96 XXX
est,infant.
99392 ......... N Preventive +1.19 0.95 1.14 0.45 0.89 0.04 2.18 2.37 1.68 2.12 XXX
visit,est,age 1-4.
99393 ......... N Preventive +1.19 0.93 1.13 0.45 0.89 0.04 2.16 2.36 1.68 2.12 XXX
visit,est,age5-11.
99394 ......... N Preventive visit, +1.36 1.01 1.27 0.52 1.03 0.04 2.41 2.67 1.92 2.43 XXX
est, 12-17.
99395 ......... N Preventive visit, +1.36 1.04 1.20 0.52 0.94 0.04 2.44 2.60 1.92 2.34 XXX
est, 18-39.
99396 ......... N Preventive visit, +1.53 1.12 1.32 0.58 1.05 0.05 2.70 2.90 2.16 2.63 XXX
est, 40-64.
99397 ......... N Preventive +1.71 1.22 1.46 0.65 1.17 0.05 2.98 3.22 2.41 2.93 XXX
visit,est,65&over.
99401 ......... N Preventive +0.48 0.53 0.51 0.18 0.34 0.01 1.02 1.00 0.67 0.83 XXX
counseling, indiv.
99402 ......... N Preventive +0.98 0.76 0.87 0.37 0.67 0.03 1.77 1.88 1.38 1.68 XXX
counseling, indiv.
99403 ......... N Preventive +1.46 0.98 1.22 0.56 1.01 0.04 2.48 2.72 2.06 2.51 XXX
counseling, indiv.
99404 ......... N Preventive +1.95 1.20 1.57 0.74 1.34 0.05 3.20 3.57 2.74 3.34 XXX
counseling, indiv.
99411 ......... N Preventive +0.15 0.15 0.15 0.06 0.11 0.00 0.30 0.30 0.21 0.26 XXX
counseling, group.
99412 ......... N Preventive +0.25 0.21 0.23 0.10 0.18 0.01 0.47 0.49 0.36 0.44 XXX
counseling, group.
99420 ......... N Health risk 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
assessment test.
99429 ......... N Unlisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preventive
service.
99431 ......... A Initial care, 1.17 NA NA 0.38 0.85 0.04 NA NA 1.59 2.06 XXX
normal newborn.
99432 ......... A Newborn care not 1.26 1.02 1.22 0.36 0.89 0.04 2.32 2.52 1.66 2.19 XXX
in hospital.
99433 ......... A Normal newborn 0.62 NA NA 0.20 0.45 0.02 NA NA 0.84 1.09 XXX
care,hospital.
99435 ......... A Hospital NB 1.50 NA NA 0.48 1.08 0.05 NA NA 2.03 2.63 XXX
discharge day.
99436 ......... A Attendance, birth. 1.50 0.66 1.17 0.46 1.07 0.05 2.21 2.72 2.01 2.62 XXX
99440 ......... A Newborn 2.93 NA NA 0.96 2.13 0.09 NA NA 3.98 5.15 XXX
resuscitation.
99450 ......... N Life/disability 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
99455 ......... R Disability 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
99456 ......... R Disability 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
99499 ......... C Unlisted E/M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A0021 ......... I Outside state 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ambulance serv.
A0030 ......... X Air ambulance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A0040 ......... X Helicopter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ambulance service.
A0050 ......... X Water amb service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
emergency.
A0080 ......... I Noninterest escort 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in non er.
A0090 ......... I Interest escort in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
non er.
A0100 ......... I Nonemergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transport taxi.
A0110 ......... I Nonemergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transport bus.
A0120 ......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mini-bus.
A0130 ......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wheelch van.
A0140 ......... I Nonemergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transport air.
A0160 ......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
case worker.
A0170 ......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parking fees.
A0180 ......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lodgng recip.
A0190 ......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meals recip.
A0200 ......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lodgng escrt.
A0210 ......... I Noner transport 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meals escort.
A0225 ......... X Neonatal emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transport.
A0300 ......... X Ambulance basic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
non-emer all.
A0302 ......... X Ambulance basic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
emergeny all.
A0304 ......... X Amb adv non-er no 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv all.
A0306 ......... X Amb adv non-er 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spec serv all.
A0308 ......... X Amb adv er no spec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv all.
A0310 ......... X Amb adv er spec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv all.
A0320 ......... X Amb basic non-er + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0322 ......... X Amb basic emerg + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0324 ......... X Adv non-er serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sep mileage.
A0326 ......... X Adv non-er no serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sep mile.
A0328 ......... X Adv er no serv sep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0330 ......... X Adv er spec serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sep mile.
A0340 ......... X Amb basic non-er + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0342 ......... X Ambul basic emer + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0344 ......... X Amb adv non-er no 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv +mile.
A0346 ......... X Amb adv non-er 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv + mile.
A0348 ......... X Adv emer no spec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
serv + mile.
A0350 ......... X Adv emer spec serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
+ mileage.
A0360 ......... X Basic non-er sep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mile & supp.
A0362 ......... X Basic emer sep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mile & supply.
A0364 ......... X Adv non-er no serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sep mi&su.
A0366 ......... X Adv non-er serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sep mil&supp.
A0368 ......... X Adv er no serv sep 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mile&supp.
A0370 ......... X Adv er spec serv 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sep mi&supp.
[[Page 39753]]
A0380 ......... X Basic life support 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mileage.
A0382 ......... X Basic support 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
routine suppls.
A0384 ......... X Bls defibrillation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0390 ......... X Advanced life 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
support mileag.
A0392 ......... X Als defibrillation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A0394 ......... X Als IV drug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy supplies.
A0396 ......... X Als esophageal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intub suppls.
A0398 ......... X Als routine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disposble suppls.
A0420 ......... X Ambulance waiting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1/2 hr.
A0422 ......... X Ambulance 02 life 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sustaining.
A0424 ......... X Extra ambulance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attendant.
A0888 ......... N Noncovered 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ambulance mileage.
A0999 ......... X Unlisted ambulance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
A4206 ......... G 1 CC sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
syringe&needle.
A4207 ......... G 2 CC sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
syringe&needle.
A4208 ......... G 3 CC sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
syringe&needle.
A4209 ......... G 5+ CC sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
syringe&needle.
A4210 ......... N Nonneedle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection device.
A4211 ......... P Supp for self-adm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injections.
A4212 ......... P Non coring needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
or stylet.
A4213 ......... G 20+ CC syringe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
only.
A4214 ......... P 30 CC sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
water/saline.
A4215 ......... G Sterile needle.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4220 ......... P Infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
refill kit.
A4221 ......... X Maint drug infus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cath per wk.
A4222 ......... X Drug infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A4230 ......... N Infus insulin pump 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
non needl.
A4231 ......... N Infusion insulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pump needle.
A4232 ......... N Syringe w/needle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
insulin 3cc.
A4244 ......... G Alcohol or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
peroxide per pint.
A4245 ......... G Alcohol wipes per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
box.
A4246 ......... G Betadine/phisohex 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4247 ......... G Betadine/iodine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
swabs/wipes.
A4250 ......... N Urine reagent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strips/tablets.
A4253 ......... P Blood glucose/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reagent strips.
A4254 ......... X Battery for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucose monitor.
A4255 ......... X Glucose monitor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
platforms.
A4256 ......... P Calibrator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution/chips.
A4258 ......... P Lancet device each 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4259 ......... P Lancets per box... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4260 ......... N Levonorgestrel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
A4261 ......... N Cervical cap 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contraceptive.
A4262 ......... B Temporary tear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
duct plug.
A4263 ......... A Permanent tear 0.00 0.00 0.52 0.00 0.52 0.00 0.00 0.52 0.00 0.52 XXX
duct plug.
A4265 ......... P Paraffin.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4270 ......... B Disposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
endoscope sheath.
A4300 ......... A Cath impl vasc 0.00 0.00 0.52 0.00 0.52 0.00 0.00 0.52 0.00 0.52 XXX
access portal.
A4301 ......... P Implantable access 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
syst perc.
A4305 ......... P Drug delivery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
system >=50 ML.
A4306 ......... P Drug delivery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
system <=5 ML.
A4310 ......... P Insert tray w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bag/cath.
A4311 ......... P Catheter w/o bag 2- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way latex.
A4312 ......... P Cath w/o bag 2-way 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
silicone.
A4313 ......... P Catheter w/bag 3- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way.
A4314 ......... P Cath w/drainage 2- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way latex.
A4315 ......... P Cath w/drainage 2- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way silcne.
A4316 ......... P Cath w/drainage 3- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way.
A4320 ......... P Irrigation tray... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4321 ......... X Cath therapeutic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
irrig agent.
A4322 ......... P Irrigation syringe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4323 ......... P Saline irrigation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4326 ......... P Male external 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A4327 ......... P Fem urinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
collect dev cup.
A4328 ......... P Fem urinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
collect pouch.
A4329 ......... P External catheter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
start set.
A4330 ......... P Stool collection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pouch.
A4335 ......... P Incontinence 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supply.
A4338 ......... P Indwelling 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter latex.
A4340 ......... P Indwelling 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter special.
A4344 ......... P Cath indw foley 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way silicn.
A4346 ......... P Cath indw foley 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
way.
A4347 ......... P Male external 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A4351 ......... P Straight tip urine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A4352 ......... P Coude tip urinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A4353 ......... X Intermittent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urinary cath.
A4354 ......... P Cath insertion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tray w/bag.
A4355 ......... P Bladder irrigation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tubing.
A4356 ......... P Ext ureth clmp or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
compr dvc.
A4357 ......... P Bedside drainage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bag.
A4358 ......... P Urinary leg bag... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4359 ......... P Urinary suspensory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o leg b.
A4361 ......... P Ostomy face plate. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4362 ......... P Solid skin barrier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4363 ......... P Liquid skin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barrier.
[[Page 39754]]
A4364 ......... P Ostomy/cath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adhesive.
A4365 ......... X Ostomy adhesive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
remover wipe.
A4367 ......... P Ostomy belt....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4368 ......... X Ostomy filter..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4397 ......... P Irrigation supply 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sleeve.
A4398 ......... P Ostomy irrigation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bag.
A4399 ......... P Ostomy irrig cone/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cath w brs.
A4400 ......... P Ostomy irrigation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
set.
A4402 ......... P Lubricant per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ounce.
A4404 ......... P Ostomy ring each.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4421 ......... P Ostomy supply misc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4454 ......... P Tape all types all 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sizes.
A4455 ......... P Adhesive remover 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per ounce.
A4460 ......... P Elastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
compression
bandage.
A4462 ......... X Abdmnl drssng 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
holder/binder.
A4465 ......... P Non-elastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extremity binder.
A4470 ......... P Gravlee jet washer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4480 ......... P Vabra aspirator... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4481 ......... X Tracheostoma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filter.
A4483 ......... X Moisture exchanger 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4490 ......... N Above knee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surgical stocking.
A4495 ......... N Thigh length surg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stocking.
A4500 ......... N Below knee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surgical stocking.
A4510 ......... N Full length surg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stocking.
A4550 ......... A Surgical trays.... 0.00 0.00 0.52 0.00 0.52 0.00 0.00 0.52 0.00 0.52 XXX
A4554 ......... N Disposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
underpads.
A4556 ......... P Electrodes........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4557 ......... P Lead wires........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4558 ......... P Conductive paste 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
or gel.
A4560 ......... X Pessary........... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4565 ......... X Slings............ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4570 ......... X Splint............ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4572 ......... X Rib belt.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4575 ......... N Hyperbaric o2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chamber disps.
A4580 ......... X Cast supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(plaster).
A4590 ......... X Special casting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
material.
A4595 ......... X TENS suppl 2 lead 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per month.
A4611 ......... X Heavy duty battery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4612 ......... X Battery cables.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4613 ......... X Battery charger... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4614 ......... X Hand-held PEFR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
meter.
A4615 ......... X Cannula nasal..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4616 ......... X Tubing (oxygen) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per foot.
A4617 ......... X Mouth piece....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4618 ......... X Breathing circuits 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4619 ......... X Face tent......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4620 ......... X Variable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
concentration
mask.
A4621 ......... X Tracheotomy mask 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
or collar.
A4622 ......... X Tracheostomy or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
larngectomy.
A4623 ......... X Tracheostomy inner 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cannula.
A4624 ......... X Tracheal suction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tube.
A4625 ......... X Trach care kit for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
new trach.
A4626 ......... X Tracheostomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cleaning brush.
A4627 ......... N Spacer bag/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reservoir.
A4628 ......... X Oropharyngeal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suction cath.
A4629 ......... X Tracheostomy care 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
kit.
A4630 ......... X Repl bat t.e.n.s. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
own by pt.
A4631 ......... X Wheelchair battery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4635 ......... X Underarm crutch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pad.
A4636 ......... X Handgrip for cane 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
etc.
A4637 ......... X Repl tip cane/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crutch/walker.
A4640 ......... X Alternating 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pressure pad.
A4641 ......... E Diagnostic imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
A4642 ......... E Satumomab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pendetide per
dose.
A4643 ......... E High dose contrast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MRI.
A4644 ......... E Contrast 100-199 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MGs iodine.
A4645 ......... E Contrast 200-299 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MGs iodine.
A4646 ......... E Contrast 300-399 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MGs iodine.
A4647 ......... B Supp- paramagnetic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contr mat.
A4649 ......... P Surgical supplies. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4650 ......... X Supp esrd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
centrifuge.
A4655 ......... X Esrd syringe/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
needle.
A4660 ......... X Esrd blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pressure device.
A4663 ......... X Esrd blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pressure cuff.
A4670 ......... N Auto blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pressure monitor.
A4680 ......... X Activated carbon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filters.
A4690 ......... X Dialyzers......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4700 ......... X Standard dialysate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4705 ......... X Bicarb dialysate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4712 ......... X Sterile water..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4714 ......... X Treated water for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dialysis.
A4730 ......... X Fistula 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cannulation set
dial.
A4735 ......... X Local/topical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anesthetics.
A4740 ......... X Esrd shunt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
accessory.
[[Page 39755]]
A4750 ......... X Arterial or venous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tubing.
A4755 ......... X Arterial and 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
venous tubing.
A4760 ......... X Standard testing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
A4765 ......... X Dialysate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
concentrate.
A4770 ......... X Blood testing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A4771 ......... X Blood clotting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
time tube.
A4772 ......... X Dextrostick/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucose strips.
A4773 ......... X Hemostix.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4774 ......... X Ammonia test paper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4780 ......... X Esrd sterilizing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agent.
A4790 ......... X Esrd cleansing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agents.
A4800 ......... X Heparin/antidote 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dialysis.
A4820 ......... X Supplies 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemodialysis kit.
A4850 ......... X Rubber tipped 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hemostats.
A4860 ......... X Disposable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter caps.
A4870 ......... X Plumbing/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
electrical work.
A4880 ......... X Water storage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tanks.
A4890 ......... R Contracts/repair/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maintenance.
A4900 ......... X Capd supply kit... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4901 ......... X Ccpd supply kit... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4905 ......... X Ipd supply kit.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4910 ......... X Esrd nonmedical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
supplies.
A4912 ......... X Gomco drain bottle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4913 ......... X Esrd supply....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4914 ......... X Preparation kit... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4918 ......... X Venous pressure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clamp.
A4919 ......... X Supp dialysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dialyzer holde.
A4920 ......... X Harvard pressure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clamp.
A4921 ......... X Measuring cylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A4927 ......... X Gloves............ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5051 ......... P Pouch clsd w barr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attached.
A5052 ......... P Clsd ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/o barr.
A5053 ......... P Clsd ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
faceplate.
A5054 ......... P Clsd ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/flange.
A5055 ......... P Stoma cap......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5061 ......... P Pouch drainable w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barrier at.
A5062 ......... P Drnble ostomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pouch w/o barr.
A5063 ......... P Drain ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/flange.
A5064 ......... I Drain ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/fceplte.
A5065 ......... I Drain ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
on fcplte.
A5071 ......... P Urinary pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barrier.
A5072 ......... P Urinary pouch w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barrier.
A5073 ......... P Urinary pouch on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
barr w/flng.
A5074 ......... I Urinary pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
faceplate.
A5075 ......... I Urinary pouch on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
faceplate.
A5081 ......... P Continent stoma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plug.
A5082 ......... P Continent stoma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter.
A5093 ......... P Ostomy accessory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
convex inse.
A5102 ......... P Bedside drain btl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/wo tube.
A5105 ......... P Urinary suspensory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5112 ......... P Urinary leg bag... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5113 ......... P Latex leg strap... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5114 ......... P Foam/fabric leg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strap.
A5119 ......... P Skin barrier wipes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
box pr 50.
A5121 ......... P Solid skin barrier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
6x6.
A5122 ......... P Solid skin barrier 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
8x8.
A5123 ......... P Skin barrier with 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
flange.
A5126 ......... P Adhesive disc/foam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pad.
A5131 ......... P Appliance cleaner. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A5149 ......... P Incontinence/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ostomy supply.
A5200 ......... X Percutaneous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
catheter anchor.
A5500 ......... X Diab shoe for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
density insert.
A5501 ......... X Diabetic custom 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
molded shoe.
A5502 ......... X Diabetic shoe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
density insert.
A5503 ......... X Diabetic shoe w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
roller/rockr.
A5504 ......... X Diabetic shoe with 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wedge.
A5505 ......... X Diab shoe w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metatarsal bar.
A5506 ......... X Diabetic shoe w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
off set heel.
A5507 ......... X Modification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diabetic shoe.
A6020 ......... P Collagen wound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dressing.
A6025 ......... I Silicone gel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sheet, each.
A6154 ......... P Wound pouch each.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A6196 ......... P Alginate dressing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
<=16 sq in.
A6197 ......... P Alginate drsg >16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
<=48 sq in.
A6198 ......... P alginate dressing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
> 48 sq in.
A6199 ......... P Alginate drsg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wound filler.
A6200 ......... X Compos drsg <=16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
no border.
A6201 ......... X Compos drsg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16<=48 no bdr.
A6202 ......... X Compos drsg >48 no 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
border.
A6203 ......... P Composite drsg <= 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
16 sq in.
A6204 ......... P Composite drsg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16<=48 sq in.
A6205 ......... P Composite drsg > 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
48 sq in.
A6206 ......... P Contact layer <= 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
16 sq in.
A6207 ......... P Contact layer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16<= 48 sq in.
[[Page 39756]]
A6208 ......... P Contact layer > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6209 ......... P Foam drsg <=16 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/o bdr.
A6210 ......... P Foam drg >16<=48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in w/o b.
A6211 ......... P Foam drg > 48 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/o brdr.
A6212 ......... P Foam drg <=16 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/border.
A6213 ......... P Foam drg >16<=48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in w/bdr.
A6214 ......... P Foam drg > 48 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/border.
A6215 ......... P Foam dressing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wound filler.
A6216 ......... P Non-sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze<=16 sq in.
A6217 ......... P Non-sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze>16<=48 sq.
A6218 ......... P Non-sterile gauze 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
> 48 sq in.
A6219 ......... P Gauze <= 16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/border.
A6220 ......... P Gauze >16 <=48 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/bordr.
A6221 ......... P Gauze > 48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
border.
A6222 ......... P Gauze <=16 in no w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sal w/o b.
A6223 ......... P Gauze >16<=48 no w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sal w/o b.
A6224 ......... P Gauze > 48 in no w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sal w/o b.
A6228 ......... P Gauze <= 16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
water/sal.
A6229 ......... P Gauze >16<=48 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in watr/sal.
A6230 ......... P Gauze > 48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
water/salne.
A6234 ......... P Hydrocolld drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
<=16 w/o bdr.
A6235 ......... P Hydrocolld drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16<=48 w/o b.
A6236 ......... P Hydrocolld drg > 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
48 in w/o b.
A6237 ......... P Hydrocolld drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
<=16 in w/bdr.
A6238 ......... P Hydrocolld drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16<=48 w/bdr.
A6239 ......... P Hydrocolld drg > 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
48 in w/bdr.
A6240 ......... P Hydrocolld drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filler paste.
A6241 ......... P Hydrocolloid drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filler dry.
A6242 ......... P Hydrogel drg <=16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/o bdr.
A6243 ......... P Hydrogel drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16<=48 w/o bdr.
A6244 ......... P Hydrogel drg >48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/o bdr.
A6245 ......... P Hydrogel drg <= 16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
in w/bdr.
A6246 ......... P Hydrogel drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16<=48 in w/b.
A6247 ......... P Hydrogel drg > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in w/b.
A6248 ......... P Hydrogel drsg gel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filler.
A6250 ......... P Skin seal protect 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
moisturizr.
A6251 ......... P Absorpt drg <=16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in w/o b.
A6252 ......... P Absorpt drg >16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
<=48 w/o bdr.
A6253 ......... P Absorpt drg > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in w/o b.
A6254 ......... P Absorpt drg <=16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in w/bdr.
A6255 ......... P Absorpt drg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16<=48 in w/bdr.
A6256 ......... P Absorpt drg > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in w/bdr.
A6257 ......... P Transparent film 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
<= 16 sq in.
A6258 ......... P Transparent film 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>16<=48 in.
A6259 ......... P Transparent film > 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
48 sq in.
A6260 ......... P Wound cleanser any 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
type/size.
A6261 ......... P Wound filler gel/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
paste /oz.
A6262 ......... P Wound filler dry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
form / gram.
A6263 ......... P Non-sterile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
elastic gauze/yd.
A6264 ......... P Non-sterile no 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
elastic gauze.
A6265 ......... P Tape per 18 sq 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inches.
A6266 ......... P Impreg gauze no 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
h20/sal/yard.
A6402 ......... P Sterile gauze <= 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
16 sq in.
A6403 ......... P Sterile gauze>16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
<= 48 sq in.
A6404 ......... P Sterile gauze > 48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sq in.
A6405 ......... P Sterile elastic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gauze /yd.
A6406 ......... P Sterile non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
elastic gauze/yd.
A9150 ......... E Misc/exper non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prescript dru.
A9160 ......... N Podiatrist non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
covered servi.
A9170 ......... N Chiropractor non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
covered ser.
A9190 ......... N Misc/expe personal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
comfort i.
A9270 ......... N Non-covered item 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
or service.
A9300 ......... N Exercise equipment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
A9500 ......... E Technetium TC 99m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sestamibi.
A9502 ......... X Technetium TC99M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tetrofosmin.
A9503 ......... E Technetium TC 99m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
medronate.
A9505 ......... E Thallous chloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
TL 201/mci.
A9507 ......... X Indium/111 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
capromab pendetid.
A9600 ......... X Strontium-89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride.
A9605 ......... X Samarium sm153 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lexidronamm.
D0120 ......... N Periodic oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
D0140 ......... N Limit oral eval 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
problm focus.
D0150 ......... R Comprehensve oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
evaluation.
D0160 ......... N Extensv oral eval 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prob focus.
D0210 ......... I Intraor complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
film series.
D0220 ......... I Intraoral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
periapical first
f.
D0230 ......... I Intraoral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
periapical ea add.
D0240 ......... R Intraoral occlusal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
film.
D0250 ......... R Extraoral first 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
film.
D0260 ......... R Extraoral ea 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
additional film.
D0270 ......... R Dental bitewing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
single film.
D0272 ......... R Dental bitewings 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
two films.
D0274 ......... R Dental bitewings 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
four films.
D0290 ......... I Dental film skull/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
facial bon.
[[Page 39757]]
D0310 ......... I Dental saliography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0320 ......... I Dental tmj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
arthrogram incl i.
D0321 ......... I Dental other tmj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
films.
D0322 ......... I Dental tomographic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
survey.
D0330 ......... I Dental panoramic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
film.
D0340 ......... I Dental 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cephalometric
film.
D0415 ......... N Bacteriologic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
study.
D0425 ......... N Caries 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
susceptibility
test.
D0460 ......... R Pulp vitality test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D0470 ......... N Diagnostic casts.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D0471 ......... R Diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
photographs.
D0501 ......... R Histopathologic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
examinations.
D0502 ......... R Other oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
pathology procedu.
D0999 ......... R Unspecified 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
diagnostic proce.
D1110 ......... N Dental prophylaxis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult.
D1120 ......... N Dental prophylaxis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
child.
D1201 ......... N Topical fluor w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prophy child.
D1203 ......... N Topical fluor w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prophy chi.
D1204 ......... N Topical fluor w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prophy adu.
D1205 ......... N Topical fluoride w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prophy a.
D1310 ......... N Nutri counsel- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
control caries.
D1320 ......... N Tobacco counseling 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D1330 ......... N Oral hygiene 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
instruction.
D1351 ......... N Dental sealant per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tooth.
D1510 ......... R Space maintainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
fxd unilat.
D1515 ......... R Fixed bilat space 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintainer.
D1520 ......... R Remove unilat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
space maintain.
D1525 ......... R Remove bilat space 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintain.
D1550 ......... R Recement space 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maintainer.
D2110 ......... N Amalgam one 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surface primary.
D2120 ......... N Amalgam two 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces primary.
D2130 ......... N Amalgam three 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces prima.
D2131 ......... N Amalgam four/more 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf prima.
D2140 ......... N Amalgam one 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surface permanen.
D2150 ......... N Amalgam two 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces permane.
D2160 ......... N Amalgam three 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces perma.
D2161 ......... N Amalgam 4 or > 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces perm.
D2210 ......... N Silcate cement per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
restorat.
D2330 ......... N Resin one surface- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior.
D2331 ......... N Resin two surfaces- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior.
D2332 ......... N Resin three 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surfaces-anterio.
D2335 ......... N Resin 4/> surf or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w incis an.
D2336 ......... N Composite resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D2380 ......... N Resin one surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
poster primar.
D2381 ......... N Resin two surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
poster primar.
D2382 ......... N Resin three/more 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf post p.
D2385 ......... N Resin one surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
poster perman.
D2386 ......... N Resin two surf 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
poster perman.
D2387 ......... N Resin three/more 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surf post p.
D2410 ......... N Dental gold foil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
one surface.
D2420 ......... N Dental gold foil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
two surface.
D2430 ......... N Dental gold foil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
three surfa.
D2510 ......... N Dental inlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metalic 1 surf.
D2520 ......... N Dental inlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metallic 2 surf.
D2530 ......... N Dental inlay metl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3/more sur.
D2543 ......... N Dental onlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metallic 3 surf.
D2544 ......... N Dental onlay metl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4/more sur.
D2610 ......... N Inlay porcelain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic 1 su.
D2620 ......... N Inlay porcelain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic 2 su.
D2630 ......... N Dental onlay porc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3/more sur.
D2642 ......... N Dental onlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porcelin 2 surf.
D2643 ......... N Dental onlay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porcelin 3 surf.
D2644 ......... N Dental onlay porc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4/more sur.
D2650 ......... N Inlay composite/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin one su.
D2651 ......... N Inlay composite/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin two su.
D2652 ......... N Dental inlay resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3/mre sur.
D2662 ......... N Dental onlay resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2 surface.
D2663 ......... N Dental onlay resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3 surface.
D2664 ......... N Dental onlay resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4/mre sur.
D2710 ......... N Crown resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
laboratory.
D2720 ......... N Crown resin w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
high noble me.
D2721 ......... N Crown resin w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
base metal.
D2722 ......... N Crown resin w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D2740 ......... N Crown porcelain/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ceramic subs.
D2750 ......... N Crown porcelain w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
h noble m.
D2751 ......... N Crown porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fused base m.
D2752 ......... N Crown porcelain w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble met.
D2790 ......... N Crown full cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
high noble m.
D2791 ......... N Crown full cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
base metal.
D2792 ......... N Crown full cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D2810 ......... N Crown 3/4 cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metallic.
D2910 ......... N Dental recement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inlay.
D2920 ......... N Dental recement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D2930 ......... N Prefab stnlss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
steel crwn pri.
[[Page 39758]]
D2931 ......... N Prefab stnlss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
steel crown pe.
D2932 ......... N Prefabricated 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin crown.
D2933 ......... N Prefab stainless 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
steel crown.
D2940 ......... N Dental sedative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
filling.
D2950 ......... N Core build-up incl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
any pins.
D2951 ......... N Tooth pin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retention.
D2952 ......... N Post and core cast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
+ crown.
D2954 ......... N Prefab post/core + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
crown.
D2955 ......... N Post removal...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2960 ......... N Laminate labial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
veneer.
D2961 ......... N Lab labial veneer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin.
D2962 ......... N Lab labial veneer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
porcelain.
D2970 ......... R Temporary- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fractured tooth.
D2980 ......... N Crown repair...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D2999 ......... R Dental unspec 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
restorative pr.
D3110 ......... N Pulp cap direct... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3120 ......... N Pulp cap indirect. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3220 ......... N Therapeutic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pulpotomy.
D3230 ......... N Pulpal therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior prim.
D3240 ......... N Pulpal therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
posterior pri.
D3310 ......... N Anterior.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3320 ......... N Root canal therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2 canals.
D3330 ......... N Root canal therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3 canals.
D3346 ......... N Retreat root canal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anterior.
D3347 ......... N Retreat root canal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bicuspid.
D3348 ......... N Retreat root canal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
molar.
D3351 ......... N Apexification/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recalc initial.
D3352 ......... N Apexification/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recalc interim.
D3353 ......... N Apexification/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recalc final.
D3410 ......... N Apicoect/perirad 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
surg anter.
D3421 ......... N Root surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bicuspid.
D3425 ......... N Root surgery molar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3426 ......... N Root surgery ea 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
add root.
D3430 ......... N Retrograde filling 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3450 ......... N Root amputation... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3460 ......... R Endodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
endosseous implan.
D3470 ......... N Intentional 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
replantation.
D3910 ......... N Isolation- tooth w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rubb dam.
D3920 ......... N Tooth splitting... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D3950 ......... N Canal prep/fitting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
of dowel.
D3960 ......... N Bleaching of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
discolored toot.
D3999 ......... R Endodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
D4210 ......... I Gingivectomy/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasty per quad.
D4211 ......... I Gingivectomy/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasty per toot.
D4220 ......... N Gingival curettage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per quadr.
D4240 ......... N Gingival flap proc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/ planin.
D4249 ......... N Crown lengthen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hard tissue.
D4250 ......... R Mucogingival surg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
per quadra.
D4260 ......... R Osseous surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
per quadrant.
D4263 ......... R Bone replce graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
first site.
D4264 ......... R Bone replce graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
each add.
D4266 ......... N Guided tiss regen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resorble.
D4267 ......... N Guided tiss regen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonresorb.
D4270 ......... R Pedicle soft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
tissue graft pr.
D4271 ......... R Free soft tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
graft proc.
D4273 ......... R Subepithelial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
tissue graft.
D4274 ......... N Distal/proximal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wedge proc.
D4320 ......... N Provision splnt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intracoronal.
D4321 ......... N Provisional splint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extracoro.
D4341 ......... N Periodontal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
scaling & root.
D4355 ......... R Full mouth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
debridement.
D4381 ......... R Localized chemo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
delivery.
D4910 ......... N Periodontal maint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedures.
D4920 ......... N Unscheduled 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dressing change.
D4999 ......... N Unspecified 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
periodontal proc.
D5110 ......... N Dentures complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxillary.
D5120 ......... N Dentures complete 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible.
D5130 ......... N Dentures immediat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxillary.
D5140 ......... N Dentures immediat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible.
D5211 ......... N Dentures maxill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part resin.
D5212 ......... N Dentures mand part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin.
D5213 ......... N Dentures maxill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part metal.
D5214 ......... N Dentures mandibl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part metal.
D5281 ......... N Removable partial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
denture.
D5410 ......... N Dentures adjust 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt maxil.
D5411 ......... N Dentures adjust 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt mand.
D5421 ......... N Dentures adjust 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part maxill.
D5422 ......... N Dentures adjust 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part mandbl.
D5510 ......... N Dentur repr broken 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
compl bas.
D5520 ......... N Replace denture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
teeth complt.
D5610 ......... N Dentures repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
resin base.
D5620 ......... N Rep part denture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cast frame.
D5630 ......... N Rep partial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
denture clasp.
D5640 ......... N Replace part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
denture teeth.
[[Page 39759]]
D5650 ......... N Add tooth to 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
partial denture.
D5660 ......... N Add clasp to 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
partial denture.
D5710 ......... N Dentures rebase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt maxil.
D5711 ......... N Dentures rebase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt mand.
D5720 ......... N Dentures rebase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part maxill.
D5721 ......... N Dentures rebase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part mandbl.
D5730 ......... N Denture reln cmplt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxil ch.
D5731 ......... N Denture reln cmplt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mand chr.
D5740 ......... N Denture reln part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxil chr.
D5741 ......... N Denture reln part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mand chr.
D5750 ......... N Denture reln cmplt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
max lab.
D5751 ......... N Denture reln cmplt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mand lab.
D5760 ......... N Denture reln part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxil lab.
D5761 ......... N Denture reln part 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mand lab.
D5810 ......... N Denture interm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt maxill.
D5811 ......... N Denture interm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cmplt mandbl.
D5820 ......... N Denture interm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part maxill.
D5821 ......... N Denture interm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
part mandbl.
D5850 ......... N Denture tiss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conditn maxill.
D5851 ......... N Denture tiss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
condtin mandbl.
D5860 ......... N Overdenture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
complete.
D5861 ......... N Overdenture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
partial.
D5862 ......... N Precision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attachment.
D5899 ......... N Removable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthodontic
proc.
D5911 ......... R Facial moulage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
sectional.
D5912 ......... R Facial moulage 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
complete.
D5913 ......... I Nasal prosthesis.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5914 ......... I Auricular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5915 ......... I Orbital prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5916 ......... I Ocular prosthesis. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5919 ......... I Facial prosthesis. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5922 ......... I Nasal septal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5923 ......... I Ocular prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interim.
D5924 ......... I Cranial prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5925 ......... I Facial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
augmentation
implant.
D5926 ......... I Replacement nasal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5927 ......... I Auricular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
replacement.
D5928 ......... I Orbital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
replacement.
D5929 ......... I Facial replacement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5931 ......... I Surgical obturator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5932 ......... I Postsurgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
obturator.
D5933 ......... I Refitting of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
obturator.
D5934 ......... I Mandibular flange 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5935 ......... I Mandibular denture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosth.
D5936 ......... I Temp obturator 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5937 ......... I Trismus appliance. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5951 ......... R Feeding aid....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5952 ......... I Pediatric speech 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
D5953 ......... I Adult speech aid.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5954 ......... I Superimposed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5955 ......... I Palatal lift 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5958 ......... I Intraoral con def 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inter plt.
D5959 ......... I Intraoral con def 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mod palat.
D5960 ......... I Modify speech aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D5982 ......... I Surgical stent.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5983 ......... R Radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
applicator.
D5984 ......... R Radiation shield.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5985 ......... R Radiation cone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
locator.
D5986 ......... N Fluoride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
applicator.
D5987 ......... R Commissure splint. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D5988 ......... I Surgical splint... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D5999 ......... I Maxillofacial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
D6010 ......... I Odontics endosteal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
D6020 ......... I Odontics abutment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
placement.
D6040 ......... I Odontics eposteal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
D6050 ......... I Odontics 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transosteal
implnt.
D6055 ......... I Implant connecting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bar.
D6080 ......... I Implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maintenance.
D6090 ......... I Repair implant.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6095 ......... I Odontics repr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
abutment.
D6100 ......... I Removal of implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6199 ......... I Implant procedure. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6210 ......... N Prosthodont high 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6211 ......... N Bridge base metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cast.
D6212 ......... N Bridge noble metal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cast.
D6240 ......... N Bridge porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
high noble.
D6241 ......... N Bridge porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
base metal.
D6242 ......... N Bridge porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nobel metal.
D6250 ......... N Bridge resin w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
high noble.
D6251 ......... N Bridge resin base 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6252 ......... N Bridge resin w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6520 ......... N Dental retainer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
two surfaces.
D6530 ......... N Retainer metallic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
3+ surface.
D6543 ......... N Dental retainr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
onlay 3 surf.
[[Page 39760]]
D6544 ......... N Dental retainr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
onlay 4/more.
D6545 ......... N Dental retainr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cast metl.
D6720 ......... N Retain crown resin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w hi nble.
D6721 ......... N Crown resin w/base 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal.
D6722 ......... N Crown resin w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6750 ......... N Crown porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
high noble.
D6751 ......... N Crown porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
base metal.
D6752 ......... N Crown porcelain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6780 ......... N Crown 3/4 high 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6790 ......... N Crown full high 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
noble metal.
D6791 ......... N Crown full base 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal cast.
D6792 ......... N Crown full noble 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
metal cast.
D6920 ......... R Dental connector 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
bar.
D6930 ......... N Dental recement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bridge.
D6940 ......... N Stress breaker.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6950 ......... N Precision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
attachment.
D6970 ......... N Post & core plus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6971 ......... N Cast post bridge 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6972 ......... N Prefab post & core 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plus reta.
D6973 ......... N Core build up for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retainer.
D6975 ......... N Coping metal...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6980 ......... N Bridge repair..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D6999 ......... N Fixed 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthodontic
proc.
D7110 ......... R Oral surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
single tooth.
D7120 ......... R Each add tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
extraction.
D7130 ......... R Tooth root removal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D7210 ......... R Rem imp tooth w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
mucoper flp.
D7220 ......... R Impact tooth remov 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
soft tiss.
D7230 ......... R Impact tooth remov 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
part bony.
D7240 ......... R Impact tooth remov 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
comp bony.
D7241 ......... R Impact tooth rem 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
bony w/comp.
D7250 ......... R Tooth root removal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D7260 ......... R Oral antral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
fistula closure.
D7270 ......... N Tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reimplantation.
D7272 ......... N Tooth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplantation.
D7280 ......... N Exposure impact 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tooth orthod.
D7281 ......... N Exposure tooth aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eruption.
D7285 ......... I Biopsy of oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue hard.
D7286 ......... I Biopsy of oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tissue soft.
D7290 ......... N Repositioning of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
teeth.
D7291 ......... R Transseptal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
fiberotomy.
D7310 ......... I Alveoplasty w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extraction.
D7320 ......... I Alveoplasty w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extraction.
D7340 ......... I Vestibuloplasty 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ridge extens.
D7350 ......... I Vestibuloplasty 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exten graft.
D7410 ......... I Rad exc lesion up 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
to 1.25 cm.
D7420 ......... I Lesion 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25 cm.
D7430 ......... I Exc benign tumor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
to 1.25 cm.
D7431 ......... I Benign tumor exc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25
cm.
D7440 ......... I Malig tumor exc to 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25 cm.
D7441 ......... I Malig tumor 1.25 cm.
D7450 ......... I Rem odontogen cyst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
to 1.25cm.
D7451 ......... I Rem odontogen cyst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25
cm.
D7460 ......... I Rem nonodonto cyst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
to 1.25cm.
D7461 ......... I Rem nonodonto cyst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.25
cm.
D7465 ......... I Lesion destruction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7470 ......... I Rem exostosis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla/mandib.
D7480 ......... I Partial ostectomy. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7490 ......... I Mandible resection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7510 ......... I I&d absc intraoral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
soft tiss.
D7520 ......... I I&d abscess 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extraoral.
D7530 ......... I Removal fb skin/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
areolar tiss.
D7540 ......... I Removal of fb 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reaction.
D7550 ......... I Removal of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sloughed off bone.
D7560 ......... I Maxillary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sinusotomy.
D7610 ......... I Maxilla open 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reduct simple.
D7620 ......... I Clsd reduct simpl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla fx.
D7630 ......... I Open red simpl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible fx.
D7640 ......... I Clsd red simpl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible fx.
D7650 ......... I Open red simp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
malar/zygom fx.
D7660 ......... I Clsd red simp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
malar/zygom fx.
D7670 ......... I Open red simple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
alveolus fx.
D7680 ......... I Reduct simple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
facial bone fx.
D7710 ......... I Maxilla open 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reduct compound.
D7720 ......... I Clsd reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla fx.
D7730 ......... I Open reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandble fx.
D7740 ......... I Clsd reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandble fx.
D7750 ......... I Open red comp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
malar/zygma fx.
D7760 ......... I Clsd red comp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
malar/zygma fx.
D7770 ......... I Open reduc compd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
alveolus fx.
D7780 ......... I Reduct compnd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
facial bone fx.
D7810 ......... I Tmj open reduct- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dislocation.
D7820 ......... I Closed tmp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
manipulation.
D7830 ......... I Tmj manipulation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
under anest.
[[Page 39761]]
D7840 ......... I Removal of tmj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
condyle.
D7850 ......... I Tmj meniscectomy.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7852 ......... I Tmj repair of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
joint disc.
D7854 ......... I Tmj excisn of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
joint membrane.
D7856 ......... I Tmj cutting of a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
muscle.
D7858 ......... I Tmj reconstruction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7860 ......... I Tmj cutting into 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
joint.
D7865 ......... I Tmj reshaping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
components.
D7870 ......... I Tmj aspiration 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
joint fluid.
D7872 ......... I Tmj diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
arthroscopy.
D7873 ......... I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lysis adhesn.
D7874 ......... I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disc reposit.
D7875 ......... I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
synovectomy.
D7876 ......... I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
discectomy.
D7877 ......... I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
debridement.
D7880 ......... I Occlusal orthotic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
appliance.
D7899 ......... I Tmj unspecified 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy.
D7910 ......... I Dent sutur recent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wnd to 5cm.
D7911 ......... I Dental suture 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wound to 5 cm.
D7912 ......... I Suture complicate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wnd 5
cm.
D7920 ......... I Dental skin graft. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7940 ......... R Reshaping bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
orthognathic.
D7941 ......... I Bone cutting ramus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
closed.
D7942 ......... I Bone cutting ramus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
open.
D7943 ......... I Cutting ramus open 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/graft.
D7944 ......... I Bone cutting 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
segmented.
D7945 ......... I Bone cutting body 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mandible.
D7946 ......... I Reconstruction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla total.
D7947 ......... I Reconstruct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxilla segment.
D7948 ......... I Reconstruct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
midface no graft.
D7949 ......... I Reconstruct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
midface w/graft.
D7950 ......... I Mandible graft.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7955 ......... I Repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maxillofacial
defects.
D7960 ......... I Frenulectomy/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
frenulotomy.
D7970 ......... I Excision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hyperplastic
tissue.
D7971 ......... I Excision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pericoronal
gingiva.
D7980 ......... I Sialolithotomy.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7981 ......... I Excision of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
salivary gland.
D7982 ......... I Sialodochoplasty.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D7983 ......... I Closure of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
salivary fistula.
D7990 ......... I Emergency 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tracheotomy.
D7991 ......... I Dental 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
coronoidectomy.
D7995 ......... I Synthetic graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
facial bones.
D7996 ......... I Implant mandible 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
for augment.
D7999 ......... I Oral surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
D8010 ......... N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D8020 ......... N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transition.
D8030 ......... N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adolescent.
D8040 ......... N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult.
D8050 ......... N Intercep dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
primary.
D8060 ......... N Intercep dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transitn.
D8070 ......... N Compre dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transition.
D8080 ......... N Compre dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adolescent.
D8090 ......... N Compre dental tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adult.
D8210 ......... N Orthodontic rem 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
appliance tx.
D8220 ......... N Fixed appliance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy habt.
D8660 ......... N Preorthodontic tx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
visit.
D8670 ......... N Periodic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
orthodontc tx
visit.
D8680 ......... N Orthodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retention.
D8690 ......... N Orthodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
D8999 ......... N Orthodontic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
D9110 ......... R Tx dental pain 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
minor proc.
D9210 ......... I Dent anesthesia w/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o surgery.
D9211 ......... I Regional block 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anesthesia.
D9212 ......... I Trigeminal block 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anesthesia.
D9215 ......... I Local anesthesia.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9220 ......... I General anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9221 ......... I General anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ea ad 15m.
D9230 ......... R Analgesia......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D9240 ......... I Intravenous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sedation.
D9310 ......... I Dental 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
consultation.
D9410 ......... I Dental house call. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9420 ......... I Hospital call..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
D9430 ......... I Office visit 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
during hours.
D9440 ......... I Office visit after 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hours.
D9610 ......... I Dent therapeutic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug inject.
D9630 ......... R Other drugs/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
medicaments.
D9910 ......... N Dent appl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
desensitizing med.
D9920 ......... N Behavior 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
management.
D9930 ......... R Treatment of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
complications.
D9940 ......... R Dental occlusal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
guard.
D9941 ......... N Fabrication 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
athletic guard.
D9950 ......... R Occlusion analysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
D9951 ......... R Limited occlusal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
adjustment.
[[Page 39762]]
D9952 ......... R Complete occlusal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
adjustment.
D9970 ......... N Enamel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
microabrasion.
D9999 ......... I Adjunctive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
G0001 ......... X Drawing blood for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
specimen.
G0002 ......... A Temporary urinary 0.50 2.90 1.83 0.17 0.47 0.03 3.43 2.36 0.70 1.00 000
catheter.
G0004 ......... A ECG transm phys 0.52 0.77 4.35 0.77 4.35 0.02 1.31 4.89 1.31 4.89 XXX
review & int.
G0005 ......... A ECG 24 hour 0.00 1.30 1.29 1.30 1.29 0.07 1.37 1.36 1.37 1.36 XXX
recording.
G0006 ......... A ECG transmission & 0.00 6.29 6.26 6.29 6.26 0.39 6.68 6.65 6.68 6.65 XXX
analysis.
G0007 ......... A ECG phy review & 0.52 0.19 0.31 0.19 0.31 0.02 0.73 0.85 0.73 0.85 XXX
interpret.
G0008 ......... X Admin influenza 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
virus vac.
G0009 ......... X Admin pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
G0010 ......... X Admin hepatitis b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
G0015 ......... A Post symptom ECG 0.00 6.29 6.26 6.29 6.26 0.39 6.68 6.65 6.68 6.65 XXX
tracing.
G0016 ......... A Post symptom ECG 0.52 0.24 0.34 0.24 0.34 0.02 0.78 0.88 0.78 0.88 XXX
md review.
G0025 ......... A Collagen skin test 0.00 0.00 0.52 0.00 0.52 0.00 0.00 0.52 0.00 0.52 XXX
kit.
G0026 ......... X Fecal leukocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination.
G0027 ......... X Semen analysis.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
G0030 ......... C PET imaging prev 0.00 0.00 0.00 0.00 0.00 0.05 0.05 0.05 0.05 0.05 XXX
PET single.
G0030 26 A PET imaging prev 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
PET single.
G0030 TC C PET imaging prev 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
PET single.
G0031 ......... C PET imaging prev 0.00 0.00 0.00 0.00 0.00 0.08 0.08 0.08 0.08 0.08 XXX
PET multple.
G0031 26 A PET imaging prev 1.87 0.70 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 XXX
PET multple.
G0031 TC C PET imaging prev 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
PET multple.
G0032 ......... C PET follow SPECT 0.00 0.00 0.00 0.00 0.00 0.05 0.05 0.05 0.05 0.05 XXX
78464 singl.
G0032 26 A PET follow SPECT 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
78464 singl.
G0032 TC C PET follow SPECT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78464 singl.
G0033 ......... C PET follow SPECT 0.00 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.06 0.06 XXX
78464 mult.
G0033 26 A PET follow SPECT 1.87 0.70 0.71 0.70 0.71 0.06 2.63 2.64 2.63 2.64 XXX
78464 mult.
G0033 TC C PET follow SPECT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78464 mult.
G0034 ......... C PET follow SPECT 0.00 0.00 0.00 0.00 0.00 0.05 0.05 0.05 0.05 0.05 XXX
76865 singl.
G0034 26 A PET follow SPECT 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
76865 singl.
G0034 TC C PET follow SPECT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
76865 singl.
G0035 ......... C PET follow SPECT 0.00 0.00 0.00 0.00 0.00 0.07 0.07 0.07 0.07 0.07 XXX
78465 mult.
G0035 26 A PET follow SPECT 1.87 0.70 0.71 0.70 0.71 0.07 2.64 2.65 2.64 2.65 XXX
78465 mult.
G0035 TC C PET follow SPECT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
78465 mult.
G0036 ......... C PET follow cornry 0.00 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.06 0.06 XXX
angio sing.
G0036 26 A PET follow cornry 1.50 0.52 0.52 0.52 0.52 0.06 2.08 2.08 2.08 2.08 XXX
angio sing.
G0036 TC C PET follow cornry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
angio sing.
G0037 ......... C PET follow cornry 0.00 0.00 0.00 0.00 0.00 0.07 0.07 0.07 0.07 0.07 XXX
angio mult.
G0037 26 A PET follow cornry 1.87 0.70 0.71 0.70 0.71 0.07 2.64 2.65 2.64 2.65 XXX
angio mult.
G0037 TC C PET follow cornry 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
angio mult.
G0038 ......... C PET follow myocard 0.00 0.00 0.00 0.00 0.00 0.05 0.05 0.05 0.05 0.05 XXX
perf sing.
G0038 26 A PET follow myocard 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
perf sing.
G0038 TC C PET follow myocard 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
perf sing.
G0039 ......... C PET follow myocard 0.00 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.06 0.06 XXX
perf mult.
G0039 26 A PET follow myocard 1.87 0.70 0.71 0.70 0.71 0.06 2.63 2.64 2.63 2.64 XXX
perf mult.
G0039 TC C PET follow myocard 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
perf mult.
G0040 ......... C PET follow stress 0.00 0.00 0.00 0.00 0.00 0.05 0.05 0.05 0.05 0.05 XXX
echo singl.
G0040 26 A PET follow stress 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
echo singl.
G0040 TC C PET follow stress 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
echo singl.
G0041 ......... C PET follow stress 0.00 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.06 0.06 XXX
echo mult.
G0041 26 A PET follow stress 1.87 0.70 0.71 0.70 0.71 0.06 2.63 2.64 2.63 2.64 XXX
echo mult.
G0041 TC C PET follow stress 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
echo mult.
G0042 ......... C PET follow 0.00 0.00 0.00 0.00 0.00 0.05 0.05 0.05 0.05 0.05 XXX
ventriculogm sing.
G0042 26 A PET follow 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
ventriculogm sing.
G0042 TC C PET follow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ventriculogm sing.
G0043 ......... C PET follow 0.00 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.06 0.06 XXX
ventriculogm mult.
G0043 26 A PET follow 1.87 0.70 0.71 0.70 0.71 0.06 2.63 2.64 2.63 2.64 XXX
ventriculogm mult.
G0043 TC C PET follow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ventriculogm mult.
G0044 ......... C PET following rest 0.00 0.00 0.00 0.00 0.00 0.05 0.05 0.05 0.05 0.05 XXX
ECG singl.
G0044 26 A PET following rest 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
ECG singl.
G0044 TC C PET following rest 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ECG singl.
G0045 ......... C PET following rest 0.00 0.00 0.00 0.00 0.00 0.06 0.06 0.06 0.06 0.06 XXX
ECG mult.
G0045 26 A PET following rest 1.87 0.70 0.71 0.70 0.71 0.06 2.63 2.64 2.63 2.64 XXX
ECG mult.
G0045 TC C PET following rest 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ECG mult.
G0046 ......... C PET follow stress 0.00 0.00 0.00 0.00 0.00 0.05 0.05 0.05 0.05 0.05 XXX
ECG singl.
G0046 26 A PET follow stress 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
ECG singl.
G0046 TC C PET follow stress 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ECG singl.
G0047 ......... C PET follow stress 0.00 0.00 0.00 0.00 0.00 0.07 0.07 0.07 0.07 0.07 XXX
ECG mult.
G0047 26 A PET follow stress 1.87 0.70 0.71 0.70 0.71 0.07 2.64 2.65 2.64 2.65 XXX
ECG mult.
G0047 TC C PET follow stress 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ECG mult.
G0050 ......... A Residual urine by 0.00 0.89 0.89 0.89 0.89 0.04 0.93 0.93 0.93 0.93 XXX
ultrasound.
G0101 ......... A CA screen;pelvic/ 0.45 0.60 0.45 0.17 0.24 0.02 1.07 0.92 0.64 0.71 XXX
breast exam.
G0104 ......... A CA screen;flexi 0.96 4.50 2.92 0.37 0.48 0.04 5.50 3.92 1.37 1.48 000
sigmoidscope.
G0105 ......... A Colorectal scrn; 3.70 6.25 5.37 1.41 2.92 0.15 10.10 9.22 5.26 6.77 000
hi risk ind.
G0106 ......... A Colon CA 0.99 2.71 2.76 2.71 2.76 0.15 3.85 3.90 3.85 3.90 XXX
screen;barium
enema.
G0106 26 A Colon CA 0.99 0.38 0.44 0.38 0.44 0.04 1.41 1.47 1.41 1.47 XXX
screen;barium
enema.
G0106 TC A Colon CA 0.00 2.33 2.32 2.33 2.32 0.11 2.44 2.43 2.44 2.43 XXX
screen;barium
enema.
G0107 ......... X CA screen; fecal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blood test.
G0108 ......... A Diab manage trn 0.00 1.64 1.64 1.64 1.64 0.01 1.65 1.65 1.65 1.65 XXX
per indiv.
G0109 ......... A Diab manage trn 0.00 0.96 0.97 0.96 0.97 0.01 0.97 0.98 0.97 0.98 XXX
ind/group.
G0110 ......... R Nett pulm-rehab 0.90 0.79 0.54 0.34 0.31 0.04 1.73 1.48 1.28 1.25 XXX
educ; ind.
G0111 ......... R Nett pulm-rehab 0.27 0.30 0.26 0.10 0.16 0.01 0.58 0.54 0.38 0.44 XXX
educ; group.
G0112 ......... R Nett;nutrition 1.72 1.53 1.29 0.66 0.86 0.07 3.32 3.08 2.45 2.65 XXX
guid, initial.
[[Page 39763]]
G0113 ......... R Nett;nutrition 1.29 1.31 1.08 0.49 0.67 0.05 2.65 2.42 1.83 2.01 XXX
guid,subseqnt.
G0114 ......... R Nett; psychosocial 1.20 0.56 0.47 0.46 0.42 0.03 1.79 1.70 1.69 1.65 XXX
consult.
G0115 ......... R Nett; 1.20 0.64 0.51 0.46 0.42 0.03 1.87 1.74 1.69 1.65 XXX
psychological
testing.
G0116 ......... R Nett; psychosocial 1.11 0.76 0.57 0.42 0.40 0.03 1.90 1.71 1.56 1.54 XXX
counsel.
G0120 ......... A Colon ca scrn; 0.99 2.71 2.76 2.71 2.76 0.15 3.85 3.90 3.85 3.90 XXX
barium enema.
G0120 26 A Colon ca scrn; 0.99 0.38 0.44 0.38 0.44 0.04 1.41 1.47 1.41 1.47 XXX
barium enema.
G0120 TC A Colon ca scrn; 0.00 2.33 2.32 2.33 2.32 0.11 2.44 2.43 2.44 2.43 XXX
barium enema.
G0121 ......... N Colon ca scrn not +3.70 6.25 5.37 1.41 2.92 0.15 10.10 9.22 5.26 6.77 XXX
hi rsk ind.
G0122 ......... N Colon ca scrn; +0.99 2.71 2.76 2.71 2.76 0.15 3.85 3.90 3.85 3.90 XXX
barium enema.
G0122 26 N Colon ca scrn; +0.99 0.38 0.44 0.38 0.44 0.04 1.41 1.47 1.41 1.47 XXX
barium enema.
G0122 TC N Colon ca scrn; +0.00 2.33 2.32 2.33 2.32 0.11 2.44 2.43 2.44 2.43 XXX
barium enema.
G0123 ......... X Screen cerv/vag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thin layer.
G0124 ......... A Screen c/v thin 0.42 0.18 0.31 0.18 0.31 0.02 0.62 0.76 0.62 0.76 XXX
layer by MD.
G0125 ......... A Lung image (PET).. 1.50 56.15 56.15 56.15 56.15 2.16 59.81 59.81 59.81 59.81 XXX
G0125 26 A Lung image (PET).. 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
G0125 TC A Lung image (PET).. 0.00 55.63 55.63 55.63 55.63 2.11 57.74 57.74 57.74 57.74 XXX
G0126 ......... A Lung image (PET) 1.87 56.33 56.34 56.33 56.34 2.17 60.37 60.38 60.37 60.38 XXX
staging.
G0126 26 A Lung image (PET) 1.87 0.70 0.71 0.70 0.71 0.06 2.63 2.64 2.63 2.64 XXX
staging.
G0126 TC A Lung image (PET) 0.00 55.63 55.63 55.63 55.63 2.11 57.74 57.74 57.74 57.74 XXX
staging.
G0127 ......... R Trim nail(s)...... 0.11 1.06 0.66 0.04 0.09 0.00 1.17 0.77 0.15 0.20 000
G0128 ......... R CORF skilled 0.08 0.00 0.00 0.00 0.00 0.00 0.08 0.08 0.08 0.08 XXX
nursing service.
G0130 ......... A Single energy x- 0.22 0.90 0.90 0.90 0.90 0.05 1.17 1.17 1.17 1.17 XXX
ray study.
G0130 26 A Single energy x- 0.22 0.11 0.11 0.11 0.11 0.01 0.34 0.34 0.34 0.34 XXX
ray study.
G0130 TC A Single energy x- 0.00 0.79 0.79 0.79 0.79 0.04 0.83 0.83 0.83 0.83 XXX
ray study.
G0131 ......... A CT scan, bone 0.25 3.18 3.18 3.18 3.18 0.15 3.58 3.58 3.58 3.58 XXX
density study.
G0131 26 A CT scan, bone 0.25 0.13 0.13 0.13 0.13 0.01 0.39 0.39 0.39 0.39 XXX
density study.
G0131 TC A CT scan, bone 0.00 3.05 3.05 3.05 3.05 0.14 3.19 3.19 3.19 3.19 XXX
density study.
G0132 ......... A CT scan, bone 0.22 0.90 0.90 0.90 0.90 0.05 1.17 1.17 1.17 1.17 XXX
density study.
G0132 26 A CT scan, bone 0.22 0.11 0.11 0.11 0.11 0.01 0.34 0.34 0.34 0.34 XXX
density study.
G0132 TC A CT scan, bone 0.00 0.79 0.79 0.79 0.79 0.04 0.83 0.83 0.83 0.83 XXX
density study.
G0141 ......... A Scr c/v 0.42 0.18 0.18 0.18 0.18 0.02 0.62 0.62 0.62 0.62 XXX
cyto,autosys and
md.
G0143 ......... X Scr c/v 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyto,thinlayer,re
scr.
G0144 ......... X Scr c/v 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyto,thinlayer,re
scr.
G0145 ......... X Scr c/v 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cyto,thinlayer,re
scr.
G0147 ......... X Scr c/v cyto, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
automated sys.
G0148 ......... X Scr c/v cyto, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
autosys, rescr.
G0160 ......... C Cryosurgery, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
prostate cancer.
G0161 ......... C Echo guidance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cryosurgery.
G0161 26 C Echo guidance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cryosurgery.
G0161 TC C Echo guidance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cryosurgery.
G0163 ......... A Positron emission #1.50 56.15 56.15 56.15 56.15 2.16 59.81 59.81 59.81 59.81 XXX
tomography.
G0163 26 A Positron emission #1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
tomography.
G0163 TC A Positron emission #0.00 55.63 55.63 55.63 55.63 2.11 57.74 57.74 57.74 57.74 XXX
tomography.
G0164 ......... A Positron emission #1.87 56.34 56.34 56.34 56.34 2.19 60.40 60.40 60.40 60.40 XXX
tomography.
G0164 26 A Positron emission #1.87 0.71 0.71 0.71 0.71 0.08 2.66 2.66 2.66 2.66 XXX
tomography.
G0164 TC A Positron emission #0.00 55.63 55.63 55.63 55.63 2.11 57.74 57.74 57.74 57.74 XXX
tomography.
G0165 ......... A Positron emission #1.50 56.15 56.15 56.15 56.15 2.16 59.81 59.81 59.81 59.81 XXX
tomography.
G0165 26 A Positron emission #1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 XXX
tomography.
G0165 TC A Positron emission #0.00 55.63 55.63 55.63 55.63 2.11 57.74 57.74 57.74 57.74 XXX
tomography.
J0120 ......... E Tetracyclin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0130 ......... E Abciximab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0150 ......... E Injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
adenosine 6 MG.
J0151 ......... E Adenosine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0170 ......... E Adrenalin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
epinephrin inject.
J0190 ......... E Inj biperiden 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lactate/5 mg.
J0205 ......... E Alglucerase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0207 ......... E Amifostine........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0210 ......... E Methyldopate hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0256 ......... E Alpha 1 proteinase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhibitor.
J0270 ......... E Alprostadil for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0275 ......... E Alprostadil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urethral suppos.
J0280 ......... E Aminophyllin 250 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG inj.
J0285 ......... E Amphotericin B.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J0286 ......... E Amphotericin B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipid complex.
J0290 ......... E Ampicillin 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0295 ......... E Ampicillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 1.5 gm.
J0300 ......... E Amobarbital 125 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J0330 ......... E Succinycholine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride inj.
J0340 ......... E Nandrolon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phenpropionate
inj.
J0350 ......... E Injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anistreplase 30 u.
J0360 ......... E Hydralazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0380 ......... E Inj metaraminol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bitartrate.
J0390 ......... E Chloroquine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0395 ......... E Arbutamine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0400 ......... E Inj trimethaphan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
camsylate.
J0460 ......... E Atropine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0470 ......... E Dimecaprol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0475 ......... E Baclofen 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0476 ......... E Baclofen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intrathecal trial.
J0500 ......... E Dicyclomine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0510 ......... E Benzquinamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0515 ......... E Inj benztropine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mesylate.
J0520 ......... E Bethanechol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride inject.
J0530 ......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
[[Page 39764]]
J0540 ......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0550 ......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0560 ......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0570 ......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0580 ......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
benzathine inj.
J0585 ......... E Botulinum toxin a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per unit.
J0590 ......... E Ethylnorepinephrin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
e hcl inj.
J0600 ......... E Edetate calcium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disodium inj.
J0610 ......... E Calcium gluconate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0620 ......... E Calcium glycer & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lact/10 ML.
J0630 ......... E Calcitonin salmon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0635 ......... E Calcitriol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0640 ......... E Leucovorin calcium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0670 ......... E Inj mepivacaine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
HCL/10 ml.
J0690 ......... E Cefazolin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0694 ......... E Cefoxitin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0695 ......... E Cefonocid sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0696 ......... E Ceftriaxone sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0697 ......... E Sterile cefuroxime 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0698 ......... E Cefotaxime sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0702 ......... E Betamethasone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acet&sod phosp.
J0704 ......... E Betamethasone sod 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosp/4 MG.
J0710 ......... E Cephapirin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0713 ......... E Inj ceftazidime 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 500 mg.
J0715 ......... E Ceftizoxime sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
/ 500 MG.
J0720 ......... E Chloramphenicol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium injec.
J0725 ......... E Chorionic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gonadotropin/
1000u.
J0730 ......... E Chlorpheniramin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate inj.
J0735 ......... E Clonidine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J0740 ......... E Cidofovir 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0743 ......... E Cilastatin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0745 ......... E Inj codeine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphate /30 MG.
J0760 ......... E Colchicine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0770 ......... E Colistimethate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J0780 ......... E Prochlorperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0800 ......... E Corticotropin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0810 ......... E Cortisone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J0835 ......... E Inj cosyntropin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 0.25 MG.
J0850 ......... E Cytomegalovirus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
imm IV /vial.
J0895 ......... E Deferoxamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mesylate inj.
J0900 ......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enanthate inj.
J0945 ......... E Brompheniramine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate inj.
J0970 ......... E Estradiol valerate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1000 ......... E Depo-estradiol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cypionate inj.
J1020 ......... E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20 MG inj.
J1030 ......... E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
40 MG inj.
J1040 ......... E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
80 MG inj.
J1050 ......... E Medroxyprogesteron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
e inj.
J1055 ......... N Medrxyprogester 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate inj.
J1060 ......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cypionate 1 ML.
J1070 ......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cypionat 100 MG.
J1080 ......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cypionat 200 MG.
J1090 ......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cypionate 50 MG.
J1095 ......... E Inj dexamethasone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate.
J1100 ......... E Dexamethosone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium phos.
J1110 ......... E Inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydroergotamine
mesylt.
J1120 ......... E Acetazolamid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium injectio.
J1160 ......... E Digoxin injection. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1165 ......... E Phenytoin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1170 ......... E Hydromorphone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1180 ......... E Dyphylline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1190 ......... E Dexrazoxane HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1200 ......... E Diphenhydramine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hcl injectio.
J1205 ......... E Chlorothiazide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J1212 ......... E Dimethyl sulfoxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
50% 50 ML.
J1230 ......... E Methadone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1240 ......... E Dimenhydrinate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1245 ......... E Dipyridamole 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1250 ......... E Inj dobutamine HCL/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
250 mg.
J1260 ......... E Dolasetron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mesylate.
J1320 ......... E Amitriptyline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1325 ......... E Epoprostenol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1330 ......... E Ergonovine maleate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1362 ......... E Erythromycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucep / 250 MG.
J1364 ......... E Erythro 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lactobionate /500
MG.
J1380 ......... E Estradiol valerate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
10 MG inj.
J1390 ......... E Estradiol valerate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
20 MG inj.
J1410 ......... E Inj estrogen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conjugate 25 MG.
J1435 ......... E Injection estrone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 1 MG.
J1436 ......... E Etidronate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disodium inj.
J1440 ......... E Filgrastim 300 mcg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J1441 ......... E Filgrastim 480 mcg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1455 ......... E Foscarnet sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1460 ......... E Gamma globulin 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
[[Page 39765]]
J1470 ......... E Gamma globulin 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
J1480 ......... E Gamma globulin 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
J1490 ......... E Gamma globulin 4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
J1500 ......... E Gamma globulin 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
J1510 ......... E Gamma globulin 6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
J1520 ......... E Gamma globulin 7 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
J1530 ......... E Gamma globulin 8 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
J1540 ......... E Gamma globulin 9 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
J1550 ......... E Gamma globulin 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
CC inj.
J1560 ......... E Gamma globulin 10 CC inj.
J1561 ......... E Immune globulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
500 mg.
J1562 ......... E Immune globulin 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gms.
J1565 ......... E RSV-ivig.......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1570 ......... E Ganciclovir sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1580 ......... E Garamycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gentamicin inj.
J1600 ......... E Gold sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thiomaleate inj.
J1610 ......... E Glucagon 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride/1
MG.
J1620 ......... E Gonadorelin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroch/ 100 mcg.
J1626 ......... E Granisetron HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1630 ......... E Haloperidol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1631 ......... E Haloperidol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decanoate inj.
J1642 ......... E Inj heparin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 10 u.
J1644 ......... E Inj heparin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 1000u.
J1645 ......... E Dalteparin sodium. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1650 ......... E Inj enoxaparin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium 30 mg.
J1670 ......... E Tetanus immune 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
globulin inj.
J1690 ......... E Prednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tebutate inj.
J1700 ......... E Hydrocortisone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate inj.
J1710 ......... E Hydrocortisone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium ph inj.
J1720 ......... E Hydrocortisone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium succ i.
J1730 ......... E Diazoxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1739 ......... E Hydroxyprogesteron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
e cap 125.
J1741 ......... E Hydroxyprogesteron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
e cap 250.
J1742 ......... E Ibutilide fumarate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1760 ......... E Iron dextran 2 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1770 ......... E Iron dextran 5 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1780 ......... E Iron dextran 10 CC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J1785 ......... E Injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
imiglucerase /
unit.
J1790 ......... E Droperidol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1800 ......... E Propranolol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1810 ......... E Droperidol/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fentanyl inj.
J1820 ......... E Insulin injection. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1825 ......... E Interferon beta-1a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J1830 ......... E Interferon beta-1b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
/ .25 MG.
J1840 ......... E Kanamycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
500 MG inj.
J1850 ......... E Kanamycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
75 MG inj.
J1885 ......... E Ketorolac 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tromethamine inj.
J1890 ......... E Cephalothin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1910 ......... E Kutapressin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1930 ......... E Propiomazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1940 ......... E Furosemide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1950 ......... E Leuprolide acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
/3.75 MG.
J1955 ......... E Inj levocarnitine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 1 gm.
J1956 ......... E Levofloxacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1960 ......... E Levorphanol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tartrate inj.
J1970 ......... E Methotrimeprazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J1980 ......... E Hyoscyamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate inj.
J1990 ......... E Chlordiazepoxide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2000 ......... E Lidocaine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2010 ......... E Lincomycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2060 ......... E Lorazepam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2150 ......... E Mannitol injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2175 ......... E Meperidine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochl /100 MG.
J2180 ......... E Meperidine/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
promethazine inj.
J2210 ......... E Methylergonovin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate inj.
J2240 ......... E Metocurine iodide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2250 ......... E Inj midazolam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J2260 ......... E Inj milrinone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lactate / 5 ML.
J2270 ......... E Morphine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2271 ......... E Morphine so4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection 100mg.
J2275 ......... E Morphine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2300 ......... E Inj nalbuphine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J2310 ......... E Inj naloxone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochloride.
J2320 ......... E Nandrolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decanoate 50 MG.
J2321 ......... E Nandrolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decanoate 100 MG.
J2322 ......... E Nandrolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decanoate 200 MG.
J2330 ......... E Thiothixene 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2350 ......... E Niacinamide/niacin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2355 ......... E Oprelvekin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2360 ......... E Orphenadrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2370 ......... E Phenylephrine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2400 ......... E Chloroprocaine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2405 ......... E Ondansetron hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2410 ......... E Oxymorphone hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
[[Page 39766]]
J2430 ......... E Pamidronate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disodium /30 MG.
J2440 ......... E Papaverin hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2460 ......... E Oxytetracycline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2480 ......... E Hydrochlorides of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
opium inj.
J2510 ......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procaine inj.
J2512 ......... E Inj pentagastrin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 2 ML.
J2515 ......... E Pentobarbital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J2540 ......... E Penicillin g 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
potassium inj.
J2545 ......... E Pentamidine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
isethionte/300mg.
J2550 ......... E Promethazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2560 ......... E Phenobarbital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J2590 ......... E Oxytocin injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J2597 ......... E Inj desmopressin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate.
J2640 ......... E Prednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium ph inj.
J2650 ......... E Prednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetate inj.
J2670 ......... E Totazoline hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2675 ......... E Inj progesterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 50 MG.
J2680 ......... E Fluphenazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
decanoate 25 MG.
J2690 ......... E Procainamide hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2700 ......... E Oxacillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J2710 ......... E Neostigmine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
methylslfte inj.
J2720 ......... E Inj protamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate/10 MG.
J2725 ......... E Inj protirelin per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
250 mcg.
J2730 ......... E Pralidoxime 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride inj.
J2760 ......... E Phentolaine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mesylate inj.
J2765 ......... E Metoclopramide hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2790 ......... E Rho d immune 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
globulin inj.
J2792 ......... E Rho(D) immune 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
globulin h, sd.
J2800 ......... E Methocarbamol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2810 ......... E Inj theophylline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 40 MG.
J2820 ......... E Sargramostim 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2860 ......... E Secobarbital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J2910 ......... E Aurothioglucose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J2912 ......... E Sodium chloride 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2920 ......... E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2930 ......... E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2950 ......... E Promazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J2970 ......... E Methicillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J2994 ......... E Reteplase double 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bolus.
J2995 ......... E Inj streptokinase / 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
250000 IU.
J2996 ......... E Alteplase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recombinant inj.
J3000 ......... E Streptomycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3010 ......... E Fentanyl citrate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J3030 ......... E Sumatriptan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
succinate / 6 MG.
J3070 ......... E Pentazocine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J3080 ......... E Chlorprothixene 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3105 ......... E Terbutaline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate inj.
J3120 ......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enanthate inj.
J3130 ......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
enanthate inj.
J3140 ......... E Testosterone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suspension inj.
J3150 ......... E Testosteron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
propionate inj.
J3230 ......... E Chlorpromazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3240 ......... E Thyrotropin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3250 ......... E Trimethobenzamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hcl inj.
J3260 ......... E Tobramycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3265 ......... E Injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
torsemide 10 mg/
ml.
J3270 ......... E Imipramine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3280 ......... E Thiethylperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate inj.
J3301 ......... E Triamcinolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
acetonide inj.
J3302 ......... E Triamcinolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diacetate inj.
J3303 ......... E Triamcinolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hexacetonl inj.
J3305 ......... E Inj trimetrexate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glucoronate.
J3310 ......... E Perphenazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J3320 ......... E Spectinomycn di- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hcl inj.
J3350 ......... E Urea injection.... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3360 ......... E Diazepam injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J3364 ......... E Urokinase 5000 IU 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3365 ......... E Urokinase 250,000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
IU inj.
J3370 ......... R Vancomycin hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J3390 ......... E Methoxamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3400 ......... E Triflupromazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hcl inj.
J3410 ......... E Hydroxyzine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J3420 ......... E Vitamin b12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3430 ......... E Vitamin k 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phytonadione inj.
J3450 ......... E Mephentermine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate inj.
J3470 ......... E Hyaluronidase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3475 ......... E Inj magnesium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate.
J3480 ......... E Inj potassium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chloride.
J3490 ......... E Drugs unclassified 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J3520 ......... N Edetate disodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 150 mg.
J3530 ......... E Nasal vaccine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhalation.
J3535 ......... N Metered dose 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhaler drug.
J3570 ......... N Laetrile amygdalin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vit B17.
J7030 ......... E Normal saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution infus.
[[Page 39767]]
J7040 ......... E Normal saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution infus.
J7042 ......... E 5% dextrose/normal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saline.
J7050 ......... E Normal saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution infus.
J7051 ......... E Sterile saline/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
water.
J7060 ......... E 5% dextrose/water. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7070 ......... E D5w infusion...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7100 ......... E Dextran 40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infusion.
J7110 ......... E Dextran 75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infusion.
J7120 ......... E Ringers lactate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infusion.
J7130 ......... E Hypertonic saline 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution.
J7190 ......... X Factor viii....... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7191 ......... X Factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(porcine).
J7192 ......... X Factor viii 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recombinant.
J7194 ......... X Factor ix complex. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7196 ......... X Othr hemophilia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
clot factors.
J7197 ......... X Antithrombin iii 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7300 ......... N Intraut copper 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contraceptive.
J7310 ......... E Ganciclovir long 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
act implant.
J7315 ......... E Sodium hyaluronate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7320 ......... E Hylan G-F 20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7500 ......... X Azathiop po tab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
50mg 100s ea.
J7501 ......... X Azathioprine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parenteral.
J7503 ......... X Cyclosporine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parenteral.
J7504 ......... X Lymphocyte immune 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
globulin.
J7505 ......... X Monoclonal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibodies.
J7506 ......... X Prednisone oral... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J7507 ......... E Tacrolimus oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 1 MG.
J7508 ......... E Tacrolimus oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 5 MG.
J7509 ......... X Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
J7510 ......... X Prednisolone oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per 5 mg.
J7513 ......... E Daclizumab, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
parenteral.
J7599 ......... X Immunosuppressive 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug noc.
J7610 ......... E Acetylcysteine 10% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7615 ......... E Acetylcysteine 20% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7620 ......... E Albuterol sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.083%/ml.
J7625 ......... E Albuterol sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.5% inj.
J7627 ......... E Bitolterolmesylate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhal sol.
J7630 ......... E Cromolyn sodium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J7640 ......... E Epinephrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J7645 ......... E Ipratropium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bromide .02%/ml.
J7650 ......... E Isoetharine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.1% inj.
J7651 ......... E Isoetharine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.125% inj.
J7652 ......... E Isoetharine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.167% inj.
J7653 ......... E Isoetharine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.2%/ inj.
J7654 ......... E Isoetharine hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.25% inj.
J7655 ......... E Isoetharine hcl 1% 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J7660 ......... E Isoproterenol hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
.5% inj.
J7665 ......... E Isoproterenol hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1% inj.
J7670 ......... E Metaproterenol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate .4%.
J7672 ......... E Metaproterenol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate .6%.
J7675 ......... E Metaproterenol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate 5%.
J7699 ......... E Inhalation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
solution for DME.
J7799 ......... E Non-inhalation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug for DME.
J8499 ......... N Oral prescrip drug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
non chemo.
J8530 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral 25 MG.
J8560 ......... E Etoposide oral 50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J8600 ......... E Melphalan oral 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG.
J8610 ......... E Methotrexate oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.5 MG.
J8999 ......... E Oral prescription 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug chemo.
J9000 ......... E Doxorubic hcl 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG vl chemo.
J9015 ......... E Aldesleukin/single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
use vial.
J9020 ......... E Asparaginase 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9031 ......... E Bcg live 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intravesical vac.
J9040 ......... E Bleomycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9045 ......... E Carboplatin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9050 ......... E Carmus bischl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nitro inj.
J9060 ......... E Cisplatin 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J9062 ......... E Cisplatin 50 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J9065 ......... E Inj cladribine per 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1 MG.
J9070 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
100 MG inj.
J9080 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
200 MG inj.
J9090 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
500 MG inj.
J9091 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.0 grm inj.
J9092 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
2.0 grm inj.
J9093 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9094 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9095 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9096 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9097 ......... E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lyophilized.
J9100 ......... E Cytarabine hcl 100 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG inj.
J9110 ......... E Cytarabine hcl 500 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
MG inj.
J9120 ......... E Dactinomycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
actinomycin d.
J9130 ......... E Dacarbazine 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9140 ......... E Dacarbazine 200 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
[[Page 39768]]
J9150 ......... E Daunorubicin...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9151 ......... E Daunorubicin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
citrate liposom.
J9165 ......... E Diethylstilbestrol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9170 ......... E Docetaxel......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9181 ......... E Etoposide 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9182 ......... E Etoposide 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9185 ......... E Fludarabine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phosphate inj.
J9190 ......... E Fluorouracil 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9200 ......... E Floxuridine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9201 ......... E Gemcitabine HCl... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9202 ......... E Goserelin acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant.
J9206 ......... E Irinotecan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9208 ......... E Ifosfomide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9209 ......... E Mesna injection... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9211 ......... E Idarubicin hcl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J9212 ......... E Interferon alfacon- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
1.
J9213 ......... E Interferon alfa-2a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9214 ......... E Interferon alfa-2b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9215 ......... E Interferon alfa-n3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9216 ......... E Interferon gamma 1- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
b inj.
J9217 ......... E Leuprolide acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
suspnsion.
J9218 ......... E Leuprolide acetate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injeciton.
J9230 ......... E Mechlorethamine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hcl inj.
J9245 ......... E Inj melphalan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochl 50 MG.
J9250 ......... E Methotrexate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J9260 ......... E Methotrexate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sodium inj.
J9265 ......... E Paclitaxel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9266 ......... E Pegaspargase/singl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dose vial.
J9268 ......... E Pentostatin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9270 ......... E Plicamycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(mithramycin) inj.
J9280 ......... E Mitomycin 5 MG inj 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9290 ......... E Mitomycin 20 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9291 ......... E Mitomycin 40 MG 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj.
J9293 ......... E Mitoxantrone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrochl / 5 MG.
J9310 ......... E Rituximab cancer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment.
J9320 ......... E Streptozocin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
J9340 ......... E Thiotepa injection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9350 ......... E Topotecan......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9360 ......... E Vinblastine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate inj.
J9370 ......... E Vincristine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate 1 MG inj.
J9375 ......... E Vincristine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate 2 MG inj.
J9380 ......... E Vincristine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sulfate 5 MG inj.
J9390 ......... E Vinorelbine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tartrate/10 mg.
J9600 ......... E Porfimer sodium... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
J9999 ......... E Chemotherapy drug. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0064 ......... A Visit for drug 0.37 0.26 0.24 0.12 0.17 0.01 0.64 0.62 0.50 0.55 XXX
monitoring.
M0075 ......... N Cellular therapy.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0076 ......... N Prolotherapy...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
M0100 ......... N Intragastric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hypothermia.
M0300 ......... N IV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chelationtherapy.
M0301 ......... N Fabric wrapping of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aneurysm.
M0302 ......... N Assessment of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cardiac output.
P2028 ......... X Cephalin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
floculation test.
P2029 ......... X Congo red blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
P2031 ......... N Hair analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P2033 ......... X Blood thymol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
turbidity.
P2038 ......... X Blood mucoprotein. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P3000 ......... X Screen pap by tech 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w md supv.
P3001 ......... A Screening pap 0.42 0.18 0.27 0.18 0.27 0.01 0.61 0.70 0.61 0.70 XXX
smear by phys.
P7001 ......... I Culture bacterial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urine.
P9010 ......... E Whole blood for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transfusion.
P9011 ......... E Blood split unit.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
P9012 ......... E Cryoprecipitate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
each unit.
P9013 ......... E Unit/s blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fibrinogen.
P9016 ......... E Leukocyte poor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
blood, unit.
P9017 ......... E One donor fresh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
frozn plasma.
P9018 ......... E Plasma protein 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fract, unit.
P9019 ......... E Platelet 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
concentrate unit.
P9020 ......... E Plaelet rich 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plasma unit.
P9021 ......... E Red blood cells 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unit.
P9022 ......... E Washed red blood 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cells unit.
P9603 ......... X One-way allow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prorated miles.
P9604 ......... X One-way allow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prorated trip.
P9612 ......... X Catheterize for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urine spec.
P9615 ......... X Urine specimen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
collect mult.
Q0034 ......... X Admin of influenza 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine.
Q0035 ......... A Cardiokymography.. 0.17 0.47 0.50 0.47 0.50 0.03 0.67 0.70 0.67 0.70 XXX
Q0035 26 A Cardiokymography.. 0.17 0.06 0.10 0.06 0.10 0.01 0.24 0.28 0.24 0.28 XXX
Q0035 TC A Cardiokymography.. 0.00 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 XXX
Q0068 ......... A Extracorpeal 1.67 4.41 2.90 0.53 0.96 0.11 6.19 4.68 2.31 2.74 000
plasmapheresis.
Q0091 ......... A Obtaining screen 0.37 0.74 0.52 0.14 0.22 0.01 1.12 0.90 0.52 0.60 XXX
pap smear.
Q0092 ......... A Set up port xray 0.00 0.33 0.33 0.33 0.33 0.01 0.34 0.34 0.34 0.34 XXX
equipment.
Q0111 ......... X Wet mounts/ w 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
preparations.
Q0112 ......... X Potassium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydroxide preps.
[[Page 39769]]
Q0113 ......... X Pinworm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examinations.
Q0114 ......... X Fern test......... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0115 ......... X Post-coital mucous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
Q0132 ......... X Dispensing fee DME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
neb drug.
Q0136 ......... X Non esrd epoetin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
alpha inj.
Q0144 ......... N Azithromycin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dihydrate, oral.
Q0156 ......... X Human albumin 5%.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0157 ......... X Human albumin 25%. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Q0160 ......... X Factor IX non- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recombinant.
Q0161 ......... X Factor IX 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recombinant.
Q0163 ......... X Diphenhydramine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
HCl 50mg.
Q0164 ......... X Prochlorperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate 5mg.
Q0165 ......... X Prochlorperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate10mg.
Q0166 ......... X Granisetron HCl 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mg oral.
Q0167 ......... X Dronabinol 2.5mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
Q0168 ......... X Dronabinol 5mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
Q0169 ......... X Promethazine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
12.5mg oral.
Q0170 ......... X Promethazine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
25 mg oral.
Q0171 ......... X Chlorpromazine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
10mg oral.
Q0172 ......... X Chlorpromazine HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
25mg oral.
Q0173 ......... X Trimethobenzamide 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
HCl 250mg.
Q0174 ......... X Thiethylperazine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
maleate10mg.
Q0175 ......... X Perphenazine 4mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
Q0176 ......... X Perphenazine 8mg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oral.
Q0177 ......... X Hydroxyzine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pamoate 25mg.
Q0178 ......... X Hydroxyzine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pamoate 50mg.
Q0179 ......... X Ondansetron HCl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
8mg oral.
Q0180 ......... X Dolasetron 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mesylate oral.
Q0181 ......... X Unspecified oral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
anti-emetic.
Q0183 ......... E Nonmetabolic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
active tissue.
Q0184 ......... E Metabolically 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
active tissue.
Q0185 ......... E Metabolic active D/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
E tissue.
Q9920 ......... E Epoetin with hct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
<= 20.
Q9921 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
21.
Q9922 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
22.
Q9923 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
23.
Q9924 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
24.
Q9925 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
25.
Q9926 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
26.
Q9927 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
27.
Q9928 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
28.
Q9929 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
29.
Q9930 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
30.
Q9931 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
31.
Q9932 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
32.
Q9933 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
33.
Q9934 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
34.
Q9935 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
35.
Q9936 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
36.
Q9937 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
37.
Q9938 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
38.
Q9939 ......... E Epoetin with hct = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
39.
Q9940 ......... E Epoetin with hct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
>= 40.
R0070 ......... C Transport portable 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 XXX
x-ray.
R0075 ......... C Transport port x- 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 XXX
ray multipl.
R0076 ......... B Transport portable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
EKG.
V2020 ......... X Vision svcs frames 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
purchases.
V2025 ......... N Eyeglasses delux 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
frames.
V2100 ......... X Lens spher single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plano 4.00.
V2101 ......... X Single visn sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.12-7.00.
V2102 ......... X Singl visn sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.12-20.00.
V2103 ......... X Spherocylindr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/12-2.00d.
V2104 ......... X Spherocylindr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/2.12-4d.
V2105 ......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/4.25-6d.
V2106 ......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/>6.00d.
V2107 ......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25d/12-2d.
V2108 ......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25d/2.12-4d.
V2109 ......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25d/4.25-6d.
V2110 ......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25d/over 6d.
V2111 ......... X Spherocylindr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25d/.25-2.25.
V2112 ......... X Spherocylindr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25d/2.25-4d.
V2113 ......... X Spherocylindr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25d/4.25-6d.
V2114 ......... X Spherocylinder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over 12.00d.
V2115 ......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2116 ......... X Nonaspheric lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2117 ......... X Aspheric lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2118 ......... X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single.
V2199 ......... X Lens single vision 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
not oth c.
V2200 ......... X Lens spher bifoc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plano 4.00d.
V2201 ......... X Lens sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal 4.12-7.0.
V2202 ......... X Lens sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal 7.12-20..
V2203 ......... X Lens sphcyl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal 4.00d/.1.
V2204 ......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/2.1.
V2205 ......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/4.2.
[[Page 39770]]
V2206 ......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.00d/ove.
V2207 ......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7d/..
V2208 ......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/2..
V2209 ......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/4..
V2210 ......... X Lens sphcy bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/ov.
V2211 ......... X Lens sphcy bifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/.25-.
V2212 ......... X Lens sphcyl bifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/2.2.
V2213 ......... X Lens sphcyl bifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/4.2.
V2214 ......... X Lens sphcyl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal over 12..
V2215 ......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2216 ......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonaspheric.
V2217 ......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aspheric bif.
V2218 ......... X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2219 ......... X Lens bifocal seg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
width over.
V2220 ......... X Lens bifocal add 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over 3.25d.
V2299 ......... X Lens bifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
speciality.
V2300 ......... X Lens sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 4.00d.
V2301 ......... X Lens sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 4.12-7..
V2302 ......... X Lens sphere 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 7.12-20.
V2303 ......... X Lens sphcy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 4.0/.12-.
V2304 ......... X Lens sphcy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 4.0/2.25.
V2305 ......... X Lens sphcy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 4.0/4.25.
V2306 ......... X Lens sphcyl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 4.00/>6.
V2307 ......... X Lens sphcy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal 4.25-7/..
V2308 ......... X Lens sphc trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/2..
V2309 ......... X Lens sphc trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/4..
V2310 ......... X Lens sphc trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
4.25-7/>6.
V2311 ......... X Lens sphc trifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/.25-.
V2312 ......... X Lens sphc trifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/2.25.
V2313 ......... X Lens sphc trifo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
7.25-12/4.25.
V2314 ......... X Lens sphcyl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal over 12.
V2315 ......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal.
V2316 ......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonaspheric.
V2317 ......... X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aspheric tri.
V2318 ......... X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trifocal.
V2319 ......... X Lens trifocal seg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
width > 28.
V2320 ......... X Lens trifocal add 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
over 3.25d.
V2399 ......... X Lens trifocal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
speciality.
V2410 ......... X Lens variab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
asphericity sing.
V2430 ......... X Lens variable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
asphericity bi.
V2499 ......... X Variable 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
asphericity lens.
V2500 ......... X Contact lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spherical.
V2501 ......... X Cntct lens pmma- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
toric/prism.
V2502 ......... X Contact lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bifocal.
V2503 ......... X Cntct lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
color vision.
V2510 ......... X Cntct gas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permeable
sphericl.
V2511 ......... X Cntct toric prism 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ballast.
V2512 ......... X Cntct lens gas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permbl bifocl.
V2513 ......... X Contact lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extended wear.
V2520 ......... P Contact lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrophilic.
V2521 ......... X Cntct lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrophilic toric.
V2522 ......... X Cntct lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrophil bifocl.
V2523 ......... X Cntct lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hydrophil extend.
V2530 ......... X Contact lens gas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
impermeable.
V2531 ......... X Contact lens gas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
permeable.
V2599 ......... X Contact lens/es 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
other type.
V2600 ......... X Hand held low 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vision aids.
V2610 ......... X Single lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spectacle mount.
V2615 ......... X Telescop/othr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
compound lens.
V2623 ......... X Plastic eye prosth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
custom.
V2624 ......... X Polishing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
artifical eye.
V2625 ......... X Enlargemnt of eye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
V2626 ......... X Reduction of eye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prosthesis.
V2627 ......... X Scleral cover 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
shell.
V2628 ......... X Fabrication & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fitting.
V2629 ......... X Prosthetic eye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
other type.
V2630 ......... X Anter chamber 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intraocul lens.
V2631 ......... X Iris support 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intraoclr lens.
V2632 ......... X Post chmbr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intraocular lens.
V2700 ......... X Balance lens...... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2710 ......... X Glass/plastic slab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
off prism.
V2715 ......... X Prism lens/es..... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2718 ......... X Fresnell prism 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
press-on lens.
V2730 ......... X Special base curve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2740 ......... X Rose tint plastic. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2741 ......... X Non-rose tint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plastic.
V2742 ......... X Rose tint glass... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2743 ......... X Non-rose tint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
glass.
V2744 ......... X Tint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
photochromatic
lens/es.
V2750 ......... X Anti-reflective 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
coating.
V2755 ......... X UV lens/es........ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2760 ......... X Scratch resistant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
coating.
V2770 ......... X Occluder lens/es.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V2780 ......... X Oversize lens/es.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
[[Page 39771]]
V2781 ......... X Progressive lens 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
per lens.
V2785 ......... X Corneal tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
processing.
V2799 ......... X Miscellaneous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vision service.
V5008 ......... N Hearing screening. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5010 ......... N Assessment for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5011 ......... N Hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fitting/checking.
V5014 ......... N Hearing aid repair/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
modifying.
V5020 ......... N Conformity 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
evaluation.
V5030 ......... N Body-worn hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid air.
V5040 ......... N Body-worn hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid bone.
V5050 ......... N Body-worn hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid in ear.
V5060 ......... N Behind ear hearing 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aid.
V5070 ......... N Glasses air 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conduction.
V5080 ......... N Glasses bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
conduction.
V5090 ......... N Hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dispensing fee.
V5100 ......... N Body-worn bilat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5110 ......... N Hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dispensing fee.
V5120 ......... N Body-worn binaur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5130 ......... N In ear binaural 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5140 ......... N Behind ear binaur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing ai.
V5150 ......... N Glasses binaural 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5160 ......... N Dispensing fee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
binaural.
V5170 ......... N Within ear cros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5180 ......... N Behind ear cros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5190 ......... N Glasses cros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5200 ......... N Cros hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dispens fee.
V5210 ......... N In ear bicros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5220 ......... N Behind ear bicros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing ai.
V5230 ......... N Glasses bicros 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hearing aid.
V5240 ......... N Dispensing fee 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bicros.
V5299 ......... R Hearing service... 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5336 ......... N Repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
communication
device.
V5362 ......... R Speech screening.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5363 ......... R Language screening 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
V5364 ......... R Dysphagia 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
screening.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
[FR Doc. 99-18561 Filed 7-21-99; 8:45 am]
BILLING CODE 4120-01-P